• 제목/요약/키워드: Sasang constitutional medicine(SCM)

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체질 임상 정보를 분석하기 위한 임상 지수 프로그램 개발 (Clinical Index Program for Analyzing Clinical Information of Sasang Constitutional Medicine)

  • 진희정;김명근;김종열;이시우
    • 한국한의학연구원논문집
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    • 제15권1호
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    • pp.63-68
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    • 2009
  • In Sasang Constitution Medicine (SCM), it is most important that a personal SCM type is determined accurately ahead of applying any Sasang treatments. Although SCM doctors have districted personal SCM types in many hospitals and universities via their own discriminant, it still lacks objective criteria on diagnosis of SCM type. Therefore, many researchers have been studied to diagnose the SCM type using constitutional clinical data. Previous work, we have developed decision tree program to analyze the clinical information. In this paper, we developed a clinical index program based on the web to analyze the correlation among clinical information. Finally, we identified useful factors(4 clinical indexes) which have significant influence on SCM types using clinical index program with previously developed decision tree program.

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사상의학(四象醫學)에서 성정(性情)의 중절(中節)과 심리치료(心理治療) (Control and Moderation of Natural Human Emotions through Sasang Constitutional Medicine and Psychotherapy)

  • 박성식
    • 대한한의학원전학회지
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    • 제26권2호
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    • pp.105-120
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    • 2013
  • Objectives: Sasang Constitutional Medicine(SCM) is a Traditional Korean Medicine based on the natural human emotions of joy(喜), anger(怒), sorrow(哀), and pleasure(樂). Therefore, in this paper I would like to construct SCM as a Mind-Body Medicine by studying the relation between SCM and psychotherapy focusing on control of emotions. Methods : I have researched the psychological characteristics of the four human physical constitutions, as described by SCM, and psychotherapy with an emphasis on the natural human emotions of joy, anger, sorrow, and pleasure as discussed in the works of Lee Je-ma(李濟馬, 1837-1900). Results and Conclusions : The joy, anger, sorrow, and pleasure in SCM do not simply refer to human emotions. They have an inherent nature(性), emotion(情) and Qi(氣). They are tied to the psychological characteristics of the four human physical constitutions and the relationship between body and mind. The turning point in the transformation from Sasang philosophy to Sasang therapy lies in these emotions. Sasang Constitutional Medicine, which focuses on 'mind matter' and diagnosing illness, emphasizes medicine and food(藥餌), along with health maintenance(調養). In particular, health maintenance requires the following mental practices. First of all, through countinuous awarness(恒戒) and self-reflection(自反), one needs to practice moderation(中) and restraint(節) of the emotions of joy, anger, sorrow, and pleasure. Therefore, 'inward reflection while sitting(坐思)' is necessary. In SCM, this is very similar to meditation in that it enhances psychological self-control through mental training or practice.

2015년부터 2018년까지 사상체질의학회지에 보고된 증례에 대한 보고의 질 평가 : CARE지침을 바탕으로 (Assesment of The Quality of Reporting in Case Reports in Journal of Sasang Constitutional Medicine from Year 2015 to 2018 : Using CARE Guidelines)

  • 김지환;이혜림;이주아;이명수
    • 사상체질의학회지
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    • 제30권2호
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    • pp.28-41
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    • 2018
  • Objectives The purpose of this study is to evaluate the quality of case reports about Sasang Constitutional Medicine(SCM). Methods Case reports published from March, 2015 to March, 2018 in Journal of SCM were identified by searching from Oriental Medicine Advanced Searching Integrated System(OASIS). We assessed the quality of reporting of them based on CAse REport (CARE) guideline. Results A total of 39 case reports were finally included for the assessment. Overall quality of reporting was acceptable because case report even less reporting items mentioned 70.4% of them. However, the quality level was uneven because the maximum report rate was 77.8 %, the minimum 44.4 %, and the median 66.7 % when rigorously assessed. More than 50% of 39 case reports did not report 6 items about intervention adherence and tolerability, Diagnostic challenges, patient's perspective on interventions, informed consent, timeline, and adverse events, and did not sufficiently report 4 items about inclusion of terms such as case reports or SCM in keyword, symptoms of patient in abstract, information such as occupation relevant with psychosocial history, and the rationale for conclusions. Conclusions Efforts to improve the quality of reporting in SCM, and to develop case reporting guidelines appropriate for SCM are required.

체질침법 연구 경향을 통한 사상체질침법 정립에 관한 연구 (A Study on Establishing the Sasang Constitution Acupuncture Method through Reviewing Research)

  • 유준상;한수지;안다영
    • 사상체질의학회지
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    • 제31권3호
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    • pp.9-18
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    • 2019
  • Objectives Sasang Constitutional Medicine(SCM) is uniquely established in the field of Korean Medicine. Taegeuk Acupuncture(TGA) and Eight Constitution Acupuncture(ECA) which are created upon SCM are applied in clinics. However, there exists no established theory but hypothesis with regard to the composition of acupoints of constitution acupuncture. The purpose of this study was to help establish the Sasang constitution acupuncture(SCA) method. Methods Thirties studies were found on various Oriental medicine journals and 17 literatures with the key words relevant to constitution and acupuncture. Results For the principle of acupoint selection, 12 studies were included which were classified into TGA, ECA, SCA, other constitution acupuncture. Among 17 literatures, most of them were relevant to SCA. For the clinical studies, eight of total 13 using ECA were for musculoskeletal diseases. Conclusions Among studies and literatures chosen, the application of Saam's acupuncture method was most frequently found in SCA method. For establishing the SCA method, the two main concepts need to be considered, which are the consideration of four areas namely Lungs, Spleen, Liver and Kidneys and upward-downward-loosening-tightening movement of the Qi according to Sasang constitution type.

태양소양인(太陽少陽人)과 태음소음인(太陰少陰人)의 수면(睡眠), 대편(大便), 소편(小便)에 관한 임상적 고찰 (A Clinical Study of Sleeping, Stool, Urine According to Taeyangsoyangin(Yangin) and Taeumsoeumin(Eumin))

  • 김정주;이영섭;박성식
    • 사상체질의학회지
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    • 제17권3호
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    • pp.82-90
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    • 2005
  • 1. Objectives : There are many studies on the ordinary symptoms based on Sasang constitution. But there are not quite satisfactory between the types of Sasang constitution. So This study is for learning the characteristics of ordinary symptoms depending on Taeyangin Soyangin(the rest Yangin) and Taeumin Soeumin(the rest Eumin) of the Sasang constitution. 2. Methods : We classified them into the each type of Sasang Constitutional Medicine(SCM) by the well-trained SCM specialist, and assessed their ordinary features by the questionnaire. Binary logistic regression analysis was applied to evaluate the influence of ordinary features to the diagnosis of SCM. 3. Results : There are a result of the binary logistic analysis on the observed questionnaire. 1) Regarding sleeping, Yangin do not dream much as Eumin do when they sleep. The time they are sleeping is not longer, and they usually do not sleep well. 2) Regarding stools, Yangin go to stool more than Eumin do. The constipation does not occur when they are not in a good condition, and they do not feel uncomfortable when they do not go to stool for a day. The length of time taken for emptying the bowels is much longer, and the hardness of their stools is much more, but the hardness does not mean that they have the constipation. 3) Regarding urine, Yangin have much more foam than Eumin. 4. Conclusions: We found that Yangin and Eumin have characteristics of ordinary symptoms, but partly there are not in accordance with ones what Lee Je-ma said in his book. So in future we hope clinical studies are required steadily.

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사상의학의 임상 응용과 저변 확대 - 원지상의 『동의사상신편』을 중심으로 - (Clinical Application of Sasang Constitutional Medicine and the Spread of Its Use : Focusing on Dongui sasang sinpyeon (東醫四象新編))

  • 안상우;김현구
    • 한국의사학회지
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    • 제25권2호
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    • pp.97-103
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    • 2012
  • Introduction : Sasang Constitutional Medicine (SCM) is one of the most popular specialty in Korean traditional medicine. After Donguisusebowon (東醫壽世保元), the book initiated SCM at first, there have been several books related with SCM. Through this study on Donguisasangsinpyeon (東醫四象新編), we intend to present clinical application of SCM and the spread of its use. Methods and Discussion : Firstly, we will examine the author's life and philosophy, and consider various editions of Donguisasangsinpyeon. And we will attempt content analysis to the preface, foreword, afterword, and main text. Using these methods, we will show that Donguisasangsinpyeon not only succeed the theory of Donguisusebowon faithfully, but also expand the clinical use of SCM. Conclusions : Donguisasangsinpyeon is the first SCM-based clinical book after Donguisusebowon. And the book can also be valued for its adoption of explanatory diagrams that help people select customized prescriptions conveniently and easily.

소양인 동출일속 병증에 관한 연구 (A Study on the Soyangin Pathologies that originate from a Common Root Pathologic Category)

  • 김윤희;황민우
    • 사상체질의학회지
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    • 제23권3호
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    • pp.285-293
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    • 2011
  • 1. Objectives: This study examines the pathologies that originate from a Common Root Pathologic Category(CRPC; 同出一屬) in the Soyangin that are suggested in the Sasang Constitutional Medicine(SCM). 2. Methods: The changes in concepts and perceptions on the Soyangin pathologies were compared across the different editions of Donguisusebowon, "Donguisusebowon, Gabo edition(東醫壽世保元甲午本) (DGO)" and "Donguisusebowon, Sinchuk edition (東醫壽世保元辛丑本) (DSC)". 3. Results and Conclusions: The Soyangin pathologies originating from a CRPC that are described in Donguisusebowon are actually detailed classifications of the Yin-deficiency Diurnal-heat symptomatology (陰虛午熱證) and the Chest-congestion symptomatology (結胸證). Lee Jema had introduced the concept of "Common Root Pathologic Category(CRPC)" to approach pathologies of similar exterior/interior classification or severity stage (mild/moderate/severe/critical) by combining them in a comprehensive, integrative pathology system. This comprehensive approach, which promotes better understanding of the Soyangin pathology and maximizes the therapeutic efficiency of SCM, constitutes the "Comprehensive Therapeutic Methodology" that is the hallmark of Sasang therapy.

소음인체질병증 임상진료지침: 진단 및 알고리즘 (Clinical Practice Guideline for Soeumin Disease of Sasang Constitutional Medicine: Diagnosis and Algorithm)

  • 이준희;이의주
    • 사상체질의학회지
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    • 제26권1호
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    • pp.11-26
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    • 2014
  • Objectives This research was proposed to present Clinical Practice Guideline(CPG) for Soeumin 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 Soeumin Symptomatology diagnosis and algorithm. For developin diagnosis and algorithm, we searched the classification, ordinary symptom, present symptom of the Soeumin Symptomatology Results & Conclusions We classified the Soeumin Symptomatology by 4 steps: Exterior-Interior disease, favorable-unfavorable pattern, mild-moderate-severe-critical pattern, initial-intermediate-advanced pattern. And at the unfavorable pattern, ordinary symptom is very important. So Doctors focuss on the symptom of unfavorable's ordinary symptom such as temperament inclined symptom, excessive sweating, diarrhea, and vexation.

사상인 체질병증 험위증(險危證) 중 악성 종양으로 유발될 수 있는 증(證)에 대한 고찰 (A Literature Study on the Association with Critical State of Sasang Constitutional Symptoms and Cancer Related Symptoms)

  • 이수민;박소라;이수경
    • 사상체질의학회지
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    • 제27권3호
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    • pp.307-317
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    • 2015
  • Objectives The purpose of study was to identify cancer related symptoms of Sasang Constitution based on the classic of Sasang Constitutional Medicine (SCM). Methods The bibliographical study was performed with "Dongyisoosebowon-Shinchukbon(東醫壽世保元 辛丑本)", Dongyisoosebowon-Sasangchobongwon(東醫壽世保元 四象草本券), "Cancer", and several review articles. The perspective on severe illness in SCM was investigated. And 'the critical state' of constitutional symptoms based on "Dongyisoosebowon" was identified as cancer related symptoms. Results and Conclusions The perspective on severe illness of SCM was focused on the human being itself, compared with symptom based traditional Chinese medicine. The preservation of requisite energy (保命之主) was a vital factor of longevity to maintain healthy status and the classification of severity of disease. And critical state was an important indicator to control severe illness. Regarding cancer related symptoms in SCM, Janggwol(臟厥), Eumsung-gyeokyang(陰盛隔陽證), Janggyeol(藏結證) of Soeumin symptoms, Hwangdal(黃疸), Haso(下消), Eumheo-oyel(陰虛午熱證), Gochang, Tohyul(吐血) of Soyangin's symptoms, Joyeol(燥熱證), Bokchang-bujong(腹脹浮腫) of Taeeumin's symptoms, and Eolgyek of Taeyangin's symptoms could be shown the association with cancer. According to the prognosis on disease severity, regimens of daily life, behavior modifications as well as medications were also emphasized with great importance to control severe illness in SCM. These holistic approach for controlling severe illness in SCM could lead to the improvement of treatment outcome.

팔물군자탕 가미방으로 호전된 재발성 아프타성 구내염 및 한포진 환자 치험 1례 (A Case Report of Patient with Recurrent Aphthous Stomatitis and Pompholyx Treated with Modified Palmulgunja-tang)

  • 김지환
    • 사상체질의학회지
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    • 제32권2호
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    • pp.80-95
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    • 2020
  • Introduction This study is the first case report to observe a significant improvement of clinical symptoms of both Recurrent Aphthous Stomatitis(RAS) and pompholyx treating with modified Palmulgunja-tang for Soeum-type. Case presentation A 37-year-old female patient complained of pain by ulcers on her mouth and tongue, and of itching caused by vesicles on her palms and soles was diagnosed with RAS, pompholyx, and, especially moderate pattern of 'Congestive Hyperpsychotic symptomatology' according to the theory of Sasang Constitutional Medicine(SCM). During inpatient and outpatient treatment, she took modified Palmulgunja-tang, and was treated with acupuncture, moxibustion, and cupping therapy. The effectiveness of these therapies was assessed with subjective Neumeral Rating Scale(NRS) and Dyshidotic Eczema Area and Severity Index(DASI). Conclusion After the treatment according to the theory of SCM, NRS, and DASI score about RAS and pompoholyx was decreased, and the general condition of the patient also has improved.