본문 바로가기
KERD
논문KCI 등재후보

眼診을 통한 虛實 평가 및 신뢰도 연구

A Study on Reliability and Evaluate Deficiency and Excess on Visual Inspection of Eyes

3

조회

0

다운로드

1

인용

0

참고문헌

초록

ObjectivesVisual inspection is the first diagnostic method in Oriental medicine, and visual inspection of eyes is the oneamong them. This study was written in order to complement further understanding on visual inspection of eyes. Methods1. Out of 102 photographs submitted to the Society of HyungSang Medicine in 2009, 27 portrait pictures were selected as samplesin blind by 2 clinicians. The samples were copied to make 54 sample pictures, and then randomly assigned to 4 clinicians. 2. The 4 clinicians evaluated the 54 samples for excess and deficiency of the eyes. The results were recordedas 5‐points‐scale, and their average and standard deviation was calculated. 3. Intra and inter class reliability test were measured using SPSS 13. ResultsFor intra‐ and inter‐class correlation coefficient (ICC) values were measured as 0.654~0.967 and 0.756~ 0.783 respectively,with the P‐value below 0.05. Out of 27 originally selected samples, 7 pictures were selected as Deficiency Samples (with 3 pictures of male and 4 of females),and 20 as Excess Samples (with 4 of male and 16 of female). Among them, Sample No. 1, 9, 22, and 26 were selected as modelsof ‘Excessive Eyes’ for females, no. 4 and 5 as ‘Very Excessive Eyes’ for male and females, and no. 15 as ‘Moderate Eyes’ for females. ConclusionThis study is the first attempt of quantitative measurement of excess and deficiency using the Visual Inspection of eyes by the visual inspectionexperts. Still, additional studies are needed regarding the relationship visual inspection methods have with existing standards of diagnosis.

Abstract

ObjectivesVisual inspection is the first diagnostic method in Oriental medicine, and visual inspection of eyes is the oneamong them. This study was written in order to complement further understanding on visual inspection of eyes. Methods1. Out of 102 photographs submitted to the Society of HyungSang Medicine in 2009, 27 portrait pictures were selected as samplesin blind by 2 clinicians. The samples were copied to make 54 sample pictures, and then randomly assigned to 4 clinicians. 2. The 4 clinicians evaluated the 54 samples for excess and deficiency of the eyes. The results were recordedas 5‐points‐scale, and their average and standard deviation was calculated. 3. Intra and inter class reliability test were measured using SPSS 13. ResultsFor intra‐ and inter‐class correlation coefficient (ICC) values were measured as 0.654~0.967 and 0.756~ 0.783 respectively,with the P‐value below 0.05. Out of 27 originally selected samples, 7 pictures were selected as Deficiency Samples (with 3 pictures of male and 4 of females),and 20 as Excess Samples (with 4 of male and 16 of female). Among them, Sample No. 1, 9, 22, and 26 were selected as modelsof ‘Excessive Eyes’ for females, no. 4 and 5 as ‘Very Excessive Eyes’ for male and females, and no. 15 as ‘Moderate Eyes’ for females. ConclusionThis study is the first attempt of quantitative measurement of excess and deficiency using the Visual Inspection of eyes by the visual inspectionexperts. Still, additional studies are needed regarding the relationship visual inspection methods have with existing standards of diagnosis.

참고문헌 (19)

  1. 이봉교, "한방진단학", pp.42~51 (2000), 성보사
  2. 이경우, "편주역해 황제내경 영추 2", pp.341~ (2000), 여강출판사
  3. 이경우, "편주역해 황제내경 영추 3", pp.591~ (2000), 여강출판사
  4. 원진희, "정교주석동의보감(외형편)", pp.62~ (2004), 신우문화사
  5. 원진희, "정교주석동의보감(잡병편 상)", pp.71~72 (2004), 신우문화사
  6. "망진", pp.100~101 (2010), 청홍출판사
  7. Wu HJ, "Facial spectrum and color Characteristics of five viscera reflecting on the face in sub-health status", J Chin Integr Med, 10(1), pp.59~66 (2012)
  8. Chen Q, "Study on key problems in objective studies of Tongue complexion and Facial complexion", Zhonghua Zhong Yi Yao Xue Kan, 26(7), pp.1372~1374 (2008)
  9. 서재호, "망진 Checklist와 변증 설문간의 연관성 연구", 석사, 임상한의학과 진단생기능의학전공, pp.2013
  10. 서재호, "『황제내경』의 국소부위 望形態에 대한 연구", 대한한의진단학회지, 15(3), pp.235~244 (2011), 대한한의진단학회
  11. 강정수, "望形態에 대한 연구", 동의생리병리학회지, 19(6), pp.1483~1490 (2005), 대한동의병리학회
  12. Shrout PE, "Intraclass correlations : Uses in assessing rater reliability", Psychol Bull, 86(2), pp.420~428 (1979)
  13. Pinsault N, "Test–retest reliability of centre of foot pressure measures to assess postural control during unperturbed stance", Med Eng Phys, 31(2), pp.276~286 (2009)
  14. S Lee, "Development and validation of Yin-Deficiency Questionnaire", The American Journal of Chinese Medicine, 35(1), pp.11~20 (2007)
  15. Young-Jae Park, "Development of a Valid and Reliable Phlegm Pattern Questionnaire", The Journal of Alternative and Complementary Medicine, 17(9), pp.851~858 (2011)
  16. Hyunhee Ryu, "Reliability and Validity of a Cold–Heat Pattern Questionnaire for Traditional Chinese Medicine", The Journal of Alternative and Complementary Medicine, pp.663~667 (2010)
  17. 윤규진, "勞倦傷의 인과 구조 분석", 대한한의진단학회지, 14(1), pp.1~14 (2010), 대한한의진단학회
  18. 양동훈, "어혈변증설문지개발", 대한한의진단학회지, 10(1), pp.141~152 (2006)
  19. 임준성, "평위산증의 병인론적 분석을 위한 설문문항 개발", 대한한의진단학회지, 11(1), pp.72~81 (2007)

관련 논문AI추천

이 간행물의 다른 논문 (4건)