• The Journal of Korean Medicine
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• v.29 no.4
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• pp.161-170
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• 2008

Objectives: This study aimed at comparing Sasang constitutional medicine(SCM) with other constitutional theories of the world. Methods: From PubMed database, we first searched all papers using the term 'constitution', then filtered those having really constitution-focused papers. Then, they were analyzed to compare each constitutional theory and medicinal practice. Results: There were five constitution-related medicines which have been practiced in medical field: Sasang, iridology, somatotype, dermatoglyphics and Ayurveda. There was the largest number of scientific researches for dermatoglyphics while the smallest number of papers was for SCM. The other three constitutional theories were based on anatomic/histologic difference between types in contrast to SCM and Ayurveda, which relied on inherited functional differences of four or three internal organs. Conclusions: This study simultaneously compared five major constitutional theories currently practiced as medicines in the world. We found that even as SCM seems to have the most potential as therapeutic medicine it should be studied more using scientific methodologies to be a world-wide medicine.

• Journal of Sasang Constitutional Medicine
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• v.23 no.1
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• pp.44-52
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• 2011

1. Objectives: This research was proposed to find out how the recognition on Mangeum-syndrome(亡陰證) of Soyangin in Sasang Constitutional Medicine(SCM) evolved from "Donguisusebowon-GabObon(東醫壽世保元甲午本)"(DGO) to "Donguisusebowon-ShinChukbon(東醫壽世保元辛丑本)"(DSC). 2. Methods: We compared "Donguisusebowon-GabObon(東醫壽世保元甲午本)"(DGO) with "Donguisusebowon-ShinChukbon(東醫壽世保元辛丑本)"(DSC) to know how the symptom, mechanism, treatment principle and treatment methods on Mangeum-syndrome(亡陰證) of Soyangin in Sasang Constitutional Medicine(SCM). 3. Results and Conclusions: (1) The way to categorize the Exterior Disease and Interior Disease was different between DSC and DGO. (2) There was only a fundamental mechanism about the Boktongseolsa-syndrome(gastralgia and diarrhea) and no treatment principles and treatment methods about it in DGO. But the Boktongseolsa-syndrome was evolved into Mangeum-syndrome(亡陰證) in DSC with a detailed mechanism and treatment principles of it. (3) The evolution of Mangeum-syndrome(亡陰證) in DSC from Boktongseolsa-syndrome in DGO was attributed to the experience of treatment on Seomeo-syndrome(譫語證).

• Journal of Sasang Constitutional Medicine
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• v.15 no.3
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• pp.100-117
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• 2003

Background In Sasang Constitutional Medicine (SCM), human beings are classified into four constitutions: Taeyangin, Taewnin, Soyangin, and Soeumin. SCM presents various lifestyles and treatments for each constitution. The problem of SCM is that its diagnosis is so subjective that the result of the diagnosis depends on the doctor. In order to solve this problem, multiple approaches have been objectively researched. To use a questionnaire is the most common method among the different approaches. Since there are a few problems in the Questionnaire for the Sasang Constitution Classification II (QSCC II), which in recent days has been used frequently, the necessity of a new questionnaire has arisen. Objective The purpose of this study is to develop a new questionnaire for the objectivity of the Sasang Constitution Classification by complementing the existing questionnaire. Methods In order to search for the existing questionnaire's problems, I first compare the ratio of the amount of questions regarding external appearance to that of questions of mental characteristics and physiologic & pathologic symptoms in QSCCII and QSCCII +. We created the new questionnaires by reinterpreting ${\ulcorner}Dongyi$ Soose $Bowon{\lrcorner}$ through SCM professors' and medical residents' discussion and by adding some items related to the diagnosis about the constitution from other SCM books and clinical experience. Results 1. The new questionnaire for the Sasang Constitution Classification is self-reported questionnaire based on a multiple choice system of 4 questions. 2. The new questionnaire for the Sasang Constitution Classification consists of 28 questions, which include 7 questions about external appearance, 4 questions about mental characteristics, and 17 questions about physiologic & pathologic symptoms. 3. The new questionnaire for the Sasang Constitution Classification consists of 24 questions of Taeyangin, 28 of Taeumin, 28 of Soyongin, 28 of Soeumin. 4. We will have to verify validity and reliability of new questionnaire for rhe Sasang Constitution Classification.

• Journal of Sasang Constitutional Medicine
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• v.21 no.3
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• pp.1-16
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• 2009

1. Objectives: This research was proposed to find out the pathology of Soyangin in Sasang Constitutional Medicine(SCM). 2. Methods: The related contents of the pathology of Soyangin were selected in Je-Ma Lee's literatures such as "Dongmu-YuGo(東武遺稿)"(DYG), "Donguisusebowon-SaSangchobongyun(東醫壽世保元四象草本卷)"(DSS), "Donguisusebowon-GabObon(東醫壽世保元甲午本)"(DGO), "Donguisusebowon-ShinChukbon(東醫壽世保元辛丑本)"(DSC), and the research was written in order to find out the physiology and pathology of Soyangin in SCM. 3. Results and Conclusions: The chronical change of pathologic concept in Soyangin diseases as follows : Pathology in Soyangin diseases was much Hot Qi(熱氣), and more ascending Qi, less descending Qi in DYG, DSS. In "Discourse on the viscera and bowels" of DGO and DSC, Soyangin has a circulation of Water-Food Hot Qi of Spleen Group(脾黨) and Water-Food Cold Qi of Kidney Group(腎黨). Exterior Disease(表病) was the injury of Exterior-Qi such as mouth-hip Qi(口膀胱氣) by Anger-Nature-Qi(怒性氣), and Interior Disease(裏病) was the injury of Interior-Qi such as kidney-large intestine Qi(腎大腸氣) by Sorrow-Emotion-Qi(哀情氣). All diseases of Soyangin are caused by insufficient Cool Yin Qi(陰淸之氣) in Kidney Group(腎黨), so the pathology of Soyangin was focused on Requisite energy(保命之主) and each small viscera and bowels(偏小之臟). In this viewpoint, the schema of Soyangin diseases such as Soyangsangpoong-syndrome(少陽傷風證), Kyulhyung-syndrome(結胸證), Mangeum-syndrome(亡陰證), Hyungkyukyeol-syndrome(胸膈熱證), Sogal-syndrome(消渴證) and Eumhuoyeol-syndrome(陰虛午熱證) were designed to explain the mechanism of each syndrome.

• Journal of Sasang Constitutional Medicine
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• v.21 no.2
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• pp.27-41
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• 2009

1. Objectives : This research was proposed to find our the pathology of Soeumin in Sasang Constitutional Medicine(SCM). 2. Methods : The related contents of the pathology of Soeumin were selected in Je-Ma Lee's literatures such as "Dongmu-YuGo(東武遺稿)"(DYG), "Donguisusebowon-SaSangchobongyun(東醫壽世保元四象草本卷)"(DSS), "Donguisusebowon-GabObon(東醫壽世保元甲午本)"(DGO), "Donguisusebowon-ShinChukbon(東醫壽世保元辛丑本)"(DSC), and the research was written in order to find out the physiology and pathology of Soeumin in SCM. 3. Results and Conclusions : The chronical change of pathologic concept in Soeumin diseases as follows: Pathology in Soeumin diseases was much Cold Qi(寒氣), and more descending Qi, less ascending Qi in DYG, DSS. In "Discourse on the viscera and bowels" of DGO and DSC, Soeumin has a circulation of Water-Food Hot Qi of Spleen Group(脾黨) and Water-Food Cold Qi of Kidney Group(腎黨). Exterior Disease(表病) was the injury of Exterior-Qi such as eye-shoulder Qi(目膂氣) by Pleasure-Nature-Qi(樂性氣), and Interior Disease(裏病) was the injury of Interior-Qi such as spleen-stomach Qi(脾胃氣) by Joy-Emotion-Qi(喜情氣). All diseases of Soeumin are caused by insufficient Warm Yang Qi(陽煖之氣) in Spleen Group(脾黨), so the pathology of Soeumin was focused on Requisite energy(保命之主) and each small viscera and bowels(偏小之臟). In this viewpoint, the schema of Soeumin diseases such as Ulkwang-syndrome(鬱狂證), Mangyang-syndrome(亡陽證), Taeum-syndrome(太陰證) and Soeum-syndrome(少陰證) were designed to explain the mechanism of each syndrome.

• Journal of Sasang Constitutional Medicine
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• v.26 no.3
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• pp.224-240
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• 2014

Objectives This research was proposed to present Clinical Practice Guideline(CPG) for Soyangin Disease of Sasang Constitutional Medicine(SCM): Diagnosis and Algorithm. This CPG was developed by the national-wide experts committee consisting of SCM professors. Methods We searched the literature and articles related to Soyangin Symptomatology diagnosis and algorithm. For developing diagnosis and algorithm, we searched the classification, ordinary symptom, present symptom of the Soyangin Symptomatology. Results & Conclusions We classify the Soyangin Symptomatology by 4 steps: Exterior-Interior disease, favorable-unfavorable pattern, mild-moderate-severe-critical pattern (initial-advanced pattern). And at the unfavorable pattern, ordinary symptom is very important. So doctors need to focus on the symptom of unfavorable's ordinary symptom such as temperament inclined symptom, diarrhea, and diurnal body fever.

• Journal of Sasang Constitutional Medicine
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• v.23 no.2
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• pp.194-207
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• 2011

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.

• Journal of Sasang Constitutional Medicine
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• v.34 no.2
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• pp.48-64
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• 2022

Objectives The purpose of this study was to review and evaluate the clinical evidence of the efficacy and safety of treatment based on Sasang constitutional medicine (SCM) for post-stroke patients by systematic review and meta-analysis. Methods Randomized controlled trials (RCTs), published in 10 electronic databases up to December 2020, were searched. For the included studies, Cochrane's risk of bias assessment was performed to analyze the methodological quality. The strength of evidence was evaluated using the grading of recommendations assessment, development, and evaluation system based on the results of analyses. All review processes were performed by two independent researchers. Results Five RCTs were finally included. All included RCTs were conducted for one month on post-stroke patients in 60-80s, four studies on Tae-Eum patients and one study on So-Yang patients. Four types of constitution-specific herbal medicine (Chungpyesagan-tang, Cheongsimsanyak-tang, Yeoldahanso-tang, and Yangkyuksanhwa-tang) and constitution-specific acupuncture therapy were identified as interventions. More than half of the included studies were evaluated as low quality due to the high-risk of bias in selection, performance, and detection. The combination of constitution-specific herbal medicine, acupuncture, and conventional treatment was more effective in improving the patients' motor impairment, dysphagia, aphasia, and depression than conventional treatment alone. No serious adverse events by SCM treatment were reported. Conclusions SCM treatment may improve the sequelae of post-stroke patients safely in combination with conventional treatment. Since the quality of clinical evidence included in this study was low, higher quality clinical evidence obtained in well-designed clinical studies will be needed.

• Journal of Sasang Constitutional Medicine
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• v.26 no.3
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• pp.295-303
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• 2014

Objectives It is very important to diagnose Sasang Constitution (SC) correctly. The aim of this study was to reveal the concordance and validity of the specialists in Sasang Constitutional Medicine (SCM). Methods Three experts who had more than 5 years of experience and used more than 90% of Sasang Constitutional prescription in clinical practice of SCM participated in this study. The data composed of body shape, face, voice, temperament and physio-pathological symptoms were collected in the Korea Constitutional Multicenter Bank and 81 subjects' data were extracted randomly. The experts reviewed all 81 subjects data independently. Kappa analysis was conducted. Results 1) The concordance is from 52.5% to 68.4% among three experts. 2) The validity between individual expert and gold standard is from 54.3% to 63% and Kappa's coefficients are from 0.283 to 0.421. 3) The validity is from 68.5% to 70.7% when two or three experts agree the Sasang constitution independently and 75.7% when all of experts agree it. Conclusions The concordance and validity of experts in SCM seems to be moderate. We think further study is needed.

• Korean Journal of Oriental Medicine
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• v.14 no.3
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• pp.81-87
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• 2008

Sasanag Contitution Medicine(SCM) is the traditional medicine theory based on constitutional medicine in Korea. It is most import ant that a personal SCM type is determined accurately ahead of applying any Sasang treatments. For this, many researches have been studied to diagnose the SCM type using constitutional clinical data. The decision tree is a tree-structured data-mining methodology. Recently, in the Korean traditional medicine society, there have been several efforts to find diagnosing tools using the decision tree method. So, we developed a decision tree program based on web for analyzing constitutional clinical information. It can use various clinical data as input data, offer filtering function to select clinical data to be used. We can find useful factor to be influential on SCM types using this program.