8체질(體質) 진단(診斷) 전문가(專門家) 시스템 개발을 위한 기초연구(基礎硏究)

신용섭 ( Yong-sup Shin ),박영배 ( Young-bae Park ),박영재 ( Young-jae Park ),김민용 ( Min-yong Kim ),이상철 ( Sang-chul Lee ),오환섭 ( Hwan-sup Oh ) 대한한의진단학회 2007 大韓韓醫診斷學會誌 Vol.11 No.1

Background and Purpose: There was seldom study about method that diagnose 8 Constitution beside method of pulse diagnosis in 8 Constitution Medicine Objectives: This study is to make out check list for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning). Methods: Review of literatures about special quality element of 8 Constitution and supplement learning advice of 8 Constitution Medicine Experts constructed knowledge base. And then, knowledge base divided through AHP(Analytic Hierarchy Process), and made out check list with this. Results: Knowledge base based on special quality element of 8 Constitution was divided by 5 greate classification and 25 bisection kind, and check list consisted of 251 item was made out through this. Conclusion: Based on this research, cases necessary to make 8 Constitution Medicine Diagnosis Expert System can be gathered through check list, and further study for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning) is needed to supplement this research.

8체질의학을 위한 진단 전문가 시스템 개발 및 고찰

신용섭 ( Yong-sup Shin ),박영배 ( Young-bae Park ),박영재 ( Young-jae Park ),김민용 ( Min-yong Kim ),오환섭 ( Hwan-sup Oh ) 대한한의진단학회 2008 大韓韓醫診斷學會誌 Vol.12 No.1

Background: There was seldom study about method that diagnose 8 Constitution beside method of pulse diagnosis in 8 Constitution Medicine. Objectives: This study is to make out 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning). Methods : First, at case base construction process we constructed case base for CBR embodiment because gathering 925 cases all to patient who constitution is verified, and second, at study model establishment process superior expert system development by purpose CBR of reasoning process dividing fundamental type CBR that spend basis data value and expert typeⅠⅡⅢ CBR that reflect weight in basis data value according to advice expert opinion, and third, system embodiment process explained about way to give process and weight that diagnose constitution through Nearest Neighbor Method sampling process of CBR techniques, and fourth, at system estimation process we selected superior CBR model because comparing and estimate the diagnosis rate of expert system with fundamental type system (GECBR) model and expert typeⅠⅡⅢ CBR system (AVCBR, AACBR, AGCBR) model that reflect expert opinion in fundamental type system. GECBR and AGCBR chose on superior study model. Through such 4 study process, we developed 8 constitution diagnosis expert system lastly. Results: 1. When we select GECBR that is fundamental type by reasoning system, diagnosis rate 78.91% of 8 constitution diagnosis expert system is expected, and the constitution diagnosis rate Hepatonia 90.4%, Cholecystonia 63.0%, Pancreotonia 91.1%, Gastrotonia 0%, Pulmotonia 71.2%, Colonotonia 74.4%, Renotonia 37.5%, Vesicotonia 67.1% expect. 2. When we select AGCBR that is expert type Ⅲ by reasoning system, diagnosis rate 77.51% of 8 constitution diagnosis expert system is expected, and the constitution diagnosis rate Hepatonia 93.4%, Cholecystonia 58.5%, Pancreotonia 91.1%, Gastrotonia 0%, Pulmotonia 73.1%, Colonotonia 64.4%, Renotonia 41.7%, Vesicotonia 72.2% expect. Conclusion: Based on this study, 8 constitution diagnosis expert system may give help to diagnose 8 constitution, and it is going to utilize as objective estimation tool of 8 constitution diagnosis, and further study for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning) is needed to supplement this study.

8체질함(體質緘) 자극(刺戟)이 심박변이도(心博變移度)에 미치는 영향

신용섭 ( Yong-sup Shin ),박영재 ( Young-jae Park ),오환섭 ( Hwan-sup Oh ),이상철 ( Sang-chul Lee ),박영배 ( Young-bae Park ) 대한한의진단학회 2005 大韓韓醫診斷學會誌 Vol.9 No.2

Objectives: This paper investigated the effects of 8 Constitution Acupuncture on Heart Rate Variability(HRV) and is intended to find out 8 Constitutional difference on Autonomous Function after 8 Constitution Acupuncture stimulation. Methods: The subjects were comprised of 42 volunteers(11 men and 31 women). The volunteers had acupunctured by 8 Constitution Acupuncture Therapy. HRV and Mean Heart Rate(MHR) were measured by TAS9v2.0(IEMBIO & Saerom, Korea) on two times: before and immediately after acupuncture stimulation. The SPSS 13.0 for windows was used for statistical analysis: Mann-Whitney U-test, Paired Samples T -test and Wilcoxon signed rank test were used to verify the results. Results: 1. There was no statistically significant difference on HRV and MHR between Sympathicotonia and Vagotonia before acupuncture. 2. In the whole subject, immediately after acupuncture stimulation, MHR showed a significant decrease(p<0.01) and Ln(TP), Ln(LF) and Ln(HF) showed a significant increase(p<0.05). But there was no significant difference in LHR. 3. Immediately after acupuncture stimulation, MHR showed a significant decrease and Ln(TP), Ln(HF), showed a significant increase in Pulmotonia(p<0.05), Ln(TP) showed a significant increase in Pancretonia(p<0.05),MHR showed a significant decrease and Ln(TP) showed a significant increase in Hepatonia(p<0.05), and MHR showed a significant decrease and Ln(TP), Ln(HF), showed a significant increase in cholecystonia(p<0.05). But there were no significant difference on HRV and MHR in Colonotonia and vesicotonia. Conclusion: The results suggest that 8 Constitution Acupuncture is associated with changed activity in sympathetic and parasympathetic nervous system. Further study is needed for investigating the effects of 8 Constitution Acupuncture on HRV and autonomic nervous system.

8체질 진단을 위한 전문가 시스템 개발에 관한 연구(2)

신용섭 ( Yong-sup Shin ),박영배 ( Young-bae Park ),박영재 ( Young-jae Park ),김민용 ( Min-yong Kim ),이상철,오환섭 ( Hwan-sup Oh ) 대한한의진단학회 2008 大韓韓醫診斷學會誌 Vol.12 No.2

Background : There was seldom study about method that diagnose 8 Constitution beside method of pulse diagnosis in 8 Constitution Medicine. Objectives : This study is to make out 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning). Methods : First, at case base construction process we constructed case base for CBR embodiment because gathering 925 cases all to patient who constitution is verified, and second, at study model establishment process superior expert system development by purpose CBR of reasoning process dividing fundamental type CBR that spend basis data value and expert type CBR that reflect weight in basis ⅠⅡⅢ data value according to advice expert opinion, and third, system embodiment process explained about way to give process and weight that diagnose constitution through Nearest Neighbor Method sampling process of CBR techniques, and fourth, at system estimation process we selected superior CBR model because comparing and estimate the diagnosis rate of expert system with fundamental type system (GECBR) model and expert typeⅠⅡⅢ CBR system (AVCBR, AACBR, AGCBR) model that reflect expert opinion in fundamental type system. GECBR and AGCBR chose on superior study model. Through such 4 study process, we developed 8 constitution diagnosis expert system lastly. Results : 1. When we select GECBR that is fundamental type by reasoning system, diagnosis rate 78.91% of 8 constitution diagnosis expert system is expected, and the constitution diagnosis rate Hepatonia 90.4%, Cholecystonia 63.0%, Pancreotonia 91.1%, Gastrotonia 0%, Pulmotonia 71.2%, Colonotonia 74.4%, Renotonia 37.5%, Vesicotonia 67.1% expect. 2. When we select AGCBR that is expert type Ⅲ by reasoning system, diagnosis rate 77.51% of 8 constitution diagnosis expert system is expected, and the constitution diagnosis rate Hepatonia 93.4%, Cholecystonia 58.5%, Pancreotonia 91.1%, Gastrotonia 0%, Pulmotonia 73.1%, Colonotonia 64.4%, Renotonia 41.7%, Vesicotonia 72.2% expect. Conclusion : Based on this study, 8 constitution diagnosis expert system may give help to diagnose 8 constitution, and it is going to utilize as objective estimation tool of 8 constitution diagnosis, and further study for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning) is needed to supplement this study.

8체질맥진(體質脈診) 숙련도(熟練度) 평가방법(評價方法)에 관(關)한 연구(硏究)

신용섭 ( Yong-sup Shin ),박영재 ( Young-jae Park ),박영배 ( Young-bae Park ),오환섭 ( Hwan-sup Oh ) 대한한의진단학회 2006 大韓韓醫診斷學會誌 Vol.10 No.1

Background: There was seldom study about method that estimate expertness of pulse diagnosis in 8 Constitution Medicine in spite of the diagnostician importance in 8 Constitution Medicine Objectives: This study is to evaluate diagnostician`s consistency and accuracy about pulse diagnosis in 8 Constitution Medicine using Gage R&R study. Methods: The subjects were comprised of 28 volunteers. Among theme, 3 diagnosticians and 10 participants were chosen through questionnaire. Diagnosticians diagnosed participant`s Constitution by pulse diagnosis in 8 Constitution Medicine with hiding their eyes by eyepatch. MINITAB statistical software(ver. 13.20) was used for statistical analysis: Attribute Gage R&R study was used to verify the results. Results: 1. In the measurements of consistency, diagnostician b(agreement=80%, Value of k=0.8276) was very good, diagnostician a(agreement=70%, Value of k=0.7465) was good, and diagnostician c(agreement=50%, Value of k=0.5365) was moderate. 2. In the measurements of accuracy, diagnostician b(agreement =70%, Value of k=0.6812) was good, diagnostician a(agreement=60%, Value of k=0.6414) was good, and diagno-stician c(agreement=0%, Value of k=-0.1000) was poor. 3. In confidence of diagnosis, diagnostician c was 75%, diagnostician a was 70%, and diagno-stician b was 64%. Conclusion: The results suggest that diagnostician`s consistency and accuracy about pulse diagnosis in 8 Constitution Medicine can be evaluated by Gage R&R study. Further study is needed for estimation method of pulse diagnosis in 8 Constitution Medicine.

팔체질침 전문 한의사의 체질침 효과에 대한 인식조사

민재영 ( Jae-young Min ),박영재 ( Young-jae Park ),박재성 ( Jae-sung Park ),신용섭 ( Yong-sup Shin ),박영배 ( Young-bae Park ),이상철 ( Sang-chul Lee ),김민용 ( Min-yong Kim ) 대한한의진단학회 2007 大韓韓醫診斷學會誌 Vol.11 No.1

Objectives: The purpose of this research is to obtain basic data about the effects of Constitution-Acupuncture (CA) based on Eight-Constitution Medicine (ECM) by the expert CA Oriental Medical Doctors. Methods: The resources were collected from the internet survey method. 35 samples were collected. The SPSS 13.0 for windows and Answer Tree 3.0 was used for statistical analysis. Results: The results from this research are as follow. 1. The motivation that apply ECM to clinic are `Because ECM is effective for diagnosis, treatment and prevention against disease` 48.6% and `Because CA therapy is effective` 25.7%. 2. The advantage that CA therapy compare to the other acupuncture therapy are `Management and prevention against disease are available by ECM theory to a person who exact constitution is confirmed` 82.9%, `CA therapy is superior in treatment of hard symptoms to treat by the other acupuncture therapy` 80%, `Treatment effect is good` 77.1%, `Needle manipulation of CA is simple comparatively` 57.1%, `It is definite whether treatment effect is good or not` 54.3% and CA therapy is superior all in diseases of twelve category. 3. When the effects of CA is good, patients expressed much `Eyesight lightened`, `Took deep sleep at night`, `Fatigue decreased`, `Body is light`, `Feelings became refreshing` as well as `Symptoms were improved` and also physicians confirmed as those reactions whether treatment is effective. Conclusions: The research suggest that CA is effective therapy in clinic, and so further study is needed for CA therapy.

8체질 분류 설문지의 문항 분석-Ⅲ 발한 상태, 목욕 후 또는 일광욕 후 인체 반응, 생리·병리적인 체질별 특징, 음식 반응을 중심으로

김희주 ( Hee-ju Kim ),신용섭 ( Young-sup Shin ),민재영 ( Jae-young Min ),김민용 ( Min-yong Kim ),박영재 ( Young-jae Park ),박영배 ( Young-bae Park ) 대한한의진단학회 2009 大韓韓醫診斷學會誌 Vol.13 No.2

Background : Eight-Constitution Medicine (ECM) devides the human body into eight constitutions. Up until now, checking the pulse types is only way to classify the eight constitution. Recently we try to make a questionnaire that is based on the Eight-Constitution characters and analyze the answer from patients who were classified into one of the eight constitutions according to their pulse types and their responses to constitution-acupuncture therapy Objective : This study intends to analyze each answer of the Eight-Constitution Questionnaire with independent sample t-test. Methods: Participants of this study were outpatients in ECM clinics located in Korea. The resources were collected from 925 patients who were classified into one of the eight constitutions according to their pulse types and their responses to constitution-acupuncture therapy. SPSS 13.0 for Windows was used for independent sample t-test. Results and Conclusions: 1. The proportion of participants` constitutions is in the order of Pancreotonia (28.0%), Colonotonia (17.3%), Pulmotonia (18.1%), Hepatonia (18.1%), Vesicotonia (8.5%), Cholecystotonia (7.0%), Renotonia (2.6%) and Gastrotonia (0.4%). 2. Eight-Constitution Questionnaire consists of 5 parts; Appearance, Character, Body reaction, Physiology & Pathology and Food reaction. 3. 44 items were chosen among 128 question about Body reaction, Physiology & Pathology and Food reaction. 4. Due to the deficiency of Gastrotonia examples, useful items have to be given up. If we can gather Gastrotonia examples, we can use meaningful items more than 44.

팔체질 설문문항 분석-Ⅰ

김희주 ( Hee-ju Kim ),신용섭 ( Young-sup Shin ),민재영 ( Jae-young Min ),김민용 ( Min-yong Kim ),박영재 ( Young-jae Park ),박영배 ( Young-bae Park ) 대한한의진단학회 2008 大韓韓醫診斷學會誌 Vol.12 No.1

Background: Eight-Constitution Medicine (ECM) devides the human body into eight constitutions. Up until now, checking the pulse types is only way to classify the eight constitution. Recently we try to make a questionnaire that is based on the Eight-Constitution characters and analyze the answer from patients who were classified into one of the eight constitutions according to their pulse types and their responses to constitution-acupuncture therapy Objective: This study intends to analyze each answer of the Eight-Constitution Questionnaire with independent sample t-test. Methods: Participants of this study were outpatients in ECM clinics located in Korea. The resources were collected from 925 patients who were classified into one of the eight constitutions according to their pulse types and their responses to constitution-acupuncture therapy. SPSS 13.0 for Windows was used for independent sample t-test. Results and Conclusions: 1. The proportion of participants` constitutions is in the order of Pancreotonia (28.0%), Colonotonia (17.3%), Pulmotonia (18.1%), Hepatonia (18.1%), Vesicotonia (8.5%), Cholecystotonia (7.0%), Renotonia (2.6%) and Gastrotonia (0.4%). 2. Eight-Constitution Questionnaire consists of 5 parts; Appearance, Character, Body reaction, Physiology & Pathology and Food reaction. 3. 10 items were chosen among 42 question about Appearance. 4. Due to the deficiency of Gastrotonia examples, useful items have to be given up. If we can gather Gastrotonia examples, we can use meaningful items more than 10.

부인과 복강경 수술 환자에서 Ramosetron의 투여 시기가 수술 후 오심과 구토에 미치는 영향

이선열 ( Sun Yeul Lee ),신용섭 ( Yong Sup Shin ),김정현 ( Jeong Hyun Kim ),최연희 ( Youn Hee Choi ),고영권 ( Young Kwon Ko ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.6

Background: Patients undergoing laparoscopic gynecological surgery have a remarkably high incidence of postoperative nausea and vomiting (PONV). The purpose of this study was to evaluate the effect of the timing of ramosetron administration on its antiemetic efficacy in patients undergoing laparoscopic gynecological surgery. Methods: One hundred and twenty patients undergoing laparoscopic gynecological surgery under general anesthesia were randomized to receive 0.3 mg of ramosetron intravenously either immediately after induction (group I, n=60) or at the completion of surgery (group II, n=60). Occurrences of nausea and vomiting, the need for rescue antiemetics and analgesics, pain score, as well as adverse events associated with study medications, were recorded for 48 hrs after the operation. Results: The incidence of postoperative nausea and vomiting in the I and II groups were 46.7%, 41.7% respectively. There was no significant difference between the groups in the incidences of PONV, the need for rescue antiemetics and analgesics, pain score and adverse events associated with study medications (P>0.05). Conclusions: The effect of ramosetron administered either immediately after induction or at the completion of surgery was similar to each other on its efficacy as a prophylactic antiemetic in patients undergoing laparoscopic gynecological surgery. (Korean J Anesthesiol 2009; 56: 663~8)

8체질 분류 설문지의 문항 분석-Ⅱ - 성향 및 성격을 중심으로 -

김희주 ( Hee-ju Kim ),신용섭 ( Young-sup Shin ),민재영 ( Jae-young Min ),김민용 ( Min-yong Kim ),박영재 ( Young-jae Park ),박영배 ( Young-bae Park ) 대한한의진단학회 2009 大韓韓醫診斷學會誌 Vol.13 No.1

Background : Eight-Constitution Medicine (ECM) devides the human body into eight constitutions. Up until now, checking the pulse types is only way to classify the eight constitution. Recently we try to make a questionnaire that is based on the Eight-Constitution characters and analyze the answer from patients who were classified into one of the eight constitutions according to their pulse types and their responses to constitution-acupuncture therapy Objective : This study intends to analyze each answer of the Eight-Constitution Questionnaire with independent sample t-test. Methods : Participants of this study were outpatients in ECM clinics located in Korea. The resources were collected from 925 patients who were classified into one of the eight constitutions according to their pulse types and their responses to constitution-acupuncture therapy. SPSS 13.0 for Windows was used for independent sample t-test. Results and Conclusions : 1. The proportion of participants` constitutions is in the order of Pancreotonia (28.0%), Colonotonia (17.3%), Pulmotonia (18.1%), Hepatonia (18.1%), Vesicotonia (8.5%), Cholecystotonia (7.0%), Renotonia (2.6%) and Gastrotonia (0.4%). 2. Eight-Constitution Questionnaire consists of 5 parts; Appearance, Character, Body reaction, Physiology & Pathology and Food reaction. 3. 18 items were chosen among 81 question about Character. 4. Due to the deficiency of Gastrotonia examples, useful items have to be given up. If we can gather Gastrotonia examples, we can use meaningful items more than 18.