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중국 논문에 나타난 건선의 변증 분석 및 변증체계에 대한 고찰

A Review on Patterns and Classification Criteria of Psoriasis by analyzing Chinese Theses

김규석|조은채
대한한방안이비인후피부과학회 (The Korean Medicine Opthalmology&Otolaryngology&Dermatology Society)|2020.05|한방안이비인후피부과학회지 (The Journal of Korean Medicine Ophthalmology&Otorhinolaryngology&Dermatology)|제33권 제2호|pp. 112-129|DOI http://dx.doi.org/10.6114/jkood.2020.33.2.112

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참고문헌

키워드

PsoriasisReviewClassification criteriaPattern identification (PI)Traditional Chinese Medicine (TCM)
주제분류한의학

초록

Objectives : The aim of this study is to explore the types of pattern identification (PI, 辨證) and the differential points of PI used for the treatment of psoriasis in Traditional Chinese Medicine (TCM) based on the Chinese references and to provide the evidences applying PI for the treatment of psoriasis in clinical practice. Methods : This study extracted patterns of psoriasis through database CNKI (China National Knowledge Infrastructure) and analysis the patterns and classification criteria of the patterns. Those examined in the study are dermal symptoms, general symptoms, formula and herbs which are different depending on the patterns. Results : Total 60 studies were selected and 44 pattern types were extracted from them. We categorized the main pattern types on psoriasis used in TCM as ‘blood-heat syndrome(BHS, 血熱證)’, blood-stasis syndrome(BSS, 血瘀證), and ‘blood-dryness syndrome(BDS, 血燥證)’, ‘dampness-heat syndrome(DHS, 濕熱證)’ and ‘yang-deficiency syndrome(YDS, 陽虛證)’. Among these patterns, BHS was the most common. In TCM, the pattern of BHS tended to have skin symptoms and signs related to inflammatory erythema and heat. Both BSS and BDS were characterized by long disease duration and poor healing. In addition, DHS tended to have the skin symptoms and signs such as oozing and severe itching. The symptoms and signs related to coldness mainly showed in YDS. For PI criteria, ‘qi-blood-essence criteria(氣血津液辨證)’ and ‘eight-doctrine criteria(八鋼辨證) are commonly used. Conclusions : Our findings show that each PI on psoriasis in TCM has different characteristics related to dermal and general symptoms or signs. Further studies are needed to develop the diagnostic tool of PI on psoriasis reflecting on clinical practices in Korean Medicine by referring to the findings of this study about PI on psoriasis in TCM.

Abstract

Objectives : The aim of this study is to explore the types of pattern identification (PI, 辨證) and the differential points of PI used for the treatment of psoriasis in Traditional Chinese Medicine (TCM) based on the Chinese references and to provide the evidences applying PI for the treatment of psoriasis in clinical practice. Methods : This study extracted patterns of psoriasis through database CNKI (China National Knowledge Infrastructure) and analysis the patterns and classification criteria of the patterns. Those examined in the study are dermal symptoms, general symptoms, formula and herbs which are different depending on the patterns. Results : Total 60 studies were selected and 44 pattern types were extracted from them. We categorized the main pattern types on psoriasis used in TCM as ‘blood-heat syndrome(BHS, 血熱證)’, blood-stasis syndrome(BSS, 血瘀證), and ‘blood-dryness syndrome(BDS, 血燥證)’, ‘dampness-heat syndrome(DHS, 濕熱證)’ and ‘yang-deficiency syndrome(YDS, 陽虛證)’. Among these patterns, BHS was the most common. In TCM, the pattern of BHS tended to have skin symptoms and signs related to inflammatory erythema and heat. Both BSS and BDS were characterized by long disease duration and poor healing. In addition, DHS tended to have the skin symptoms and signs such as oozing and severe itching. The symptoms and signs related to coldness mainly showed in YDS. For PI criteria, ‘qi-blood-essence criteria(氣血津液辨證)’ and ‘eight-doctrine criteria(八鋼辨證) are commonly used. Conclusions : Our findings show that each PI on psoriasis in TCM has different characteristics related to dermal and general symptoms or signs. Further studies are needed to develop the diagnostic tool of PI on psoriasis reflecting on clinical practices in Korean Medicine by referring to the findings of this study about PI on psoriasis in TCM.

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