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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2020, Vol.32, No.4

  • 1.

    Bibliographic Study on the Book Dongeuisasangjinryoeuijeon

    Yoo Jun Sang | 2020, 32(4) | pp.1~10 | number of Cited : 0
    Abstract PDF
    Objective: The purpose of this study was to examine the composition, bibliographic characteristics, and contents of the book, Dongeuisasangjinryoeuijeon(東醫四象診療醫典). Method: The images of this book published in 1941 at Haenglim publishing company, stored in the National Library of Korea were acquired and used as basic data, and books related to Sasang constitutional medicine such as Dongeuisasangshinpyun (東醫四象新編), Dongmuyugo(東武遺稿), and Sasanggeumgyebibang(四象金匱秘方) were compared. Result: Many of the data were based on the Dongeuisasangshinpyun(東醫四象新編), and were made with reference to Dongmuyugo(東武遺稿) and Sasanggeumgyebibang(四象金匱秘方) partly. This book is thought to be made to be used conveniently for clinicians at the time when data on Sasang Constitutional Medicine was insufficient. In particular, it can be said that the mention of well-established diagnostic method, drugs that cause adverse reactions when a patient of a different constitution takes them and the quatrains of prescriptions using seven Chinese characters in each line are very unique. Conclusion: Although most of the books, including Dongeuisasangshinpyun(東醫四象新編), were cited, it is thought that the book was well-organized in order to provide good information to the clinicians practicing Sasang Constitutional Medicine at the time. For the original part of this book, further research should be conducted.
  • 2.

    The Quality Assessment of Reporting of Intervention Studies on Sasang Constitutional Diet

    Ji Hwan Kim , Ju Ah Lee | 2020, 32(4) | pp.11~28 | number of Cited : 1
    Abstract PDF
    Objectives: The purpose of this study was to evaluate quality of reporting of intervention studies on Sasang Constitutional diet (SCD) based on the Consolidated Standards for Reporting of Trials (CONSORT) and Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) statements. Methods: We searched for Randomized controlled trials (RCT) and Non randomized studies for intervention (NRSI) on SCD in 4 databases and other sources, selected them by the inclusion criteria, and then evaluated quality of reporting of them. Results: 1. A total of 10 studies (1 RCT and 9 NRSI) from 1999 to 2006 were selected and evaluated. The detailed items of up to 78%, at least 40%, and median value of 59% in the CONSORT and TREND statements were not reported. 2. One RCT was reporting 4 (11%) sufficiently, and 4 (11%) insufficiently among the 37 detailed items in the CONSORT statement while it was not reporting 29 (78%) items. 3. Nine NRSI were reporting 7 (12%) items sufficiently, and 2 (3%) items insufficiently among the 58 detailed items in the TREND statement while they were not reporting 15 (26%) items. Twenty (34%) items in the TREND statement were reported in some papers but not in more than half. Conclusions: The quality of reporting of intervention studies on SCD has been assessed to be generally low. Subsequent researchers are recommended to select an appropriate statement for research design, and use it as a checklist from the time of designing the study to the time of reporting.
  • 3.

    A Study on Clinical Status for Development of Clinical Practice Guidelines for Sasang Constitutional Medicine Symptomatology

    IL-Hyun Cho , Jin-Hyeok Kwon , Eui Ju Lee and 1 other persons | 2020, 32(4) | pp.29~44 | number of Cited : 3
    Abstract PDF
    Objectives: We surveyed clinical status of Sasang Constitutional Medicine (SCM) for preparation of adaptation of Clinical Practice Guidelines for Sasang Constitutional Symptomatology. Methods: We emailed Google survey form to Doctors of Korean Medicine registered the Association of Korean Medicine on 10/13/2020 and 10/21/2020 and closed survey 10/23/2020. We got a data of 654 cases, removed a case of error, analyzed data of 620 responses by frequency analysis. Results: and Conclusions Out of 620 respondents, 499 have answered that they refer to or make use of SCM. SCM is mainly applied in the field of treatments using Herbal Medicine. Doctors of Korean Medicine participated in survey of SCM, they think Diseases of digestive system are the most effectively treated by the methods of SCM. Sasang Constitutional Symptomatology most frequently observed are Soeumin Congestive Hyperpsychotic symptomatology, Soyangin Chest-Heat congested Symptomatology, Taeeumin Liver Heat-based Interior Heat disease. The diseases that are mainly applied by SCM are 'Diseases of digestive system' for Soeumin, 'Diseases of digestive system' for Soyangin, 'Diseases of respiratory system' for Taeeumin and 'not applicable' for Taeyangin. The important diagnostic methods of SCM are Inspection-listening and smelling examination-Inquiry-Palpation and survey. In the majority of cases, Prescription of Herbal medicine is used by adding or subtracting some herbal medicine from the original prescription suggested in the oriental medical classics and Saam acupuncture method is the most frequently used for the acupuncture therapy. Diet therapy is the most frequently used for the method of prevention and care.
  • 4.

    A Study on the Development of Diagnostic Index for the Ordinary Symptom of Soyangin

    Young Cho , jun-hee lee | 2020, 32(4) | pp.45~64 | number of Cited : 1
    Abstract PDF
    Purpose; This study was to develop and study ‘Diagnostic Index for the Ordinary Symptom of Soyangin’. Methods: The main diagnosis and evaluation index symptoms of Soyangin were extracted based on Donguisusebowon and Clinical Practice Guidelines for Sasang Constitutional Medicine Symptomatology; CPG for soyangin. The selected ordinary symptoms were divided into 4 categories such as Exterior-Cold ordinary symptom (表寒素證), Exterior-Disease unfavorable’s ordinary symptom (表病逆證素證), Interior-Heat ordinary symptom (裏熱素證), Interior-Disease unfavorable’s ordinary symptom (裏病逆證素證) of Soyangin and translated into Korean. And the inclusion, importance and translation validity of major diagnosis and assessment indicators of Soyangin were surveyed online by a group of Sasang constitutional experts. Results & Conclusions: 29 ordinary symptoms and pathological mechanism were selected from references and translated into 51 Korean symptoms. After inclusion yes or no survey by expert group, 45 symptoms were selected. The importance survey showed that ‘Have a soft stool’ of Exterior-Cold ordinary symptom indication, ‘(If you're stressed, if you're not in good health) Have a soft stool or diarrhea’ of Exterior-Disease unfavorable’s ordinary symptom, ‘The feces harden easily’ of Interior-Heat ordinary symptom and ‘(If you're stressed, if you're not in good health) Have an upset stomach’ of Interior-Disease unfavorable’s ordinary symptom were the most important. Finally, [Diagnostic Index for the Ordinary Symptom of Soyangin] was completed after survey of translation validity, reflection of individual opinions by the expert committee, and application of weighted value calculated from the importance survey.
  • 5.

    Development of Diagnostic Indicator for the Sasang Constitution Exterior-Interior Disease Based on Original Symptom

    MinYoung Park , Min Jung Lee , HWANG MINWOO | 2020, 32(4) | pp.65~85 | number of Cited : 2
    Abstract PDF
    Objectives: The aim of study was to suggest diagnostic indicator according to Exterior-Interior disease for the Sasang Constitution based on original symptom. Methods: We investigated the literature(『Dongeuisusebowon sinchukbon』) and another study(Clinical Practice Guideline for Disease of Sasang Constitutional Medicine: Diagnosis and Algorithm). As a result, we developed diagnostic indicator of original symptom for Exterior-Interior disease in Sasang Constitutional Medicine. Results: and Conclusions Diagnosis of Exterior-Interior disease in Sasang Constitution was decided by heat and cold of original symptom. Detailed indicators of diagnosis in Exterior-Interior disease were heat/cold sensitivity, the degree of sweating, the amount of drinking water, thirst, face color and somatalgia.
  • 6.

    Evaluation of Dietary Behaviors According to Sasang Constitution Using a Nutrition Quotient: A Korean Medicine Daejeon Citizen Cohort Study

    Kyung Sik Jeong , Kihyun Park , Lee Siwoo and 2 other persons | 2020, 32(4) | pp.86~95 | number of Cited : 1
    Abstract PDF
    Objectives: Meal and nutrition are important lifestyle factors that affect maintenance and promotion of health status and are also associated with chronic diseases. In Sasang constitutional medicine, dietary behavior according to the characteristics of Sasang constitution (SC) types is a key component in health management. The aim of this study was to evaluate the nutritional status and quality of meals according to the SC. Methods: This was a cross-sectional study of 1,947 subjects surveyed in a community-based cohort called the Korean Medicine Daejeon Citizen Cohort study. Data were collected including demographic characteristics, Korea Sasang Constitutional Diagnostic Questionnaire, and nutrition quotient (NQ) for adults. We analyzed the differences in NQ grade and scores among three SC types: Taeeumin (TE), Soeumin (SE), and Soyangin (SY), by conducting chi-square and ANCOVA tests. Results: The distribution of SC into TE, SE, and SY types was 43.1%, 25.2%, and 31.8%, respectively. The mean NQ score of all subjects was 53.4±8.6. There was a significant difference in the distribution of NQ grades and mean of NQ scores among SC types, including total and four sub-factors: balance, diversity, moderation, and dietary behavior. The TE type had the lowest score for the moderation factors in the crude model. The SE type showed lower NQ scores than the TE and SY types in all domains except moderation after adjusting for variables. Conclusions: We found that dietary behaviors had to be distinct according to the SC types. These results elucidate why it is important to develop a customized dietary habit management program considering the SC types.
  • 7.

    A Case Report of San-syndrome (疝症) Patient Diagnosed as Soeumin Greater Yang Disease Reverting Yin Pattern

    chang ha lim , Hye-Ri Lee , Jiwon Oh and 1 other persons | 2020, 32(4) | pp.96~106 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of this case study was to report that San-syndrome patient was treated by diagnosing as Greater Yang Disease Reverting Yin Pattern. Methods: The patient was administered with Insamosuyu-tang. Numeral Rating Scale (NRS) and National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was used to assess the improvements of symptoms. Results: and Conclusions The perineal region discomfort was reduced from NRS 4 to NRS 1. NIH-CPSI score was reduced from 23 to 11, which means symptom relief. Nocturia and sleep disorder were resolved, and general weakness was relieved accordingly.
  • 8.

    A Case Report of a Soyangin Oro-facial Dyskinesia Treated with Functional Cerebrospinal Therapy

    Gyung Hun Park , JEON SOO HYUNG , Kim Jong Won | 2020, 32(4) | pp.107~117 | number of Cited : 0
    Abstract PDF
    Objectives: This study was conducted to find out how effective the combined treatments of Sasang constitutional medication, acupuncture, pharmacopuncture and functional cerebrospinal therapy (FCST) are for oro-facial dyskinesia. Methods: A patient was diagnosed as Soyangin according to the result of Sasang constitutional diagnosis and treated by Sasang constitutional medication, acupuncture, pharmacopuncture and functional cerebrospinal therapy. The progress was evaluated with the global assessment scale (GAS) and balance sheets test. Results: Oro-facial dyskinesia was almost disappeared with Yanggyeoksanhwa-tang, acupunctiure, pharmacopuncture and functional cerebrospinal therapy. Conclusions: We report a case of oro-facial dyskinesia that improved with Sasang constitutional medicine, acupunctiure, pharmacopuncture and functional cerebrospinal therapy.
  • 9.

    A Case-Report of a Taeeumin Patient with Diabetes Mellitus Treated by Mangeummunmu-tang gagambang

    Young Cho , jun-hee lee | 2020, 32(4) | pp.118~128 | number of Cited : 0
    Abstract PDF
    We report 1 case about Mangeummunmu-tang gagambang that was used for a Taeeumin patient with diabetes mellitus. We treated a Taeeumin patient who was diagnosed with diabetes at another hospital two months ago. We considered his Sasang constitution as Taeeumin and prescribed Mangeummunmu-tang gagambang. The improvement of his diabetes was evaluated by improvement of his symptoms, results of blood sugar test, bone muscle mass, body fat, body fat rate of inbody test and the results of Blood test & urine test. The evaluation index of the patient’s disease has all improved since treatment after Mangeummunmu-tang gagambang medication.
  • 10.

    A Clinical Case Report of Taeeumin Patient Diagnosed as Fibromyalgia with Headache and Dizziness

    MinYoung Park , Min-jung Lee , HWANG MINWOO | 2020, 32(4) | pp.129~140 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to report significant improvement of fibromyalgia patient who was diagnosed with 'Taeeumin esophagus-cold lung-dry symptomatology' based on Sasang Constitutional Medicine. Methods: The patient was treated with herbal medicine. To evaluate the results of this treatment, the patient assessed pain of Fibromyalgia by using the Numeral Rating Scale (NRS) and American College of Rheumatology Preliminary Diagnostic Criteria (ACR, 2010). Results: After 64 days of treatment, the NRS of pain reduced from 6 to 2. There was no difference before and after treatment with Widespread Pain Index 7, but Symptom Severity scale score decreased from 8 to 4. Headache, dizziness, and chilling symptoms were also improved. Conclusions: The patient showed a significant improvement of Fibromyalgia and accessory symptoms without any side effects, who was treated with herbal medicine.
  • 11.

    A Case Report of a Patient with Olivopontocerebellar Atrophy Improved with Chengsimyeonja-tang

    Jieun Park , LEE SEUL , Jeongyun Lee | 2020, 32(4) | pp.141~151 | number of Cited : 1
    Abstract PDF
    Objectives: This study aimed to report significant improvement of dizziness, gait disturbance and dysarthria after treatment with Sasang constitutional medicine treatment on a Taeeumin patient with olivopontocerebellar atrophy. Methods: A 53-year-old female diagnosed olivopontocerebellar atrophy about one year ago suffered from dizziness, gait disturbance and dysarthria. The patient was identified as Taeeumin Joyeol pattern and treated with Cheongsimyeonja-tang and Taegeuk acupuncture. The patient’s main symptoms were observed using Global Assessment Scale (GAS) during the treatment period. In addition, the Unified Multiple System Atrophy Rating Scale (UMSARS) was used to assess the overall function of patient. Results: We observed a significant improvement in symptoms of dizziness, gait disturbance and dysarthria using GAS, and UMSARS score decreased in PartⅠand Ⅱ. Conclusions: This case showed that Sasang constitutional medicine treatment can be effective treatment for Taeeumin patient with olivopontocerebellar atrophy. We consider that consistent treatment can contribute to improve the patient’s quality of life.