• 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.

• Journal of Physiology & Pathology in Korean Medicine
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• v.36 no.2
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• pp.73-78
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• 2022

Since Traditional Korean medicine (TKM) doctors use various knowledge systems during treatment, diagnosis results may differ for each TKM doctor. However, it is difficult to explain all the reasons for the diagnosis because TKM doctors use both explicit and implicit knowledge. In this study, an upgraded random forest (RF)-based evaluation tool was proposed to extract clinical knowledge of TKM doctors. Also, it was confirmed to what extent the professor's clinical knowledge was delivered to the trainees by using the evaluation tool. The data used to construct the evaluation tool were targeted at 106 people who visited the Sasang Constitutional Department at Kyung Hee University Korean Medicine Hospital at Gangdong. For explicit knowledge extraction, four TKM doctors were asked to express the importance of symptoms as scores. In addition, for implicit knowledge extraction, importance score was confirmed in the RF model that learned the patient's symptoms and the TKM doctor's constitutional determination results. In order to confirm the delivery of clinical knowledge, the similarity of symptoms that professors and trainees consider important when discriminating constitution was calculated using the Jaccard coefficient. As a result of the study, our proposed tool was able to successfully evaluate the clinical knowledge of TKM doctors. Also, it was confirmed that the professor's clinical knowledge was delivered to the trainee. Our tool can be used in various fields such as providing feedback on treatment, education of training TKM doctors, and development of AI in TKM.

• Journal of Sasang Constitutional Medicine
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• v.11 no.1
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• pp.271-279
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• 1999

1. Purpose : From a viewpoint of Lee Je-ma, We consider the principle of shape(form) and image and try out a share of recognition about shape(form) and image in all its aspects. 2. Method : Especially we compared HeoJun's point of view with Lee Je-ma's point of view. 3. Result & Conclusion 1) The most important thing for an appearance of shape(form) and image is a differential Qi of sorrow- anger-joy-pleasure. 2) Lee Je-Ma chose a point of view from inside to outside in principle. 3) A method of materialism can be used when we give medical treatment. 4) Shape(form) and image is a method of constitutional diagnosis from a viewpoint of Lee Je-ma. 5) Shape(form) and image has a formal(typical) type, but the thing which is fixed do not exist, therefore partial shape(form) and image is possible. 6) We should observe a condition of mind, but objectivity and reappearance always remain.

• Journal of Sasang Constitutional Medicine
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• v.12 no.1
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• pp.265-270
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• 2000

Occasionally, apoplexy is caused by functional or physiologic cardiopulmonary abnormality. In addition, theses may become the factor of aggravating apoplexy and involve complication. If patient has cardiopulmonary disease, progressing of apoplexy is commonly used to be accelerate and prognosis is deteriorative. There by the patient who has cardiopulmonary disease, should be particularly treated for cardiopulmonary disease. We got good result, during treat Soeumin cerebral vascular infarction patient who has pulmonary edema leaded from congestive heart failure, with Sasang Constitutional treatment. Therefore I reported them here. She was 68 years old, female patient. She visited our hospital for apoplexy with right side hemiparesis, dysphagia, dysphasia. After her admission into our hospital, we knew that she has congestive heart failure. The diagnosis is established. She presented with severe general edema and pulmonary edema. Although Soeumin edema usually classified as Taiyin Disease, we classified this as Shaoyin Disease, through diet, discharge, sleep, tongue and symptoms. We has prescribed Gungguichongsoyijung-tang(芎歸蔥蘇理中湯) in accordance with the principle of invigorating the Spleen and lower Yin(建碑而降陰). And her symptoms has improved.

• The Journal of Korean Obstetrics and Gynecology
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• v.34 no.1
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• pp.1-14
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• 2021

Objectives: We studied for the adjustment of the patterns of 'The Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification (hereinafter CaPSPI)' (studyI) and the correlation between CaPSPI and Korean medicine doctors' diagnosis which was carried out without knowing the results of CaPSPI (studyII). Methods: The studyI followed the previous study method in 2018 (2018-3). The studyII was conducted from June 1, 2019 to July 10, 2020 with ◯◯ University Korean Medicine Hospital IRB's approval (2019-4). Doctors' diagnosis was conducted face-to-face with the subjects. Doctors' diagnosis was carried out based on the Kupperman's questionnaire, 'Diagnosis System of Oriental Medicine (hereinafter DSOM)' and four examinations (四診) records. The diagnosis was marked with 0 for 'no', 1 for 'somewhat', 2 for 'yes' and 3 for 'very yes'. The correlation between CaPSPI and the mean of doctors diagnostic scores were investigated statistically. Results: The studyI showed that heart-heat (心火) pattern was added. The Factor loading coefficient for heart-heat was 0.551 to 0.789, and the Cronbach's coefficient was 0.896. The studyII showed that the diagnosis (Kappa statistic) of two doctors showed statistically significant concordance (all eight patterns), with correlation of them were 0.3 or higher. And the correlation between the CaPSPI score and the mean of doctors' diagnostic score showed a statistically significant correlation, with liver qi depression (肝鬱) being the highest at 0.552 and dual deficiency of the heart-spleen (心脾兩虛) being the lowest at 0.301. Conclusions: Since the diagnosis results of CaPSPI showed a significant correlation with the diagnosis of Korean traditional medicine experts, it was believed that the CaPSPI results can be trusted and used for clinical purposes.

• Journal of Physiology & Pathology in Korean Medicine
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• v.21 no.1
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• pp.338-346
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• 2007

For Objectivity development of the body shape that is an importance standard for the classification of sasang constitutional medicine diagnosis, We made a comparison between Automatic & Physical measuring. This study uses 2 attitude which lies down & standing. We measured the body of patients(Width 5 places and circumference 8 places) and analyzed the anthropometric data dividing into sex, age, BMI. 296 patients's data are used in the analysis.

• Journal of Physiology & Pathology in Korean Medicine
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• v.32 no.1
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• pp.70-74
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• 2018

The purpose of this study was to evaluate the possibility of applying Korea Sasang Constitutional Diagnostic Questionnaire(KS-15) for the Japanese. We analyzed the results of 50 Japanese participants who visited the local university hospital from October 2010 to July 2011 and their Sasang constitutions were diagnosed by a Sasang Constitutional specialist. Two items(14.3%) of total 14 items, except for BMI showed 0.4 or below in Kappa, 8 items(57.1%) were ranged from 0.4 to 0.6 and 4 items(28.6%) marked 0.6 or over. The concordance rate between the results of KS-15 and those of expert was 60% in total Japanese participants.(61.9% in Taeeumin, 60% in Soeumin, and 57.9% in Soyangin). The KS-15 could be suitable for supporting experts to diagnose the Sasang constitution of the Japanese. In order to increase usefulness, when subsequently applying KS-15 to foreign site, KS-15 should be properly adjusted in sociocultural characteristic.

• Korean Journal of Oriental Medicine
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• v.13 no.3
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• pp.125-131
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• 2007

Objectives: We intended to know sensitivity, specificity and relation of diagnosis methods of Sasang Constitution. Methods: We compared QSCC II, PSSC, Body measurement dignosis results with gold standard ones which were diagnosed by Sasang Constitution specialist, and analyzed by crosstables to get the sensitivity and specificity of those. Results and conclusions 1. Sensitivity and specificity of one diagnosis method were low, so call, in QSCC II, Taeumin is 49% in sensitivity, 97% in specificity, Soeumin is 67%, 69%, Soyangin is 59%, 75%, in Body measurement, Taeumin is 66%, 89%, Soeumin is 70%, 82%, Soyangin is 49%, 78%. in PSSC, Taeumin is 57%, 90%, Soeumin is 88%, 62%, Soyangin is 18%, 88%. 2. When two diagnosis methods are consistent each other, sensitivity and specificity are more higher than one diagnosis method. 3. When three diagnosis methods are all consistent, sensitivity and specificity are most highest, but in Soyangin, those are decreased comparing with the case of consistency between QSCC II and Body measurement.

• Journal of Physiology & Pathology in Korean Medicine
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• v.30 no.3
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• pp.177-183
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• 2016

The purpose of this study was to evaluate the reliabilities of questions and diagnostic value of the Korean Sasang Constitutional Diagnostic Questionnaire(KS-15). The young adults aged 20's participated in this study. The first survey was conducted in march, 2016, and the second one was conducted two weeks later. Three hundred and three questionnaires and the informed consent were obtained from all participants. The test-retest kappa analysis was used to identify the reliabilities of the questions and diagnostic value, and the significance level was .05. The number of subjects was 303 [87(28.7%)males and 216(71.3%)females]. The Cronbach's α were .630 in 6 characteristic questions. The test-retest reliabilities of questions were ranged from .469 to 734. The agreement rate of KS-15 between the first and second constitutional diagnostic value was 87.13%(Kappa=0.794). The higher Sasang constitutional probability score in first survey resulted in the higher agreement rate between first and second diagnostic value. KS-15 seems to be a reliable implement. Further studies for the reliability of the people of different ages and suitable cut off point in Sasang constitutional probability score are needed for the practical use of KS-15.

• Journal of Acupuncture Research
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• v.30 no.4
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• pp.161-167
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• 2013

Objectives : This study was done for comparing the result of Sasang constitution diagnosis using portable Ryodoraku and that of self-report questionare for Sasang constitution classification II QSCC II. Methods : We investigated 41 cases to collect the data. we analyzed the result of portable Ryodoraku and self-report(QSCC II). Results : 1. The degree of agreement between those results from portable Ryodoraku and QSCC II was statistically significant. 2. The dgree of agreement between those results from portable Ryodoraku and QSCC II was statistically significant in male and female. Conclusions : It is suggested that portable Ryodoraku should be available for diagnosing Sasang constitution.