2012, Vol.24, No.2

Journal of Sasang Constitutional Medicine 2022 KCI Impact Factor : 0.87

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

1. Objectives In Sasang constitutional medicine, it has been known that diagnosing Sasang constitution correctly is mostly important. We had developed an Integrated Sasang Constitutional Analysis Tool (SCAT) β-version using face, voice, body shape and questionnaire before. The purpose of this study is to suggest whether SCAT β-version is reliable or not. 2. Methods We collected 371 subjects from 6 oriental medical clinics. We analyzed the Sasang constitutional diagnostic results using Kappa and coincidence rates between experts in Sasang constitution and SCAT β-version which was developed on the basis of face, body shape, voice and characteristics and symptom questionnaire data. 3. Results The agreement rates between SCAT β-version and experts was 69.3% in total, and 73.2%, in Taeeumin, 70.8% in Soeumin, and 56.9% in Soyangin in detailed. The Kappa was 0.510 (p value<.000). There was an increasing trend of agreement rates and kappa value corresponded to increasing constitutional probability. When The constitutional probabilities were changed from below 40%, to over 40%, 50%, 60%, the agreement rates corresponded from 50.8% to 79.5%, 91.4%, 95.7% respectively. 4. Conclusions A SCAT combined with a constitutional probability seemed to help experts to diagnose a patient’s Sasang constitution correctly.

1. Objectives This study aimed to assessing the reliability of questionnaire for Japanese as one of method to diagnose Sasang Constitution and evaluating the possibility of applying domestic questionnaire to foreign site. 2. Methods A cross-sectional survey approved by IRB (Independent Review Board) at Tohoku University was performed for 119 participants with informed consent at a particular city in Japan using self-reported questionnaires developed by KIOM (Korea Institute of Oriental Medicine). Among the entire samples, 112 were retested. The test-retest reliability was assessed by Kappa for normal variables and internal consistency was evaluated by Cronbach’s alpha. 3. Results Four of 77 questions are impossible to calculate consistency owing to unsymmetric matrix between primary reply and secondary one. Seventeen of them (22%) showed 0.4 or below in Kappa, 56 were ranged from 0.4 to 0.8 and no question marked 0.8 or over. Internal consistency was possibly checked for several questions about character, digestion, sweat, excrement, urine, cold-heat pattern. Cronbach’s alpha for questions except urine and cold-heat pattern was over 0.64. Conclusions On the basis of Kappa value by two self reported questionnaire, 72.7% of questions showed 0.4 or over so that reliability were highly secured. And other questions except for urine and heat-cold pattern marked 0.6 or over in order that internal consistency was also successfully maintained. Accordingly, when subsequently applying KIOM questionnaire to foreign site, domestic questionnaire should be properly adjusted in social and cultural background, lifestyle, etc.

1. Objectives The aim of this study was to survey the Original symptoms of Soyangin's and to compare the tendency of their symptoms between Soyangin Gyolhyungjeung and Soyangin Heat-related diarrhea accompanied by headache in patients of indigestion. 2. Methods We recruited 76 Soyangin subjects in the Korean Medicine clinic and researched their original symptoms. Subjects were diagnosed by the Sasang Constitutional specialists and Sasang Constitutional Medication. Subjects were two groups, confirmed to Soyangin Gyolhyungjeung and Soyangin Heat-related diarrhea accompanied by headache. All subjects answered the questionnaire about their Original symptoms. We found the differences between 2 groups using the Mann-Whitney U Test. Analysis was conducted using SPSS 18.0 for Korean. 3. Results In Original symptoms, there was no difference between 2 groups in sleep, appetite, digestion, eating habits, water temperature, function of bowel movement, urination, sweating, sensitivity to coldness and sensitivity to warmness. But there was difference between 2 groups in frequency of defecation & hardness of feces(p=0.027). 4. Conclusions We found the differences of heat and cold in symptoms between two Soyangin syndromes.