• Title/Summary/Keyword: Diagnosis of Sasang Constitution

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Clinical Study on the Sasang Constitutional Pulse Using Array Piezoresistive Sensor (어레이 압저항 센서를 활용한 체질맥 임상연구)

  • Lee, Si-Woo;Joo, Jong-Cheon;Kim, Kyung-Yo;Kim, Jong-Yeol
    • Journal of Sasang Constitutional Medicine
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    • v.18 no.1
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    • pp.118-131
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    • 2006
  • 1. Objective Pulse diagnosis is generally applied to Traditional Oriental Medicine but not to Sasang Constitution diagnosis. Recently new pulse analyzer using array piezoresistive sensor and multi-channel robot arm developed. It reflects Oriental Medical Doctors' diagnostic processes, and its reproducibility test was done at Korea Institute of Oriental Medicine. We performed this study to set parameters diagnosing Sasang Constitution. 2. Methods One hundred thirty three subjects participated in this study. They are healty and approved this study. Before being tested with pulse analyzer, they had interview with Sasang Constitution Specialist to diagnose their Sasang Constitution. We established some useful parameters from parameters of pulse analyzer according to the Original Texts of Oriental Medicine and clinical experiences to analyze with clinical data of this study. 3. Results (I) There is a significant difference in pre-dicrotic notch time among all parameters of pulse analyzer in Sasang Constitution groups(P=0.047). (2) There is a significant difference in maximum pulse pressure in 33 to 48 year Sasang Constitution groups(P=0.010). (3) There is a significant difference in frequency width in 17 to 32 year Sasang Constitution groups(P=0.002). (4) There is a significant difference in CFS value in groups which OMD diagnoses; Floating & Sinking pulse(P=0.020). (5) There is a significant difference in pulse rate in groups which OMD diagnoses; Rapid & Slow pulse(P=0.000). (6) There is a significant difference in maximum pulse pressure in groups which OMD diagnoses; Deficient & Solid pulse(P=0.000). 4. Conclusions Analyzing parameters in each Sasang Constitution group, we found it shows significant difference in maximum pulse pressure and corresponding tendency in coefficient of floating & sinking pulse with theories of Sasang Consti-tutional Medicine. As we accumulate more clinical data, we will establish algorithm to diagnose Sasang Constitution using a pulse analyzer.

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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.

The Study on Sensitivity and Specificity of Sasang Constitution Diagnosis Methods (사상체질 진단법의 민감도와 특이도에 관한 연구)

  • Jang, Eun-Su;Baek, Young-Hwa;Kim, Ho-Seok;Lee, Si-Woo
    • 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.

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Influence of Cold and Heat Characteristics and Health State in Sasang Constitution Diagnosis (한열(寒熱) 특성과 건강 상태가 사상체질(四象体質) 감별에 미치는 영향)

  • Jang, Eun-Su;Kim, Myung-Gun;Baek, Young-Wha;Kim, Yung-Jeong;Kim, Jong-Yeol
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.3
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    • pp.76-88
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    • 2009
  • 1. Objectives: We would know what kind of symptom are different according to Cold and Heat characteristics and health state. We also tried to suggest the development of Sasang Constitution diagnosis model considering of them. 2. Methods: We recruited 1,523 subjects between 10 and 80, excluding individuals who have physically or psychologically serious disease or women in pregnancy in the 21 Oriental Medical Clinics. We seperated group according to Cold and Heat characteristics and health state in CRF(Case Report Form, C-2009-002439) questionnaire and we also developed Sasang constitution diagnosis program to compare agreement according to sex and age group with Cold/Heat and health state one. 3. Results: The number of discordance items are much more than that of accordance items in group seperated according to Cold and Heat, and Health state Sasang constitution agreement rate of Cold/Heat and health state group is higher than that of total group through program. When we diagnosed Sasang constitution with different group characteristics to know the group differences, the disparity rate of the group according to Heat/Cold and Health state is lower than that of the group according to sex and age. 4. Conclusions: As Sasang constitution characteristics are different according to Cold/Heat group and Health state classification, we can upgrade Sasang constitution agreement rate with questionnaire considered of Heat/Cold and health state.

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A Study on the Response Differences to the Sasang Constitution Questionnaire by Sasang Constitutions (환자용 사상체질진단 설문지의 체질별 응답차이에 관한 연구)

  • Lee, Si-Woo;Joo, Jong-Cheon;Lee, Su-Kyung;Lee, Hae-Jung;Jang, Eun-Su
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.3
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    • pp.89-98
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    • 2007
  • 1. Objectives This study aims to evaluate newly developing Sasang Constitution Diagnosis Questionnaire for accuracy and efficiency. 2. Methods Three hundred and twenty eight patients from 4 multi centers are involved in this study. Excluding 16 constitution-unidentified patients and 2 Taeyang-in patients, 310 patients' questionnaires are analyzed statistically by their constitutions. 3. Results Sixty one questions are statistically significant in whole 229 questions of Sasang Constitution Diagnosis Questionnaire. We have selected 30 questions from 61 questions by comparing total data from 4 multi centers with those of each center. Thirty questions are made up of 10 body shape questions, 10 appearance questions, 5 character questions and 5 symptom questions. 3. Conclusions There might be needs for revision of character and symptom questions. From results, we suggest to diagnose Sasang Constitution for screening by short-form questionnaire consisted of questions on body shapes and appearances.

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A Clinical Study of Stool According to Sasang Constitution (사상체질에 따른 대변의 특징에 대한 임상적 검토)

  • Park, Seong-Sik;Choi, Jae-Young
    • Journal of Sasang Constitutional Medicine
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    • v.14 no.2
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    • pp.58-68
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    • 2002
  • Objectives: This paper was for studying the features of stool according to Sasang constitution 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 504 patients(214 men and 290 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 each constitution depending on its stool behaviors. Results: As a result of the analysis of questionnaire, the stool of Taeumin and Soyangin got, on the average, more scattered than the stool of Soeumin(p<0.05). In a view of defecation time, feeling after defecation and thickness of stool, there was no difference between Sasang constitution.

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Study on the Difference of Cold-heat Patterns According to Sasang Cinstitution (사상체질에 따른 한열변증의 차이에 관한 연구)

  • Park, SooJung;Lee, Youngseop;Joo, Jongcheon
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.4
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    • pp.326-335
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    • 2017
  • Objectives The purpose of this study was to analyze the difference of cold-heat pattern according to sasang constitution. Methods 3891 subjects were joined in this study. The sasang cinstitution diagnosis were proceeded by sasang constitution experts. The questionnaires and anthropometric measurements of the subjects were collected. Results The effect of gender and body mass index on the cold-heat pattern according to sasang constitution were significant. The effect of age on the cold-heat pattern according to sasang constitution were not significant. The distribution of short form-12 and blood test on the cold-heat pattern according to sasang constitution were significant. Conclusions There were significant different distribution of cold-heat pattern asscording to sasang constitution by gender, body mass index, short form-12, blood test.

Study on Golden Standard for Sasang Constitution Diagnosis (사상체질진단 표준안 연구)

  • Kim Jong-Won;Jung Sung-Il;Choi Mi-Ok;Kim Kyu-Kon;Lee Eui-Ju;Kim Jong-Yeol;Lee Yong-Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.6
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    • pp.1504-1512
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    • 2005
  • We will develop new sasang constitution diagnosis program. Therefore we need new golden standard for sasang constitution diagnosis. First, we investigated old records and journal of sasang constitutional medicine. Next, we consulted with 10 sasang constitutional experts about new golden standard for sasang constitution diagnosis. The result as follows : Golden standard for Taeyangin : It be made up 42 items(body type 6 items, external appearance 10 items, mental characteristics 16 items, physiology&pathologic symptoms 10 items). (2) Golden standard for Soyangin. It be made up 63 items(body type 7 items, external appearance 28 items, mental characteristics 17 items, physiology&pathologic symptoms 10 items). (3) Golden standard for Taeeumin : It be made up 71 items(body type 12 items, external appearance 19 items, mental characteristics 28 items, physiology&pathologic symptoms 12 items). (4) Golden standard for Soeumin : It be made up 54 items(body type 11 items, external appearance 13items, mental characteristics 21 items, physiology&pathologic symptoms 9 items).

A Study on Comparison of responses to the questionnaire based on Sasang institution's differences Questionnaire of Sasang constitution Classification(I) (설문지(設問紙) 문항(問項)에서의 체질별(體質別) 응답차이(應答差異) 비교분석연구(比較分析硏究))

  • Park, Eun-kyung;Park, Seong-sik
    • Journal of Sasang Constitutional Medicine
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    • v.12 no.1
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    • pp.157-172
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    • 2000
  • The problem lies in Sasang-constitution-medicine is a subjectiveness of diagnosis that the result of diagnosis varies according to the doctors. In order to supplement to this demerit, multiple approach has done to diagnose objectively. This study has focused on evaluating the effectiveness and accuracy of the questionnaire which considered as a basic data to indentify constitution. By analysing the tendency of the respondents who has defined constitution by clinical diagnosis and comparing of their answers, the result of their constitution analysis by our questionnaire were re-examed. The answer of each question to each constitution were tested how it is relevent to a scale of a constitution. As a result, we have found that there is limitation to find out constitution by the questionnaire we used, one we hope that suitable questionnaire will be developed for the research in the future.

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A Development of the Two Step Questionnaire for the Sasang Constitution Diagnosis (TS-QSCD) (사상체질 진단을 위한 2단계 설문지(TS-QSCD)의 개발 연구)

  • Shin, Dong-Yoon;Kim, Jeong-Ho;Choi, Dae-Sung;Lim, Mi-Kyung;Lee, Kyung-Lo;Song, Jeong-Mo;Kim, Young-Won
    • Journal of Sasang Constitutional Medicine
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    • v.18 no.1
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    • pp.75-90
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    • 2006
  • 1. Objectives The Sasang Constitution has been studied in many parts and one of the most common inquiries is the self-reporting questionnaire. But the established investigation has the problem that the respondents are not fully aware of the questionnaires and answer them. To settle this problem, it's been made new questionnaires through two steps. 2. Methods At first step, the testers ate classified into Yangin(陽人) and Eumin(陰人). And then, Taeyangin is distinguished from Soyangin likewise Taeumin is told from Soeumin. It's called 'The Two Step Questionnaire for the Sasang Constitution Diagnosis(TS-QSCD)'. This new method is tested by 160 testers and Woosuk university students whose constitution ate confirmed to make clear clinical uses 3. Results and Conclusions Questionnaire Sasang Constitution corresponds with The Real Sasang Constitution at the rate of 71.87%. Only 5.63% has shown an error at the first step. Every experimenters by constitutions, the 56 objects of 74 Taeumin are confirmed the same as it is. It has 84.85% accuracy. The 27 objects of 32 Soeumin come to the same thing and it has 69.23% accuracy. Similarly, the 32 objects of 42 Soyangin come to the same conclusion and 72.73% accuracy high As the result, in comparison to the Real Constitution with the Constitution by questionnaires, the accord comes out Kappa Indices 0.6427866. This result is comparatively high. Chi-square Test can be shown statistical meaning as well.

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