• Title/Summary/Keyword: Sasang constitutional medicine(SCM)

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Inter-expert Agreement and Diagnostic Accuracy of Sasang Constitution Medicine (사상체질 진단 연구의 전문가 일치도와 진단 정확률)

  • Han, Eunkyung;Kwon, Young Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.4
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    • pp.185-196
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    • 2018
  • The purpose of this study is to evaluate the current inter-expert agreement of Sasang Constitution Medicine (SCM), to expand the current knowledge on the causes of imperfect inter-expert agreement, and to explore possible solutions for improving inter-expert agreement. A literature search was conducted to gather data on the studies on diagnosis of SCM. The 127 articles included in this analysis had a mean 4.1 publications per year, 56.0% published in the Journal of Sasang Constitutional Medicine between the year of 1987 and 2017. SCM specialist participated in 96.3% of all the expert judgment cases. Inter-expert agreement was reported in 14.8% of the cases that had two or more experts. We recommend that expert panels integrate the results of current status of diagnostic consensus into guideline development and strengthen expert education and training with the aim of improving SCM diagnostic accuracy.

An Error Examination of 3D Face Automatic Recognition (3차원 안면자동인식기의 형상복원 오차검사)

  • Suk, Jae-Hwa;Cho, Kyung-Rae;Cho, Yong-Beum;Yoo, Jung-Hee;Kwak, Chang-Kyu;Lee, Soo-Kyung;Kho, Byung-Hee;Kim, Jong-Won;Kim, Kyu-Kon;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.18 no.2
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    • pp.41-49
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    • 2006
  • 1. Objectives The Face is an important standard for the classification of Sasang Contitutions. We are developing 3D Face Automatic Recognition Apparatus to analyse the facial characteristics. So We should examine a shape demobilization error of 3D Face Automatic Recognition Apparatus. 2. Methods We compared facial shape data be demobilized by 3D Face Automatic Recognition Apparatus with facial shape data that be demobilized by 3D laser scanner. The subject was two korean men. And We analysed the average error and the maximum error of two data. In this process, We used one datum point(the peak of nose) and two datum line(vertical section and horizontal section). 3. Results and Conclusions In each this comparison, the average error of vertical section was 1.962574mm and 2.703814mm. and the maximum error of vertical section was 16.968249mm and 18.61464mm. the average error of horizontal section was 4.173203mm and 21.487479mm. and the maximum error of horizontal section was 3.571210mm and 17.13255mm. Also We complemented this apparatus a little and We reexamined a shape demobilization error of 3D Face Automatic Recognition Apparatus again. Accuracy of a shape demobilization was improved a little. From now on We complement accuracy of a shape demobilization in 3D Face Recognition Apparatus.

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Point Recognition Precision Test of 3D Automatic Face Recognition Apparatus(3D-AFRA) (3차원 안면자동인식기(3D-AFRA)의 안면 표준점 인식 정확도 검증)

  • Seok, Jae-Hwa;Cho, Kyung-Rae;Cho, Yong-Beum;Yoo, Jung-Hee;Kwak, Chang-Kyu;Hwang, Min-U;Kho, Byung-Hee;Kim, Jong-Won;Kim, Kyu-Kon;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.1
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    • pp.50-59
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    • 2007
  • 1. Objectives The Face is an important standard for the classification of Sasang Contitutions. Now We are developing 3D Automatic Face Recognition Apparatus to analyse the facial characteristics. This apparatus show us 3D image of man's face and measure facial figure. We should examine accuracy of position recognition in 3D Automatic Face Recognition Apparatus(3D-AFRA). 2. Methods We took a photograph of Face status with Land Mark by using 3D-AFRA. And We scanned Face status by using laser scanner(vivid 700). We analysed error average of distance between Facial Definition Points. We compare the average between using 3D-AFRA and using laser scanner. So We examined the accuracy of position recognition in 3D-AFRA at indirectly. 3. Results and Conclusions The error average of distance between Right Pupil and The Other Facial Definition Points is 0.5140mm and the error average of distance between Left Pupil and The Other Facial Definition Points is 0.5949mm in frontal image of face. The error average of distance between Left Pupil and The Other Facial Definition Points is 0.5308mm and the error average of distance between Left Tragion and The Other Facial Definition Points is 0.6529mm in laterall image of face. In conclusion, We assessed that accuracy of position recognition in 3D-AFRA is considerably good.

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A Study on the Correlation between Pulse Energy and Sasang Constitutional Syndromes (맥 Energy와 사상체질병증의 연계 연구)

  • Kim, Dal-Rae;Kim, Sun-Hyung
    • The Journal of Korean Medicine
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    • v.30 no.1
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    • pp.26-39
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    • 2009
  • Objectives: Pulse energy values recorded with an add-pres sure-type pulse apparatus were correlated with Sasang constitutional syndromes in order to match pulse energy values with Sasang prescriptions. Methods: The pulse energy values were measured with Daeyo Pulse Apparatus at the Gwan pulse point of both wrists. Prescriptions were divided into two major categories of interior syndromes or exterior syndromes, and categorized according to major component herbs specific to each of the four Sasang constitutions, and the relationship between the pulse energy and each groups divided by their prescription was studied. Results: About 10% of all people had nonmal pulse energy values. 10% had values over normal range, and $70\sim80%$ had lower values than normal. The normal range of pulse energy was regarded as being between 450 and 700. Conclusions: 1. For patients of the Soeum constitution, prescriptions without Panax ginseng is suitable for patients with high pulse energy, and prescriptions containing Panax ginseng are suitable for patients who have lower pulse energy. 2. All prescriptions for the Soyang constitution containing Rehmannia radix preparata or Comus officinalis are suitable for patients who have lower pulse energy, and prescriptions containing Rehmannia radix or Gypsum fibrosum are applicable to patients with pulse energy values higher than normal. 3. Most prescriptions for the Taeum constitution containing Semen coicis or Semen castaneae are suitable for patients with lower pulse energy, and prescriptions containing Radix puerariae or Radix et rhizoma rhei can be prescribed for patients who have lower pulse energy levels. 4. The Taeyang constitutional prescription Ogapijangcuck-tang is suitable for patients who have higher pulse energy levels and Mihudeungsikjang-tang is better for patients with lower than normal pulse values. As described above, the pulse energy level of each patient can be matched with a specific Sasang constitutional prescription. If this relationship is taken into consideration with other conventional symptoms, it can be helpful in diagnosis, improving efficacy of treatment, and be used as objective evidence.

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Impact of the Sasang Constitutional Type on the High-Sensitivity C-Reactive Protein, a Predictor of Cardiovascular Disease (사상체질(四象體質)과 심혈관질환 예측인자인 High-sensitivity C-reactive protein의 상관성에 관한 연구)

  • Kang, Mi-Jeong;Lee, Ji-Won;Lee, Eui-Ju;Koh, Byung-Hee;Lee, Jun-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.4
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    • pp.471-486
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    • 2011
  • 1. Objectives The purpose of this study was to investigate the high-sensitivity C-reactive protein (hsCRP) related characteristics found in each Sasang Constitutional type. 2. Methods This cross-sectional epidemiological study was conducted using data from 2,842 men and women. After typing each participant into one of the four Sasang constitutional types, they were analyzed on various cardiovascular disease-related variables. 3. Results 1) The predictors of cardiovascular disease (metabolic syndrome, high risk FRS group, high risk hsCRP group) was found to show the highest prevalence in the Taeeum type. 2) In the group with metabolic syndrome, the mean hsCRP concentration in the Taeeum and Soyang types were higher than in the Soeum type. In the group without metabolic syndrome, the mean hsCRP concentration in the Taeeum type were higher than in the Soyang and Soeum types. 3) In the FRS low risk group, the mean hsCRP concentration were higher in order of Taeeum type > Soyang type > Soeum type. In the FRS high risk group, the mean hsCRP concentrations were not significantly different among the Sasang constitutional types. 4. Conclusions The results of this study suggest that the Taeeum constitutional type is a risk factor for high hsCRP and cardiovascular disease. These findings suggest that the prevention of cardiovascular disease is more important in the Taeeum type compared to other constitutional types. Moreover, preventive measures are warranted even in the Taeeum-type persons with low clinical cardiovascular risk.

The Crown Prince Sohyen's Constitution on the Basis of Sasang Constitituional Medicine and Cause of Death (소현세자의 체질과 사망원인분석)

  • Kim, Jong-Dug
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.2
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    • pp.58-71
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    • 2009
  • 1. Objectives : The Crown Prince Sohyen(1612-1645) has been believed ro have been poisoned to death because of the political conflict with the King Injo. However, the Crown Prince Sohyen who was So-yangin(SY type) didn't be treated properly at that time. This paper is supposed to explain the reason why he died by reference. 2. Methods : The prescription which was made out to the Crown Prince Sohyen is analyzed, based on the Sasang Constitutional Medicine(SCM) through Shimyang-ilgy and Ulyudongkung-ilgy. 3. Results : 1) In the case of the prescription where So-yang medical stuffs were contained a lot or Gunyak(the main madical stuff) was So-yang one, the Crown Prince Sohyen was better, while that of Tae-eum and So-eum medical stuffs didn't work. Therefore, the Crown Prince Sohyen can be considered So-yangin. 2) The So-yang in's symptom was misunderstood as Hakjil and treated, which could lead him to be put to death 4. Conclusions : The Crown Prince Sohyen is supposed to be Soyang-in(SY type), and accordingly the So-yang in's symptom was misunderstood as Hakjil and treated, which could cause him to pass away.

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A Software Error Examination of 3D Automatic Face Recognition Apparatus(3D-AFRA) : Measurement of Facial Figure Data (3차원 안면자동인식기(3D-AFRA)의 Software 정밀도 검사 : 형상측정프로그램 오차분석)

  • Seok, Jae-Hwa;Song, Jung-Hoon;Kim, Hyun-Jin;Yoo, Jung-Hee;Kwak, Chang-Kyu;Lee, Jun-Hee;Kho, Byung-Hee;Kim, Jong-Won;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.3
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    • pp.51-61
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    • 2007
  • 1. Objectives The Face is an important standard for the classification of Sasang Constitutions. We are developing 3D Automatic Face Recognition Apparatus(3D-AFRA) to analyse the facial characteristics. This apparatus show us 3D image and data of man's face and measure facial figure data. So We should examine the Measurement of Facial Figure data error of 3D Automatic Face Recognition Apparatus(3D-AFRA) in Software Error Analysis. 2. Methods We scanned face status by using 3D Automatic Face Recognition Apparatus(3D-AFRA). And we measured lengths Between Facial Definition Parameters of facial figure data by Facial Measurement program. 2.1 Repeatability test We measured lengths Between Facial Definition Parameters of facial figure data restored by 3D-AFRA by Facial Measurement program 10 times. Then we compared 10 results each other for repeatability test. 2.2 Measurement error test We measured lengths Between Facial Definition Parameters of facial figure data by two different measurement program that are Facial Measurement program and Rapidform2006. At measuring lengths Between Facial Definition Parameters, we uses two measurement way. The one is straight line measurement, the other is curved line measurement. Then we compared results measured by Facial Measurement program with results measured by Rapidform2006. 3. Results and Conclusions In repeatability test, standard deviation of results is 0.084-0.450mm. And in straight line measurement error test, the average error 0.0582mm, and the maximum error was 0.28mm. In curved line measurement error test, the average error 0.413mm, and the maximum error was 1.53mm. In conclusion, we assessed that the accuracy and repeatability of Facial Measurement program is considerably good. From now on we complement accuracy of 3D-AFRA in Hardware and Software.

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Overview on the Sasang Constitutional Abdominal Examination based on Experienced Prescriptions in the Donguisusebowon (동의수세보원(東醫壽世保元) 경험방에 근거한 사상체질별 복진의 문헌연구)

  • Lee, Jae-Chul;Kim, Sang-Hyuk
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.2
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    • pp.141-146
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    • 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.

A Sasang Constitutional Study on the Myunghyun Symptom (명현현상(瞑眩現狀)에 대한 사상의학적(四象醫學的) 고찰(考察))

  • Jeong, Yong-Jae;Lee, Jun-Hee;Lee, Soo-Kyung;Kim, Dal-Rae;Koh, Byung-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.1
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    • pp.20-27
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    • 2009
  • 1. Objects Myunghyun Symptom(瞑眩現狀) is widely regarded as 'symptoms of discharge the accumulated poison in body', 'symptoms in the process of healing' apart from any other side effects of drugs. Recently, Natural Medicine of Europe and the U.S.A named it 'healing crisis'. However, this tends to be used indiscriminately. I took a look at the meaning of the Myunghyun Symptom correctly, and the meaning at a point of Sasang Constitutional view 2. Methods It was researched on the literal study about the meaning of the Myunghyun Symptom on the book "Seokyung"(書經), "Dongeuibogam(東醫寶鍵)", "Dongyi Suse Bowon(東醫壽世保元)", "Yakjing(藥徵)", and the meaninig at a point of Sasang Constitutional view through the "Dongyi Suse Bowon(東醫壽世保元)", "Dongyi Suse Bowon Sasang Chobonguen(東醫壽世保元 四象草本卷)". 3. Results and Conclusions 1. The original meaning of the Myunghyun symptom is 'dizziness by the use of massive effective drugs'. 2. Yoshimasu Todo interprεtated broadly the Myunghyun symptoms as the discharge of the accumulated poison in body, the symptoms in the process of healing. 3. Dongmu recognized the Myunghyun symptom as dizziness by massive effective drugs and shun the use of massive effective drugs. 4. Dongmu established the concept of 'Jang-gi(臟氣) and 'Yak-gi(藥氣)' and esteemed Jang-gi more than Yak-gi. So he contended that When there is no disease does not use drugs, even if the illness prioritized the use of mild drug, use the massive effective drugs a little while when there is an acute disease. 5. When the Sasnag Constututional Drugs help the Bomyungjiju(보명지주), Sometimes the Myunghyun Symptom is appeared. it is the process of Tongoi by Taeum Drugs, Chungjang by Soyang Drugs, Gojung by Tayang Drugs, Onri by Soeum Durgs. 6. Myunghyun symptoms which used indiscriminately in present is stopped and needs a clear observation and description about the drug reactions to the patient's condition.

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A Case Study of Taeeumin Patient with Edema Treated with Gunyuljejo-tang (태음인 부종 환자의 건율제조탕 치험 1례)

  • Han, Suzy;Yu, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.33 no.3
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    • pp.138-145
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    • 2021
  • Objectives Edema occurs in various disorders, such as heart failure, nephrotic syndrome, renal failure, liver cirrhosis, and cancer. The excessive accumulation of interstitial fluid in limb tissue will often manifest with ankle and knee swelling and lowers patient's quality of life. But the conventional treatment includes restricting dietary sodium and using diuretics. The purpose of this study is about significant improvement of a patient with edema who had suffered from dependent gait accompanied by mild pain, after treatment by herbal medicine based on SCM(Sasang constitutional medicine). Methods The pattern identification of the patient was diagnosed with a superficial disease of Taeeumin. So after the admission, Gunyuljejo-tang was used, almost two times per day during 2 weeks. Also, we applied acupuncture routinely every day and western medicine as needed. We measured the circumferences of Lt. thigh and followed up the bioelectrical impedance analysis and checked the appearance of lower limb. Results and Conclusions The therapy was effective, and the circumferences, which was 59.69cm at onset time, decreased to 52.07cm almost same to the healthy side of her thigh. There was no more edematous sign on the body, either. This case showed that management of Taeeumin's healthy energy(呼散之氣, the energy of exhalation) could be effective in treating edema.