• Title/Summary/Keyword: constitutional consideration

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A Case Report on Treatment of A Soyangin Patient With Yin-Deficiency-Midday-Fever(陰虛午熱) By Sukjiwhanggosamtang After Toxicosis of Aconitine (소양인(少陽人) 음허오열증(陰虛午熱證)(하소증(下消證)) 환자의 부자중독증(附子中毒症)을 숙지황고삼탕(熟地黃苦蔘湯)으로 완화시킨 치험 1례)

  • Kim, Sun-hyung;You, Jun-sang;Yang, Sang-mug;Kim, Dal-rae
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.3
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    • pp.145-150
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    • 2001
  • Aconitine has much Heat and Toxicity in its property, so many consideration is needed during its use. And there are many contraindications of its use. In the book of Dongyisusebowon, it has to be used when Soeumin has extreme Cold accompanied by Heat of deficiency type. In this case report, a 84 year-old male patient who had taken drugs containing Aconitine had severe Yin-Deficiency-Midday-Fever(陰虛午熱). And he had been treated with Sukjiwhanggosamtang(熟地黃苦參湯) and Dokwhaljiwhangtang(獨活地黃湯). Four conclusions can be made through this case. 1. Soyangin(少陽人) patients may have many side effects or adverse effects when they take drugs containing Aconitine even at a little volume. 2. Soyangin may have chest discomfort when they are constipated. This patient also complained chest discomfort after stroke and toxicosis of Aconitine. 3. Between Sukjiwhanggosamtang(熟地黃苦參湯) and Dokwhaljiwhangtang(獨活地黃湯), Sukjiwhanghosamtang is more effective for this patient who has been skin psoriasis and lower diabetes(下消) for a long time. 4. Although Sukjiwhanghosamtang does not include any antidote drug of Aconitine, it may be used only when defferenciation of symdrome is proper on Sasang Constituional Medicine.

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A Study on the Relationship between Sasang Constitution and Framingham Coronary Risk Score (사상체질(四象體質)과 Framingham Coronary Risk Score의 상관성(相關性)에 관한 연구(硏究))

  • Shim, Gyue-Hearn;Yoo, Jun-Sang;Koh, Sang-Baek;Park, Jong-Ku
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.1
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    • pp.165-185
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    • 2009
  • 1. Objectives This study was designed to research the relationship between Sasang Constitution and Framingham coronary risk score(FRS), 2. Methods 666 people, over 40 years old, were participated in the community-based cohort in Wonju, South Korea from July 2nd to August 30th in 2006, Sasang Constitutional Diagnosis was carried out using PSSC(Phonetic System of Sasang Constitution), face and tongue photos and a checkup list, Framingham coronary risk score(FRS) was calculated using previously studied sheets adopted from KCDC(Korea Center for Disease Control and Prevention). 3. Results The average FRS of men was 7,06 and that of female was 8,19 which was significantly higher than that of men. There were significant differences between Taeeumin and other constitutions in women, whereas no differences among male constitutions. Analyzing adjusted ORs for CHD risk intervals according to Sasang constitution, they were 0.96 in Taeeumin and 1.70 in Soyangin to Soeumin. Also 0.55 in Taeeumin and 3.39 in Soyangin to Soeumin in men, 1.96 in Taeeumin and 1.87 in Soyangin to Soeumin in women. Women had highet FRS than men and female Taeeumin group have highet FRS points and CRP than other constitutions. 4. Conclusions Regarding the positive relationship between FRS, APG and CRP, it is thought to be useful to understand APG and CRP results at the same time when calculating FRS. When it comes to prevention and screening of CHD, female Taeeumin should be more careful and female Soyangin also should have a consideration of heart disease.

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The Bibiographical Investigation of effect of Acorus gramineus Soland (석창포의 약리(藥理)에 대한 문헌적(文獻的) 고찰(考察))

  • Jung, Kuk-yung;Kho, Byung-hee;Song, Il-byung
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.1
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    • pp.241-252
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    • 1999
  • 1. Purpose and Method : We have many difficulty of using the existing medical Hurbs based on the theory of Em-Yang and the five elements, this is why we still do not explain the Sasang Constitutional medical Hurb Classification and do not have the Sasang Constitutional Pharmacology exactly, so we easily enter into a dispute and confusion. So through literary consideration about Acorus gramineus Soland. I try to objectify Sasang Constitutional Classification of Acorus gramineus Soland and the spirit of using Acorus gramineus Soland and common property of Sasang Constitutional Medical Hurb and try to find out a clue that search the effect of other Sasang Constitutional Medical Hurb. 2. Result : Qi(氣) and mi(味) of Acorus gramineus Soland have aroma and hot taste and have won Qi(溫氣), the using portion of Acorus gramineus Soland is root as medical Hurb. So Acorus gramineus Soland rise from Goonghacho(中下焦) to Sangcho(上焦) and divied impurity and purity and able to remove the turbidity Qi(氣)Ack(液) Acorus gramineus Soland have the effect of progressing the involution of Paeqi(肺氣) and divided impurity and purity of Qi(氣) and ack(液) and improve the fuction and structure of Tae-Em-ln. I think that the method of literay consideration on objectification of Sasang Constitution Pharmacology is of great value.

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The Bibiographical Investigation of effect of Clematis mandshurica Maxim (위령선(威靈仙)의 약리(藥理)에 대한 사상의학적(四象醫學的) 고찰(考察))

  • Jung, Kuk-yung;Song, Il-byung
    • Journal of Sasang Constitutional Medicine
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    • v.10 no.2
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    • pp.151-162
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    • 1998
  • Purpose and Method : We have many difficulty of using the existing medical Hurbs based on the theory of Yin-yang and the five elements, this is why we still do not explain the Sasang Constitutional medical Hurb Classification and do not have the Sasang Constitutional Pharmacology exactly, so we easily enter into a dispute and confusion. So through literary consideration about clematis mandshurica Maxim. I try to objectify Sasang Constitutional Clasification of Clematis mandshurica Maxim and the spirit of using Clematis mandshurica Maxim and common property of Sasang Constitutional Medical Hurb and try to find out a clue that search the effect of other Sasang Constitutional Medical Hurb. Result : Qi(氣) and mi(味) of Clematis mandshurica Maxim has bitter and hot taste and have won Qi(溫氣), the color is dark, the using portion of clematis mandshurica Maxim is root as medial Hurb. So Clematis mandshurica Maxim fall down from lung and divied impurity and purity and able to remove the symptom that dryness and fever is solidified like Magnoliae cortex(厚朴). Clematis mandshurica Maxim have the effect of awakening Jin-Qi(眞氣) of lung and divide impurity and purity of Qi(氣) and ack(液) and improve the fuction and structure of Taeumin(太陰人) I think that the method of literay consideration on objectification of Sasang Constitution Pharmacology is of great value.

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A Constitutional Review on Compensation for Medical Malpractice during Delivery (의료분쟁조정법상 의료사고보상사업의 헌법적 쟁점)

  • Cheon, Kwang-Seok
    • The Korean Society of Law and Medicine
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    • v.13 no.1
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    • pp.295-329
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    • 2012
  • A medical malpractice case requires special legal protection, considering its characteristics, such as seriousness and long term effects of its damages, medical information asymmetry between practitioners and patients, and difficulties in realization of liability. Taking the points above into consideration, Medical Malpractice Arbitration Act of 2012(MAA) has legislative intent to protect the rights of the injured from medical malpractice, while protecting the stability of medical practice by providing arbitration as an alternative dispute resolution. However, constitutional review is required for one new scheme of compensation for medical injuries during delivery, which is implemented in MAA of 2012, especially with regard to freedom to exercise occupation, property, equality under the Constitution. Two important aspects are 1. according to the law, absolute liability applies to compensation for damages during delivery without negligence of practitioners; and 2. the practitioner bears some portion of the cost, 30% in the law above. This article aims to analyze this new institution in various aspects of the Constitution, and, as a result, it does not comply with constitutional criteria.

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Consideration of literatures on diarrhea's etioginal cause and pathological alternation (설사(泄瀉)의 병인병기(病因病機)에 관한 문헌적(文獻的) 고찰(考察))

  • Choi, Byung-Chul;An, Taek-Won
    • Journal of Haehwa Medicine
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    • v.16 no.1
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    • pp.207-213
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    • 2007
  • 1. The pathogenic factors of diarrhea are external sensation, jungjishiljo, weakness of the spleen and stomach, improper diet, sinyanghueson, sueumyujang, liver Gi invades the spleen, uhhyuljeche. 2. The etiological causes of diarrhea are classified into pung, han, seo, seup, yul, sikjuk, ju, chiljung, damsul. Morphology of diarrhea are classified into yu, hwal, son, pok, goe, dongsul. 3. The etiological cause of diarrhea are closely related to the malfunction of the spleen, stomach and the related jang and bu's pathological alternation such as splees & stomach, large intestine, small intestine, liver, spleen, and kidney. 4. Diarrhea was mentioned in literatures not only as chronic Heohansung disorder, but also acute silyulsung disorder, based on hanyulheosil theory.

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Study of Developing SOP for Extracting Stable Vocal Features for Accurate Diagnosis (음성의 안정적 변수 추출을 위한 SOP 개발 연구)

  • Kim, Keun-Ho;Jang, Jun-Su;Kim, Young-Su;Kim, Jong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.6
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    • pp.1108-1112
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    • 2011
  • Voice can be widely used to classify the four constitution types and to recognize one's health condition from extracting meaningful features as physical quantity in traditional Korean medicine or Western medicine. In this paper, we proposed the method to update the standard operating procedure (SOP) to acquire and record voices for extracting stable vocal features since they are sensitive to the variation of a subject's utterance. At first, we obtained pitch frequencies from vowels and the sentence and intensity form the sentence as features with voices acquired under subjects' utterance conditions and then the deviation ratios of features from median values according to the utterance conditions were obtained and the condition to minimize the ratio was selected as a new SOP. As a result, we decided the SOP for a subject to utter vowels with the length of 2s~1s and sentences with over 2s interval between them after practice, in consideration of the deviation and qualitative requirements. Stable voice features obtained from updated SOP produce accurate diagnosis, which will be developed and simplified for using in the u-Healthcare system of personalized medicine.

A Clinical study on the Sasang Constitution and Obesity (사상체질(四象體質)과 비만(肥滿)에 관한 임상적(臨床的) 연구(硏究))

  • Kim, Eun-Youn;Kim, Jong-Won
    • Journal of Sasang Constitutional Medicine
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    • v.16 no.1
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    • pp.100-111
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    • 2004
  • Objectives To study on the relation between Sasang constitution and obesity and that of obese patient's clinical symptom. Methods The subjects were 129 female patients to visit to diet. The subjects were 129 female patients to diet who answered questionnaire QSCC II and were diagnosed by the Sasang constitution from May to December in 2001 at Nara oriental medical clinic. Results 1. Of obese patients 79.1% were Taeumin, 11.6% Soeumin, and 9.3% Soyangin. 2. A relation of a grade of obesity and Sasang constitution. 2-1) 45.8% of the obese patients were high level obesity who had over 35% of body fat. Out of these people, 91.5% were Taeumin. 2-2) 40.3% of the obese patients weight hip ratio was between 0.84 to 0.89 and 84.6% of these people were proved to be Taeumin. 2-3) 39.2% of the people who had a minimum weight hip ratio of 0.90 were significantly Taeumin, 6.7% Soeumin and 16.6% Soyangin. 2-4) 65.7% of Taeumin were obese patients. 3. Obesity treatment with constitution. 3-1) 59.8% of Taeumin were Pyo-zng patients. 3-2) As treatment periods tended to increase, Taeumin and Soeumin patients showed a large decling of body fat, whereas Soeumin patients showed the opposite reaction. 3-3) The weight hip ratio was led by Taeumin with 0.03 and then came Soeumin and Soyangin with a 0.02 ratio. As treatment was taken into process longer Taeumin patients showed a great progress in decreasing their weight hip ratios. 4. Costitutional related symptom with Obesity. 4-1) Taeumin was followed by Soyangin and then Soeumin in family history. 4-2) Soeumin was followed by Taeumin, then Soyangin when complain of physical fatigue was taken into consideration. 4-3) The ordinary exercise was led by Soyangin, Taeumin then Soeumin. 4-4) People who receive stress turned out to be 72.9% much higher than the people who don't. 4-5) Overeating due to stress was found in 83.3% of Soyangin.

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Association between Sleep Quality, Physical Activity and Abdominal Obesity in the Community-Based Population: Based on Sasang Constitution Types (일반 인구집단의 사상체질에 따른 수면의 질 및 신체활동량과 복부비만과의 연관성)

  • Jeong, Kyoungsik;Lim, Sueun;Kim, Hoseok;Lee, Siwoo;Baek, Younghwa
    • Journal of Sasang Constitutional Medicine
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    • v.34 no.3
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    • pp.41-49
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    • 2022
  • Background Abdominal obesity, a major public health concern, is related to many health problems. In addition, it is influenced by individual characteristics. We investigated sleep quality and physical activity (PA) as risk factors for abdominal obesity, according to the Sasang constitutional medicine. Methods In this cross-sectional study, we analyzed data from 5,221 community-based participants. Sleep quality and PA were measured using structured questionnaires, and abdominal obesity was classified according to waist circumference. Sasang constitution (SC) was classified as Taeeumin (TE), Soeumin (SE), or Soyangin (SY) type, using an established SC questionnaire. Chi-square test and logistic regression analysis were performed to access the association of sleep quality and PA with abdominal obesity in individuals stratified according to the SC types. Results The percentage of poor sleep quality and inactive PA was the highest in the SE type, and the higher prevalence of abdominal obesity was found in the TE type. After adjusting for variables, inactive PA was associated with abdominal obesity in the TE type (OR=1.694, 95% CI=1.42-2.021), and in the SE type, abdominal obesity was associated with poor sleep quality (OR=1.688, 95% CI=1.091-2.611) and low PA (OR=2.127, 95% CI=1.163-3.89). Moreover, the combination of these two factors were also significantly associated with abdominal obesity in the TE and SE types. Conclusion Abdominal obesity was associated with sleep quality and PA, and these results were different in each SC type. Taking various associated lifestyles and individual characteristics in consideration may contribute to better management of abdominal obesity in clinical practice.

The Present State and Subject of Health Care Law System in Korea (우리나라 보건의료법의 현황과 과제 - 법정책학적 연구방법론을 중심으로 -)

  • Cho, Hyong Won
    • The Korean Society of Law and Medicine
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    • v.14 no.1
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    • pp.237-271
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    • 2013
  • There is the limit of the traditional legal hermeneutics and fragmentary or individual theoretical legal approach to suggest the desirable solution of Korean health care law system to have many issues. Law & politics research is the legal research method to suggest the resonable understanding and seeking the measures through various approach, decide and evaluate that the legal methods can be functioned as the optimum system design. Law & politics research has some procedure. 1. It is demanded to catalog the comparison target of legal system by its topic. 2. It is demanded to compare it with Korean situation. 3. The realistic and empirical legal research to the compared policy alternatives is needed. 4. Reflecting the results of this research work, the desirable policy idea must be adopted. 5. The accomplishment of this policy idea must be come true as a specific legislation through interest coordination. 6. This plan must be come into force and the feedback to effect of society must be examined closely. Here I will review generally the contribution of law & politics research to health care law system because of the problem of time and the insufficiency of law & politics research. The constitutional consideration is important to support the interest coordination because of the shortage of resources. The comparative law research can compare our health care system with those of other countries and seek some desirable alternatives. If we discuss the law system plan in a long time and synthetically from different perspectives, more desirable helath care law system can be deducted.

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