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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2021, Vol.33, No.1

  • 1.

    A Study on the Correlation between the Cold-damage Six-meridian disease of Qibo (岐伯六經病證) and the Sasang Constitutional Symptomatology (四象體質病證)

    jun-hee lee | 2021, 33(1) | pp.1~21 | number of Cited : 0
    Abstract PDF
    Objective The purpose of this study was to examine the correlation between the Cold-damage Six-meridian disease of Qibo (岐伯六經病證) and Sasang Constitutional Symptomatology (四象體質病證), presented in Discourse on the Origin of Eastern Medicine (醫源論) of Longevity and Life Preservation in Eastern Medicine (Donguisusebowon, 東醫壽世保元). Method The process of development from Cold-damage Six-meridian disease of Qibo (岐伯六經病證) to Six Meridians Physical Symptoms and Medicines (六經形證用藥) in the chapter Cold(寒門) of the Treasure Mirror of Eastern Medicine (Donguibogam, 東醫寶鑑) was investigated. And the correlation between Six Meridians Physical Symptoms and Medicines (六經形證用藥) and Sasang Constitutional Symptomatology (四象體質病證) was considered. Results and Conclusions 1. The Cold-damage Six-meridian disease of Qibo (岐伯六經病證) in the chapter Heat Treatise (熱論篇) of Basic Questions (素問) had evolved into Six Meridians Physical Symptoms and Medicines (六經形證用藥) in the chapter Cold(寒門) of the Treasure Mirror of Eastern Medicine (Donguibogam, 東醫寶鑑) through Book for Life Saving (Huorenshu, 活人書), a work of Zhu Gong (朱肱), Six Books on Cold Damage disease (Shanghanliushu, 傷寒六書), a work of Tao Hua (陶華) and Introduction to Medicine (YixueRumen, 醫學入門), a work of Li Chan (李梴). 2. The correlation between the Cold-damage Six-meridian disease of Qibo (岐伯六經病證) and Sasang Constitutional Symptomatology (四象體質病證) can be analyzed and understood through Six Meridians Physical Symptoms and Medicines (六經形證用藥) in the chapter Cold(寒門) of the Treasure Mirror of Eastern Medicine (Donguibogam, 東醫寶鑑). 3. Greater Yang meridian disease of Qibo (岐伯) is related to Soyangin early stage of Lesser-Yang Wind-Injury symptomatology and Soyangin early stage of Chest-Heat symptomatology, Yang Brightness meridian disease and Greater Yin meridian disease to Taeeumin Liver-Heat symptomatology, Lesser Yin meridian disease to Soyangin Chest-Heat symptomatology, Lesser Yang meridian disease to Soyangin early stage of Lesser-Yang Wind-Injury symptomatology and Reverting Yin meridian disease to Soeumin Reverting Yin symptomatology of Greater Yang disease.
  • 2.

    A Study on the characteristics of the experience prescription in Donguisusebowon

    Kim, Tae Young , Park Seong-sik | 2021, 33(1) | pp.22~37 | number of Cited : 0
    Abstract PDF
    Objectives The purpose of this study is to examine the characteristics of the experience prescription in 『Donguisusebowon(東醫壽世保元)』. Methods We examined the examples of the experience prescription in the pathology of 『Donguisusebowon』. Afterward, we considered the characteristics about the experience prescription of Junggyeong Jang and the Next Generation Doctors in 『Donguisusebowon』. Results and Conclusion 1. The Junggyeong Jang’s experience prescription isn't modified despite the fact that it doesn’t fit the constitutional disease and pharmacology, and many experience prescriptions are mentioned to in the pathology of 『Donguisusebowon』. But the Next Generation Doctors’s experience prescription is modified, and a considerable number of experience prescriptions are not mentioned to in the pathology of 『Donguisusebowon』. 2. Jema Lee cited all of the Junggyeong Jang’s experience prescription except Daesiho-tang(大柴胡湯) as an explanation for the constitutional disease, and cited a prescription that could not be used for the constitutional disease. And the pathological symptom of the Junggyeong Jang’s experience prescription was used to establish the system of the Sasang Constitutional Medicine, so the Junggyeong Jang’s experience prescription wasn’t modifed. 3. Jema Lee cited a prescription that could be used for the constitutional disease. And the pharmacology of the Next Generation Doctors’s experience prescription was used to establish the system of the Sasang Constitutional Medicine, so the Next Generation Doctors’s experience prescription was modifed. 4. Jema Lee established the Sasang Constitutional Medicine based on the Existing Medicine. It was appeared in composition and name about the table of contents of the experience prescription in 『Donguisusebowon』.
  • 3.

    A Study on the Development of Diagnosis and Assessment Index by Soeumin’s Ordinary Symptoms

    Sabi Hwang , jun-hee lee | 2021, 33(1) | pp.38~56 | number of Cited : 1
    Abstract PDF
    Objective This study was devised to create a new diagnosis and an assessment index by Soeumin’s Ordinary Symptoms. Method First, a Working Committee and an Advisory Committee were formed for development, and the development goals were set. Then, the Soeumin’s disease diagnosis indicators were extracted from the previous Clinical Practice Guidelines for Sasang Constitutional Medicine. To increase the clinical applicability, the extracted diagnosis indicators were focused on ordinary symptoms, and translated into Korean. The translated diagnosis and assessment indicators for Soeumin were surveyed to the Advisory Committee using the Delphi technique, and the inclusion, importance, and validity of each indicator were investigated accordingly. Result The translated diagnosis and assessment indicators were finally revised based on the surveyed inclusion and translation validity opinions, and the weight of each indicator was set based on the investigated importance, and a draft of the diagnosis and assessment index was developed. Conclusion This developed index can help to make effective diagnose about Soeumin’s diseases by clinical doctor. In the future, a clinical study of this index can be conducted to consider the reliability, validity, and cut-point, and through this process, the actual clinical applicability will be improved.
  • 4.

    Study on the Development of Diagnosis and Assessment Instrument for the Original Symptom of Taeeumin

    Jin-Hyeok Kwon , jun-hee lee | 2021, 33(1) | pp.57~89 | number of Cited : 1
    Abstract PDF
    Objectives This study is aimed to develop a standard instrument of diagnosis and assessment for the original symptom of Taeeumin. Methods 1. Based on the clinical practice guidelines, the works of Dong-mu, and the expert clinical judgment of the research team, the items to be used in the instrument of diagnosis and assessment for the original symptom of Taeeumin were extracted, and translation was proceeded in plain Korean for easy application and feasible use in daily clinical practice. As a result, candidate items for the diagnosis and assessment tool were derived. 2. An online questionnaire survey was conducted on the candidate items derived through the above process to the expert advisory group for (1) inclusion/exclusion as diagnosis and assessment index (2) evaluation of importance and (3) the validity of translation. Results & Conclusions Through survey of expert advisory group, the number of candidate items were reduced and the preliminary weights were assigned. And based on this, <Draft Instrument of Diagnosis and Assessment for the Original Symptom of Taeeumin(for doctor)> was developed. There were a total of 9 items for Exterior Cold[Wiwanhan] original symptom diagnosis and assessment tool, 21 items for Interior Heat[Ganyeol] original symptom, 15 items for Exterior Disease Unfavorable Patterns[Wiwanhan-paejo] original symptom, and 17 items for Interior Disease Unfavorable Patterns[Ganyeol-paejo] original symptom, and the weights were reflected in each response score so that the final total score could be calculated.
  • 5.

    Analysis on Intervention Studies of Sasang Constitutional Diet : Participant, Intervention, Comparison, and Outcome (PICO)

    Ji Hwan Kim | 2021, 33(1) | pp.90~101 | number of Cited : 1
    Abstract PDF
    Objectives The purpose of this study was to evaluate intervention studies on Sasang Constitutional diet (SCD) through the checks of Participant, Intervention, Comparison, and Outcome (PICO) Methods Randomized controlled trial (RCT) and non-randomized study for intervention (NRSI) about SCD were searched in 4 Korean core databases and other sources, and then PICO was checked. Results 1. Total 10 studies were conducted with 1 RCT and 9 NRSIs. 2. Participants were people with no specific disease, or patients with essential hypertension, hyperlipidemia, obesity, or stroke with diabetes or hyperlipidemia. Most studies were conducted on groups of various Sasang Constitutional types except Taeyangin. 3. Two studies provided participants with meals and exercise. Three studies, instead of providing meals directly, taught participants how to eat SCD on their own. 4. NRSIs have tested the effectiveness of various outcome measures without the presentation of primary outcome, and then concluded that all outcomes were ineffective or some are effective. 5. There was no mention of adverse events. In most studies, a single doctor of Korean medicine diagnosed Sasang Constitution the QSCC II questionnaire. The intervention period ranged from three weeks to three months, and recent studies have conducted interventions for 12 weeks. Conclusions Intervention studies about SCD which were conducted so far have shown problems on the study design of PICO items. The study design and implementation that carefully consider how to maintain similarity between groups, minimize the risk of bias, set primary outcome measure, and control the diet are required.
  • 6.

    Comparison of Sleep by Sasang Constitutional Type Using Pittsburgh Sleep Quality Index

    Kihyun Park , Kyungsik Jeong , Kim Sang-Hyuk | 2021, 33(1) | pp.102~108 | number of Cited : 1
    Abstract PDF
    Objectives The purpose of this study was to identify differences in sleep by Sasang constitutional type using Pittsburgh Sleep Quality Index(PSQI). Methods The subjects of this study were 3,578 people who had information on Sasang constitutional type and PSQI among the data established at the Korean Medicine Data Center. We compared each item score in PSQI (subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, use of sleep medication, daytime dysfunction) and PSQI global scores by Sasang constitutional type using analysis of variance. Logistic regression was conducted to calculate the odds ratio of poor sleep by Sasang constitutional type. Results & Conclusions The SE type showed statistically significantly higher scores than the TE type and SY type in subjective sleep quality, sleep latency, habitual sleep efficiency, sleep disturbance, and PSQI global score, indicating poor sleep compared to other constitutional types. The odds ratio for poor sleep also shows that even after adjusting sex, age, height, and weight, the SE type was significantly higher than other constitutional types, indicating that the SE type could be a risk factor for poor sleep.