한의 중풍 변증 표준화 연구에서 어혈증에 관한 고찰

Abstract

Background : Static blood is a kind of the etiological factor including stagnated blood and overflowed blood out of the vessels. It is one of the causes of stroke in oriental medicine. Objectives : The purpose of this study is to evaluate the static blood pattern and its indicators in stroke pattern diagnosis. Methods : For the standardization of pattern diagnosis in stroke, we set 5 patterns (Fire-heat, Dampness-phlegm, Static blood, Qi deficiency, Yin deficiency) and developed 61 indicators. Patients had a first-ever stroke within 1 month after the onset of stroke. Two physicians checked the indicators independently. Then they performed pattern diagnosis and rechecked the indicators which were referred to pattern diagnosis. If pattern identifications were diagnosed the same, it would be the confirmed pattern identification. We examined the frequency of all indicators and referred indicators in static blood pattern patients. Results : In 859 patients, static blood pattern shared 24(2.8%). The indicators which affect static blood pattern were mainly rough pulse, bluish purple tongue and other indicators were not major effectors. Conclusion : This result shows that it is inconsistent to set up Static blood pattern as a major pattern in stroke. But static blood is still valuable concept in clinical field. Other study methods will be required to establish the pattern diagnostic indicators for static blood pattern.