Journal of Sasang Constitutional Medicine 2021 KCI Impact Factor : 0.75

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

http://journal.kci.go.kr/JSCM
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2019, Vol.31, No.4

  • 1.

    Recommendation for Development of Clinical Skill Contents in the Competency-Based Sasang Constitutional Medicine Education

    Yoo Jun Sang | 2019, 31(4) | pp.1~8 | number of Cited : 0
    Abstract PDF
    An outcome-based curriculum or competency-based curriculum is regarded to be one of the mainstream curricula to make students centered. It is believed to be able to support a flexible, time-independent curriculum. However, it is not easy for the curriculum developers to convert from the traditional curriculum to an competency-based curriculum. Traditional medicines including Sasang constitutional medicine(SCM) have been on the verge of transforming their curricula. Considering the contents of the clinical skills in terms of an outcome-based curriculum in SCM, at least five categories needs to be covered. First, curriculum developers need to consider the understanding of relevant diseases concerning SCM although SCM could be used as the method to treat all kinds of diseases. Second, curriculum developers facilitate the students to diagnose patients’ SCM types. Third, curriculum developers conduct the establishment of competencies to understand the patterns of SCM symptomology. Fourth, curriculum developers develop the diverse treatment methods and procedures to make students participate. Fifth, curriculum developers make students teach and consult their patients in terms of SCM regimen. Development of the clinical skill contents in detail depends on the situation of each colleges. Competency-based medical curriculum in SCM could influence on the management of the curriculum quality.
  • 2.

    A Study on the Jeubjeubhanchul(濈濈汗出) Related to Sibjo-tang in Donguisusebowon

    Tae-Yeong Kim , Park Seong-sik | 2019, 31(4) | pp.9~17 | number of Cited : 1
    Abstract PDF
    Objectives The purpose of this study is to understand the intention expressed as Jeubjeubhanchul(濈濈汗出) unlike the aspect of perspiration in 『Sanghanlun(傷寒論)』 and 『Donguibogam(東醫寶鑑)』. Methods We examined Sibjo-tang(十棗湯) and the aspect of perspiration focusing on the Chip(漐) and Jeub(濈) in 『Sanghanlun(傷 寒論)』, 『Donguibogam(東醫寶鑑)』, and 『Donguisusebowon(東醫壽世保元)』. Moreover, we examined the connection between the quoted purpose of Sibjo-tang and the aspect of perspiration. Results and Conclusion 1. When Leejema quoted Sibjo-tang to explain the Chestbind disease(結胸) of the Soyang pattern, he used Jeubjeubhanchul (濈濈汗出) instead of Chipchiphanchul(漐漐汗出). 2. About the aspect of perspiration in 『Sanghanlun』 and 『Donguibogam』, the Chip(漐) is used in a situation when the disease progressed from Pyo(表) to Li(裏) and Taeyang-byeong(太陽病) to Yangmyung-byeong(陽明病), and it is expression of physiological perspiration. The Jeub(濈) is used in a situation related to interior(內), Li(裏), and Yangmyung-byeong. 3. Leejema understood Sibjo-tang in relation to the Chestbind disease of the Soyang pattern caused by aggravation of Liyeol (裏熱). Therefore, Leejema used the Jeub(濈) related to interior, Li and Yangmyung-byeong, and it is expression of perspiration caused by aggravation of Liyeol in the Soyang pattern. 4. At first time, Leejema mentioned perspiration and short of breath(短氣) in the symptoms of Sibjo-tang, but he mentioned dry vomiting(乾嘔) and short of breath in 『Sinchukbon(辛丑本)』. Thus, his perspective of perspiration related to Sibjo-tang was appeared in 『Gabobon(甲午本)』, and he paid attention to perspiraion as a major symptom of the Chestbind disease in the early. After clinical experience was built up, It was not that important as the past.
  • 3.

    A Study on the Differences in Sensory Responses According to Sasang Constitution

    Se-Won Park , Tae-Yeong Kim , Bea hyo sang and 1 other persons | 2019, 31(4) | pp.18~27 | number of Cited : 0
    Abstract PDF
    Objectives The purpose of this study is to estimate the differences in sensory responses(Visual, Auditory, Olfactory and Taste responses) among Sasang Constitution. Methods We recruited 90 healthy subjects who were divided into three groups(30 Soeumin, 30 Soyangin, 30 Taeeumin). First, subjects saw the photo of ‘the dress' and were asked to answer three questions about 'the dress'. And we evaluated auditory function by a Tone Deaf Test(TDT) and Adaptive Pitch Test(APT). Olfactory function was evaluated by using Korean Version of Sniffing' Sticks(KVSS) Test II and Taste function was evaluated by using taste strips. Results and Conclusion 1. Overall, 60% of subjects described 'the dress' as blue/black(B/B); 23.3% as white/gold(W/G); 16.7% as something else, and the difference in the proportion of reporting color of 'the dress' was statistically significant. 2. As the result of analysis of taste strips according to Sasang constitution, there was significant difference that Soyangin scored higher than Soeumin in sweet taste score. 3. As the results of analysis of auditory function test(TDT, APT) and that of olfactory function test(KVSS Test II) according to Sasang constitution, there were no statistically significant differences.
  • 4.

    A Review Study of Treatments for Taeeumin Obesity

    Hansol Hur , 강오석 | 2019, 31(4) | pp.28~40 | number of Cited : 2
    Abstract PDF
    Objectives The purpose of this study is to analyze how obesity of Taeeumin have been treated. Methods We searched clinical studies from the databases including Koreanstudies Information Service System(KISS), Oriental medicine Advanced Searching Integrated System(OASIS), Research Information Sharing Service(RISS), National Discovery for Science Leader(NDSL), Korea Citation Index(KCI) and pubmed with the keywords relevant to treatment of Taeeumin obesity. Results A total of 14 studies were analyzed. Herbal medicines were mostly used, and the most frequently used prescription was Taeeumjowi-tang. And concurrent therapies such as diet therapy, exercise therapy, electroacupuncture were performed. Several evaluation methods were used, and patient’s body weight was the most used. Conclusion Through this literature review, we could find out tendencies of Korean medicine treatments of obesity of taeeumin up to date and some points that may have clinical significance.
  • 5.

    A Study on Sasang Constitutional Characteristics of Atopic Dermatitis Patients Based on Atopic Dermatitis Personal Health Record

    Sung Hyun Kyung , Go, Ho Yeon , Shin, Miran | 2019, 31(4) | pp.41~56 | number of Cited : 1
    Abstract PDF
    Objective The purpose of this study is to analyze the daily life records of atopic dermatitis patients according to Sasang Constitution based on the data recorded using Personal Health Record (PHR) platform, and to find basic data for the Sasang Constitutional daily life management and prevention. Method Thirty patients with atopic dermatitis under 19 years old were included. The data recorded using PHR platform by the patient or the parents for 6 weeks and allergic blood tests were analyzed according to Sasang Constitution. Result As a result of analyzing the atopic dermatitis PHR related to Sasang Constitutional characteristics, there were no significant differences due to the small number of subjects. There were a tendency associated with the Sasang Constitutional characteristics in the emotional state, urine, stool and weakness score of five viscera. Allergic reactions tended to occur in those with higher weakness score of Viscera. There was a significant correlation between quality of life and SCORing Atopic Dermatitis(SCORAD) score. Conclusion This study can be considered as a primary study on items that tend to be associated with Sasang constitutional characteristics in patients with atopic dermatitis.
  • 6.

    A Case Report of Delirium and Cognitive Decline Caused by Traumatic Subarachnoid Hemorrhage in Soeumin Alzheimer Patient

    Gyung-Hun Park , Kim Jong Won , JEON SOO HYUNG | 2019, 31(4) | pp.57~64 | number of Cited : 0
    Abstract PDF
    Objectives This study is to investigate the effect of sasang constitutional medicine on the delirium and cognitive decline caused by traumatic subarachnoid hemorrhage in a soeumin alzheimer patient Methods We have treated a 79-year-old Soeumin patient mainly with Doksampalmul-tang. She was already suffering from Alzheimer's disease. After traumatic subarachnoid hemorrhage, there were symptoms of delirium and cognitive decline. The degree of improvement was checked by K-MMSE and K-MOCA scores. Results The K-MMSE score improved from 0 to 11 and the K-MOCA score from 0 to 3. Conclusions Sasang constitutional medicine has been effective in the treatment of delirium and cognitive decline caused by traumatic subarachnoid hemorrhage.
  • 7.

    A Case Report on Diarrhea after Chemotherapy in a Soeumin Patient with Glioblastoma

    Hye-Ri Lee , Ji-Won Oh , Minsu Kang and 1 other persons | 2019, 31(4) | pp.65~73 | number of Cited : 1
    Abstract PDF
    Objectives The purpose of this case study is to investigate the effects of Kwakhyangjeonggi-san on Diarrhea after Chemotherapy in a 64-year-old male patient with glioblastoma. Methods A 64-year-old Korean male patient diagnosed with glioblastoma was treated with Kwakhyangjeonggi-san. The treatment was executed two times everyday from August 3rd to September 27th of 2019. Clinical improvement was evaluated with Bristol Stool Form Scale and the number of defecations per day. Results After the treatment, the patient showed improvement in Bristol Stool Form Scale type. The number of defecations per day did not improve much. Conclusion The results suggest that Kwakhyangjeonggi-san may be an effective additional treatment for diarrhea after chemotherapy in a patient with glioblastoma.