• 대한상한금궤의학회지
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• v.8 no.1
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• pp.67-85
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• 2016

Objectives: In this paper, two cases which showed the meaningful results on the patients' chief complaints were analyzed. The patients were treated with the Mahwang-Haengin-Gamcho-seokgo-tang herbal medication based on Shanghanlun disease pattern identification diagnostic system. Methods: The patients were diagnosed based on Shanghanlun, disease pattern identification diagnostic system. In case 1, the change of menstruation cycle was noted and pre-menstrual discomforts were measured with Menstrual Distress Questionnaire(MDQ). In case 2, Quality of life questionnaire for adult Korean asthmatics (QLQAKA) was used to estimate the quality of the patient's life. Results: All the symptoms were improved after the Mahwang-Haengin-Gamcho-seokgotang treatment. In case 1, the menstruation cycle decreased to 30 days average. MDQ score decreased 143 to 103. In case 2, the change of the QLQAKA score as 1.647 average point is considered as a meaningful improvement. Conclusion: With great difference to a 'Symptom-Medicine' diagnostic system, the disease pattern identification diagnostic system seeks the pathologic pattern through the patient's whole life. More studies and multiple cases based on the diagnostic system are needed to prove this possibility later.

• The Journal of Korean Medicine
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• v.35 no.3
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• pp.103-115
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• 2014

Objectives: The purpose of this survey was to investigate the need for new medical devices based on opinions of members of the Korean medical society. Methods: We distributed two independent questionnaires sequentially over two-week intervals to 16,510 doctors via the Korean Medical Society, and received replies from 888 and 928 doctors, respectively. The survey was carried out through a web-based questionnaire system. The first questionnaire focused on demand for new diagnostic and therapeutic medical devices that are specific for Korean medicine (KM). In contrast, the second questionnaire focused on demand for new hybrid medical devices which are useful both in Western medicine (WM) and KM. Results: In purchase intention of Korean medical devices (KMDs), demand for diagnostic devices was greater than for therapeutic ones. Among diagnostic devices, the purchase intention of 'imaging devices' ranked the highest and was followed by 'musculoskeletal diagnostic devices'. Among therapeutic KMDs, the purchase intention of 'musculoskeletal treatment devices' ranked the highest, followed by 'cranial nerve rehabilitation devices'. In the purchase intention of hybrid medical devices that can be used both in WM and KM, 'ultrasonic-based medical device' ranked the highest, followed by 'MRI-based medical device'. Conclusions: There is increasing demand for clinically useful medical devices among Korean medical doctors. Within demand for new devices, hybrid devices that can be used in both WM and KM were most strongly desired. This survey will be useful in establishing strategic plans for the development of medical devices in KM. Keywords: Korean medicine, medical device, demand survey, questionnaire.

• The Journal of Internal Korean Medicine
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• v.35 no.4
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• pp.483-497
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• 2014

Objectives: The aims of study were developing cut-off value of Yin-deficiency questionnaire (YDQ) for diagnosis of Yin-deficiency (YD) and compare diagnostic ability between YDQ and Yin-deficiency scale score (YDS) in xerostomia patients. Methods: We recruited 58 xerostomia patients. They were diagnosed YD or non-YD by 3 Korean medicine doctors (KMD). We assessed YD using YDQ and YDS. We evaluated xerostomia using VAS, Dry Mouth Symptom Questionnaire (DMSQ), Salivary Flow Rate (SFR), oral moisture on buccal mucosa and tongue surface (OMB and OMT). We surveyed tongue coatings using Winkel Tongue Coating Index (WTCI). Results: We diagnosed 23 patients YD and 35 patients non-YD. There were no significant differences of age, sex and body mass index between the YD and non-YD groups. Using receiver operating characteristic curve analysis, the optimal cut-off value of YDQ was defined as 304. Sensitivity, specificity and Youden index of YDQ were 86.96%, 71.43% and 1.5839 respectively. Using Cohen's coefficient of agreement, we found that degree of agreement between KMD and YDQ diagnosis was moderate (${\kappa}$=0.524, p<0.001). Using Pearson's correlation analysis, we found concurrent validity of YDQ and YDS were significant correlated. Using area under curve value, we found diagnostic ability between YDQ and YDS were not significantly different (p=0.505), but there were more strong correlations between DMSQ-symptoms and YDQ (r=0.731, p<0.001) than correlations between DMSQ-symptoms and YDS (r=0.418, p<0.01). Conclusions: The cut-off value of YDQ can diagnose YD in xerostomia and diagnostic ability of YDQ in xerostomia is better than YDS.

• Journal of Korean Medicine for Obesity Research
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• v.7 no.2
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• pp.45-59
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• 2007

Background : There are many korean women who have localized fat despite of they have normal or slightly over weight. The relationships of traditional diagnostic method with total body fat and body mass index had been reviewed in other study, but there is no study regarding the relationship of traditional diagnostic method and localized fat. So we designed this study to find out the relationships between localized fat and traditional diagnostic method among Korean high-school girls. Methods : This research was performed in 21 high-school girls with localized fat during April 2007. We measured body mass index, percent of body fat, waist circumference, hip circumference and means of both thigh circumference. Phlegm questionnaire, blood stasis questionnaire, cold-heat questionnaire, Korean eating attitude test-26 and questionnaire of Sasang constitution classification Ⅱ+ have been administered. Results : There were significant correlations between body mass index, percent of body fat and body size. Regardless of body mass index, they had high phlegm and heat pattern. Most of them are classified as Tae-um type person. Conclusions : High-school girls with localized fat had pattern of high phlegm, heat and characteristics of Tae-um person.

• Journal of Sasang Constitutional Medicine
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• v.32 no.1
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• pp.30-38
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• 2020

Objectives The purpose of this study is to reduce the question items in Korea Sasang Constitutional Diagnostic Questionnaire (KS-15) and to assess the validity. Methods The subjects of this study were 1,553 people who had information on body shape, personality, and symptoms among the data established at the Korean Medicine Data Center. Among them, 155 people were separated into a test group to assess the validity, and the remaining 1,398 were used as training groups for model development. The reduction question items were finally confirmed through discussion by two experts. The model development went through Multinomial Logistic Regression. Results & Conclusions The Percent Correctly Predicted (PCP) in the test group was 60.00% (58.49% in men and 60.78% in women). The PCP of each constitution was 72.6% in Taeeumin, 53.3% in Soeumin, and 50% in Soyangin. The accuracy rate of KS-10 seems to be reasonable considering the ease of use of reduced time required.

• 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.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.18 no.3
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• pp.175-186
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• 2014

The purpose of this study is to give priority in Yin-deficient questionnaire items. if adequate priority is given, clinical judgment and questionnaire of the results is expected to be similar. The AHP is a systematic procedure for analyzing the elements of any problem hierarchically. Based on survey of expertise, as series of pairwise comparison judgements is performed to evaluate the various elements in the hierarchy. We are expected to use the AHP analysis that would apply to oriental doctor's diagnostic process analysis. In this study, korean medical doctors experienced over 5 years was included. Results given the importance to Yin-deficient questionnaire items, Results given the importance to the questionnaire items, the most important item was Irritable fever on the five Hearts, the second was tidal fever.

• The Journal of Korean Medicine
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• v.37 no.1
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• pp.125-134
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• 2016

Objectives: The aim of this study is to develop diagnostic questionnaires for the lumbar movement system impairment syndrome. Methods: We had reviewed the previous study and literature and organized various checkable items for differential diagnosis of five different lumbar movement system impairment syndromes. Next, we selected items which can be developed as questionnaire items. Finally, we conducted face validity study with eight Korean medicine doctors and survey research for the importance score of the items with three experts. Results: We developed a diagnostic questionnaire as followings: 6 items for lumbar extension syndrome; 5 items for lumbar flexion syndrome; 6 items for lumbar rotation syndrome. With the 2 rounds of survey research, we could bridge the differences of the importance score of each items. Conclusions: Questionnaire for the diagnosis of movement system impairment syndrome was developed. With this questionnaire, objective diagnosis of lumbar movement system impairment syndrome can be expected. This tool may also be used for detecting sub-health status of musculoskeletal systems.

• Journal of Sasang Constitutional Medicine
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• v.7 no.2
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• pp.89-100
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• 1995

This study was conducted for the purpose of finding out an objective classification method for Sasang Constitutional medicine, which divides people into 4 groups of constitution and presents comprehensively physiology, pathology, diagnosis, therapy and recuperation regarding each constitution. Questionnaire of Sasang Constitution Classification(I) was administered to 328 inpatients at Kyung Hee Oriental Medicine Hospital. Data was collected during 10 months from June 1994 to Mar. 11, 1995. For the purposes of this study, the collected data was analyzed by crosstabs, variation analysis, and discrimination analysis. The analyzing program was SPSS PC+V4.0. For the purposes of this study, the collected data was analyzed by crosstabs, cariation analysis, and discrimination analysis. The analyzing program was SPSS PC+V4.0. The results were as follows : 1. There was significant differences of each group scales through variation analysis. The questions of each group had Sasang constitutional diagnostic discrimination abilities 2. The diagnostic discrimination abilities(Hit-ratio=56.10%) of the Questionnaire for Sasang Constitution Classification(I) were found to have over 20% improvement than the propotional chance criteria(33.3%), Especially, Hit-ratio for $So{\breve{u}}m$-In(63%) was higher than that of SoYang-In(55%) and $Ta{\breve{e}}um$-In(56.3%). 3. Through discrimination analysis on good questions of each group, the diagnostic discrimination abilities of the Questionnaire for Sasang Constitution Classification(I) was 57.93%. 4. This would be on the ground that the Questionnaire for Sasang Constitution Classification(I) could be used as a tool for Sasang constitution classification.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.18 no.2
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• pp.63-74
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• 2014

Objectives The purpose of this study was to survey the current status of use of questionnaires for evaluating Yin Deficiency Syndrome and analyze the comparison with questionnaires. Methods We searched online medical databases to find domestic/international articles using questionnaires for evaluating intensity of Yin Deficiency Syndrome. Finally 18 articles were collected to be reviewed and they were classified according to their subjects and type of the Questionnaires. Results Out of 18 articles, 11 were based on the Yin-Deficiency Questionnaire (Yin-DQ) and the others used various questionnaires, except the Yin-DQ, for assessing Yin Deficiency Syndrome. In Korea the Yin-DQ was used widely but in foreign countries, for instance, China, Taiwan, a variety of questionnaires were used. Conclusion The Yin-DQ had a wider use in assessing Yin Deficiency Syndrome, but cut-off score for diagnostic criteria was not defined. Therefore, we decided that the YDS (Yin Deficiency Scale) with cut-off score was more suitable for screening patients with Yin Deficiency Syndrome. Moreover, we suggested that additional studies on using the YDS and developing more appropriate diagnostic tool should be conducted to improve diagnostic objectivity.