Journal of Sasang Constitutional Medicine 2021 KCI Impact Factor : 0.75

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pISSN : 1226-4075 / eISSN : 2287-786X

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2014, Vol.26, No.3

  • 1.

    Clinical Practice Guideline for Soyangin Disease of Sasang Constitutional Medicine: Overview

    Eui Ju Lee , Koh Byung-Hee , Dal Rae Kim and 8 other persons | 2014, 26(3) | pp.213~223 | number of Cited : 8
    Abstract PDF
    ObjectivesThis study was aimed to develop the clinical practice guideline for Soyangin symptomatology. It discussed the principle and method of application of clinical practice guideline for Soyangin symptomatology which focuses on symptomatology, not disease. MethodsBased on 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. Member of writing committee reviewed and examined 『Donguisusebowon』 and many articles for developing clinical practice guidelines. Draft of clinical practice guideline was reviewed by advisory committee and approved by Society of Sasang Constitutional Medicine. Results & ConclusionsBy researching and discussing the Soyangin symptomatology, we establish the evaluation criteria for diagnosis including classification, definition and develop diagnostic algorithm and treatment assessing tool.
  • 2.

    Clinical Practice Guideline for Soyangin Disease of Sasang Constitutional Medicine: Diagnosis and Algorithm

    jun-hee lee , Eui Ju Lee | 2014, 26(3) | pp.224~240 | number of Cited : 13
    Abstract PDF
    ObjectivesThis research was proposed to present Clinical Practice Guideline(CPG) for Soyangin 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 Soyangin Symptomatology diagnosis and algorithm. For developing diagnosis and algorithm, we searched the classification, ordinary symptom, present symptom of the Soyangin Sympto- matology. Results & ConclusionsWe classify the Soyangin Symptomatology by 4 steps: Exterior-Interior disease, favorable-unfavorable pattern, mild-moderate-severe-critical pattern (initial-advanced pattern). And at the unfavorable pattern, ordinary symptom is very important. So doctors need to focus on the symptom of unfavorable’s ordinary symptom such as temperament inclined symptom, diarrhea, and diurnal body fever.
  • 3.

    Clinical Practice Guideline for Soyangin Disease of Sasang Constitutional Medicine: Lessor-Yang Wind-Injury (Soyang-sangpung) Symptomatology

    JEON SOO HYUNG , 최애련 , Eui Ju Lee | 2014, 26(3) | pp.241~250 | number of Cited : 4
    Abstract PDF
    ObjectivesThis research was proposed to present Clinical Practice Guideline(CPG) for Soyangin Disease of Sasang Constitutional Medicine(SCM): Lessor-Yang Wind-Injury (Soyang-sangpung) 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 to clinical trial or Human complementary medicine of SCM was performed domestic and overseas. Finally, 1 articles were selected and included in CPG for Lessor-Yang Wind-Injury (Soyang-sangpung) Symptomatology of Spleen Cold-based Exterior Cold (Bisuhan-pyohan) disease in Soyangin Disease. Results & ConclusionsThe CPG of Lessor-Yang Wind-Injury (Soyang-sangpung) Symptomatology in Soyangin Disease include classification, definition and standard symptoms of each pattern. Lessor-Yang Wind-Injury (Soyang-sangpung) Symptomatology is classified into mild and moderate pattern by severity. Lessor-Yang Wind-Injury (Soyang-sangpung) Symptomatology mild pattern is classified into initial pattern and advanced pattern. Lesser-Yang Wind-Injury (Soyang-sangpung) symptomatology moderate pattern is classified into Chest-binding (Gyeolhyoong) pattern and Chest-binding (Gyeolhyoong) advanced pattern.
  • 4.

    Clinical Practice Guideline for Soyangin Disease of Sasang Constitutional Medicine: Yin-Depletion (Mangeum) Symptomatology

    Shin, Miran , Joo, Jong Cheon , Eui Ju Lee | 2014, 26(3) | pp.251~261 | number of Cited : 9
    Abstract PDF
    ObjectivesThis research was proposed to present Clinical Practice Guideline(CPG) for Soyangin Disease of Sasang Constitutional Medicine(SCM): Yin-Depletion (Mangeum) Symptomatology. The CPG was developed by the national-wide experts committee consisting of SCM professors. MethodsThe CPG was developed by the national-wide experts committee considering 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 & ConclusionsThe CPG of Yin-Depletion (Mangeum) Symptomatology in Soyangin Disease include classification, definition and standard symptoms of each pattern. Yin-Depletion (Mangeum) Symptomatology is classified into severe and critical pattern by severity. The severe pattern of Yin-Depletion (Mangeum) Symptomatology is classified into the pattern of Heat-related diarrhea accompanied by headache (Sinyeol-dutong Mangeum) and the advanced pattern of Heat-related diarrhea accompanied by headache (Sinyeol-dutong Mangeum). The critical pattern of Yin-Depletion (Mangeum) Symptomatology is classified into the pattern of Cold-related diarrhea accompanied by the abdominal pain (Sinhan-bocktong Mangeum) and the advanced pattern of Cold-related diarrhea accompanied by abdominal pain (Sinhan-bocktong Mangeum).
  • 5.

    Clinical Practice Guideline for Soyangin Disease of Sasang Constitutional Medicine: Chest-Heat congested (Hyunggyeok-yeol) Symptomatology

    Park Hye Sun , HWANG MINWOO , Eui Ju Lee | 2014, 26(3) | pp.262~271 | number of Cited : 6
    Abstract PDF
    ObjectivesThis research was proposed to present Clinical Practice Guideline(CPG) for Soyangin Disease of Sasang Constitutional Medicine (SCM) ; Chest-Heat congested(Hyunggyeok-yeol) Symptomatology. MethodsThis CPG was developed by the national-wide experts committee consisting of SCM professors. First, collection and organization of literature related to SCM such as Donguisusebowon, Text book of SCM, Clinical Guidebook of SCM and Fundamental research to standardize diagnosis of Sasang Constitutional Medicine was performed. Secondly, journals related to clinical trial or Human complementary medicine of SCM were searched. Finally, 4 articles were selected and included in CPG for Chest-Heat congested(Hyunggyeok-yeol) Symptomatology of Stomach Heat-based Interior Heat disease in Soyangin disease. Results & ConclusionsCPG of Chest-Heat congested(Hyunggyeok-yeol) symptomatology in Soyangin disease includes classification, definition and standard symptoms of each pattern. Chest-Heat congested(Hyunggyeok-yeol) symptomatology is classified into mild and moderate pattern by severity. Chest-Heat(Hyunggyeok-yeol) symptomatology Mild pattern is classified into Chest-Heat congested(Hyunggyeok-yeol) initial pattern and Chest-Heat congested(Hyunggyeok-yeol) advanced pattern. And Chest-Heat congested (Hyunggyeok-yeol) moderate pattern is classified into Clear Yang Failure of Stomach(Weguck-cheongyang Bulsagnseung) pattern (Upper wasting-thirst(Sangso) pattern), Clear Yang Failure of Large Intestine (Daejang-cheongyang Bulsangseung) pattern (Middle wasting-thirst (Jungso) pattern).
  • 6.

    Clinical Practice Guideline for Soyangin Disease of Sasang Constitutional Medicine: Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology

    Yoo Jun Sang , Eui Ju Lee | 2014, 26(3) | pp.272~280 | number of Cited : 6
    Abstract PDF
    ObjectivesThis research was carried out to establish the clinical practice guideline(CPG) for Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology of Soyangin disease. MethodsDongeuisusebowon(sinchuk edition) and several kinds of literatures including journal articles concerning this symptomatology of Soyangin disease were collected and classified. Sasang constitutional specialists’ conference was held to make an agreement on the conflicting issues as well. Consensus was drawn as a result of the conference. Results & Conclusions3 papers were selected as an inclusion and exclusion criteria for the relevant articles to Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology of Soyangin disease. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology consists of two aspects : Yin-Deficit Diurnal-Heat (Eumheo-oyeol) severe pattern and Yin-Deficit Diurnal-Heat (Eumheo-oyeol) critical pattern. In Yin-Deficit Diurnal-Heat (Eumheo-oyeol) severe pattern contains 1 disease, namely, Clear Yang Depletion of Large Intestine (Daejang-cheongyang Moson) pattern (Lower wasting-thirst (Haso) pattern). In Yin-Deficit Diurnal-Heat (Eumheo-oyeol) critical pattern contains 2 diseases, Yin-Deficit Diurnal-Heat (Eumheo-oyeol) pattern and Yin-Deficit Diurnal-Heat (Eumheo-oyeol) advanced pattern. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) symptomatology has several kinds of symptoms like dry mouth, disliking to drink much water, diurnal body fever, coldness on the back and nausea as well as body fever, chest discomfort, constipation or dry stool as a common symptoms of Interior Heat disease. Clear Yang Depletion of Large Intestine (Daejang-cheongyang Moson) pattern (Lower wasting-thirst (Haso) pattern) has above mentioned symptoms and much urine/ turbid urine, thin thigh and knee joints and twinge of joint pain over the body. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) pattern has symptoms like indigestion and epigastric discomfort, abdominal pain and vomiting in addition. Yin-Deficit Diurnal-Heat (Eumheo-oyeol) advanced pattern has symptoms like hematemesis as well.
  • 7.

    The Literature Study on Abdominal Symptoms in Dongeuisusebowon : Soeumin

    고찬희 , Yoo Jun Sang | 2014, 26(3) | pp.281~294 | number of Cited : 1
    Abstract PDF
    ObjectivesThe purpose of this study was to investigate the abdominal symptoms of Sasang constitutional disease to make the basis for the clinical treatment. MethodsThe study focused on the abdominal symptoms of Soeumin written in「Dongeuisusebowon」and compared it with「Shanghanlun」and「Dongeuibogam」. Results & ConclusionsAbdominal symptoms of Soeumin exterior disease usually appeared in lower abdomen caused by deficiency of ascending of Kidney yang qi, and abdominal symptoms of Soeumin interior disease were related to degree of warm qi of the stomach and cold qi of the large intestine.
  • 8.

    The Concordance and Validity Assessment of Diagnosis for the Expert in Sasang Constitution

    Younghwa Baek , 김호석 , Lee Siwoo and 1 other persons | 2014, 26(3) | pp.295~303 | number of Cited : 9
    Abstract PDF
    ObjectivesIt 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). MethodsThree 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. Results1) 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. ConclusionsThe concordance and validity of experts in SCM seems to be moderate. We think further study is needed.
  • 9.

    A Clinical Analysis on 117 Patients with Urticaria Based on Sasang Constitutional Medicine

    Ji Hwan Kim , Park Seong-sik | 2014, 26(3) | pp.304~317 | number of Cited : 0
    Abstract PDF
    ObjectivesThe purpose of this study was to find out whether there were differences of urticaria's disease aspect between patients classified into Sasang Constitution Types(SCTs) and whether those differences could be associated with Ordinary symptoms. MethodsMedical records and questionnaires about 117 patients who visited one Korean medicine hospital due to urticaria were collated and statistically analyzed. Results1) Ages 20 to 30, women, Soeumin(SE) and patients in conditions of chronic urticaria over 6 weeks were the majority among 117 patients in this study. Food and stress were most chosen as the main cause of urticaria. 2) Soyangin(SY) showed more severe symptoms of urticaria than other SCTs. In particular, the severity of pruritus, distribution of lesions and vulnerability to stress was statistically significant compared to other SCTs(p<0.05). SE expressed urticaria's symptoms at the medium-level of SY's and Taeeumin(TE)'s. TE exhibited relatively weak symptoms but TE only had slightly higher number of patients with angioedema compared to other SCTs. Taeyangin(TY) was only one case so more researches are needed. 3) In dispositional symptoms, SY had low quality of sleep and defecation. SE could not digest oily food well, felt dizzy and cold well, and had cold hands and feet. TE could eat and sweat much and tended to snore well. ConclusionsIn this study, urticaria had common cause of both stress and food in all SCTs but onset and severity of symptoms were different between SCTs. It could interpreted that these differences between SCTs were associated with ordinary symptoms native to each SCT.
  • 10.

    2 Case Study Reportings on Efficiency using Hyeongbangdojeok-san of a Soyangin Patient diagnosed with Climacteric Syndrome

    정해연 , 이성진 , 조혜원 and 1 other persons | 2014, 26(3) | pp.318~327 | number of Cited : 6
    Abstract PDF
    ObjectivesWe reported a series of 2 treatment cases with Hyeongbangdojeok-san which was based on Sasang Constitutional Medicine for Climacteric Syndrome in Soyangin. MethodsWe prescribed Hyeongbangdojeok-san for their physical symptoms. The improvement of their Climacteric Syndrome was evaluatedResultsAfter the administration of Hyeongbangdojeok-san was given, the patient's Climacteric Syndrome and physical symptoms are improved. ConclusionsThese case-studies show an efficient result of using Hyeongbangdojeok-san in the Climacteric Syndrome of Soyangin.
  • 11.

    A Case Study of a Taeeumin Patient with Meniere’s Disease Treated with Cheongsimyeonja-tang

    이미숙 , 박유경 , Nayoung, Bae | 2014, 26(3) | pp.328~337 | number of Cited : 8
    Abstract PDF
    ObjectivesThe aim of this study was to report significant improvement of vertigo, tinnitus and aural fullness after treatment with Cheongsimyeonja-tang in a Taeeumin patient with Meniere’s disease. MethodsThe patient was diagnosed with Taeeumin Dry-heat symptomatic pattern and treated with Cheongsimyeonja-tang and acupuncture. The patient's subjective symptoms of vertigo, tinnitus and aural fullness were observed using Global Assessment Scale (GAS) during the treatment period. Results & ConclusionsThe symptoms of vertigo, tinnitus and aural fullness decreased from GAS 100 to GAS 0 for seven weeks. Furthermore, the patient’s symptoms of insomnia, urinary frequency, chest discomfort and fatigue were reported to be improved after treatment. In conclusion, this study shows that Sasang Constitutional Medicine can be effective treatment for Taeeumin patient with Meniere’s disease diagnosed as Dry-heat symptomatic pattern.