• 제목/요약/키워드: Sasang Constitutional Disease

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사상체질병증 임상진료지침 개발을 위한 임상 현황 조사연구 (A Study on Clinical Status for Development of Clinical Practice Guidelines for Sasang Constitutional Medicine Symptomatology)

  • 조일현;권진혁;이의주;이준희
    • 사상체질의학회지
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    • 제32권4호
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    • pp.29-44
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    • 2020
  • Objectives We surveyed clinical status of Sasang Constitutional Medicine (SCM) for preparation of adaptation of Clinical Practice Guidelines for Sasang Constitutional Symptomatology. Methods We emailed Google survey form to Doctors of Korean Medicine registered the Association of Korean Medicine on 10/13/2020 and 10/21/2020 and closed survey 10/23/2020. We got a data of 654 cases, removed a case of error, analyzed data of 620 responses by frequency analysis Results and Conclusions Out of 620 respondents, 499 have answered that they refer to or make use of SCM. SCM is mainly applied in the field of treatments using Herbal Medicine. Doctors of Korean Medicine participated in survey of SCM, they think Diseases of digestive system are the most effectively treated by the methods of SCM. Sasang Constitutional Symptomatology most frequently observed are Soeumin Congestive Hyperpsychotic symptomatology, Soyangin Chest-Heat congested Symptomatology, Taeeumin Liver Heat-based Interior Heat disease. The diseases that are mainly applied by SCM are 'Diseases of digestive system' for Soeumin, 'Diseases of digestive system' for Soyangin, 'Diseases of respiratory system' for Taeeumin and 'not applicable' for Taeyangin. The important diagnostic methods of SCM are Inspection-listening and smelling examination-Inquiry-Palpation and survey. In the majority of cases, Prescription of Herbal medicine is used by adding or subtracting some herbal medicine from the original prescription suggested in the oriental medical classics and Saam acupuncture method is the most frequently used for the acupuncture therapy. Diet therapy is the most frequently used for the method of prevention and care.

이제마(李濟馬)의 난치병(難治病)에 대(對)한 시각(視角)에 관(關)한 연구(硏究) (A study on Intractable disease in the sight of Lee Je Ma)

  • 장현진
    • 사상체질의학회지
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    • 제7권2호
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    • pp.129-134
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    • 1995
  • Lee Je Ma (1837~1900) wrote the DongEuSuSeBoWon in 1894. Constitutional Medicine what is called Sasang Medicine has originated from him. In this book he refers to mild, serious, intractable, incurable and fatal disease. In the sight of his Medical theory each state of disease deserves to be researched. 1. In the case of Soumin exhaustion of Yang, Taeyang-Kwolum, noxious Yin, Yang is kept in the exterior by excessive Yin in the interior, middle diabetes and swelling belong to intractable disease and solid mass in the right epigastric zone belongs to fatal disease. 2. In the case of Soyangin exhaustion of Yin, lower diabetes, afternoon fever due to deficiency of Yin, spitting blood and swelling belong to intractable disease and distention of abdomen with gas or fluid belongs to fatal disease. 3. In the case of Taeumin syncope due to chills, dryness-heat, diabetes, pain of chest and abdomen and swelling belong to intractable disease and apoplexy with dosed eyes belongs to fatal disease. 4. In the case of Taeyangin vertebral disease makes flaccidity of lower limbs and dysphagia with vomiting of frothy fluid belongs to fatal disease.

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소양인 소증 진단평가지표 개발 연구 (A Study on the Development of Diagnostic Index for the Ordinary Symptom of Soyangin)

  • 조영;이준희
    • 사상체질의학회지
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    • 제32권4호
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    • pp.45-64
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    • 2020
  • Purpose This study was to develop and study 'Diagnostic Index for the Ordinary Symptom of Soyangin'. Methods The main diagnosis and evaluation index symptoms of Soyangin were extracted based on 『Donguisusebowon』 and Clinical Practice Guidelines for Sasang Constitutional Medicine Symptomatology; CPG for soyangin. The selected ordinary symptoms were divided into 4 categories such as Exterior-Cold ordinary symptom (表寒素證), Exterior-Disease unfavorable's ordinary symptom (表病逆證素證), Interior-Heat ordinary symptom (裏熱素證), Interior-Disease unfavorable's ordinary symptom (裏病逆證素證) of Soyangin and translated into Korean. And the inclusion, importance and translation validity of major diagnosis and assessment indicators of Soyangin were surveyed online by a group of Sasang constitutional experts. Results & Conclusions 29 ordinary symptoms and pathological mechanism were selected from references and translated into 51 Korean symptoms. After inclusion yes or no survey by expert group, 45 symptoms were selected. The importance survey showed that 'Have a soft stool' of Exterior-Cold ordinary symptom indication, '(If you're stressed, if you're not in good health) Have a soft stool or diarrhea' of Exterior-Disease unfavorable's ordinary symptom, 'The feces harden easily' of Interior-Heat ordinary symptom and '(If you're stressed, if you're not in good health) Have an upset stomach' of Interior-Disease unfavorable's ordinary symptom were the most important. Finally, [Diagnostic Index for the Ordinary Symptom of Soyangin] was completed after survey of translation validity, reflection of individual opinions by the expert committee, and application of weighted value calculated from the importance survey.

사상(四象) 체질별(體質別) 약재(藥材) 분류(分類)에 관한 연구(硏究)(소음인편(少陰人編)) (A Research on the Classification of Herbal Medicines based on the Sasang Constitution (Soeumin Part))

  • 김종열;김경요
    • 사상체질의학회지
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    • 제13권1호
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    • pp.8-16
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    • 2001
  • We analyzed 57 types of herbal medicines for Soeumin, clinically applied in Dongyisoosebowon. In order co discover the standard of herbal classification for the Sasang Constitutions, four concepts of Sasang Medicine were applied. These included 'Sadangron (theory of four groups)', 'Seungganggaehap(ascending-descending and gathering-dispersing)', 'Pyorihanyoul(exterior-interior and hot-cold)', and 'Hyungchiaekmi(fragrance, smell, bodily fluid and taste)'. According to these analyzing methods of herbal properties, we have reached the following conclusions: 1. Lee Je-ma first established the physiology of the internal organs of the Sasang Constitutions through the understanding of constitutional pathology. Dr. Lee then classified herbal medicines into four constitutional groups by observing the herbal effects according to such perspective of organ physiology and pathology. 2. Among the Sasang concepts applied in the analysis of herbal properties based on the physiology and pathology of Sasang constitutions, 'Seungganggaehap (ascending-descending and gathering-dispersing)' was found to be the most useful. Meanwhile, 'Sadangron, (the theory of four groups - Spirit, Qi, Blood and Essence),' along with 'Pyorihanyoul (exterior-interior and hot-cold)' and 'Hyungchiaekmi (fragrance, smell, bodily fluid and taste)' were partially useful. 3. Herbal medicines for Soeumin are characterized by ascending energetics that protect the Yang Qi. The 'Exterior heat disease' is treated with herbal medicines that raise the "Exterior Yang" in three different way: by tonifying Qi. by tonifying Blood and by releasing exterior. The 'Interior cold disease' is treated with herbal medicines that descend "Interior Yin" in two ways. One by warming the stomach, and the other by regulating Qi. 4. Cases where a whole category of herbs with the same effect have been applied co one constitution, are most frequent among Shaoyin herbs. There was an intimate connection between the treatment methods and the traditional effects of herbs for 'Soewnin'. These discoveries allowed us to see that the development of the pharmacology of the Sasang Constitutional pathology more progressed in 'Soeumin'. *analysing simple herbs of "DongEuiBoGam JangBu" we compare JangBu of traditional oriental medicine with JangBu of Sasang Constitutional Medicine. So we can comprehend the JangBu's difference of traditional-oriental with sasang-constitional medicine.

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진한가열증(眞寒假熱證)을 보인 소음인(少陰人) 망양증(亡陽證) 환자(患者) 치험(治驗) 1례(例) (A Case of Soeumin Mang-yang Syndrome Compared to Cold Syndrome with Pseudo-heat Symptoms)

  • 김일환;박혜선;이상민;김효수
    • 사상체질의학회지
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    • 제17권3호
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    • pp.150-155
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    • 2005
  • 1. Objectives This case is aimed to verify the relation of Soeurnin Mang-yang Syndrome and Cold Syndrome with pseudo-heat syndrome. 2. Methods The patient has high fever, general body sweating, thirst and constipitation is diagnosed as Soeumin Mang-yang Syndrome. Mang-yang Syndrome one of the symptoms in the Exterior Febrile Disease induced from the Kidney affected by Heat in Soeumin(少陰人) marked by spontaneous sweating and fever with chills. This syndrome is similar to Cold syndrome with pseudo-heat symptoms in general symptoms and pathologic process. Therefore, We medicate Doksampalmul-tang to this patient who diagnosed as Soeumin Mang-yang Syndrome. 3. Results and Conclusions The symptoms that the patient has fever, sweating, thirst and constipitation are solved after the medication. This means recovery of Yang-Energy in Kidney and the spleen.

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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.

The outline and prospects of Sasang Constitutional Medicine

  • 고병희
    • 사상체질의학회지
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    • 제30권1호
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    • pp.1-6
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    • 2018
  • In modern western science, the humanities and social sciences are separated from the natural sciences. However, new interpretations should be explored based on holistic concepts and the principles of wholeness found in eastern nature. Examples of the latter from Korea include Lee Je Ma's Sasang Constitutional Medicine(SCM). We aimed to examine the features and problems associated with SCM, as well as approaches to these problems. Sasang constitutional medicine suggests that an individual's constitution is determined congenitally, and the body and mind need to be considered simultaneously when treating disease. And SCM thinks that individuality is important in clinical practice even in social relationship. SCM needs to develop for objective diagnoses, and basic research needs to be conducted in parallel such as study of the Confucian classics and neo-confucianism. Expanding the scope of patient-centric academic exchange has been raised as an important issue to exchange with Western medicine and so on. SCM can be the medicine that places humanity at the center, and its mentality could apply to preventive medicine and personalized medicine. So it has positive influence on construction of a healthy society and improvement of healthcare worldwide.

소양인(少陽人) 약방(藥方)의 형성과정에 관한 연구(硏究) (The study on the formative process of Soyangin prescription)

  • 박성식;배효상
    • 사상체질의학회지
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    • 제14권3호
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    • pp.33-51
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    • 2002
  • 1. Purpose This study is intended to catch the expasion of theory of Sasang Constitutional Medicine through comparision DongyiSooseBowon Chopanbon with DongyiSooseBowon Chobonguen and DongyiSooseBowon Gabobon. 2. Method I compared the Soyangin's prescription and medications of DongyiSooseBowon Chopanbon with those of DongyiSooseBowon Chobonguen and Dongyisoosebowon Gabobon. 3. Result and conclusion 1) Soyangin's Medications of the same kind in Chobonguen's prescriptions and Gabobon's and Chopann's are thirty-two; like Bangpoong(防風), Hyeunggye(荊芥), Sangjihwang(生地黃), sukgo(石膏), etc. And these medications are the principle in Soyangin's disease. 2) Soyangin's Prescriptions of the same name in Chobonguen's prescriptions and Gabobon's and Chopanbon's are Yangdokbackhotang(陽毒白虎湯). Chopanbon's Yangdokbackhotang(陽毒白虎湯) is more rational and effective prescription. 3) Soyangin's Prescriptions of the same name in Chobonguen's prescriptions and Gabobon's are eleven; Bangpoongtongseungsan(防風通聖散), chengumdojuksan(千金導赤散), etc. These prescriptions are similar in the structure. 4) Soyangin's Prescriptions of the same name in Gabobon's prescriptions and Chopanbon's are five; Hyungbangpaedoksan(荊防敗毒散), Yangdokbackhotang(陽毒白虎湯). etc. These Prescriptions make a change in the structure from Gabobon's to Chopanbon's. As this we know that Dongmu(東武) selected Sasang Constitutional prescription and medication in detail as he has the more experience of treatment.

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구토(嘔吐)를 동반한 두위변화(頭位變化)에 따른 현훈증(眩暈症) 치험(治驗) 1예(例) (A Clinical Study about Treatment of Vertiginous Patient)

  • 김정주;김명균;최정락;박성식
    • 사상체질의학회지
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    • 제16권2호
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    • pp.99-104
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    • 2004
  • 1. Objectives Benign Paroxysmal Positional Vertigo (BPPV) is thought to be due to debris which has collected within a part of the inner ear. It is best characterized by true vertigo and geotropic nystagmus that occur a few seconds after specific head movements. The symptoms of BPPV include dizziness or vertigo, lightheadedness, imbalance, and nausea. The vertigo usually lasts no more than a minute. This study is reported to evaluate the effect of Geopung-san(祛風散) to patient with vertigo. 2. Methods This patient was treated by Geopung-san(祛風散) and Acupuncture, who was diagnosed as Soeumin interior disease. We used Visual analogue scale(VAS) for the assessment of vertigo. 3. Results This patient's main symptom is vertigo according to head movement with nausea and vomiting. So she was treated by Geopung-san(祛風散) in "Dongyisasangsinpyun(東醫四象新編)" and showed a positive response about her problems. 4. Conclusions We suggest that Geopung-san(祛風散) is effected significantly to patient with vertigo, but then we consider that studies about the case like this are more needed.

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뇌내출혈(ICH)환자의 비수술적 요법으로 치료한 1례(例)에 대한 증례보고(症例報告) (A Case Study about Treatment of soyangin Patient diagnosed as ICH without operated)

  • 박혜선;배영춘;주종천;김형순
    • 사상체질의학회지
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    • 제14권2호
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    • pp.106-114
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    • 2002
  • The etiology of spontaneous intracerebral hematoma is aneurysmal rupture, arteriovenous malfomation, brain rumor, blood dyscrasia, cerebral infaction, cerebra inflammatory vascular disease, hypertension, and unknown causes. And the primary intracerebral hematoma is caused by unknown causes including hypertension. The clinical diagnosis of intracerebral hematoma, size, location, ventricular penetration, and evolution of brain parenchyme by hemorrhage are confirmed by CT scan. The authors have experienced 1 case of spontaneous intracerebral hematoma confirmed by CT scan. We have diagnosed the patient as Soyangin and treated by east integrated therapy. We classified this case as Soyangin-liyoiljung(少陽人裏熱證) and prescribed Yangkyuksanhwatang' Jihwangbaekhotang Hyungbangsabaeksan to the principle of Cheongyangsangsung(淸陽上升). In the result, we had the improvement of the symptoms. This report discribed the process and contents about the way the patient was cured.

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