Sang-Hyuk Kim

Clinical Practice Guideline for Sasang Constitutional Medicine: The Examination of Sasangin Disease and Diagnosis for Sasang Constitution

Abstract Clinical Practice Guideline for Sasang Constitutional Medicine: The Examination of Sasangin Disease and Diagnosis for Sasang Constitution Sang-Hyuk Kim, Siwoo Lee, Jun-Hee Lee * , Eui-Ju Lee * Mibyeong Research Center, Korea Institute of Oriental Medicine (KIOM), Daejeon, Korea * Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Kyung Hee University, Seoul, KoreaObjectivesThis study was purposed to develop the clinical practice guideline for examination of Sasangin disease and diagnosisfor Sasang Constitution.Methods U000f0854DonguisusebowonU000f0855and 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 & ConclusionsBy researching and discussing the examination of Sasangin disease and diagnosis for Sasang Constitution, we makethe principle of the clinical practice guideline, including methods using body shape, facial shape, vocal characteristicand personality etc.Key Words: Constitutional Medicine, Clinical Practice Guideline, Examination, Diagnosis

The Agreement in Cold-Heat and Health Status among Sasang Constitutional Experts in Diagnosis of Sasang Pathological Symptoms

Abstract The Agreement in Cold-Heat and Health Status among Sasang Constitutional Experts in Diagnosis of Sasang Pathological Symptoms Hee-Jeong Jin, Sang-Hyuk Kim, Sang-Oak Dong, Eun-Su Jang, Si-Woo LeeKorea Institute of Oriental MedicineObjectivesIn Sasang Constitutional medicine(SCM), it is an important factor to assess the degree of cold/heat and healthy status. We purposed to check the agreement among the experts on the assessment of cold/heat and healthy status.Methods Six SCM experts and 10 healthy volunteers were recruited for this study. The SCM experts had an interviewed with each volunteer in the similar condition like that of the actual clinic. And then the expert evaluated each volunteers cold/heat and healthy status. Intraclass correlation coefficient(ICC) was used to measure the interrater reliability and interrater agreement among the experts.Results Two volunteers are excluded due to the missing data, therefore eight persons data (3 males and 5 females) were included in our analysis. The mean of age and BMI are 21.73(±2.32) and 29.63(±4.66), respectively. In health status, cold status and heat status, the ICC was 0.789, 0.904, 0.925, respectively.ConclusionsWe found that the assessment of cold/heat and healthy status was continued reliable among SCM experts. The assessment of cold/heat status was more consistent than the assessment of healthy status.Key Words: Sasang Constitution, Cold-Heat, Health status, Intraclass correlation coefficient

The Methodological Review on the Accuracy Study of Questionnaire for Sasang Constitution Diagnosis

Abstract The Methodological Review on the Accuracy Study of Questionnaire for Sasang Constitution Diagnosis Sang-Hyuk Kim ＊† , Eun-Su Jang ＊ , and Byung-Hee Koh †＊ Constitutional Medicine & Diagnosis Resesarch Group, Korea Institute of Oriental Medicine † Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Kyung Hee UniversityObjectivesFor the methodological review on the accuracy study of questionnaire for Sasang constitution diagnosis, we searchedthe various diagnostic accuracy study of the questionnaires for Sasang constitution.MethodsWe searched MEDLINE, the Cochrane Library, KISS, and DBPIA. Additionally, We hand-searched the main oriental medical journals. All articles were independently reviewed and selected by two evaluators. And selected articles were assessed by Quality Assessment of Diagnostic Accuracy Studies Tool(QUADAS Tool) for the methodological review.ResultsThe twenty eight studies initially identified studies were included in the methodological review. The part of Acceptable reference standard, Uninterpretable results reported and Withdrawals explained was very weak in the risk of bias. The part of Representative spectrum, Acceptable delay between tests, Incorporation avoided,Reference standard results blinded, Index test results blinded was unclear in the description.ConclusionsFor the further study on the accuracy study of Sasang constitution diagnosis, we have to improve the aforementionederrors. Additionally, the checklist for the description of study might be needed.Key Words: Sasang typology, Sasang constitution, Questionnaire, Methodology

Research Design for the Verification of Constitutional Prescription Determinants

Abstract Research Design for the Verification of Constitutional Prescription Determinants Hee-Jeong Jin, Sang-Hyuk Kim, Young-Hwa Baek, Eun-Su Jang*, Jong-Hyang Ryu, Si-Woo LeeMibyeong Research Center, Korea Institute of Oriental Medicine*Dept. of diagnosis, College of Korean Medicine, Daejeon universityObjectivesThe purpose of this study is to design a research to find clinical factors involved in the decision-making processfor determining the constitutional prescription based on prospective clinical data.Methods We have created a draft of the case report form. Therefore, seven constitutional experts was interviewed for additionalitems to be important used to determine the constitutional prescription in clinic. Interviews were done from December 2012 to March 2014, experts per person 2-3 times, took time of about 120 minutes per interview.Since then, we developed the final case report form through the expert meeting. At the same time, the developing the electronic case report form (eCRF) and the protocol to collect constitutional treatment cases was also discussed.Results & ConclusionsThe items of the case report form were subject general, lifestyle, health measurement, record of expert, prescription and evaluation after medication. The part of the clinical symptoms of the record of expert allowed to be recorded in the 5-point scale for the collection of quantitative data as much as possible. Assuming a re-visit of the patient,if necessary, twice the recording were to be possible. At the same time, the eCRF and the protocol to collectconstitutional treatment cases were also developed. In this study, it will be able to more objectively standardize the medical decision making process that the experts of constitutional prescription decision. As a result, it willbe possible to provide the standardized constitutional medical services.Key Words: Sasang Constitution, Case Report Form, Medical Decision Making, Clinical Decision Support System, Prescription

Sasang Constitutional Characteristic of Amyotrophic Lateral Sclerosis

Abstract Sasang Constitutional Characteristic of Amyotrophic Lateral Sclerosis Soo-Jung Park, Ho-Hyun Jeong * , Eun-Su Jang † , Sang-Hyuk Kim † , Sung-Chul Kim, Jong-Cheon JooDept. of Sasang Constitutional Medicine, Wonkwang University Jeonju Korean Medicine Hospital, * Dept. of Acupuncture and Moxibustional Medicine, Wonkwang University Gwangju Korean Medicine Hospital, † KM Health Technology Research Group, Korea Institute of Oriental MedicineObjectivesThe purpose of this study was to analyze the Sasang constitution and psychological traits of amyotrophic lateral sclerosis (ALS) patients and to utilize the results in treatment and management. MethodsThe differences of Sasang Constitution distribution, psychological characteristics, comorbid disorders between ALS group of 26 patients and general group of 1132 persons were investigated and analyzed.ResultsThere was no significant different distribution of Sasang Constitution between ALS group and general group but there was Yang-like personality tendency in ALS group than general group. In overall constitution, ALS group had the high prevalence rate of musculoskeletal disorders and diabetes than general group. In Soyangin constitution, ALS group had a high prevalence rate of musculoskeletal disorders than genral group. In Taeeumin constitution, ALS group had a high prevalence rate of diabetes and hypertension than general group.ConclusionALS patients have the Yang-like personality. It is due to the adaptation of personality on the environmental changeor coping strategy on diseases rather than the characteristics of congenital Sasang Constitution.Key Words: Amyotrophic lateral sclerosis, Sasang Constitution, Personality, Comorbid disorder

Correlation between Positive·Negative Affect and Quality of Life in different Sasang Constitutions

Abstract Correlation between Positive·Negative Affect and Quality of Life in different Sasang Constitutions Ho-Seok Kim, Sang-Hyuk Kim, Si-Woo Lee, Young-Hwa Back, Jong-Hyang YooKorea Institute of Oriental MedicineObjectivesThe purpose of this study was to examine the effects of positive and negative emotion on the quality of life(QoL)in each Sasang contitution, using Positive Affect and Negative Affect Schedule(PANAS) and Short Form-12 HealthSurvey Questionnaire(SF-12) questionnaire.MethodsA total of 1,123 participants completed the Korean version of the PANAS and SF-12 questionnaire. The partici pantswere classified into one Sasang constitution by QSCCU . The effects of emotion on the QoL were compared betweenthe each Sasang contitution using analysis of variance(ANOVA).Results We found significant differences between constitutions in Positive Affect(PA), PA-Joy, PA-Interest and PA-Activationof PANAS. And we found significant differences between constitutions in Mental Component Summary(MCS) of SF-12. Negative correlation of less Q 0.4 was shown in Negative Affect(NA), NA-Afraid, NA-Upset of PANASand MCS of SF-12.ConclusionsThe Soyangin has significantly higher score than Soeumin in PA, PA-Joy, PA-Interest and PA-Activation of PANASas previous studies. This study also shows the correlation between negative emotion and decline in the qualit y of mental status.Key Words: Sasang Constitution, Positive Affect and Negative Affect Schedule, Quality of Life, Short Form-12 Health Survey Questionnaire, Personality, Sasang Constitutional Medicine

A Study on the Physiological Symptoms and Pathological Symptoms of Vietnamese according to Sasang Constitutions

Abstract A Study on the Physiological Symptoms and Pathological Symptoms of Vietnamese according to Sasang Constitutions Ji-Hye Kwon, Hye-Joo Park, Pham Duc Duong, Sang-Oak Dong, Eun-Su Jang, Si-Woo Lee, Sang-Hyuk Kim, Jong-Hyang YooKorea Institute of Oriental MedicineObjectivesIn this study, the Sasang Constitutional diagnosis were carried out to Vietnamese subject living in Vietnam, and the external applicability of Sasang Constitutional Medicine was evaluated by analyzing the physiological symptomsand the pathological symptoms according to their constitutions. MethodsTotal 170 Vietnamese subjects who live in Hanoi were invited from Sep. 2012 to Jun. 2013 for the research, and subjects were diagnosed by 2 Sasang Constitution Medicine specialists. The collected data were analyzed in terms of the physiological symptoms and the pathological symptoms according to the Sasang Constitutions. ResultsThere were significantly different in the physiological symptoms according to Sasang Constitutions, which were ‘digest’, ‘perspiration’, ‘excrement’, ‘hot and cold’, ‘water’ and in the pathological symptoms, which were ‘sting pain in head’ in Soyangin, ‘back pain’ in Soeumin, ‘chest discomfort’ in Taeeumin, ‘skin discomfort’ in Taeeumin,‘fatigue in the afternoon’ in Soyangin, ‘digestion’ in Soeumin.ConclusionsThe Sasang Constitution Medicine which is a Korean traditional medicine is also applicable to foreign countries,and it can contribute to the health promotion. Key Words: Sasang Constitution, Physiological Symptoms, Pathological Symptoms, Vietnamese

A Report on the Collecting Status of the Prospective Clinical Data Included the Constitutional Prescription

A Report on the Collecting Status of the Prospective Clinical Data Included the Constitutional Prescription Sang-Hyuk Kim, Ho-Seok Kim. Ki-Hyun Park, Siwoo Lee Mibyeong Research Center, Korea Institute of Oriental Medicine 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.

A Study about a Short-form of the Sasang Constitution Questionnaire for Patient (SSCQ-P)

A Study about a Short-form of the Sasang Constitution Questionnaire for Patient (SSCQ-P) Jong-Hun Jeong, Soo-Hyung Jeon, Young-Ju Na, Seok-Hwan Kang Sang-Oak Dong, Si-Woo Lee, Kyu-Kon Kim, Jong-Won Kim, Sang-Hyuk Kim Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Dong Eui Univ. Korean Medicine Health Technology Group, Korea Institute of Oriental Medicine, Daejeon, Korea Dept. of Data Information Science, Dong Eui Univ. Objectives This study was performed to make a short-form of Sasang Constitution Questionnaire for Patient(SSCQ-P). Methods In order to select important questions of SSCQ-P, we got advice from 10 professors of Oriental Medicine. As a result, we chose 37 questions. In addition, we selected 69 questions which had been used more than 12 times in SSCQ-P as the variable. We used some statistical methods to reduce questions. Finally, a total of 40 questions were selected. To find diagnostic accuracy rate of this short-form, discriminant analysis was performed. We used 1378 cases which was collect ed from February 2008 to June 2013 by online system(Sasang-medi data which has selected by web site, http://www.sasangmedi.or.kr), and 68 cases which was collected from November 2006 to September 2007 by the research Construction of a biological information collection system for the Constitutional scientific diagnosis(Korea Constitutional Multicenter Bank data, KCMB data) Results We made a short-form of SSCQ-P consisting of 40 questions. Diagnostic accuracy rate of short-form is 66.18% using Sasang-medi data, and 42.65% using KCMB data. Conclusions More cases are needed to improve the diagnostic accuracy rate of this short-form.

Recognition of and interventions for Mibyeong (subhealth) in South Korea: a national web-based survey of Korean medicine practitioners

Background Medically unexplained symptoms (MUSs) are common in primary care. At present, there are no proven, comprehensive treatments available in primary care for patients with MUSs. However, MUS has parallels with “subhealth” or Mibyeong from traditional East-Asian medicine, and thus, Mibyeong interventions could be effective in treating MUS. Unfortunately, studies on Mibyeong and its intervention methods are relatively rare. Methods We administered a web-based survey to 17,279 Korean medicine (KM) practitioners registered with the Association of Korean Medicine. The response rate was 4.9% (n = 849). Based on the responses received, we assessed how much they agreed with concepts related to Mibyeong on a 7-point scale from “do not agree” to “strongly agree.” Respondents were also asked to indicate how frequently they encountered various subtypes and patterns of Mibyeong, and how frequently they use listed intervention methods. Results Data from 818 respondents were analyzed after excluding those with no clinical experience. On average, respondents were male general practitioners aged between 30 years and 49 years, working or living in metropolitan areas such as Seoul, Incheon, and Gyeonggi-do. Responses did not differ by demographics. Respondents generally thought that Mibyeong referred to subjective or borderline findings without certain disease, and that Mibyeong has various subtypes and patterns. Subtypes included fatigue, pain, and digestion problems; patterns were either deficiencies (e.g., qi, blood, and yin deficiency) or stagnations (e.g., liver qi depression and qi stagnation). Decoction was the most frequently used type of intervention for Mibyeong of all items listed, followed by acupuncture and moxibustion. Patient education was also recommended, suggesting healthy eating, promoting healthy environment, and exercise. Conclusion We were able to provide preliminary results on KM practitioners’ recognition of and interventions for Mibyeong, but further research is needed to develop a detailed definition of Mibyeong and its myriad subtypes and patterns, and evaluations of the efficacy of Mibyeong interventions.