• Journal of Physiology & Pathology in Korean Medicine
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• v.30 no.6
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• pp.426-431
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• 2016

Sasang Digestive Function Inventory (SDFI) and Sasang Personality Questionnaire (SPQ) were developed on the basis of clinical experiences of Korean medicine hospital and previous studies have used these for analyzing Sasang constitutional characteristics mainly in hospital level. The purpose of this study is to analyze Sasang constitutional characteristics using SDFI and SPQ in clinical level. The SPQ, SDFI, height and weight were measured with 79 patients over 18-years-old from Jan. 2015 to Apr. 2016 in the clinic, Daegu, Korea that specializes in tinnitus and performs Sasang constitution diagnosis. We used ANOVA in analyzing the differences of the scores of SPQ, SDFI, BMI and PI in each Sasang types (Tae-Yang, So-Yang, Tae-Eum), and Bonferroni test or Dunnett's T3 for post verification. The SDFI-T(F=3.215) and SDFI-D(F=4.347) scores were significantly different(p<0.05) and SPQ score was not different in each Sasang types(p>0.05). And Weight(F=4.294), BMI(F=12.386) and PI(F=14.490) were significantly different in each Sasang types(p<0.001). We found that SDFI(SDFI-D) and BMI PI can explain the Sasang constitutional characteristics, that is equivalent to previous studies and might be used for clinical index in making objective questionnaire for Sasnag constitutional diagnosis in clinical level.

• The Korean Journal of Pain
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• v.9 no.1
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• pp.126-129
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• 1996

Background: Advantages of paramedian approach over midline approach include less tissue trauma and less dependence on patient's ability to assume a fetal position. When midline approach fails in patients who are difficult to take a position with lumbar spine flexed, paramedian approach to interlaminar space may succeed. Methods: Success rates of spinal anesthesia were measured for 47 flexed patients by midline approach, 48 flexed patients by paramedian approach, 23 straightened patients receiving spinal anesthesia by midline approach, and 23 straightened patients by paramedian approach. Results: Success rates in flexed patients were 100% by midline approach and 100% by paramedian approach. Success rates for straightened patients were 13.0% by midline approach and 78.3% by paramedian approach. For straightened patients there were no correlations between success fate and age, weight, Ponderal Index but there were correlations between height and midline approach of spinal anesthesia. Conclusion: Pertaining to adult Koreans, success rates of spinal anesthesia for strainghtened patients were less than those for flexed patients. Success rate of paramedian approach of spinal anesthesia among strainghtened patients were better than those of midline approach.

• Journal of Sasang Constitutional Medicine
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• v.28 no.3
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• pp.246-257
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• 2016

Objectives The Sasang Personality Questionnaire (SPQ) measures the Yin-Yang temperament of Sasang typology with proven structural and clinical validity in adults, however it was not examined with teenagers. The purpose of this study was to validate the biopsychological structure of SPQ in middle school students.Methods 681 Korean high school students (356 boys and 325 girls) completed SPQ, Junior version of Temperament and Character Inventory (JTCI), and height and weight measures. The correlation between SPQ and JTCI subscales were examined, and the differences of SPQ and JTCI subscales, Body Mass Index (BMI) and Pondera Index (PI) among high (30%), middle (40%), and low (30%) SPQ total score groups were investigated with Analysis of Variance (ANOVA). The profile analysis was also performed to compare JTCI subscale profiles of three SPQ total score groups.Results The SPQ score was significantly (p<0.001) correlated positively with JTCI Novelty-Seeking and negatively with JTCI Harm-Avoidance. The JTCI Novelty-Seeking score of high SPQ group was significantly (p<0.001) higher than that of low SPQ group, and the JTCI Harm-Avoidance score of low SPQ group was significantly higher than that of high SPQ group. The JTCI subscale profiles for three SPQ groups were significantly different for boys and girls. Significant correlations or differences for the PI and BMI among SPQ groups were not found.Conclusions This study presented that the biopsychological structure of SPQ is robust as shown in adults. The SPQ would be a useful clinical measures of Sasang typology in pediatric patients.

• Journal of Sasang Constitutional Medicine
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• v.33 no.3
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• pp.1-15
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• 2021

Introduction The clinical usefulness of Sasang Digestive Function Inventory (SDFI) for analyzing Sasang type-specific pathophysiological symptom was illustrated repeatedly. It was revised to enhance its validity, reliability and clinical usefulness, however its clinical studies supporting these were not sufficient yet. Methods 193 healthy university students responded once to Nepean Dyspepsia Index-Korean (NDIK), Functional Dyspepsia-Related Quality of Life (FDQOL), and Dutch Eating Behavior Questionnaire (DEBQ), and twice to SDFI with four weeks of interval. The Body Mass Index (BMI) and Ponderal Index (PI) were also calculated. The 4-week test-retest reliability and correlation coefficients between NDIK, FDQOL, DEBQ, and SDFI were examined using Pearson's correlation. The significant differences between Sasang types in SDFI and its subscales were examined using ANCOVA with the age as covariate. Results The range of test-retest reliability for SDFI and its subscales was from 0.801 to 0.887. The SDFI-total correlated positively with BMI (r=0.323) and DEBQ-External Eating (r=0.433), while the SDFI-Digestion negatively with NDIK (r=-0.472) and FDQOL-total (r=-0.364). The SDFI-Habit correlated positively with BMI (r=0.310) and DEBQ-total (r=0.481), and the SDFI-Appetite with DEBQ-total (r=0.322). The SDFI-total, SDFI-Digestion, and SDFI-Habit scores of Tae-Eum type (35.6±6.25, 12.38±3.24 and 9.89±3.38, respectively) were significantly bigger than those of So-Eum type (29.84±8.31, 9.93±4.28 and 7.66±3.96). Discussion The SDFI was found to be an objective clinical measure with sufficient concurrent validity for measuring eating behavior and quality of life related to overeating and dyspepsia, and illustrated distinctive differences between Sasang types. It might be useful for the effective medical education and integrative medical practice.

• The Korean Journal of Pain
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• v.9 no.2
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• pp.349-353
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• 1996

Background: Although the paramedian approach for epidural blockade is useful in some clinical situation, the parameters which are correlated with the distance from skin to the epidural space has not been established. Methods: We studied in 143 patients having elective continuous epidural blocks for relief of postoperative pain. All blocks were performed using paramedian approach with Tuohy needle in the lumbar (group 1, n=100) and thoracic (group 2, n=45) area. We measured the distance from skin to the epidural space, body weight, height, and the angle between the shaft of the needle and the skin. Data were analyzed by linear regression. The relationships between parameters identified by the F-test with a P value of less than 0.05 were considered statistically significant. Results: The mean distance from skin to the lumbar epidural space was $4.4{\pm}0.7$ cm. significant correlation between the body weight and the depth of lumbar epidural space ($\gamma$ value : 0.492) was noted with regression equation of depth(cm)=2.293+0.034${\times}$body weight (kg). Also the significant correlation between the ponderal index (PI) and the depth of lumbar epidural space ($\gamma$ value : 0.539) was noted with regression equation of depth(cm)=1.703+0.07${\times}$PI, The mean distance from skin to the thoracic epidural space was $5.2{\pm}0.7cm$ which did not correlated with other anatomic measurements. Conclusion: We found that PI and body weight are the suitable predictors of the depth of the lumbar epidural space, but not the thoracic epidural space.

• The Journal of Pediatrics of Korean Medicine
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• v.32 no.4
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• pp.13-23
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• 2018

Objectives The Eum-Yang (Yin-Yang in English) temperament was shown to have clinical and structural validity with Sasang Personality Questionnaire (SPQ), however the studies of the association with behavior problems and personality structure in adolescents were not satisfactory. The purpose of this study was to examine the relationships between Eum-Yang temperament and behavior problems in Korean middle school students. Methods 122 first grader of middle school students (68 boys and 54 girls) completed SPQ, Junior version of Temperament and Character Inventory (JTCI), and Youth Self Report (YSR). The correlations between SPQ, JTCI, and YSR subscales were investigated. And, also the differences between SPQ, JTCI, and YSR subscales among Yang (high 30% of SPQ total score) and Eum (low 30% of SPQ total score) temperament groups classified with SPQ total score were examined. Results The SPQ total score were correlated with Novelty-Seeking (r=.321) and Reward-Dependence (r=.392) in boys, and with Novelty-Seeking (r=.427) and Harm-Avoidance (r=-.444) in girls. The SPQ total score were not significantly correlated with Body Mass Index, Ponderal Index and YSR total, however significantly correlated with YSR Internalizing problems and Withdrawal/depressed subscale (r=-.242 and r=-.419) in boys and Withdrawal/depressed subscale (r=-.449) in girls. There were significant differences between Eum and Yang groups in Novelty-Seeking, Harm-Avoidance and Withdrawal/depressed as for boys and girls. Conclusions The biopsychological structure of SPQ was confirmed with middle school students. The behavioral (SPQ-B) and emotional (SPQ-E) perspectives of Eum-Yang were found to be protective and risk factors, and also correlated with Externalizing and Internalizing behavior problems, respectively. The biopsychological characteristics of Eum-Yang temperament and its relation with psychopathological symptoms in late-childhood should be carefully analyzed.

• Journal of Sasang Constitutional Medicine
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• v.33 no.2
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• pp.1-13
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• 2021

Introduction The previous study showed that the psychological Sasang Personality Questionnaire (SPQ) and physical Body Mass Index (BMI) were clinically useful for predicting Sasang types diagnosed with certified clinical specialist and QSCCII. The purpose of current study was to examine its clinical usefulness using large sized clinical sample. Methods The age, sex, height, weight, circumference of waist and hip, Sasang Personality Questionnaire (SPQ), and Sasang type of 2,049 participants listed on the Korean Medicine Data Center were acquired. The anthropometrics of BMI, Ponderal Index (PI), Waist-Hip Ratio (WHR), and Basal Metabolic Rate (BMR) were calculated. The discriminant analysis using SPQ subscales, BMI, age and sex were performed to predict Sasang types. And, the ANCOVA with age and sex as covariate was also used to examine differences among diagnosed and predicted Sasang type groups in biopsychological features. Results The discriminant analysis showed 82.0% of percentage correctly predicted. And, the biopsychological characteristics of predicted Sasang type groups were significantly similar to those of diagnosed Sasang type groups. In both predicted and diagnosed Sasang type groups, the anthropometric measures were in increasing order of So-Eum, So-Yang, and Tae-Eum types, and the psychological measures were in increasing order of So-Eum, Tae-Eum, and So-Yang types as shown in previous studies. Discussion and Conclusion The well validated biopsychological variables of SPQ and BMI showed theoretical and clinical usefulness, and were found to be useful for diagnosing Sasang types in clinical setting. The current study might be useful for the East-West integrative medicine and evidence-based teaching.

• Journal of Oriental Neuropsychiatry
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• v.32 no.3
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• pp.167-184
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• 2021

Objectives: Operational definition and its validated measure of traditional Korean medicine (TKM) are pivotal for research studies and reliable clinics. There have been ten years of clinical studies on Eum-Yang (Yin-Yang) and Sasang typology using Sasang Personality Questionnaire (SPQ) of integrative biopsychology. The objective of this study was to perform a systematic review on the use of SPQ to provide insights and foundation for its further studies and clinical application. Methods: Clinical studies on SPQ were searched using five domestic and foreign research databases. Attained research articles were then subjected to predefined systematic reviews. Demographic characteristics of participants and research topics of articles were described. Psychological and physical features of SPQ and its subscales were reviewed and compiled to reveal biopsychological characteristics. Results: There were 33 articles with 15,085 participants on Eum-Yang (n=19) and Sasang typology (n=14). The SPQ-total score was in an increasing order of So-Eum, Tae-Eum, and So-Yang. Eum-Yang groups were categorized at a 3:4:3 ratio using %ile score of SPQ-total. The SPQ-total showed a significant positive correlation with Novelty-Seeking and a negative correlation with Harm-Avoidance in psychological perspective, while it was not significantly correlated with Body Mass Index or Ponderal Index in physical perspective. The SPQ-total and subscales explained psychopathological characteristics of stress recognition, negative emotion, problem behavior, and depression. Conclusions: The SPQ was found to be an objective biopsychological measure of TKM for Sasang typology and psychopathology. It would provide foundation for 'Korean Psychology' and multidisciplinary studies.