• Title/Summary/Keyword: constitutional diagnosis

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A Literature study on the Sasang Constitutional Tongue Diagnosis based on Experience Prescriptions(經驗方) in the Donguisusebowon (Longevity and Life Preservation in Oriental Medicine) (동의수세보원(東醫壽世保元) 경험방(經驗方)에 근거한 사상체질별 설진(舌診)의 문헌연구)

  • Lee, Jae-Chul;Kim, Jong-Yeol;Ryu, Hyun-Hee;Kim, Keun-Ho
    • Journal of Sasang Constitutional Medicine
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    • v.22 no.1
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    • pp.1-8
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    • 2010
  • 1. Objectives: This study was performed to research the relationship between Sasang Constitution and characteristics of tongue diagnosis based on Donguisusebowon's Experience prescriptions(經驗方). 2. Methods: We searched tongue diagnosis factors in Donguisusebowon and classified this. Based on Donguisusebowon's Experience prescriptions(經驗方), we find tongue diagnosis factors in 6 contemporary Oriental medicine prescription books. 3. Results: Most So-eumin has white thin tongue coating and clear redish tongue color. Yellow tongue coatings are found in symptoms for Yinjinho-tang(Yinchenhao-tang), Soseungki-tang(Xiaochengqi-tang), Daeseungki-tang(Dachengqi-tang). Shortened Tongue is found in So-eumin's experience prescription and So-yangin's treat histroy. It didn't shown that So-eumin's Semen Crotonis included 6 prescritions' factors of tongue diagnosis. So-yangin's white tongue coating is found in Hyungbangpaedok-san(Jingfangbaidu-san), Sipjo-tang(Shizao-tang), Sosiho-tang(Xiaocihu-tang), Shinki-hwan(Shenqi-wan). Most of other So-yangin's tongue coatings are Yellowish and tongue color is deep red. Tae-eumin have thin white tongue coating at the Mahuang-tang(Mahuang-tang). Red tongue color and drying tongue are found at Jowiseungki-tang(Tiaoweichengqi-tang)Daesiho-tang(Dacihu-tang)Saengmaek-san(Shengmai-san) 4. Conclusions: Following So-eumin's Experience prescriptions, So-eumin's tongue color is clear red and tongue coatings are thin white and greasy. Following So-yangin's Experience prescriptions, So-yangin's tongue color is deep red and tongue coatings are yellowish and scarce except Exterior cold disease. And So-yangin has specific symptom of irritability, oral sores. Tae-eumin's tongue has two sides of white thin tongue coatings and Red and drying tongue.

Survey Study about Sasangin's Characteristics of Face, Voice, Skin and Pulse Diagnosis (사상인(四象人)의 안면, 음성, 피부 및 맥진 특성에 관한 설문조사 연구)

  • Lee, Jun-Hee;Kim, Yun-Hee;Hwang, Min-Woo;Kim, Jong-Yeol;Lee, Eui-Ju;Song, Il-Byung;Koh, Byung-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.3
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    • pp.126-143
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    • 2007
  • 1. Objectives The purpose of this study is to find out the grade of practical use, the important element and the significant characteristics of Sasangin' s face, voice, skin and pulse diagnostic impression, in Sasang constitutional clinical diagnosis. 2. Methods We analysed the survey data about Sasangin' s face, voice, skin and pulse diagnostic impression, drawn up by specialist in Sasang constitutional medicine. 3. Results and Conclusions (1) In the application degree of face feature, the case which it was applied with 20-40% and 40-60% were 16 people(43.2%) respectively. In voice, the case applied with 0-20% was 19 people(51.4%), in skin, 0-20% and 20-40% were 14 people(37.8%) respectively and in pulse diagnosis, 0-20% were 25 people(73.0%). (2) In constitutional diagnosis, the important element of face were 'frontal whole shape', 'whole impression' and 'size and shape of eye, ear, mose and mouth', the important element of voice 'speed of speech', 'purity and impurity' and 'pitch', the important element of skin 'thickness', 'feel of touch' and 'size of skin pores' and the important element of pulse diagnosis 'speed of pulse', 'sinking and floating' and 'weakness and firmness'. (3) The important face characteristics of Taeyangin were 'bright eye', 'broad forehead' and 'strong impression', Soyangin 'protruding forehead', 'thin and small lips', 'narrowing and sharp chin', Taeumin 'thick lips', 'flat face', 'large eye, nose, ear and mouth' and Soeumin 'long and slender face', 'downward slanting eyes' and 'small eye, nose, ear and mouth', The important voice characteristics of Taeyangin were 'loud' and 'clear', Soyangin 'rapid' and 'high-pitched tone', Taeumin 'chick', 'slow' and 'low-pitched tone' and Soeumin 'small and feeble' and 'slow'. The important skin characteristics of Taeyangin were 'thin' and 'white', Soyangin 'thin', 'smooth' and 'elastic', Taeumin 'thick', 'large skin-pore', 'coarse' and Soeumin 'soft', 'thin' and 'subtle skin-pore'. The important pulse characteristics of Taeyangin were 'rapid' and 'large', Soyangin 'rapid' and 'floating', Taeumin 'tense', 'long' and 'solid' and Soeumin 'fine', 'weak' and 'slow'.

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The Suggestion of the clinical application of Sasang Constitutional Diagnosis (사상체질 진단의 객관화를 위한 제언)

  • Park, Hye-Sun;Kim, Hyung-Soon;Kim, Kyung-Yo;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.2
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    • pp.138-143
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    • 2001
  • 1. Background Among the clinical application of Sasang Constitutional diagnostic methods, a morphologic study of face is recognized by the Ministry of Health and Welfare as a legitimate Hanbang diagnostic method. But there are some indirect different view about this method. We should criticize this method for the better. 2. Method We criticize the current morphologic study of face by its literature basis, its measurement and its result, compared with ${\ulcorner}$Dongyisoosebowon${\lrcorner}$ and other related literatures. 3. Conclusions We suggest thar the current morphologic study of face is not proper for the clinical application of Sasang Constitutional diagnostic method in the point of the lack of literature basis and the intervention of the examiner's subjectivities.

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

  • Lee, Jun-Hee;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.26 no.1
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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.

The Web Application of Integrated Sasang Constitutional Diagnosis β-version (통합 체질진단 툴 β-version의 웹기반 응용프로그램)

  • Jin, Hee-Jeong;Kim, Jang-Woong;Kim, Young-Su;Lee, Si-Woo;Jang, Eun-Su
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.1
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    • pp.13-20
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    • 2012
  • 1. Objectives : It is very important to classify people into Sasang constitution correctly in SCM. There have been many researches for this and several tools have been developed for diagnosis of Sasang constitution. In our study, we introduce a new web application for Integrated Sasang Constitutional Diagnosis (ISCD) ${\beta}$-version and algorithm on the base of face, body shape, voice and questionnaire. 2. Development : The web application of ISCD ${\beta}$-version was designed to be used easily for subject, staffs, and oriental medical doctors. For this purpose, we developed a web-application of Integrated Sasang Constitutional Diagnosis ${\beta}$-version using mysql database, tomcat web system, JSP, JAVA, and C++ languages. 3. Current State : The ISCD ${\beta}$-version could be accessed at http://210.218.196.115/SDT/login.jsp. The ISCD ${\beta}$-version consisted of 3 parts, for staffs, subject and oriental medical doctors. The system has been managed since February 2011. Currently 7 oriental hospitals have used the system and 1,439 subjects have been diagnosed by the system. 4. Conclusion and future work : Although many researchers have tried to develop a system or an algorithm for diagnosis of subject's constitution, we could have not used the system based on objective information of human body type, characters, symptoms. In this study, we describe a web application of objective diagnosis algorithm as ISCD ${\beta}$-version. This system may help an oriental medical doctors to make a decision of Sasang constitutional diagnosis easily and correctly.

A Development of Sasang Constitution Diagnosis Program Based on Characteristics of Body Shape Face Physiological Symptom and Personality (체형 안면 소증 및 성정 특성 기반 사상체질 진단 프로그램 개발)

  • Jang, Eun-Su;Park, Ki-Hyun;Baek, Young-Hwa;Lee, Si-Woo;Kim, Seong-Hun;Joo, Jong-Cheon
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.1
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    • pp.21-31
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    • 2012
  • 1. Objectives : In this study we derived constitutional characteristics both by using questionnaire on character and symptom and by collecting objective measurement data through face, body shape. Furthermore, by developing a program, we intend to help one's diagnosis of Sasang constitution. 2. Methods : Through November 2007 to July 2009, we obtained questionnaire, face, and body shape data of 958 constitution confirmed subjects within the age range of 10-80 from 19 oriental medical facilities in the country. According to sex, we divided the subjects into two groups as real constitution and non-constitution group respectively. We analyzed the questionnaire through chi-square test (p<.01) and facial and body shape data through unpaired T-test (p<.01). By using weight law for questionnaire and euclidean distance for body shape and face data, we expressed constitution possibility to develop a supplementary program. 3. Results : The concordance rates of constitutional diagnosis by using the program for Taeeumin, Soeumin, Soyangin are, 76.7%, 61.5%, 67.4% resulting in 69.6% in male and 64.1%, 64.7%, 65.1%, resulting in 64.7% In female respectively. New cases tested on the program showed concordance rate of 65% in male and 62% in female with real constitution. 4. Conclusion : The constitutional diagnostic program based on the face, body shape and questionnaire, may have significant meaning as a supplementary tool in the constitutional diagnosis for clinical expert.

The Methodological Review on the Accuracy Study of Questionnaire for Sasang Constitution Diagnosis (체질진단설문지 정확률 연구의 연구방법론 고찰)

  • Kim, Sang-Hyuk;Jang, Eun-Su;Koh, Byung-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.3
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    • pp.1-16
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    • 2012
  • Objectives For the methodological review on the accuracy study of questionnaire for Sasang constitution diagnosis, we searched the various diagnostic accuracy study of the questionnaires for Sasang constitution. Methods We searched MEDLINE, the Cochrane Library, KISS, and DBPIA. Additionally, We hand-searched the main oriental medical journals. All articles were independently reviewed and selected by two evaluators. And selected articles were assessed by "Quality Assessment of Diagnostic Accuracy Studies Tool"(QUADAS Tool) for the methodological review. Results The twenty eight studies initially identified studies were included in the methodological review. The part of "Acceptable reference standard", "Uninterpretable results reported" and "Withdrawals explained" was very weak in the risk of bias. The part of "Representative spectrum", "Acceptable delay between tests", "Incorporation avoided", "Reference standard results blinded", "Index test results blinded" was unclear in the description. Conclusions For the further study on the accuracy study of Sasang constitution diagnosis, we have to improve the aforementioned errors. Additionally, the checklist for the description of study might be needed.

A Case report of the Ordinary symptoms on a Taeyangin constitution (태양인 환자의 소증(素症)에 대한 증례보고)

  • Lee, Eui-Ju;Song, Il-Byung;Kim, Kyung-Sok;Kwak, Chang-Kyu
    • Journal of Sasang Constitutional Medicine
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    • v.14 no.3
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    • pp.146-152
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    • 2002
  • Purpose Because Taeyangin constitutions are very rare, There are few references about Taeyangin diseases. I suppose to gather basic materials on the case of a diagnosis and treatment on Taeyangin constitution patient. So I want to accomplish the theory of Taeyangin diseases. Methods I studied I patients with sequelae of CVA who were diagnosed by Taeyangin at department of Sasang constitutional Medicine in Kangnam Kyung Hee Oriental Hospital, and then I investigated the Ordinary symptoms as the diagnosis and treatment on a Taeyangin constitution Conclusion & Results To diagnose Taeyangin constitution, It is important to find out one's ordinary symptomes(especially appearance, personality, taste of food, existence of $y{\breve{u}}lk{\breve{u}}k{\cdot}haey{\breve{u}}k$, condition of urine and feces)

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A Study on the Priority Order of Sasang Constitutional Factors in Oriental Medical Clinics (한방 의료기관의 체질진단 항목 우선도에 관한 연구)

  • Jang, Eun-Su;Lee, Si-Woo;Yoo, Jong-Hyang;Lee, Hae-Jung;Hwang, Ji-Ho;Joo, Jong-Chun
    • Journal of Sasang Constitutional Medicine
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    • v.20 no.3
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    • pp.133-141
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    • 2008
  • l. Objectives This study aims to know the coefficient of five Sasang constitution diagnosis factors' concordance in and among Oriental Medical Clinics, which are important to diagnose Sasang constitution, 2. Methods We collected 701 subjects in Oriental Medical Clinics, who were diagnosed by experts, and they marked the priority order of Sasang constitutional factors in paper. 3. Results 1) The concordance of priority order about Sasang constitutional factors was significantly associated within Oriental Medical Clinics. 2) The concordance of priority order of Sasang constitutional factors was not significantly associated among 12 Oriental Medical Clinics, so we find out that each medical clinics has a different point of view of deciding the rank of diagnosis factors. 3) We show that the factor of Sasang constitutional drug response was the most important one to confirm Sasang constitution and factors have a different order according to clinic type and qualification of experts 4. Conclusions Sasang constitution expect has their own view in diagnosis priority order and that was different among them.

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A Study on the Validity of the Questionnaire about Sasang Constitution Classification for Mongolians (몽고인(蒙古人)을 위한 사상체질분류검사지(四象體質分類檢査紙)의 타당화(妥當化) 연구(硏究))

  • Kim, Kyung-Su;Lee, Su-Kyung;Shin, Hyeun-Kyoo;Koh, Byung-Hee;Song, Il-Byung;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.1
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    • pp.98-115
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    • 2007
  • 1. Objectives This study focuses on the Validity of the Questionnaire about Sasang Constitution Classification for Mongolians 2. Methods By using the way of backward elimination, certain variables are chosen from the 438 cases whose physical conditions are absolutely diagnosed. After that, discriminant analysis for the selected variables has been done to obtain the physical constitution equation and the accuracy ratio of diagnosis which are useful for physical constitution diagnosis. 3. Results and Conclusions (1) In tile Validity for the Questionnaire of Sasang Constitution Classification for Mongolians, the accuracy ratio of diagnosis of Taeyangin is 100%, Soyangin 62.5%, Taeumin 76.7%, and Soeumin 66.1% respectively as a result of the discriminant analysis employing Cronbach's alpha coefficient. On the whole, the accuracy ratio of diagnosis is 70.1%. (2). In the Validity for the Questionnaire of Sasang Constitution Classification for Mongolians, the accuracy ratio of diagnosis of 70.1% means that it beats the maximum chance criterion of 41.4% and the proportional chance criterion of 34.4% by 28.7% and 35.7% respectively. Conclusively, this questionnaire has discriminant power.

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