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JKM > Volume 36(3); 2015 > Article
Park, Kim, Cho, Jung, and Yoo: Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for Lung Cancer

Abstract

Objectives:

The aim of study was to develop a standard instrument of oriental medical evaluation lung cancer.

Methods:

For this study, the committee advisor was organized by 10 Korean Medicine professors of the Korean Association of Traditional Oncology. The items and structure of the instrument were quoted from the instrument of pattern identification for lung cancer. We had a consultation with the committee twice and took additional advice from it via E-mail.

Results:

According to the research, we determined the Korean oriental medical assessment tool for lung cancer comprised of the 6 types of patterns of syndrome differentiation.
The advisor committee gave the answers about discrimination between bian-zheng and su-zheng, mean weight of each symptom and sign. The final weight was calculated from the combination of the ratio of bian-zheng and mean weight.

Conclusions:

The instrument of oriental medical evaluation for lung cancer was developed through experts’ discussion. If the validity and the reliability of this instrument are validated through additional clinical trial, the instrument of oriental medical evaluation for lung cancer is expected to be applied to the later research.

Fig. 1.
The method for discriminating between lung bian-zheng and su-zheng of symptoms and signs.
jkm-36-3-53f1.tif
Fig. 2.
The method for evaluating mean weight of symptoms and signs.
jkm-36-3-53f2.tif
Fig. 3.
The method for decision final weight of symptoms and signs.
jkm-36-3-53f3.tif
Table 1.
List of Advisor Committee
Name Colleges
Advisor Committee (Korean Medicine professors recommended from the Korean Association of Traditional Oncology) Kyung Suk Kim Dankook University
Jong Dae Kim Daegu Haany University
Goo Moon Wonkwang University
Bong Keun Song Wonkwang University
Joon Sang Yoo Sangji University
Hwa Seong Yoo Daejeon University
Hyun Jung Jung Daegu Haany University
Jung Hyo Cho Daejeon University
Chong Kwan Cho Daejeon University
Sang Hoon Hong Dongeui University
Table 2.
Lung Spleen Both Deficiency
Symptoms and signs Mean Weight Ratio or Bian-zheng Final Weight
(1) Chronic cough 4.63 0.02 0.02
(2) Phlegm thin and white, easy spiting out 3.49 0.14 0.15
(3) Oppression in the chest, weakness and shortness of breath 4.82 0.05 0.07
(4) Abdominal stuffiness and distention 3.93 0.16 0.18
(5) Weakness and shortness of breath, dislike of speaking 3.52 0.09 0.10
(6) Spontaneous sweating and lack of strength 3.52 0.13 0.13
(7) External wind and hate cold 2.94 0.14 0.12
(8) Pale complexion 2.17 0.05 0.03
(9) Sloppy stool 2.79 0.16 0.13
(10) Teeth-marked tongue, pale body, white fur 3.08 0.05 0.04
(11) Vacuous-weak pulse 3.08 0.03 0.03
Table 3.
Lung Kidney Both Deficiency
Symptoms and signs Mean Weight Ratio or Bian-zheng Final Weight
(1) Lassitude of spirit and lack of strength 3.35 0.04 0.04
(2) Weakness and shortness of breath 4.45 0.06 0.08
(3) Profuse exhale and lack of inhale 3.90 0.10 0.12
(4) Stir and panting 3.73 0.10 0.11
(5) Fear of cold 3.48 0.09 0.09
(6) Night urination frequency 3.05 0.07 0.07
(7) Cough and phlegm, lack of strength 4.95 0.12 0.17
(8) Chest and abdominal distention 2.79 0.13 0.11
(9) Non-bright pale complexion 2.57 0.04 0.03
(10) Aching and limpnesses of lumbar and thigh 1.98 0.07 0.04
(11) Seminal emission and lack of strength 2.17 0.10 0.07
(12) Pale or teeth-marked tongue or with blood stasis tongue, thin or white-slimy fur 3.08 0.04 0.04
(13) Sunken-fine-weak pulse 2.85 0.03 0.02
Table 4.
Dampness Phlegm Obstructing the Lung
Symptoms and signs Mean Weight Ratio or Bian-zheng Final Weight
(1) Cough and profuse phlegm 8.91 0.06 0.13
(2) White and sticky phlegm 4.90 0.07 0.09
(3) Shortness of breath 5.29 0.07 0.09
(4) Oppression in the chest 6.58 0.09 0.14
(5) Puffy face 5.06 0.12 0.14
(6) Sallow complexion 2.23 0.09 0.05
(7) Lassitude of spirit and lack of strength 3.28 0.09 0.07
(8) Abdominal distention and fullness 2.16 0.10 0.05
(9) Heavy four limbs 3.31 0.12 0.09
(10) Sloppy stool 3.08 0.13 0.10
(11) Dark or enlarged-pale tongue, white-slimy fur 3.08 0.04 0.03
(12) Slippery or rapid-slippery pulse 3.08 0.03 0.02
Table 5.
Qi Stagnation Blood Stasis
Symptoms and signs Mean Weight Ratio or Bian-zheng Final Weight
(1) Poor cough 6.00 0.07 0.12
(2) Bloody phlegm or hemoptysis 5.56 0.04 0.07
(3) Dark redish phlegm-blood 4.49 0.07 0.09
(4) Oppression in the chest 3.48 0.08 0.08
(5) Weakness and shortness of breath 4.45 0.07 0.09
(6) Chest fixed pain like stabbing 4.14 0.10 0.12
(7) Dark purple mouth and lips 2.59 0.08 0.06
(8) Thirst 2.94 0.13 0.11
(9) Insomnia 2.42 0.13 0.09
(10) Constipation 2.79 0.14 0.11
(11) Crimson tongue with blood stasis tongue, thin yellow fur 3.08 0.06 0.05
(12) String-like or fine-rough pulse 3.08 0.03 0.02
Table 6.
Yin Deficiency Toxin Heat
Symptoms and signs Mean Weight Ratio or Bian-zheng Final Weight
(1) Cough without or a little phlegm 5.15 0.04 0.06
(2) Phlegm with belt like blood 3.48 0.08 0.08
(3) Severe, persistent hemoptysis 3.12 0.06 0.06
(4) Chest pain 4.03 0.10 0.12
(5) Oppression in the chest, weakness and shortness of breath 4.06 0.08 0.09
(6) Vexation 3.54 0.08 0.08
(7) Vexing heat in the chest, palms and soles 4.90 0.09 0.12
(8) Tidal or mild fever 3.68 0.09 0.09
(9) Night sweating 3.07 0.06 0.06
(10) Chronic persistent disease 2.28 0.05 0.03
(11) Thirst or dry throat with hoarseness 2.41 0.10 0.07
(12) Dry stool 2.92 0.11 0.10
(13) Red tongue with thin-yellow fur or bright tongue without fur 3.08 0.04 0.03
(14) Fine-rapid or rapid-large pulse 2.85 0.03 0.02
Table 7.
Heat Toxin Accumulation
Symptoms and signs Mean Weight Ratio or Bian-zheng Final Weight
(1) Fever 8.52 0.04 0.09
(2) Bitter taste in the mouth 4.03 0.08 0.09
(3) Thirst 6.01 0.05 0.08
(4) Headache 4.00 0.09 0.10
(5) Cough 4.03 0.05 0.05
(6) Dyspnea 2.64 0.06 0.04
(7) Sticky yellow phlegm 4.14 0.07 0.08
(8) Vomiting phlegm containing pus and blood 3.60 0.06 0.05
(9) Chest and back pain 2.64 0.08 0.06
(10) Agitation 4.01 0.07 0.08
(11) Severe, jiggling nose 2.92 0.08 0.07
(12) Short and redish urination 2.96 0.09 0.07
(13) Dry stool 2.82 0.09 0.07
(14) Red tongue, yellow fur 2.42 0.06 0.04
(15) Large and rapid pulse 3.05 0.04 0.03

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