Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for Lung Cancer

So Jung Park; Seon Young Kim; Chong Kwan Cho; In Chul Jung; Hwa Seong Yoo; Park, So Jung; Kim, Seon Young; Cho, Chong Kwan; Jung, In Chul; Yoo, Hwa Seong

doi:10.13048/jkm.15019

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

Original Article

The Journal of Korean Oriental Medicine 2015; 36(3): 53-64.

DOI: https://doi.org/10.13048/jkm.15019

Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for Lung Cancer

So Jung Park¹, Seon Young Kim¹, Chong Kwan Cho¹, In Chul Jung², Hwa Seong Yoo¹

¹East West Cancer Center, Dunsan Korean Medicine Hospital of Daejeon University

²Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University

Correspondence to: 유화승(Hwa Seung Yoo), 대전시 서구 대덕대로 176번길 75 대전대학교 둔산한방병원 동서암센터, Tel: +82-42-470-9132, E-mail: altyhs@dju.kr

Received August 27, 2015 Revised September 25, 2015 Accepted September 25, 2015

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.

Keywords: Lung cancer, Instrument of oriental medical evaluation, Symptoms and signs

Fig. 1.

The method for discriminating between lung bian-zheng and su-zheng of symptoms and signs.

Fig. 2.

The method for evaluating mean weight of symptoms and signs.

Fig. 3.

The method for decision final weight of symptoms and signs.

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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