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The Journal of Internal Korean Medicine > Volume 36(2); 2015 > Article
The Journal of Internal Korean Medicine 2015;36(2): 122-152.
위식도역류질환 변증도구 개발 연구
한가진1,2, 임정태2,3, 이나라4, 김진성1, 박재우1, 이준희2
1경희대학교 한의과대학 비계내과학교실,
2경희대학교한방병원 한의약임상시험센터
3경희대학교 한의과대학 한의약임상연구학교실
4서울대학교 보건대학원 보건학과
Development of a Standard Tool for Pattern Identification of Gastroesophageal Reflux Disease (GERD)
Ga-jin Han1,2, Jung-tae Leem2,3, Na-la Lee4, Jin-sung Kim1, Jae-woo Park1, Jun-hee Lee2
1Dept. of Gastroenterology, College of Korean Medicine, Kyung-Hee University
2Korean Medicine Clinical Trial Center, Kyung-Hee University Korean Medicine Hospital
3Dept. of Clinical Research of Korean Medicine, College of Korean Medicine, Kyung-Hee University
4Dept. of Public Health Sciences, Graduate School of Public Health, Seoul National University
Correspondence  Jun-hee Lee ,Tel: +82-2-958-9280, Fax: +82-2-958-9234, Email: ssljh@daum.net
Received: April 28, 2015,   Accepted: May 27, 2015,   Published online: June 30, 2015.
This study was designed to develop a standard tool for pattern identification of gastroesophageal reflux disease (GERD) patients.

Korean and Chinese literature was selected that mentioned pattern identification of GERD. We gathered the pattern identification and their symptoms and a Chinese medical doctor proficient in Korean translated the Chinese characters into Korean. A Korean linguist then confirmed the translation results to develop a draft of the standard tool for pattern identification of gastroesophageal reflux disease (PIGERD). The final PIGERD was developed after assessment by an expert committee composed of professors from the Korean Medicine University, using the following items: inclusion of the pattern identification and its symptoms, importance of items, and validity of translation.

Six pattern identifications and 94 symptoms were selected from 45 references and translated into Korean. Four pattern identifications [pattern/syndrome of liver qi invading the stomach (肝胃不和), spleen-stomach weakness (脾胃虛弱), spleen-stomach dampness-heat (脾胃濕熱), and stomach yin deficiency (胃陰不足)] and 49 symptoms were then selected through the Delphi method by the expert committee. The final standard PIGERD tool was completed after the assessment of translation validity and reflection of individual opinions by the expert committee. This tool consists of 40 items including tongue and pulse diagnosis. The weighted value was also computed from assessment of the importance of items.

We developed a standard tool for pattern identification of gastroesophageal reflux disease (PIGERD) to clarify the pattern identification of patients with gastroesophageal reflux disease for standardized diagnosis.
Key words: gastroesophageal reflux disease (GERD), pattern identification, diagnosis, PIGERD
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