2023, Vol.35, 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

Objectives The purpose of the current study was to examine the reliability of answers to some question items of K-prism using a test-retest approach. Methods We surveyed K-prism twice times at the interval of 6 months. We analyzed the reliability of test-retest for 55 items by performing McNemar analysis. Results As a result of the research on 55 items, 38 items showed an agreement of 80% or more and significant changes were shown in 6 items(P<0.05). There was a significant change in the answer on items No.4-3. 5-3, 11-3, 12-1(in the item of personality) and items No.20-3,4, 27-2(in the item of pathophysiological symptom(素證)). Among the personality items, the 'medium' response type affected the items showing significant response changes. Conclusion Through this study, most of the items of the k-prism questionnaire were reliable in test-retest. It may be necessary to consider revising the content and format for certain questions.

Objectives The aim of this study was to compare and analyze the difference in physical features, ordinary symptoms and clinical characteristics according to Sasang constitution of patients with irritable bowel syndrome who have visited a Korean medicine hospital. Methods We selected 45 patients with irritable bowel syndrome who have visited a Korean medicine hospital from April 20, 2015 to June 30, 2022. We retrospectively collected medical history and characteristics of subjects using data of Electronic Medical Record(EMR). Results Regarding BMI, Sasang Digestive Function Inventory-Total(SDFI-T), Sasang Digestive Function Inventory- eating Habit (SDFI-H) and heat sensitivity, Tae-Eum type was significantly higher than So-Yang and So-Eum types. In case of sweat score, Tae-Eum type was significantly higher than So-Eum type. As for the cold sensitivity, So-Yang and So-Eum types were significantly higher than Tae-Eum type. But there was no obvious difference among 3 groups in SDFI-Appetite (SDFI-A), SDFI-Digestion(SDFI-D), sleep, chest symptoms, Sasang Defecation Inventory(SDI), Sasang Urination Inventory(SUI) and HRV results. Conclusions BMI, SDFI-T, SDFI-H, cold-heat patterns and sweat could contribute to be used as clinical indicators to distinguish Tae-eum type from other constitutions(So-Yang and So-Eum types) in IBS patients.

Objective To report the improvements with Yanggyeoksanhwa-tang on Soyangin patient with candida esophagitis. Method The patient complained epigastric pain, globus pharyngeus, heat sensation in the face. He got treated centered on Korean medicine including herbal medicine, acupuncture, electro-acupuncture, pharmacopuncture, moxibustion and antifungal medication. His chief complaints were measured by Numeric Rating Scale, his subjective assessments and changes of patient’s diet and stool. Results The patient’s chief complaints were relieved and his diet and stool were improved. Conclusion This case revealed a possibility that Yanggyeoksanhwa-tang could improve symptoms of patient with candida esophagitis which is accompanied by a sense of heat.