The Potential of Yangdorak Diagnosis Application of Gallstone

Gyu Eon Han; Han, Gyu Eon

doi:10.13048/jkm.24009

JKM > Volume 45(1); 2024 > Article

Han: The Potential of Yangdorak Diagnosis Application of Gallstone

Original Article

The Journal of Korean Medicine 2024; 45(1): 137-147.

Published online: March 1, 2024

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

The Potential of Yangdorak Diagnosis Application of Gallstone

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 January 17, 2024 Revised February 8, 2024 Accepted February 15, 2024

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

	Numbers	Mean	P value
Control Group	30	66.23	0.032
Gallstone Group	67	58.94	0.032

Table 2

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

	Numbers	P Value of Variances differ. Signif.	P Value of Means Signif. Differ.
Male Control Group & Female Control Group	15/15	0.729	0.057
Male Control Group & Male Gallstone Group	15/31	0.365	0.986
Female Control group & Female gallstone group	15/36	0.472	0.023

Table 3

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

	Numbers	Ages	Mean±SD(μA)
Control Group	30	55	66.23±17.08
Male gallstone Group	31	54.65	72.24±21.42
Female gallstone Group	36	59.86	47.49±18.59

Table 4

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

Tukey’s Multiple Comparison Test	Mean Diff	Significant? P < 0.05?	Adjusted P Value	Summary
Control vs Male	−6.009	No	0.232	ns
Control vs Female	18.75	Yes	<.001	***
Male vs Female	24.76	Yes	<.001	***

참고문헌

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;3–22:p. 215-242.

2. Kim S. J., Lee J. Y.Ultrasound Diagnosis of Gallbladder: Choi, Byung Ihn. Ultrasound Diagnosis of the Abdomen. 3:Seoul. 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.