The Clinical Effect of Sasang Constitutional Diets for the Hupercholestrolemic Patients

고지혈증 환자에서 사상체질 치료식의 임상적 효능

  • 김윤영 (경희대학교 동서의학대학원 임상영양전공) ;
  • 조여원 (경희대학교 동서의학대학원 임상영양전공 임상영양연구소) ;
  • 송일병 (경의대학교 한의과대학 사상의학과) ;
  • 이의주 (경의대학교 한의과대학 사상의학과)
  • Published : 2000.12.01

Abstract

In Sasang constitutional medicine, a part of oriental medicine, there are beneficial foods of harmful foods according to the each constitutions. Until now, most of the studies have investigated the classification of foods according to the each constitutions, The clinical usage of the constitutional diets in now in the beginning. The purpose of this study is to investigate the therapeutic effects of the constitutional diets in comparison with general therapeutic diets in the patients with hyperlipidemia. From January to August, 1999, the 65 hyperlipidemic patients admitted to Kyung Hee Oriental Medical Center were studied. Therapeutic diet for hyperlipidemic patients or each constitutional diets were given to the subjects 3 meals a day for 6 weeks. The Sasang constitutional classification, food habits were assessed. The anthropometric assessment and blood analysis were carried out before and after taking each experimental diets. The results are as folow ; 1) The mean age of the objects was 62.4${\pm}$6.5 years, the distribution of their constitution were Tae-eumin :63.0%, So-yangin :26.2% So-eumin: 10.8%. 2) The mean body weight and BMI of Tae-eum were significantly higher than those of So-eum and So-yang. 3) Food habits of each constitutional groups were very similar to those described by sasang medicine. 4) The therapeutic and constitutional diets lowered the serum levels of total lipid(from 756.4mg/dl to 692.3mg/dl) triglyceride(from 244.4mg/dl to 212.mg/dl) and VLDL-cholesterol(from 48.9mg/dl to 42.5mg/dl). The therapeutic diet decreased the HDL-cholesterol level(from 49.0mg/dl to 41.7mg/dl) but the constitutional diet did not. 5) The effects of the therapeutic and constitutional diets were the highest in Tae-eum group. In the So-yang group, the constitutional diet lowered the levels of total lipid and LDL-cholesterol but the therapeutic diet did not. But the therapeutic and constitutional diets did not change the blood lipid levels significantly in the So-eum group.(Korean J Nutrition 33(8) : 824-832, 2000)

Keywords

References

  1. 四象醫學 全國 韓醫科大學 四象醫學敎室
  2. Constitutional Medicine Song IB
  3. 四象醫學性理臨床論 Kim J
  4. Clinical nutrition diet therapy Lee JY;Jang HS;Lee SH;Lee BS;Nam JH
  5. 東醫壽世保元 思想醫學原論 李濟馬 (原著);Hong SY(譯述);Lee YH(譯述)
  6. 四象醫學會誌 v.9 no.2 體質診斷의 客觀化에 관한 硏究 Cho HS;Jee SE;Lee EJ;Hong SC;Koh BH;Kwon KH;Nam BH;Cho DO
  7. 四象醫學會誌 v.7 no.1 體質別 食品分의 妥當性과 活用에 寬限 小考 Kim JY;Kim JW;Koh BH;Song IB
  8. 四象醫學會誌 v.8 no.1 體質別 食品表에 根據한 太陰人,少陰人,少陽人 糖尿食團(1800kcal)의 初步的 提示 Kim JY;Koh BH
  9. 四象醫學會誌 v.7 no.1 食品에 對한 考察 Lee EJ;Koh BH;Song IB
  10. Korean J Nutrition v.18 no.2 A comparison of nutritional status among eight constitutional groups in relation to food preference on the view point of constitutional medicine Kim SH;Kim HY;Lee PJ;Kwon DW;Kim YO
  11. Nutrition Review v.54 no.11 The eastern perspective on functional foods based on traditional Chinese medicine Weijian Weng;Junshi Chen
  12. The establishment and clinical study of the constitutional therapeutic diet plan Lim KS
  13. 東醫寶鑑 v.3 許俊
  14. 本草綱目 李時珍
  15. 本草備要 汪奄(註)
  16. 山林經濟 洪萬選
  17. 增補山林經濟 柳重臨
  18. 95' The nation nutrition survey result report' Ministry of Health and Welfare
  19. 四象醫學會誌 v.7 no.1 四象體質分類檢査紙(QSCC)II의 標準化 硏究 Kim SH;Koh BH;Song IB
  20. 四象醫學會誌 v.8 no.1 四象體質分類檢査紙(QSCC)II에 對한 妥當化 硏究 Lee JC;Koh BH;Song IB
  21. What is Oriental Medicine? An DG;An GS;Lee HJ
  22. Recommended dietary allowances for Koreans(6th revision) The Korean Nutrition Society
  23. Circulation v.82 An analysis of randomized trials evaluating the effect of cholesterol reduction on total mortality and coronary heart disease incidence Holme I
  24. Adv Lipid Res v.6 A colormetric method for estimating serum triglycerides Fletcher MJ
  25. J Lipid Res v.11 Rapid method for the isolation of lipoproteins from human serum by precipitation with polyanious Brnstein M;Scholnick HR;Mortin R
  26. Clin Chem v.18 Estimation of the concentration of low-density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge Friedwald WT;Levy RI;Fredrickson DS
  27. The clinical study of characteristics for the alcoholic patients Kim JW
  28. The clinical study of fatty liver patient constitutional characteristic Han KH
  29. Korean J Nutrition v.32 no.7 The food classification in sasang constitution and effects of Tae-eum constitutional diet on the blood biochemical parameters and health status Kim EJ;Choue RW;Song IB
  30. Kyunghyang Daily News Paper v.8 Longevity and constitutional characteristics Kim DR
  31. J of Korea Community Health Nursing Academic Society v.10 no.1 Nursing approach of four constitutional theory Moon HJ;Jung SJ
  32. The 12th The Korean Society of endocrinology Therapeutic of hyperlipidemia Kim TH
  33. Circulation v.81 Cause of high blood cholesterol Grundy SC;Vega GL
  34. Korean J of Lipidology. The 2th workshop Guideline of diet therapy for hyperlipidemia patient Choue Ryowon
  35. Med Clinics North Am v.66 The dietary treatment of hyperlipidemia: Rationle, technique, and efficacy Connor WE;Connor SL
  36. Am J Med v.62 High density lipoprotein as a protective factor against coronary heart disease. The Framingham study Gordon T;Castelli WP;Hjortland MC;Kannel WB;Dawker TR
  37. N Engl J Med v.28 Cholesterol intake and serum cholesterol level Gotto AM
  38. Korean J of Lipidology v.8 no.1 Effects of dietary counceling and HMGCoA reductase inhibitor treatment on serum lipid levels in hyperlipidemic patients Yim JE;Choue RW;Kim YS