• Title/Summary/Keyword: constitution diagnosis

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A Case Study of a Taeumin Stroke Patient with Edema (부종(浮腫)이 발생한 태음인(太陰人) 중풍환자(中風患者)의 조위승청탕(調胃升淸湯) 합(合) 건율제조탕 치험 1례)

  • Ham, Tong-Il;Lee, Soo-Kyung;Ko, Byung-Hee;Choi, Kyung-Ju
    • The Journal of Korean Oriental Chronic Disease
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    • v.10 no.1
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    • pp.39-45
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    • 2005
  • Objectives It is the case study of a critically ill patient with cerebral infarction and acute edematous change at femur due to a hematoma, of whom taken care with herb medicine according to the diagnosis of SCM(Sasang Constitutional Medicine). Methods The syndrome of the patient was diagnosed as a superficial disease of Taeumin. So after the on-set of the femoral edema, Jowiseungchung-tang added Castanea mollissima(Gunyul) and Maladera castanea(Jejo) was used. And we checked the change of the circumferencial size her thigh and followed up the sonography. Results and conclusions The therapy was significantly effective, and the edema was rapidly absorbed. The circumferential size was 83cm at on-set time, but got smaller to 57cm almost same to the healthy side of her thigh, and there was no more hematoma or systemic hemorrhagic sign on the body.

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The Concordance and Validity Assessment of Diagnosis for the Expert in Sasang Constitution (사상체질 전문가의 체질진단 일치도 및 타당도 평가)

  • Baek, Young-Hwa;Kim, Ho-Seok;Lee, Si-Woo;Jang, Eun-Su
    • Journal of Sasang Constitutional Medicine
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    • v.26 no.3
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    • pp.295-303
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    • 2014
  • Objectives It is very important to diagnose Sasang Constitution (SC) correctly. The aim of this study was to reveal the concordance and validity of the specialists in Sasang Constitutional Medicine (SCM). Methods Three experts who had more than 5 years of experience and used more than 90% of Sasang Constitutional prescription in clinical practice of SCM participated in this study. The data composed of body shape, face, voice, temperament and physio-pathological symptoms were collected in the Korea Constitutional Multicenter Bank and 81 subjects' data were extracted randomly. The experts reviewed all 81 subjects data independently. Kappa analysis was conducted. Results 1) The concordance is from 52.5% to 68.4% among three experts. 2) The validity between individual expert and gold standard is from 54.3% to 63% and Kappa's coefficients are from 0.283 to 0.421. 3) The validity is from 68.5% to 70.7% when two or three experts agree the Sasang constitution independently and 75.7% when all of experts agree it. Conclusions The concordance and validity of experts in SCM seems to be moderate. We think further study is needed.

A theoretical study on the forming mechanism of Sasang constitution (사상체질성립기전에 대한 이론적 고찰)

  • Chi, Sang-Eun;Choi, Sun-Mi;Cho, Hwang-Sung
    • Korean Journal of Oriental Medicine
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    • v.4 no.1 s.4
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    • pp.47-62
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    • 1998
  • We explicate the forming mechanism of Sasang constitution as the principle of energy distribution which is based on the evolutionary hypothesis. The result was obtained as follows: 1. The principle of form-image (形象) in oriental medicine can be explained with the relation between structure and function that a life acquires through the adaptation and evolution. 2. The Sung-jung (性情) in Sasang constitutional medicine can be explained as the strategy for survival or the pattern of adaptation by which an individual or a species lives in this world. 3. The forming mechanism of Sasang constitutional organic phase (臟局) can be explained as the principle of energy distribution which includes three hypothesis (hypothesis of limited resources, hypothesis of preference and hypothesis of effectiveness). 4. It is postulated that the local hemodynamics is one of the most important factors that determine the difference of Sasang constitutional organic function. 5. The relation of metabolic rate, local hemodynamics and thermo-metabolism is inseparable and it is the important point of forming mechanism of Sasang constitution and the diagnosis of pulse.

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Research on Change of Heart Rate Variability and Psychological Scale by Sasang Constitution according to before and after of the Meditation Programs (α version) (명상프로그램(α version) 시행 전후의 사상체질별 심리척도 및 HRV 변화 연구)

  • Kim, Geun-Woo;Bae, Hyo-Sang;Son, Han-Bum;Lee, Pil-Won;Kim, Byoung-Soo;Park, Seong-Sik
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.1
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    • pp.1-12
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    • 2014
  • Objectives: In this study, the meditation programs (${\alpha}$ version), which are properly coordinated according to the motion, breathing, and relaxation, are evaluated and researched upon to have positive effects on stress and in the area of psychology. Methods: Approved by the Clinical Trials Deliberation Committee in Oriental Medicine, Dongguk University, Ilsan Hospital, this study collected data according to the applicant's consents, demographic information and anthropometry for the Sasang Constitutional diagnosis. Sasang Constitutional diagnosis measured the beta tools by Institute of Oriental Medicine and a decision tree was made for the Sasang Constitutional questionnaires. The STAI, STAXI, BDI, and HRV were measured before and after the meditation in order to compare the effects of meditation according to Sasang Constitution. The HRV was used as a ProComP KM Tech (co). Results: 1) The positive changes available in the Time-domain analysis of heart rate variability assessment showed that the peace of mind is increased. By analyzing the Sasang constitution, So-eum In's peace of mind included a physical stability of the autonomic nervous system. 2) According to the psychological scale evaluation, each depression scale, trait anger, anger-in, state anxiety and trait anxiety index proved significantly positive effects. By analyzing the Sasang constitution, Eun-In which involved So-eum In and Tae-eum In, had positive effects. 3) The psychological scale changed the group of diagnosed depression or anxiety, it did not mean that the psychological scale changes in the depression group, but the index of the anxiety group had been significantly reduced. This program had clinical effects for anxious patients and Eum-In which involved Tae-eum In and So-eum In according to the analysis of Sasang constitution. 4) Correlations between the gender of each psychological scale showed that women have overall low correlations, but, there were no significant changes. Conclusions: The meditation program developed by adequately mixing Action, relaxation and breathing shows that it is effective for overall Eum-in physical and mental relaxation and concentration. In the future, It will have to be developed Meditation program to show the same effect for all people.

A Study on the Characteristics of the Korean Adult Male Sound According to Sasang Constitution Using PSCC with a Sentence (사상체질음성분석기(四象體質音聲分析機)(PSSC)를 통한 한국인 성인남성(成人男性)의 체질별(體質別) 음향특성연구(音響特性硏究) - 단문(短文)을 중심으로 -)

  • Choi, Jae-Wan;Song, Hak-Soo;Han, Dong-Youn;Cho, Sung-Eon;Wang, Hyang-Lan;Jeon, Jong-Weon;Kim, Dal-Rae;Yoo, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.18 no.3
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    • pp.64-74
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    • 2006
  • 1. Objectives and Methods A Study on the Characteristics of the Korean Adult Male Sound according to Sasang Constitution using PSSC with a Sentence. Sasang Constitutional Medicine(SCM) is the one of the traditional Korean Medicine. It classifies people into four categories like Taeyangin, Soyangin, Taeumin and Soeumin. The rule to classify is Appearance and Body Shape, Facial Appearance and Speech, Character and Talents and Diseases and Medications. This study was done to investigate the relationships between Voice and Sound parameters using PSSC(Phonetic System of Sasang Constitution) in a sentence. Experimental Participants were 195 Korean adult males including 1 Taeyangin, 37 Soyangin, 105 Taeumin and 52 Soeumin. Sasang Constitutional specialist used PSSC and Korean Medical Diagnosis to classify participants into four constitution. 2. Results In Pitch segment, Soyangin's Center freq.(4) was significantly high compared with Taeyangin and Taeumin groups. Soyangin's and Soeumin's Center freq.(6) was significantly high compared with Taeyangin and Taeumin groups. In APQ segment and Octave segment, there were no significant differences among four groups. In Shimmer segment, Taeumin's F Shimmer(1) and F Shimmer(2) were significantly high compared with Taeyangin and Soyangin groups. In Energy segment, Taeyangin's 2k-4k total sum, 2k-4k dev., C dev., C# dev. and D S.D. were significantly high compared with other groups. In Recording time segment, there was no significant difference among four groups. More Taeyangin cases and the other parameters are needed to determine constitution using PSSC and to make PSSC effective. 3. Conclusions From above result, there is the possibility of efficiency standard guide for constitution diagnosis by analyzation og voice.

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A CLINICAL STUDY OF THE OBESITY PATIENTS ACCORDING TO SASANG CONSTITUTION (Focusing on the physical views and diagnosis results) (비만환자(肥滿患者)의 체질적 특징(特徵)에 대한 임상적(臨床的) 고찰(考察))

  • Cho, Min-sang;Kho, Byung-hee;Song, Il-byung
    • Journal of Sasang Constitutional Medicine
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    • v.10 no.2
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    • pp.485-511
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    • 1998
  • In orther to find the characteristics of each constitution, the examine of Kyung Hee medical center was diagnosed constitution, and resulted body measures and diagnosis. That was considered and the results are as follows 1. The obese patients is that there are the best many people(91.0%) to Taeumin. The frequency of Taeumin group is more than Soyangin group and Soeumin group. The degree of obesity grade is the highest in Taeumin. 2. The systolic blood & diastolic blood pressure of obese patients did not show any significant differences. Only, the obesity patients is the higher than nomal examine, without regard to Sasang constitution. 3. The hypertensive frequency of obese patients is that Taeumin group is more than Soyangin group and Soeumin group. there is not show any significant differences. specially, the hypertension of Soyangin group is caused by an ascending of diastolic pressure. 4. Glucose value of obese patients did not show any significant differences. generally, the frequency of Taeumin group is more than Soyangin group and Soeumin group. The diabetes of obese patients is the highest in Taeumin. 5. The serum lipids of obese patients did not show any significant differences. Total cholesterol, Triglyceride value of Taeumin group is more than Soyangin group and Soeumin group. HDL-cholesterol of obese patients is that Taeumin group is more than Soyangin group and Soeumin group. 6. The frequency of hyperlipidemia is the highest in Taeumin. 7. GOT, GPT of obese patients did not show any significant differences, but GGT is higher in Taeumin than Soyangin & Soeumin group. 8. Uric acid of obesity patients did not show any significant differences between Sasang constitution, but the value of obese patients is higher than nomal examine. The abnomality of Uric acid is higher in Taeumin than the other constitutions. The frequency of abnomality is the highest in Taeumin females. 9. Arteriosclerosis frequency of obese patients did not show any significant differences, the frequency of Sasang constitution is higher in Taeumin than Soyangin & Soeumin group. 10. Hemoglobin of obese patients did not show any significant differences, but Hematocrit is higher in Soyangin than Taeumin & Soeumin group. Anemia of obese patients did not show any significant differences. The frequency of anemia is higher in the females than the males. 11. BUN, creatinine of obese patients did not show any significant differences.

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Changes of Depression and Fatigue Level According to Sasang Constitution in Early Postpartum Women (초기산욕기 산모의 사상체질에 따른 우울과 피로수준의 변화)

  • Lee, Ah-Young;Park, Ga-Young;Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.26 no.2
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    • pp.33-45
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    • 2013
  • Objectives: The purpose of this study was to identify the tendency toward depression and fatigue in early postpartum women and to determine the relationship between the symptoms of these conditions, according to the women's Sasang constitutions. Methods: In this study, 73 healthy postpartum women were analyzed according to Sasang constitution: 33 Taeeumin, 22 Soyangin, and 18 Soeumin. Symptoms of depression and fatigue were assessed using the Edinburgh Postnatal Depression Scale-K(EPDS-K) and the Fatigue Continuum Form(FCF), respectively, on the fourth(time 1), seventh(time 2), and fifteenth(time 3) days postpartum. Sasang constitutional types were determined by a medical specialist, using results from the Two Step Questionnaire for Sasang Constitution Diagnosis(TS-QSCD). Results: 1. The overall depressive symptoms and fatigue scores decreased significantly over time in early postpartum women. 2. The mean scores for the EPDS and FCF were higher in the Soeumin group than in other groups. The scores for EPDS and FCF dropped sharply in comparison to a former level in the Soyangin group. And the mean EPDS score was lower in the Soyangin group than in other groups. The EPDS and FCF scores in the Taeeumin group changed slightly over time. However, these results were not statistically significant according to Sasang constitution. 3. The relationship between postpartum depression and fatigue showed a significant positive correlation. Conclusions: These results suggest that, in early postpartum women, depressive symptoms and fatigue differ according to Sasang constitution.

A study on the analysis of Taegeuk Acupuncture focused on "Young Chu.GuChimSibYiWon" ("영추(靈樞).구침십이원편(九鍼十二原篇)"을 중심으로 한 태극침법(太極鍼法) 분석)

  • Lim, Gyo-Min;Baek, Jin-Ung
    • Korean Journal of Oriental Medicine
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    • v.18 no.2
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    • pp.25-38
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    • 2012
  • Objective : This study was conducted to underpin the theory of Taegeuk Acupuncture systematically and increase the utility of clinical trial and a range of application. Method : This study analysed ByungHaeng Lee's theory, who is the originator of Taegeuk Acupuncture, by focusing on "Young Chu GuChimSibYiWon" Result & Conclusion : 1. ByungHaeng Lee's thought about Viscera and Bowels is following medicine of Internal Classic. Even though JeMa Lee's thought about Viscera and Bowels has same name with ByungHaeng Lee's, but the functional meaning and related part is totally different. So, four constitution types in Taegeuk Acupuncture are different from four constitution types in Four-Constitution Medicine. Therefore, Taegeuk Acupuncture isn't related with Four-Constitution Medicine 2. On the authority of "Young Chu GuChimSibYiWon", we can extend 4 therapeutic acupuncture point combinations of Taegeuk Acupuncture to ten therapeutic acupuncture point combinations which tentatively named 'Five Viscera Source Point Acupuncture'. 3. To consider an example of eight constitutional acupuncture, Taegeuk Acupuncture thoroughly says constitutional acupuncture. Especially, JaeGyuKim's Taegeuk Acupuncture has specific diagnosis standard that after treating a patient with acupuncture, he checks an oppressive pain at the precordial region and a voiced sound at liver and then he makes sure constitution of patient. So we can consider JaeGyuKim's Taegeuk Acupuncture as constitutional acupuncture. However, it has to change the name of four constitution types to taegeuk greater yang person, taegeuk lesser yang person, taegeuk greater yin person, taegeuk lesser yin person so as to avoid confusion. 4. Taegeuk Acupuncture is markedly simple in comparison with other acupuncture, so it needs to extend the utility of clinics by enlarging treatment acupuncture points.

Study on Relationship between Iris Constitution and Apolipoprotein E Gene Polymorphism

  • Kang, Sung-Do;Hwang, Woo-Jun;Kim, Kyung-A;Kim, Kyung-Sik;Lee, Ho-Sub;Kim, Jong-Uk;Choi, Sung-Yong;Jin, Kyong-Son
    • The Journal of Korean Medicine
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    • v.24 no.4
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    • pp.25-33
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    • 2003
  • lridology, a form of complementary and alternative medicine (CAM), is the diagnosis of medical conditions through noting irregularities of the pigmentation in the iris. lridological constitution has a strong familial aggregation and is implicated in heredity. Apolipoprotein E (apoE) gene polymorphism is one of the most well studied genetic markers of vascular disease. I investigated the relationship between iridological constitution and apoE polymorphism. I classified 87 hypertensive patients with family history of cerebral infarction and 79 controls according to iris constitution, and determined apoE genotype. Neurogenic type in hypertensives was 32.2% compared with 16.5% in controls (P<0.001). No differences in the apoE genotypes frequencies were observed in patients compared with those in controls ($x^2=0.726$, df-=2, P=0.696). However, in a population with ${\varepsilon}3/{\varepsilon}4$ genotype, the frequency of neurogenic constitution was significantly higher in hypertensives than in controls (60% vs. 0%) ($x^2=5.265$, df=l, P=0.022). These results could imply that apoE ${\varepsilon}3/{\varepsilon}4$ genotype and neurogenic iris constitution are risk factors for hypertension.

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Investigation of Genetic Evidence for Sasang Constitution Types in South Korea

  • Lee, Mi-Kyeong;Jang, Eun-Su;Sohn, Ho-Young;Park, Jeong-Yeon;Koh, Byung-Hee;Sung, Joo-Hon;Kim, Jong-Il;Kim, Jong-Yeol;Seo, Jeong-Sun
    • Genomics & Informatics
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    • v.7 no.2
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    • pp.107-110
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    • 2009
  • In Sasang constitutional medicine, both disease susceptibility and drug response are considered to be related to the characteristics of an individual's physiology and psychology: a theory which is central to traditional Korean medicine. Based on such observable characteristics, Sasang constitutional medicine classifies people into four constitutional types. Genetic studies of Sasang constitution would help reveal the inheritance patterns and models of the typological traits and, moreover, help with traditional medical diagnosis and treatment. To investigate the heritable aspect of Sasang constitution, we collected various pedigrees from South Korea. The study population has 101 pedigrees composed of 593 individuals. The determination of the Sasang constitution type of each individual was performed by doctors who diagnose the Sasang constitutional type of individuals as part of their professional practice. We calculated estimates of familial correlation and heritability. Parent-Offspring pairs showed the strongest familial correlation of Sasang constitutional type, with the correlation values of 0.21 and 0.28, followed by sibling pairs with the value ranging between 0.14 and 0.25. From the heritability analysis conducted with the Variance-Component method, the heritability of TE (Tae-Eum) type, SY (So-Yang) type, and SE (So-Eum) type were 55%, 41%, and 47%, respectively. This pattern of heritability was consistent with different set of analyses, which suggest the robustness of our result. Our result clearly shows that the Sasang constitution type is heritable, and further genetic analysis based on our result will shed light on the biological mechanism of Sasang constitution.