• Title/Summary/Keyword: 한열(寒熱)

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「성명론(性命論), 사단론(四端論), 확충론(擴充論), 장부론(臟腑論)」을 통해서 본 사상인(四象人) 병론(病論)의 접근

  • Kim, Gang-San;Song, Il-Byeong
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.1
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    • pp.253-269
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    • 1999
  • 1. Purpose We know that Sasang Constitution is decided by difference of Sung-Jung(性情). Lee je-ma emphasized that Sa-Sim-Sin-Mul(事心身物) and Sung-Jung is important key. So, this paper is to know that the characteristics of constitutional symptoms also is explained by Sa-Sim-Sin-Mul and Sung-Jung, to find sequence between Sung-Jung and symptoms. 2. Method Through the Sa-Sim-Sin-Mul, decision of Sasang constitution and physiologics of Jang-Bu(臟腑), each the inerior-exterior characteristics of constitutional symptoms were researched. 3. Results It is found that structual characteristics of interior-exterior, in-out(內外), upper-town(上下) and functional characteristics of Warm-Hot-Cool-Cold(寒熱溫凉), ascent-descent-unfast-fast(升降援束), large-small(大小) are based on Sung-Jung and the summarizing spirit Sa-Sim-Sin-Mul.

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The Difference of Digestion, Sweat, Stool, Urination, Drinking, Coldness and Hotness Characteristics according to Sasang Constitutional Exterior and Interior Diagnosis (체질별 표리에 따른 소화, 땀, 대변, 소변, 음수, 한열 특성 차이)

  • Jang, Eun-Su;Baek, Young-Hwa;Park, Ki-Hyun;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.1
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    • pp.43-53
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    • 2012
  • 1. Objective : It is well-known that even if some people are born with same constitution, their symptoms can be different according to Exterior and Interior diagnosis. This study aimed to suggest different clinical symptoms according to Exterior and Interior group in individual Sasang constitution. 2. Methods : We collected 706 physiological and pathological data of subjects from August 2009 to July 2011 using case report form of Questionnaire. The Sasang constitutional diagnosis and Exterior and Interior diagnosis were conducted by Sasang constitutional experts. All data were analyzed with Chi-square test and significant p value was 0.05. 3. Results : There are different symptoms between Exterior and Interior group in Taeeumin as followed, the frequence of famine and burp, the part of sweat, brown or not in color of stool, painful or not in evacuating, the frequence of loose feces, the frequence of abdominal inflating, the costive feeling frequence after evacuating, foam in urine or not, urination times, amount of Coldness and Hotness in belly, the frequence of turning fale in face. Soeumin as followed, digestion well or not, amount of sweat in exercise, the brown or not in color of stool, the frequence of turning fale in face, athe frequence of clearness in urine and feeling hot. Soyangin as followed, amount of appetite, amount of sweat in hot weather, sweat in neck or not, the red color in urine or not, Coldness and Hotness in foot or not, amount of drinking. 3. Conclusions : We may suggest that physiological and pathological symptoms are different between exterior and interior group in individual Sasang constitution respectively.

The Evaluation of Instrument for Cold-Heat & Deficiency-Excess Pattern Identification of Dementia (치매의 한열허실 변증 지표문항에 대한 예비분석)

  • Heo, Eun-Jung;Lee, Sang-won;Jeon, Won Kyung;Lyu, Yeoung-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.3
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    • pp.283-292
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    • 2015
  • Objectives: The study aimed to test the validity and reliability of the questionnaire for cold-heat & deficiency-excess pattern identification of dementia and establish a new version of the questionnaire. Methods: Mean, standard deviation, skewness, internal consistency, correlation and t-test of the 26 items derived from previous study was analyzed in 20 dementia patients. The items with Cronbach-${\alpha}$ coefficient below 0.7 were modified. Thus, we established a new version of the questionnaire consisting of 20 items. Results: Cronbach-${\alpha}$ of each cold, heat, deficiency and excess questionnaire was 0.662, -0.229, 0.722 and 0.778, respectively. The correlation coefficient between cold, heat, deficiency and excess was less than 0.4 and correlation coefficient between dementia and cold, deficiency was 0.518. On t-test, the t-value of cold, deficiency and dementia was -2.196. Conclusions: The results indicated that cold-heat, deficiency-excess questionnaires showed satisfactory discriminant validity. In addition, there was correlation between dementia and cold, deficiency. Finally, we established a new version of the questionnaire for cold-heat, deficiency-excess pattern identification that consisted of 20 items.

A Study on the Difference of Cold-heat Patterns between Health and Mibyeong Group (건강군과 미병군의 한열지표 차이에 관한 연구)

  • Kim, Sujung;Lee, Siwoo;Lee, Youngseop
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.1
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    • pp.49-56
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    • 2017
  • Objectives : In this study, we diagnosed Mibyeong group of adult by taking into Mibyeong Index consideration, and identified the correlation of a Mibyeong group with cold-heat pattern and life quality of them. Methods : The questionnaires were collected by Gallup Korea professional surveyor through face to face interviews. To analyze the differences between health and mibyeong group, we used the descriptive statistics, Pearson's correlation, ANOVA. And multinomial logistic regression was used to generate the odds ratios (ORs) and 95 % confidence interval (CI) for the differences between health and mibyeong group. Results and Conclusions : The gender composition of respondents in this study that there 545 male (49.5%) and 555 female (50.5%). The score of both cold pattern(health: $21.33{\pm}4.25$, MI 1: $22.43{\pm}4.29$, MI 2: $24.09{\pm}5.03$; post hoc test, p <0.001) and heat pattern(health: $18.4{\pm}4.01$, MI 1: $19.48{\pm}4.10$ MI 2: $19.88{\pm}4.81$; post hoc test, p <0.001) in mibyeong group is higher than the score health group. And, these result have no relevance to age. The score of both Physical component summary (PCS) and Mental component summary (MCS) in health group is higher than the score mibyeong group. Cold-heat pattern and quality of life vary significantly according to health status. This results suggest the analysis of cold-heat pattern and quality of life by health status could provide the setting of direction to promote public health depending on health status.

Relationships between depression, anxiety, 'exterior-interior pattern and cold-heat pattern' and Heart Rate Variability in healthy Subjects (건강인의 표리 한열 변증, HRV, 우울, 불안 지표의 상관성 분석)

  • Kim, Ji-Eun;Lee, Jeong-Chan;Kang, Hee-Chul;Lee, Seung-Gi;Park, Kyung-Mo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.2
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    • pp.482-487
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    • 2006
  • The identification of the exterior-interior pattern and the cold-heat pattern is one of the most frequently used diagnostic methods in Oriental medicine. No systematic studies, however, have yet been conducted to determine the emotional and autonomic factors involved in the exterior-interior and cold-heat. In this study, the relationships between depression, anxiety, and the exterior-interior and cold-heat patterns in 100 healthy female volunteers with a mean age of 42.77 were also investigated. The autonomic nervous system's control of human temperature is a well known fact. Thus, this paper also aimed to investigate the correlationof the autonomic nervous system and patterns of the exterior-interior and cold-heat. The analysis of heart rate variability (HRV), which has become a popular non-invasive tool for assessing the activities of the autonomic nervous system, was conducted in this study. No relationship was found between the exterior-interior and cold-heat pattern scores and the degree-of-depression scores. But there was a significant difference between the exterior-interior and cold-heat pattern scores of the different anxiety types, and between those of the different anxiety levels. The depression and anxiety levels also had an effect on the HRV indices.

Scientific Palpation Theory for the Manufacture of the Palpation Diagnosis Tool and Health Life (진맥기 제작과 생활의학 활용을 위한 과학적 진맥이론)

  • 장동순;신미수;백영수
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2000.11a
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    • pp.118-126
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    • 2000
  • 동양의학에서 인체의 주된 생리 정보는 체질과 맥진에서 얻어질 수 있다 체질은 선천적인 오장 육부 기능에 대한 정보를 제공한다. 체질에 대한 판단은 얼굴형상, 맥진, 사주 등의 방법에 의한다. 반면에 진맥은 현재의 오장육부의 건강 상태를 나타낸다. 오장육부의 생체정보는 인체경락의 전기 전도도를 측정하는 방법에 의해서도 얻어질 수 있으나 본 논문에서는 진맥에의한 방법만을 토론한다. 체질과 진맥 정보는 치병에 있어서 처방의 기간과 강도를 결정 할 수 있는 결정적인 변수이다. 이 두가지 정보 중에서 하나라도 결핍될 경우 병에 대한 효율적인 대응이 어려워진다. 그 이유는 처방의 강약 조절이 어렵고 그 결과 다른 부작용 유발가능성이 크다. 본 논문에서는 진맥이론의 일반적 전개를 위하여 음양오행 성질의 과학적인 정의를 기초로 하였다. 구체적인 맥상의 판단에는 (1) 음의 맥과 양의 맥의 절대적 크기와 상대적 비(즉 음양의 강도와 비), (2) 오행의 성질에 기초한 맥의 형상, 그리고 (3) 맥의 느낌이나 성질등 3가지 정보를 종합한 방법으로 맥상을 파악한다. 이러한 맥진기술 이론은 분류방법이 간단할 뿐만아니라 이론이 일반적이다. 그래서 한의학의 전문가는 물론이고 일반인 모두 쉽게 익혀 덜인의 건강상태를 스스로 파악하는 것이 가능하다. 진맥기 제작의 기년 이론으로서 역할을 할 수 있다. 오행이론에 기초 할 경우 맥상은 5가지 대표적인 맥으로 분류된다. 맥의 이름은 황제내경에 제시된 한의학적인 이름과 함께 맥상을 쉽게 유추 할 수 있는 실생활적인 이름을 병용하였다. 예를 들어 위장이 약할 때 나타나는 홍맥을 진빵같이 부드러운 맥으로, 폐가 나쁠 때 나오는 흩어지는 모맥을 도우너츠형 연기맥으로, 신장이 나쁠 때 나오는 단단한 석맥을 고구마형상의 돌덩어리맥으로, 간이 나쁠 때 나오는 긴장된 현맥을 팽팽한 고무줄맥으로 그리고 심장이 나쁠 때 나오는 작고 연한 구맥을 튀어오르는 물방울맥으로 명명하였다. 이외에 진맥에 의하여 인체의 한열이나 지삭 부침등의 정보가 가능하며, 이러한 정보는 고혈압이나 중풍 확률, 비만 가능성 지수, 골다공증 선행지수 그리고 심장기능 파악(불전맥이나 대맥) 등 다양한 인체 정보를 파악하는 데 응용될 수 있음을 강조한다.

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Development on the Questionnaire of Cold-Heat Pattern Identification Based on Usual Symptoms for Health Promotion - Focused on Reliability Study (건강 증진을 위한 평소 증상 기반의 한열변증 설문지 개발 - 신뢰도를 중심으로)

  • Yeo, Minkyung;Park, Kihyun;Bae, Kwangho;Jang, Eunsu;Lee, Youngseop
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.2
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    • pp.116-123
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    • 2016
  • This study was performed to develop questionnaire of cold-heat pattern identification(PI) based on usual symptoms for general people, and we analyzed reliability of the questionnaire. We reviewed cold-heat PI questionnaire of advanced research and selected twenty-three items through three time experts meeting. Three hundred and fifty nine healthy subjects were joined in this study. As a results, Cronbach's α of cold-heat PI questionnaire was 0.79 and 0.83. According to the factor analysis about fifteen-chosen cold-heat PI questionnaires, each cold-heat consisted of two factors and each Convergence was 56.46% and 65.93%. Intra-class Correlation Coefficient was 0.67-0.83. Based on the median of samples of primary source, we classified subjects into four category as Cold, Heat, No Cold-Heat, and Cold-heat complex. We examined agreement of diagnosis and coefficient of kappa, and agreement rate of diagnosis was 64.2%, and coefficient of kappa was 0.51. Based on research result, we expect that validity study about questionnaire of cold-heat PI based on usual symptoms will be continued, and hope to be used as subsidiary diagnosis in clinical practice.

Study on Visible Diagnosis of Energy and Color (망기색에 대한 연구)

  • Kim, Yong-Chan;Kang, Jung-Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.4
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    • pp.840-847
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    • 2005
  • This study was written in order to help understanding of visible diagnosis of energy and color(기색). Visible diagnosis of energy and color is a very important factor of diagnosis and a necessary step of visible diagnosis. As human's body is under the control of spirit(신) and spirit(신) is stored by five viscera(오장), so spirit expresses the change of five viscera and is reflected by energy and color(기색). Strictly speaking, energy and color(기색) is not divided into each other. But, we can say that glittering glossy part belongs to energy(기) and blue, red, yellow, white and black part belongs to color(색). Various changes of energy and color(기색) observe the rules of yin-yang(음양). If we consider the interior and exterior(내외), top and bottom(상하), right and left(좌우), rise and fall(부침), clearness and muddiness(청탁), weak and severe(미심), spread and gather(산박), gloss and dness(택요) etc. we can decide the yin and yang(음양), inside and outside(표리), coldness and heatness(한열), truth and false(허보), life and death(생사) and prognosis. One man's own color is determined by the five human type(오형인), There are very various points of changing colors. As divided into principal groups, there are three main groups, that is, sky(천), earth(지) and man(인). A season(사시), day and night(주야) and cloud and clear(음청) belong to the factor of sky(천), a direction and configuration of the ground(지형) belong 治 the factor of earth(지), and motion and rest(동정), seven emotions(칠정), age and youth(노소), poor and rich(빈부) and high and low(귀천) belong to the factor of man(인).

Clinical Study on the Characteristics of Heat and Cold according to Sasang Constitutions (사상체질별 한열 특성에 대한 임상 연구)

  • Lee, Su-Heon;Han, Sung-Soo;Jang, Eun-Su;Kim, Jong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.3
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    • pp.811-814
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    • 2005
  • This clinical study is designed to find the characteristics of heat and cold according to Sasang Constitutions by using a statistical analysis. The study was conducted based on the questionnaire sheets and medical history (clinical data) of 1080 people registered at Sasang Constitution Information Bank (SCIB). The total number of people registered at SCIB was 1083; however, 3 Taeyangin's data were excluded in this study. The statistical analyses results on these data were: Most Taeumins have warm limbs, while Soeumins have cold ones. Taeumin, and Soyangin do not like hot weather, while Soyumin doesn't like coldness. As soeumins' body temperature is relatively lower than that of other constitutions, they tend to sleep tightly under blankets or comforters. Taeumin tend to drink more water because they sweat a lot; while Soeumin drink smaller amount of water because they sweat less. Both Taeumin, and Soyangin like cold food, but Soeumin liked hot food. Soeumin showed strong tendency for hot and cold food, while other constitutions displayed less inclination toward the certain temperature of food. Soeumin certainly had the remarkable response toward changes in heat and cold than other constitutions. The differences written above were proved to be meaningful enough by Chi-square test.

Characteristics of Acupuncture at ST36 on Facial Thermography of Health Subject (족삼리(足三里) (ST36) 자침(刺鍼)이 안면부(顔面部) 한열변화(寒熱變化)에 미치는 영향(影響))

  • Kim Yong-Tae;Kim Jae-Hyo;Hwang Jae-Ho;Kim Kyung-Sik;Sohn In-Cheul
    • Korean Journal of Acupuncture
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    • v.19 no.2
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    • pp.13-33
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    • 2002
  • This study was examined for effects of acupuncture of Zusanli (ST36) on the facial thermography in health subjects. The volunteers who participating in this study had taken rest for 20 - 30 mins in room temperature (23-$25^{\circ}C$) before the examination and informed them what to prohibit smoking, drinking and administration of drug for the previous day. The thermography of face was taken using Infra-Red Imaging System (IR 2000, MEDI-CORE Co., Korea) by time interval of 15 minutes at 15 min before, just before and 15 min after, 30 min after and 45 min after acupuncture stimulation. Acupuncture was applied to the left ST36 for 30 mins. The results showed that acupuncture of ST36 significantly decreased the temperature of all the areas of facial surface comparing to those of control group. Also, it was observed that the quantities of thermal changes following acupuncture of ST36 been increased significantly at the A1, A4, A6, A7 and A9 ROIs (region of interest) comparing that of control group. Observed the thermography classified by ROI, it was clear the fact that acupuncture of ST36 could modulate the specific areas concerning to the facial pathway of Stomach Meridian, because the thermal responses following acupuncture of ST36 were specific at the A1, A2, A5 and A9 ROIs, relatively. These results suggest that acupuncture of ST36 may modulate thermal distributions and changes of facial areas concerned with Stomach Meridian.

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