1. The purpose of study The problem lies in the Sasang-constitutional-medicine is a subjectiveness of diagnosis that can be varied by every donor. Questionnare for the Sasang Constitution Classification II(QSCCII) was invented to solve this problem. This study was conducted for two purpose. The one is re-value the QSCCII. The other is to make a basis to upgrade QSCCII. 2. The method of study QSCCII was administered to 537 patients at Kyung Hee Oriental Medicine Hospital. Data was collected during 19 months from september 2000 to march 2002. For the purpose of this study, the collected data was analyzed by crosstabs, variation analysis and discrimination analysis. The analyzing program was SPSS 8.0 for Windows. And using this program I made the judgmental equation to re-value the QSCCII. 3. The result of study 1) not applied intensifying value The diagnostic discrimination abilities of the QSCCII is 61.5% about Taeyangin, 57.7% about Soyangin, 67.2% about Taeumin, 68.8% about Soemin. And its average is 65.0%. 2) applied intensifying value The diagnostic discrimination abilities of the QSCCII is 76.9% about Taeyangin, 59.9% about Soyangin, 68.9% about Taeumin, 71.2% about Soemin. And its average is 67.3%. 3) I propose a new diagnostic possibility with a different discriminant analysis and increase 42.3% of diagnostic discrimination ability considering 25% of accident diagnostic discrimination ability. 4) Development and complement of Taeyangin and Soyangin questions is needed to increase the accuracy of diagnosis.
1. Objectives: This study is about a development of Sasang constitutional classification algorithm using facial information. 2. Methods: We analysed the datum of middle aged (20~48) women collected by multi-center researchers in 2007. And this study analysed the data of the measurement of the face by 3D-AFRA (3-Dimensional Automatic Face Recognition Apparatus) and the items of impression by SDQ. We used multiple comparison, exploratory discriminant analysis and clinical decision to select optimal 3D facial variables which will be input in discriminant analysis model. And we used univariate F values and stepwise discriminant function analysis to choose best impression variables. 3. Results and Conclusions: In this study, derived discriminant function's explanation power was 39% in female group. Diagnostic accuracy rate was 66.0% in female group. And in test sample, Sasang constitutional diagnostic accuracy rate was 56.9%. In this process we could help improve the objectification of Sasang constitution diagnosis.
Objectives : The aim of the study was to investigate the characteristics of Ryodoraku score according to dyspepsia in diagnosed as Soeumin by 'portable Ryodoraku device'. Methods : Using Mann-Whitney U test, we divided 34 'Soeumin' patients into two group(normal and with chronic dyspepsia) and analyzed Ryodoraku score, especially in 'the spleen meridian' and 'the stomach meridian' which is belived to be related with dyspepsia. Soeumin subjects are classified by 'Sasang constitutional program' in portable Ryodoraku device. All of them complete the questionnaire regarding their Digestive conditions. 'short from leeds dyspepsia questionnaire(SF-LDQ)' made by rome III diagnostic is chosed as questionnaire. Results: 1. We found the RS measured from a group of people who has chronic dyspepsia was significantly greater than that from control group. 2. Regarding the effect of 'dyspepsia' in Ryodoraku, the mean score of the F6(stomach meridian) in the chronic dyspepsia group was significantly higher than that in the control group. 3. The mean score of the F6(stomach meridian RS) in the chronic dyspepsia group was not significantly higher than that in the control group. 4. In cases where people has chronic dyspepsia, the difference between RS measured in the right-side of a body and that in the left-side of a body was mostly greater than 40, whereas the case of difference that is less than 2 was rare. Conclusions : Portable Ryodoraku device might be used to classify enforce 'Sasang constitution', and also it might be used to analyze 'Ryodoraku data' based on characteristic clinical symptoms of four constitution diagnosis alone.
One's constitution is formed congenitally and is also acquired, and is relatively stable in its individually manifested function, structure and temperament. It has characteristics of universality, complexity, generality and continuity. It is also manifested in physiological responses and expresses pathologic tendencies including susceptibility. Attempts at understanding constitution has had a long history throughout the world. In Oriental Medicine, the constitution had been acknowledged from the "Huangdi Neijing", which has been a bible in Oriental Medicine for about two thousand years. In many aspects, the "Huangdi Neijing" provides the basis for both basic and practical fields. In order to derive the ideal structure from the "Huangdi Neijing" to Lee Je-ma's(Lee Jayma's) Sasang Constitutional ideas, which can strengthen the understanding of ideal core of Oriental Medicine's constitutional characteristics, the author launched his analysis of the constitutional understandings in the "Huangdi Neijing" as a first step and came to the following: 1. The constitutional understanding in the "Huangdi Neijing" was done both via the physiological responses to heat, pain and acupuncture treatment and the pathologic tendencies via body structure, strength, body heat, courage and obesity. 2. It was recognized that the constitution was formed congenitally and also acquired factors like living conditions including food customs, residents and geographical conditions were explained in detailed. 3. The constitutional typology was suggested both by the general and systematic criterion according to the Yin-yang and the Five phase theories and by single criterion such as obesity, courage and the response to acupuncture treatment. 4. As diagnosis is related to the constitution, courage was adopted for the disease caused by emotions, obesity was for its manifestations of qi and blood, the quantities of qi-blood and Yin-yang in the typology by the Yin-yang and Five phase theories were suggested. 5. In the case of obesity, Yin-yang and Five phase theory, treatment according to the constitutional ideas was mentioned, and their goals were concluded as "being the balancing between Yin and Yang" which means the Yin-yang theory is more practical than the Five phase theory in Oriental Constitutional Medical field. According to the above understandings, the author would like to suggest that the constitutional ideas in the "Huangdi Neijing" based on the Yin-yang theory blossomed via the practical spirit of Zhang Zhong-jing's "Shanghanlun" and at last from Lee Je-ma's(Lee Jayma's) Sasang Constitutional Medicine which realized "the balancing between Yin and yang" through the practical applications of herbal treatments.
1. Objectives The purpose of this study was to search the descriptions of feces in the text of Lee, Je-Ma for the physiological feces and pathological feces in constitutional medicine. 2. Methods We searched the descriptions of feces mentioned in the text of $\ulcorner$Dongyisusebowonsasangchobongwon$\lrcorner$, $\ulcorner$Dongyisusebowongabobon$\lrcorner$, and $\ulcorner$Dongyisusebowonsinchukbon$\lrcorner$ and classified the feces into physiological feces and pathological feces by the solidity, color, impurities of feces, and the frequency of defecation. 3. Results For Soyangin and Taeyangin, there are formal descriptions of feces related to the constipation in Dongyisusebowon sasang chobongwon, but for Soeumin and Taeumin, there is not formal description of feces related to the constipation in $\ulcorner$Dongyisusebowonsasangchobongwon$\lrcorner$ and for all 4 Type Constitution, there are various formal descriptions of feces related to the diarrhea in $\ulcorner$Dongyisusebowonsasangchobongwon$\lrcorner$. For all 4 Type Constitution, there are various formal descriptions of feces related to the constipation in $\ulcorner$Dongyisusebowongabobon$\lrcorner$, except Taeumin. and for all 4 Type Constitution, yhere are various formal descriptions of feces related to the diarrhea in $\ulcorner$Dongyisusebowongabobon$\lrcorner$. For Soeumin, especially there are the formal descriptions of color and impurities of feces. For all 4 Type Constitution, there are various formal descriptions of feces related to the constipation and the diarrhea in $\ulcorner$Dongyisusebowonsinchukbon$\lrcorner$. For Soeumin, especially there are formal descriptions of color and impurities of feces. 4. Conclusions The diarrhea in Soeumin is serious illness rather than the constipation, and the constipation in Soyangin is serious illness rather than diarrhea. Especially In Yin Exhausted Syndrome in Soyangin, the diarrhea is the important standard of diagnosis in Soyangin's constitutional symptom. The description of feces in Taeumin is not systematic, compared with Soeumin's and Soyangin's. The description of feces in Taeyangin is not yet scientifically established compared with Soeumin's, Soyangin's, Taeumin's.
Journal of Physiology & Pathology in Korean Medicine
/
v.26
no.2
/
pp.141-146
/
2012
Researches of Sasang Consitutional Medicine(SCM) have been conducted in many ways, especially for objective diagnosis methods of SCM. Despite of these efforts, relationship between SCM and abdominal examination is rarely known. Therefore 7 books related to abdominal examination and arranged specific abdominal examination descriptions in each books based on Experienced prescriptions(經驗方) of Donguisusebowon(東醫壽世保元) or Longevity and Life Preservation in Eastern Medicine were collected. In result, So-eumin and So-yangin show opposite descriptions to each others in abdominal examination. So-eumin has stuffiness and rigidity below heart, lower abdominal fullness and cramp. In contrast, So-yangin has fullness in the chest and hypochondrium, chest bind, lower abdominal numbness and lower tension. Strong abdominal surface tension could be palpated in Taeum-in's abdominal examination. Advantages of Abdominal Examination are notified recently, thanks to easiness of performing, objectiveness and well-adaptation to Theory of Traditional Eastern Medicine. These advantages could contribute to researching diagnosis of SCM with theory consensus of SCM specialists and practical trials.
Journal of Physiology & Pathology in Korean Medicine
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v.30
no.3
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pp.177-183
/
2016
The purpose of this study was to evaluate the reliabilities of questions and diagnostic value of the Korean Sasang Constitutional Diagnostic Questionnaire(KS-15). The young adults aged 20's participated in this study. The first survey was conducted in march, 2016, and the second one was conducted two weeks later. Three hundred and three questionnaires and the informed consent were obtained from all participants. The test-retest kappa analysis was used to identify the reliabilities of the questions and diagnostic value, and the significance level was .05. The number of subjects was 303 [87(28.7%)males and 216(71.3%)females]. The Cronbach's α were .630 in 6 characteristic questions. The test-retest reliabilities of questions were ranged from .469 to 734. The agreement rate of KS-15 between the first and second constitutional diagnostic value was 87.13%(Kappa=0.794). The higher Sasang constitutional probability score in first survey resulted in the higher agreement rate between first and second diagnostic value. KS-15 seems to be a reliable implement. Further studies for the reliability of the people of different ages and suitable cut off point in Sasang constitutional probability score are needed for the practical use of KS-15.
Objective : This study aims to search Four-constitution Medicine based acupuncture by investigators and its effect on constitution-specific symptoms. Method : Among 463 oriental medical doctors who are the members of society of Four-constitution Medicine, 191 results are collected. The items of the questionnaire are sex, age, work experiences, working type, constitution diagnosis & prescription, the use of constitution acupuncture and so on. Result : The proportion of acupuncture treatment applied constitution-based acupuncture to patients are "Must Use" 12.6%, "Almost Use" 14.1%, "Sometimes Use" 42.9% and "Never Use" is 1.0%. The average ratio of patients treated by constitution-based acupuncture to all patients is 47%. 1. Digestive tract disease is found to be the most effective disease with constitution based acupuncture. Musculoskelectal problems, cardiovascular disease, respiratory disease, neuropsychiatric disease and urogenital disease are followed. On the oriental medicine, spleen system disease is the most frequently applied and heart system disease, neuropsychiatric disease, liver system disease, locomotorium disease and pulmonary system disease are followed. 2. Acupuncture therapeutic measures are different according to disease. For example, Sa-am acupuncture is the most widely used for spleen system disease, locomotorium disease, heart system disease, neuropsychiatric disease, pulmonary system disease. Eight constitution medicine acupuncture is effective for ophthalmic & otolaryngologic disease. Conclusion : This study is to investigate constitution-based acupuncture technique. In conclusion, the most widely used technique is Sa-am acupuncture and it is the most successful in treating digestive tract disease.
Jo, Hye Jin;Noh, Yun Hwan;Cho, Young Seuk;Shin, Dong Ha;Kwon, Young Kyu
Journal of Physiology & Pathology in Korean Medicine
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v.33
no.5
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pp.255-260
/
2019
Oriental Diagnosis System(ODS) is an artificial intelligence program that utilize entered diagnosis knowledge, determine patient's disease and decide right medicine. The purpose of this study is to find a correlation between pattern Identification in Korean medicine and each sasang types(So-Yang, So-Eum and Tae-Eum) by analyzing ODS diagnosis result. Eventually our study secure availability of using ODS program at clinical training or developing diagnosis program. Subject of this study is 32 students participating in Sasang medical practice(12 subjects were So-Yang, 7 subjects were So-Eum, and 13 subjects were Tae-Eum). We analyze subject's clinical practice result reports by using ODS program and obtained result about pattern Identification. We used SPSS statistics 23 in analyzing the differences of the scores of Eight Principle Pattern Identification, Qi-Blood Pattern Identification, Bing-xie Pattern Identification, and Visceral Pattern Identification in each Sasang types (So-Yang, So-Eum, Tae-Eum). In the case of Heat-moisture, Tae-Eum showed higher score than So-Eum, but So-Yang showed no difference from the other two Sasang types(p<0.05). And in the case of Food-accumulation, Tae-Eum and So-Yang showed significantly higher score than So-Eum(p<0.05). It is hard to generalize the result because subject of this study was not enough. However, we explained correlation between pattern Identification in korean medicine and each sasang types based on quantifiable and objective evidence system. Therefore use of ODS program in student clinical practice training help to understand the relationship and correlation between different pattern Identification and will help standardization of clinical practice education.
Purpose Obesity goes on increasing rapidly because of the change of dietary life, various stresses and convenience of life, that cause heart disease, diabetes mellitus, hypertension, fatty liver, arteriosclerosis these days. As obesity is disease, I think there will be constitution to easily become obese, so I began to study this. Methods (1) Subjects The subjects of this study were 101 female patients visited Nara oriental medical hospital during 2months from April 1 to May 30 in 1999. (2) I determined finally classification of sasang constitution according to diagnosis and questions made in Nara oriental medical hospital. Results (1) 81.2% of obese patients are Taeumin, 15.8% of those are Soeumin, 3% of those are Soyangin. (2) Soeumin has significant difference that it takes over 30 minutes to have a meal. (3) Significant difference is that Soeumin goes to bed earlier in the evening than Taeumin and Soyangin. (4) From obesity of whole body point of view, Taeumin has more significant and from obesity of abdomen and leg point of view, Soeumin has more significant difference.
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