• Title/Summary/Keyword: constitutional prescription

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Differences in the Symptoms between Exterior-disease and Interior-disease of TE type - Based on 659 Subjects - (태음인 표병군과 리병군의 증후 차이에 대한 분석 : 다기관 약진 대상자를 중심으로)

  • Kim, Sang-Hyuk;Park, Ki-Hyun;Jang, Eun-Su;Kim, Jong-Yoel
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.2
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    • pp.96-106
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    • 2009
  • 1. Objectives : The aim of this study was to survey the ordinary symptoms of TE type(Tae-eumin) and to compare the tendency of their symptoms according to the Exterior- or Interior- disease. 2. Methods : We recruited 659 TE type(Tae-eumin)-subjects in multi-oriental hospitals and researched their ordinary symptoms. Subjects were diagnosed by the Sasang Constitutional specialists in oriental hospitals, and had remarkable improvement in the chief complains after Sasang Constitutional Medication. Subjects were divided two groups. One group had the Exterior-cold disease and they took the prescription for the Exerior-cold disease(such as Taeumjowi-tang, Jowiseungcheong-tang, Nocyongdaebo-tang etc.). The other group had the Interior-febrile disease and they took the prescription for the Interior-febrile disease(such as Galgunhaegui-tang, Yeoldahanso-tang, Cheongsimyeonja-tang, Gongjinhugwon-dan etc.). All subjects answered the questionnaire about their symptoms. We found the differences of answers using the Chi-square test between-group comparisons. We analyzed using SPSS 12.0 for Korean. 3. Results and Conclusions : In symptoms, Quantity of meal(p=.009), Perspiration of head and face(p=.001), Aspect of Excrement(p=.027), Presence of pain after excrement(p=.001), Frequency of urination at night(p=.003), Clarity of urine(p=.041), Sleep during the day(p=.049), Warm or cold feeling on abdomen(p=.007), etc. are different according to the Exterior- or Interior- disease. We found the differences of symptoms between not only the constitutional types but also the types of disease.

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A Comparative Study on Acupuncture Using five Su points(五輸穴) - Sa-am Acupucture(舍岩鍼法), Taeguk Acupuncture(太極鍼法), 8 Constitution Acupuncture(八體質鍼法) - (오수혈(五輸穴)을 이용한 침법(鍼法)의 비교(比較) 고찰(考察) -사암침법(舍岩鍼法), 태극침법(太極鍼法), 팔체질침법(八體質鍼法) 중심(中心)으로-)

  • Jung, In-Gy;Kang, Sung-Keel;Kim, Chang-Hwan
    • Journal of Acupuncture Research
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    • v.18 no.2
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    • pp.186-199
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    • 2001
  • Objectives : Sa-am Acupucture(舍岩鍼法), Taeguk Acupucture(太極鍼法), and 8 Constitution-Acupuncture(八體質鍼法) are largely used acupuncture therapies which utilize Yin and Yang, The Five Elements, Interpromoting and Counteracting Relation(相生 相克 關係). We are here to compare and study each acupuncture methods in order to understand their fundamental principle and theory. Conclusion : 1. When prescribing Herb to patients, we can use the Differentiation of Syndromes method(辨證論治). As there is Constitutional Medicine prescription(四象醫學處方) using constitutional Large & Small Relation of Jang and Bu organs(臟腑大小 關係), in acupuncture treatment we can use the Differentiation of Syndromes method of Sa-am acupucture, applying constitutional Large & Small feature of Jang and Bu organs(臟腑大小) in Taeguk Acupucture and 8 Constitution Acupuncture we can derive a suitable prescriptions. 2. Taeguk Acupucture and 8 Constitution Acupuncture is an acupunture method created upon the constitutional theory. Taeguk Acupucture lacks a theory and has problems with its practical use. 8 Constitution-Acupuncture has a theory, thus it can give us the chance to make derived diverse prescriptions for each diseases. 3. Sa-am Acupucture uses exclusively Manual technique(手技法), breathing Posa method(呼吸補瀉法), YoungSu Posa method(迎隨補瀉法) and also retaining method(留鍼法). Taeguk Acupunctune is directed related with WonBang Posa method(圓方補瀉法), twirling method(撚鍼法) and uses retaining method. 8 Constitution-Acupuncture works only with YoungSu Posa method and also One-insertion method(單刺法). 4. If we apply The Five Elements of five Su points and Interpromoting and Counteracting Relation(相生 相克 關係), we can control discords between Jang and Bu organs. Sa-am Acupucture, Taeguk Acupture and 8 Constitution Acupuncture which use five Su points can make better results in Jang and Bu organs disease. 5. Sa-am Acupunture needs diverse applications of Organ picture theory(臟象論), Pathogenesis theory(病機學說) and an proper prescription studies by Differentiation of Syndromes(辨證). Taeguk Acupuncture and 8 Constitution Acupuncture has a organized prescription methods by constitutional Large & Small relation of Jang and Bu organs(臟腑大小), thus we need to focus on objectification in constitutional differentiation.

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The Study about The Discourse on The Medications and Prescriptions on The DongyiSooseBowon Gabobon (" 동의수세보원(東醫壽世保元) 갑오본(甲午本)의 약방(藥方)"에 관한 연구(硏究))

  • Park, Seong-Sik;Han, Kyung-Suk
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.2
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    • pp.74-93
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    • 2001
  • 1. Background and Purpose At the year of 2000, the society of Sasang Constitutional Medicine acquired ${\ulcorner}$HamsanSachon DongyiSooseBowon GaboGubon${\lrcorner}$ which is seen as a written copy of ${\ulcorner}$GaboBon${\lrcorner}$. According to Lee Sung-su who is the great-grandson of DongMu's older brother, ${\ulcorner}$HamsanSachon DongyiSooseBowon GaboGubon${\lrcorner}$ was worked by Lee Jin-yoon who is the grandson of DongMu's older brother, and it was copied by Han Min-gab and now is owned by Lee Sung-su who is son of Lee Jin-yoon. 2. Methods This paper was written in order to understand of the character of the discourse on the medications and prescriptions of the ${\ulcorner}$HamsanSachon DongyiSooseBowon GaboGubon${\lrcorner}$. 3. Result and Conclusion 1) Newly created prescriptions of ${\ulcorner}$GaboBon${\lrcorner}$ is composed of the 125 medications of Soeumin 46, Soyangin 36, Taeumin 29, Taeyangin 14. Regarding with that prescriptions, the average number of the medications per prescription is 9.3 and the average capacity of that is 42.6gram. 2) The experimental prescription is from ${\ulcorner}$GaboBon${\lrcorner}$. All the 37 prescriptions of ${\ulcorner}$Sanghanlon${\lrcorner}$ is found at the text of ${\ulcorner}$GaboBon${\lrcorner}$, and only 12 of 37 prescriptions of Traditional Medicine excepting ${\ulcorner}$Sanghanlon${\lrcorner}$ is described at the text of it. Hardly any case of treatment by Traditional Prescription can be found at the discourse on constitunal symptoms and diseases. 3) Only 13 of 69 newly created prescriptions is not prescribed at ${\ulcorner}$GaboBon${\lrcorner}$, and 7 of the 13 prescriptions don't have the symptom of charge also. 4) 6 prescriptions which are supposed to newly created prescriptions of ${\ulcorner}$The Discourse on Constitutional Symptoms and Diseases${\lrcorner}$ are not describe to the composition of medications. 5) All the newly created prescriptions of ${\ulcorner}$The General Remarks on the Soeumin${\lrcorner}$ of ${\ulcorner}$SinChucBon${\lrcorner}$ are to be regarded as GaboBon's.

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A clinical study of Soyangin Yangkyuksanwhatang (양격산화탕(凉膈散火湯) 활용(活用)에 대(對)한 임상적(臨床的) 연구(硏究))

  • Park, Seong-sik;Kim, Ji-yong;Choi, Jae-young
    • Journal of Sasang Constitutional Medicine
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    • v.10 no.2
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    • pp.455-471
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    • 1998
  • Background and Purpose : We intended to be helpful to understand constitutional symptoms of a disease and an application of the prescription through a clinical study of Soyangin Yangkyuksanwhatang. Methods : We studied 65 patients(40 men and 25 women) treated with Soyangin Yangkyuksanwhatang in constitutional clinic of Dongguk Pundang Oriental Hospital. And then we investigated the characteristics of Yangkyuksanwhatang treated patients, remedial values, onset of action and side effects. Results: Soyangin Yangkyuksanwhatang was used in all age groups both men and women. There were 37 kinds of chief complaints including chest discomfort, numbness of hands and feet, motor disturbance and skin disease etc. The distributions of remedial values were slightly improved(58.5%), much improved(12.3%), no improved(29.3%) and there was no aggravated patient. Using the prescription, mostly I prescribed only Soyangin Yangkyuksanwhatang without any changing, and added some herbs to the prescription according to the symptoms of a disease. Soyangin Yangkyuksanwhatang was affected in remedial values by the addition and subtraction of herbs. The onset of action in young age group was shorter than old age group. Side effects were palpitation, abdominal pain and indigestion etc.

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A Study on the Experts' Agreement on the Patterns Classification of the Prescription for the Use of Menopausal Disorder (갱년기장애 사용처방과 변증분류에 관한 전문가 합의 연구)

  • Jeon, Soo-Hyung;Park, Young-Hee;Kim, Jong-Won;Chi, Gyoo-Yong;Lee, Ji-Yeon;Lee, In-Seon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.2
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    • pp.70-86
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    • 2022
  • Objectives: This study attempted to provide prescriptions that can be used according to the classification of menopausal disorders in order to increase the clinical utilization of CaPSPI (Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification). Methods: Delphi method survey was conducted for expert consensus on the Pattern Identification that could be used for each prescription by selecting frequent prescriptions based on the literature researched on the prescription of Korean medicine used for women with menopausal disorders. 11 experts participated in the questionnaire for posterity and 7 experts for sasang constitution. The survey was divided into the main prescription that can be mainly used for the patterns and the minor prescription that can be used although the suitability is somewhat low. Expert consensus was obtained through the second survey, and the pattern classification of prescriptions that were not confirmed here was confirmed through a face-to-face meeting. Results: There were 56 prescriptions mainly used for treatment for menopause, 45 for posterity and 11 for Sasang constitution. There were 69 identifications of 45 posterity prescriptions and 17 classifications of 11 Sasang constitutional prescriptions including major and minor patterns. By pattern identifications, the number of major/minor prescriptions was as follows. 肝鬱 14/5, 腎陰虛 8/2, 腎陽虛 4/1, 肝腎陰虛 2/7, 腎陰陽兩虛 3/1, 心腎不交 6/3, 心脾兩虛 15/2, 心火 7/6. Conclusions: In the future, by accumulating and analyzing the data on the diagnosis and treatment using CaPSPI, the clinical status of Korean medicine for menopausal disorders can be reviewed, and it can be used as the basis for the clinical practice guidelines for menopausal disorders. In addition, it is thought that analyzing the results of the diagnosis of pattern identifications and the prescription of Sasang constitution can be helpful in research on the posterity and Sasang constitution.

A Clinical Practice Guideline for Ma-huang(Ephedra sinica) Prescription in Obesity (비만치료 및 체중감량에서의 적절한 마황 사용에 대한 임상 진료지침 개발)

  • Kim, Ho-Jun;Han, Chang-Ho;Lee, Eui-Ju;Song, Yun-Kyung;Shin, Byung-Cheul;Kim, Yun-Kyung
    • Journal of Korean Medicine for Obesity Research
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    • v.7 no.2
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    • pp.27-37
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    • 2007
  • Background Clinical practice guidelines (CPG) are systematically developed statements to assist practitioners and patients on healthcare decisions. They provide recommendations for the average patient, which should take into account individual clinical judgment and the patient's values and expectations. Ephedra has sympathomimetic effect and has been used for weight loss worldwide. However, its safety is controversial especially in autonomic and cardiovascular systems. Therefore, the need of appropriate CPG for ephedra prescription in obesity was advocated in Korean Traditional Medicine. Methods The committee comprised of specialists of obesity, oriental herbology, oriental cardiology, constitutional medicine. The committee collected all relevant references about adverse effect and safety of ephedra in the forms of meta-analysis, systematic review, randomized controlled trial, case-control study and observational study from international and domestic databases and paper journals. 11 English- and 5 Korean-language references were gathered and categorized by PICO (Patient, Intervention, Comparison, Outcome) method. We could not complete strength of recommendation which should be clarified according to the evidence grade estimation. Result The first version of CPG for ephedra prescription in obesity was issued by Korean Oriental Association for Study of Obesity. It includes topics of introduction, pharmacokinetics, side effects and adverse events, constitutional aspect and recommendations for dose, indication and contraindication. Conclusion There should be periodic upgrade of this CPG from now on. Although there are some drawbacks in this version of CPG, it has significance as the first CPG in Korean Traditional Medicine.

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Study on the Pathology of Taeeumin Prescription in Sasang Constitutional Medicine (태음인 처방의 사상의학적 병리 연구)

  • Ryu, Seung Yeob;Choi, Na Rae;Oh, Seung Yun;Park, Soo Jung;Joo, Jong Cheon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.30 no.1
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    • pp.14-19
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    • 2016
  • This study was designed to define the efficacy of prescriptions of Taeeumin in Sasang constitutional medicine. The twenty four prescriptions registered in Donguisusebowon Sinchuk edition written by Je-ma Lee in 1901 are the targets of this paper. We searched and analyzed original text such as Donguisusebowon Sinchuk edition written in 1901, Donguisusebowon Gabo edition written in 1894, Donguisusebowon Sansang Chobongwon, and posthumous manuscripts left by Je-ma Lee published by the Ministry of Health of North Korea. The pathology of the Taeeumin is classified into four mechanisms those are Esophagus-Cold (Wiwanhan), Cold Lung-Dry (HanpaeJo), Liver-Heat (Ganyeol), and Heat Lung-Dry (YeolpaeJo). The prescriptions of Taeeumin regulate four mechanisms. Twenty four prescriptions of Taeeumin regulate the mechanisms of Wiwanhan, HanpaeJo, Ganyeol, YeolpaeJo and correct the energy-fluid pathology of Taeeumin.

A Clinical Report of Taeumin Hwa-Byeong Patient with Conversion Disorder (전환(轉換) 장애(障碍)를 동반한 태음인(太陰人) 화병(火病) 환자의 증례)

  • Han, Dong-Youn;Lee, Sang-Min;Kim, Min-Jong;Shin, Mee-Ran;Yang, Sang-Mook;Shim, Gyu-Heoun;Kim, Dal-Rae;Jung, Woon-Ki
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.3
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    • pp.142-149
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    • 2005
  • 1. Objectives The purpose of this case is to report a Taeumin, who was examined as Hwa-Byeong, received a medical treatment with Cheongsimyeonja-tang and consult of Sasang Constitutional Medicine. 2. Methods We examined this patient as Hwa-Byeong by using Hwa-Byeong Diagnostic Interview Schedule(HBDIS) and we also diagnosed a patient's mental state by using MMPI to understand a human instinct of the patient. Additionally, we used QSCC II and PSCC to distinguish a patient's Sasang Constitution. 3. Results We received a positive result by using prescription as Cheongsimyeonja-tang and consult according to a patient's Sasang Constitutional Medicine. 4. Conclusions We suggested that the patient would receive steady treatments as consult of Sasang Constitutional Medicine and medicinal therapy afterwards.

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On the Legality of the Telemedicine between the Patient and Doctor Under the Medical Service Act - Focused on the Prescriptions to the Distanced Patients- (의사 환자 간 원격 의료의 의료법상 적법성에 관하여 - 원격 환자에 대한 처방 중심으로 -)

  • Kim, Jang Han
    • The Korean Society of Law and Medicine
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    • v.22 no.1
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    • pp.3-23
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    • 2021
  • Telemedicine is a field of medicine in which medicine doctors who are in remote distance can treat the patients using audio, video devices which can help the diagnosis. In medicine, even the face-to-face diagnosis and treatment is the traditional way, the telemedicine could provide the convenient way for the patients in long distance, disabled or anyone who want to be stay ones' home. But telemedicine has the task to maintain the quality of medical cares compare with the traditional medicine. Among the several types of telemedicine, the specific type telemedicine in which the medicine doctors examine, diagnosis and do the prescription to the remotely distanced patients could be defined tele-prescription. Under The Medical Service act, it is unclear that teleprescription could be allowed. The Medical Service Act has introduced the specific clause for the prescription. That clause includes the duty of patients who have to receive the prescriptions directly from medical doctors. Under this clause, the constitutional court had decided the tele-prescription was illegal, but the supreme court has been decided tele-prescription could be legalized under the certain circumstances. But the other supreme court decided the tele-prescription was illegal under the article 34 of presenting Medical Service Act. So to understand the interpretations of Supreme court and Constitutional court decisions for the cases of prescription via telephone, we need to understand the history and presented reasons for the revision of prescription clause and also need to understand the other related clauses in the same act. In conclusion, To consider the values of telemedicine should be the level with the ordinary treatments, It is reasonable to interpret that the presenting Medical Service Act only legalize the telemedicine between doctor to doctor and which is regulated by the telemedicine clause.

A Case Report about the Treatments of Soeumin Hwabyung with Insomnia, Diarrhea and Flaring Up (부안(不眼)과 세사(世瀉) 및 상충감(上衝感) 등의 신경증상을 동반한 소음인(少陰人) 화병(火病) 치험일례(治驗一例))

  • Shin, Dong-Yoon;Song, Jeong-Mo;Kim, Young-Won
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.2
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    • pp.107-114
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    • 2005
  • I. Objectives - Hwabyung is anger syndrome due to prolonged, constrained feeling. In Sasang constitutional Medicine. Soeumin(소음인(少陰人))'s contancy is apprehension, so they tend to worry about little matters. And they are characterized by neurosis such as insomnia, headache and so on. This patient is classified Soeumin, and her main symptom is insomnia, diarrhea and flaring up. Refering to these symptom, she is suffering from Soeurnin interior disease bv psychological factor. This study is reported to evaluate the effect of Sasang prescription to Hwabyung patient with Soeumnin interior disease by psychological factor. 2. Methods - This patient was treated by Sibimigwanjoong-tang(십이미관중탕(十二味寬中湯)) mainly, and Hyangboojapalmool-tang( 향부자팔물탕(香附子八物湯)) subsequently to cure Hwabyung patient with Soeumin interiot disease by psychological factor 3. Results - By use of Sibimigwanjoong-tang mainly, this patient showed a positive response. 4. Conclusions - We suggest that Sibimigwanjoong-tang and Hyangboojapalmool-tang is effected significantly to Hwabyung patient with Soeumin interior disease by psychological factor.

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