• 제목/요약/키워드: constitutional prescription

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양격산화탕(凉膈散火湯)의 기원(基源), 변천과정(變遷過程) 및 구성원리(構成原理) (The Origin, Changes and Compositive Principles of Yangkyuksanhwa-tang)

  • 박병주;이준희;이의주;고병희
    • 사상체질의학회지
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    • 제23권2호
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    • pp.184-193
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    • 2011
  • 1. Objectives: This paper investigates the origin, the progressive changes and the constructive principles of Yangkyuksanhwa-tang (凉膈散火湯). 2. Methods: Yangkyuksanhwa-tang and other related prescriptions were analyzed in terms of their pathological indications, based on previous literature including "Donguisusebowon Chobongwon (東醫壽世保元 草本卷)", "Donguisusebowon Gabobon (東醫壽世保元 甲午本)", "Donguisusebowon Sinchukbon (東醫壽世保元 辛丑本)" and "Dongmuyugo (東武遺稿)". 3. Results and Conclusion: 1) The Yangkyuksanhwa-tang most likely originates from Sodokeum, Yangkyuksan, Baekho-tang and Indongdeung. 2) Sodoksanhwa-tang introduced in "Donguisusebowon Chobongwon (東醫壽世保元 草本卷)" progressively transformed into Chungyangsanghwa-tang ("Donguisusebowon Gabobon (東醫壽世保元 甲午本)") and ultimately into Yangkyuksanhwa-tang ("Donguisusebowon Sinchukbon (東醫壽世保元 辛丑本)"), a prescription appropriate for usage in the Sangso symptomatology (上消證). 3) Yangkyuksanhwa-tang is composed of 9 herbs. Of these, Schixonepetae herba(荊芥), Ledebouriellae Radix(防風), Forsythiae fructus(連翹), Menthae Herba(薄荷), Gardeniae fructus(梔子) scatter the Hwa-qi(火氣), and Rehmanniae Radix(生地黃), Gypsum fibrosum(石膏), Anemarrhenae(知母) put off the Stomach-heat(胃熱), whereas Lonicerae caulis(忍冬藤) support the prevention of carbunculosis(癰疽).

사상방을 활용한 임신 중 구안괘사(口眼喎斜) 치험 4례 (Four Cases of Bell's Palsy Patients during Pregnancy Treated with Sasang Constitutional Medicine)

  • 최유정;전수형;이인선
    • 대한한방부인과학회지
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    • 제27권1호
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    • pp.193-205
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    • 2014
  • Purpose: This study was aimed to report the effect of oriental treatment on Bell's palsy during pregnancy with Sasang Constitutional method. Methods: 4 patients who had Bell's palsy during pregnancy were treated with Sasang constitutional prescriptions. After treatments we evaluated the effects by House-Brackmann facial nerve grading system. Results: As a result, the clinical symptoms of Bell's palsy during pregnancy were improved. Conclusions: This case studies show that Sasang constitutional method can be effectively used on Bell's palsy during pregnancy. Especially the diagnostic results by using Diagnosis System of Oriental Medicine (DSOM) revealed that some of patients were in a very weak condition. We could apply these results to choose prescription and get good therapeutic effects.

청심연자탕(淸心蓮子湯) 활용(活用)에 대(對)한 임상적(臨床的) 연구(硏究) (A Clinical study of Taeumin Chongsim Yonja Tang)

  • 박성식
    • 사상체질의학회지
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    • 제10권1호
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    • pp.235-252
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    • 1998
  • 1. 연구배경 및 목적 : 태음인(太陰人) 신방법(新定方)의 하나인 청심연자탕(淸心蓮子湯)의 효능(效能)과 활용(活用)에 대한 임상적(臨床的) 연구(硏究)를 통하여 사상체질병증(四象體質病證)의 이해(理解)와 방제(方劑)의 운용(運用)에 도움을 주고자 한다. 2. 방법 : 1997년 3월부터 1998년 2월까지 1년간 동국대학교 분당한방병원 체질의학클리닉에 내원(來院)한 환자를 중 청심연자탕(淸心蓮子湯)이 20점(貼) 이상 투여되고 경과관찰(經過觀察)이 가능(可能)했던 125명(남자 62명, 여자 63명)을 대상으로 청심연자탕(淸心蓮子湯)이 투여된 환자(患者)의 특성(特性), 치료효과(治療效果), 부작용(副作用)등에 관하여 조사하고 분석하였다. 3. 결과 : 태음인(太陰人)의 청심연자탕(淸心蓮子湯)은 남녀(男女) 구별없이 20세 이상의 전 연령층(年齡層)에서 사용되었으며, 대상환자(對象惠者)들의 주소증(主訴症)은 수족비(手足痺), 두통(頭痛), 피로(疲勞) 등 60 종류였다. 치료효과(治療效果)의 분포는 호전(好轉)(60.8%), 우수(優秀)(15.2%), 별무변화(別無變化)(24.0%)였으며 악화(惡化)는 없었다. 전신상태의(全身狀態)의 특징으로는 설태(舌苔)가 백태(白苔) 또는 황태(黃苔)를 띠거나 수면(睡眠)에 장애(障碍)가 있는 경우가 많았다. 처방(處方)을 활용(活用)할 때는 다른 치료법이나 처방의 변경없이 청심연자탕(淸心蓮子湯)만을 사용한 경우가 많았으며 병증(病症)에 따라 2~3 종류(種類)의 약물(藥物)을 가미(加味)하여 사용하였다. 청심연자탕(淸心蓮子湯)의 치료효과(治療效果)에는 질환(疾患)의 이환기간(罹患期間), 치료기간(治療期間), 투여량(投與量)등이 영향(影響)을 미쳤으며 부작용(副作用)으로는 설사(泄瀉), 소화불량(消化不良) 등이 있었다.

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팔체질의학론의 원리에 대한 고찰 (Study on Principle of the Theory of Eight Constitutional Medicine)

  • 이봉희;권강범;박철;조창래;류도곤
    • 동의생리병리학회지
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    • 제23권4호
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    • pp.789-798
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    • 2009
  • In Sasang constitutional medicine, I have researched the process of visceral structure in the Eight Constitutionals under circulation of the five elements and the formation of primary source of illness. From this research, I could draw following conclusions through combination of the auxiliary psycho-formulas by applying the constitutional acupuncture therapy on the five elements diagnostic calculation. Since the arrangement for the five dimensions of organs in the eight constitutions has been formulated by circulation of the five elements in Sasang constitutions, if the five elements begin circulating count-clockwise from the reference point at the organs in Sasang constitutional medicine, the positive constitutional arrangement of organs is built up such as, the positive constitution of metal, earth, wood and water, while begin circulating clockwise, the negative constitutional arrangement of organs is formulated, such as the negative constitutions of metal, earth, wood and water. The source of illness results from imbalance of the organic force being generated by transfer of the five elements from compatibility to incompatibility when the five elements circulate. Hence, it has been acknowledged that if the source of illness comes from the strongest organ, it is the time when circulation of the five elements progresses from the second organ (the second strongest) in incompatibility, and if the source of illness comes from the weakest organ, it is the time when circulation of the five elements progresses from the third organ (the middle) in incompatibility. It is considered proper to diagnose meridians of the pericardium and the Triple Burners rather than to diagnose meridians of the heart and the small intestine which forms the visceral arrangement of the eight constitutions. For instance, the auxiliary psycho-formula obtains its prescription by attenuating the first organ (the strongest) while augmenting the fourth organ (the second weakest) when the axis of incompatibility in the five elements circulation crosses the second and the third organs, and it gets its prescription by attenuating the second organ(the second strongest) while augmenting the fifth organ(the weakest) when the axis of incompatibility in the five elements circulation crosses the third and the fourth organs. In addition, when medicating, the $4{\sim}5$ times of repeated performance can be assumed to represent the amount of an energy that each organ bears depending on the phase in the arrangement of the eight constitutional organs.

형방지황탕(荊防地黃湯)으로 경계(驚悸), 정충(怔忡)을 치료한 양성 부정맥 소양인(少陽人)환자 1례(例) (A Case Study Reporting Successful Treatment using Hyeongbangjihwang-tang of a Soyangin Patient diagnosed with Benign Arrhythmia and Experiencing Palpitation Symptoms)

  • 신현상;박병주;강미정;이지원;장현수;이준희;이의주;고병희
    • 사상체질의학회지
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    • 제22권2호
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    • pp.115-122
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    • 2010
  • 1. Objectives: This case study reports clinical improvement of a Soyangin benign arrhythmia patient who showed improvement of palpitation symptoms after treatment with Hyeongbangjihwang-tang. 2. Methods: The patient's subjective and objective symptoms were observed daily, and the VAS scores and duration times of palpitation were recorded daily throughout the hospitalization period. 3. Results: The general condition of the patient improved by the end of hospitalization. The VAS score dropped from 4-10 to 0-1, and the duration of palpitation dropped from 50-160 min to 0-5 min. Other symptoms such as diarrhea and lower back pain also showed improvement. 4. Conclusion: This case study shows the effectiveness of Hyeongbangjihwang-tang in the treatment of palpitation. Although the literature on Hyeongbangjihwang-tang does not report its usage on palpitation, the prescription was shown to be effective in the case where the palpitation symptom is concomitant to the general symptomatology of the Mangeum disease, a pathology indicative of Hyeongbangjihwang-tang.

비만에 대한 사상의학 임상연구 동향 분석 (Clinical Research Trends in Sasang Constitutional Medicine on Obesity)

  • 이슬;박지은;채한;이정윤
    • 사상체질의학회지
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    • 제34권3호
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    • pp.50-68
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    • 2022
  • Objectives The purpose of this study is to review the current Sasang constitutional research on obesity and to provide basic data for further development in the direction of better research. Methods Clinical research articles on obesity of the Sasang Constitutional Medicine were extracted from five database. Published year, published journals, and subjects of studies were classified. Clinical methods for the classification of Sasang type and diagnostic criteria for obesity were summarized. Results A total of 36 selected research articles were published from 1998 to 2020. And 20 articles(55.6%) have been published in Journal of Sasang Constitutional Medicine and Journal of Oriental Rehabilitation Medicine. Most of the clinical study subjects were studies that identified independent factors that were correlated with obesity by Sasang constitution type. But these studies have not sufficiently reflected the distinctive characteristics of Sasang Constitution Medicine. Discussion Through this study, it was confirmed to the necessity of developing new research designs for obesity by Sasang constitution and researching on obesity treatment through improvement of symptoms by using the already developed questionnaires that have proven reliability and validity, away from the research biased towards Taeeumin and Taeeumin's prescription. If additional research based on this study is accompanied, it is expected that it can be utilized in typed obesity treatment fields.

갈근나복자탕(葛根蘿葍子湯)의 기원(基源)과 창방(創方) 시기(時期)에 관한 고찰(考察) (A Study on The Origin and Background of GalgeunNabokja-Tang)

  • 정용재;박성식
    • 사상체질의학회지
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    • 제22권1호
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    • pp.9-16
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    • 2010
  • 1. Background: GalgeunNabokja-Tang(葛根蘿葍子湯) is suggested as treatment and prescription of Exterior Heat syndrome Diarrhea(表熱證泄瀉) in Donguisusebowon Tae-eumin Interior febrile disease induced form the liver affected by heat("東醫壽世保元" "太陰人肝受熱裏熱病論"), but is not recorded the treatment contents in Sinjungbang("新定太陰人病應用要藥二十四方"). 2. Methods: Accordingly, the writer surveyed, compared, and arranged the relevant contents by collecting books of doctors of Four-Constitutional Medicine(四象醫) since Lee Je-ma including Lee Je-ma's books. 3. Results: and Conclusions: 1) The treatment contents in GalgeunNabokja-Tang are thought to be valid to have the criterion as the contents of appearing in SanggyohyuntoDonguisusebowon Boyubang("詳校懸吐東醫壽世保元" "補遺方"). 2) The origin in GalgeunNabokja-Tang is GalgeunNabokja-Tang in Bimang-lok("備忘錄"). And the period of having made treatment for the first time may be estimated to be the one between Donguisuse- bowonSasangchobonguan("東醫壽世保元四象草本卷") and HamsansachonDonguisusebowonGabogubon ("咸山沙村東醫壽世保元甲午舊本"). 3) GalgeunNabokja-Tang is thought to be probably what Han Du-jeong recorded in Boyubang by searching for what Lee Je-ma modified some of GalgeunNabokja-Tang in Bimang-lok while writing Pathological Syndromes("病證論") in Donguisusebowon("東醫壽世保元").

소양인 환자의 태음인 오치 2 증례와 양격산화탕과 형방도적산의 차이점에 대한 고찰 (2 Case of Soyangin Patients mistreated with Taeumin and a study about the difference between the Yangkyuksanhwatang and the Hyungbangdojoksan)

  • 임규성;고병희;송일병
    • 사상체질의학회지
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    • 제11권2호
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    • pp.391-395
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    • 1999
  • 본인은 소양인 환자의 태음인 오치 2증례를 통해 소양인에게 태음인처방(열다한소탕과 같은 하제의 성격)을 주었을 때 어떤 결과가 나오는지 살펴보게 되었다. 이러한 경우에 대해 비슷한 임상적 예와 이론을 상한론의 조문에서 또한 찾아볼 수 있었다. 이를 통해 소양인에게 열다한소탕과 같은 성격의 태음인 처방을 주었을 때 소양인리병 흉격열증이나 소양인 표병 결흉증과 같은 양상이 나올 것이라는 가정을 가질 수 있었다.

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사상체질 전문가의 체질진단 일치도 및 타당도 평가 (The Concordance and Validity Assessment of Diagnosis for the Expert in Sasang Constitution)

  • 백영화;김호석;이시우;장은수
    • 사상체질의학회지
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    • 제26권3호
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    • pp.295-303
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    • 2014
  • Objectives It is very important to diagnose Sasang Constitution (SC) correctly. The aim of this study was to reveal the concordance and validity of the specialists in Sasang Constitutional Medicine (SCM). Methods Three experts who had more than 5 years of experience and used more than 90% of Sasang Constitutional prescription in clinical practice of SCM participated in this study. The data composed of body shape, face, voice, temperament and physio-pathological symptoms were collected in the Korea Constitutional Multicenter Bank and 81 subjects' data were extracted randomly. The experts reviewed all 81 subjects data independently. Kappa analysis was conducted. Results 1) The concordance is from 52.5% to 68.4% among three experts. 2) The validity between individual expert and gold standard is from 54.3% to 63% and Kappa's coefficients are from 0.283 to 0.421. 3) The validity is from 68.5% to 70.7% when two or three experts agree the Sasang constitution independently and 75.7% when all of experts agree it. Conclusions The concordance and validity of experts in SCM seems to be moderate. We think further study is needed.

만성 두드러기를 진단 받은 소양인 망음증 및 태음인 조열증 환자 치험 각 1례 (A Clinical Case Report Set of Pattern of Soyangin Yin Collapse and Taeumin Dryness-heat Diagnosed with Chronic Urticaria)

  • 이지연;이민정;황민우
    • 사상체질의학회지
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    • 제34권2호
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    • pp.84-96
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    • 2022
  • Introduction Chronic idiopathic urticaria in patients diagnosed with an unfavorable pattern in Soyangin and Taeumin based on Sasang medicine showed a significant improvement after herbal medicine treatment. Methods The patients had treatment with both herbal medication and antihistamine. We checked the patients' cutaneous manifestation, original symptoms, and the number of antihistamine doses in each visit. We evaluated the medical records retrospectively. Results After one month of treatment, the patients showed cutaneous manifestation relief. Each patient reduced and withdrew antihistamine at four moths and eight months respectively, and the cutaneous manifestation did not recur. We maintained the herbal medicine prescription until the origin symptoms improved. Throughout the subsequent follow-up, the patients showed both urticaria and the original symptoms in good condition without treatment. Discussion Sasang medicine treatment can be an effective treatment for chronic idiopathic urticaria and long-term management is necessary for an unfavorable pattern which can take more than 6 months.