• Title/Summary/Keyword: constitution diagnosis

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The Study on the Upgrade of QSCC II (II) - The study on the re-validity of QSCC II- (사상체질분류검사지(QSCC II)의 Upgrade 연구 (II) - 사상체질분류검사지(QSCC II)의 재타당화 연구 -)

  • Kwak, Chang-Kyu;Lee, Eui-Ju;Ko, Byung-Hee;Song, Il-Byung;Lee, Sang-Gyu
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.1
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    • pp.39-49
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    • 2003
  • 1. The purpose of study The problem lies in the Sasang-constitutional-medicine is a subjectiveness of diagnosis that can be varied by every donor. Questionnare for the Sasang Constitution Classification II(QSCCII) was invented to solve this problem. This study was conducted for two purpose. The one is re-value the QSCCII. The other is to make a basis to upgrade QSCCII. 2. The method of study QSCCII was administered to 537 patients at Kyung Hee Oriental Medicine Hospital. Data was collected during 19 months from september 2000 to march 2002. For the purpose of this study, the collected data was analyzed by crosstabs, variation analysis and discrimination analysis. The analyzing program was SPSS 8.0 for Windows. And using this program I made the judgmental equation to re-value the QSCCII. 3. The result of study 1) not applied intensifying value The diagnostic discrimination abilities of the QSCCII is 61.5% about Taeyangin, 57.7% about Soyangin, 67.2% about Taeumin, 68.8% about Soemin. And its average is 65.0%. 2) applied intensifying value The diagnostic discrimination abilities of the QSCCII is 76.9% about Taeyangin, 59.9% about Soyangin, 68.9% about Taeumin, 71.2% about Soemin. And its average is 67.3%. 3) I propose a new diagnostic possibility with a different discriminant analysis and increase 42.3% of diagnostic discrimination ability considering 25% of accident diagnostic discrimination ability. 4) Development and complement of Taeyangin and Soyangin questions is needed to increase the accuracy of diagnosis.

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5 Cases of Acute Pyelonephritis (급성(急性) 신우신염(腎盂腎炎)의 임상적(臨床的) 고찰(考察))

  • Kwon, Jeong-Nam;Kim, Young-Kyun;Ryu, Ju-Yeol
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.2
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    • pp.194-204
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    • 2001
  • Purpose: In general, Acute Pyelonephritis is effectively treated with the use of antibiotics. However, some antibiotics are reported to cause side effects, and the abuse of antibiotics results in the increase of the disease's tolerance to antibiotics. Recently, I have effectively treated five cases of Acute Pyelonephritis by using only Constitution - Acupuncture and Herb, and therefore I would like to report about these cases. Methods: I diagnosed Acute Pyelonephritis of these five patients by confirming symptoms and employing a urine analysis with reagent strip(Multi $stix{\circledR}$). I used Kuon's method of constitutional diagnosis for the purpose of the diagnosis of the constitutional 8 morbidities. I relied on Sungjeong(性情) and Chehyungkisang(體刑氣像) in diagnosing Sasang Constitutions(四象人). I performed acupuncture on the left and right sides, depending on 8 constitutions, by employing Chang - temperament Inflammation Formula(臟系炎症方) that is used for the treatment of all kinds of chang-temperament inflammation diseases, as well as Bactericidal Formula(殺菌方) that is used for the treatment of all kinds of bacterially caused diseases. I prescribed by consulting the appearance of disease and general symptoms of each case with Dongyi Soose Bowon(東醫壽世保元)'s prescription symptoms. Result: Two of them showing severe symptoms were hospitalized, while three others took OPD treatment. The patient who was PANCREOTONIA and Soyangin improved through hospitalization for three days, another patient who was PULMOTONIA and Taeyangin with severe symptoms, improved through hospitalization for seven days, and completely recovered through OPD treatment later. The three others took only OPD treatment, and improved within 5-7 days. Conclusion: I confirmed that each of 8-constituions and Sasang Constitutions were all treated effectively without antibiotics.

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A Study of Korean's Face by Sasang Diagnosis Using Questionnaire and 3D AFRA(Automatic Face Recognition Apparatus) in Middle Aged Women (한국인의 한방 체질진단 중 용모에 관한 연구, 20-48세 여자중심으로)

  • Yoo, Jung-Hee;Kwon, Jin-Hyeok;Lee, Eui-Ju;Kim, Jong-Won;Shin, Hyeon-Sang;Park, Byung-Ju;Lee, Ji-Won;Lee, Jun-Hee;Kho, Byung-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.2
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    • pp.194-207
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    • 2011
  • 1. Objectives: This study is about a development of Sasang constitutional classification algorithm using facial information. 2. Methods: We analysed the datum of middle aged (20~48) women collected by multi-center researchers in 2007. And this study analysed the data of the measurement of the face by 3D-AFRA (3-Dimensional Automatic Face Recognition Apparatus) and the items of impression by SDQ. We used multiple comparison, exploratory discriminant analysis and clinical decision to select optimal 3D facial variables which will be input in discriminant analysis model. And we used univariate F values and stepwise discriminant function analysis to choose best impression variables. 3. Results and Conclusions: In this study, derived discriminant function's explanation power was 39% in female group. Diagnostic accuracy rate was 66.0% in female group. And in test sample, Sasang constitutional diagnostic accuracy rate was 56.9%. In this process we could help improve the objectification of Sasang constitution diagnosis.

Relationship Between Characteristics of Five Woons in Asian Woman and Physical Tests and Symptoms based on Asian Medicine (아시아 여성의 오운체질(五運體質)별 검사특성 및 증상과의 관계 - 한국과 일본에서 태어난 미국에 거주하는 한국, 일본 여성을 위주로)

  • Jin, Seng-Hee;Choi, Kyung-Mee;Kim, Tae-Hee
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.1
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    • pp.44-56
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    • 2010
  • Objective : To characterize Five Woons of Asian women who live at Los Angeles area in U.S.A Methods : A set of physical tests and diagnostic questions were given to 242 Asian female subjects who were treated for their symptoms at a clinic of Asian medicine near Los Angeles in USA. The participants were given their constitutions, one of the Five Woons based on their birthdays. The physical tests included a body composition via Inbody 4.0 and an autonomic bioelectric response record via ABR2000. The oneway analysis of variance was applied to compare the means of the Five Woons and the physical test results. The Cross tabulation analysis was also applied to look for the effectiveness of Five Woons on the symptoms. Results : 1. In the body composition items, the LSD(least significant difference) showed that there were significant differences between the Soil Woon and the other Four Woons which are Water, Metal, Fire and Wood Woons in weight, fat, body fat %, BMI (p<0.2). 2. Based on the LSD, significant differences were observed among the Five Woons in R5, R6 and R7(p<0.2). 3. The cross tabulation analysis showed the significant effectiveness of the Five Woons on the five symptoms including dizziness, hot and cold, lower body edema, fatigue and to take a medication for high blood pressure out of 24 diagnostic questions (p<0.2). Conclusions : Further clinical research is necessary to develop a more delicate questionnaire and look for ways of characterizing the Five Woons. The diagnosis and corresponding treatment based on the Five Woons should be further studied in view of the Oriental medicine.

A Comparative Study on Traditional Constitutional Medicine in the World (세계 전통 체질 의학 비교 연구)

  • Kang, Ki-Rim;Hwang, Sang-Moon;Park, So-Jung;Chae, Han
    • Korean Journal of Oriental Medicine
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    • v.15 no.3
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    • pp.35-43
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    • 2009
  • Introduction : Interests in personalized medicine or tailored medicine is growing in recent years, but traditional medicine with properties of tailored medicine have already been developing from many parts of the world. In this review paper, we tried to investigate the current research status and characteristics of traditional constitutional medicine by a comparative study. Methods and Material : We compared Sasang medicine from Korea, Ikkando medicine from Japan, Chinese constitutional medicine, Ayurveda from India. We investigated the current research status by searching academic DBs such as Medline, Riss4u, Kiss, CNKI, CINII. Then we examined characteristics of each medicine from various aspects of physiology-pathology-diagnosis-treatment-prevention. Results : We found out that each constitutional medicine is being studied the most in their native land. In addition, after analysing characteristics of these constitutional medicine, we learned that Sasang medicine and Ayurveda were putting emphasis on psychological factors in physiology-pathology-diagnosis-treatment-prevention, while Chinese constitutional medicine and Ikkando medicine were focusing on pathological factors. Discussion : We studied theories of constitutional medicine in various traditional medicine, and verified that Sasang medicine shares similarities and differences with these medicine. We suggest that deeper understandings of other constitutional medicine and attempts at clinical application can lead to advance of Sasang medicine.

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A Case Study the Relationship Between Five Woon Constitutions And Five Zhang Symptoms Based on 286 Clinical Data of Asian Women near L.A (운기체질과 오장병증의 상관관계 - 캘리포니아에 거주하는 아시아 여성 286명의 임상연구 -)

  • Jin, Seng-Hee;Kim, Tae-Hee;Choi, Kyung-Mee
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.2
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    • pp.110-120
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    • 2010
  • Objective: To relate with significant relationship between symptoms and Five Zhang(五臟)symptoms in Five Woon Constitutions and to characterize Five Woons of Asian women who live at Los Angeles area in U.S.A. Methods: 19 diagnostic questions were given to 286 Asian females subjects who were treated for their symptoms at an Asian medical clinic near Los Angeles in USA. The participants were given their constitutions, one of the Five Woons based on their birthdays. The Cross tabulation analysis was also applied to look for the effectiveness of Five Woons on the symptoms. Results: 1. The cross tabulation analysis showed the significant effectiveness of the Five Woons on the five symptoms including dizziness, hot and cold, lower body edema and face fever(p<0.1). 2. The dizziness and the hot and cold were related with Liver diseases, the lower body edema was related with Kidney diseases and the face fever was related to Heart diseases. Conclusions: This study can explain the relationship between the significant symptoms of Five Woons and Five Zhang(五臟)symptoms with reference which is the book by Yoon, ChoChang who lived 1700 years. Further clinical research is necessary to develop more delicate questionnaires and look for ways of characterizing the Five Woons. The diagnosis and corresponding treatment based on the Five Woons should be further studied in view of the Asian medicine.

A study on wiry pulse in hypertensive patients analyzed at 5 levels of applied pressure using 3 dimensional pulse imaging analyzer (3차원 로봇 맥 영상 분석기의 5단계 가압 맥파 분석에 의한 고혈압 환자의 현맥(弦脈) 연구)

  • Kang, Hee-Jung;Kwon, Young-Sang;Kim, Dal-Lae;Kim, Kyung-Cheol;Yim, Yun-Kyoung
    • Korean Journal of Acupuncture
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    • v.27 no.1
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    • pp.1-12
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    • 2010
  • Objectives: The purpose of this study is to gain the objective indicators for the classification of hypertension by oriental medical pulse diagnosis, through finding out the parameters which can distinguish the pulse of hypertensive patient from that of normal subject, and characterizes the wiry pulse of hypertension. Methods: 30-59 yr, male, 946 healthy volunteers and 35 hypertensive patients were enrolled in this study. All the hypertensive patients were taking medicine to control the blood pressure and the blood pressure of the hypertension group was not statistically different from that of the normal healthy group. Data were acquired using 3 dimensional pulse imaging analyser(DMP-3000, DAEYOMEDI, KOREA) and analysed according to the age bands and the applied pressure levels. Results: 1. RAI/t, w/t and t2/t decreased with the levels of applied pressure and increased with age in the normal healthy group, not in the hypertension group. 2. RAI/t, w/t, t2/t were significantly higher in the hypertension group than the normal healthy group in the 30-age band, and elasticity coefficient was higher in the hypertension group than the normal healthy group in the 40-age band. 3. Researches on the patients without hypotensive agents are needed to figure out whether these parameters are the components of hypertensive wiry pulse. Conclusions: Analysing the radial pulse at 5 applied pressure levels using 3 dimensional pulse imaging analyser may be useful to differentiate the pulses of the hypertensive patients from those of the normal subjects, and characterize the hypertension.

Constitutional Classification between Tae-eumin and Soyangin Types by Measurement of the Friction Coefficient on the Skin of the Human Hand (손등 피부 마찰계수를 이용한 태음인과 소양인 간의 체질구별)

  • Song, Han-Wook;Park, Yon-Kyu
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.47 no.5
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    • pp.52-61
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    • 2010
  • The use of the friction coefficient is known to provide good discrimination ability in the classification of human constitutions, which are used in alternative medicine. In this study, a system that uses a multi-axis load cell and a hemi-circular probe is designed. The equipment consists of a sensor (load cell type, manufactured by the authors), an x-axis linear-bush guide motorized mobile stage that supports the hand being analyzed, and a signal conditioner. Using the proposed system, the friction coefficients from different constitutions were compared, and the relative repeatability error for the friction coefficient measurement was determined to be less than 2 %. The direction along the ring finger line was determined to be the optimum measurement region for a constitutional diagnosis between Tae-eumin and Soyangin types using the proposed system. There were some differences in the friction coefficient between the two constitutions, as reported in ancient literature. The proposed system is applicable to a quantitative constitutional diagnosis between Tae-eumin and Soyangin types within an acceptable level of uncertainty.

A Survey on Korean Medicine Doctors' Recognition and Treatment for Developing Korean Medicine Clinical Practice Guideline of Coldness of Hands and Feet (한의표준임상진료지침 개발을 위한 수족냉증에 대한 한의사의 인식과 치료현황)

  • Lee, Dong-Nyung;Kim, Hyung-Jun;Yu, Jun-Sang
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.3
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    • pp.92-116
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    • 2017
  • Objectives: The purpose of this study were to researched a Korean medicine doctors' recognition about coldness of hands and feet, and developing of korean medicine clinical practice guidelines (CPG) for coldness of hands and feet. Methods: We conducted a questionnaire survey targeting 399 Korean medicine doctors belonging to the Association of Korean Medicine by e-mail and analyzed the answers. Results: 1. 86.86% of the respondents agreed about the necessity of CPG for coldness of hands and feet. 2. 84.2% of respondents wanted coding of Korean Standard Classification of Diseases (KCD) on coldness of hands and feet. 3. To diagnosis a coldness of hands and feet, the respondents used a Subjective symptoms (98.5%), Infrared thermographic imaging device (DITI) (26.32%) Heart rate variablity test (HRV) (17.04%), Thermometer (9.77%), Cold stress test (2.76%) 4. Causing of coldness of hands and feet, the respondents considered a constitution or heredity (84.71%), stress (73.66%), lack of exercise (64.91%), irregular eating habits (51.63%), Cold meals (32.83%), depression (31.33%), etc. 5. Treating coldness of hands and feet, the respondents used a herbal medicine (66.85%), acupuncture (70.7%) Pharmacopuncture (23.85%) and moxibustion (60.08%) for $10.91{\pm}8.03week$. Conclusions: We researched a Korean Medicine doctors' recognition of CPG, clinical diagnosis, treatment on a coldness of hands and feet, and policy they required.

A Case Report of Hyperhidrosis with Sympathicotonia Detected by Iris Diagnosis (홍채로 진단한 교감항진 국소다한증 치험례)

  • Wang, Kyeong-seok;Chae, In-cheol;Park, Mi-so;Son, Su-a;Park, Seong-il;Yoo, Ho-ryong
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.1001-1008
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    • 2021
  • Objective: The aim of this case study was to describe a case of iris diagnosis of primary hyperhidrosis and the use of Korean medicine. Methods: A patient with symptoms of hyperhidrosis was diagnosed as having Taeeumin after assessment using the four basic Korean diagnostic methods. Iris diagnosis was used for further examination. The images obtained showed a remarkably defined collarette and increased nerve rings, which suggested an overactive sympathetic nerve system. Under the diagnosis of Taeeum, a Korean herbal medicine was prescribed with additional herbs to help alleviate the hyperactivity of the sympathetic nervous system. Results: The patient had been receiving treatment for hyperhidrosis for >30 years, with various medical attempts to relieve her symptoms, which were ineffective. She showed signs of improvement from day 4 into the treatment, and 80% of her symptoms were improved after completing a 6-week treatment course. Conclusion: The herbal medicine prescribed to the patient proved effective for reducing her chronic symptoms that had been unresponsive to previous medical treatments.