• 제목/요약/키워드: Sasang Constitution diagnosis

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팔체질 의학에 대한 논문 리뷰 (Review on Eight Constitution Medicine)

  • 이주호;김희주;신용섭;박영재;박영배
    • 대한한의학회지
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    • 제33권1호
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    • pp.90-106
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    • 2012
  • Objectives: Eight constitution medicine (ECM), which was first introduced in 1965, has been further developed and refined over the decades, and has consolidated its foundation through many studies on theories, diagnosis and clinical application. However, there have been few reviews on dissertations of ECM. In this study, we reviewed previously published studies related to ECM. Methods: We reviewed a total of 55 ECM-related studies published from 1965 to 2010 found on PubMed and various domestic Oriental medicine journals. Each thesis was classified as a theoretical, diagnostic, or remedy-related study. Results: 1. In the review of theoretical studies, shortly after ECM's introduction in 1965 by Kwon, the authors found studies on constitutional diseases, diets and food table which helped establish the background of ECM. ECM has further developed by comparing its theories with Sasang constitutional medicine, Huang-di-nei-jing, Saam, and Taegeuk acupuncture theories. 2. Research on diagnosis has been focused on its objectivity and accuracy. Constitution could be diagnosed by pulse-taking. To compensate for the lack of accuracy innate in pulse-taking, the Eight Constitution Questionnaire has been invented. 3. Remedies can be largely divided into acupuncture and diet. There were case studies comparing treatment effect of ECM acupuncture to other treatments. Diet related studies were carried out in the fields of immunology and nutrition. Conclusions: The authors reviewed studies that contributed to improved understanding of theories and clinical implications of ECM. Although there were various approaches to its theoretical and clinical grounds, more clinical research is needed. There is also a need to evaluate the accuracy of the experts' diagnoses of the constitution. The relationship between the diet and constitution also needs further research.

체형측정 방법에 따른 사상체질 진단정확률 비교 연구 (Comparative Study of Diagnostic Accuracy Rate by Sasang Constitutions on Measurement Method of Body Shape)

  • 김종원;설유경;최재중;권석동;김규곤;이용태
    • 동의생리병리학회지
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    • 제21권1호
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    • pp.338-346
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    • 2007
  • For Objectivity development of the body shape that is an importance standard for the classification of sasang constitutional medicine diagnosis, We made a comparison between Automatic & Physical measuring. This study uses 2 attitude which lies down & standing. We measured the body of patients(Width 5 places and circumference 8 places) and analyzed the anthropometric data dividing into sex, age, BMI. 296 patients's data are used in the analysis.

기질 및 성격 검사(TCI)를 통한 소양인(少陽人)환자의 표리순역(表裏順逆) 병증(病證)별 특성에 관한 연구 (Characteristics of Soyang Constitutional Exterior and Interior disease's Favorable-Unfavorable Pattern as Assessed by the Temperament and Character Inventory (TCI))

  • 홍승민;황민우
    • 사상체질의학회지
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    • 제27권4호
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    • pp.396-403
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    • 2015
  • Objectives The purpose of this study was to analyze the characteristics of each Soyang constitutional Exterior and Interior disease's favorable-unfavorable pattern using the Temperament and Character Inventory(TCI) in a Korean adult clinical sample.Methods A total of 32 subjects(age 20-49) completed the Korean version of the TCI. A Sasang Constitutional Medicine specialist determined each subject's Sasang constitutional type based on the Questionnaire for Sasang Constitution Diagnosis(QSCC∥) and comprehensive constitutional assessment. The participants consisting of 15 favorable pattern, 17 unfavorable pattern.Results Among the four temperament dimensions, the favorable pattern showed significantly higher scores than the unfavorable pattern in Novelty Seeking(NS) and Reward Dependence(RD). Among the three character dimensions, the unfavorable pattern showed significantly higher score than the favorable pattern subjects in Self-Directedness(SD).Conclusions Differences in temperament and character were discovered across the Soyang Constitutional disease's Exterior and Interior disease's favorable-unfavorable pattern.

사상체질이 이상지질혈증의 위험인자가 될 수 있는가? (Can the Sasang Constitutional Type Trait Act as an Independent Risk Factor for Dyslipidemia?)

  • 이지원;장현수;박병주;이의주;고병희;이준희
    • 한방비만학회지
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    • 제14권2호
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    • pp.63-71
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    • 2014
  • 목적: 본 연구는 사상체질과 이상지질혈증의 상관관계 및 사상체질이 이상지질혈증의 위험요인이 될 수 있는가를 탐색하는 데 목적이 있다. 방법: 본 연구는 의무기록을 바탕으로 한 후향적 단면조사연구로, 2007년 5월부터 2010년 6월까지 서울 소재 경희의료원 건강증진센터에 내원한 건강검진 수진자 17,069명의 의무기록을 조사하여 사상체질진단검사 결과 및 생화학검사 결과 등이 확인된 15,250명을 대상으로 사상체질과 이상지질혈증 간의 상관관계를 조사하였다. 결과: 총 콜레스테롤과 중성지방은 체질량지수(body mass index, BMI)를 보정한 상태에서 태음인, 소양인, 소음인 등의 순서로 높았고, 고밀도 콜레스테롤은 소음인, 소양인, 태음인 순서로 높았다. 연령, 성별, BMI 등을 보정한 상태에서 '높은 중성지방'에 대한 odds ratio는 소음인에 비해 소양인이 1.716 (1.411~2.087), 태음인이 2.021 (1.650~2.475)이었으며, '높은 저밀도콜레스테롤'에 대한 odds ratio는 소음인에 비해 소양인이 1.229 (1.006~1.501)였고, '낮은 고밀도 콜레스테롤'에 대한 odds ratio는 소음인에 비해 소양인이 1.195 (1.033~1.381), 태음인이 1.414 (1.212~1.649)였다. 결론: 사상체질에 따라 일부 이상지혈증의 분포 및 odds ratio에 유의한 차이가 있었고, 이에 따라 사상체질이 이상지질혈증의 위험요인이 될 수 있는 가능성을 찾을 수 있었다.

맥상파를 이용한 체질 판별방법에 관한 연구 (Study on the Discrimination of Constitution Using Pulse Wave)

  • 신상훈;김종열
    • 동의생리병리학회지
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    • 제22권6호
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    • pp.1403-1409
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    • 2008
  • The purpose of this study is to develop the systematic process on the discrimination of Sasang constitution with the pulse diagnosis apparatus. The pulse waves were acquired at the right and the left Guan point with 1420 people who were apparently healthy. In order to minimize the effect of aging on the shape of pulse wave, the age groups of 30s, 40s, and 50s were used. Taeum group was the best to classify, Soyang group was the worst. With the same group size, the sensitivity of Soyang group was increased. Input variables were selected with the consideration of the floating-sink ratio, tests of equality of group means, multiple comparison, multicollinearity, and structure matrix. To increase the sensitivity of Soyang, the variables which could tell the difference between Soyang and Soeum were selected.

태소음양(太少陰陽)과 팔강(八綱)의 분석에 근거한 사상인 변증분류체계 연구 (Analysis of Differential Diagnosis System in Sasang Typology on the Basis of Greater-Lesser-Yin-Yang and Eight Principle Pattern Identification)

  • 강철민;강정수;김병수
    • 동의생리병리학회지
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    • 제22권5호
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    • pp.1125-1131
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    • 2008
  • The purpose of this study is to evaluate the clinical implication of Eight Principle Pattern Identification, EPPI in Sasang Typology. Although EPPI is considered as the most basic differential diagnosis in Oriental Medical Science, it has not been used actively enough in clinical practice owing to the presumption that EPPI is not sufficient for the analysis of complex clinical symptoms. In Zhang Jiebin's Jingyuequanshu, he separates Yin-Yang with Six-identification in EPPI when explaining them. This implies that it is difficult to talk about each of EPPI in same perspective. Thus, for the active clinical usage of EPPI it is necessary to study in hierarchical perspective. Lee Je-ma's Sasang typology could be a good example that uses the hierarchical perspective of EPPI. In the book Dongeuisoosebowon Lee Je-ma talks about differentiating Yin with Yang by constitution, Exterior with Interior and Cold with Heat accordingly, to apply in prescriptions. After differentiation, Yin and Yang are placed in higher level from the rest of EPPI, thus Yin and Yang can influence the rest of EPPI. This study showed the importance of EPPI in understanding the differential diagnosis system of Sasang typology in clinical perspectives.

베트남인 대상자를 통해 살펴본 KIOM 체질 설문지 신뢰도 검증 (Reliability of Sasang Constitution Questionnaire Developed by KIOM for Vietnamese)

  • 박혜주;이시우;동상옥;;유종향
    • 사상체질의학회지
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    • 제26권1호
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    • pp.64-74
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    • 2014
  • Objectives This study aimed to evaluate reliability of questionnaire when self reporting questionnaire created by Korea Institute of Oriental Medicine was applied to Vietnamese. Methods This study began to collect 135 Vietnamese patients questionnaires collaborated with National Hospital of Traditional Medicine located in Hanoi, Vietnam from March to August 2013. All participants for this study filled out the questionnaires respectively. After initial survey finished, additional survey was performed on the same questionnaires used at the beginning eight weeks later. In order to evaluate internal coherence in terms of questionnaires of classification, Cronbach's alpha and Cohen's kappa was measured. Results After analysis of 78 questions collected, less than 0.4 in Kappa was achieved by 21(26.9%) out of 78 questions, 0.4 to 0.75 Kappa by 49(62.8%) and 0.75 over in 5(6.5%) questions, respectively. More than 0.6 Cronbach's alpha was defined from 41 out of 78 questions connected with internal coherence of character, digestion, perspiration, excrement, urine, cold and heat. Conclusions The questionnaire has credibility according to values of Kappa and Cronbach's alpha. Therefore, Sasang Constitution questionnaire can be applied to Sasang Diagnosis. In order to increase usefulness, questions in questionnaire should be revised and validity study must be performed afterwards.

태음인(太陰人) 약인성 간손상의 태음조위탕(太陰調胃湯) 치험 1례 (A Case Study of Herbal Medicine-induced Liver Injury Improved with Taeumjowe-tang (Taiyintiaowei-tang))

  • 박세정;이현미;강연경;전수형;김종원
    • 사상체질의학회지
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    • 제22권2호
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    • pp.135-142
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    • 2010
  • 1. Objectives: The purpose of this case is to report that a Tae-eumin patient diagnosed as drug-induced liver injury (DILI) caused by Galgeunhaegi-tang (Gegenjieji-tang) treated with Taeumjowe-tang reduced ephedra to 2g (Taiyintiaowei-tang) and then liver function test Results: improved. 2. Methods: We diagnosed him as Tae-eumin Exterior cold disease induced from the esophagus affected by cold. We made him stop taking Galgeunhaegi-tang (Gegenjieji-tang) and take Taeumjowe-tang reduced ephedra to 2g. (Taiyintiaowei-tang) 3. Results: After our treatment, the symptom and the liver function test Results: improved. 4. Conclusions: The wrong diagnosis of constitution and pathological syndromes can be caused drug-induced liver injury. Taeumjowe-tang reduced ephedra to 2g (Taiyintiaowei-tang) may have an effect on treatment of drug-induced liver injury of Tae- eumin.

체질정보은행 구축현황에 관한 소고 (An Overview on the Construction of Korea Constitutional Multicenter Bank for Sasang Constitutional Medicine)

  • 백영화;진희정;김호석;장은수;이시우
    • 사상체질의학회지
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    • 제24권2호
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    • pp.47-53
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    • 2012
  • 1. Objectives : The aim of the present study was to describe the Korea Constitutional Multicenter Bank (KCMB), which was various clinical data bank for scientific advancement of constitutional diagnosis and treatment. 2. Methods and Results : The KCMB is based on the 28 multi-institute cooperative clinical research networks including domestic and international institute. Since the KCMB was founded in 2006, data have been accumulated from 10,412 subjects. The KCMB consists of three parts: The clinical constitutional data, the measurement data, and the biological data. The method of data entry is via web based electronic Case Report From (eCRF). The eCRF has been developed and programed to ensure the efficient entry of data. We also developed coding manual, ongoing quality control assessment to obtain high-quality data. 3. Conclusions : The KCMB with various data contribute to providing the scientification of Sasang Constitutional Medicine.

사상체질분류검사지(QSCC II)의 Upgrade 연구 (II) - 사상체질분류검사지(QSCC II)의 재타당화 연구 - (The Study on the Upgrade of QSCC II (II) - The study on the re-validity of QSCC II-)

  • 곽창규;이의주;고병희;송일병;이상규
    • 사상체질의학회지
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    • 제15권1호
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    • pp.39-49
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    • 2003
  • 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.

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