Objectives The purpose of this study is to understand the influence of Daesihog-tang on Taeeum-in's patholoy and prescription in 『Donguisusebowon』 of Sasang Constitutional Medicine.
Methods The pathologic condition in which Daesihog-tang used and the relevant herbs and prescriptions in 『Sanghanron』, 『Donguibogam』, 『Dongmuyoogo haedong』, 『Chobongwon』, and 『Donguisusebowon』.
Results and Conclusions 1. Daesiho-tang in 『Sanghanron』 was used to the symptom of Yangmyung disease merging with Soyang disease. In 『Donguibogam』, its indications were mainly used to the severe fever-symptom of Yangmyung disease and expanded to Onbyeong and so on.
2. The concept of Daesiho-tang in 『Donguibogam』 was changed into Hwanggeumdaehwang-tang in 『Chobongwon』, which can be used to treat Onbyeong with heat-dysenteric diarrhea, and severe fever of Taeeum-in.
3. The notion of combination between Daehwang and hwanggeum used in 『Dongmuyoogo haedong』and 『Chobongwon』was connected to Chungmongsukgondamhwan or Jogakhwanggeumdaehwang-tang in 『Chobongwon』. Especially, Jogakhwanggeumdaehwang-tang for Yeokkigammo and severe constipation was formed while the concept of Onbyeong in Hwanggeumdaehwang-tang’ merged with the usage of Jogak and Daehwang or Yisunggugo-hwan.
4. Jogakhwanggeumdaehwang-tang influenced on the usage of Jogakdaehwang-tang for Yangdok and Onbyeong, while the usage of Chungmongsukgondamhwan was not found in 『Donguisusebowon』.
5. As a result, Daesiho-tang may be presented without usages for a specific patholoy in 『Donguisusebowon』 because it indirectly influenced on the concept of Yangdok and Onbyeong of Taeeum-in, and the formation of Jogakdaehwang-tang in 『Donguisusebowon』.
<Objectives> Recently, the demand for complementary & alternative and personalized medical service has increased in the world. The purpose of this study was to predict the future market size of constitutional medical service in Korea through past surveyed studies
<Methods> The portal sites of OASIS, NDSL, RISS, KISS, Koreamed, were used to select the researches related with constitutional medical service market. Total 1,477 papers were identified and 43 of them were fully reviewed. Finally, three of them picked up. Two specialists joined this review.
<Results and Conclusion> The rate of constitutional medical service market among Korean medical service market was 23.2% in 2004 survey, 26.6% in 2007, and 23.5% in 2010.
The number of Korean medical clinics and hospital was assumed 17,118 in 2020.
The market size of Korean medicine was predicted 698,929 ten million won and among them, the scale of constitutional market size was 181,171 ten million won which meaned 25.9% proportion of Korean medical market size.
<Conclusion> Constitutional medical market seems to be developed faster than Korean medical market in future.
<Objectives> The purpose of this study was to investigate of Quality of life and Mibyeong index of abnormal symptoms by Sasang constitution.
<Methods> A total of 1,100 people were recruited into this study and were collected by Gallup Korea. Sasang constitutions were diagnosed based on KS-15 (Korean sasang constitutional diagnostic questionnaire) Questionnaire which comprised body type, personality and symptom. In addition, SF-12 (Shot form-12) questionnaire was used to evaluate the quality of life status. Mibyeong status was categorized through Mibyeong tool. Data were analyzed through one-way ANOVA to investigate the difference between quality of life and Mibyeong index on Sasang constitution.
<Results> The PCS (physical component scale) which represents the physical health index and MCS (mental component scale) which represents mental health index showed significant differences among Sasang constitution (p<.001). In addition, The Mibyeong Index (p<.001) which represents abnormal symptom type showed significant difference for Sasang constitution. As for the Mibyeong, only pain (p=0.047) and fatigue (p=0.021) had changes for the Sasang constitution.
<Conclusions> Quality of life and Mibyeong index vary significantly according to Sasang constitution. This results suggest the analysis of Mibyeong index by Sasang constitution could provide the setting of direction to promote public health depending on Sasang constitution.
<Objectives> Facial features can be utilized as an indicator of Korean medical diagnosis. They are often measured by using the diagnostic device for an objective diagnosis. Accordingly, it is necessary to verify the reliability of the features which are obtained from the device for the accurate diagnosis. In this study, we attempt to evaluate the repeatability of facial feature variables using the Sasang Constitutional Analysis Tool(SCAT) for the Sasang Constitutional face diagnosis.
<Methods> Facial pictures of two subjects were taken 24 times respectively for two days according to a standard guideline. In order to evaluate the repeatability, the coefficient of variation was calculated for the facial features extracted from frontal and profile images.
<Results> The coefficient of variation was less than 10% in most of the facial features except the upper lip, trichion, and chins related features.
<Conclusions> It was confirmed that the coefficient of variation was small in most of the features which enables the objective and reliable analysis of face. However, some features showed the low reliability because the location of facial landmarks related to them is ambiguous. In order to solve the problem, a clear basis for the location discussion is required.
<Objectives> Sleep duration and sleep quality are closely related to obesity, however there are few studies considering the Sasang constitution. This study is to investigate the relationship between sleep status and obesity according to Sasang constitution.
<Methods> This cross-sectional research studied 2,672 participants (1,293 men and 1,379 women) using the Korean Medicine Data Center (KDC) of the KIOM. Sasang constitution was diagnosed by KS-15 questionnaire. Obesity was divided into two categories: general obesity was defined as Body Mass Index(BMI) ≥25 kg/m2, and abdominal obesity was defined as waist circumference ≥90 cm in men and ≥85 cm in women. Sleep quality was assessed using the Pittsburgh Sleep Quality Index.
<Results> The distribution of the subjects was 56.9% for Taeumin and 43.1% for non-Taeeumin., Poor sleep quality increased both BMI and waist circumference in Taeeumin. In men Taeeumin, sleep duration was correlated with BMI, and sleep quality was correlated with waist circumference. The prevalence of obesity was significant difference according to sleeping duration in men Taeeumin, it was the highest at 6 hours of sleeping time.
<Conclusions> Sleep duration and sleep quality was associated with obesity in Taeeumin. Especially, in men Taeeumin, adequate sleep duration was an important factor for prevention and treatment of obesity.
<Objective> Insomnia is a common symptom among cerebral infarction patients. The purpose of this study is to report a case which showed sypmtoms improvement after treatment with Hyeongbangsabaek-san.
<Method> To evaluate the results of this treatment, Insomnia severity index(ISI), Pittsburgh sleep quality index(PSQI), Korean version of Beck depression inventory(K-BDI), Sleep dairy results were measured.
<Result> The patient who suffered from severe insomnia after cerebral infarction attack was treated by Hyeongbangsabaek-san and acupuncture therapy for about 3 weeks. She refused to take Western medicine for insomnia, and after treated with Hyeongbangsabaek-san and acupuncture, her sleep quality showed improvement.
<Conclusion> This study suggests that using Sasang constitutuional medical treatment is effective for Soyangin patient with insomnia after cerebral infarction attack.
Objectives It is important to decide if the patient is belong to cold syndrome or heat syndrome in Sasang Constitutional Medicine. The purpose of this study is to report some proof to determine cold and heat syndrome and characteristic of the patient who can be treated with Cheongsimyeonja-tang.
Methods To evaluate the results of this treatment, muscular symptom was assessed by Visual Analogue Scale(VAS). The patient`s general condition such as urinary and fecal discomfort is assessed by the progress notes.
Results The patient did not improved when she was treated with Choweseuncheung-tang. But when she was treated with Cheongsimyeonja-tang, she got improved with not only her main problem such as muscular symptom, but also general condition such as indigestion, urinary & fecal discomfort and menopausal symptom.
Conclusion This study suggests that number of defecation per day also can be the clue to decide heat or cold syndrome not only appearance of defecation. And the patients who can be treated by Cheongsimyeonja-tang is different from the patients who can be treated by Yeoldahansotang in the color of their face, personality and edema.