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KMID : 0363320100310010040
Journal of Korean Oriental Internal Medicine
2010 Volume.31 No. 1 p.40 ~ p.53
Literature Review on Syndrome Differentiation of Tremor, Focusing on Chinese Journals
Sun Seung-Ho

Abstract
Background : It was not enough to apply three kinds of syndrome differentiation in our oriental medical textbook to tremor¡¯s treatment according to reports of Korea and traditional medical textbook of China. Objective : To investigate syndrome differentiations by types of diseases related to tremor through Chinese journals review and to suggest adding possible syndrome differentiations.

Methods : Literature search was performed using China Academic Journal (CAJ), the search engine of China National Knowledge Infrastructure (CNKI) from January 1994 to December 2009. Searching key words were Chinese characters in combination meaning tremor, paralysis agitans, and syndrome differentiation. We included all types of articles that explained or referred to definite syndrome differentiations. The symptoms and oriental medications by syndrome differentiation in selected articles were extracted and summarized.

Results : 56 Chinese journals were ultimately selected. 37 kinds of syndrome differentiations about tremor were investigated, which included dual deficiency of qi and blood (ѨúìÕ×úÈ) quoted 31 times, liver-kidney yin deficiency (ÊÜãìëäýÐ) 23 times, liver-kidney deficiency (ÊÜãìÜôðë) 21 times, and phlegm-heat stirring wind (ÓÃæðÔÑù¦) 20 times. 37 kinds of syndrome differentiation could by group into eight types, such as liver-kidney yin deficiency (ÊÜãìëäýÐ), dual deficiency of qi and blood (ѨúìÕ×úÈ), phlegm-heat stirring wind (ÓÃæðÔÑù¦), heart deficiency and spirit weakness (ãýúÈãêå°), blood stasis due to qi stagnation (ѨôòúìåÜ), sea of marrow deficiency (âÐú­ÝÕðë), liver qi depression (ÊÜѨê¦Ì¿), and liver yang transforming into wind (ÊÜåÕûùù¦).

Conclusion : We suggest that the syndrome differentiations of tremor, such as heart deficiency and spirit weakness (ãýúÈãêå°), blood stasis due to qi stagnation (ѨôòúìåÜ), sea of marrow deficiency (âÐú­ÝÕðë), liver qi depression (ÊÜѨê¦Ì¿), and liver yang transforming into wind (ÊÜåÕûùù¦), can be added to liver-kidney deficiency (ÊÜãìÜôðë), dual deficiency of qi and blood (ѨúìÕ×úÈ), and phlegm-heat stirring wind (ÓÃæðÔÑù¦) of the textbook. Further systematic research will be needed on them.
KEYWORD
Tremor, Syndrome differentiation, Paralysis agitans
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