• Title/Summary/Keyword: the constitutional basis

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The Effect of Abdominal Daoyin and Lymphatic Circulation Technique in combination with Whole-body Articulation Mechanics Technique Therapy on Indigestion after Constitutional Diet: A Case Report (체질 식이 이후에 발생한 소화불량에 대한 전신관절역학 치료 중 복부도인술과 림프순환기법의 효과: 증례보고)

  • Young-Sung Kang;Hye-Jin Park;Dong-Yun Baek;Sang-Hyun Lee;Eui-Hyoung Hwang
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.18 no.2
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    • pp.75-84
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    • 2023
  • Objectives This study aimed to report the effectiveness of abdominal Daoyin and lymphatic circulation technique in conjunction with whole-body articulation mechanics technique therapy in treating indigestion. Methods Three patients who suffered from dyspepsia and abscess after consuming foods incompatible with their constitution, following a 10-year implementation of a constitutional diet at a local Korean Medicine clinic, visited a Korean Medicine Hospital. The patients underwent treatment with abdominal Daoyin and lymphatic circulation technique. The effects of these techniques were analyzed using a retrospective record analysis method. Results Following the implementation of abdominal Daoyin and lymphatic circulation technique for indigestion, the numeric rating scale scores improved significantly. Case 1 improved from 9 to 2, case 2 from 6 to 0, and case 3 from 5 to 1. Conclusions While acknowledging the limitations of being a case report involving only three patients and the absence of specialized outcomes for digestive issues, this report may provide a preliminary basis for considering the efficacy of Chuna manual therapy in indigestion treatment.

Application Methods of Prescriptions from the Viewpoint of Exuberance-Debilitation and Disease Location of Triple Energizer (삼초(三焦)의 성쇠(盛衰)와 병위(病位)에 근거한 상한방(傷寒方) 해석방법 신고(新考))

  • Yoon, Jung Hun;Chi, Gyoo Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.3
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    • pp.273-279
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    • 2013
  • The objective of this study is to find out a reason why prescriptions have different effects on each patient who has same symptoms or same abdominal examinations and further more to classify the formulas more efficiently. In applying 's prescriptions, it is known that conventional ways such as treatment in accordance with symptoms or abdominal examinations have many advantages and problems reversely. To make up for the problems, additional references like strength of constitutional resistance and location of disease, degree of income and outgo are designed. And the notion in Oriental Medicine embracing aspects mentioned above corresponds to triple energizer. Triple energizer's exuberance-debilitation is able to draw an inference from some factors like density of skin interstices, elasticity of abdomen, appetite, digestive power. According to Exuberance-Debilitation of Triple Energizer, can be divided into five steps: weak(弱)-moderately weak(中弱)-neither weak nor strong(中)-moderately strong(中强)-strong(强). prescriptions would be dealt with those 5 steps, and it would be highly effective and consequently side effects could be reduced. On the basis of this classification method upon formula group, the prescriptions of can be applied more accurately by setting a direction through strength of constitutional resistance and location of disease and combining with existing references like symptoms, palpation and abdominal examinations.

A Study on the Reliability Assessment of Sasang Constitution Questionnaire Developed by KIOM for Japanese (일본인 대상자를 통해 살펴본 KIOM 체질 설문지의 신뢰도 평가)

  • Yoo, Jong-Hyang;Jang, Eun-Su;Kim, Yun-Yung;Park, Ki-Hyun;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.24 no.2
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    • pp.8-18
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    • 2012
  • 1. Objectives : This study aimed to assessing the reliability of questionnaire for Japanese as one of method to diagnose Sasang Constitution and evaluating the possibility of applying domestic questionnaire to foreign site. 2. Methods : A cross-sectional survey approved by IRB (Independent Review Board) at Tohoku University was performed for 119 participants with informed consent at a particular city in Japan using self-reported questionnaires developed by KIOM (Korea Institute of Oriental Medicine). Among the entire samples, 112 were retested. The test-retest reliability was assessed by Kappa for normal variables and internal consistency was evaluated by Cronbach's alpha. 3. Results : Four of 77 questions are impossible to calculate consistency owing to unsymmetric matrix between primary reply and secondary one. Seventeen of them (22%) showed 0.4 or below in Kappa, 56 were ranged from 0.4 to 0.8 and no question marked 0.8 or over. Internal consistency was possibly checked for several questions about character, digestion, sweat, excrement, urine, cold-heat pattern. Cronbach's alpha for questions except urine and cold-heat pattern was over 0.6 4. Conclusions : On the basis of Kappa value by two self reported questionnaire, 72.7% of questions showed 0.4 or over so that reliability were highly secured. And other questions except for urine and heat-cold pattern marked 0.6 or over in order that internal consistency was also successfully maintained. Accordingly, when subsequently applying KIOM questionnaire to foreign site, domestic questionnaire should be properly adjusted in social and cultural background, lifestyle, etc.

A Study on Antioxidative Effects of Sipyimiguanjungtang and Osuyubujayijungtang, Korean Traditional Prescriptions for Soum Constitutes, in Brain and Liver of Rat (소음인(少陰人) 십이미관중탕(十二味寬中湯), 오수유부자이중탕(吳茱萸附子理中湯)이 흰쥐의 뇌(腦)와 간조직(肝組織)의 항산화(抗酸化) 기전(機轉)에 미치는 영향(影響))

  • Jung, Bong-yeon;Song, Il-byung
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.2
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    • pp.227-250
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    • 1999
  • The free radical theory of aging was introduced in 1956 by Denham Harman. This aging theory proposed that normal aging results from random deleterious damage to tissues by free radical and supplying antioxidant lead to decrease oxidative damage, inhibit aging process. In this study, we investigated antioxidantive effects of four Korean constitutional prescriptions for 'Soum' constitution - Palmulgunjatang(Y1), Sipyimiguanjungtang(Y2), Osuyubujayijungtang(Y3) and Seungyangyikkibujatang(Y4). Antioxidative activity of this prescriptions was examined by 1,1-diphenyl-2-picrylhyrdazyl radicals, superoxide anion radicals, peroxyl radical, hydroxyl radical scavenging effects and erythrocyte hemolysis inhibitory effects. Y2 and Y3 were shown to have relatively high antioxidative activity on this methods. In additions, result of the cytoprotective effects of Korean constitutional prescriptions agianst 2,2'-azobis(amidinopropane) dihydrochloride (AAPH), a free radical initiator, induced cytotoxcity in human hepatoblastoma cell line was similarly obtained. On the basis of this result, we assayed the antioxidative effects of Y2 and Y3 on experimental oxidative damage, induced in mouse by 100mg/kg AAPH. Male ICR mouse were given oral administration of 500mg/kg Y2 and Y3 for 4 weeks. Thiobarbuturic acid reactive substance (TBARS) and protein degradation level in liver, plasma and brain as index of oxidative damage were decreased and thiol compound, total antioxidant status in plasma were increased by Y2 administration. But, Y3 injected group was decreased only protein degradation level in brain. Also, glutathione, a potent water-soluble endogenous antioxidant, concentration was increased by Y2 and Y3 administration in liver and brain. However, superoxide dismutase and catalase activity as a major antioxidative enzyme in vivo were not shown change by Y2 and Y3 administration. On the basis of these result, Y2 have an antioxidative effects on both water-soluble fraction and lipid-solube fraction in cell and tissues. But, Y3 has a lower antioxidative effects on lipid-soluble fraction than Y2 in cell and tissues. These results suggest that Y2 has a antioxidative effects by protect the tissue against oxygen free radical mediated oxidative damage and Y3 has a limited antioxidaitve effects on water-soluble fraction in vivo. Therefore, we make report that Y2 is more effective prescriptions for anti-aging or therapeutics of diseases.

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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 Study on the Improvement of Local Education Autonomy System

  • Park, Jong-Ryeol;Noe, Sang-Ouk
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.2
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    • pp.141-150
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    • 2021
  • Article 117, Paragraph 1 of the 「Constitution」 states that "Local governments may enact provisions relating to local autonomy, within the limit of Acts and subordinate statutes". It restricts the enactment of effective self-government laws. The fundamental problem-solving is securing the right to self-governing legislation through constitutional amendment. Therefore, it must be revised to "Local governments can make regulations on self-government to the extent that they handle resident welfare affairs in accordance with the subsidiarity and do not violate the law." In the long-term perspective, the current education council problem, which is contrary to the constitution, has to be revived as a constitutional independent education committee system, and the voting agency and the executive agency must go together and education councilors must have about 10 years of experience in education and education administration. The current superintendent's election system is of great significance in establishing democratic legitimacy by ensuring residents' right to vote and securing a superintendent's representation of residents. It hasn't been long since the system was implemented, but there are some side effects and it is argued that the election system should be replaced by the appointment by the head of the local government, the running mate system or the joint registration system. However it is thought that it is necessary to minimize and supplement the side effects rather than fixing the system as it violates the Constitution of the local education autonomy system.

Study on Reinterpretation of temperament concept of Sasang constitutional Medicine based on the Neurological theories of emotion (현대적 감정이론을 통한 사상의학(四象醫學)의 성정론(性情論)의 재해석)

  • Chang, Jun-Young;Kang, Jung Soo;Kim, Byoung-Soo
    • Journal of Haehwa Medicine
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    • v.22 no.2
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    • pp.1-12
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    • 2014
  • The Sasang constitutional Medicine is the original medicine that is created from the deep studies on former Eastern medical theories by Lee Jae-Ma in the late 19th century. This medicine deals with the interaction between mind and body in great depth. The temperament (the distinct nature and character of an individual, 性情) concept is the theoretical basis which divides man's constitution into four(Taeyangin, Taeumin, Soyangin and Soumin). This concept is derived from The old oriental Sung-Myung concept which has philosophical meaning. These terms of Sung and Jung also have metaphysical meaning and can not be explained easily. but roughly, The temperament is divided two concept. the distinct nature(性) means human's nature and the distinct nature(情) means human's desire. Besides, In Sasang constitution medicine, terms that traditionally represent emotions in asia are used as terminology of temperament. Altough too many aspects about Human's mind remains unknown yet, According to Neurological evidences, the brain is regarded as the main organ that produces rationality and emotion. Especially the way that brain produces an emotion provides some clues that can tell us how can mind affect body. Emotion is considered as evolutionary adaptation to response correctly against unexpected chaotic external changes. It is something that humans are born with, and causes physical responses simultaneously. Moreover, It can be come out with or without consciousness. The temperament(性情) concept and Emotion have similarity that both play an important role in mind-body correlation. Therefore Neurological researches on emotion were able to help reinterpret temperament(性情) concept. the distinct nature(性) seems to be the emotion that is come out directly from the brain stem, and the distinct nature(情) seems to be the emotion that is produced after neocortex involved thinking process. And the reason why Sung and Jung affect organs differently is explained from the manner that brain expresses emotion.

Lee Jema's Theory of Cultivating the Self (이제마의 수신론)

  • Choi, Dae-woo
    • Journal of Korean Philosophical Society
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    • v.141
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    • pp.287-311
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    • 2017
  • The major purpose of this article is to analyze Lee Jema's idea of 'cultivating the self,' and therefore reveal a difference between his idea and 'cultivating and nurturing (the mind)' shown in traditional medicine and Neo-Confucianism. For this purpose, I first analyzed 'cultivating and nurturing (the mind)' of traditional medicine and Neo-Confucianism and showed Lee Jema's originality by studying philosophical foundations of Sasang constitutional Medicine. The idea of 'cultivating and nurturing (the mind)' is transcendental in that it pursues the unity between humans and the principle of natural changes or the Heaven. However, Lee Jema developed his own medical theory by analyzing an ontological structure of human beings and nature and life, and reinterpreting four beginnings on the basis of experience. He reinterpreted humans as a being in the structure of time and space, and relationships with others. In addition, he reinterpreted nature and life and four beginnings as the capability of wisdom and action and the function of mind and body. Therefore, he tried to overcome a transcendental thinking to aim for the unity of humans with the Heaven. Also, he discovered that the most important reason for disease is biased emotions (moral/private) because biased emotions influenced the function of mind and body. The causal relationship is the basis of his medical theory. Therefore, his idea of cultivating the self is focused on being careful not to make emotions biased. This reveals that even though Sasang constitutional theory came from the traditional medical theory and Confucian morality, it developed on a different philosophical foundation. In this regard, I tried to differentiate Lee Jema's idea of cultivating the self from 'cultivating and nurturing (the mind)' which aims for the unity between humans and the principle of changes or the Heaven.

Understanding of Lee, Je-ma's View of Form and Interpretation of Form of Face (이제마(李濟馬)의 형상관(形象觀)이해와 안면부(顔面部) 형태의 해석)

  • Kim, Hyung-soon;Choi, Kwang-jin
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.1
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    • pp.311-327
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    • 1999
  • Lee, Je-ma proposed ways like Chehyungkisang to judge each constitution, so, on the basis of this, we can judge constitution in various ways. Such a theory is based on behavior determinism's way of thinking of Lee, Je-ma. We can know this that form is not recognized as an object reflecting image, but a subjective concept from Tukyonyodun, Yimokbiku(ears, eyes, nose and mouth), Hameokjebok of Sungmyong Theory. Lee, Je-ma thought each part of human body has not only physical function but also complex temperative function. Putting this consideration and Jangbu Theory describing human body directly, together, it can be said that these all have an established theory on Chehyungkisang of constitution judgement. Thus, the following hypotheses are given. From Sadan Theory and Hwakchung Theory, strength of Jangbu of Sasangin is Pe>Bi>Shin>Kan in Taeyangin and Bi>Pe>Kan>Shin in Soyangin and Kan>Shin>Bi>Pe> in Taeumin and Shin>Kan>Pe>Bi in Soumin. The concept of Shinkihyuljung is related with creation of form and spirit of each Jangkuk and Aenoheerak(sorrow, anger, joy, pleasure). From this viewpoint, Sasangin can be classified into; Taeyangin into Shinkijunghyul type, Taeumin into Hyuljungkishin type, Soumin into Junghyuishinki type. Introduced a fixed way to explain of each constitution according to this strength relationship. I hope more lively discussions on Constitutional Medicine will be continued based on this attempt.

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A Review on Acne Treatment in Korean Medicine by Analyzing Case Studies with Herbal Medicine Treatment (국내 한약 치험례 분석을 통한 한의학적 여드름 치료법에 대한 고찰)

  • Cho, Eun-Chai;Kim, Kyu-Seok
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.4
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    • pp.65-82
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    • 2018
  • Objectives : The purpose of this study is 1) to explore the general tendency of the herbs or herbal formula for acne treatment in clinical practice 2) and to provide a basis for explaining the principles of acne treatment in Korean Medicine in order to make patients understand more easily based on pharmacological mechanism by analyzing the herbs or herbal formula using for acne treatment in clinical practice. Methods : In the domestic databases (Oriental medicine Advanced Searching Integrated System-OASIS, Korean Traditional Knowledge Portal-KTKP, National Discovery for Science Leader-NDSL, Research Information Sharing Service-RISS), we selected among the papers published using search terms related to "acne". Reports related to sasang constitutional medicine were excluded and a total of 23 papers were finally selected. Results : 29 prescriptions were retrieved from 23 papers. Chungan-tang (淸顔湯) notified formulas ranked first by Cheongsangbangpung- tang (淸上防風湯), Hwangnyeonhaedok-tang (黃連解毒湯), Dangguijakyaksan (當歸芍藥散) and Bipachungpe-eum (枇杷淸肺飮). Commonly used herbs are Forsythiae Fructus (連翹), Scutellariae Radix (黃芩), Gardeniae Fructus (梔子), Ligustici Rhizoma (川芎), and Angelicae Gigantis Radix (當歸). In most patients with inflammatory lesions or excessive flushing, exterior-releasing medicinal (解表藥) and heat-clearing medicinal (淸熱藥) were mainly prescribed for acne treatment, while in patients with acne accompanied hyperkeratinization, Excess sebum secretion, Dysmenorrhea or indigestion, qi-tonifying medicinal (補氣藥) or blood-tonifying medicinal (補血藥) were mainly used. KAGS (Korean Acne Grading System) was the most commonly used method for acne severity assessment. Conclusions : These findings suggest that the herbs or herbal formula for acne treatment in Korean Medicine is prescribed differently according to the cause and symptoms of acne in a unique way for control the whole body balance. Also, our findings could provide a basis for explaining the principles of acne treatment in Korean Medicine in order to make patients understand more easily based on pharmacological mechanism in clinical practice.