• Title/Summary/Keyword: Constitution classification

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The type of disease and symptom according to Sasang constitution of children (소아(小兒)의 사상체질별(四象體質別) 질병(疾病) 및 증상(症狀) 유형(類型)의 차이)

  • Han, Yun-Jeong;Kim, Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.16 no.2
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    • pp.143-161
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    • 2002
  • We proceeded the judgement of Sasang constitution of 79 children(the age 101 between 15) who have visited Dongguk Bundang Oriental Medical Hospital during 3 months from August 2002 to October 2002 by Questionnaire of Sasang Constitution Classification and conducted questionnaire survey about the type of disease and symptom occurred frequently. The conclusion is following. 1. The distribution of Sasang constitution: Soeum group(少陰人) 32, Taeeuml group(太陰人) 29, Soyang group(少陽人) 18. 2. The distribution of systemic disease occurred frequently : in digestive system, Soeum (46.9%) & Soyang(44.4%) group more than Taeeum group(34.5%) and in genitourinary system and others, Soeum(28.1%) more than Taeeum group(17.2%). 3. The distribution of symptom occurred frequently : in rhinitis and sinusitis, Taeeum(60.0%) & Soeum(60.0%) more than Soyang(45.5%), in abdominal pain, Soeum(58.8%) & Soyang(62.5%) more than Taeeum(36.4%), and in diarrhea, Taeeum(45.5%) more than Soeum(123.5%) & Soyang group(25.0%). Headache & vexation(心煩) are almost found in Soeum group with abdominal pain and excessive sweating is only found in Taeeum group. 4. The efficacy of herbal medication combined with Cervix Cornu Pranum (鹿茸加味劑) : after the medication, change of condition have showed in Taeeum group at the most high rate(31.0%) and showed in Soeum(15.6%) and Soyang(11.1%) group. 5. The distribution of allergic disease: allergic rhinitis and atopic dermatitis took up the majority of all allergic diseases. In morbidity of allergic rhinitis, Taeeum(62.1%) & Soyang(55.6%) more than Soeum(37.5%). In morbidity of other allergic diseases and degree of severity, it has no difference among three Sasang constitution groups.

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Analysis of BMI and Food Preference by Sasang Constitutional Typology classified by SCAT2 and a Specialist (SCAT2와 전문가에 의해 분류된 사상체질별 BMI 및 식품선호도 분석)

  • Cheon, Jin Sol;Yim, Dong Koo;Kim, Soon Mi
    • Journal of the Korean Society of Food Culture
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    • v.33 no.2
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    • pp.186-198
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    • 2018
  • The Sasang constitution typology was analyzed through SCAT2 and a specialist to examine the correlation between the Sasang constitution and dietary pattern, and the difference in BMI and food preference according to Sasang constitution was determined. The Sasang constitution typology of the subjects was classified by SCAT2 and a specialist. Seventy-four subjects were screened by SCAT2 (SC), and 18 of them were judged by the specialist (SP). The results of SCAT2 and the specialist were consistent in 13 subjects (SS). BMI and food preference among these groups were compared. The concordance rate of SCAT2 and the specialist classification was 72.2%. The BMI in SC was significantly lower in the order of Taeeumin, Soyangin, and Soeumin, but no significant difference was observed between Taeeumin and Soyangin in SP and SS. To analyze the preference of food and the constitutional suitability, the 'Yin-Yang food preference index' was developed and compared with the data classified by constitutional food according to existing ideological medical theory. As a result, there were 33 food items that matched in the SP-SS, which was more than that in the SC-SP (4 items), SC-SS (6 items), and SC-SP-SS (4 items). Twenty-four of the 33 matched food items were consistent with the existing constitutional food data. In conclusion, SCAT2 is a very useful tool for Sasang constitutional research, but for more objective research, it is recommended that subjects who show consistent results by different methods be targeted.

Study on the Characteristics of Ordinary Symptoms in Overweight and Obesity Patients according to Sasang Constitution (사상체질에 따른 과체중 및 비만 환자의 소증(素證) 특성 비교)

  • Shin, Seung Won;Lee, Junhee
    • Journal of Korean Medicine for Obesity Research
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    • v.13 no.1
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    • pp.33-45
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    • 2013
  • Objectives: This study was aimed to find out the characteristics of ordinary symptoms between the control and patient groups, diagnosed as overweight or obesity, in Soyang, Taeeum, and Soeum Constitutions and among those 3 groups. Methods: As a prospective cross-sectional study based on medical records, 9213 patients, who visited Kyung Hee University Medical Center from May in 2007 to June in 2010, were included. To diagnose the constitution, Revised Questionnaire for the Sasang Constitution Classification II and examinations by oriental medical doctors who majored in Sasang Constitution Medicine were performed. Based on the World Health Organization criteria for Asian obesity assessment, body mass index (BMI) was classified into 3 groups; more than 25 as obesity, 23 to 25 as overweight, and less than 23 as normal. Ordinary symptoms questionnaire, which consists of 46 questions in 8 categories, were given to the subjects. One-way ANOVA test in continuous variables and chi-square test in categorical variables were carried out to analyze statistical significance. Results and Conclusions: 1) In general characteristics, we could find out the significant differences in age, sex, height, weight, BMI, waist circumference, blood pressure, total cholesterol, triglyceride, low density lipoprotein cholesterol, high density lipoprotein cholesterol, fasting blood sugar, and hemoglobin A1c among the 3 Constitutional groups. 2) Soyang Constitution of overweight and obesity has tendency to have higher appetite, like cool or cold water, defecate more, swear more, dislike heat, and have warmer or hotter extremities in the ordinary symptoms, compared with the control group. 3) Taeeum Constitution of overweight and obesity has tendency to have higher appetite, like cool or cold water, defecate more, swear more, dislike heat, and have warmer or hotter extremities in the ordinary symptoms, compared with the control group. 4) Soeum Constitution of overweight and obesity has tendency to have higher appetite and less fatigue in the ordinary symptoms, compared with the control group. 5) Soeum Constitution showed the slightest increase in appetite, preference about room temperature water, less number of feces, and feeling of chill and warmer extremities in ordinary symptoms, compared with Soyang and Taeeum Constitutions. Taeeum Constitution showed the distinct increase in appetite and sweating in ordinary symptoms, compared with Soyang and Soeum Constitutions.

Evaluation of Therapeutic Differences of Angiotensin II Receptor Blockers and Calcium Channel Blockers Among Hypertensive Patients Classified by Oriental Traditional Way (한국적 의학 기준에 근거한 고혈압환자의 Angiotensin II Receptor Blockers와 Calcium Channel Blockers의 약물 평가)

  • Lee, Ok Sang;Cheon, Young Ju;Ye, Kyong Nam;Yoon, Hee Young;Kim, Jung Tae;Lee, Yun Jeong;Lim, Sung Cil
    • YAKHAK HOEJI
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    • v.58 no.2
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    • pp.141-149
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    • 2014
  • Background: Oriental lifestyle for treating diseases has been developed and well-accepted for a long time among Koreans. Sasang Constitution theory, originated from Korean traditional medicine, suggests that medication treatment should be differentiated by each patient's body classification (So-yang [SY], So-eum [SE], Tae-yang [TY], and Tae-eum [TE]), in contrary to western medicine's theory that medication should be applied equally by disease indication without such classification. However, the pharmacotherapeutic outcomes of these theories have not been compared to date. In this study, we aimed to compare the two theories by evaluating blood pressure (BP), which is lowered as a therapeutic outcome, among hypertensive patients taking angiotensin II receptor blockers (ARBs) or calcium channel blockers (CCBs), two most commonly used antihypertensive classes in Korea. Methods: From April 2006 to June 2012, we retrospectively collected data on hypertensive patients with Sasang Constitution classification at Kyunghee University Hospital at Gangdong, one of the East-West collaborative medical centers in Korea. We collected information on age, gender, underlying diseases, antihypertensive drugs (ARB, CCB, ARB+CCB), and BP by reviewing the electronic medical records. We excluded patients with missing blood pressure at baseline or follow-up, or those who had a change in their antihypertensive drug class during follow-up. Results: We selected a total of 573 patients (SY: 165, SE: 158, TY: 0, TE: 250). Baseline BPs were on average 139.0/82.0 mmHg for SY, 137.8/78.5 mmHg for SE, and 138.7/79.2 mmHg for TE. In all three groups, CCBs were the most prescribed, followed by combination therapy with ARB+CCB, then ARBs. BP reduction after 1 month of initial medication was significantly different among the drug classes, but not in Sasang constitutional classification (ARB [SY: -12.4/-4.7, SE: -12.3/-2.5, TE: -8.6/-1.8], CCB [SY: -12.3/-5.4, SE: -13.0/-2.3, TE: -10.8/-6.0], ARB+CCB [SY: -15.6/-6.7, SE: -18.4/-8.1, TE: -20.2/-6.7], drug [$P{\leq}0.05$/P>0.05], constitutional type [P>0.05/P>0.05]). Conclusion: We observed significant differences in reduction of blood pressure by classes of drugs (ARB+CCB>CCB>ARB) but not by Sasang constitutional classification. Therefore, current approach of antihypertensive pharmacotherapy assisted by Western medicine is appropriate for treatment of hypertension. However, further larger scale or prospective studies are required in order to confirm these results.

A Study on the Reliability and Validity test of the QSCC II + (Revised Questionnaire for the Sasang Constitution Classification) (개정(改定)된 사상체질분류검사지(四象體質分類檢査紙)II의 신뢰도(信賴度)와 타당도(妥當度)에 대한 연구(硏究))

  • Choi, Kyung-Ju;Choi, Yang-Sik;Cha, Jae-Hoon;Hwang, Min-Woo;Lee, Soo-Kyung;Go, Byeong-Hui;Song, Il-Byung
    • Journal of Sasang Constitutional Medicine
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    • v.18 no.1
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    • pp.62-74
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    • 2006
  • 1. Objectives This is a statistical study on the Reliability and Validity of the Revised Questionnaire for the Sasang Constitution classification(QSCC II +). 2. Methods To analyze the reliability; we gathered the results of the QSCC II + of 266 people. Each person took the questionnaire three times, and the interval of the examinations were about one year. With the results, we used stratified analysis to check up the consistency rate of three examinations, and analyzed the tendency of agreement by crosstabs to get the kappa value. For the validity, we gathered the results of the QSCC II + of 587 people who were Taeumin, Soyangin, Soeumin. They took the questionnaire once, and SCM specialists strictly examined to diagnose their Sasang constitutions. We compare their results of the QSCC II + to the diagnostic result of their Sasang constitutions, and analyzed by crosstabs to get the rate of accuracy of the QSCC II +, and the kappa value for the measure of agreements. 3. Results and Conclusions The expected rate to get the same results was 54.5% in Soyangin, 68.1% in Taeumin, 65.7% in Soeumin, and kappa value was $0.311{\sim}0.414$, which means the reliability of the QSCC II + is analytically significant. The accuracy of the results of QSCC II +, compared to the diagnosis of the SCM specialists, was 58.4%, but increased up to 60.8%, and validity also became moderately good(K=0.412) by age limitation. Because in the 70's results of the QSCC II + isn't likely to agree to the diagnosis of the SCM specialists.

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A Study on the Pattern Distribution of Yin-Yang Ren [음양인] (Used on Questionnaire) (음양인 유형분류에 관한 연구 (설문지를 중심으로))

  • 이상범;최경미;박영배
    • The Journal of Korean Medicine
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    • v.25 no.1
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    • pp.1-20
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    • 2004
  • Objectives : Based on the analysis of Yin-Yang[음양] characteristics and symptoms, each person is classified into Yin-Yang. Also the validity of the result is statistically analized. Methods : From Feb. to May. 2003, the data were collected through a questionnaire given to 690 patients. The questionnaire was composed of 34 items which were about personality, habit, sweat, response to coldness, thirst, bowel, urine, physical shape, and menstruation for women only. SD(Semantic Differential Technique) used for each item, each item is measured as a contrast of two opposite symptoms. Reliability analysis was used to select items and categories. Based on means of items in each category the Yin-Yang index was developed. The validity of Yin-Yang index was investigated using classification and clustering analysis. In statistical analysis, SPSS V10.0.7 PC was used. Results : The obtained results are summarized as follows: 1) We constructed Yin-Yang index based on the middle point of the sum of categorical means. Then we classified each person into Yin or Yang. 2) To investigate the validity of the distribution of personal Yin-Yang degree, the crosstabulation of results from clustering and classification was used. The hit ratio for classification was much higher than Maximum Chance Criterion($C_{max}$), and concurrence in crosstabulation was successful. Therefore we can infer that the distribution of Yin-Yang was valid. Conclusions : Based on Yin-Yang characteristics and symptoms, we was analyzed personal degree of Yin-Yang, and confirmed the validity of its distribution. Therefore this index can be used further for Bian-Zheng [변증] and classification of the constitution.

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Perception and Ways of Coping with Stress of Sasangin (사상체질별 스트레스인지와 대처방법)

  • Yoo, Jung-Hee;Lee, Hyang-Yeon;Lee, Eui-Ju
    • Korean Journal of Adult Nursing
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    • v.15 no.2
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    • pp.173-182
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    • 2003
  • Purpose: This study was founded to identify perception and ways of coping with stress according to classification of Sasangin(4 constitutions). Method: The subjects were 258 regular students who majored in oriental medicine in Jechon and Seoul. Data was collected by 3 types of questionnaires for 3 months; Perceived stess, ways of coping, Questionnaires of Sasang Constitution Classification (QSCCII). Data analysis was conducted by SPSS version 10. Result: 1) Difference of perceived stress in Sasangin: Perceived stress by the Sasangin indicated that Soeumin perceived more stress than Soyangin and Taeumin(P=.013). 2) Different method in coping with stress of Sasangin: It was found that Soeumin didn't make use of emotional coping way according to the analysis(P=.040). 3) Relationship between ways of coping for stress and perceived stress in Sasangin: It was shown that as Soeumin perceived stress so higher than Soyangin and Taeumin, they tended to use the solving problem-method therefore it was shown to have a negative correlation(P=.044). Conclusion: In conclusion, it was found that there were differences of Sasangin in perceived stress and ways to cope with it. The dose relationship between the perception and coping method of stress was found.

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A study on the validity to make a diagnosis of Taeumin by QSCCII(Questionnaire for the Sasang Constitution Classification II) (사상체질분류검사지(四象體質分類檢査紙)(QSCC)II에 의한 태음인(太陰人) 진단(診斷)의 타당성(妥當性) 연구(硏究))

  • Jang, Hyeon-lok;Lee, Eui-joo;Koh, Byung-hee;Song, Il-byung
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.1
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    • pp.45-50
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    • 2001
  • Purpose : The purpose of this study is to get higher discriminability of the QSCCII on Taeumin. Methods : I analysed each item response rates on QSCCII of those who had been tested and diagnosed as Taeumin, Soeumin, Soyangin respectively by frequency analysis and reviewed Taeum scale of the current QSCCII by reliabiliry analysis and discriminant analysis. Results : 1. From the 758 results of QSCCII of those who were examined by professors, I made a revised Taeum scale which is consists of 17 items including 14 existing Taeum scale items and 3 new items from the other scales. 2. Reliability of revised Taeum scale is 0.5983, higher than that of existing Taeum scale, 0.5922. This means that revised Taeum scale reflects Taeumin's character more reliably than the existing one. 3. Hit-ratio of revised QSCCII on Taeumin is 60.3%, 2% lower than that of existing QSCCII.

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Correlation between Sasang Institution and Reaction of Food IgG Serum (사상체질과 음식 혈청 IgG 반응의 상관관계 분석)

  • Keum, Na-rae;Ryu, Jae-Hee;Song, Jae-seung;Kwon, Young-eun;Jang, Won-hee;Bae, Hyo-sang
    • Journal of Sasang Constitutional Medicine
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    • v.30 no.4
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    • pp.23-31
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    • 2018
  • Objectives The purpose of this study was to find correlation between food IgG serum and food classification for Sasangin match. Methods We recruited 10 Soeumin, 10 Soyangin, 10 Taeumin. We did a survey about food intake and obtained their blood samples. We detected IgG antigen reaction of 66 different foods using IgG exclusive Microarray assay. Results We found that IgG value of foods were correlated with Sasangin. Pork, shrimp and black tea has showed significant differences by constitution. The IgG response of the food according to the constitution and frequency of intake was found to be significantly correlated with those of banana, chestnut, citrus, milk, mushroom, cucumber, barley, corn, pineapple, honey and abalone. Conclusions The result of this study was partially matched to food classification for Sasangin.

A Validation Study of the Sasang Constitution Questionnaire for Japanese(SSCQ-J) (일본인용 사상체질진단지의 타당화 연구)

  • Jo, Hoon-Seuk;Jeon, Soo-Hyung;Jeong, Jong-Hun;Kim, Kyu-Kon;Kim, Jong-Won
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.4
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    • pp.289-296
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    • 2013
  • Objectives This study was aimed to validate Sasang Constitution Questionnaire for Japanese (SSCQ-J). Methods Sasang Constitution Questionnaire for Patients (SSCQ-P) was developed by joint researches between the Society of Sasang Constitutional Medicine and Korea Institute of Oriental Medicine. We translated SSCQ-P into Japanese and modified some items of that for Japanese. By getting approval from the Institutional Review Board(IRB)of School of Medicine, Keio University, we conducted a questionnaire survey of patients who visited Oriental Medicine Center from early January until mid-February 2011. The total of 364 patients filled out that Questionnaire and gave an interview with a Sasang constitution specialist. Using this Questionnaire data, we made Sasang constitutional classification functions and calculated diagnostic accuracy rate of SSCQ-J using discrimination analysis. Results 1. Male group's diagnostic accuracy rate of SSCQ-J was 77.01% and female was 78.10%. 2. Diagnostic accuracy of SSCQ-J was a little higher than SSCQ-P Conclusions 1. SSCQ-J can be considered to have good discriminant power compared with SSCQ-P 2. Further research with SSCQ-J will be helpful in the comparison study on the usual symptoms between Korean and Japanese as well as development of good discriminant function.