Since the 1970s, the average life expectancy of Koreans has been increasing. Our concerns are not simply about longevity, but also about disability-free life. lately, Sasang constitutional medicine has attracted public attention, especially with respect to the elderly. The purpose of this study was to investigate the food habits, nutrients intake, and disease distribution among the elderly, according to their Sasang constitutions. The results are as follow : The distribution of constitutions of the subjects were Tae-eum 48.8%, So-yang 27.4%, So-eum 22.6%, and So-yang + So-eum 1.2%. In both elderly men and women, body weight, percent ideal body weight, and diastolic pressure of the Tae-eum were significantly higher than those of other constitutions. In both men and women, the level of hemoglobin in the Tae-eum was significantly higher than those of other constitutions. The level of LDL-cholesterol was higher, and the level of HDL-cholesterol was lower in the So-eum elderly women. Food habits of the So-eum were the most irregular, and nutrients intake of the So-eum was lower than that of other constitutions in both elderly men and women. In elderly men, the incidence of hypertension was the highest in the Tae-eum, and the incidence of gastritis was the highest in both So-yang and So-eum. In elderly women, the incidence of fatty liver was the highest in the Tae-eum and So-yang, and gastritis and hypertension were the highest in the So-eum. In the elderly, obese and anemic persons were significantly more in the Tae-eum and the So-eum, respectively. The results of this study showed that there were significant differences of physical, characeristics, food, habits, and distributions of disease for the subjects according to each Sasang constitutions. Intake of nutrient was poor, regardless of Sasang constitutions, in both men and women.
As the representative medical scholar at the time of Geumwon(金元) Dynasty, Idongwon(李東垣) deepened and developed the meaning of the diseases on internal injuries. He also proposed the primordial Gi[原氣] and Eum-Fire[陰火] theory in the physiology and pathology. Idongwon(李東垣) defined the pathological metabolism of internal injuries as the hyperactivity against Eum-Fire[陰火] due to the lack of primordial Gi[原氣不足], and he suggested the deficiency of Gi[氣虛] in the Spleen and Stomach and the surge of seven modes of emotion as the causes of the Eum-Fire[陰火] hyperactivity. Additionally, he established the therapy principles of eliminating Heat with Sweet and Warm drug[溫熱藥] and raising yang and spreading fire[升陽散火] based upon the above mentioned pathological metabolism. The Eum-Fire[陰火] that was suggested by Idongwon(李東垣) indicates the Heat syndrome[熱證] developed by internal causes[內因], and the principle reason is the consumption of the Spleen and Stomach Therefore, it is important to recuperate the function of Spleen and Stomach in treating the disease symptoms caused by Eum-Fire[陰火], and the therapies of eliminating Heat with Sweet and Warm drug [溫熱藥] and raising yang and spreading fire[升陽散火] are the corresponding ones. However, since vital Essence could be lacked due to the consumption of Spleen and Stomach, the therapy of replenishing Eum has to be considered. Additionally, the damp removal therapeutic method also has to be considered since Damp could be stagnated by the loss of function in Spleen and Stomach. In other way, Eum-Fire[陰火] developed by the consumption of Spleen and Stomach is somewhat similar aspect to the premier Fire[相火] that is developed by the lack of Eum[陰虛]. But complications could be developed if therapies of enriching the Eum[滋陰] to suppress Fire and replenishing Eum[補陰] are mainly used to control the symptoms developed by the lack of Eum[陰虛]. Namely, the drugs used to replenish Eum[補陰] mostly have the heavy and turbid properties, which contrarily have the possibility to debilitate the functions of Spleen and Stomach by causing Dampness within a body. So, care must be made in their use.
Objectives : In order to study experimentally the effects of Woogwi-eum(Yougui-yin) on hypothyroidism, ${T_3}-uptake$ content, $T_3$ content, $T_4$ content, TSH content, hematological values, enzyme activity, total cholesterol content, $Na^{+}$ content change in the serum and body weight of rats induced by thiouracil were measured after medication of extract of Woogwi-eum (Yougui-yin). Methods : Sparque-Dawley rats were used in this experiment and the rats were divided into normal, control and experimental groups. The hypothyroidism of control and experimental groups was induced by thiouracil, Woogwi-eum(Yougui-yin) extract was orally administered in the experimental groups for 20 days Results : In this experiment, the Woogwi-eum(Yougui-yin) treated group showed a significant increase in the serum ${T_3}-uptake$, TSH, RBC and hematocrit content, whereas a significant decrease in the serum CPK, ALP, LDH, total cholesterol content and the body weight was measured. Conclusions : According to the above results, it is suggested that Woogwi-eum(Yougui-yin) is partially effective to the hypothyroidism induced by thiouracil in rats. Therefore, Woogwi- eum(Yougui-yin) seems to be applicable to hypothyroidism in clinical practice.
Objectives The objective of this study is to investigate the protective effects of Banggi-eum (FangchiYin) on the articular cartilage injuries in rat model of osteoarthritis. Methods Articular cartilage injury was induced by injection of monosodium iodoacetate (MIA) (0.25 mg) into both knee joint cavities of rats. Rats were divided into control group (n=8) and Banggi-eum (FangchiYin) group (n=8), which was taken extracts of Banggi-eum (FangchiYin) by orally for 20 days. At the end of the experiment (20 days after MIA injection), gross and histopathological examinations on the articular structures of knee joints were performed. Proteoglycan (PG) content in articular cartilages was analyzed by safranin O staining method. And also, tumor necrosis factor-${\alpha}$ (TNF-${\alpha}$) and interleukin-$1{\beta}$ (IL-$1{\beta}$) contents in synovial fluid were measured by ELISA method. Results 1. Grossly, the degree of articular cartilage injury in the Banggi-eum (FangchiYin) group was alleviated compared with the control group. 2. PG content in articular cartilage of the Banggi-eum (FangchiYin) group was increased significantly compared with the control group. 3. Histopathologically, osteoarthritic score of the Banggi-eum (FangchiYin) group was decreased significantly compared with the control group. 4. TNF-${\alpha}$ and IL-$1{\beta}$ content in synovial fluid of the Banggi-eum (FangchiYin) group was increased compared with the control group. But there was no significance. Conclusions On the basis of these results, we suggest that Banggi-eum (FangchiYin) have inhibiting effects on the progression of articular cartilage injury in MIA-induced osteoarthritis model.
In Sasang constitutional medicine, the classification of Sasang constitutional types (Tae-Yang, Tae-Eum, So-Yang, and So-Eum) is important for the treatment. There are some problems with the methods used for classifying Sasang constitutional types; old methods such as pulse-palpation are not considered objective and recent methods such as immunohematology are considered expensive, painful and time-consuming. To overcome these problems, a body measurement and finger prints analysis were performed. The purpose of this study was to determine whether the palm prints and the palm creases could be helpful in classifying Sasang constitutional types. Thus, we looked for characteristics of the palm prints and the palm creases according to Sasang constitutional types. Before analyzing the palm prints and palm creases, 760 Korean (465 males, 295 females) were surveyed using two kinds of questionnaires for classifying Sasang constitutional types. As there were no Tae-Yang individuals, we were only able to identify the characteristics of the palm prints and the palm creases for Tae-Eum (288 persons), So-Yang (193 persons), and So-Eum (279 persons) individuals. In this study, the terminal points of D, closed crease, and open crease seemed to be helpful in classifying Tae-Eum and So-Eum individuals. Terminal point 11 and closed crease were frequent in Tae-Eum individuals; whereas, terminal point 7 and open crease were frequent in So-Eum individuals. Therefore, the palm prints and the palm creases seem to contribute to the classification of Sasang constitutional types.
According to Sa-Sang constitution, people can be classified into 4 types, Tae-Yang-In, Tae-Eum-In, So-Yang-In, and So-Eum-In. 1he purpose of this study was to examine any significance between types of Sa-Sang constitution and dietary factors. Physical and constitutional examinations as well as a questionnaire survey were conducted on a group of 483 college students. Among the group of 483 college students, only 428 subjects were determined to have identical constitution through both the questionnaire survey and Korean traditional medical doctors' inquiries. Of 428 subjects, $29.7\%$ were determined to be Tae-Eum-Ins; $35.5\%$ were identified as So-Yang-Ins; $34.8\%$ were classified as So-Eum-Ins. Tae-Eum-Ins showed a statistically significant difference in BMI and higher smoking rate in comparison with groups of So-Yang-Ins and So-Eum-Ins. So-Eum-Ins had a tendency to take vegetables and fruits more often but they had lower preferences for balanced diets. Tae-Eum-Ins showed higher propensity to eat a visible fat protein. In terms of degrees of doneness of meat, So-Yang-Ins showed a higher tendency to prefer well-broiled meat Tae-Eum-Ins also tended to have significantly higher iron, potassium, sodium, vitamin $B_1$, niacin, $\beta$-carotene and vitamin E in their diet So-Eum-Ins had significantly lower intakes of protein, phosphorous, and folate. Considering the fact that most chronic degenerative diseases could be developed by any lifestyle factors, it is necessary to conduct educational programs about lifestyles including dietary habits for maintaining good health; On the basis of the results of this study, it is expected that the scientific, objective and accurate diet information depending upon individual's type of constitution will be provided.
Comparative amino acid quantities on the blood analysis was carried out to investigate the amino acid specific characters on the blood in four type of physical constitution 1. In TAE-EUM-IN group, compared with control group, the proline and the serine were more observed. 2. In SO-EUM-IN group, compared with control group, the aspartic acid was more observed. 3. In SO-YANG-IN group, compared with control group, the proline was more observed. but the threonine and the aspartic acid were less observed. 4. In SO-EUM-IN group, compared with TAE-EUM-IN group, the aspartic acid and the serine were more observed. 5. In SO-YANG-IN group, compared with TAE-EUM-IN group, the serine and the proline were more observed, but the glutamic acid and the threonine were less observed. 6. In SO-YANG-IN group, compared with SO-EUM-IN group, the threonine and the aspartic acid were less observed.
This study has been carried out to investigate the Cause and Symptom of Ji-Eum ( 支飮 ) by referring to 34 documents. The results were as follow ; 1. Ji-Eum ( 支飮 ) is caused by the Su-Eum ( 水飮 ) storing up thoracic cavity ( 胸中 ), interdiaphragam ( 膈間 ). SimHa ( 心下 ), and stay lung. 2. The symptom of Ji Eum ( 支飮 ) is as follows ; HaeYouk( 咳逆 ), EuySik( 倚息 ), dyspnea( 短氣 ), sleeplessness ( 不得臥 ) edema ( 基形加腫). WhungMan ( 胸滿 ), SimHaChukGey ( 心下築悸 ), GoMoHyun ( 苦冒眩 ), EumSikBulWha ( 飮食不化 ). Pulse HyeonGin ( 弦緊 ). Greasy white coat of tongue.
From the study on the relation of O-mi(五味) and Sam-Eum-Sam-Yang(三陰三陽), the conclusion is as follows. The system of Sam-Eum-Sam-Yang(三陰三陽) in human body expresses a kind of inner images[象] of continuous life, that implies many complex view-points, in both inside and out-side according to time flow. Besides, O-mi(五味) is one of very important native properties of all existences, that is accepted from the state they have been located in, and it includes the principles of real nature. Based on understanding of Sam-Eum-Sam-Yang(三陰三陽), when we investigate properties of O-mi(五味) for practical use, the concepts of contraction and extension[收散], softening and hardening[軟堅], and slowing and fastening[緩急], referred in Naegyeong(內經), directly express the images of Sam-Eum-Sam-Yang(三陰三陽).
The aim of the present study was to investigate the effect of Hwangryeonheadock-Tang and Onchung-Eum on essential hypertension and hyperlipidemia. Rats were orally administered for 30days with Hwangryeonheadock-Tang and Onchung-Eum and the blood was withdrawn at 10, 20 and 30days after an oral administration. The heart rate, tail blood pressure, plasma renin activity, plasma level of aldosterone. catecholamine, sodium and angiotensin II were measured after an oral administration of Hwangryeonheadock-Tang and Onchung-Eum in spontaneously hypertensive rat(SHR). In addition, serum levels of total cholesterol, triglyceride, HDL-cholesterol. LDL-cholesterol and total lipid were measured cholesterol-fed rats. The results were summarized as follows ; 1. A significant decrease of tail blood pressure was shown at 10, 20 and 30days after Hwangryeonheadock-Tang and Onchung-Eum treatment in SHRs. compared with saline. 2. Heart rate was significantly decreased at 30days in SHRs after Hwangryeonheadock-Tang treatment and at 20, 30days after Onchung-Eum treatment in SHRs. compared with the effects of saline group. 3, A significant decrease of plasma aldosterone level was elicited at 10, 20days after Hwangryeonheadock-Tang treatment in SHRs, compared with the effects of saline group, 4. Plasma renin activity was significantly decreased at 10days after Onchung-Eum treatment compared with the effects of saline group in SHRs. 5. Plasma norepinephrine level was significantly decreased at 20 and 30clays after Onchung-Eum treatment in SHRs, compared with the effects of saline group. 6. A significant decrease of plasma epinephrine level was induced at 30days after Hwangryeonheadock-Tang treatment and at 10, 20 and 30days after Onchung-Eum treatment, compared with the effects of saline group in SHRs. 7. Plasma sodium level was. significantly decreased at 20days after Hwangryeonheadock-Tang and Onchung-Eum treatment, compared with the effects of saline group in SHRs. 8. Plasma angiotensin II level was significantly decreased at 30days after Onchung-Eum treatment, compared with the effects of saline group in SHRs. 9. A significant decrease of body weight was observed at 20 and 30days after Hwangryeonheadock-Tang treatment and at 10, 20 and 30days after Onchung-Eum treatment. compared with the effects of saline group in hyperlipidemia rats. 10. Hwangryeonheadock-Tang and Onchung-Eum showed a significantly decreasing effect at 30days on serum total cholesterol level in hyperlipidemia rats, compared with the saline treatment. 11. Hwangryeonheadock-Tang and Onchung-Eum saw 20 and 30days respectively on serum triglyceride level in the saline treatment. 12. Hwangryeonheadock-Tang and Onchung-Eum decreased on serum HDL-cholesterol level significantly, compared with the saline treatment in hyperlipidemia rats. 13. A significant decrease of serum LDL-cholesterol was observed at 10 and 30days after Hwangryeonheadock-Tang treatment and at 30days after Onchung-Eum treatment, compared with the effects of saline group in hyperlipidemia rats. 14. Hwangryeonheadock-Tang had a significantly decreasing effect at 10, 20 and 30days on serum total lipid level, compared with the saline treatment in hyperlipidemia rats. 15. Hwangryeonheadock-Tang elicited a significantly decreasing effect on weight of kidneys, spleen and testes respectively and Onchung-Eum induced on weight of liver and spleen respectively in hyperlipidemia rats, compared with saline treatment. These Findings suggest a possible anti-hypertensive and anti-hyperlipidemic effect of Hwangryeonheadock-Tang and Onchung-Eum.
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