The Potential of Yangdorak Diagnosis Application of Gallstone

Article information

J Korean Med. 2024;45(1):137-147

Publication date (electronic) : 2024 March 1

doi : https://doi.org/10.13048/jkm.24009

Gyu Eon Han

Julip Korean Medicine Clinic

Correspondence to: 한규언 서울특별시 송파구 새말로5길1, 덕우빌딩, Tel: +82-2-401-7582, Fax: +82-2-401-7581, E-mail: coc841@hanmail.net

Received 2024 January 17; Revised 2024 February 8; Accepted 2024 February 15.

Abstract

Objectives

The aim of the study was to investigate the potential of Yangdorak diagnosis application against gallstone scanned by Ultrasound diagnosis.

Method

For this aim, among 97 patients who had visited Julip Korean Medicine Clinic from July 2016 to June 2023, 30 patients with no gallstone as a control group and 67 patients with gallstone and diagnosed by ultrasonography, were subjected to Yangdorak diagnosis. Then, the changes in Gallbladder Meridian (GB) value as F5 AVE(average of left and right GB value) by Yangdorak were comparatively analyzed between gallstone and non-gallstone groups and statistical significance was evaluated by Tukey’s multiple comparison test using Prism software.

Results

After all subjects were evaluated by the Yangdorak and ultrasonography to assess the potential of the Yangdorak diagnosis for gallstone, it was noteworthy that the Yangdorak values relevant to F5 AVE of female gallstone group(N=36) were significantly (p<0.001) decreased compared to the control group (N=30), while there was no significance in male gallstone group(N=31). Also, it was recognized significant difference between male and female groups.

Conclusion

Based on these results, if the Yangdorak value can be estimated from a decrease with clinical symptom in female patient, it is recommended to follow up the ultrasonography test for diagnosing the gallstone.

Keywords: gallstones ultrasonography; Yangdorak; Female Gallbladder Meridian

Fig. 1

Large-sized Gallstone by Ultrasound. From left side, 1) 17.1mm, 2) 26.3mm, 3) 17.1mm, 4) Pyramidal stone

Fig. 2

Medium size 8.78mm, Small-size 3.19mm Gallstone by Ultrasound

Fig. 3

Gallbladder Meridian Deficiency(Left) and Gallbladder Meridian Excess(Right side)

Fig. 4

F5 AVE Value of Control Group, Male Gallstone Group & Female Gallstone Group

Fig. 5

Gallbladder Polyp by Ultrasound

Fig. 6

Gallbladder Meridian Excess and Liver Meridian Excess at the Same Time

Table 1

Comparison of Yangdorak Mean Value of Control Group & Gallstone Group

Table 2

Comparison of Yangdorak Value of Male Control Group, Female Control Group, Male Gallstone Group & Female Gallstone Group

Table 3

Yangdorak Value of Control Group, Male Gallstone Group & Female Gallstone Group

Table 4

Tukey’s Multiple Comparison Test of F5 AVE Value among Control Group, Male Gallstone Group & Female Gallstone Group

References

1. Kang D. H., Kang H. K., Koo J. H., Kwun D. M., Kim B. L., Kim Y. M., Han J. B.. 2022. Textbook of Ultrasonography: [3] Seoul: Daihaks Publishing Company. 3–22p. 215–242.

2. Kim S. J., Lee J. Y.. Ultrasound Diagnosis of Gallbladder: Choi, Byung Ihn. Ultrasound Diagnosis of the Abdomen 3Seoul: Ilchokak; 2022. p. 173–190.

3. Kwun D. M., Lee M. H.. 2011;Prevalence and risk factors of gallstones on the abdominal sonography. The Korean Society of Medical Sonographers 2(1):51–59.

4. Gotokimia. The Oriental and Western Medical Study on the Ryodoraku Seoul: Gunja Publisher; 2009. p. 3–5.

5. The whole country Korean medicine college of Diagnosis and biofunctional medicine. 2014. Biofunctional medicine Seoul: Koonja Publisher. p. 132–144.

6. Heo J.. 1976. Donguibogam Seoul: Namsandang. p. 770.

7. Lee J. I., Hur K. Y., Song H. S.. 2013;Influence of Dyspepsia Dependent Ryodoraku Score Upon ‘Soeum Person’ Diagnosed by Portable Ryodoraku Device. The Acupuncture 30(5):77–86. http://dx.doi.org/10.13045/acupunct.201304.

8. Han G. E.. 1992;A clinical Observation on 1068 Cases of Obstructive-Fullness Performed Neurometer Diagnosis. Journal of Korean Medicine 13(2):57–62.

9. Han G. E.. 1995;A Case of Oriental Medical Treatment for Shoulder pain with Gallstone by Ultrasonic Diagnosis. The 8th Int’l Congress of Oriental Medicine :156–157.

10. Shigeru Nakamura. 2020;Abdominal Sonography: Medianbook :91–100.

11. Lee S. S., Lee D. K.. 2018;What is the proper way to apply the multiple comparison test? Korean Journal of Anesthesiology 71(5):353–360. https://doi.org/10.4097/kja.d.18.00242.

12. Marschall H. U., Einarsson C.. 2007;Gallstone disease 261(6):529–542. https://doi.org/10.1111/j.1365-2796.2007.01783.x.

13. Novacek G.. 2006;Gender and gallstone disease 156(19–20):527–33. https://doi:10.1007/s10354-006-0346-x.

14. Murphy M. C., Gibney B., Gillespie C., Hynes J., Bolster F.. 2020;Gallstones top to toe: what the radiologist needs to know. Insights into Imaging 11(13):1–14. https://doi.org/10.1186/s13244-019-0825-4.

15. Shin Y. W.. 2023;Introduction to Statistics kyungmoon Company; :268–269.

Article information Continued