• 제목/요약/키워드: sasang type diagnosis

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"동의수세보원사상초본권(東醫壽世保元四象草本卷)", "동의수세보원갑오본(東醫壽世保元甲午本)", "동의수세보원신축본(東醫壽世保元辛丑本)"에 기재된 대변(大便)에 대한 고찰 (The Study on the Description of Feces Mentioned in "Dongyisusebowonsasangchobongwon", "Dongyisusebowongabobon", "Dongyisusebowonsinchukbon")

  • 조성규;배효상
    • 사상체질의학회지
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    • 제19권3호
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    • pp.10-19
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    • 2007
  • 1. Objectives The purpose of this study was to search the descriptions of feces in the text of Lee, Je-Ma for the physiological feces and pathological feces in constitutional medicine. 2. Methods We searched the descriptions of feces mentioned in the text of $\ulcorner$Dongyisusebowonsasangchobongwon$\lrcorner$, $\ulcorner$Dongyisusebowongabobon$\lrcorner$, and $\ulcorner$Dongyisusebowonsinchukbon$\lrcorner$ and classified the feces into physiological feces and pathological feces by the solidity, color, impurities of feces, and the frequency of defecation. 3. Results For Soyangin and Taeyangin, there are formal descriptions of feces related to the constipation in Dongyisusebowon sasang chobongwon, but for Soeumin and Taeumin, there is not formal description of feces related to the constipation in $\ulcorner$Dongyisusebowonsasangchobongwon$\lrcorner$ and for all 4 Type Constitution, there are various formal descriptions of feces related to the diarrhea in $\ulcorner$Dongyisusebowonsasangchobongwon$\lrcorner$. For all 4 Type Constitution, there are various formal descriptions of feces related to the constipation in $\ulcorner$Dongyisusebowongabobon$\lrcorner$, except Taeumin. and for all 4 Type Constitution, yhere are various formal descriptions of feces related to the diarrhea in $\ulcorner$Dongyisusebowongabobon$\lrcorner$. For Soeumin, especially there are the formal descriptions of color and impurities of feces. For all 4 Type Constitution, there are various formal descriptions of feces related to the constipation and the diarrhea in $\ulcorner$Dongyisusebowonsinchukbon$\lrcorner$. For Soeumin, especially there are formal descriptions of color and impurities of feces. 4. Conclusions The diarrhea in Soeumin is serious illness rather than the constipation, and the constipation in Soyangin is serious illness rather than diarrhea. Especially In Yin Exhausted Syndrome in Soyangin, the diarrhea is the important standard of diagnosis in Soyangin's constitutional symptom. The description of feces in Taeumin is not systematic, compared with Soeumin's and Soyangin's. The description of feces in Taeyangin is not yet scientifically established compared with Soeumin's, Soyangin's, Taeumin's.

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체질점수 복용첩수 내원회수 연령에 따른 사상체질진단툴(SCAT)과 전문가의 체질진단 일치도 연구 (Comparison between Diagnostic Results of the Sasang Constitutional Analysis Tool (SCAT) and a Sasang Constitution Expert)

  • 도준형;남지호;장은수;장준수;김장웅;김영수;김나혜;한순만;김종덕
    • 사상체질의학회지
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    • 제25권3호
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    • pp.158-166
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    • 2013
  • Objectives Recently, Sasang Constitutional Analysis Tool (SCAT) was developed using face, body shape, questionnaire, and voice information. The purpose of this paper is to analysis the characteristics of SCAT in detail for the subjects whose Sasang Constitutional (SC) type was confirmed clearly. Methods 1) The SC types of 108 patients were diagnosed by an expert of Sasang constitutional medicine through the observation of improvements after taking more than 20 packs of herbal medicine prescribed 2) The diagnostic results of SCAT were acquired for the patients. 3) Comparison between diagnostic results of the SCAT and expert was performed according to SC probability difference, the number of packs of herbal medicine prescribed, the number of hospital visits, and age. Results 1) The concordance rate was 65.9% and 59.4% in the male and female groups, respectively. 2) Overall, the concordance rate increased as the SC probability difference increased. In case of more than 5% SC probability difference, it increased up to 71.0% and 66.7% in the male and female groups, respectively. 3) The concordance rate did not show any trend as the number of packs of herbal medicine prescribed and the number of hospital visits increased. 4) The higher concordance rate was observed in Taeeumin, Soyangin, and 20s ~ 40s groups of male patients, and in Soyangin, 20s, and 40s groups of female patients. Conclusions The strong and weak points of SCAT were observed and they will contribute to the improvement of SCAT performance.

사상의학의 4체질 분류에 따른 각 체질별 전신조정술 체형분포 양상과 그에 따른 정적 자세특성 및 동적 운동증감 양상에 관한 실증적 연구 (Sasang Constitution Classification related to an aspect of distribution GCM(General Coordinative Manipulation) Body Type and Experimental Study based on the character of Static Posture and Dynamic Hyper/Hypo-mobility Pattern)

  • 문상은;조현래;오창선;김성현
    • The Journal of Korean Physical Therapy
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    • 제17권4호
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    • pp.505-517
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    • 2005
  • The Purposes of this study were to find complementary connectible new factors that analyzed correlation relate of Sasang Constitution and GCM Body Type in Static Posture and Dynamic Hyper/Hypo-mobility Pattern. Method of this study was asymtomatic volunteers 232(unmarried man and women), conducted from September 1 to December 31. In this main study progressing step diagnosised first, Constitution of Sasang medicine after being classified into four groups of Soyangin, Taeumin, Soeumin, Taeyangin diagnosis of GCM Body Type and progressed that related Static Posture and Dynamic Hyper/Hypo mobility Pattern. The results are as follows. Distribution of Sasang Medicine Constitution proved to be Taeyangin 13, Soyangin 66, Taeumin 67, Soeumin 86 respectively. Distribution of GCM Body Type proved I Body Type 72(31.0%), II Body Type 54(23.3%), III Body Type 89(38.4%), IV Body Type 17(7.3%). The distribution of Sasang Constitution according to GCM Body Type was that; I Body Type was distributed in the order Soeumin 34.7%(25), Taeumin 31.9%(23), Soyangin 30.6%(22), Soeumin 34.7%(25) is the most people. II Body Type was distribution of in the order Soeumin 42.6%(23), Soyangin 5.9%(14), Taeumin 24.1%(13), Soeumin 42.6%(23) is the most people. III Body Type was distribution of in the order Soeumin 37.1%(33), Taeumin 30.3%(27), Soyangin 28.1%(25), Soeumin 37.1% is the most people. IV Body Type proved high distribution each of Soeumin 29.4%(5) and Soyangin 29.4%(5). In case of main left side posture character of spine and limbs about I Body Type 72 persons with left scapular and ilium forward tilted pattern proved in the order high distribution iliac crest thigh and scapular high 70(97.2%), gluteal fold high and scapular abduction 69(95.8%), lumbar scoliosis 65(90.3%). Also, in case of right side posture character proved in the order high distribution deep gluteal fold 69(95.8%), umbilical deviation 68(94.4%). Incase of main left side posture character of spine and limbs about n Body Type 54 persons proved in the: order high distribution knee hyperextension 50(92.6%), shoulder deviation 49(90.7%) etc. Also, in case of right side posture character proved in the order high distribution pelvic deviation 53(98.1%), iliac crest thigh 52(96.3%), hip flexion and ankle inversion 51(94.4%) etc. In case of main left side posture character of spine and limbs about III Body Type 89 persons proved in the order high distribution shoulder deviation 87(97.8%), scapular abduction 86(96.6%), scapular high 85(95.5%) etc. And in case of right side posture character proved in the order high distribution pelvic deviation and iliac crest thigh 86(96.6%) etc. In case of main left side posture character of spine and limbs about IV Body Type 17 persons proved in the order high distribution pelvic deviation, lumbar sciliosis and lumbar lordosis increase 15(88.2%) etc. Also, in case of right side posture character proved in the order high distribution wrist dorsiflexion 16(94.1%), thickened achilles tendon etc.

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한의진단명과 진단요건의 표준화 연구III - 3차년도 연구결과 보고 - (Standardization and unification of the terms and conditions used for diagnosis in oriental medicine III)

  • 최선미;양기상;최승훈;박경모;박종현;심범상;김성우;노석선;이인선;정진홍;이진용;김달래;임형호;김윤범;박성식;송태원;김종우;이승기;최윤정;신순식
    • 한국한의학연구원논문집
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    • 제3권1호
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    • pp.41-65
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    • 1997
  • The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analysing and differentiating of epidemic febrile disease - analysing and differentiating in accordance with the Sasang constitutional medicine baced on four-type recognition - differentiation of diease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance(-muscle born joint etc.) - standards for diagnosis of neuropsychiatric diease - standards for diagnosis of five sense organ diease - standards for diagnosis of external disease. The indivisual diagnosis pattern was arranged by the diagnostic requirments in the following odor : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattrrn, prognosis, a way of curing a diseases, prescription, herbs in common use, dieases appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirments in the following odor. another name, notion of diease, the main point of diagnosis, analysing and differentiating of disease, analysis of diease, discrimination of disease, prognosis, a way of curing and prescription of disease, dieases In western medicine appearing the disease in oriental medicine, documents.

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사상체질이 이상지질혈증의 위험인자가 될 수 있는가? (Can the Sasang Constitutional Type Trait Act as an Independent Risk Factor for Dyslipidemia?)

  • 이지원;장현수;박병주;이의주;고병희;이준희
    • 한방비만학회지
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    • 제14권2호
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    • pp.63-71
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    • 2014
  • 목적: 본 연구는 사상체질과 이상지질혈증의 상관관계 및 사상체질이 이상지질혈증의 위험요인이 될 수 있는가를 탐색하는 데 목적이 있다. 방법: 본 연구는 의무기록을 바탕으로 한 후향적 단면조사연구로, 2007년 5월부터 2010년 6월까지 서울 소재 경희의료원 건강증진센터에 내원한 건강검진 수진자 17,069명의 의무기록을 조사하여 사상체질진단검사 결과 및 생화학검사 결과 등이 확인된 15,250명을 대상으로 사상체질과 이상지질혈증 간의 상관관계를 조사하였다. 결과: 총 콜레스테롤과 중성지방은 체질량지수(body mass index, BMI)를 보정한 상태에서 태음인, 소양인, 소음인 등의 순서로 높았고, 고밀도 콜레스테롤은 소음인, 소양인, 태음인 순서로 높았다. 연령, 성별, BMI 등을 보정한 상태에서 '높은 중성지방'에 대한 odds ratio는 소음인에 비해 소양인이 1.716 (1.411~2.087), 태음인이 2.021 (1.650~2.475)이었으며, '높은 저밀도콜레스테롤'에 대한 odds ratio는 소음인에 비해 소양인이 1.229 (1.006~1.501)였고, '낮은 고밀도 콜레스테롤'에 대한 odds ratio는 소음인에 비해 소양인이 1.195 (1.033~1.381), 태음인이 1.414 (1.212~1.649)였다. 결론: 사상체질에 따라 일부 이상지혈증의 분포 및 odds ratio에 유의한 차이가 있었고, 이에 따라 사상체질이 이상지질혈증의 위험요인이 될 수 있는 가능성을 찾을 수 있었다.

자기장 측정 홀소자 집게형 맥진기를 이용한 허맥과 실맥 예측 알고리즘 개발 (Development of Prediction Algorithm for Replete Pulse and Vacuous Pulse by using Clip-type Pulsimeter with Hall Device Measuring a Magnetic Field)

  • 이남규;김근호;이상석;유지혜;유준상;선승호;장세진;홍유식
    • 한국자기학회지
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    • 제23권3호
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    • pp.104-109
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    • 2013
  • 소형 영구자석이 부착된 상태에서 요골동맥의 미세한 움직임으로 자기장 변화를 측정하는 홀소자 집게형 맥진기를 개발하였다. 이 맥진기를 통해서 얻은 120명의 임상데이터를 통계적 로지스틱 회귀분석으로 처리하여 허맥과 실맥을 예측하는 알고리즘의 특성을 연구하였다. 요골동맥파의 반사파 시간값과 절흔점 시간값이 허맥과 실맥을 예측할 수 있는 주요인자이였으며, 판별율은 65%이었다. 이로써 한의학적 허맥과 실맥을 예측하고 판별하는 진단지표로 사용할 가능성을 제하였다.

CBCL을 통해 살펴본 아동 사상체질별 문제행동의 차이 분석 (Analysis of Child Behavior Checklist (CBCL) Problem Behaviors of Sasang Types in a Child Clinical Sample)

  • 이수진;심윤민;김현진;김현정;김명근;김경선;채한
    • 대한한방소아과학회지
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    • 제27권1호
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    • pp.7-14
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    • 2013
  • Objectives The goal of the present study was to elucidate the characteristics of behavior problems in Sasang typology with child patients. Methods Subjects consisted of 176 (95 boys, 81 girls) children from 36 months to 83 months were diagnosed by two clinical experts in pediatrics and Sasang medicine. There were 22 So-Yang types, 141 Tae-Eum types, and 13 So-Eum types. The behavior problems were measured with Child Behavior Checklist (CBCL) and ANOVA (analysis of variance) was used for the analysis. Results There were no significant differences between Sasang types among subject's age (F(2, 173)=.190, p=.827) and sex (${\chi}^2$(2, N=176)=1.639, p=.441) as well as their mother's age (F(2, 169)=.060, p=.942) and education level (${\chi}^2$(4, N=172)=.394, p=.983) and their father's age (F(2, 168)=1.184, p=.309) and education level (${\chi}^2$(4, N=172)=5.664, p=.226). So-Yang types ($50.14{\pm}22.35$; $17.27{\pm}8.60$) had higher scores than Tae-Eum types ($38.74{\pm}21.32$; $12.62{\pm}7.98$) in total problems and internalizing problems score of the CBCL, respectively. More specifically, So-Yang types ($5.90{\pm}2.81$; $3.77{\pm}1.90$) had significantly higher depression/anxiety and somatization subscale score than Tae-Eum types ($4.04{\pm}2.73$; $2.30{\pm}2.12$). Scores of So-Yang types were significantly higher than those of CBCL clinical group in depression/anxiety and somatization subscales. Conclusions There were significant differences between child outpatients with different Sasang types, which would be taken into consideration concerning development of Sasang type diagnosis in addition to parenting, treatment, and prevention for children.

내원 환자의 MMPI 군집분석과 사상체질과의 상관성 연구 (Study for correlation between MMPI results and Sasang constitutions, in out-patients of Oriental Neuropsychiatry)

  • 김진형;양희숙;국윤재;노임선;이성근;장현호;김태헌;유영수;강형원
    • 동의신경정신과학회지
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    • 제15권1호
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    • pp.175-185
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    • 2004
  • Objective : For investigating correlation among diagnostic types, MMPI results and Sasang constitutions, in out-patients of Oriental Neuropsychiatry. Method: We got the following result by comparing the out-patients' MMPI and QSCCII from 2000/12/1 to 2001/12/30 at Sanbon Hospital of Oriental Medicine, Wonkwang University. Result and Conclusion: 1. A specific character of population for study's objects was that female (128, 68.4%) was twice bigger that the male(59, 31.6%). And their education levels were 52 of college graduate (27.8%), 40 of high school graduate (21.4%), and 14 of middle school graduate (14 %). A distribution of the occupation, there are 62 of labors (33.2%), 62 of white collars (33.2%), 30 of sales (16%), 16 of students (8.6%). Their marrige statuses were 144 of married (77%), 31 of single (16.6%), 4 of divorced (2.1%), and 1 of bereavement (0.5%). 2. In the physical constitutions there were 70 of Soeumin(37.4%), 56 of Soyangin(29.9%) 55 of Taeumin (29.4%), 6 of others (3.2%). A differentiation with their diagnosis, there were 55 of palpitations (29.4%), 45 of depression (24.1%), 18 of women's diseases (9.6%), 14 of insomnia (7.5%), 13 of headache (7%), 8 of pain (4.3%), 8 of hwabyung (4.3%), 7 of psychosis (3.7%), 4 of dizziness (2.1%), and 15 of others(8%). 3. A result of groupling MMPI, we could classify into 4 different groups. Group 1 is a profile of trasition in a neurosis. Group 2 is a proflie of a mental disease. Group 3 is a proflie of $'{\wedge}'$ type neurosis. And group 4 has normal profile. 4. Regarding each group with physical constitution and a distribution of diagnosis, Group 1 is found out 36.4 % of Soeumin, 34.10 % of palpitations. And group 2 showed 43.6% of Soyangin, 25.6% of depression. Group 3 showed 46.4% of Soyangin, 31.90% of palpitations. Group 4 showed the most in 34.3% of Soyangin, and 31.40% of palpitations 5. A result of the study using Chi-square test is that there is no correlation between the 4 different groups and the Sasang physical constitution.

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사상체질과 한열의 관점에서 본 성격과 소증의 연관성 연구 (Study on the Relationship Between Personality and Ordinary Symptoms from the Viewpoint of Sasang Constitution and Cold-Hot)

  • 김명근;이혜정;진희정;유종향;김종열
    • 동의생리병리학회지
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    • 제22권6호
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    • pp.1354-1358
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    • 2008
  • In Traditional Korean Medicine it is one of basic principle that personality reflects physical conditions. In both of personality and ordinary symptoms, there are some criteria used for diagnosis whether the patient is in cold or hot condition. We studied the relationship between the criteria of cold-hot shown in personality pattern and ordinary symptom pattern. And also analyzed the relativeness in four constitution type. 877 patients who had visited oriental medical hospital and had been confirmed their constitution by drug response were included in this study. Patients filled out the questionnaire composed of personality and ordinary symptom questions. We selected questions related to cold-hot patterns. Next we made personality cold-hot index(PCHI) and ordinary symptom cold-hot index(OSCHI). The two indices were compared and analyzed totally and from the viewpoint of 4 constitution types. The coefficient of correlation between two indices was not high. In Soemin the coefficient was 0.257, in three other constitution it was lower than 0.200 or negative. In Soemin both indices were lower (cold-biased), but in three other constitution no significant results were found. In Tae-emin OSCHI was higher (hot-biased) than PCHI, in Tae-yangin PCHI was higher than OSCHI significantly. Personality is not affected by cold-hot less than expected. The criteria used for diagnosis of cold-hot seems to be biased on Soemin's.

『동의수세보원(東醫壽世保元』에 나타난 한열증(寒熱證)에 대한 고찰(考察) (A Study on the Cold and Heat Syndromes in Dongyi-Soose-Bowon)

  • 이경로;김경요
    • 사상체질의학회지
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    • 제11권1호
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    • pp.79-102
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    • 1999
  • 1. 목적 네 가지 유형의 사상체질에 대한 한열증을 알아보고, 이것이 각 체질에 대한 생리, 병리의 이해와 진단, 치료에 도움을 주고자 하였다. 2. 방법 동의수세보원에 나타난 생리, 병리와 몇 가지 증후를 통한 한열증의 개념과, 기존의학에서의 한열증의 개념을 고찰해 보았다. 3. 결과 및 결론 병증과 편명을 중심으로, 비신의 수곡출납의 과정에 따라, 소음인은 '이한'한 체질적 소인을 바탕으로 표열 이한증으로 소양인은 '이열'한 체질적 소인을 바탕으로 표한 이열증으로 나타난다. 한편, 간폐의 기액내외 호산에 따라, 태음인은 '소병한다자'와 '소병열다자'로 나누어지는 경향이 있으며, 태양인은 한증이나 열증으로 치우쳐진 경향이 아닌 '불한불열'의 특정을 나타낸다. 몇가지 증후(편비, 설사, 한출, 소변, 구토)를 중심으로 각 체질의 한열 속성에 따라 각 증후의 한열 개념이 정해지는 것을 알 수 있는데, 이러한 것은 '체질적' 변증 방법을 제시한 것으로 사료된다.

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