Lee Jae Won is a scholar who wrote the most in Euirim, a representative Oriental Medical magazine after the liberation of Korea, on the Sa-am Acupuncture Method. In order to understand the principles of this method, he proposed rather distinctive theories called the Comparative Pulse Diagnosis and the Five Constitutions. Lee Jae Won distinguished the deficiency and exuberance of the Five Phases through the Comparative Pulse Diagnosis, and set harmonizing the Five Phases by tonifying the deficient and purging the exuberant as the object of the Sa-am Acupuncture Method. He took pulses from both the patient's hands and distinguished the deficiency and exuberance of the five viscera. Then, he balanced the Five Phases by tonifying the weakest viscus and purging the strongest viscus. Lee Jae Won argued that because the Five Constitutions are something that one has innately, people suffer from differnet diseases according to their constitutions. Therefore, he argued, when treating a patient, one should first decide the constitution of the patient and then treat the patient according to his/her deficiency or exuberance. From the late 50's to early 60's, Lee Jae Won wrote Acupuncture and Moxibustion According to Yin-Yang and the Five Phases, explaining the principles of the Sa-am Acupuncture Method and its applications. Seen from this, Lee Jae Won is a person from whom we can confirm the historical lineage of the Sa-am Acupuncture Method after the liberation of Korea.
Objective: To relate with significant relationship between symptoms and Five Zhang(五臟)symptoms in Five Woon Constitutions and to characterize Five Woons of Asian women who live at Los Angeles area in U.S.A. Methods: 19 diagnostic questions were given to 286 Asian females subjects who were treated for their symptoms at an Asian medical clinic near Los Angeles in USA. The participants were given their constitutions, one of the Five Woons based on their birthdays. The Cross tabulation analysis was also applied to look for the effectiveness of Five Woons on the symptoms. Results: 1. The cross tabulation analysis showed the significant effectiveness of the Five Woons on the five symptoms including dizziness, hot and cold, lower body edema and face fever(p<0.1). 2. The dizziness and the hot and cold were related with Liver diseases, the lower body edema was related with Kidney diseases and the face fever was related to Heart diseases. Conclusions: This study can explain the relationship between the significant symptoms of Five Woons and Five Zhang(五臟)symptoms with reference which is the book by Yoon, ChoChang who lived 1700 years. Further clinical research is necessary to develop more delicate questionnaires and look for ways of characterizing the Five Woons. The diagnosis and corresponding treatment based on the Five Woons should be further studied in view of the Asian medicine.
Objectives: To characterize Five Woons in 1993, 1994 and 1995. Methods: A diagnostic questionnaire was given to 1066 High School students who were born in Korea from 1993 to 1995. One of the Five Woons was given to the participant based on his and her birthday. The oneway analysis of variance was applied to compare the means of the Five Woons in each year. Results: 1. Developed a reliable questionnaire consisting of 28 items for the purpose of chracterizing five constitutions. 2. Based on the Duncan method, significant differences were observed among the Five Woons in height, weight and BMI (p<0.1). For height, the score of Wood constitution was lowest. For weight the core of Soil constitution was lowest. 3. Based on the Duncan method, at the significant level (p<0.1), the Five Woons were different in each year (Gapsul year, Eulhae year, Gyeyoo year) for 28 items in the questionnaires: Q1, Q2,Q3, Q7, Q8, Q11, Q12, Q15, Q18, Q19, Q21, Q22, Q24, Q26, Q27 and Q28. Conclusions: Further clinical research is necessary to characterize five constitutions and also develop more delicate analyses and questionnaires. Also the diagnosis and corresponding treatments based on the Five Woons should be further studied in view of the Asian medicine.
In Sasang constitutional medicine, I have researched the process of visceral structure in the Eight Constitutionals under circulation of the five elements and the formation of primary source of illness. From this research, I could draw following conclusions through combination of the auxiliary psycho-formulas by applying the constitutional acupuncture therapy on the five elements diagnostic calculation. Since the arrangement for the five dimensions of organs in the eight constitutions has been formulated by circulation of the five elements in Sasang constitutions, if the five elements begin circulating count-clockwise from the reference point at the organs in Sasang constitutional medicine, the positive constitutional arrangement of organs is built up such as, the positive constitution of metal, earth, wood and water, while begin circulating clockwise, the negative constitutional arrangement of organs is formulated, such as the negative constitutions of metal, earth, wood and water. The source of illness results from imbalance of the organic force being generated by transfer of the five elements from compatibility to incompatibility when the five elements circulate. Hence, it has been acknowledged that if the source of illness comes from the strongest organ, it is the time when circulation of the five elements progresses from the second organ (the second strongest) in incompatibility, and if the source of illness comes from the weakest organ, it is the time when circulation of the five elements progresses from the third organ (the middle) in incompatibility. It is considered proper to diagnose meridians of the pericardium and the Triple Burners rather than to diagnose meridians of the heart and the small intestine which forms the visceral arrangement of the eight constitutions. For instance, the auxiliary psycho-formula obtains its prescription by attenuating the first organ (the strongest) while augmenting the fourth organ (the second weakest) when the axis of incompatibility in the five elements circulation crosses the second and the third organs, and it gets its prescription by attenuating the second organ(the second strongest) while augmenting the fifth organ(the weakest) when the axis of incompatibility in the five elements circulation crosses the third and the fourth organs. In addition, when medicating, the $4{\sim}5$ times of repeated performance can be assumed to represent the amount of an energy that each organ bears depending on the phase in the arrangement of the eight constitutional organs.
Objective : Sasang constitution medicine utilizes voice characteristics to diagnose a person's constitution. In this paper we propose methods to analyze Sasang constitution using speech information technology. That is, this study aims at establishing the relationship between Sasang constitutions and their corresponding voice characteristics by investigating various speech variables. Materials & Methods : Voice recordings of 1,406 speakers are obtained whose constitutions have been already diagnosed by the experts in the fields. A total of 144 speech features obtained from five vowels and a sentence are used. The features include pitch, intensity, formant, bandwidth, MDVP and MFCC related variables for each constitution. We analyze the speech variables and find whether there are statistically significant differences among three constitutions. Results : The main speech variables classifying three constitutions are related to pitch and MFCCs for male, and formant and MFCCs for female. The correct decision rate is 73.7% for male Soeumin, 63.3% for male Soyangin, 57.3% for male Taeumin, 74.0% for female Soeumin, 75.6% for female Soyangin, 94.3% for female Taeumin, and 73.0% on the average. Conclusion : Experimental results show that statistically significant correlation between some speech variables and the constitutions is observed.
The definitions of Four Constitution (Tae-Yang-In, So-Yang-In, Tae-Eum-In, So-Eum-In) in Four-Beginning-Theory (四端論) and Distribution-Theory (擴充論) were morphologically diagrammatized. the method of measuring the five parts came from the diagrams. The five parts are the followings; Top-Line is the distance between Rt. & Lt.Shoulders. Bosom-Line is the horizontal distance passing through the Rt. & Lt.nipples. Stomach-Line is the horizontal distance passing through the Rt. & Lt. acupuncture point Bool-Yong (不容穴). Navel-Line is the horizontal distance passing through the navel. Bottom-Line is the distance between the Rt.& Lt. anterior superior iliac spines. According to it, 311 people were measured in the clinic. Through the measured numerical values, to find out the objective propriety of the morphological diagrammings and the discriminating ability of Four Constitutions by the method of measuring the five, the author tried this study and got the following results. 1. On the ground of the Internal Organs-Theory (臟腑論), the definitions of Four Constitutions were classified and diagrammatized step by step and it was possible to draw the morphological graphs satisfying the reasonable condition objectively. 2. It was found that the graphings by Mean, Standard Deviation and 95% Confidence Interval for mean of the numerical values of five measured parts and the morphological diagrammings of the definitions in Four-Beginning Theory and Distribution-Theory drove to the same figures. 3. Through the method of the Analysis of variance and the Discriminant Analysis, it was discovered that the measured numerical values of five parts could distinguish the Four Constitutions. 4. Tae-Yang-In has the longest Top-Line and the shortest Bottom-Line. The Mean head of Confidence Interval from Top to Bottom is downwardly decreased at the rate of 3.7, 1.5, 1.8, 3.4. 5. So-Yang-In has the longest Top-Line and the shortest Bottom-Line. The Mean head of confidence Interval from Top to Bottom is downwardly decreased at the rate of 2.3, 1.5, 1.5, 1.1. 6. Tae-Eum-In has the longest Navel-Line. The Mean head of Confidence Interval from Navel to Top is upwardly decreased at the rate of 0.5, 0.4, 2.5 and downwardly decreased at the rate of 2.7 between Navel and Bottom. 7. So-Eum-In has the longest Bottom-Line. The Mean head of Confidence Interval from Bottom to Top is upwardly decreased at the rate of 1.1, 1.1, 1.8, 2.3. From the above findings, it was possible to draw the morphological graphings satisfying the objectively reasonable conditions in the definitions of Four-Beginning-Theory and Distribution-Theory and it was proved that the results of the Positive Analysis, carried with the measured numerical values of five parts from the diagramming, could show the objective propriety of the morphological graphings and the discerning ability of Four Constitutions by the method of measuring the five parts.
This study was conducted to investigate how to apply the theories of oriental medicine appropriately, which direction should be taken, and how it should be developed The results are as follows. First, to develop medicinal cuisine, it is necessary to grasp the theoretical system, considering Ohaeng and Omi, the five viscera and the six entrails, organs and body, by raising the level of understanding comprehensively about the relationship between the characteristics of each groups of Sasang Constitutions and the theories of Eumyangohaeng, and the relationship between the theory of Kimi. and food, and then to explain developed medicinal cuisine and apply those theories to inventing new ones. Secondly, to develop medicinal cuisine for health enhancement, it is also required not only to consider constitutions but also to suggest the need of knowledge for moderation in terms of regimen along with the theory of Kimi. Thirdly, to develop medicinal cuisine according to the perspective of Kimi. Theory, what should be taken into account is not only the understanding of the characteristics of food materials, but also the properties of them that the theory of Kimi, Eumyangohaeng, and Sasang Constitutions share so that it is possible to invent medicinal cuisine which is good for anybody to protect disease specific to a certain group of constitutions with, and serves as the dietary regimen customed to each constitution group. Lastly, the scientific effect of the medicinal cuisine which is developed according to the theory of Kimi., Eumyangohaeng, and Sasang Constitutions should be verified by scientific researches and clinical experiments. And it is believed to be essential for the government to make efforts to set a standard and laws to validate the medicinal effects and the process of assessment so that the systematic development can be encouraged, and to prepare guidance to food development for national health improvement.
Purpose: In general, Acute Pyelonephritis is effectively treated with the use of antibiotics. However, some antibiotics are reported to cause side effects, and the abuse of antibiotics results in the increase of the disease's tolerance to antibiotics. Recently, I have effectively treated five cases of Acute Pyelonephritis by using only Constitution - Acupuncture and Herb, and therefore I would like to report about these cases. Methods: I diagnosed Acute Pyelonephritis of these five patients by confirming symptoms and employing a urine analysis with reagent strip(Multi $stix{\circledR}$). I used Kuon's method of constitutional diagnosis for the purpose of the diagnosis of the constitutional 8 morbidities. I relied on Sungjeong(性情) and Chehyungkisang(體刑氣像) in diagnosing Sasang Constitutions(四象人). I performed acupuncture on the left and right sides, depending on 8 constitutions, by employing Chang - temperament Inflammation Formula(臟系炎症方) that is used for the treatment of all kinds of chang-temperament inflammation diseases, as well as Bactericidal Formula(殺菌方) that is used for the treatment of all kinds of bacterially caused diseases. I prescribed by consulting the appearance of disease and general symptoms of each case with Dongyi Soose Bowon(東醫壽世保元)'s prescription symptoms. Result: Two of them showing severe symptoms were hospitalized, while three others took OPD treatment. The patient who was PANCREOTONIA and Soyangin improved through hospitalization for three days, another patient who was PULMOTONIA and Taeyangin with severe symptoms, improved through hospitalization for seven days, and completely recovered through OPD treatment later. The three others took only OPD treatment, and improved within 5-7 days. Conclusion: I confirmed that each of 8-constituions and Sasang Constitutions were all treated effectively without antibiotics.
The main purpose of this study is to differentiate Sasang Constitutions of men and women by measuring 5 parts of the body. By the definitions about Four Chos(四焦) in ${\ulcorner}$The Discourse on Viscera and Bowels(臟腑論)${\lrcorner}$, the body is divided into four parts and sets up the five borderlines. They are Top-line, Bosom-line, Stomach-line, Navel-line and Bottom-line. Top-line(第一線) is the horizontal distance between Rt. & Lt. Coracoid processes passing through the acupuncture point CV-22(天突穴) or the horizontal distance between Rt. & Lt. beginning points of Axillary lines. Bosom-line(第二線) is the horizontal distance passing through Rt.& Lt. Nipples. Stomach-line(第三線) is the horizontal distance passing through Rt.& Lt. acupuncture point ST-19(不容穴). Navel-line(第四線) is the horizontal distance passing through the navel(CV-8; 神闕穴) and the acupuncture point ST-25(天樞穴). Bottom-line(第五線) is the horizontal distance between Rt. & Lt. Anterior Superior Iliac Spine(ASIS). The measured numerical values of Five Lines are the most important factors to classify the Four Constitutions(Taeyangin, Taeumin, Soyangin, Soeumin). Among the five lines, Stomach-line(Middle-line) is the base line to decide Yin and Yang. As a result, I could differentiate the four Constitutions as follows. 1. Taeyangin's Top-line is more than 36cm long. Top-line is the longest. Bottom-line is the shortest. The length-difference between Top-line and Bottom-line is more or less 10cm long. 2. In case of Taeumin, Navel-line is the longest. The numerical values of Middle and Bottom lines are almost the same or Bottom-line is shorter than Middle-line by 1 or 2 cm long. In some special case, the five lines are all the same and the body just looks like a log. 3. In case of Soyangin, just like Taeyangin, Top-line is the longest. Bottom-line is the shortest. The length of Top-line is ranged between 30cm to 35cm long. From Top-line to Bottom-line, the length gradually diminishes each by 2cm: for example, 34-32-30-28-26. 4. In case of Soeumin, the longest one is Bottom-line. Specially, Navel-line is shorter than Middle-line. Bottom-line is longer than the Middle.
The relationship between river-table and five-type individuals with yin-yang's greater and lesser properties from NeiJingaswellasKoreansasangmedicinewasexplored.1.Rivertableisthetheoreticalbasisforthefive-typeconstitutionswithyin-yang'sgreaterandlesserpropertiesandKoreansasangconstitutions:Thecontentoffour-manifestationconstitutionswithyin-yang'greaterandlesserpropertiesinLingShuTongTian,isrelatedtoChangeBook,andcouldbeexplainedandgeneralizedwithriver-table;itissaidthatKoreansasangconstitutionfoundedbyYiJeMaalsostemmedformLingShuTongTian,butitstheoreticalsystemisdifferentfromthatofLingShuTongTian.Thoughthissystemcanbeexplainedandgeneralizedwithriver-table,itsdistributionofinternalorgansisdifferentfromthatofLingShuTongTian.2.Theclinicalmanifestationsoffour-manifestationconstitutionwithyin-yang'slesserandgreaterprpertiesofTCM,includingpersonality,behaviorpatternandliabilitytocertaindiseases,wereexploredandtheregulatingandcultivatingprinciplesbasedonriver-tabletofour-manifestationconstitutionswithyin-yang'sgreaterandlesserpropertiesalsowereestablished:IndividualsofShaoyang(lesseryang)constitutionshouldpayattentiontoliverqi'sascendinganddispersing,andharmonizationofliveryinandliveryanginspring;individualsofTaiyang(greateryang)constitutionshouldemphasizetheclearinganddescendingofheartqiandharmonizationofheartyinandheartyanginsummer;individualsofShaoyin(lesseryin)constitutionshouldattachimportancetodispersing,purifyinganddescendingoflungqiandharmonizationoflungyinandlungyanginautumn;individualsofTaiyin(greateryin)shouldlaystressonthecultivatingofkidneyqi'sascendingandsteaming,andharmonizationofkidneyyinandkidneyyanginwinter.Besides,individualsofthefourtypesmentionedaboveshouldcultivateandregulateqiofspleenandstomach,fortheascending-descendingandharmonizationofstomachqiandspleenqiisthebasisforthenormalorhealthybodyconstitution,andtheroottoremedythetendenciesoffour-manifestationconstitutions.
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