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KMID : 0644120090220020189
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Journal of Oriental Gynecology
2009 Volume.22 No. 2 p.189 ~ p.208
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A Clinical Study on Differentiation of Syndromes of Amenorrhea or Oligomenorrhea with DSOM
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Lee In-Seon
Bae Geung-Mee
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Abstract
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Purpose: In oriental medicine, doctors have mainly made diagnosis and treatment with amenorrhea or delayed menstrual period based on overall analysis of symptoms and signs patients have. We think patients with amenorrhea or delayed menstrual period to have symptoms that are classified into one differentiation of syndromes, and then studied to make the index. This study has been carried out to investigate pattern identifications and classify symptoms according to them.
Methods: We examined 52 patients who visited Dong-eui university oriental medical center from June 2005 to February 2009 for undergoing treatment for amenorrhea or delayed menstrual period and made OB & GY questionnaires up
Results: We investigated whether the patients had symptoms concerned with symptom types by analyzing the result of DSOM(Diagnos System of Oriental Medicine, hearafter DSOM). It came out 51 cases among 52 with pathogenesis that was related to the symptom types. The symptom types of were surveyed into Insufficiency of Kidney and Liver(ÊÜãìÝÕðë), Insufficiency of Qi and Blood(ѨúìúÈå°), Insufficiency of Yin & Dryness of blood(ëäúÈúìðÏ), stagnation of Qi and Blood(ѨôòúìåÜ), phlegm and damp(ÓÃã¥ðæôò), coldness of Blood(úìùÎ), Heat of Heart(ãýûý).
Conclusion: As a result of the investigation, one case did not have symptoms of differentiation of syndromes of amenorrhea or delayed menstrual period. 29 cases had 1 or 2 differentiation of syndromes. 21 patients had such complex symptoms of diverse differentiation of syndromes that it was difficult to diagnose a differentiation of syndromes in clinical survey. It is necessary to put the priority among the differentiation of syndromes in diagnosis in the future.
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KEYWORD
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amenorrhea, delayed menstrual period, differentiation of syndromes, pathogenesis, DSOM questionnaire
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