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논문KCI 등재후보

금궤요략 증상에 근거한 진료기록부 작성에 대한 제언

Suggestions for writing the medical records based on the symptoms in Geum-gwe-yo-ryak(金匱要略)

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초록

Objective: This study intends to present the writing of standardized medical records based on Korean medicine on the basis of Geum-gwe-yo-ryak symptoms. Methods: 1. Excluding the sentences unrelated to the Geum-gwe-yo-ryak symptoms, the symptoms in the rest of sentences were extracted. 2. Classifying the extracted symptoms as per the review of system, the similar symptoms were integrated. 3. Calculating the frequencies of each symptom, each strain rate was calculated. 4. The above results were compared with the results of existing similar study on Sang-han-ron(『傷寒論』) symptoms Results & Conclusion: 1. Resulting from the analysis on all sentences in Geum-gwe-yo-ryak, a total of 1486 different symptoms were extracted. 2. As results out of total, the symptom related to the temperature sensation accounted for 12.4%, that related to sweat did 3.8%, that related to thirst did 3.8%, that related to edema did 3.4%, that related to musculoskeletal system did 6.9%, that related to breathing did 8.6%, that related to chest and hypochondrium did 6.2%, that related to abdomen did 9.5%, that related to digestive system did 9.6%, that related to stool did 6.4%, that related to urination and urinary system did 5.7%, that related to mouth, eye, ear, nose, throat did 5.3%, that related to skin did 4.5%, that related to language, mind, sleep and emotion did 6.7%. 3. Compared with Sang-han-ron, Edema appear only in Geum-gwe-yo-ryak. Therefore, edema may be a characteristic symptoms of miscellaneous disease

Abstract

Objective: This study intends to present the writing of standardized medical records based on Korean medicine on the basis of Geum-gwe-yo-ryak symptoms. Methods: 1. Excluding the sentences unrelated to the Geum-gwe-yo-ryak symptoms, the symptoms in the rest of sentences were extracted. 2. Classifying the extracted symptoms as per the review of system, the similar symptoms were integrated. 3. Calculating the frequencies of each symptom, each strain rate was calculated. 4. The above results were compared with the results of existing similar study on Sang-han-ron(『傷寒論』) symptoms Results & Conclusion: 1. Resulting from the analysis on all sentences in Geum-gwe-yo-ryak, a total of 1486 different symptoms were extracted. 2. As results out of total, the symptom related to the temperature sensation accounted for 12.4%, that related to sweat did 3.8%, that related to thirst did 3.8%, that related to edema did 3.4%, that related to musculoskeletal system did 6.9%, that related to breathing did 8.6%, that related to chest and hypochondrium did 6.2%, that related to abdomen did 9.5%, that related to digestive system did 9.6%, that related to stool did 6.4%, that related to urination and urinary system did 5.7%, that related to mouth, eye, ear, nose, throat did 5.3%, that related to skin did 4.5%, that related to language, mind, sleep and emotion did 6.7%. 3. Compared with Sang-han-ron, Edema appear only in Geum-gwe-yo-ryak. Therefore, edema may be a characteristic symptoms of miscellaneous disease

참고문헌 (7)

  1. 김상운, "상한론 증상에 근거한 진료기록부 작성에 대한 제언", 대한한의진단학회지, 18(2), pp.85~110 (2014), 대한한의진단학회
  2. 유재경, "『金匱要略』의 四肢病에대한 硏究", 大田大學校 韓醫學硏究所 論文集, 14(2), pp.23~29 (2005)
  3. 백유상, "『金匱要略·驚悸吐衄下血胸滿瘀血病脈證幷治』의 瘀血證에 대한 小考", 대한한의학원전학회지, 24(6), pp.29~38 (2011), 대한한의학원전학회
  4. 노승조, "金匱要略․水氣病脈證幷治第十四에 대한 연구", 동의생리병리학회지, 22(1), pp.60~81 (2008), 한의병리학회
  5. 金匱要略硏究集成刊行委員會, "金匱要略硏究集成", pp.531~ (2010), 청운
  6. 陳紀藩, "金匱要略", pp.679~ (2012), 人民衛生出版社
  7. 이병욱, "문헌과 진료기록부에 기록된 용어의 비교", 대한한의학원전학회지, 24(1), pp.1~13 (2011), 대한한의학원전학회

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