• Title/Summary/Keyword: Constitutional Diagnosis

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The Sasang Constitutional Thought of Pulse Diagnosis (맥진(脈診)의 사상의학적(四象醫學的) 고찰(考察))

  • Kim, In-Tae;Lee, Soo-Kyung;Lee, Eui-Ju;Koh, Byung-Hui;Song, Il-Byung
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.3
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    • pp.22-32
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    • 2003
  • The pulse diagnosis is the basic method of oriental medicine diagnosis. But in sasang constitutional medicine, it is said that it's not a major diagnotic method. But we don't have any sasang constitutional study of the pulse diagnosis. So I made this study by research of changing concept of the pulse diagnosis in chinese medical history and Dongyi Suse Bowon (longevity and life preservation in oriental medicine). The conclusion as follows. 1. There were many kinds of the pulse diagnosis in the ancient times, it has developed to simple and effective diagnotic method. Simple and effective is the major point of medical development, the 24 pulse is abridged to Floating Pulse(浮), Deep Pulse(沈), Slow Pulse(遲), Rapid Pulse(數) 2. The latter term of Chosun, the practical study was developed. In the view of the practical study, the pulse diagnosis has a lot of cricical point. Jung Yak-Yong, in his writing Mak Lon(脈論), criticize the pulse diagnosis. 3. In the sasang constitutional medicine, the constitutional diagnosis is very important. The methods of the constitutional diagnosis are three, the way of mind and greed, knowledge and deed, external figure and physical traits. But the pulse diagnosis is one of the way of external figure and physical traits, so we can't diagnose the exact constitution by the pulse diagnosis. 4. Dong-mu conclude that the pulse diagnosis is just the diagnostic way of symptom. But in the clinical situation, the ordinary symptoms are more important than the pulse diagnosis, because it is useful to know the condition of the ingestive food metabolism and the Qi-yack metabolism

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Systematic Review on Researches of Sasang Constitution Diagnosis Using Facial Feature (안면형상을 활용한 사상체질 진단 연구에 관한 체계적 고찰)

  • Lee, Seon-Young;Koh, Byung-Hee;Lee, Eui-Ju;Lee, Jun-Hee;Hwang, Min-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.4
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    • pp.17-27
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    • 2012
  • Objectives : This study proposes developing Sasang Medical Diagnosis Program using Facial form for increase in Sasang Constitution Diagnosis objectivity and putting the Diagnosis Program into practical use. The author presents a review of extant research on Sasang constitution diagnosis utilizing facial feature analysis and suggests an agenda for further research. Methods : For this thesis, a collection of dissertations on the subject of 'Usage of facial form for constitution diagnosis' published until September of 2012 such as RISS4U, OASIS, KISTI, Korean TK were reviewed. The final 33 dissertations were classified into two categories, basic or clinical research and then analyzed. Results : 9 out of 33 dissertations were of basic research and 24 were of clinical research. 1) As result of review of references, a uniform tendency was found in facial form according to Sasang Constitution. 2) In the grade of practical use, facial element is repeatedly used and the facial element of important use has constitutional differences. 3) Standard faces per Sasang Constitution were derived as result of 2-dimensional research. 4) 3-dimensional research focused on improvement of accuracy and reliability of 3D-AFRA, and there has been an attempt to develop a prototype for identification. Conclusions : For practical use of facial feature in Sasang Constitution Diagnosis, 1) Standardization of diagnosis through establishing Sasang Medical Diagnosis clinical protocol must be preceded. After the standardization, practical purpose and direction of facial form in general may be decided. 2) Information on high quality facial form of constitutional and conditional patients must be collected to form extensive database. 3) Subdivided symptomatology, as well as Sasang Constitution must be considered for diagnosis in order for diagnosis technique to acquire clinical practicality.

A Study on the Development of Diagnostic Tools for Sasang Constitutional Patterns (사상체질병증 진단도구 개발 연구)

  • Lee, Hyeri;Lee, Jun-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.33 no.3
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    • pp.95-126
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    • 2021
  • Objectives The purpose of this study was to develop diagnostic tools for Sasang Constitutional patterns based on the middle classification of the Sasang Constitutional patterns. Methods Diagnosis and assessment indicators of Soeumin, Soyangin, Taeeumin, and Taeyangin patterns were extracted based on the 『Clinical Practice Guideline for Sasang Constitutional Medicine Symptomatology』 and 『Donguisusebowon』. An online survey was conducted on the 'importance of diagnosis and assessment indicators' by the Sasang Constitutional Medicine expert group. Results Based on the expert consultation results, the importance weight for each diagnosis and assessment indicators symptom was calculated, and the importance was ranked to develop diagnostic tools for Soeumin, Soyangin, Taeeumin, and Taeyangin patterns. Diagnostic tool consisted of 58 questions for Soeumin patterns, 68 questions for Soyangin patterns, 81 questions for Taeeumin patterns, and 42 questions for Taeyangin patterns. The final total score was calculated by reflecting each response score and the weight of each question. Conclusions The developed 'Diagnostic Tools for Sasang Constitutional patterns' can be used to make an effective and objective diagnosis in the clinical site. In the future, if the reliability and validity of these diagnostic tools are tested through clinical study, it will be possible to improve clinical applicability and contribute to standardization of diagnosis.

Development of Diagnostic Indicator for the Sasang Constitution Exterior-Interior Disease Based on Original Symptom (사상의학의 표리변증에 대한 소증 진단지표 개발연구: 소음인, 소양인, 태음인을 중심으로)

  • Park, Minyoung;Lee, Min-jung;Hwang, Minwoo
    • Journal of Sasang Constitutional Medicine
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    • v.32 no.4
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    • pp.65-85
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    • 2020
  • Objectives The aim of study was to suggest diagnostic indicator according to Exterior-Interior disease for the Sasang Constitution based on original symptom. Methods We investigated the literature(『Dongeuisusebowon sinchukbon』) and another study(Clinical Practice Guideline for Disease of Sasang Constitutional Medicine: Diagnosis and Algorithm). As a result, we developed diagnostic indicator of original symptom for Exterior-Interior disease in Sasang Constitutional Medicine. Results and Conclusions Diagnosis of Exterior-Interior disease in Sasang Constitution was decided by heat and cold of original symptom. Detailed indicators of diagnosis in Exterior-Interior disease were heat/cold sensitivity, the degree of sweating, the amount of drinking water, thirst, face color and somatalgia.

Clinical Practice Guideline for Sasang Constitutional Medicine: The Examination of Sasangin Disease and Diagnosis for Sasang Constitution (사상체질병증 임상진료지침: 사상체질병증 검사 및 체질진단)

  • Kim, Sang-Hyuk;Lee, Siwoo;Lee, Jun-Hee;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.1
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    • pp.110-124
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    • 2015
  • Objectives This study was purposed to develop the clinical practice guideline for examination of Sasangin disease and diagnosis for Sasang Constitution. Methods "Donguisusebowon" and many articles were reviewed and examined for developing clinical practice guidelines. And "Guideline for Educating Public Health Korean Medical Doctors on Diagnosis of Sasang Constitution" was basically used to develop clinical guidelines. Results & Conclusions By researching and discussing the examination of Sasangin disease and diagnosis for Sasang Constitution, we make the principle of the clinical practice guideline, including methods using body shape, facial shape, vocal characteristic and personality etc.

Clinical Practice Guideline for Soyangin Disease of Sasang Constitutional Medicine: Diagnosis and Algorithm (소양인체질병증 임상진료지침: 진단 및 알고리즘)

  • Lee, Jun-Hee;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.26 no.3
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    • pp.224-240
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    • 2014
  • Objectives This research was proposed to present Clinical Practice Guideline(CPG) for Soyangin Disease of Sasang Constitutional Medicine(SCM): Diagnosis and Algorithm. This CPG was developed by the national-wide experts committee consisting of SCM professors. Methods We searched the literature and articles related to Soyangin Symptomatology diagnosis and algorithm. For developing diagnosis and algorithm, we searched the classification, ordinary symptom, present symptom of the Soyangin Symptomatology. Results & Conclusions We classify the Soyangin Symptomatology by 4 steps: Exterior-Interior disease, favorable-unfavorable pattern, mild-moderate-severe-critical pattern (initial-advanced pattern). And at the unfavorable pattern, ordinary symptom is very important. So doctors need to focus on the symptom of unfavorable's ordinary symptom such as temperament inclined symptom, diarrhea, and diurnal body fever.

Tongue of Fatigue by Classification of Sasang Constitution and Qi Blood Pattern Identification (특발성 피로의 사상체질 및 기혈변증 설진 분석)

  • Choi, Na-Rae;Park, Soo-Jung;Joo, Jong-Cheon;Kwon, Young-Mi
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.4
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    • pp.379-387
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    • 2015
  • Objectives The purpose of this study was to investigate the relevance of Sasang constitution, Qi Blood pattern identification, and tongue diagnosis in subjects complaining of fatigue.Methods Seventy-three subjects who complained of fatigue were assessed using the Chalder Fatigue Scale, tongue diagnosis, pattern identification questionnaire and Sasang constitution diagnosis. The association of tongue diagnosis with Qi Blood pattern identification and Sasang constitution was evaluated.Results 1. There was no significant association between tongue diagnosis and Sasang constitution.2. Tongue color, which is one of the diagnostic indicators in tongue diagnosis, was redder in the Qi stagnation group than in the Qi deficiency and Blood deficiency groups.Conclusions Tongue diagnosis can be utilized in future if proper research regarding Sasang constitution and Sasang constitution pattern identification is conducted.

Development of Sasangin Diagnosis Questionnaire for School Aged Children (학동기아동을 위한 체질진단검사지 개발)

  • Lee, Eui-Ju;Jung, Yong-Jae;Kwak, Chang-Kyu;Hwang, Min-Woo;Yoo, Jung-Hee;Ko, Wo-Suk;Kim, Kyung-Soo;Koh, Byung-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.2
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    • pp.53-72
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    • 2007
  • 1. Objectives In oriental medicine, there is no method to diagnosis Sasang constitution of school aged children. The objective diagnostic method is necessary to improve the health condition of children. The method must be able to reduce time and to correct subjective error. So the purposes of this study are developing the questionnaire to diagnosis Sasang constitution of school-aged children. 2. Methods The questionnaire consists of selected substance of ${\ulcorner}$Dongyisusebowon${\lrcorner}$, characteristic questionnaire of children and questionnaire for the Sasangin Diagnosis Questionnaire(for adult). Experts, element school children and a scholar on Korean literature revise the questionnaire. 3. Results and Conclusion Experts examed pre-questionnaires and selected the final questionnaries by CVI 0.8 at propriety of contents. Sasangin Diagnosis Questionnaire (SDQ) for Child consists of 84 questions (24 questions for child, 48 questions and 12 questions for doctor).

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Researches Trend of Korea Institute of Oriental Medicine in Sasang Constitution Field - from 2007 to 2010 (한국한의학연구원의 사상체질 연구동향 - 2007년부터 2010년까지의 논문을 중심으로 -)

  • Lee, Young-Seop;Kim, Sang-Hyuk;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.18 no.1
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    • pp.59-74
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    • 2012
  • Objective : The aim of this study is to investigate current status of Sasang constitutional medicine researches and to provide source in setting a development strategy and making a policy on the Sasang constitutional medicine. Method : This study analyzed trends in research as represented in the 142 articles of Korea Institute of Oriental Medicine in the field of Sasang constitution medicine from 2007 to 2010. Result : The main themes of studies were Sasang constitution clinical study (68, 47%) and developing instruments for measuring diagnosis (48, 33%), especially pulse diagnosis (25, 17%). Genetic researches and trends studies on Sasang constitutional medicine were respectively 17 (12%) and 8 (5%). As a result, Korea Institute of Oriental Medicine established Sasang clinical information bank, and discovered clinical character of Sasang constitution to develope various diagnosis tools include constitution survey form and pulse diagnosis instrument. Genetic researches also discover constitution related genes such as FTO and MC4R, and explore association between heredity and Sasang constitution. Conclusion : The above mentioned achievements of Korea Institute of Oriental Medicine were limited to diagnosis process, unquestionably studies for reproducibility and authenticity of constitution diagnosis were important mission of Sasang constitutional medicine. However, to develop the advance of Sasang constitutional medicine, not only constitution diagnosis but also constitutional treatment studies should be conducted.

The Characteristics of Questionnaire Response Using decision tree method (의사결정나무법을 이용한 설문지의 응답특성에 대한 임상적 검토)

  • Choi, Jae-Young;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.3
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    • pp.177-186
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    • 2003
  • Objectives: This paper was for studying the constitutional differences between questionnaire and clinical diagnosis, and to be helpful to make a diagnosis Sasang constitution. Using the result of this study, it will be helpful to diagnose a Sasang constitution. Methods: There were 331 patients(135 men and 196 women) who answered questionnaire and were diagnosed by the Sasang constitution specialist at constitutional clinic of Dongguk Bundang Oriental Hospital. Using the response of questionnaire and several statistical techniques, we tried to find the characteristics of questionnaire response among each constitution and consistency between questionnaire and clinical diagnosis. Results: As a result of the analysis of the consistency between clinical diagnosis and questionnaire, the consistency was low degree(kappa value = 0.320) and Taeumin and Soeumin had more consistency than Soyangin.

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