2026, Vol.38, No.2

Journal of Sasang Constitution and Immune Medicine 2025 KCI Impact Factor : 0.95

pISSN : 1226-4075 / eISSN : 2287-786X
https://journal.kci.go.kr/JSCIM

Objectives : This study aimed to quantitatively evaluate differences in abdominal palpation responses according to Sasang constitutional type using pressure pain threshold (PPT) and pressure depth (PD). Methods : This retrospective cross-sectional study included 2,503 healthy adults from six Korean medicine hospitals (2020–2024). Sasang constitutional type was classified using the K-PRISM system. PPT (kgf) and PD (mm) were measured at CV4, CV12, and CV14 using a modified digital algometer. Constitutional differences among Tae-Eum, So-Yang, and So-Eum types were analyzed using nonparametric tests and linear mixed-effects models adjusted for sex, age, abdominal fat thickness, examination year, and institutional clustering. Results : In unadjusted analyses, PPT and PD differed significantly across constitutional types at all acupoints. In adjusted models, the main effect of constitution on PPT was not significant overall; however, significant acupoint effects and constitution-by-acupoint interactions were observed. At CV4, So-Yang and So-Eum showed higher adjusted PPT than Tae-Eum, whereas at CV14, So-Eum showed lower PPT. For PD, constitutional differences were significant overall and in females, with So-Eum showing shallower PD than Tae-Eum and So-Yang at CV12 and CV14. These differences were more pronounced in women. Conclusions : Abdominal palpation responses differed by Sasang constitutional type, with patterns varying by acupoint and sex. Quantitative assessment may provide objective supportive information for constitutional diagnosis. Further prospective studies in clinical populations are needed to verify diagnostic utility.

Objectives: This study reports two cases of menopausal hot flush, sweating, and epigastric fullness in Soyangin patients treated with Hyeongbangdojeok-san gamibang. Methods: Two female patients were diagnosed with Soyangin chest-congestion pattern based on body shape, appearance, temperament, ordinary symptoms, and present symptoms. They received Sasang constitutional treatment, including Hyeongbangdojeok-san gamibang, acupuncture, moxibustion, cupping, and infrared therapy. Outcomes were retrospectively evaluated using numeric rating scale (NRS) and accompanying symptoms. Results: Hot flush and sweating improved from NRS 5 to 2 in Case 1 and from NRS 5 to 1 in Case 2. Epigastric fullness improved from NRS 5 to 0 in both cases. Accompanying symptoms also improved. Conclusions: These cases suggest that Sasang constitutional medicine treatment may improve menopausal hot flush, sweating, epigastric fullness, and accompanying symptoms in Soyangin patients with chest-congestion symptomatic pattern, especially when hormone therapy is discontinued or difficult to apply

Objectives: This study aimed to report the clinical improvement of elevated blood pressure and upper heat sensation in a Taeeumin patient treated with Cheonghyeolganggi-tang based on Sasang constitutional medicine. Methods: This patient was diagnosed and treated based on Sasang constitutional medicine. The patient received Cheonghyeolganggi-tang and acupuncture treatment for approximately 8 months. Blood pressure was measured at every outpatient visit, and home blood pressure monitoring was additionally performed for 23 days. Upper heat sensation was evaluated using the Numeric Rating Scale (NRS), and perceived stress was assessed using the Perceived Stress Scale (PSS). Results: After treatment with Cheonghyeolganggi-tang, blood pressure, upper heat sensation NRS, and PSS scores improved and remained relatively stable during the follow-up period. No significant adverse events were observed during treatment. Conclusions: This case suggests that Sasang constitutional medicine-based treatment with Cheonghyeolganggi-tang may be helpful for improving elevated blood pressure and upper heat sensation in a Taeeumin patient.