• Title/Summary/Keyword: constitutional diagnosis

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Characteristics of each Sasang Constitutional Type as assessed by the Temperament and Character Inventory (TCI) (기질 및 성격 검사(TCI)를 통한 사상체질 특성 연구)

  • Choi, Dai-Sung;Kim, Lak-Hyung;Sung, Won-Young;Han, Su-Jin;Shin, Dong-Yoon;Song, Jeong-Mo
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.3
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    • pp.351-360
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    • 2011
  • 1. Objective: This study was designed to analyze the characteristics of each Sasang constitutional type using the Temperament and Character Inventory (TCI). 2. Methods: A total of 135 healthy subjects (age 19-30) participated in this study, consisting of 35 Soyang-type, 66 Taeeum-type, 30 Soeum-type, and 4 Taeyang-type subjects. A Sasang Constitutional Medicine specialist determined each subject's Sasang constitutional type based on the Two Step Questionnaire for Sasang Constitution Diagnosis (TS-QSCD) and comprehensive constitutional assessment. The subjects were also asked to complete the TCI. 3. Results: Among the four temperament dimensions, the Soyang- and Taeeum-type subjects showed significantly higher scores than the Soeum-type subjects in Novelty Seeking (NS). The Soeum-type subjects showed significantly higher scores than the Taeum- and Soyang-type subjects in Harm Avoidance (HA) (Soeum type > Taeeum type > Soyang type). The Soyang-type subjects showed significantly higher scores than the Soeum-type subjects in Reward Dependence (RD). The Soyang- and Taeeum-type subjects showed significantly higher scores than the Soeum-type subjects in Persistence (P). Among the three character dimensions, the Soyang-type subjects showed significantly higher score than the Taeeumand Soeum-type subjects in Self-Directedness (SD) (Soyang type > Taeeum type > Soeum type). The Soyang-type showed significantly higher scores than the Taeeum-type in Cooperativeness (C). 4. Conclusions: Differences in temperament and character were discovered across the Sasang constitutional types. The Sasang constitutional characteristics should be investigated in larger studies in the future. Similar studies could add to the growing knowledge of Sasang constitutional typology and contribute to a more accurate Sasang constitutional diagnosis.

Two Case Reports of Taeumin Delirium Patients (태음인(太陰人) 담망 환자 치험 2례)

  • Ban, Duk-Jin;Lee, Hee-Seung;Kang, Tae-Gon;Han, Kyoung-Suk;Bae, Hyo-Sang;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.3
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    • pp.257-269
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    • 2007
  • 1. Objectives The purpose of this case report is to evaluate the effects of Sasang constitutional diagnosis and treatment of two delirium patients who were diagnosed Taeumin Dry-Heat Syndrome(燥熱證). 2. Methods Two delirium patients were diagnosed Taeumin Dry-Heat Syndrome(燥熱證) based on their Nature & Emotion (性情), physical characteristics, symptoms. They were medicated Chungpyesagan-tang(淸肺瀉肝湯) through of sleep, complexion, thirst, stool, coating of the tongue, and MMSE(Mini-Mental State Exanmination) score were used of measure improvement. 3. Results and Conclusions Two delirium patients who were treated with Chungpyesagan-tang(淸肺瀉肝湯) showed improvement in delirium symptoms, thirst, constipation, redness of complexion, white coating of tongue, and general condition. These case reports describe the effects on delirium and symptoms of Sasang Constitutional Medication. The necessity of managing the psychological aspects of the pathology through Nature & Emation(性情) is also mentioned.

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A Case Report on Parkinson's Disease Soyangin Patient with Abdominal Pain and Constipation (만성복통 및 변비를 호소하는 소양인 파킨슨병 환자의 치험1례)

  • Kwak, Jinyoung;Kim, Yoon-Ha;Park, Jung-Hwan;Hong, Seo-jin;Ahn, Taek-Won
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.3
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    • pp.276-285
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    • 2016
  • Objectives The purpose of this case was to report significant improvement of abdominal pain, constipation and a slight improvement of tremor after treatment by Sasang Constitutional Medicine to the patient with Parkinson's disease.Methods The patient was diagnosed as Soyangin according to the result of Sasang constitutional diagnosis, and treated by Sasang constitutional medications and acupuncture. The progress was evaluated with the Global Assessment Scale (GAS).Results The abdominal pain was reduced from Numeric Rating Scale (NRS)9 to NRS1 and headache was reduced from NRS5 to NRS3. The tremor was reduced to GAS 10. Unified Parkinson Disease Rating Scale (UPDRS) was reduced from 40 to 27. The difference of heat distribution between left and right side was reduced and the abdomen was more warmer on Digital Infrared Thermal Imaging (DITI).Conclusions Sasang constitutional medicine can be a solution for the non motor symptoms caused by Parkinson's disease.

Two Case Reports on Major Neurocognitive Disorder Patients Treated in Sasang Constitutional Medicine (사상의학적으로 치료하여 호전된 주요 신경인지장애 치험 2례)

  • Park, Junghwan;Kwak, Jinyoung;Koh, Youngmee;Yun, Geewon;Ahn, Taekwon
    • Journal of Haehwa Medicine
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    • v.26 no.1
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    • pp.58-67
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    • 2017
  • Objectives:This study was designed to report treatment by Sasang Constitutional Medicine to the patients with Major Neurocognitive Disorder(Dementia) from various causes. Methods:These two patients were diagnosed as Taeeumin and Soyangin according to the result of Sasang constitutional diagnosis, and treated by Sasang constitutional medications. The progress was evaluated with the Korean version of Mini-Mentel State Exam(KMMSE) and Global Disorientation Scale(GDS). Result:The symptoms like wandering, insomnia, cognitive disorder was improved in these patients. Also, KMMSE and GDS score were highly improved. the one patient was cured with Cheongsimyeonja-tang and and the other was cured with Jihwangbaekho-tang and Yanggyuksanhwa-tang. Conclusion:This cases show that Sasang constitutional herbal medications are an effective treatment for the patients with Major Neurocognitive Disorder.

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A Case Report of a Soyangin Oro-facial Dyskinesia Treated with Functional Cerebrospinal Therapy (턱관절균형요법을 병행하여 치료한 소양인의 입얼굴 이상운동증 치험 1례)

  • Park, Gyung-hun;Jeon, Soo-Hyung;Kim, Jong-Won
    • Journal of Sasang Constitutional Medicine
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    • v.32 no.4
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    • pp.107-117
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    • 2020
  • Objectives This study was conducted to find out how effective the combined treatments of Sasang constitutional medication, acupuncture, pharmacopuncture and functional cerebrospinal therapy (FCST) are for oro-facial dyskinesia. Methods A patient was diagnosed as Soyangin according to the result of Sasang constitutional diagnosis and treated by Sasang constitutional medication, acupuncture, pharmacopuncture and functional cerebrospinal therapy. The progress was evaluated with the global assessment scale (GAS) and balance sheets test. Results Oro-facial dyskinesia was almost disappeared with Yanggyeoksanhwa-tang, acupunctiure, pharmacopuncture and functional cerebrospinal therapy. Conclusions We report a case of oro-facial dyskinesia that improved with Sasang constitutional medicine, acupunctiure, pharmacopuncture and functional cerebrospinal therapy.

Clinical Study of the Floating-Sinking Pulse Quantification Analysis on Ages, Left/Right, and Palpation Positions (20/60대 여성을 중심으로 살펴본 좌우 촌관척 부/침맥 정량화 임상연구)

  • Kim, Jae-Uk;Kim, Sung-Hun;Jeon, Young-Ju;Ryu, Hyun-Hee;Lee, Yu-Jung;Lee, Hae-Jung;Kim, Jong-Yoel
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.1193-1198
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    • 2009
  • Pulse diagnosis is a central diagnosis method used in traditional Oriental medicine. To standardize and modernize the pulse diagnosis method, it is essential to develop an instrument-based reinterpretation of the clinically used pulse images in terms of the physical quantities such as the strength, period, width, length, and depth of the pulse. As a step towards such standardization, we conducted a clinical study on the floating/sinking pulses based on an automated palpation instrument (3D-MAC, Daeyo Medi, Korea) for 213 female subjects in their 20s and 174 female subjects in their 60s. The floating/sinking pulses are the two representative pulse images depending only on the depth of the pulse, and can be conveniently scaled by the coefficient of the floating-sinking pulse ($C_{fs}{\in}(0,1)$), which represents how strong one should apply the hold-down pressure to obtain the maximal pulse strength. As a result, primarily we found that it tends to appear more floating-like pulse ($C_{fs}{\rightarrow}0$) at Gwan and more sinking-like pulse ($C_{fs}{\rightarrow}1$) at Cheek, at both age groups and at both wrists. This result is consistent with a previous study on the geometrical structure of the blood vessel by an ultrasonograph. Second, the pulse tends to be more sinking-like in the age group of 60s than 20s. Finally, the pulses at the right palpation positions were found to be more sinking-like than the left, at both age groups.

Revision of the Questionnaire for the Sasang Constitution Classification (사상체질진단설문지(四象體質診斷設問紙)의 문항(問項) 개정(改定)에 대한 연구(硏究))

  • Kim, Sang-Bok;Lee, Soo-Kyung;Lee, Eui-Ju;Choi, Sun-Mi;Koh, Byung-Hee;Song, Il-Byung;Jeong, Yong-Jae
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.3
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    • pp.100-117
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    • 2003
  • Background In Sasang Constitutional Medicine (SCM), human beings are classified into four constitutions: Taeyangin, Taewnin, Soyangin, and Soeumin. SCM presents various lifestyles and treatments for each constitution. The problem of SCM is that its diagnosis is so subjective that the result of the diagnosis depends on the doctor. In order to solve this problem, multiple approaches have been objectively researched. To use a questionnaire is the most common method among the different approaches. Since there are a few problems in the Questionnaire for the Sasang Constitution Classification II (QSCC II), which in recent days has been used frequently, the necessity of a new questionnaire has arisen. Objective The purpose of this study is to develop a new questionnaire for the objectivity of the Sasang Constitution Classification by complementing the existing questionnaire. Methods In order to search for the existing questionnaire's problems, I first compare the ratio of the amount of questions regarding external appearance to that of questions of mental characteristics and physiologic & pathologic symptoms in QSCCII and QSCCII +. We created the new questionnaires by reinterpreting ${\ulcorner}Dongyi$ Soose $Bowon{\lrcorner}$ through SCM professors' and medical residents' discussion and by adding some items related to the diagnosis about the constitution from other SCM books and clinical experience. Results 1. The new questionnaire for the Sasang Constitution Classification is self-reported questionnaire based on a multiple choice system of 4 questions. 2. The new questionnaire for the Sasang Constitution Classification consists of 28 questions, which include 7 questions about external appearance, 4 questions about mental characteristics, and 17 questions about physiologic & pathologic symptoms. 3. The new questionnaire for the Sasang Constitution Classification consists of 24 questions of Taeyangin, 28 of Taeumin, 28 of Soyongin, 28 of Soeumin. 4. We will have to verify validity and reliability of new questionnaire for rhe Sasang Constitution Classification.

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The Reliability and Validity Test of Sasangin Diagnostic Questionnaire for Specialist(SDQ_S) (전문가용 사상체질진단지의 신뢰도와 타당도 검사)

  • Pak, Yun-Seong;kim, Je-Shin;Park, Byung-Joo;Yoo, Jung-Hee;Lee, Jun-Hee;Koh, Byung-Hee;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.2
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    • pp.110-122
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    • 2016
  • Objectives The purpose of this study was to develop the Sasangin Diagnostic Questionnaire for Specialist(SDQ_S) and to evaluate the reliability and validity of SDQ_S for standardization of sasang constitutional diagnosis by korean medicine Specialist in clinical practice.Methods SDQ_S was developed through discussions of three sasang constitutional medical specialist. We recruited 210 subjects aged from 20 to 70, and conducted the evaluation of SDQ_S and sasang constitutional diagnosis. For the reliability test, internal consistency was examined by calculating the cronbach's α coefficient on 88 items excepted measurements of trunk, and independence and agreement was examined by chi-square test and McNemar test for 84 subjects which retested SDQ_S. For the validity test, discriminant functions was derived from the sample group(105 subjects), and they were applied to the test group(105 subjects). We identified the hit-ratio of SDQ_S in the test group.Results and Conclusions In the reliability test, the cronbach's α coefficient was 0.664 and 87 items(98.9%) have dependent relationships between 1st test and 2nd test. And 39 items(44.3%) have high agreements(0.8≤McNemar), 26 items(29.5%) have common agreements(0.4≤McNemar<0.8). In the validity test, four discriminant variables(Soeum Index, Taeeum Index, Torso Ratio I, Taeyang Index) were selected, and two discriminant functions were derived. Total hit-ratio was 74.2%, and hit-ratio of Taeeumin(76.7%) was higher than that of Soeumin(75.9%) and Soyangin(69.7%). SDQ_S has good reliability and validity for sasang constitutional diagnosis.

Study on the Development of Diagnosis Algorithm of Soyangin Symptomatology (소양인(少陽人) 병증(病證) 진단 알고리즘 개발 연구)

  • Shin, Seung-Won;Lee, Eui-Ju;Koh, Byung-Hee;Lee, Jun-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.3
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    • pp.294-303
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    • 2011
  • 1. Objectives: The purpose of this study is to develop the algorithm, which can help clinicians diagnose Soyangin's symptomatology, based on the indexes for energy and fluid and those for nutrient material. 2. Methods: The items of "Donguisusebowon(東醫壽世保元)" were analysed to figure out the inevitable and sequential indexes of Soyangin's symptomatology diagnosis, in order of exterior-interior pattern differentiation, favorable-unfavorable pattern differentiation, and mild-severe-dangerous-urgent pattern differentiation. 3. Results and Conclusions: 1) 1st step: Soyangin's exterior pattern and interior pattern are differentiated in terms of heat and cold, respectively. Aversion to cold and feces are used to confirm the difference. 2) 2nd step: The existence of diarrhea is used to find out that an exterior pattern is with or without favor, while the indexes of back cold, skinniness of thigh-knee and turbid urine are used to identify an interior pattern with or without favor. 3) 3rd step: The favorably exterior-heat pattern can be either mild or severe by the indexes of stuffiness/rigidity/pain below the heart and digestion, while the unfavorably exterior-heat pattern can be either dangerous or urgent by the ones of cold-heat and specific pain. And, the favorably interior-cold pattern can be either mild or severe mainly by feces and subsidiarily by delirious speech and digestion, while the unfavorably interior-cold pattern can be either mild or severe by afternoon tidal fever and vomiting.

Study on Sasang Constitutional Characteristics using Sasang Personality Questionnaire and Sasang Digestive Function Inventory in Clinical Level (의원급 임상에서 SPQ와 SDFI를 이용한 사상체질별 특징 연구)

  • Lee, Myoung Eun;Seo, Han Gil;Kim, Pan Jun;Chae, Han;Kwon, Young Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.6
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    • pp.426-431
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    • 2016
  • Sasang Digestive Function Inventory (SDFI) and Sasang Personality Questionnaire (SPQ) were developed on the basis of clinical experiences of Korean medicine hospital and previous studies have used these for analyzing Sasang constitutional characteristics mainly in hospital level. The purpose of this study is to analyze Sasang constitutional characteristics using SDFI and SPQ in clinical level. The SPQ, SDFI, height and weight were measured with 79 patients over 18-years-old from Jan. 2015 to Apr. 2016 in the clinic, Daegu, Korea that specializes in tinnitus and performs Sasang constitution diagnosis. We used ANOVA in analyzing the differences of the scores of SPQ, SDFI, BMI and PI in each Sasang types (Tae-Yang, So-Yang, Tae-Eum), and Bonferroni test or Dunnett's T3 for post verification. The SDFI-T(F=3.215) and SDFI-D(F=4.347) scores were significantly different(p<0.05) and SPQ score was not different in each Sasang types(p>0.05). And Weight(F=4.294), BMI(F=12.386) and PI(F=14.490) were significantly different in each Sasang types(p<0.001). We found that SDFI(SDFI-D) and BMI PI can explain the Sasang constitutional characteristics, that is equivalent to previous studies and might be used for clinical index in making objective questionnaire for Sasnag constitutional diagnosis in clinical level.