• Title/Summary/Keyword: constitutional diagnosis

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The Verification of Concordance Coefficient in Sasang Constitutional Factors by Expert (사상체질 전문가의 진단 우선순위 일치도 검증)

  • Jang, Eun-Su;Kim, Ho-Seok;Yoo, Jong-Hyang;Kim, Sang-Hyuk;Baek, Young-Hwa;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.2
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    • pp.79-86
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    • 2009
  • 1. Objective : This study aimed to know the concordance coefficient and diagnostic trend of 6 Sasang constitution diagnosis factors among experts, which are important to diagnose Sasang constitution. 2. Methods : We suggested each 100 cases containing body shape, face, temperament, physiological and pathological symptom and constitutional drug response to 2 groups experts, and researched expert opinions. We analyzed concordance coefficient with Kendall's coefficient of concordance W. 3. Results : 1) Experts agreed with 167(82.5%) diagnosis results of cases, but there were 33 cases(17.5%), with which even one expert disagreed 2) The concordance of priority order of Sasang constitutional factors was significantly associated within expert. 3) Experts put the priority concordance to drug response and Face, body shape, voice and Pathological and physiological symptoms in order. 4) In case by case, concordance coefficient was 47(55.9%) in group 1, 9(10.8%) in group 2, 56 (33.5%) in total. 4. Conclusions : Experts made much account of drug responses and faces in diagnosing Sasang constitution. but there were different opinions in concordance coefficient. So Sasang Constitution Diagnosis Guideline is necessary to integrate experts opinions.

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A Study on the Development of Diagnostic Index for the Ordinary Symptom of Soyangin (소양인 소증 진단평가지표 개발 연구)

  • Cho, Young;Lee, Jun-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.32 no.4
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    • pp.45-64
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    • 2020
  • Purpose This study was to develop and study 'Diagnostic Index for the Ordinary Symptom of Soyangin'. Methods The main diagnosis and evaluation index symptoms of Soyangin were extracted based on 『Donguisusebowon』 and Clinical Practice Guidelines for Sasang Constitutional Medicine Symptomatology; CPG for soyangin. The selected ordinary symptoms were divided into 4 categories such as Exterior-Cold ordinary symptom (表寒素證), Exterior-Disease unfavorable's ordinary symptom (表病逆證素證), Interior-Heat ordinary symptom (裏熱素證), Interior-Disease unfavorable's ordinary symptom (裏病逆證素證) of Soyangin and translated into Korean. And the inclusion, importance and translation validity of major diagnosis and assessment indicators of Soyangin were surveyed online by a group of Sasang constitutional experts. Results & Conclusions 29 ordinary symptoms and pathological mechanism were selected from references and translated into 51 Korean symptoms. After inclusion yes or no survey by expert group, 45 symptoms were selected. The importance survey showed that 'Have a soft stool' of Exterior-Cold ordinary symptom indication, '(If you're stressed, if you're not in good health) Have a soft stool or diarrhea' of Exterior-Disease unfavorable's ordinary symptom, 'The feces harden easily' of Interior-Heat ordinary symptom and '(If you're stressed, if you're not in good health) Have an upset stomach' of Interior-Disease unfavorable's ordinary symptom were the most important. Finally, [Diagnostic Index for the Ordinary Symptom of Soyangin] was completed after survey of translation validity, reflection of individual opinions by the expert committee, and application of weighted value calculated from the importance survey.

The effects of constitutional food preference on health status of the twenties (사상체질에 따른 체질식품 기호도가 20대 성인남녀의 건강수준에 미치는 영향)

  • Kim, Yun-Young;Yoo, Jong-Hyang;Park, Ki-Hyun;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.2
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    • pp.31-38
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    • 2012
  • 1. Objectives : This research aimed to understand the effects of food consumption that fits to the constitution of subjects on health status by recognizing the constitutional food preference according to Sasang constitution. 2. Methods : The participants who are college students in D city were invited from Mar. 17, 2009 to Sep. 5 2010 for the research. More than two medical doctors who are specialized in Sasang constitution diagnosed the constitution of participants, and the participants were selected as subjects only if the diagnosis of the two doctors were agreed. Total 422 subjects (Taeumin: 175, Soeumin: 101, Soyangin: 144) were selected from the diagnosis, and the collected data was analyzed with computer software of SPSS 17.0. The frequency analysis was executed for the general characteristics of subjects, and the relationship of constitutional food preference and health status (SF-36) were analyzed with Pearson Correlation Coefficient. 3. Results : From the results about the distribution of constitutional food preference according to the constitutions, Soeumin showed the highest frequency for both of lower than 10 points (35.0 %), which stands for high preference of constitutional food, and higher than 40 points (1.9 %), which stands for low preference of constitutional food. And, they showed no correlation for the results about the relationship between health status and constitutional food preference based on 9 sub-categories of SF-36 including Physical Component Score (PCS), Mental Component Score (MCS). 4. Conclusions : In conclusion, the effects of food consumption that fits to the constitution of the twenties on their health status were understood by recognizing the constitutional food preference according to Sasang constitution. Comparing with the previous research results that constitutional food consumption can enhance their health status, there were no correlation between health status and constitutional food preference. The discrepancy of results can be addressed to difficulties of group selection, constitutional food categorization and lack of constitutional food-related questionnaires. Thus, it is required to conduct a follow-up studies that were made up for the mentioned shortcomings.

A Clinical Study on Liver Disease Sequelae in Soyangin Treated by Sasang Constitutional Treatment (사상체질방으로 간질환 후유증을 호소하는 소양인(少陽人) 치험 1례)

  • Goo, Deok-Mo
    • The Korea Journal of Herbology
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    • v.25 no.4
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    • pp.171-177
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    • 2010
  • Objectives : The purpose of this case study is to report the improvement after Sasang Constitutional treatment to patient who has liver disease sequelae. Methods : This patient was treated by Soyangin's Constitutional Medications according to the result of Sasang Constitutional diagnosis. We checked visual analog scale(VAS) to evaluate the symptoms of liver disease sequelae. Results : The general condition of the patient improved by the end of hospitalization. The visual analog scale(VAS) of general weakness dropped from 10 to 3. Other symptoms also showed improvement. Conclusions : This case study shows Sasang Constitutional treatment has effectiveness on liver disease sequelae.

A case report of a streprococcal skin disease patient who improved with soeumin therapy (연쇄상구균을 동반한 피부증세를 치료한 소음인(少陰人) 환자(患者) 치험례)

  • Kim, Na-Young;Shin, Mi-Ran
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.2
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    • pp.153-162
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    • 2009
  • 1. Objectives : The purpose of this rase study is to evaluate the superiority of Sasang constitutional diagnosis and treatment in skin disease compared with western medicine and is to notify the importance of elevating requsite qi(保命之主) in treatment of skin disease. 2. Method : We compared to remedical value in two case. One is to use herbal medicine as well as routine antibiotic treatment. The other one is to use only herbal medicine. Antibiotics was focused on attacking the pathogen and herbal medicine was focused on elevating requsite qi(保命之主). 3. Result and conclusions : In result, the one using only herbal medicine showed satisfactory progress and predominant remedical value compared with one using herbal medicine and routine antibiotic. So It is necessary to approach skin disease in view of elevating requsite qi(保命之主).

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A Study on the Auditory ERP measured in Sasang Constitutionally classified Three Groups (사상체질별 사건관련전위(ERP) 측정 연구 -청각 자극을 중심으로-)

  • Kim, Jeong-Ho;Song, Jeong-Mo;Kim, Lak-Hyung
    • Journal of Sasang Constitutional Medicine
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    • v.16 no.2
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    • pp.65-70
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    • 2004
  • 1. Objectives This study is to find the difference of ERP in Sasang Constitutional groups 2. Methods Auditory ERP were measured in 32 healthy males. Latency and amplitude of P300 component were analysed. 3. Results The latency of ERP P300 component in Taeumin group was more extended than that in other groups. It was significant statistically. The Amplitude of ERP P300 component in Soyahgin group was more extended than that in other groups. 4. Conclusions This results suggest that ERP measuring could be used in Sasang Constitutional diagnosis.

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A Practical Alternative to Constitutional Medicine - The Non-local Meaning of the Life Structure Diagram and its Application - (체질의학(體質醫學)의 실용적(實用的) 대안(對案) - 생명구조도(生命構造圖)의 비국소적(非局所的) 의미(意味)와 응용(應用) -)

  • Lee, Byung-seo
    • Journal of Korean Medical classics
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    • v.35 no.2
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    • pp.17-32
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    • 2022
  • Objectives : To overcome limitations of previous diagnostic systems and constitutional medicine by suggesting a new perspective of constitutional medicine and a system of Yin Yang and Five Phases that is applicable to many diseases untreatable by biomedicine. Methods : The Life Structure Diagram which shows the different distribution of Yin Yang and Five Phases according to constitution, reflects the non-local and simultaneous characteristics of Yin Yang and Five Phases. It overcomes previous diagnostic systems and constitutional medicine which were local and segmented. Each constitutional types were determined through their defining deep fractal pulse patterns, for which appropriate acupuncture methods and formulas were suggested. Results & Conclusions : A more effective differentiation of constitution and treatment could be achieved through the Life Structure Diagram, which could overcome limitations of pre-existing diagnosis and treatments of Korean Medicine.

A Case Report of Taeyangin Patient with Unexplained Nausea and Vomiting Treated with Mihudeungsikjang-tang (원인불명 오심 구토의 태양인 미후등식장탕 치험1례)

  • Seung-Yun Oh;Soo-Jung Park;Hye-Sun Park
    • Journal of Sasang Constitutional Medicine
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    • v.35 no.4
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    • pp.116-122
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    • 2023
  • Objective To report the improvements with Mihudeungsikjang-tang on taeyangin patient with unexplained nausea and vomiting. Method The 55-year-old woman had severe nausea and vomiting after taking laxatives about 2 months ago. However, endoscopy and other examination findings were unremarkable except for gastritis. Soyangin Dojeokganggi-tang and taeyangin Mihudeungsikjang-tang were applied as a main treatment. Results The symptoms of nausea and vomiting were immediately improved after constipation disappeared applying Mihudeungsikjang-tang. Conclusion This case showed that Mihudeungsikjang-tang according to the appropriate constitutional diagnosis could improve nausea and vomiting which were not improved by other treatments.

The Pilot Study on the Association of Diagnosis Results between Sasang Constitutional Medicine and Eight Constitutional Medicine (사상체질과 팔체질 진단결과의 연관성에 대한 예비 연구)

  • Jang, Eun-Su;Kim, Ho-Seok;Jung, Jong-Wook;Yoo, Jong-Hyung;Lim, Jung-A;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.14 no.2
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    • pp.93-99
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    • 2008
  • Objectives: This study aims to find out the association between Sasang and Eight Constitution by analyzing Sasang and Eight Constitution Diagnosis results. Methods: We analyzed Sasang and Eight Constitution Diagnosis results according to confidence, by reviewing medical records of 247 patients retrospectively whose Sasang and Eight constitutions were diagnosed by two independent specialists. We used chi-square test and Cramer Statistic to know association of two diagnosis results. Results and Conclusions: Taeumin was 49.8% in Jupita, Soeumin 65.2% in Mercuria, Soyangin 90.9% in Saturna, Taeumin was 54.2% in Jupita, Soeumin 83.4% in Mercuria, Soyangin 100% in Saturna in condition that Sasang and Eight Constitution diagnosis confidence is over Band 50 score. The higher diagnosis confidence is, also the higher association between Sasang and Eight Constitution is up to 0.414(Cramer Statistic). There is association between Sasang and Eight Constitution.

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Clinical Validation of the Sasang Personality Questionnaire (사상성격검사(SPQ)의 임상 타당화 연구)

  • Jang, Eun-Su;Lee, Soo-Jin;Park, Soo-Hyun;Lee, Si-Woo;Joo, Jong-Cheon;Lee, Mi-Suk;Kim, Yun-Hee;Chae, Han
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.3
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    • pp.23-32
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    • 2012
  • Objectives : The purpose of this study was to validate the Sasang Personality Questionnaire (SPQ), based on the diagnosis of Sasang constitutional medicine clinical specialist. Methods : We performed Sasang type differentiation of 103 college students by certified specialist, and analyzed biopsychological traits of each groups with SPQ, Temperament and Character Inventory (TCI), Positive and Negative Affection Schedule (PANAS) and Body Mass Index (BMI). Results : The SPQ score of So-Yang ($33.1{\pm}0.79$), Tae-Eum ($29.03{\pm}0.67$) and So-Eum ($25.76{\pm}0.98$) Sasang groups showed significant differences from each other. The SPQ showed significant correlation with TCI Novelty-Seeking (r=.346), TCI Harm-Avoidance (r=-.348) and TCI Persistence (r=.346). But the BMI and PANAS did not show significant correlation with SPQ, although the PANAS Positive Affection (r=.332) has significant correlation with SPQ-Behavior. Conclusions : We confirmed the clinical validity of SPQ with clinical specialist and established biopsychosocial instruments. This study would contribute to a more objective diagnosis and studies on biopsychosocial mechanism of Sasang constitutional medicine.