Journal of Sasang Constitutional Medicine 2021 KCI Impact Factor : 0.75

Korean | English

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

http://journal.kci.go.kr/JSCM
Home > Explore Content > All Issues > Article List

2017, Vol.29, No.4

  • 1.

    Suggestion for Insurance Guarantee Reinforcement in Sasang Constitutional Examination and Counselling

    Eui Ju Lee , jun-hee lee , Koh Byung-Hee | 2017, 29(4) | pp.299~310 | number of Cited : 1
    Abstract PDF
    The Sasang Constitutional Examination, which is a medical treatment for Korean medicine, is a insurance non-coverage item. It is necessary to diagnose the constitution for medical treatment and to know the health regimen according to the constitution. We plan this project in order to expand the insurance guarantee reinforcement for Sasang Constitutional Examination and Counselling. This study was to investigate the status of insurance coverage and non-coverage items and to investigate objectivity and standardization of Sasang Constitutional Examination and Counselling. In addition, according to medical field, the items of Sasang Constitutional Examination and Counselling were divided. We reviewed the status of constitutional health care services and applied it to the financial budget for the medical care costs. Finally we propose Sasang Constitutional Examination and Counseling of Korean Medicine Act Classification (plan) and propose Insurance Coverage of Sasang Constitutional Examination and Counselling (plan).
  • 2.

    Application of Counseling in Sasang Constitutional Medicine

    Yoo Jun Sang | 2017, 29(4) | pp.311~316 | number of Cited : 0
    Abstract PDF
    Objectives The purpose of this study was to investigate the relationship between counseling skills and Sasang constitutional medicine(SCM). Methods Reviewing the texts relevant to SCM, comparison between counseling skills and the excerpt from the relating books was conducted in terms of the attitude of the counselor, the observation method, the evaluation of the counselee, the relationship between the counselor and counselee, and the counseling method. Results As the attitude of the counselor, many kinds of attitudes and skills including respecting the counselee and reciprocal belief were needed. The excerpt from 『Gyeokchigo』meant that the counselor or a doctor should have the virtue of Truth. To evaluate the patient’s problems in SCM and the counseling, diet, digestion, and sleep could be asked, but questions about the emotions such as Joy, Anger, Sorrow and Pleasure should be more carefully modified in a modern way, when applying clinical practices. Empathy as the main principle of the counseling could be attributed to the main idea of Dongmu Lee Jema, in which all the people could be in the same status in a natural way reflecting that they like the virtue and dislike the evil. Recommendations of regimen and directives could be followed according to SCM Conclusions Several items of counseling skills and SCM coincide but some of the modern counseling skills are still needed to apply SCM to make the patients with psychiatric problems treated efficiently.
  • 3.

    Clinical Practice Guideline for acupuncture in Post-stroke urinary incontinence

    이지원 , Shin, Byung Cheul , Myeong Soo Lee and 7 other persons | 2017, 29(4) | pp.317~325 | number of Cited : 2
    Abstract PDF
    Objectives This study is aimed to develop a Clinical Practice Guideline (CPG) on acupuncture treatment for the stroke patients with Post-stroke Urinary Incontinence(PSUI). Methods Experts committee, consisting of stroke or methodology specialists, searched Medline, EMBASE, Cochrane Library, China National Knowledge Infrastructure, and 19 Korean medicine journals. The search terms were selected to screen the randomized controlled trials (RCTs) or systematic reviews for the effectiveness of acupuncture on PSUI, compared with placebo or conventional group. Levels of evidence and grades of recommendations were appraised based on Recommendations for Development of Clinical Practice Guideline in Korean Medicine. Results & Conclusions 8 RCT were included to build the CPG. There was a strong evidence to support the effectiveness of acupuncture treatment for PSUI. The moderate evidence was presented that over 3 times a week of the acupuncture should be performed over 4 weeks on the acupoints, such as BL23, CV3, SP6, CV4, CV6, ST28, BL28, BL32, GV20, BL22, GV4 or ST36, for 15-30 minutes. 1-150 Hz frequency is suggested if electro-acupuncture treatments is performed with. It was also suggested that the procedure should begin at the acute stage just after the vital signs of the patients are stabilized. There was a moderate evidence to support safety of acupuncture treatment for PSUI. We recommend acu-points of constitutional acupuncture for Sasangin on the healthy side.
  • 4.

    Study on the Difference of Cold-heat Patterns According to Sasang Cinstitution

    Park, Soojung , Youngseop Lee , Joo, Jong Cheon | 2017, 29(4) | pp.326~335 | number of Cited : 4
    Abstract PDF
    Objectives The purpose of this study was to analyze the difference of cold-heat pattern according to sasang constitution. Methods 3891 subjects were joined in this study. The sasang cinstitution diagnosis were proceeded by sasang constitution experts. The questionnaires and anthropometric measurements of the subjects were collected. Results The effect of gender and body mass index on the cold-heat pattern according to sasang constitution were significant. The effect of age on the cold-heat pattern according to sasang constitution were not significant. The distribution of short form-12 and blood test on the cold-heat pattern according to sasang constitution were significant. Conclusions There were significant different distribution of cold-heat pattern asscording to sasang constitution by gender, body mass index, short form-12, blood test.
  • 5.

    A Study on the Characteristics of Low Back Pain and Shoulder-Arm Pain Patients by Sasang Constitution

    신우용 , Go, Ho Yeon , Jeong, Su-hyeon and 1 other persons | 2017, 29(4) | pp.336~346 | number of Cited : 0
    Abstract PDF
    Objectives The purpose of this study is to investigate the characteristics of low back pain and shoulder arm pain patients according to the Sasang Constitution. Method We classified Seventy-nine participants by their Sasang Constitution. We investigated various aspects of the participant‘s pain such as the location of pain, diseases and Syndrome Differentiation etc. then intended to confirm relationship the Sasang Constitution and these research items through the statistics analysis. Results The numbers of lower back pain patients was statistically higher in Soyangin group than any other groups and the number of shoulder arm pain patients was statistically higher in Taeeumin group or Eumin group (Taeeumin group and Soeumin group) than Soyangin group. The number of diabetes patients and obesity patients was statistically higher in Taeeumin lower back pain patients, and that of obesity patients was statistically higher in Taeeumin shoulder arm pain patients than any other groups. The numbers of shoulder arm pain patients due to blood stasis and lower back pain patients due to kidney deficiency were statistically higher in Soyangin group than any other groups. The numbers of shoulder arm pain patients due to phlegm fluid retention and lower back pain patients due to phlegm fluid retention were statistically higher in Taeeumin group than any other groups. Conculsions The characteristics of lower back pain and shoulder arm pain could be different according to Sasang constitution.
  • 6.

    Anti-atopic Effect of Zizyphus jujuba var. spinosa Composite oil(ZjJ-C_oil) and Aralia cordata var. continentalis Composite oil(ARC-C_oil) in DNCB-induced Atopic Dermatitis-like Skin Lesions NC/Nga Mice

    Jin-Young Kwak , 최희정 , Jung-Mi Park and 4 other persons | 2017, 29(4) | pp.347~368 | number of Cited : 1
    Abstract PDF
    The aim of this study is to investigate the effect of Zizyphus jujuba var. spinosa Composite oil(ZjJ-C_oil) and Aralia cordata var. continentalis Composite oil(ARC-C_oil) to NC/Nga mice induced in Atopic dermatitis-like skin lesions by DNCB. NC/Nga mice which have been induced to Atopic dermatitis-like skin lesions by DNCB are divided into 4 groups, the first is the mice which have been spread with izyphus jujuba var. spinosa Composite oil(ZjJ-C_oil), the second is the mice which have been spread with Aralia cordata var. continentalis Composite oil(ARC-C_oil), the third is which have been spread with dexamethasone (Dexa.) 0.5% on their Atopic lesion, the last is the control group. Then We analyzed skin clinical score, blood sample of each group of measure state of the dorsal skin, the number of immunocytes, and resect the skin lesion to anlayze the state of cells. There are meaningful results of measuring the number of IgE, IL-4, IL-13, IFN-γ, IL-5, the total cells in ALN, dorsal skin, CD4+ Th, CD11b+/Gr-1+ in PBMCs, CD4+ Th, B220+/CD23+ in ALN, CD4+, CD8+ Th in dorsal skin, the level of COX-2, TNF-α, TGF-β1, IL-4, IL-13 mRNA, the state of the skin lesion and cells in the group with ZjJ-C_oil, ARC-C_oil cream in comprarison with the control group.
  • 7.

    A Case Study of Polyarthritis Treated with Dokhwaljihwang-tang

    이재욱 , Hyun-Min Choi , Eun-Chul Lim | 2017, 29(4) | pp.369~375 | number of Cited : 2
    Abstract PDF
    Objectives The purpose of this study is to report a case of improving various symptoms such as polyarthritis, dyspnea, fatigue, heat sensation. In addition, the promising explanation on the perspective of the heat and cold syndrome could be elicited. Methods Dokhwaljihwang-tang was prescribed for an outpatient for 3 weeks without any other therapy such as acupuncture, moxibustion and Western medicine. To evaluate the results of this treatment, polyarthritis was assessed by Visual Analogue Scale(VAS). The patient`s general condition such as digestion and defecation discomfort is assessed by the progress notes. Results&Conclusions Most of the various symptoms have improved by about 80 percent. It is more important to observe defecation, urine, cold symptoms and condition of hands and feet synthetically.
  • 8.

    A Case Study of a Taeeumin Patient with Parkinson’s Disease Diagnosed as Dry-heat Symptomatic Pattern

    So-hyung Kim , Choi, Eun Ju , Nayoung, Bae | 2017, 29(4) | pp.376~386 | number of Cited : 3
    Abstract PDF
    Methods The patient was identified as Taeeumin Dry-heat pattern and treated with Cheongsimyeonja-tang and acupuncture. The Unified Parkinson Disease Rating Scale(UPDRS) was used to assess the overall function of the patient. And the Global Assessment Scale (GAS) was used to assess the change of bradykinesia, tremor and dry mouth after the treatment. Results The UPDRS total score decreased from 145 points to 77 points after 5 weeks treatment. And symptoms of bradykinesia, tremor and dry mouth showed significant improvement in GAS after the treatment. Furthermore, constipation, sleep disturbance, dysuresia and anorexia were reported to be improved after treatment. Conclusions This study shows that Sasang constitutional medicine can be effective treatment for motor and non-motor symptoms caused by Parkinson’s disease.