• YAKHAK HOEJI
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• v.58 no.1
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• pp.71-79
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• 2014

Although Korean patients with type 2 diabetes mellitus (T2DM) are generally treated by western medicine, many of them strongly believe in the traditional oriental Sasang constitutional classification and depend on it for food, health supplements, and oriental medicines decision making. Sasang constitutional classification is a part of traditional Korean medicine that divides people into four constitutional types (Tae-Yang: TY, Tae-Eum: TE, So-Yang: SY, and So-Eum: SE), which differ in inherited characteristics such as appearance, personality traits, susceptibility to diseases, and drug responses. It is recommended for T2DM patients to control their blood glucose very well from early stages with drugs and diet. However, many T2DM patients respond differently to their drugs, even though they receive the same medicine. Therefore, the present study investigated whether Sasang constitutional type can explain the therapeutic differences between oral hypoglycemic agents (OHAs) therapy (mono, dual and triple drug therapy). Patients of 618 with T2DM diagnosis and Sasang constitutional type known who received both western and oriental medicine treatment in a hospital between April 2006 and April 2013 retrospectively studied. HbA1c (%) and blood glucose (mg/dl) levels before OHAs therapy and 3 month after were collected for metformin (MET) or sulfonylurea (SU) monotherapy, MET+SU dual therapy, MET+except SU (where was either alpha-glucosidase inhibitor, dipeptidyl peptidase-4 inhibitor, meglitinide or thiazolidinedione) dual therapy, and triple therapy, according to Sasang constitutional type. For statistical analysis, ANOVA was used and paired t-test by SPSS 19.0 where P values less than 0.05 were considered statistically significant. Pattern was similar levels of HbA1c and blood glucose and which was decreased in order of mono, MET+SU dual, MET+except SU dual and triple therapy. In all patients comparison, for the So-yang (SY) constitutional type, either monotherapy was less effective; for Te-eum (TE) type, MET+SU dual therapy was less effective while MET+except SU dual therapy was more effective and the triple therapy was less effective; and for So-eum (SE) type, the triple therapy was more effective. For the management of TE type it is recommended to use drugs except SU when dual therapy is needed, restrict triple therapy and consider dual and insulin therapy; for SY type it is recommended to follow current guidelines; and for SE type it is advisable to skip dual therapy and start the triple therapy early. Finally, the therapeutic response to OHAs is different among Korean T2DM patients with different Sasang constitutional types. Taken together, the choice of effective OHAs therapy for each type is necessary in order to minimize the poor control of blood glucose level, the risk of complications, and the costs from a failure of therapy.

• Journal of Sasang Constitutional Medicine
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• v.18 no.2
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• pp.55-67
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• 2006

1. Objective & Method The purpose of this study was to objectify the diagnosis of Sasang constitution. 163 children's voices were analyzed with 74 factors using PSSC-2004. 2. Results (1) In male children group, Taeumin's APQ4 was significantly low compared with the others. (2) In male children group, Taeumin's octave 5 & octave 6 were significantly low compared with the others. It was significant distinction between Taeumin and Soeumin at the result of post hoc. (3) In male children group, Taeumin's Time Domain Total Sum / Time Domain Count & Frequency Domain Total Sum / count(0) were significantly low compared with the others. It was significant distinction between Taeumin and Soeumin at the result of post hoc. (4) In male children group, Taeumin's 0k-2k total sum & 2k-4k total sum were significantly low compared with the others. It was significant for distinction between Taeumin and Soeumin at the result of post hoc. (5) In male children group, Taeumin's 2k-4k deviation was significantly low compared with the others. It was significant distinction between Taeumin and Soeumin at the result of post hoc. (6) In male children group, Taeumin's D# Total Energy & F# Total Energy were significantly low compared with the others. It was significant distinction between Taeumin and Soeumin at the result of post hoc. (7) In male children group, Taeumin's D# deviation & F# deviation were significantly low compared with the others. It was significant distinction between Taeumin and Soeumin at the result of post hoc. (8) In female children group, Soyangin's center frequency (7) was significantly high compared with the others. It was significant distinction between Taeumin and Soyangin at the result of post hoc. 3. Coclusion With these results, we got some information for standardization of the clinical diagnosis guideline of Sasang constitutional type classification using PSSC-2004 in the Korean children

• Korean Journal of Adult Nursing
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• v.15 no.2
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• pp.215-225
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• 2003

Purpose: Sasang constitutional medicine is Korea's creative medical science, that has attracted public attention. But for lack of indices in objectifying constitutions, there are difficulties for most of health professionals in approaching Sasang medicine. The purpose of this study was to compare the results of clinical diagnostic data according to the type of Sasang constitution. Method: The subjects were 195 examinees who had a general health check-up at A hospital. The instrument used for this study were Questionnaire of Sasang Constitution Class II(QSCCII) program for personal computer developed by Kim Sun Ho et al. Result: The distribution of constitutions of the subjects were the So-eum 46.7%, the Tae-eum 36.9% and the So-yang 16.4%. The level of body compositionrelated indices(body weight, obesity) of the Tae-eum were significantly higher than those of other constitutions. In heart-related indices, systolic BP were the highest in the Tae-eum. In liver-related indices, the level of triglyceride, SGPT were significantly higher in the Tae-eum. But the hematologic indices and lung-related indices were not showed significantly difference among any constitutions. Conclusion: The results of this study showed that there were significant difference of clinical diagnostic data according to Sasang constitutions, especially in the Tae-eum. So, to understand the human nature of nursing clients, nurses need to apply the oriental based medical theory, like Sasang constitution, to the discipline of nursing.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2008.08a
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• pp.155-159
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• 2008

In this thesis, in order to develop a new classification model of Sasang Constitutional medical types, which is helpful for improving the accuracy of diagnosis of medical types. various data-mining classification models such as discriminant analysis. decision trees analysis, neural networks analysis, logistics regression analysis, clustering analysis which are main classification methods were applied to the questionnaires of medical type classification. In this manner, a model which scientifically classifies constitutional medical types in the field of Sasang Constitutional Medicine, one of a traditional Korean medicine, has been developed. Also, the above-mentioned analysis models were systematically compared and analyzed. In this study, a classification of Sasang constitutional medical types was developed based on the discriminate analysis model and decision trees analysis model of which accuracy is relatively high, of which analysis procedure is easy to understand and to explain and which are easy to implement. Also, a diagnosis system of Sasang constitution was implemented applying the two analysis models.

• Journal of Korean Medicine for Obesity Research
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• v.9 no.2
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• pp.21-32
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• 2009

Objectives Identification of individuals predisposed to obesity is an important issue for prevention and control of the obesity. It was reported that a high prevalence of obesity appeared in Taeumin among Sasang constitutions, but Enneagram personality-types has not been used to classify the patterns of obesity. These two classification methods were employed in combination in the current study, and it was analyzed whether the morbidity pattern of obesity can be characterized in further detail. Methods The subjects were 125 University students(62 males and 63 females) who answered both questionnaires for Sasang constitutions and Enneagram personality types. The obesity of students was classified by the obesity index and BMI. Results Only Taeumin group of Sasang constitutions was overweight, and the male of the group was overweight or obese. Analysis of the obesity index and BMI according to the Enneagram personality types showed significant differences(p<.05) between the types in the female group. These values were highest at the type 3 and lowest at the type 4. The physical indices according to both the centers of Enneagram and Sasang constitutions showed that only Taeumin female group had significant differences(p<.05) in the obesity index and BMI. Taeumin male group was overweight or obese in all centers of Enneagram and Taeumin female group was overweight or obese only in heart-center. Conclusions Diagnosis of the present data suggest that the classification of obesity patterns using Enneagram personality types in addition to Sasang constitutions is very useful to prevent and control the obesity.

• Journal of Sasang Constitutional Medicine
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• v.21 no.1
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• pp.217-226
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• 2009

1. Objective To investigate characteristics of menstrual patterns according to Sasang Constitutional disease, and to utilize for diagnosis and treatment of Sasang Constitutional disease. 2. Method The recruited subjects were 430 women who convinced their Sasang Constitution by taking herbal medicine and improving of chief complaint. The items of data contain age at menarche, age at menopause, menstrual cycle, menstrual duration, cyclic regularity of menstruation, severity of menstrual pain, the worst day of menstrual pain, type of menstrual pain, amount of menstruation. 3. Results 1) Severity of menstrual pain, the worst day of menstrual pain, menstrual pain accompanied with nausea were significant among Sasang Constitutional diseases. 2) In Bae-chu-pyo-byeong disease (背椎表病證), Wi-wan-han disease (胃院寒證), So-eum disease (少陰證) and Tae-eum disease (太陰證), menstrual pain was severer than other diseases. 3) In Hae-yeok disease and So-yang-sang-pung disease (少陽傷風證), the worst day of menstrual pain was a day before menstruation. In Hyung-gyeok-yeol disease (胸膈熱證), Tae-eum disease (太陰證), So-eum disease (少陰證), the frequency of a day after menstruation in the worst day of menstrual pain was higher than other diseases. In Wi-wan-han disease (胃院寒證), Mang-yang disease (亡陽證), the frequency of two day after menstruation in the worst day of menstrual pain was higher than other diseases. 4) In So-yang-sang-pung disease (少陽傷風證), Mang-eum disease (亡陰證), Eum-heo-o-yeol diasese (陰虛午熱證), Ul-gwang disease (鬱狂證), Tae-eum disease (太陰證), So-eum disease (少陰證), the frequency of menstrual pain accompanied with nausea were higher than other diseases. 4. Conclusion Menstrual patterns, especially menstrual pain is different among Sasang Constitutional diseases. Assessing menstrual pain can be used for diagnosing Sasang Constitutional diseases, deciding treatment course, determinating prognosis.

• Journal of Sasang Constitutional Medicine
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• v.27 no.4
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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.

• Journal of Physiology & Pathology in Korean Medicine
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• v.23 no.2
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• pp.433-437
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• 2009

The purpose of this study was to measure circumference of four body parts of each Sasang groups with Bioelectrical Impedance Analysis (BIA), and evaluate its usefulness for Sasang type diagnostic test. We obtained the circumference measures of neck (CN), chest (CC), waist (CW), and hip (CH) of 91 college students using BIA and standardized by sex and age. The validity of Sasang group prediction with CC was evaluated. The Tae-Eum group (104.87${\pm}$5.19, 108.47${\pm}$4.96, 116.00${\pm}$9.39, 110.4${\pm}$5.29. neck, chest, waist and hip, respectively) has significantly (p<0.001) bigger circumferences than So-Yang (97.79${\pm}$3.82, 100.02${\pm}$4.21, 101.02${\pm}$7.88, 101.95${\pm}$4.06) and So-Eum (95.63${\pm}$4.67, 96.93${\pm}$4.80, 97.63${\pm}$7.72, 99.86${\pm}$4.40) groups at very four measures. Discriminant functions with CC can be used for Tae-Eum Sasang type diagnostic test with 91.2% of overall Percentage Correctly Predicted (PCP). Tae-Eum type-specific sensitivity was 73.3% and Tae-Eum type-specific specificity was 94.7%. The strength and weakness of measurement and standardization methods for Sasang type diagnostic test, and the methods for the standardization of physical traits with sex and age were discussed. Our study showed distinctive physical features of Tae-Eum type and the usefulness of BIA for the Sasang type diagnosis.

• Journal of Sasang Constitutional Medicine
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• v.32 no.3
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• pp.33-45
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• 2020

Object Although Taeeum and Soyang constitutional types have bigger body shapes and higher body mass index values than those with the Soeum, the relationship between the Sasang constitutional type and bone mass density is controversial and the association of osteopenia and osteoporosis remains unknown. Therefore, we investigated the relationship between bone mineral density, osteopenia, and osteoporosis according to Sasang constitutional type. Methods A total of 2,508 participants were included in this study. Among the study participants, 1,396 had Taeeum type, 276 had Soeum type, and 836 had Soyang type, respectively. The relationships to bone mass density, osteopenia, and osteoporosis in those with Sasang constitutional type were estimated using logistic and linear regression models. Results Bone mass density was significantly higher in the order of Taeeum, Soyang, and Soeum group (p < 0.01). Soeum group in comparison with Taeeum or Soyang group was significantly associated with a high odds ratio for osteopenia and osteoporosis except in the hip and femoral neck in the comparison of Taeeum and Soeum group (p < 0.01). Moreover, the bone mass density of Soeum group decreased more rapidly as the age increased when compared with Taeeum and Soyang group. Conclusions Our findings may contribute to the early prevention and management of high-risk individuals with poor bone mass density, osteopenia, and osteoporosis using Sasang constitution medicine.

• Journal of Sasang Constitutional Medicine
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• v.18 no.1
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• pp.107-117
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• 2006

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 Soyangin Soeumin and Taeyangin Taeumin of the Sasang constitution. 2. Methods One thousand and two hundred twenty nine subjects were included in Bundang Oriental Hospital of Dongguk University. 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 (1) Compared to Taeyangin Taeumin, Soyangin Soeumin do not sweat a lot. Even if Soyangin Soeumifl do sweat, one does not feel refreshed. Soyangin Soeumin do not sweat while sleeping at night nor eating meals, but discharges cold sweat if one does not feel well. (2) Compared to Taeyangin Taeumin, Soyangin Soeumin go to stool less frequently and have diarrhea when one does not feel well. Soyangin Soeumin do not feel irritated even though one is not able to go to stool for one day. (3) Compared to Taeyangin Taeumin, Soyangin Soeumin do not have foams in urine. (4) Compared to Taeyangin Taeumin, Soyangin Soeumin tend to eat slow, do not eat a lot normally, do not have a great appetite, have problems for digestion, and especially have difficulties in digestion when one is stressed. 4. Conclusions We found that Taeyangin Taeumin and Soyangin Soeumin have characteristics of ordinary symptoms, but partly there are not in accoradance with ones what Lee ]e-Ma said in his book. So in future we hope clinical studies are required steadily.