• Journal of Physiology & Pathology in Korean Medicine
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• v.36 no.5
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• pp.147-154
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• 2022

In order to secure practising rapid pattern(證, zheng) differentiation against acute infectious diseases like corona virus disease-19(COVID-19) showing rapid variation and contagion, a simplified classification of stages centering on the exterior-interior pattern identification with 2 step-subdivision by cold, heat, deficiency, excess pattern and pathogens is proposed. Pattern differentiation by compound patterns of 8 principles is made for the non-severe stage of general cold and the early mild stage of epidemic disease. Compound pattern's names of 8 principles about external infectious diseases are composed of three stages, that is disease site-characters-etiology. Based on early stage symptoms of fever or chilling etc., exterior, interior and half exterior and half interior patterns are determined first, and then cold, heat, deficiency, excess patterns of exterior and interior pattern respectively are determined, and then more concrete differentiation on pathogens of wind, dryness, dampness and dearth of qi, blood, yin, yang accompanied with constitutional and personal illness factors. Summarizing above descriptions, 4 patterns of exterior cold, exterior heat, exterior deficiency, exterior excess and their secondary compound patterns of exterior cold deficiency and exterior cold excess and so on are classified together with treatment method and available decoction for a standard measure of eight principle pattern differentiation.

• Journal of Sasang Constitutional Medicine
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• v.24 no.4
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• pp.28-39
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• 2012

Objectives : This study is aimed to develop the algorithm to diagnose Taeeumin's symptomology, by the method of literature research on Sasang Constitutional Medicine. Methods : Applying the sequential differentiations of Taeeumin's symptomology, or exterior-interior disease differentiation, favorable-unfavorable pattern differentiation, and mild-severe-dangerous-urgent pattern differentiation, "Donguisusebowon" and related literatures have been reviewed. Results and Conclusions : 1) 1st step: Taeeumin's exterior pattern and interior pattern are differentiated by the indexes of whole-body cold or heat pattern, sweating, and facial complexion. 2) 2nd step: The favorable pattern of the Taeeumin's exterior disease can be detected by indexes of the existence of fever, generalized pain while the unfavorable one by indexes of the abnormal condition of digestion and feces, and fearful throbbing. The favorable pattern of the Taeeumin's interior disease can be diagnosed based on indexes of eye pain, dry nose, dry throat, and heat symptoms that occur in various parts of the body, while the unfavorable one by indexes of thirsty, urination, feces and specific symptoms which can be induced by dryness. And in the both unfavorable patterns the dark complexion on the faces is revealed. 3) 3rd step: The mild-severe patterns of the favorably exterior disease are differentiated in terms of the condition of fever, while the mild-severe patterns of the favorably interior disease are in differentiated based on whether abnormal symptoms are revealed in the gastrointestinal tract. Both of the unfavorably dangerous-urgent patterns in exterior and interior diseases are differentiated by the symptoms such as tinnitus, dim vision, weakness of legs and back pain, and lack of strength in legs and thighs.

• Journal of Sasang Constitutional Medicine
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• v.19 no.1
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• pp.1-18
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• 2007

1. Objectives This study is purposed to classify treatment and diagnosis of So-gal on the relationship of Sasang Constitutional Medicine. 2. Methods We compared conception, symptoms, mechanism and treatment of Sasangin's So-gal in ${\ulcorner}$Dongyisusebowon${\lrcorner}$ ${\ulcorner}$Gabobon${\lrcorner}$, ${\ulcorner}$Sinchukbon${\lrcorner}$ and ${\ulcorner}$Chobongwon${\lrcorner}$. 3. Result and Conclusion (1) So-gal of Soyangin is general disease, it is important disease of interior heat syndrome. So-gal of Taeumin is troubled by dryness of the lung, category of interior heat syndrome, but it bring about various complication. So-gal of Soeumin is important point that divide seriousness of disease. (2) So-gal is interior heat syndrome, it is related to interior heat syndrome of Soyangin, Taeumin. So-gal of Soeumin expresses conclusion of seriousness regardless of exterior and interior disease. (3) So-gal is related to nature, it is most important disease to Soyangin who is apt to variation of nature.

• Journal of Haehwa Medicine
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• v.11 no.1
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• pp.285-294
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• 2002

The purpose of this study was to find the way of treatment and prevention the stroke by Sasang constitutional medical therapy. I came to get some conclusions after considering literatures of ${\ll}$Dongyi Suse Bowon${\gg}$ and the conclusion as follows. 1. In ${\ll}$Dongyi Suse Bowon${\gg}$ the stroke of Soumin is caused by 'Interior cold disease'. When 'Interior Yin' can not descend, the disease arise. In this case Lee Je-ma used 'Sohabhyang-won(蘇合香元)', 'Chulaek-su(鐵液水)'. 2. The stroke of Soyangin is caused by 'Interior heat disease'. When the hot Qi of stomach and spleen is blocked, the disease arise. In this case Lee Je-ma used 'Dokhwal-jihwang-tang(獨活地黃湯)', 'Jihwang-baekho-tang(地黃白虎湯)'. 3. The stroke of Taeumin is caused by 'Dry and heat disease'. When the heat of liver and the dryness of lung is excessive, the disease arise. In this case Lee Je-ma treated with 'Woohwang-chungsim-hwan(牛黃淸心丸)', 'Wonji-sukchangpo-tang(遠志石菖蒲湯)', and 'Kwache-san(瓜帶散)' etc. Above results indicate that not only taking medicine but also filling up the Healthy energy(保命之主) is important to treat stroke.

• Journal of Korean Medical classics
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• v.23 no.6
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• pp.51-72
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• 2010

The Jeokseokji-uyeoryang-tang(赤石脂禹餘糧湯) text of "Sang-hanron(傷寒論)" is adopted in the chapter of So-eumin Interior Disease Pattern in "Dong-uisusebowon(東醫壽世保元)". In this study, I have attempted to analyze the Jeokseokji-uyeoryang-tang(赤石脂禹餘糧湯) texts for the purpose of understanding the So-eumin Interior Disease Pattern thoroughly. In specific, Ijema(李濟馬) stated that the Simhabigyeong(心下痞硬) symptom of the Jeokseokji-uyeoryang-tang(赤石脂禹餘糧湯) text is identical to the symptoms of other conditions that apply Sasimtang(瀉心湯). Which means that the disease pattern of Jeokseokji-uyeoryang-tang(赤石脂禹餘糧湯) is a intensified condition of that of Sasimtang(瀉心湯). Next, unlike Jang Jung-gyeong(張仲景) and other annotators of "Sang-hanron(傷寒論)", Ijema(李濟馬) did not perceive Ijungtang(理中湯) to manage the central cho(中焦). Instead, he perceived it appropriate for Tae-eumbyeong(太陰病_disease of Tae-eum), bringing the meaning of Jeokseokji-uyeoryang-tang(赤石脂禹餘糧湯) into the category of Sameumbyeong(三陰病_disease of the three eum). With this, he made it possible to compare and analyze the texts based on the Sameum/Samyang(三陰三陽) theory. Lastly, Ijema(李濟馬) perceived the symptoms of Jeokseokji-uyeoryang-tang(赤石脂禹餘糧湯) as So-eum pattern, and categorized it into Tae-eum pattern. Following this, a comprehensive review of Ijema(李濟馬)'s unique understanding of the Jeokseokji-uyeoryang-tang(赤石脂禹餘糧湯) text and its implications were discussed. This part is not included in this article, however, and will be exclusively dealt with in a subsequent article.

• Journal of Sasang Constitutional Medicine
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• v.23 no.1
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• pp.63-78
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• 2011

1. Objectives: We aimed to propose a sub-classification system for the Taeeumin symptomatology by examining the Taeeumin pathology and symptomatology descriptions appearing in "Donguisusebowon". 2. Methods: The Gabo Edition and the Sinchuk Edition (the upgraded and revised edition) of "Donguisusebowon" were reviewed and examined for relevant information on the Taeeum pathology and symptomatology. 3. Results and Conclusions: 1) In the Taeeumin symptomatology, the Exterior disease develops from the basic pathology of Esophagus-Cold and the Interior disease from that of Liver-Heat, eventually progressing to damage of the expirational and dispersive energy of the Lung Sector, the Prime Core Organ or the excessively small organ of the Taeeum constitutional type. The resulting pathology can be broadly defined as the "Lung-Dryness symptomatology". 2) The case reports introduced in the Exterior disease section, including the Zhang Zhongjing Mahuang-tang treatment, Prolonged-affliction disease treatment, and Exterior disease Pestilential disease treatment, share several points in common. They all arise from the pathology of "weakness in the Lung sector and deficiency in the Exterior sector", and they can all be assigned to the same symptomatological division that presents with systemic heat and cold intolerance; this symptomatology can be defined as the "Esophagus-Cold symptomatology", the milder subdivision of the exterior symptomatology. 3) The body of text appearing in the last part of the Interior disease section commonly referred to as the "Taeeumin Conspectus" is in fact not a conspectus when its contents are actually examined. Instead, it can be understood from its pathological and symptomatological descriptions that the passage is explaining the more severe subdivision of the exterior symptomatology that has progressed from Esophagus-Cold to a pathology characterized by damaged expirational and dipersive energy of the Lung Sector. 4) The relocation of the "dry-related pathology" indicates a change in perspective regarding the "Dry-related symptomatology", which caused the rearrangement of the Interior disease into divisions of Liver-Heat symptomatology that is characterized by fulminant heat pathology and Dry-Heat symptomatology that is also accompanied by Lung-Dryness. 5) The Interior disease Yin-Blood Consumptive symptomatology should be included in the Dry-Heat symptomatology in the pathological scheme. 6) Based on the above, the subdivisions of the Taeeumin symptomatology should be arranged as "Esophagus-Cold symptomatology" and "Lung-Dry-Cold symptomatology" in the Exterior disease and "Liver-Heat symptomatology" and "Dry-Heat symptomatology" in the Interior disease.

• Journal of Sasang Constitutional Medicine
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• v.23 no.4
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• pp.429-444
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• 2011

1. Objective This study is aimed to present the effective classification of Soeumin symptomatology and the standardized signs for classification which can be applied for KCD, ICD and the insurance codification system. 2. Methods 1) Differentiate Soeumin symptomatology based on exterior-interior patterns, favorable-unfavorable patterns, and mild-severe-dangerous-urgent patterns. 2) Investigate the standard signs and symptoms to claasify Soeumin symptomatology based on exterior-interior patterns, favorable-unfavorable patterns, and mild-severe-dangerous-urgent patterns. 3. Results and Conclusions 1) The diagnosis criteria for Soeumin exterior-interior disease is based upon signs & symptoms of cold/heat, condition of stool, state of digestive system(such as digestion and appetite)among others. 2) The diagnosis criteria for Soeumin favorable-unfavorable disease is generally based upon whether the vital force of the spleen is damaged or not. More specifically, for the exterior disease, whether or not sweating is present. For the interior disease, whether or not dry mouth, body ache(a main symptom of the exterior state), and anxiousness are present. 3) For the Soeumin Wool-gwang disease, the diagnosis criteria of mild-severe disease is whether or not chills is present and the degree of body fever. 4) For Soeumin Mang-yang disease, the diagnosis criteria of dangerous-urgent disease is whether or not chills is, the degree of sweating and urine condition. 5) For the Soeumin Greater-Yin disease, Abdominal-pain bowel irritability pattern and Epigastric discomfort pattern are early state signs, Jaundice pattern is mild-state sign, edema & Greater-Yang disease Yin-toxin pattern are terminal state signs. 6) For the Soeumin interior disease, Abdominal-pain bowel irritability pattern and Epigastric discomfort pattern are of the dangerous state pattern, Jang-gual and Exuberant-Yin-repelling-Yang pattern are of the urgent state patterns.

• Journal of Sasang Constitutional Medicine
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• v.20 no.3
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• pp.51-57
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• 2008

1. Objective This study aims to establish the concept and classification of the Janggyeol(藏結) pathology introduced in the Sasang Constitutional Medicine literature. 2. Methods Different editions of Dongui suse bowon, including the Gabo version and the Sinchuk version, were compared for differences and similarities in the concept, symptomology, pathology, and therapeutics concerning the Soeumin Janggyeol disease. 3. Results and Conclusion (1) In the Gabo edition, Janggyeol(藏結) is introduced in the "Soeumin Interior Stomach Disease" section and the "Soeumin Summaries" section. However, instead of being included in the interior-based pathology, it is proposed as an independent disease category that is similar to and yet separate from the Taeeumbyeong Simhabiman (epigastric congestion) variations of Sugyeolhyung and Hansilgyeolhyung. Further, passages from the "Soyangin Summaries" section outline the underlying pathology in detail to show that this symptomatic pattern can be included in the exterior-based pathology. (2) In the Sinchuk edition, Janggyeol(藏結) is introduced in the "Soeumin Cold-based Stomach Interior-Cold Disease" section. Similarly to the Gabo classification, it is proposed as an independent disease category not necessarily included in the interior-based pathology that can be compared to the Taeeumbyeong Simhabiman(太陰人 心下 滿) category. The detailed pathological explanations in the "Soyangin Summaries" section suggest that this disease pattern is included in the exterior-based pathology. (3) Janggyeol(藏結) can be understood as a Taeyangbyeong Wigasil(太陽病胃家實) pathology in the Gabo edition and as a Taeyangbyeong Wigasil(太陽病胃家實) pathology in the Sinchuk edition.

• Journal of Sasang Constitutional Medicine
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• v.14 no.1
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• pp.34-50
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• 2002

1. Background and Purpose At the year of 2000, the society of sasang constitutional medicine acqired ${\ulcorner}$HamsanSachon DongyiSuseBowon GoboGubon${\lrcorner}$ which is presumed as the copy of ${\ulcorner}$GoboGubon${\lrcorner}$. According to Lee Sung-Su who is the great-grandson of DongMu's older brother, $[\ulcorner}$HamsanSachon DongyiSuseBowon GoboGubon${\lrcorner}$ 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 the son of Lee Jin-Yoon. 2. Method This paper was written in order to understand the character of the discourse on the constitutional symp toms and diseases of ${\ulcorner}$HamsanSachon DongyiSuseBowon GoboGubon${\lrcorner}$. 3. Result and Conclusion 1) Each constitutional symptoms and diseases is classed as that of exterior and interior and then classsed again as that of exterior's exterior, exterior's interior, interior's exterior and interior's interior. 2) The degree of completion is high at the chapter of Soeumin and Soyangin comparing with that of Taeeumin and Taeyangin which don't exist as the contrasted explanation. 3) Soeumin's exterior-disease is divided Taiyang(太陽) and Yangmyung(陽明)'s disease by the sweating, that's interior-disease is same to Sinchukbon(辛丑本). BaboBon already have the concept of UlKwang(鬱狂) and mangYang(亡陽), so the discourse on the constitutional symptoms and diseases of Soyangin is early establish comparing with other constitution. 4) The Cold and Hot, the constitutional symptoms and diseases, the disease theory of Soyangin can be accessible to opposite side of Soeumin's that. The disease of exterior's exterior is only explained abdominal pain and diarrhea without the concept of Mangeum(亡陰) disease, but at the time of SinchukBon the concept of Mangeum-disease is invented. 5) There is many different with SinchukBon that the classification of symptoms and diseases of Taeeumin, and not mentioned the physiology and pathlogy of the airs and fluids metabolism. 6) Healthy Energy(保命之主) show us that JungKi(正氣) is key-point of the utility of the symptoms and diseases.

• Journal of Sasang Constitutional Medicine
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• v.27 no.4
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• pp.396-403
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• 2015

Objectives The purpose of this study was to analyze the characteristics of each Soyang constitutional Exterior and Interior disease's favorable-unfavorable pattern using the Temperament and Character Inventory(TCI) in a Korean adult clinical sample.Methods A total of 32 subjects(age 20-49) completed the Korean version of the TCI. A Sasang Constitutional Medicine specialist determined each subject's Sasang constitutional type based on the Questionnaire for Sasang Constitution Diagnosis(QSCC∥) and comprehensive constitutional assessment. The participants consisting of 15 favorable pattern, 17 unfavorable pattern.Results Among the four temperament dimensions, the favorable pattern showed significantly higher scores than the unfavorable pattern in Novelty Seeking(NS) and Reward Dependence(RD). Among the three character dimensions, the unfavorable pattern showed significantly higher score than the favorable pattern subjects in Self-Directedness(SD).Conclusions Differences in temperament and character were discovered across the Soyang Constitutional disease's Exterior and Interior disease's favorable-unfavorable pattern.