사상체질 처방 활용 현황 및 유효 질환 조사

장은수,유종향,김윤영,박기현,이시우,Jang, Eun-Su,Yoo, Jong-Hyang,Kim, Yun-Young,Park, Ki-Hyun,Lee, Si-Woo 사상체질의학회 2011 사상체질의학회지 Vol.23 No.1

1. Objectives: We aimed to derive using status of Sasang Constitutional herbal prescription and good effective one in specific disease. 2. Methods: We sent Questionnaire to 463 oriental medical doctor listed Korea Sasang Constitutional medicine from 2009 years. 10 to 11 and got back 191 questionnaire, which consisted of sex, age, clinical duration, working type, using status and effectiveness of Sasang Constitutional herbal prescription. 3. Results: - Digestive tract disease was especially most effective field, and circulatory, the endocrine, dermatology, psychopathy, urogenital disease went in order in western disease. - Spleen disease was especially most effective field, and the heart and circulatory, neuropsychiatry, lung, liver, psychopathy, gynecology disease went in order in oriental medicine pathology. - Chungshimyenja-tang was effective to neuropsychiatry and heart disease in Taeeumin, Hyangsayangwi-tang to disease related digestive system, Palmulgunja-tang to gynecology disease in Soeumin, Dockhalgiwhang-tang to diet disorder, Yanggeuksanwha-tang to heart and psychologic disease in Soyangin. 4. Conclusions: Constitutional prescription effected on special pathological symptom support weaken organ, and these result will help to make treatment standard and support clinical study of constitutional medicine.

체형 안면 소증 및 성정 특성 기반 사상체질 진단 프로그램 개발

장은수,박기현,백영화,이시우,김성훈,주종천,Jang, Eun-Su,Park, Ki-Hyun,Baek, Young-Hwa,Lee, Si-Woo,Kim, Seong-Hun,Joo, Jong-Cheon 사상체질의학회 2012 사상체질의학회지 Vol.24 No.1

1. Objectives : In this study we derived constitutional characteristics both by using questionnaire on character and symptom and by collecting objective measurement data through face, body shape. Furthermore, by developing a program, we intend to help one's diagnosis of Sasang constitution. 2. Methods : Through November 2007 to July 2009, we obtained questionnaire, face, and body shape data of 958 constitution confirmed subjects within the age range of 10-80 from 19 oriental medical facilities in the country. According to sex, we divided the subjects into two groups as real constitution and non-constitution group respectively. We analyzed the questionnaire through chi-square test (p<.01) and facial and body shape data through unpaired T-test (p<.01). By using weight law for questionnaire and euclidean distance for body shape and face data, we expressed constitution possibility to develop a supplementary program. 3. Results : The concordance rates of constitutional diagnosis by using the program for Taeeumin, Soeumin, Soyangin are, 76.7%, 61.5%, 67.4% resulting in 69.6% in male and 64.1%, 64.7%, 65.1%, resulting in 64.7% In female respectively. New cases tested on the program showed concordance rate of 65% in male and 62% in female with real constitution. 4. Conclusion : The constitutional diagnostic program based on the face, body shape and questionnaire, may have significant meaning as a supplementary tool in the constitutional diagnosis for clinical expert.

완실무병 지표들의 사상체질별 건강수준 연관성 연구;THI(Todai Health Index) 설문지를 중심으로

장은수,김호석,유종향,백영화,오승윤,이시우,Jang, Eun-Su,Kim, Ho-Seok,Yoo, Jong-Hyang,Baek, Young-Wha,Oh, Seung-Yun,Lee, Si-Woo 사상체질의학회 2008 사상체질의학회지 Vol.20 No.2

1. Objectives This study aims to find out the factors that affect to healthy level according to Sasang Constitutions by comparing THI health state with Sasang Health Index. 2. Methods One hundred twenty one healthy students from Korean oriental medical colleges participated in this study. We used the Questionnaire for Sasang Constitution Classification II(QSCC II) and expert opinion to diagnose Sasang Constitution, and used Sasang Health Index and THI questionnaire to take health information about Sasang Constitution, from 121 people of Sasang Constitution Information Bank. 3. Results 1) The 'Good Sweat' in Taeumin health level was higher than others, especially in case of 'Refreshness after Sweat' and the 'Good Feces' also higher in case of 'Much Volume in Defecation' 'Regularity in Defecation' 'Refreshness after Evacuation'. 2) The 'Good Feces' in Soyangin health level was higher than others, especially in case of 'Thickness'. 3) The 'Good Digestion' in Soeumin health level was not significantly higher than others. 4) The better symptoms in 'Good Sweat', the better health in Taeumin. 4. Conclusions Sasang Constitution Health Level is significantly related with Sasang Health Index.

증상 정도, 기간, 불편정도 및 회복력 기반 미병 설문지의 신뢰도 및 구성 타당도 평가

장은수,윤지현,이영섭,Jang, Eunsu,Yoon, Ji-Hyeon,Lee, Youngseop 대한한의진단학회 2017 大韓韓醫診斷學會誌 Vol.21 No.1

Objectives The purpose of this study was to evaluate the reliability and the validity of Mibyeong Questionnaire (MQ). The subjects enrolled in this study was 165 from July 2015 to Jan. 2016. The surveys were conducted twice with 3 month terms. Methods The Cronbach's ${\alpha}$ analysis for internal reliability, Pearson Correlation Coefficient analysis for test-retest reliability, Factor analysis with varimax rotation for construct validity, Kappa analysis for diagnostic reliability were used. The significant p-value was less than 0.05. Results and Conclusions The result showed that the Cronbach's ${\alpha}$ of MQ was .857-.937 and total was .913. The reliabilities between test and retest for the MQ were .666-.832 (0.416-0.673, in case of including recovery question) in intraclass correlation coefficient (ICC). The Kappa of recovery question in each item was ranged 0.23(80.6% in agreement rate) to .46(87.9% in agreement rate). In test-retest the Kappa value of Mibyeong diagnosis referred by median value was .418(71% in agreement rate). This study revealed that MQ is a reliable and valid questionnaire.

사상체질별 안면의 거리 각도 비율 특성

장은수,김윤정,김성훈,주종천,Jang, Eun-Su,Kim, Yun-Jeong,Kim, Seong-Hun,Joo, Jong-Cheon 사상체질의학회 2010 사상체질의학회지 Vol.22 No.2

1. Objectives: We aimed to derive constitutional facial characteristics with front and side picture of the people in this study 2. Methods: Through November 2007 to July 2009, we obtained front and side face photograph data of 715 male/female constitution confirmed subjects within the age range of 10-80 from 19 oriental medical facilities in the country. According to sex, we divided the subjects into two groups, real constitution group and non-constitution group. We analyzed significant variables of distance, angle and ratio of facial point through unpaired T-test. 3. Results: There are different significant variables according to Sasang Constitution and even though they are much different between sex, the interpretation of the meaning of those variables are similar with the written characteristics of ancient Writing. The face size of the Taeeumin is bigger than that of the non-Taeeumin, and especially they have long length from mouth to mandible angle. Soeumin have small jaw area, long philtrum and narrow facial feature like egg. Soyangin has developed forehead and glabella, short jaw, long eye side. Taeyangin has developed forehead, weak nose especially side end of nose, long eye side. 4. Conclusions: Sasang Constitutional facial characteristics are different between man and woman but there are much similarity with the facts as known on the interpretation of significant variables characteristics.

베트남 이주여성의 사상체질별 수면상태, 수면시간 및 삶의 질 비교연구

장은수,김윤영,백영화,문수정,이시우,김상혁,Jang, Eunsu,Kim, Yunyoung,Baek, Younghwa,Moon, Sujeong,Lee, Siwoo,Kim, Sang-Hyuk 사상체질의학회 2020 사상체질의학회지 Vol.32 No.1

The purpose of this study was to find out how sleep characteristics by Sasang constitution (SC) appear in Vietnamese immigrant women in Korea, and how sleep aberration by SC affected the quality of life. The number of 217 Vietnamese immigrant women joined this study. We surveyed SC with Korea Sasang Constitutional Diagnostic Questionnaire (KS-15) and sleep characteristics with Pittsburgh Sleep Quality Index(PSQI) questionnaire. We evaluated quality of life(QoL) with Euro Quality of Life-5Dimension(EQ 5D) questionnaire. A Chi-square test and a one-way ANOVA test were conducted according to SC, and T test also used to compare PSQI groups. Significant p was .05. The number(rate) of Taeeumin(TE), Soeumin(SE), and Soyangin(SY) were 40(18.4%), 55(25.3%), and 122(56.2%) respectively. The distribution of obstructive factors of sleep were significantly different according to SC(Too Cold in Sleeping, x =13.378, p=.037, Too Hot in Sleeping x²=12.834, p=.046). The distribution of daytime drowsiness(x²=15.379, p=.018) and falling concentration power (x²=17.533, p=.008) was significantly different according to SC. The sleep status of the subjects showed a significant negative correlation with the EQ 5D Visual Analogue Scale(VAS) (r =-.399, p<.001), and the EQ 5D Index (r=-.211, p=.002). In the EQ VAS, TE showed a difference between the good and bad sleeping groups (t=3.955, p<.001). SE showed a difference between the two groups in the EQ 5D Index (t=2.332, p=.037). SY did not show a difference between the two groups. This study reveals that sleeping is closely related with QoL and distribution of obstructive factors of sleep may be different according to SC. Further study to confirm the constitutional difference in race at Vietnam is needed.

안면 체형 음성 및 설문 기반 사상체질 진단 툴 베타버전과 전문가의 체질진단 일치도 예비 연구

장은수,진희정,도준형,이시우,김종열,Jang, Eun-Su,Jin, Hee-Jeong,Do, Jun-Hyung,Lee, Si-Woo,Kim, Jong-Yeol 사상체질의학회 2012 사상체질의학회지 Vol.24 No.2

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) ${\beta}$-version using face, voice, body shape and questionnaire before. The purpose of this study is to suggest whether SCAT ${\beta}$-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 ${\beta}$-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 ${\beta}$-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.

체질 의료 서비스 시장규모 및 현황 조사 -전국 한방의료기관을 중심으로-

장은수,백영화,이시우,Jang, Eun-Su,Baek, Young-Hwa,Lee, Si-Woo 사상체질의학회 2013 사상체질의학회지 Vol.25 No.1

Objectives The aim of this study is to survey the present scales of constitutional medical service market on the base of Korean medical service market following 2006, 2008 year survey. Methods This survey was conducted from Nov. 1 to Dec. 15, 2011 by offline mail. A questionnaire including personal information, general information, and management related to constitutional medicine of Korean medical institution was sent to each subject with a returned envelope. The subjects were asked to complete the questionnaire and 108 data were collected and analyzed. Results This study revealed that the 62% facilities of all Korean medical clinics in Korea are using constitutional medicine for patients. The proportion of constitutional medical service was 13.7% in Korean medical care insurance and 23.5% in total Korean medical service market. Conclusion It is assumed that the scales of total Korean medical service market seemed to be 3,974,425 million won and the scales of total constitutional medical service market seemed to be 929,404 million won.

문헌고찰을 통해 알아본 2020년 체질 의료 서비스 시장 규모

장은수,Jang, Eun-Su 사상체질의학회 2017 사상체질의학회지 Vol.29 No.1

Objectives Recently, the demand for complementary & alternative and personalized medical service has increased in the world. The purpose of this study was to predict the future market size of constitutional medical service in Korea through past surveyed studies Methods The portal sites of OASIS, NDSL, RISS, KISS, Koreamed, were used to select the researches related with constitutional medical service market. Total 1,477 papers were identified and 43 of them were fully reviewed. Finally, three of them picked up. Two specialists joined this review. Results and Conclusion The rate of constitutional medical service market among Korean medical service market was 23.2% in 2004 survey, 26.6% in 2007, and 23.5% in 2010. The number of Korean medical clinics and hospital was assumed 17,118 in 2020. The market size of Korean medicine was predicted 698,929 ten million won and among them, the scale of constitutional market size was 181,171 ten million won which meaned 25.9% proportion of Korean medical market size. Conclusion Constitutional medical market seems to be developed faster than Korean medical market in future.

태양인 체형, 안면, 음성, 성격 특성

장은수,도준형,장준수,구본초,유종향,최희석,이시우,Jang, Eun-Su,Do, Jun-Hyeong,Jang, Jun-Su,Ku, Bon-Cho,Yoo, Jong-Hyang,Choi, Hee-Seok,Lee, Si-Woo 사상체질의학회 2013 사상체질의학회지 Vol.25 No.3

Objectives This study was aimed to reveal the characteristics of the body shape, face, voice and temperament in Taeyangin. Methods The subjects were recruited from November 2005 to August 2012. Sasang constitutional specialist in each clinics confirmed the Sasang Constitution. Taeyangin (TY) became a standard guidance to be compared with each other Sasang type. Anova test was used in analyzing continuous variables and factor analysis was conducted in temperament questionnaire in advance. Generalized propensity score with age and body mass index (BMI) was used in adjusted model. Significant level was .05 Results 1. The TY body shape were generally smaller than Taeeumin (TE) (p<0.001) and Soyangin (SY) (p<0.05) in crude. The TY body shape were still smaller than TE (p<0.05) and there was no significant difference between TY and SY except rib circumference in males and forehead circumference (p<0.05) in females in adjusted model. 2. The size of face and nose in TY was smaller than in TE and there was different between males and females' TY and others in the characteristics of eye, nose and forehead variables in crude (p<0.05). Most of differences between TY and TE were disappeared in adjusted model. 3. The vocal height and speed of TY was different other types and there was different between males and females' TY in some of frequency change rate in crude (p<0.05). Most of differences between TY and other types were similar before and after adjusted model. 4. The temperament of TY was different with SE before and after adjusted mode 1 (p<0.05). TY males showed difference in expression factor and TY females showed difference in behavior factor compared with TE respectively (p<0.05). Conclusions This study reveals characteristics of body shape, face, voice and character in the TY males females compared with each other type respectively.