Abstract
In traditional Korean medicine (TKM), pattern identification (PI) diagnosis is important for treating diseases. The aim of this study was to comprehensively investigate the relationship between the PI type and tongue diagnosis or pulse diagnosis variables. The study included 1,879 stroke patients who were admitted to 12 oriental medical university hospitals from June 2006 through March 2009. The status of the pulse and tongue was examined in each patient. Additionally, to investigate relatively important indicators related to specialist PI, the quantification theory type II analysis was performed regarding the PI type. In the first axis quantification of the external criteria, the Qi-deficiency and the Yin-deficiency patterns were located in the negative direction, while the dampness-phlegm (DP) and fire-heat patterns were located in the positive direction. The explanatory variable with the greatest impact on the assessment was a fine pulse. In the second axis quantification, the external criteria were divided into either the DP or non-DP patterns. The slippery pulse exhibited the greatest effect on the division. This study attempted to build a model using a statistical method to objectively quantify PI and various indicators that constitute the unique diagnosis system of TKM. These results should assist the development of future diagnostic standards in stroke PI.
Highlights
Traditional Korean medicine (TKM) uses a unique diagnostic system of pattern identification (PI) based on the indicated reactions of the body to disease [1]
Two clinical specialists who were well trained in the standard operation procedures (SOPs) simultaneously examined the patterns of identification for a patient, and the symptoms present within 24 hours of the time of examination were used as the basis for analysis
The first axis quantification for the external criteria consisted of assessments of (−) QD, YD, DP, and FH (+) axes
Summary
Traditional Korean medicine (TKM) uses a unique diagnostic system of pattern identification (PI) based on the indicated reactions of the body to disease [1]. One of the typical methods of diagnosis by observation is tongue diagnosis, which is the evaluation of a disease by observing the tongue This method is actively used to examine the causes, properties, and affected areas of a disease and to determine the prognosis of a disease by observing changes in a patient’s tongue characteristics and tongue coating. Pulse diagnosis is an examination technique in which the doctor directly palpates the pulses on both wrists of a patient to evaluate the properties and condition of the pulses. A patient’s condition and disease are diagnosed according to the palpation of the pulse, a treatment plan is chosen, and the effectiveness of the selected treatment is determined by comparing the pulses before and after the treatment
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