KJC Korea
Journal Central

Objectives This study was aimed to develop the clinical practice guideline for Soeumin symptomatology. This was the first clinical practice guideline, which focuses on symptomatology, not disease. Methods Donguisusebowon and many articles were reviewed and examined for developing clinical practice guidelines. Among the previous guidelines, we assessed the guidelines by Appraisal of Guidelines for Research and Evaluation (AGREE Ⅱ). After AGREE Ⅱ assessment, we chose and revised the clinical practice guideline. Results & Conclusions By researching and discussing the Soeumin symptomatology, we make the principle of the clinical practice guideline, including classification, definition, algorithm, and treatment assessing tool.

ObjectivesThis research was proposed to present Clinical Practice Guideline(CPG) for Soeumin Disease of Sasang Constitutional Medicine(SCM): Diagnosis and Algorithm. This CPG was developed by the national-wide experts committee consisting of SCM professors. MethodsWe searched the literature and articles related to Soeumin Symptomatology diagnosis and algorithm. For developin diagnosis and algorithm, we searched the classification, ordinary symptom, present symptom of the Soeumin SymptomatologyResults & ConclusionsWe classified the Soeumin Symptomatology by 4 steps: Exterior-Interior disease, favorable-unfavorable pattern, mild-moderate-severe-critical pattern, initial-intermediate-advanced pattern. And at the unfavorable pattern, ordinary symptom is very important. So Doctors focuss on the symptom of unfavorable’s ordinary symptom such as temperament inclined symptom, excessive sweating, diarrhea, and vexation.

ObjectivesThis research was proposed to present Clinical Practice Guideline(CPG) for Soeumin Disease of Sasang Constitutional Medicine(SCM): Congestive Hyperpsychotic symptomatology. This CPG was developed by the national-wide experts committee consisting of SCM professors. MethodsFirst, it was performed that search and collection of literature related SCM such as 『Dongeuisusebowon』, Textbook of SCM, Clinical Guidebook of SCM and Fundamental research to standardize diagnosis of Sasang Constitutional Medicine. And journal search related clinical trial or Human complementary medicine of SCM was performed domestic and overseas. Finally, no article was selected and included in CPG for Congestive Hyperpsychotic symptomatology of Kidney Heat-based Exterior Heat disease in Soeumin disease. Results & ConclusionsCPG of Congestive Hyperpsychotic symptomatology in Soeumin Disease include classification, definition and standard symptoms of each pattern. Congestive Hyperpsychotic symptomatology is classified into mild and severe pattern by severity. Congestive Hyperpsychotic symptomatology mild pattern is classified into initial pattern. Congestive Hyperpsychotic symptomatology severe pattern is classified into intermediate and advanced pattern and Greater Yang disease Reverting Yin pattern.

ObjectivesThis research was proposed to present Clinical Practice Guideline(CPG) for Soeumin Disease of Sasang Constitutional Medicine(SCM): Yang Depletion Symptomatology. MethodsThis CPG was developed by the national-wide experts committee consisting of the society of Sasang Constitutional Medicine. it was performed by search and collection of literature related SCM, opinion of SCM experts and journal search. And it was followed by CPG’s guideline. Results & ConclusionsNo article was selected and included in CPG for Yang Depletion Symptomatology of Kidney Heat-based Exterior Heat disease in Soeumin disease. CPG of Yang Depletion symptomatology in Soeumin Disease include classification, definition and standard symptoms of each pattern. Yang Depletion symptomatology is classified into severe and critical pattern by severity. Yang Depletion Symptomatology severe pattern is classified into initial phase pattern and intermediate phase pattern. And Yang Depletion Symptomatology critical pattern is classified into advanced phase pattern.

ObjectivesThis research was proposed to present Clinical Practice Guideline(CPG) for Soeumin Disease of Sasang Constitutional Medicine(SCM): Greater Yin Symptomatology. This CPG was developed by the national-wide experts committee consisting of SCM professors. MethodsFirst, it was performed that search and collection of literature related SCM such as 「Dongeuisusebowon」, Textbook of SCM, Clinical Guidebook of SCM and Fundamental research to standardize diagnosis of Sasang Constitutional Medicine. And journal search related clinical trial or Human complementary medicine of SCM was performed domestic and overseas. Finally, 1 article was selected and included in CPG for Greater Yin Symptomatology of Stomach Cold-based Interior Cold disease in Soeumin disease. Results & ConclusionsCPG of Greater Yin symptomatology in Soeumin Disease include classification, definition and standard symptoms of each pattern. Greater Yin symptomatology is classified into mild and moderate pattern by severity. Greater Yin Symptomatology Mild pattern is classified into Greater Yin Symptomatology accompanied abdominal pain and bowel irritability and Greater Yin pattern accompanied Epigastric stuffiness and fullness. And Greater Yin Symptomatology moderate pattern is classified into Greater Yin pattern accompanied Jaundice, Greater Yin pattern accompanied Edema and Greater Yin pattern by Yin toxin.

ObjectivesThis research was performed to establish the clinical practice guideline(CPG) for Lesser Yin Symptomatology of Soeumin disease. MethodsDongeui suse bowon(sinchuk edition), textbook for Sasang constitutional medicine, Clinical guidebook for Sasang constitutional medicine, and standardization reports on Sasang constitutional medicine and papers concerning symptomatology of Soeumin Disease, especially Lesser Yin Symptomatology was collected and classified. Additionally experts' conference was held to make agreement on the conflicting issues on a regular basis. Results & ConclusionsThere was no concerning paper on Lesser Yin Symptomatology. Experts' agreement was needed to establish the CPG. Lesser Yin pattern can be classified into 2 groups; Lesser Yin severe pattern and Lesser Yin critical pattern. There are Lesser Yin pattern accompanied abdominal pain and bowel irritability pattern and Lesser Yin pattern accompanied green tinged watery diarrhea pattern in Lesser Yin severe pattern. There are Visceral syncope pattern and Exuberant yin repelling yang pattern in Lesser Yin critical pattern. Lesser Yin symptomatology has several symptoms like abdominal pain and diarrhea, thirst, oral discomfort, chest discomfort, whole body pain, articular pain and coldness of hands and feet. Additionally there are abdominal pain and diarrhea in Lesser Yin symptomatology accompanied abdominal pain and bowel irritability pattern, there is green tinged watery diarrhea in Lesser Yin pattern accompanied green tinged watery diarrhea pattern and if this symptoms exacerbate, delirious speech and constipation can occur. There are restlessness and coldness on hands and feet in Visceral syncope pattern and severe restlessness and coldness on hands and feet and symptom which the patient cannot drink water in Exuberant yin repelling yang.

ObjectivesThis study aimed to evaluate reliability of questionnaire when self reporting questionnaire created by Korea Institute of Oriental Medicine was applied to Vietnamese. MethodsThis study began to collect 135 Vietnamese patients questionnaires collaborated with National Hospital of Traditional Medicine located in Hanoi, Vietnam from March to August 2013. All participants for this study filled out the questionnaires respectively. After initial survey finished, additional survey was performed on the same questionnaires used at the beginning eight weeks later. In order to evaluate internal coherence in terms of questionnaires of classification, Cronbach’s alpha and Cohen's kappa was measured. ResultsAfter analysis of 78 questions collected, less than 0.4 in Kappa was achieved by 21(26.9%) out of 78 questions, 0.4 to 0.75 Kappa by 49(62.8%) and 0.75 over in 5(6.5%) questions, respectively. More than 0.6 Cronbach’s alpha was defined from 41 out of 78 questions connected with internal coherence of character, digestion, perspiration, excrement, urine, cold and heat. ConclusionsThe questionnaire has credibility according to values of Kappa and Cronbach’s alpha. Therefore, Sasang Constitution questionnaire can be applied to Sasang Diagnosis. In order to increase usefulness, questions in questionnaire should be revised and validity study must be performed afterwards.

ObjectivesThe purpose of this study was to examine the effects of positive and negative emotion on the quality of life(QoL) in each Sasang contitution, using Positive Affect and Negative Affect Schedule(PANAS) and Short Form-12 Health Survey Questionnaire(SF-12) questionnaire. MethodsA total of 1,123 participants completed the Korean version of the PANAS and SF-12 questionnaire. The participants were classified into one Sasang constitution by QSCCⅡ. The effects of emotion on the QoL were compared between the each Sasang contitution using analysis of variance(ANOVA). ResultsWe found significant differences between constitutions in Positive Affect(PA), PA-Joy, PA-Interest and PA-Activation of PANAS. And we found significant differences between constitutions in Mental Component Summary(MCS) of SF-12. Negative correlation of less –0.4 was shown in Negative Affect(NA), NA-Afraid, NA-Upset of PANAS and MCS of SF-12. ConclusionsThe Soyangin has significantly higher score than Soeumin in PA, PA-Joy, PA-Interest and PA-Activation of PANAS as previous studies. This study also shows the correlation between negative emotion and decline in the quality of mental status.

ObjectivesThe purpose of this study was to survey the Personality and Ordinary Symptoms of Soyangin and to compare the tendency of their personality and symptoms according to Soyangin's major prescription. Methods331 Soyangin's personality and ordinary symptoms data registered to SCIB(Sasang Constitutional Information Bank) were used. All data were analyzed with Chi square test. Some data were ranked and analyzed with Kruskal-Wallis test and Mann-Whitney test(with Bonferroni correction). Chi square and Kruskal-Wallis test's significant P value was 0.05. Mann-Whitney test's significant P value was 0.005. Results & ConclusionsIn Chi square test, there is difference in personality and symptoms in Soyangin's major prescription as followed, the degree of masculinity and femininity, the degree of patience, the condition of stool, the degree of appetite, good or bad in digesting, amount of meal, the speed of eating, amount of drinking water, the temperature of drinking water, coldness and hotness in abdomen or not. In Kruskal-Wallis test and Mann-Whitney test, Yanggyuksanhwa-tang is more masculine than Dokhwaljihwang-tang, Hyeongbangsabaek-san, Hyeongbangjihwang- tang. Dokhwaljihwang-tang is less appetite than Yanggyuksanhwa-tang and Hyeongbangsabaek-san. Yanggyuksan- hwa-tang is more fast in eating than Hyeongbangjihwang-tang.

ObjectivesThis paper was aimed to review experimantal and clinical articles on Yeoldahanso-tang(YDHS), figuring out the recent tendency and suggesting the future prospects of YDHS-related studies. MethodsThe articles published in Korean or English since 2000 were searched, screened, and classified into experimental or clinical studies. And we structured designs, methods and results of the included studies into each table for the experimental studies or the clinical studies. Especially tools to diagnose constitutions and patterns identified in clinical researches were also summarized in the tables. Results28 articles are finally included. 14 experimental studies are mostly in vitro designs to show efficacy of YDHS. There are only 2 studies for the safety. Among 14 clinical studies, 12 case studies target disorders of central nervous system, viral infection, skin ulcer and so on. 2 studies are before and after studies on cerebral infarction and effects on liver function. ConclusionsBased on the efficacy of YDHS on central nervous system, it acquires higher level of evidence such as randomized controlled trials in the future. In addition other diseases such as skin ulcer and so on, it needs to be done more specific experimental or clinical studies so that we can get statistically significant results.

ObjectivesThe purpose of this study was to report the effects of Korean medical treatment (acupuncture, moxibustion, herb medicine) combined with intense pulsed light (IPL) on three postpartum patients with freckles worsened during pregnancy. Methods and ResultsThe postpartum patients with freckles were treated with acupuncture, moxibustion, herbal medication and IPL. The energy density of IPL was selected modified according to skin types classified by Sasang constitutional medicine. This efficacy of treatment was evaluated with observation. After treatment, freckles as well as various postpartum symptoms are improved. ConclusionsThis case report shows that the Korean medical treatment combined with IPL is effective in the treatment of postpartum patient's freckles. However further studies are still necessary.

ObjectivesThe purpose of this case study is to report the effect of Sasang constitutional therapy about chill and fever pattern of malaria by acute urticaria. MethodsThis Soyangin patient is treated by herbal prescriptions, venesection, and acupuncture therapy according to the change of symptoms. When fever is severe, adequate medical supportive treatments such as normal saline intravenous injection, sedative or anti-histamine are provided for the patient. Results & ConclusionsThe patient's symptoms of acute urticaria and general conditions were improved after using Yangdokbaekho-tang and Hwagam. However, chill and fever pattern of malaria was continued so that Hyungbangpaedok-san and Dokhwaljihwang-tang for Soyangin's lasting malaria symptom were medicated to the patient. Accordingly, chill and fever pattern lasting about one month was successfully eliminated after herbal treatment.