• Journal of Sasang Constitutional Medicine
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• v.35 no.3
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• pp.12-28
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• 2023

Introduction This study reports case series of Soyangin patients with coldness in hands and feet using Sasang constitutional medicine approach. This study suggests a value of using constitutional medicine indicators as both prognostic and diagnostic tools. Methods Among patients who visited an outpatient clinic, 7 patients were selected based on the criteria. These selected patients were exclusively treated with herbal medicine and monitored every 2 to 4 weeks retrospectively. Results The average treatment period was 8 weeks. Patients with a favorable pattern showed the improvement within 8 weeks, while those with an unfavorable pattern required more time. Discussion This study confirms the significance of Sasang constitutional medicine approach in Soyangin exterior cold syndrome with coldness in hands and feet. It also validates the current coldness in hands and feet as meaningful diagnostic indicator of Soyangin exterior cold syndrome. Furthermore, it highlights the value of original symptoms as prognostic tools.

• The Journal of Korean Medicine
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• v.41 no.2
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• pp.96-106
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• 2020

Objectives: The purpose of this study was to research the demographical and gynecologic characteristics, quality of life, and analyze the pattern identification in female patients with cold hypersensitivity of hands and feet. Methods: 112 participants were recruited from May 2018 to April 2019 from three korean medical hospitals. The data was composed of general characteristics, degree of coldness of hands and feet, gynecological questionnaire, score of WHOQOL-BREF and pattern identification. We divided data into 2 groups: The group of patients who meet the criteria for diagnosis of coldness on feet and the group of patients who meet the criteria for diagnosis of coldness on feet and hands. We tried to compare data by groups using Excel 2016 for windows and SPSS for windows (Ver. 23.0). Results: Throughout the study, we found differences between 2 groups in weight, body mass index (BMI), VAS score of cold hypersensitivity on feet, temperature of PC8, ST32, and pattern identification. Conclusions: After the study, we confirmed that even though both groups suffer from cold hypersensitivity of hands and feet, they show clinical differences in each group and differences in pattern identification.

• Journal of Oriental Medical Thermology
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• v.5 no.1
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• pp.1-13
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• 2006

Objectives : This study was designed to analyze basic data for cold hypersensitivity patients with a questionnaire and investigate correlation between cold hypersensitivity and Heart Rate Variability(HRV). Methods : 49 patients who complain of cold hypersensitivity on hands and feet in ambulatory care were investigated in Oriental Gynecology, Kyunghee Oriental Medical Center and Women medical center, Kangnam Koreana hospital from May 1, 2006 to October 20, 2006. All patients were asked to answer a questionnaire. After careful I examination to rule out other disease which may affect Digital Infrared Thermal Imaging(DITI) and HRV data, patients were taken thermography for the diagnosis of cold hypersensitivity Based on the result of thermography, the patients were divided into two groups(Objective cold hypersensitivity and Subjective cold hypersensitivity). Then, these two groups were compared using HRV data which was measured in the supine position for 5 minutes. Results: 1. For most patients, cold hypersensitivity first developed during puberty. 2. The parts of the body that felt cold first time were hands and feet. 3. The cold sensation was increased in winter or at bedtime Showing that the sensation can be changed according to the level of coldness. 4. Among women who sufferfrom cold hypersensitivity, very few of them were treated. 5. More than half of cold hypersensitivity patients's family member also had a cold hypersensitivity. 6. The decrease in mean values of LF/HF ratio was observed in objective cold hypersensitivity group than subjective cold hypersensitivity group and the decrease was significant(P=0.014) when examined by Student t-test. Conclusions : It is necessary that the cold hypersensitivity patients should be treated carefully considering the facts mentioned above. And it can be suggested that dysautinomia be related with cold hypersensitivity and be evaluated by HRV.

• The Journal of Korean Medicine
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• v.39 no.2
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• pp.64-79
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• 2018

Objectives: This study was aimed to research clinical characteristics of female patients with cold hypersensitivity on the hands and feet compared with non-cold hypersensitivity group. Methods: 134 women patients were collected from 6 Korean medicine hospitals, and divided into 2 groups(cold hypersensitivity group and non-cold hypersensitivity group). This survey was composed of 19 questions related to clinical symptoms of cold hypersensitivity. Results: We found out the differences between 2 groups in 10 questions among 19 questions in the survey results. (Body Type, Energy, Digestibility, Skin Type, Facial Complexion, Chill, Dry Mouth and Thirst, Preference between Coolness and Warmth, Thickness of Tongue Fur, Floating and Sinking of Pulse) Conclusions: From these results, Patients with cold hypersensitivity on hands and feet have relative clinical characteristics as follows. They are relatively weak and lethargic. They have dry skin and look more pale. They feel chill easily and have dry mouth and thirst. They prefer warmth and have indigestion more. They had more various infirm and ill clinical characteristics compared with the other group from the view of Korean medicine.

• Journal of Oriental Medical Thermology
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• v.2 no.1
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• pp.29-34
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• 2003

Purpose The purpose of this study was to verify the association between Cold Hypersensitivity and Orthostatic Hypotension(OH). Method This study was carried out on 39 women who visited outpatient department of Dept. of Gynecology. Bundang CHA oriental Hospital. College of Medicine. Pochun CHA univ. from December 2001 to November 2002. We divided them into two groups (Orthostatic Hypotension Group 24, Normal BP Group 15) and investigated general characteristics, weight, height, past history. family history through out the patient's note. OH was assessed 1 minute after the patients rose from a supine position by using tilting table. For the diagnosis of cold hypersensitivity, thermographic measurements were performed on two pairs of areas(palm-upper arm and back of hand-upper arm. And for that of the feet, other two pairs of areas(anterior thigh-top of the feet and posterior thigh-heel). And then by which verify the association between Cold Hypersensitivity and Orthostatic Hypotension(OH) Results As a results, 16 out of 24 patients, the OH group had cold hypersensitivity and 4 out of 15 Patients the normal BP group had cold hypersensitivity. It means that there was association between Cold Hypersensitivity and Orthostatic Hypotension(OH). Conclusion Above these results, we can reach the conclusion that OH is considered one of the causes of cold hypersensitivity.

• Proceedings of the Korea Contents Association Conference
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• 2017.05a
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• pp.101-102
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• 2017

This study of purpose was to evaluate the changes in hands and feet temperature by applying massage and paraffin bath.. The subject of this study was 30 university healthy students. Subjects were divided into paraffin bath group and massages group. The digital infrared thermographic imaging was used for thermographic analysis. The visual analog scale was used for subjective information about the degree of cold sensitivity and cold stress test was used for analyzing the temperature recovery rate. After the interventions showed that temperature difference of the right hand and temperature difference of the left hand are less in the paraffin group than the massage group. When applied paraffin bath and massage to the cold hypersensitivity patient the massage group showed difference in the visual analog scale and the paraffin group showed difference in the temperature of the right hand, left hand, left foot and in the visual analog scale. Paraffin bath treatment seems to be useful to patients with cold hypersensitivity on hands and feet.

• Journal of Oriental Medical Thermology
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• v.4 no.1
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• pp.1-14
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• 2005

The purpose of this study is to identify the clinical effects of Jujadanggui-hwan in the treatment of dysmenorrhea with cold hypersensitivity. Jujadanggui-hwan mentioned in Dongeuibogam has an effect on leucorrhea and cold hypersensitivity of hands and feet, lower abdomen and lumbus. Jujadanggui-hwan were prescribed to 24 dysmenorrhea patients with cold hypersensitivity of hands and feet or with leucorrhea three times a day for 13 weeks. After the treatment, numerical index for the pain was obviously reduced 'tot' point 2.12. It means that pain index as the patient can't do everyday occurrences reduce to 3 grad enough to do ordinary experience. So this study shows that Jujadanggui-hwan has remarkable effects on dysmenorrhea with cold hypersensitivity.

• The Journal of Korean Obstetrics and Gynecology
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• v.25 no.4
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• pp.38-45
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• 2012

Purpose: The purpose of this study is to find the factors that can affect the assessment on severity of cold hypersensitivity on hands and feet by comparing the temperature distribution among the seasons, the scan time and the laboratory temperature. Methods: We compared the temperature distribution of the arms and legs, according to the season and scan time on the basis of the results of Digital Infrared Thermal Imaging(DITI) conducted on 178 women who visited the hospital in summer and winter. We evaluated the correlation between the laboratory temperature and temperature distribution of the arms and legs. Results: The temperature distribution of the arms and legs was significantly different between summer and winter. The temperature distribution of the arms and legs was not significantly different according to the scan time. There was no significant correlation between laboratory temperature and the temperature distribution of the arms and legs in summer and winter. Conclusions: The diagnostic criteria to assess the severity of cold hypersensitivity on hands and feet need to be changed according to the season. The scan time and the small variation($24^{\circ}C{\sim}27^{\circ}C$) of the laboratory temperature doesn't affect the assessment of severity of cold hypersensitivity.

• Journal of Sasang Constitutional Medicine
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• v.27 no.1
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• pp.189-198
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• 2015

Objectives The purpose of this study was to report the improvement of elderly patient's severe anorexia including low blood pessure and cold hypersensitivity of hands and feet after treatment with Osuyubujaijung-tang. Methods We retrospectively reviewed the medical records. This patient was diagnosed Soeumin lesser yin symptom according to Sasang constitutional medicine. He treated by Osuyubujaijung-tang. Results and Conclusions A patient with anorexia, low blood pressure, cold hypersensitivity of hands and feet, dizziness, general weakness showed the improvement of symptoms with treatment after Osuyubujaijung-tang.

• Journal of Sasang Constitutional Medicine
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• v.31 no.1
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• pp.102-112
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• 2019

Objectives The purpose of this case study was to report that cold hypersensitivity caused by hypothyroidism was alleviated by diagnosing and treating as Greater Yang Disease Reverting Yin Pattern. Methods The patient was administered Insamosuyu-tang and Sammisamyu-tang and treated with acupuncture. Global Assessment Scale (GAS) and Digital Infrared Thermal Imaging (DITI) was used to assess the improvements of symptoms. Results and Conclusions Cold hypersensitivity of hands and feet was improved to GAS 20, and hours of sleep were increased from one to six. On DITI, the increase of the temperature were 1-3 degree celsius on the chest and the abdomen, 0.2-1 degree on the forearms and the hands, 1-2 degree on the thighs, and 0.2-0.5 degree on the shins and the feet.