중의체질의학과 치미병(治未病)센터에 대한 보고

김상혁,주종천,황동욱,이시우,Kim, Sang-Hyuk,Joo, Jong-Cheon,Hwang, Dong-Uk,Lee, Si-Woo 사상체질의학회 2010 사상체질의학회지 Vol.22 No.3

1. Objectives: The objectives of this paper are to report Traditional Chinese Medicine (TCM) Constitution Theory and the present state of Chinese Health Administration Center. 2. Methods: We visited China for "China Technology Survey" in 2009. Our purposes were to research for the study of constitutional medicine in China and to search for the Development Plan of Constitutional Medicine Through the Research of Chinese Constitutional Medicine. This paper is the report of the "China Technology Survey". 3. Results & Conclusions: In China, the concept and diagnosis of TCM constitutions is nine(Balanced Constitution, Qi-deficient Constitution, Yang-deficient Constitution, Yin-deficient Constitution, Phlegm-dampness Constitution, Damp-heat Constitution, Stagnant blood Constitution, Stagnant qi Constitution, Inherited specific Constitution). And Chinese government established the Classification and Diagnosis Standards for the Constitutions of TCM in 2009. TCM Constitution Theory is being widely applied at Health Administration Center that treats 'predisease' patients. Theses Chinese clinical implications of constitutional medicine are a good example for "Sasang Constituional Medicine" Care Service.

사상체질병증 임상진료지침: 사상체질병증 검사 및 체질진단

김상혁,이시우,이준희,이의주,Kim, Sang-Hyuk,Lee, Siwoo,Lee, Jun-Hee,Lee, Eui-Ju 사상체질의학회 2015 사상체질의학회지 Vol.27 No.1

Objectives This study was purposed to develop the clinical practice guideline for examination of Sasangin disease and diagnosis for Sasang Constitution. Methods "Donguisusebowon" and many articles were reviewed and examined for developing clinical practice guidelines. And "Guideline for Educating Public Health Korean Medical Doctors on Diagnosis of Sasang Constitution" was basically used to develop clinical guidelines. Results & Conclusions By researching and discussing the examination of Sasangin disease and diagnosis for Sasang Constitution, we make the principle of the clinical practice guideline, including methods using body shape, facial shape, vocal characteristic and personality etc.

소양인(少陽人) 비수한표한병론(脾受寒表寒病論) 중(中) 섬어괴병에 관(關)한 고찰(考察)

김상혁,김윤희,장현수,이준희,고병희,Kim, Sang-Hyuk,Kim, Yun-Hee,Jang, Hyun-Su,Lee, Jun-Hee,Koh, Byung-Hee 사상체질의학회 2008 사상체질의학회지 Vol.20 No.3

1. Objectives This study aims to establish the concept and classification of the Delirious Speaking Bad Disease in the Soyain's Exterior Cold Disease induced from the Spleen Affected by Cold. 2. Methods Different editions of "Donguisusebowon", including the Gabo version and the Sinchuk version, were compared for differences and similarities in the Soyangin disease. And we discussed other studies done previously. 3. Results and conclusions Soyangin's Delirious Speaking Bad Disease can be understood as shifted symptom of all of Soyangin's Exterior cold disease induced from the spleen affected by cold.

전향적 체질치료 임상증례 수집현황에 대한 보고

김상혁,김호석,박기현,이시우,Kim, Sang-Hyuk,Kim, Ho-Seok,Park, Ki-Hyun,Lee, Siwoo 사상체질의학회 2016 사상체질의학회지 Vol.28 No.1

Objectives The purpose of this study is to report on the collecting status of the prospective clinical data, that is designed to find clinical factors for determining the constitutional prescription.Methods We collected the prospective clinical data of 1208 subjects in the 10 oriental hospitals and 2 oriental clinic, from September 2012 to July 2015. Subjects were diagnosed and prescribed by the Sasang Constitution specialist. We counted the usage frequency of each constitutional herbal formula. Besides we check the main chief complaints on each constitutional herbal formula.Results & Conclusions In TE type, Yeoldahanso-tang, Cheongsimnyeonja-tang were used in high frequency. In SE type, Palmulgunja-tang, Gwakhyangjunggi-san were used in high frequency. In SY type, Hyeongbangjihwang-tang, Yanggyeoksanhwa-tang were used in high frequency. The both of high frequency-prescriptions in TE types were for the Interiorheat disease, expecially liver-heat lung-dry symptomatology. The main chief complaint of high frequency-prescriptions was fatigue in every constitution. We hope that the process of constitutional prescription would be standardized through the subsequent researches.

마찰교반공정을 통한 강재의 개질 영역에서의 미세조직에 미치는 합금원소의 영향

김상혁,이광진,우기도,Kim, Sang Hyuk,Lee, Kwang Jin,Woo, Kee Do 한국재료학회 2015 한국재료학회지 Vol.25 No.8

In this study, to confirm the effect of alloying elements on the phase transformation and conditions of the friction stir process, we processed two materials, SS400 and SM45C steels, by a friction stir process (FSP) under various conditions. We analyzed the mechanical properties and microstructure of the friction stir processed zone of SS400 and SM45C steels processed under 400RPM - 100mm/min conditions. We detected no macro (tunnel defect) or micro (void, micro crack) defects in the specimens. The grain refinement in the specimens occurred by dynamic recrystallization and stirring. The microstructure at the friction stir processed zone of the SS400 specimen consisted of an ${\alpha}$-phase. On the other hand, the microstructure at the friction stir processed zone of the SM45 specimen consisted of an ${\alpha}$-phase, $Fe_3C$ and martensite due to a high cooling rate and high carbon content. Furthermore, the hardness and impact absorption energy of the friction stir processed zone were higher than those of base metals. The hardness and impact absorption energy of FSPed SM45C were higher than that of FSPed SS400. Our results confirmed the effect of alloying elements on the phase transformation and mechanical properties of the friction stir processed zone.

단축형 사상체질 진단설문지(KS-15)의 베트남인 적용 예비연구

김상혁,박기현,정경식,이시우,Kim, Sang-Hyuk,Park, Ki-Hyun,Jeong, Kyoungsik,Lee, Siwoo 사상체질의학회 2021 사상체질의학회지 Vol.33 No.2

Objectives The purpose of this study was to evaluate the possibility of Korea Sasang Constitutional Diagnostic Questionnaire(KS-15) when was applied to the Vietnamese. Methods The subjects of this study were Vietnamese participants who visited National Hospital of Traditional Medicine in Hanoi in 2012-2013 among the data established at the Korean Medicine Data Center. Among them, 188 people were used to assess the reliability, and 116 people were used to assess the validity. The reliability test was conducted through test-retest analysis, and the validity test was conducted through cross analysis comparing to diagnosis by Sasang Constitutional experts. Results & Conclusions Three items of total 14 items, except for BMI, showed 0.4 or below in Kappa, 3 items were ranged in 0.4-0.6 and 8 items showed 0.6 or over, using 188 people. The concordance rate between the results of KS-15 and diagnosis of experts was 66.4% in 116 people (85.4% in Taeeumin, 47.4% in Soeumin, and 64.9% in Soyangin). The KS-15 could be usable for supporting to diagnose the Sasang constitution of the Vietnamese.

원발성 항인지질증후군에서 발생한 양안의 망막중심정맥폐쇄

김상혁,김정열,Sang Hyuk Kim,Jung Yeul Kim 대한안과학회 2007 대한안과학회지 Vol.48 No.10

Purpose: To Report a case of bilateral central retinal vein occlusion (CRVO) caused by primary antiphospholipid syndrome. Methods: A 38-year-old male is referred to the department of ophthalmology for the bilateral visual loss. Results: On initial visit, both visual acuity was 0.3. Upon consider changing to fundoscopic examination, the patient was diagnosed with bilateral CRVO. We performed hematologic tests including thrombophilia examination. There were no abnormal findings on routine hematologic tests. Antinuclear antibody and rheumatoid factor were negative but anticardiolipin antibodies presented high titer, on two occasions six weeks apart. We prescribed oral aspirin and performed intravitreal bevacizumab injection under the diagnosis of bilateral CRVO in primary antiphospholipid syndrome. Conclusions: It may be necessary to check antiphospolipid antibody in cases of bilateral CRVO in young patients without medical problem. J Korean Ophthalmol Soc 48(10):1433-1437, 2007

체질별 성격요인이 수면에 미치는 영향

김상혁,박기현,정경식,Kim, Sang-Hyuk,Park, Ki-Hyun,Jeong, Kyoungsik 사상체질의학회 2021 사상체질의학회지 Vol.33 No.3

Objectives The purpose of this study was to identify the effects of personality by each Sasang constitution on sleep using Positive Affect and Negative Affect Schedule(PANAS) and NEO-personality inventory(NEO-PI). Methods The subjects of this study were 2,078 people who had information on Sasang constitutional type and personality(PANAS, NEO-PI) among the data established at the Korean Medicine Data Center. Sleep time and sleep quality were investigated through self-written questionnaires. Sleep time was collected by hand-writing, and sleep quality was checked on a 4 point Likert scale. Pearson correlation analysis was conducted to see the correlation between personality and sleep in each constitutional type. Logistic regression was performed using personality as independent variables to find out how much personality affects sleep time. In order to find out how much personality affects sleep quality, regression analysis was performed using personality as independent variables. Results & Conclusions Sleep time was hardly affected by personality. As a result of Pearson correlation analysis, sleep time in all subjects did not show a significant correlation with personality. In logistic regression on sleep time as the dependent variable, no statistically significant results were obtained except for the Negative Affect(NA) in Taeeumin. Sleep quality showed a statistically significant correlation with the negative affect(NA), neuroticism(N), extraversion(E), Physical Component Summary(PCS) and Mental Component Summary(MCS). As a result of regression analysis on sleep quality as the dependent variable, neuroticism(N), negative affect(NA), positive affect(PA), and extraversion(E) were found in the factors affecting sleep quality. Besides, how much personality affected sleep quality might differ in each constitution. In all constitutions, sleep quality was affected by N, but the rank of N was different in each constitution. The sleep quality of Soyangin was not affected by E, and the sleep quality of Taeeumin was specifically affected by O.

단축형 사상체질 진단설문지(KS-15)의 문항 축소 연구

김상혁,박기현,백영화,장은수,이시우,Kim, Sang-Hyuk,Park, Ki-Hyun,Baek, Young-Hwa,Jang, Eun-Su,Lee, Siwoo 사상체질의학회 2020 사상체질의학회지 Vol.32 No.1

Objectives The purpose of this study is to reduce the question items in Korea Sasang Constitutional Diagnostic Questionnaire (KS-15) and to assess the validity. Methods The subjects of this study were 1,553 people who had information on body shape, personality, and symptoms among the data established at the Korean Medicine Data Center. Among them, 155 people were separated into a test group to assess the validity, and the remaining 1,398 were used as training groups for model development. The reduction question items were finally confirmed through discussion by two experts. The model development went through Multinomial Logistic Regression. Results & Conclusions The Percent Correctly Predicted (PCP) in the test group was 60.00% (58.49% in men and 60.78% in women). The PCP of each constitution was 72.6% in Taeeumin, 53.3% in Soeumin, and 50% in Soyangin. The accuracy rate of KS-10 seems to be reasonable considering the ease of use of reduced time required.

열다한소탕과 태음조위탕·조위승청탕의 소증 분석을 위한 의사결정나무 구성

김상혁,박만영,이시우,Kim, Sang-Hyuk,Park, Man Young,Lee, Siwoo 사상체질의학회 2017 사상체질의학회지 Vol.29 No.3

Objectives The purpose of this study is to analyze the decision making process of prescribing Yeoldahanso-tang and Taeeumjowi-tang Choweseuncheng-tang using decision tree. Methods We used collected the prospective clinical data of TE type from September 2012 to July 2015. In this study, we used gender, BMI, blood pressure, pulse and clinical symptoms (digestion, sweat, defecation, urination, sleep, physical status, emotion, heat-coldness, water consumption, facial color) as variables. Decision trees were analyzed using open source R version 3.3.2. Results & Conclusions We found that the decision trees differed among institutions. However, in all institutions, it was found that stool type (ordinary symptom), urine frequency (ordinary and present symptom) and anxiety (ordinary symptom) were important in the decision of prescription. Besides, clinical informations such as sex, Body Mass Index and blood pressure affected the prescription decision.