• 사상체질의학회지
• /
• 제9권1호
• /
• pp.127-153
• /
• 1997

사상의학(四象醫學)은 과거의학(過去醫學)에 비해 간명한 변증체계로 모든 병증을 포괄하고 있다. 그것은 음양변증(陰陽辨證)과 태소변증(太少辨證)으로 이루어지는 사상변증(四象辨證)이 음양변화를 정확히 사분(四分)하여 줌으로써, 과거의학의 팔망변증(八網辨證)이나 장부변증(臟腑辨證)이 지닌 변증의 혼잡성을 극복해주기 때문이다. 이러한 사상변증의 장점은 과거의학에서 제대로 파악하지 못했던 태음인 태양인의 호산(呼散)-흡취강약(吸聚强弱)의 병증 파악에서 보다 선명하게 드러난다. 이에 본 논고에서는 첫째, 동의수세보원(東醫壽世保元)의 전편에 걸쳐 서술된 승강취산론(升降聚散論)을 살펴보고, 둘째 태음인(太陰人) 간수열(肝受熱) 이열병론(裏熱病論)의 양독증(陽毒症)과 조열병(燥熱病)에 인용된 과거 병론에서 병증의 음양 인식이 어떻게 변화해 왔는가를 조사하며, 셋째, 태음인(太陰人) 이열병(裏熱病)의 처방들이 어떻게 발전해왔는가를 조사함으로써, 태양인(太陽人) 이열병론(裏熱病論)에 나타난 동무의 음양관을 파악해 보았으며, 다음과 같은 결론을 얻었다. 동의수세보원(東醫壽世保元)에서 비신(脾腎)은 승양(升陽)-강음(降陰), 간폐(肝肺)는 호산(呼散)-흡취(吸聚)의 짝운동을 하는 것으로 본다. 따라서 소음인, 소양인의 병증은 음양승강(陰陽升降)의 병리로 분석되며, 태음인, 태양인의 병증은 음양취산(陰陽聚散)의 병리(病理)로 분석된다. 이러한 승강취산론(升降聚散論)은 과거의학의 승강부침론(升降浮沈論)과 개념은 같으나, 논리가 일관되지 못했던 과거의학과 달리 병리해석과 치법에 이르기까지 일관되게 체계화되어 있다. 예를 들어 태음인(太陰人) 이열병(裏熟病)은 욕화(欲火)로 인해 폐의 호산지기(呼散之氣)를 고갈시켜서 태음인의 장부특성인 '흡취지기(吸聚之氣) 태과(太過)-호산지기(呼散之氣) 부족(不足)'을 심화시킴으로써 오므로, 그 욕심을 놓고 폐(肺)의 호산지기(呼散之氣)를 회복시키는 약재를 쓰면 낫는다고 치법을 제시하였다. 내경(內經), 상한론(傷寒論) 시대에는 태음인(太陰人) 이열병(裏熱病)을 열증(熱證)으로만 인식하였다. 송원명(宋元明)의 의가(醫家)들은 태음인(太陰人) 이열병(裏熱病)의 병리(病理) 기전(機轉)을 '양기독성(陽氣獨盛) 음기폭절(陰氣暴絶)'로 해석하였으며, 치법(治法)을 '용산고지약(用酸苦之藥) 영음기복(令陰氣復) 이대한해(而大汗解)'로 제시하였다. 여기서의 음양의 뜻은 표리나 한열이아니라 기(氣)를 쓰는 것을 양, 기(氣)를 저축하는 것을 음으로 보는 포괄적인 음양의 개념이다. 따라서 흡취지기(吸聚之氣) 과다(過多)로 인한 태음인(太陰人) 간열증(肝熱證)과 하강지기(下降之氣)가 막혀서 오는 소양인(少陽人) 위열증(胃熱證)이 정확히 분별되지 못했다. 태음인(太陰人) 조열병(燥熱病)은 내경(內經)에서부터 인식되었으며, 열결(熱結)로 인해 조증(燥證)이 발생한다는 병리로 파악하였으나, 역시 소양인(少陽人) 위열병(胃熱證)의 소갈병(消渴病)과 정확히 구별하지 못하였다. 소양인(少陽人) 위열증(胃熱證)은 음기하강(陰氣下降)이 막혀 중상초(中上焦)에 병증이 나타나고, 태음인(太陰人) 간열증(肝熱證)은 호산지기(呼散之氣)가 고갈되어 중하초(中下焦)에 병증이 나타난다. 동무는 이러한 병증 분석을 통해 양독증(陽毒症)과 조열병(燥熱病)을 태음인 병증으로 인식했다고 판단된다. 의학사(醫學史) 초기에는 태음인 리열병증에 소양인(少陽人) 위열증(胃熱證) 약재와 태음인(太陰人) 간열증(肝熱證) 약재가 혼합된 청열방(淸熱方)들을 많이 썼다. 태음인(太陰人) 이열병방(裏熱病方)은 상한론에서 소음인 처방이나 소양인 처방에 갈근(葛根), 마황(麻黃), 승마(升麻) 등 태음인의 약재가 가미된 모습으로 출발하여, 주굉(朱肱)의 조중탕(調中湯)과 A 신(信)의 갈근해기탕(葛根解肌湯)으로 골격을 갖추었으며, 이를 모방(母方)으로 하여 태음인(太陰人) 갈근해기탕(葛根解肌湯)이 성립되었다. 그 외에 오행론(五行論)과 동의수세보원(束醫壽世保元)에서의 승강부침(升降浮沈)의 장부배속이 한 계절씩의 위상차이를 보이는 것은, 장부의 기능이 작용하여 현상으로 나타나는데 1/4주기의 시간차가 나는데 따른 것이라는 가설을 세워보았다.

• 대한한의학원전학회지
• /
• 제3권
• /
• pp.399-443
• /
• 1989

In this thesis, I intend to study the translational and clinical interpretation through the syndrom of "Pyong-Yeol-Byong", and reached the following conclusions. 1. Eum-Yang-Kyo (陰陽交)' 1) Meaning: "Eum" means "Essential and vital energy" "Yang" means "Evil factor affecting health" and "Kyo" means "cross-struggle." 2) Location of disease: Heat evil enter Hyeol-Bun (血分) 3) Pathogenesis: Heat evil invade Eum-Bun (陰分) and struggles with Health energy, therefore Eum-Chung (陰精) is exhausted and Heat-evil doesn't disapper, it damage Eum and exhaust fluid. Reach fever, rapid pulse raving and unable to take meal, not controled by sweating and sceach death. 4) Particularity of Syndrome: Heat enter Hyol-Bun, and Evil factor is enough and Health energy is insufficient, so that reveal the symptoms of high fever, delirium with coma, unable to take meals. 5) Therapy: It clears Gi-Bun heat evil (氣分熱邪) by Gypsum, Rhizoma Anemarrhenae, Flos Lonicerae, Fructus Forsythiae, Fructus Gardeniae, Radix Scutellanae Rhizoma Coptidis, and cools Blood by Cornu Rhinoceri Asiatici, Radix Rehmanniae, Cortex Moutan Radicis, Dae-Chung-Yob (大靑葉) Radix Arnebiae Seu Lithospermi. 2. Poong Gweol (風厥) 1) Meaning: Poong means wind-evil, Gweol means reversing up. 2) Location of disease: Disease complexes with TaeYang (太陽) in outer part, and with So-Eum (少陰) in inner part. 3) Pathogenesis: Tae-Yang-Gyeong (太陽經) accept wind-evil and So-Eum-Gyeong (少陽經) Kidney Energy reverse up so that fidgetiness not resolves by sweating. 4) Particularity of Syndrome: There are outer symptoms of fever, hydrosis with inner symptoms of fidgetinessis. 5) Therapy: Reduce Jok-Tae-Yang (足太陽) and Supply Jok-So-Eum (足少陰) by accupuncture, so cure Poong Gweol and make balance between Yeong (營) and Wi (衛). 3. Scrofula coused by wind-evil (勞風) 1) Meaning: It means accepting wind evil rest less. 2) Location of Disease: It locates lung 3) Pathogenesis: Because of accepting wind-evil restless, he take scrofula with damaging lung. 4) Particularity of disease: It is lung disease of aversion to wind and shiver, nape-stiffiness, dim eyesight, cough, disphea, vomitting sputum, if one camnot vomit sputum, he died by damage of lung. 5) Therapy: The period of therapy is different by age or strength of health energy, so I think must prevent Eum deficiency and clear fever no reduced in lung. 4. Shin-Poong (腎風) 1) Meaning: It means taking edema by accepting wind-evil, because the kidney controls water. 2) Location of Disease: It is that wind-evil envade kidney. 3) Pathogenesis : Water evil of kidney with wind-heat rises up to face, reach edema, puffines s of the lower eyelid, floating pulse, bombus, yellowish urine, hydrosis and hand-heating, drymouth and excessive thirsty, walkless by heaviness, menstrual disfunction, restless and unable to take meals, unable to lie flat, heavy cough if lie flat, and accepting wind-evil by deficiency of kidney function, so the function of dredging the water passage is not smooth, symptom of water and symptom of wind reveal together. 4) Therapy: Remove wind-heat, promote diuresis to eliminate tile wetness-evil, supplement the dificiency of kidney's Eum. Finally, we can know that later Fever Disease Medicime (溫病學) is affected to the theory of "Pyong Yeol Byong" in 33th Chapter of SoMoon (素問).

• 동의생리병리학회지
• /
• 제34권1호
• /
• pp.37-44
• /
• 2020

Previous studies have reported an association between poor sleep and various symptoms and diseases, such as fatigue, obesity, depression, and anxiety. The effects of poor sleep may differ by age and sex. In addition, sleep characteristics and their effects may vary according to Sasang constitutional type. The aim of this study was to investigate the associations between sleep quality, fatigue, and quality of life and to assess whether these differ by constitutional type. Participants were individuals aged 40-69 years living in two Korean communities in 2012-2014. Sleep quality, fatigue, and quality of life were measured using the Pittsburgh Sleep Quality Index (PSQI), the Fatigue Severity Scale, and the 12-item Short Form Health Survey, respectively. The effects of total PSQI score and PSQI component scores were analyzed using a generalized additive model. A Korean Sasang constitutional diagnostic questionnaire was used to assess Sasang constitution. Data for 5,793 participants were analyzed. Poor sleep quality was related to greater fatigue, and lower physical and mental quality of life. The PSQI components including subjective sleep quality, sleep latency, sleep disturbances, use of sleep medications, and daytime dysfunction were associated with fatigue and physical and mental quality of life. Sleep quality was significantly lower in So-Eum compared to So-Yang and Tae-Eum. PSQI component scores for fatigue and quality of life differed significantly by Sasang constitution: for Tae-Eum, sleep latency and use of sleep medications; for So-Eum, daytime dysfunction; and for So-Yang, use of sleep medications and daytime dysfunction. The effects of different aspects of sleep quality differ by Sasang constitution. To improve sleep quality, interventions need to be tailored to constitutional type.

• 디지털융복합연구
• /
• 제15권1호
• /
• pp.603-610
• /
• 2017

본 연구는 대학생활스트레스와 정신건강의 영향관계에서 체질집단 간 차이가 있는지 탐색하는데 목적이 있다. 이를 위해 대학생 389명을 조사대상자로 선정하였고, QSCC II를 활용하여 사상체질 유형을 구분하였으며(소음인 136명, 소양인 139명, 태음인 114명), 사상체질집단 간 유의미한 영향관계 차이를 분석하기 위하여 구조방정식을 활용한 다집단분석을 실시하였다. 주요 결과는 다음과 같다. 대학생활스트레스와 정신건강의 영향관계에 있어 소음인집단-소양인 집단 간 그리고 소양인집단-태음인집단 간에 통계적으로 유의미한 차이가 도출되었다. 소양인보다는 소음인과 태음인으로 분류된 대학생들에게 스트레스 및 정신건강에 대한 보다 더 많은 지원과 개입이 이루어져야 함이 확인되었다. 이러한 결과를 바탕으로 사상체질에 적합한 차별화된 중재방안을 제시하였다.

• International Journal of Advanced Culture Technology
• /
• 제7권2호
• /
• pp.77-82
• /
• 2019

This research aims to analyze the Sasang constitutions of army soldiers using the measuring tools which were developed by the Korea Institute of Oriental Medicine the government-affiliated Ministry of Science. Then, this research compares the The Sasang constitutions of soldiers to the Sasang typology of Yi Je-Ma, who systemized Korean traditional medicine in 1800s. Also, by comparing each result of subjected army unit, we will recommend proper diet management at regular intervals in order to enhance morals of soldiers. Finally, we also suggest to apply Sasang constitution to consultation in military so as to strengthen the combat power of the army.

• 방송과미디어
• /
• 제12권2호
• /
• pp.47-62
• /
• 2007

• 대한한방내과학회지
• /
• 제28권4호
• /
• pp.733-740
• /
• 2007

Objective : This study investigated the relationship between warning signs and Sasang constitution (SC) in acute stroke patients. Methods : From October in 2005 to March in 2007, 629 acute stroke patients were studied. Patients were hospitalized within 14 days after the onset ofstroke at one of 3 oriental medical hospitals in Seoul and Kyong-gi province. We assessed the type of SC of acute stroke patients by Questionnaire for Sasang Constitution Classification II (QSCC II). We investigated warning signs (motor weakness, blindness, dysarthria, sensory disturbance, finger dullness, facial & eyelid spasm, neck stiffness), general characteristics, etc. Results : This study showed a higher proportion of Tae-eum & So-eum experience upper extremity sensory disturbance but So-yangexperience lower extremity sensory disturbance. Smoker So-eumexperience 1st & 2nd finger dullness more than non-smoker So-eum. So-eum women experience motor weakness more than So-eum men. Conclusion : Besides these results, we could observe almost no relationship between warning signs and Sasang constitution (SC) in acute stroke patients. More data from prospective cohort studies will help people better understand the relationship between warning signs and Sasang constitution (SC) in acute stroke patients.

• 대한예방한의학회지
• /
• 제13권1호
• /
• pp.117-130
• /
• 2009

This study was attempted to suggest fundamental data to take health care plan in terms of oriental medicine by evaluating the health-related quality of life according to the Sasang constitutional medicine (SCM) of factory workers. General characteristics, living habits, and health-related quality of life were investigated through self-administration questionnaire in the course of oriental health examination for 1,870 male workers at a manufacturing company located in the Jeollabuk-do region, and the Sasang constitution of each worker was identified and analyzed through questionnaires and oriental doctor's medical examination. For Sasang constitutional medicine, So-eum person(少陰人) was found to be the most, and then So-yang preson(少陽人), Tai-eum preson(太陰人), and Tai-yang preson(太陽人) in order; for lifestyle, smokers were most found in So-yang person workers, non-smokers in Tai-yang person workers, drinkers in Tai-yang person workers, and non-drinkers in So-eum person workers. For the general health score by the Sasang constitutions, Tai-yang person workers were found to be 42.73 in general health area, Tai-eum preson workers 41.69, So-yang person workers 40.87, and So-eum person workers 40.42; in the vitality area, Tai-eum person workers were found to be 45.14, So-yang person workers 44.16, So-eum person workers 43.02, and Tai-yang person workers 41.34. Specially, it was found that regular exercise improved physical health factors, drinking adversely affected mental health factors, and the mental health factors of Tai-eum person workers who have regularly exercised showed the highest values, while those of Tai-yang person workers who have not exercised showed the lowest values. There was difference in lifestyle by Sasang constitutions, and accordingly, the quality of life might be different Therefore it is deemed that health care plan is required to be taken by Sasang constitutions and lifestyle for health promotion and care of blue-collar workers in the future.

• 사상체질의학회지
• /
• 제4권1호
• /
• pp.107-148
• /
• 1992

The definitions of Four Constitution (Tae-Yang-In, So-Yang-In, Tae-Eum-In, So-Eum-In) in Four-Beginning-Theory (四端論) and Distribution-Theory (擴充論) were morphologically diagrammatized. the method of measuring the five parts came from the diagrams. The five parts are the followings; Top-Line is the distance between Rt. & Lt.Shoulders. Bosom-Line is the horizontal distance passing through the Rt. & Lt.nipples. Stomach-Line is the horizontal distance passing through the Rt. & Lt. acupuncture point Bool-Yong (不容穴). Navel-Line is the horizontal distance passing through the navel. Bottom-Line is the distance between the Rt.& Lt. anterior superior iliac spines. According to it, 311 people were measured in the clinic. Through the measured numerical values, to find out the objective propriety of the morphological diagrammings and the discriminating ability of Four Constitutions by the method of measuring the five, the author tried this study and got the following results. 1. On the ground of the Internal Organs-Theory (臟腑論), the definitions of Four Constitutions were classified and diagrammatized step by step and it was possible to draw the morphological graphs satisfying the reasonable condition objectively. 2. It was found that the graphings by Mean, Standard Deviation and 95% Confidence Interval for mean of the numerical values of five measured parts and the morphological diagrammings of the definitions in Four-Beginning Theory and Distribution-Theory drove to the same figures. 3. Through the method of the Analysis of variance and the Discriminant Analysis, it was discovered that the measured numerical values of five parts could distinguish the Four Constitutions. 4. Tae-Yang-In has the longest Top-Line and the shortest Bottom-Line. The Mean head of Confidence Interval from Top to Bottom is downwardly decreased at the rate of 3.7, 1.5, 1.8, 3.4. 5. So-Yang-In has the longest Top-Line and the shortest Bottom-Line. The Mean head of confidence Interval from Top to Bottom is downwardly decreased at the rate of 2.3, 1.5, 1.5, 1.1. 6. Tae-Eum-In has the longest Navel-Line. The Mean head of Confidence Interval from Navel to Top is upwardly decreased at the rate of 0.5, 0.4, 2.5 and downwardly decreased at the rate of 2.7 between Navel and Bottom. 7. So-Eum-In has the longest Bottom-Line. The Mean head of Confidence Interval from Bottom to Top is upwardly decreased at the rate of 1.1, 1.1, 1.8, 2.3. From the above findings, it was possible to draw the morphological graphings satisfying the objectively reasonable conditions in the definitions of Four-Beginning-Theory and Distribution-Theory and it was proved that the results of the Positive Analysis, carried with the measured numerical values of five parts from the diagramming, could show the objective propriety of the morphological graphings and the discerning ability of Four Constitutions by the method of measuring the five parts.

• 대한한방소아과학회지
• /
• 제15권2호
• /
• pp.121-139
• /
• 2001

Investigating the past and present literatures of west and east about pediatric constitutions and Dong-Eu-Su Se-Bo-Won $\ll$東醫壽世保元$\gg$, we obtained such conclusions : 1. In ancient literatures about pediatric constitution, physiologic and histologic characteristics are considered as pediatirc constitution. 'Pure Yang(純陽)' 'Yang is overabundant, Yin is insufficient(陽有餘陰不足)' are used for definitions of pediatric characteristics. 2. In recent literatures about pediatric constitution, adding to definitions of ancient constitution, more scientific, objective and rational criterion are intrduced. 3. In Sa-Sang(四象), limits of pediatrics is defined to children below sixteen years. 'Yu(幼)' in Dong-Eu-Su-Se-Bo-Won $\ll$東醫壽世保元$\gg$. 4. In Dong-Eu-Su-Se-Bo-Won $\ll$東醫壽世保元$\gg$, the writings about 'So-Yang-In(少陽人)' is most, those about 'So-Eum-In(少陰人)', 'Tae-Eum-In(太陰人)' and 'Tae-Yang-In(太陽人)' are in sequence. 5. In conclusion, Je-Ma Yi(李濟馬), inventor of Sa-Sang(四象), consider that pediatric constitutions are not different from those of adult.