Journal of Sasang Constitutional Medicine 2021 KCI Impact Factor : 0.75

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2015, Vol.27, No.1

  • 1.

    Clinical Practice Guideline for Taeeumin and Taeyangin Disease of Sasang Constitutional Medicine: Overview

    Eui Ju Lee , Koh Byung-Hee , 김달래 and 8 other persons | 2015, 27(1) | pp.1~12 | number of Cited : 5
    Abstract PDF
    ObjectivesThis study was aimed to develop the clinical practice guideline for Taeeumin, Taeyangin symptomatology. This was the second clinical practice guideline, which focuses on symptomatology. MethodsDonguisusebowon 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 and ConclusionsBy researching and discussing the Taeeumin, Taeyangin symptomatology, we make the principle of the clinical practice guideline, including classification, definition, algorithm, and treatment assessing tool.
  • 2.

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

    jun-hee lee , Eui Ju Lee | 2015, 27(1) | pp.13~41 | number of Cited : 18
    Abstract PDF
    ObjectivesThis research was proposed to present Clinical Practice Guideline(CPG) for Taeeumin and Taeyangin 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 Taeeumin and Taeyangin Symptomatology diagnosis and algorithm. For developing diagnosis and algorithm, we searched the classification, ordinary symptom, present symptom of the Taeeumin and Taeyangin SymptomatologyResults and ConclusionsWe classified the Taeeumin Symptomatology by 4 steps: Exterior-Interior disease, favorable-unfavorable pattern, mild-moderate-severe-critical pattern, initial-intermediate-advanced pattern. And we classified the Taeyangin Symptomatology by 3 steps: Exterior-Interior disease, favorable-unfavorable pattern, mild-moderate-severe-critical pattern. At the unfavorable pattern, ordinary symptom is very important. So doctors are considered to need to focus on the symptom of unfavorable’s ordinary symptoms.
  • 3.

    Clinical Practice Guideline for Taeeumin Disease of Sasang Constitutional Medicine: Esophagus Cold-based Exterior Cold (Wiwansuhan-pyohan) disease

    최애련 , Shin, Miran , Eui Ju Lee | 2015, 27(1) | pp.42~56 | number of Cited : 12
    Abstract PDF
    ObjectivesThis research was proposed to present Clinical Practice Guideline(CPG) for Taeeumin Disease of Sasang Constitutional Medicine(SCM): Esophagus Cold-based Exterior Cold (Wiwansuhan-pyohan) disease. This CPG was developed by the national-wide experts committee consisting of SCM professors. MethodsFirst, 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, 7 articles were selected and included in CPG for Esophagus Cold-based Exterior Cold (Wiwansuhan-pyohan) disease. Results & ConclusionsThe CPG of Esophagus Cold-based Exterior Cold (Wiwansuhan-pyohan) disease in Taeeumin Disease include classification, definition and standard symptoms of each pattern. Esophagus Cold-based Exterior Cold (Wiwansuhan-pyohan) disease consists of two aspects : Esophagus-Cold (Wiwanhan) and Esophagus-Cold Lung-Dry (Wiwanhan-paejo) symptomatology. Esophagus-Cold (Wiwanhan) symptomatology is classified into mild and moderate pattern by severity. Mild pattern of Esophagus-Cold (Wiwanhan) symptomatology is classified into Supraspinal Exterior (Baechu-pyo) initial and Wheezing-Dyspnea (Hyocheon) pattern. Moderate pattern of Esophagus-Cold (Wiwanhan) symptomatology is classified into Cold-reversal (Hanguel) and Cold-reversal (Hanguel) advanced pattern. And Esophagus-Cold Lung-Dry (Wiwanhan-paejo) symptomatology is classified into severe and critical pattern by severity. Severe pattern of Esophagus-Cold Lung-Dry (Wiwanhan-paejo) is classified into Dry-Cold (Johan) pattern and Dry-Cold (Johan) advanced pattern. Critical pattern of Esophagus-Cold Lung-Dry (Wiwanhan-paejo) symptomatology consists of Dry-Cold (Johan) intense pattern (Eumhyeol-mogal handa pattern)
  • 4.

    Clinical Practice Guideline for Taeeumin Disease of Sasang Constitutional Medicine: Liver Heat-based Interior Heat (Gansuyeol-liyeol) disease

    JEON SOO HYUNG , Jun-Sang Yu , Eui Ju Lee | 2015, 27(1) | pp.57~70 | number of Cited : 13
    Abstract PDF
    ObjectivesThis research was performed to present Clinical Practice Guideline(CPG) for Taeeumin Disease of Sasang Constitutional Medicine(SCM): Liver Heat-based Interior Heat (Gansuyeol-liyeol) disease. 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 to SCM such as 『Dongeuisusebowon』, Textbook of SCM, Clinical Guidebook of SCM and fundamental researches to standardize the diagnosis of Sasang Constitutional Medicine. And journal search related to clinical trials and case studies concerning SCM was performed domestic and overseas. Finally, 12 articles were selected and included in CPG for Liver Heat-based Interior Heat (Gansuyeol-liyeol) disease in Taeeumin Disease. Experts consensus was drawn through several meetings. Results & ConclusionsCPG of Liver Heat-based Interior Heat (Gansuyeol-liyeol) disease in Taeeumin Disease include classification, definition and standard symptoms of each pattern. Liver Heat-based Interior Heat (Gansuyeol-liyeol) disease is classified into Liver-Heat (Ganyeol) symptomatology and Liver-Heat Lung-Dry (Ganyeol-paeJo) symptomatology. Depending on the severity of Liver Heat, Liver-Heat (Ganyeol) symptomatology is classified into mild pattern and moderate pattern. Mild pattern contains 1 disease, namely, Liver-Heat (Ganyeol) initial pattern. Moderate pattern classified into advanced pattern and intense pattern. Depending on the severity of the Lung-Dry, Liver-Heat Lung-Dry (Ganyeol-paeJo) symptomatology is classified into severe pattern and critical pattern. Severe pattern is classified into Dry-Heat (Joyeol) pattern and Dry-Heat (Joyeol) advanced pattern. Critical pattern contains 1 disease, namely, Dry-Heat (Joyeol) intense pattern (Eumhyeol-mogal yeolda pattern).
  • 5.

    Clinical Practice Guideline for Taeyangin Disease of Sasang Constitutional Medicine

    Park Hye Sun , Jong Cheon Joo , Eui Ju Lee | 2015, 27(1) | pp.71~81 | number of Cited : 4
    Abstract PDF
    ObjectivesThis research was proposed to present clinical practice guideline (CPG) for Taeyangin Disease of Sasang Constitutional Medicine (SCM). This CPG was developed by the national-wide experts committee consisting of SCM professors. MethodsThis guideline 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. 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 Taeyangin disease. Results & ConclusionsThe CPG of Taeyangin disease include classification, definition and standard symptoms of each pattern. Taeyangin disease is classified into exterior-origin lower back (EOLB) disease and interior-origin small intestine (IOSI) disease by region of symptom. EOLB can be replaced with Oegam-yocheok and IOSI can be replaced with Naechok-sojang that is Korean pronuncation. EOLB disease is classified into lower back favorable symptomatology (LBFS) and lower back unfavorable symptomatology (LBUS). Lower back is to say Yocheok, so LBFS can be called Yocheok favorable symptomatology and LBUS can be called Yocheok unfavorable symptomatology. LBUS is to say paraparesis symptomatology or Haeyeok, that is Korean pronunciation, symptomatology. IOSI disease is classified into small intestine favorable symptomatology (SIFS) and small intestine unfavorable symptomatology (SIUS). Small intestine is to say Sojang, so SIFS can be called Sojang favorable symptomatology and SIUS can be called Sojang unfavorable symptomatology. SIUS is to say regurgitation symptomatology or Yeolgeok, that is Korean pronunciation, symptomatology.
  • 6.

    Clinical Practice Guideline for Sasang Constitutional Medicine: Prevention and Risk Fators of Sasangin Disease

    Nayoung, Bae , Eui Ju Lee | 2015, 27(1) | pp.82~109 | number of Cited : 9
    Abstract PDF
    ObjectivesThis research was proposed to present Clinical Practice Guideline (CPG) for Prevention of Sasangin disease pattern of Sasang Constitutional Medicine (SCM) and diseases closely related with Sasang constitution. Each CPG was developed by the national-wide experts committee consisting of SCM professors. MethodsAt first, we searched the literatures related to SCM such as 『Dongeuisusebowon』, Textbook of SCM and Clinical Guidebook of SCM. Also we searched the articles related to the studies about risk factors for Sasangin disease pattern of both at home and abroad. Finally, we selected leading risk factors of Sasangin disease pattern and developed CPG for prevention of Sasangin disease pattern of SCM. And then, we searched the literatures related SCM such as 『Dongeuisusebowon』 and the articles on the correlation between disease and Sasang constitution using case-control studies, observational studies or cross sectional studies of both at home and abroad. Next, we selected diseases closely related with Sasang constitution on the basis of articles including prevalence rate and odds ratio between disease and Sasang constitution and finally developed CPG for these diseases. Results and ConclusionsWe categorized risk factors of Sasang disease pattern into 2 types: non-modifiable and potentially modifiable. 3 items (age, sex and genetic factors) were classified as non-modifiable risk factors of Sasang disease pattern. 6 items (original symptom, stress, diet and nutrition, physical activity, alcohol and drug misuse) were classified as less well-documented or potentially modifiable risk factors of Sasangin disease pattern. We found out Sasang constitution is more likely to develop some diseases. It was proven that Sasang constitution increase the risk of hypertension, diabetes mellitus, metabolic syndrome, stroke, nonalcoholic fatty liver and obstructive sleep apnea. And there is high probability of Sasang constitution being potential risk factor for obesity, hyperlipidemia, allergy and cancer. Also, we found out Taeeumin is independent risk factor for hypertension, diabetes mellitus, metabolic syndrome, stroke, nonalcoholic fatty liver and obstructive sleep apnea. Therefore we recommend that Taeeumin need to prevent these disease by regular checkups and aggressive management.
  • 7.

    Clinical Practice Guideline for Sasang Constitutional Medicine: The Examination of Sasangin Disease and Diagnosis for Sasang Constitution

    Kim Sang-Hyuk , Lee Siwoo , jun-hee lee and 1 other persons | 2015, 27(1) | pp.110~124 | number of Cited : 12
    Abstract PDF
    ObjectivesThis study was purposed to develop the clinical practice guideline for examination of Sasangin disease and diagnosis for Sasang Constitution. Methods『Donguisusebowon』 and many articles were reviewed and examined for developing clinical practice guidelines. And 「Guideline for Educating Public Health Korean Medical Doctors on Diagnosis of Sasang Constitution」 was basically used to develop clinical guidelines. Results & ConclusionsBy researching and discussing the examination of Sasangin disease and diagnosis for Sasang Constitution, we make the principle of the clinical practice guideline, including methods using body shape, facial shape, vocal characteristic and personality etc.
  • 8.

    Exploratory Study on the Pre-and Post-Prandial Subjective Appetite and Plasma Gut Hormone Levels in Spleen Qi Deficiency (SQD) Syndrome

    오혜원 , 이지원 , 김제신 and 1 other persons | 2015, 27(1) | pp.125~137 | number of Cited : 3
    Abstract PDF
    ObjectivesThe aim of this study was to investigate clinical factors of SQD syndrome by tracking plasma gut hormone (active ghrelin, active Glucagon-like peptide-1(GLP-1), pancreatic polypeptide(PP), total peptide YY(PYY)) profiling of pre-post prandial standard meal between SQD group and normal group. MethodsA total of 24 adult participants were consecutively recruited on April 2014. They were diagnosed as either by SQD syndrome or normal by Spleen Qi Deficiency Questionnaire (SQDQ). On the experimental day, blood samplings of 2 ml were repeatedly collected at 6 points from 2 groups for measuring plasma levels of gut hormones. At every point, subjective appetite sensations were self-registered. Results & Conclusions1. There were significantly lower subjective ‘Appetite’ (p=0.012) and higher ‘Satiety’ (p=0.012) in SQD group. At each time point, subjective ‘Appetite’ was significantly lower at 60 min after breakfast (p=0.034) and ‘Satiety’ were significantly higher at 15 min (p=0.020) and 120 min (p=0.044) after breakfast in SQD group. 2. There were no significant differences in plasma levels of gut hormones (active ghrelin, active GLP-1, PP, total PYY) between SQD and normal group. Also at each time point, there were no significant differences of plasma levels of gut hormones between SQD and normal group. 3. Changes in plasma levels of gut hormones compared to baseline were not significantly different at each time point between SQD and normal group. Plasma PYY levels compared to baseline increased in SQD group following 15 min and 30 min after breakfast but decreased in normal group. 4. Further investigation is needed to construct gut hormone profiling and in this perspective, we can approach evaluation tool on variable appetite in Traditional Korean Medicine (TKM) syndrome in the future.
  • 9.

    Clinical Analysis of Facial Nerve Paralysis Patients Improved by Sasang Constitutional Medical Treat : A Retrospective Cross-Sectional Study

    Seok-Hwan Kang , JEON SOO HYUNG , Jong-Hun Jeong and 3 other persons | 2015, 27(1) | pp.138~148 | number of Cited : 1
    Abstract PDF
    ObjectivesThis study was conducted in order to analyze the distribution of Sasang constitution, herbmed, exterior-interior disease and concomitant symptoms of 36 facial nerve paralysis patients. MethodsA clinical study was done on 36 patients, treated as facial nerve paralysis. Sasang constitution specialist diagnosed their constitution and gave prescription. Degree of improvement was evaluated by assessment scale or change of patient’s complaint. Results1) Distribution of sasang constituion : Taeeumin 21 patients, Soyangin 8 patients, Soeumin 7 patients. 2) Distribution of exterior-interior disease : Taeeumin and Soeumin were diagnosed as interior disease more than exterior disease, Soyangin was reverse. 3)Hyeongbangdojeok-san and Hyeongbangjihwang-tang (Soyangin), Galgeunhaegi-tang(Taeeumin) and Gwakhyang- jeonggi-san(Soeumin) were used the most in each sasang constitution. 4) Seventeen patients had concomitant symptoms : digestive disorder, sleep disorder, tinnitus, hypertension, diplopia, itching, gout, neck-shoulder pain, constipation and dizziness. ConclusionsPatients had different Sasang constitution and in the same Sasang constitution, they had different symptomatology.
  • 10.

    Differences in the Prevalence of Constipation and Lifestyle According to the Sasang Constitution of Adult Women.

    Yunyoung, Kim , Kihyun Park , jang eun su and 1 other persons | 2015, 27(1) | pp.149~160 | number of Cited : 0
    Abstract PDF
    ObjectivesIn this research, the difference of constipation according to the constitution was identified for healthy adult female, and oriental medical methods for prevention and treatment of constipation was sought by comparing constitution and lift style. MethodsTotal 604 adult female subjects who were older than 20 years were invited for the research from Apr. 2010 to Oct. 2010, and their constitutions and life style were diagnosed. The collected data was analyzed with computer software of SPSS 19.0. ResultsIn the results, Taeumin group was diagnosed to have the highest number of constipation (p<.017), and they answered with the highest frequency in terms of “eat a lot” and “eat irregularly” (p<.009) than other constitution groups. It was also found that 44.5% of Taeumin eats food very fast (p<.034), and Taeumin drinks lots of water (p<.003). However, Soumin showed the highest frequency of “indigestion” (p<.000) and “fatigue” (p<.003) than other constitution groups. ConclusionsIn conclusion, life style as well as the innate characteristic of constitution is important for the prevention of constipation. Therefore, it is suggested to understand the inherent differences of constitution and to care health by correctly identifying their own constitution.
  • 11.

    A Study on the Response Differences to the Sasang Constitution Questionnaire by Sasang Constitutions in High School Girls with Menstrual Disorders

    JEON SOO HYUNG , Kim Kyu Kon , Lee In Seon | 2015, 27(1) | pp.161~170 | number of Cited : 1
    Abstract PDF
    Objectives: The purpose of this study was to investigate whether the menstrual disorders affect the Sasang constitutions questionnaire response in high school girls. Methods: Using a structured menstrual history questionnaire, we evaluated the degree of menstrual disorders of 795 high school girls who participated in this clinical trial. Based on the survey we classified them into menstrual disorders group and control group. They filled out SSCQ-P (Sasang Constitution Questionnaire for Patients) and we had compared the difference in response by Sasang constitutions. Each group included 97 girls respectively. From 68 girls in menstrual disorders group and 81 girls in control group, 149 questionnaire was analyzed statistically by their constitutions. Results: Four questions in Soyangin, twenty one questions in Taeeumin, ten questions in Soeumin were statistically significant in response between menstrual disorders group and control group. Conclusions: Soyangin's menstrual disorders don't have a significant impact on SSCQ-P survey. Water retention of PMS may be affect divergence of lung and cause various symptoms in Taeeumin. Soeumin's menstrual disorders may be more affect negative emotions and activity decrease than other constitutions.
  • 12.

    A Case of Psoriasis Treated with Soyangin Dokhwaljihwang-tang

    문영호 , Park Hye Sun | 2015, 27(1) | pp.171~177 | number of Cited : 8
    Abstract PDF
    ObjectivesThe purpose of this study is to give an account of the effects of the Traditional Korean herbal medicine therapy which is based on the Sasang constitutional medicine on psoriasisMethodsWe diagnosed her as Soyangin(少陽人) based on her nature and emotion, physical chracteristics, symptoms. We thought Leaky Gut Syndrome is related to Soyangin Food Stagnation, stuffiness and fullness(食滯痞滿). So we applied Dokhwaljihwang-tang(獨活地黃湯) which is used to Soyangin Food Stagnation, stuffiness and fullness because her symptoms recurred as a result of Food Stagnation(食滯) after eating meat. The improvement of the skin condition was observed by Psoriasis Area and Severity Index (PASI) scoreResultsPsoriasis patient who was treated with Soyangin Dokhwaljihwang-tang showed improvement in Psoriasis symptom. This case study describes the effectivenss on psoriasis symptoms by using Soyangin Dokhwaljihwang-tang. ConclusionsThe PASI score of the patient reduced from 10.8 to 1.2 after three months of treatment. According to the result, we concluded that Dokhwaljihwang-tang had a good effect on psoriasis
  • 13.

    A Case study of Soyangin patient with early-stage Parkinson’s disease diagnosed as Upper wasting-thirst pattern

    Yu-Gyeong Park , Mi-Suk Lee , Nayoung, Bae | 2015, 27(1) | pp.178~188 | number of Cited : 4
    Abstract PDF
    ObjectivesThe aim of this study was to examine significant improvement of motor and non-motor symptoms after treatment with Sasang constitutional medicine treatment on a Soyangin patient with early-stage Parkinson’s disease. MethodsThe patient was treated with Soyangin’s constitutional medications (herb and acupuncture) and scalp acupuncture. The progress was evaluated using the Unified Parkinson Disease Rating Scale (UPDRS) before and after treatment. The UPDRS was used to assess the overall function of patient. ResultsWe observed a significant improvement in patient’s motor and non-motor symptoms using UPDRS. The UPDRS score decreased in PartⅠ, PartⅡ, and PartⅢ. ConclusionsThis study shows that Sasang constitutional medicine can be effective treatment for Soyangin patient with early-stage Parkinson’s disease.
  • 14.

    A Case of Anorexia, Low Blood Pressure and Cold Hypersensitivity Treated with Osuyubujaijung-tang.

    Chan-Hee Kho , Nam Hae-in , Yoo Jun Sang | 2015, 27(1) | pp.189~198 | number of Cited : 4
    Abstract PDF
    ObjectivesThe purpose of this study was to report the improvement of elderly patient's severe anorexia including low blood pessure and cold hypersensitivity of hands and feet after treatment with Osuyubujaijung-tang. MethodsWe retrospectively reviewed the medical records. This patient was diagnosed Soeumin lesser yin symptom according to Sasang constitutional medicine. He treated by Osuyubujaijung-tang. Results and ConclusionsA patient with anorexia, low blood pressure, cold hypersensitivity of hands and feet, dizziness, general weakness showed the improvement of symptoms with treatment after Osuyubujaijung-tang.