• Journal of Physiology & Pathology in Korean Medicine
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• v.22 no.6
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• pp.1410-1415
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• 2008

Acupuncture and herbal treatment are based on diagnosis of cold and heat pattern in Traditional Korean Medicine. This diagnosis is accomplished through pulse, tongue and question examination, which are not objective. Quantification and objectification of this diagnosis process are required for efficacious treatment and traditional medicine development. In this study, we developed the cold-heat pattern questionnaire for this purpose. Seventy nine patients who visited oriental medical hospital were included in this study. The cold-heat pattern questionnaire was composed of many questions about patient's physical condition, which were derived from The Traditional Oriental Medical Literature with Delphi Technique. Patients filled out the cold-heat pattern questionnaire by themselves. Diagnosis of cold and heat pattern are conducted separately by oriental medical doctors with more than 5 years' clinical experience. Various physical condition factors were derived for the cold-heat pattern questionnaire. (Preference temperature, Body temperature, Pain type, Face color, Urine, Stool and secretion features) Each cold and heat symptoms group acquired internal consistency. (Cronbach's ${\alpha}$ : Cold - 0.605, Heat - 0.722) There were significant associations between doctor's diagnosis and cold symptoms in 'Aversion to cold', 'Desire for heat', 'Pale face', 'Loose stools'. (p-value < 0.05) There were significant associations between doctor's diagnosis and heat symptoms in 'Desire for cold', 'Body feverishness', 'Thirst'. (p-value < 0.05) The internal consistency results suggest that the cold-heat pattern questionnaire assured reliability. Besides, these results showed that cold-heat symptoms are apt to appear together with, and this can be indirect evidence that diagnosis of cold-heat pattern is valuable for comprehension about disease pattern. Moreover, respective symptoms of cold-heat pattern showed different significance with doctor's diagnosis. Consequently these significant symptoms can be more considered for comprehension of cold-heat pattern.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.6 no.3
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• pp.452-463
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• 1999

This study was performed to inquire into recognition of cold and heat application. The subjects in the study were 429 adults who were collected by disproportional quota sampling according to age, sex. The instrument was 36 questions that constitured closed questions and semiopened questions that encluded general characteristics, recognition of cold and heat applications. and what will you do when requested cold and heat applications on abdomial and perineal areas. Data were collected from september 25 to October 25, 1998. Data was analysed by SPSS/win, into frequency, Pearson correlation, t-test, ANOVA. The results were following. 1) The subjects consisted of male and female who was from teenage to fifty year old above. According to general characteristics, who endureed moderate cold-heat application, had constitutional fever, good sweat, and taked a cold bath accationally. And the woman think that their body were more cold than man. and the number of cold bath was less than man. Woman felt more harder than man that endured exposing cold. According to the recognitions of cold-heat applications, the 61.9% of the subjects think that cold application is more positive, and the 61.7% of the subjects think that heat application is more positive. 2) The subjects think that oral cavity, abdomen, back, extremes must be warm. 3) The percents of cold or heat application at abdomen were 77.4%, 86.5% respectely and the percents of cold or heat application at perineum were 56.9%. 93.6% respectely. With the above results. we know that the subjects have the fixed perceptions that each body part has to maintain its temperature. especially, they think that postpartum care is correlated with cold-heat application. So when we intervent nursing care, we also must regard their recognitions of cold and heat applications. and we need to educate and explain correctly about cold-heat application.

• Herbal Formula Science
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• v.24 no.1
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• pp.31-43
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• 2016

Objectives Based on related literature, cold and heat, deficiency and excess, true and false, and actually used formulas, paradoxical treatments presented in the 『Plain Questions of Inner Canon of Yellow Emperor』 including ‘treating pseudo-heat symptoms and real cold syndrome with cold herbs, treating pseudo-heat symptoms and real cold syndrome with cold herbs’ were analyzed.Methods Out of literature, paradoxical treatment related classics and papers were investigated and analyzed. Among diseases and syndromes, real cold syndrome with pseudo-heat symptoms, real heat syndrome with pseudo-cold symptoms, real deficiency syndrome with pseudo-excess symptoms, and real excess syndrome with pseudo-deficiency symptoms were reviewed. Among formulas, typical examples of the above mentioned paradoxical treatments were used as examples to analyze paradoxical treatments.Results Treating pseudo-heat symptoms and real cold syndrome with cold herbs is a method that uses herbs with cool and cold nature to treat real cold syndrome with pseudo-heat symptoms and Tongmaeksayeokgajeodamjeuptang is suitable for this method. Treating pseudo-cold symptoms and real heat syndrome with hot herbs is a method that uses herbs with warm and hot nature to treat real heat syndrome with pseudo-cold symptoms and Baekhogainsamtang is suitable for this method.Conclusions Based on the related literature, cold and heat, deficiency and excess, true and false, and actually used formulas examined as mentioned above, the paradoxical treatments presented in the 『Plain Questions of Inner Canon of Yellow Emperor』 are thought to be reasonable paradoxical treatments that fit the diseases and syndromes that actually appeared in our bodies.

• The Journal of Korean Medicine
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• v.42 no.4
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• pp.185-196
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• 2021

Objectives: Many symptoms of cold and heat patterns are related to the thermoregulation of the body. Thus, we aimed to study the association of cold and heat patterns with anthropometry/body composition. Methods: The cold and heat patterns of 2000 individuals aged 30-55 years were evaluated using a self-administered questionnaire. Results: Among the anthropometric and body composition variables, body mass index (-0.37, 0.39) and fat mass index (-0.35, 0.38) had the highest correlation coefficients with the cold and heat pattern scores after adjustment for age and sex in the cold-heat group, while the correlation coefficients were relatively lower in the non-cold-heat group. In the cold-heat group, the most parsimonious model for the cold pattern with the variables selected by the best subset method and Lasso included sex, body mass index, waist-hip ratio, and extracellular water/total body water (adjusted R² = 0.324), and the model for heat pattern additionally included age (adjusted R² = 0.292). Conclusions: The variables related to obesity and water balance were the most useful for predicting cold and heat patterns. Further studies are required to improve the performance of prediction models.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.13 no.1
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• pp.72-80
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• 2009

Objective: We performed this study to check relationship of Cold-Heat attribute analyzed quantitatively by questionnaire with acoustic analysis index. Method : We checked a questionnaire composed of 15 items about the contents of Cold-Heat and asked 83 subjects to answer in the form Likert-like 7-points score. And then, we extracted Cold-Heat attribute from heat score, cold score, heat index and cold index. we measured the acoustic analysis indexes of cardinal vowels by Dr. speech program. Afterward, the data were analyzed by correlation analysis. Results : All cardinal vowels is positive correlated with cold score, heat score and cold index. NNE of vowel /a/ is negative correlated with cold index. Shimmer and F0 tremor of vowel /e/ is negative correlated with cold index. Jitter of vower /u/ is positive correlated with Cold score.

• Journal of Physiology & Pathology in Korean Medicine
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• v.30 no.6
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• pp.466-473
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• 2016

This study intended to find out the most substantial items in cold and heat pattern identification(CHPI) questionnaire based on usual symptoms through CHPI diagnosis and evaluation by experts. 120 participants, faculties of OO university, filled out CHPI questionnaire based on usual symptoms by the way of self-reporting. Then 2 Korean Medicine doctors independently diagnosed them whether they belonged to cold pattern identification(PI) or heat PI, and scored the result of it. Pearson correlation of 2 experts was 0.649 in cold PI and 0.605 in heat PI. Agreement was 75.8%(Kappa value 0.516) in cold PI and 74.2%(Kappa value 0.465) in heat PI. Pearson correlation of 2 experts was 0.649 in cold PI and 0.605 in heat PI. Agreement between two experts was 75.8%(Kappa value 0.516) in cold PI and 74.2%(Kappa value 0.465) in heat PI. Items of high correlation with experts' evaluation followed next: "do not usually like the cold", "usually like the warm", "usually feel cold" in cold PI and "do not usually like the hot", "usually feel hot", "usually feel burning sensation in the body" in heat PI. We could infer from that facts that experts give weight on 'subjective feeling of cold or heat in participants body' and 'preference on sensation of cold and heat'. We also expect this study to be an epidemiological foundation to disclose correlation between usual CHPI and diseases.

• The Journal of Internal Korean Medicine
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• v.34 no.3
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• pp.267-277
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• 2013

Objectives : The aim of this study was to investigate the correlation between Cold-Heat pattern tendency and demographic traits, physical character, and vital signs in hypertensive patients taking anti-hypertensive agents. Methods : 28 hypertensive patients 30 to 69 years old were recruited. We assessed their general characteristics, physical characteristics (height, weight, waist circumference, etc.), vital signs without respiratory rate (blood pressure, pulse rate, temperature) and administered a Cold-Heat pattern questionnaire. After that, we analyzed statistical data on separate groups according to Cold-Heat characteristics or other criteria. Results : 1. Heat group patients had statistically higher scores in waist, body mass index (BMI), waist circumference and pulse rate. 2. Over weighted group patients had statistically lower scores in cold Pattern Identification. 3. Higher BMI group (above 23/25) patients had statistically significantly higher Heat scores and lower Cold scores, higher waist circumference group patients had lower Cold scores. Conclusions : From the above result in hypertensive patients taking hypertensive agents, Heat group had a obesity tendency and the inverse is also valid. Later, progressed study based on more samples and varied data will contribute to diagnosis the Cold-heat Pattern identification in hypertensive patients.

• Journal of Physiology & Pathology in Korean Medicine
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• v.30 no.2
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• pp.116-123
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• 2016

This study was performed to develop questionnaire of cold-heat pattern identification(PI) based on usual symptoms for general people, and we analyzed reliability of the questionnaire. We reviewed cold-heat PI questionnaire of advanced research and selected twenty-three items through three time experts meeting. Three hundred and fifty nine healthy subjects were joined in this study. As a results, Cronbach's α of cold-heat PI questionnaire was 0.79 and 0.83. According to the factor analysis about fifteen-chosen cold-heat PI questionnaires, each cold-heat consisted of two factors and each Convergence was 56.46% and 65.93%. Intra-class Correlation Coefficient was 0.67-0.83. Based on the median of samples of primary source, we classified subjects into four category as Cold, Heat, No Cold-Heat, and Cold-heat complex. We examined agreement of diagnosis and coefficient of kappa, and agreement rate of diagnosis was 64.2%, and coefficient of kappa was 0.51. Based on research result, we expect that validity study about questionnaire of cold-heat PI based on usual symptoms will be continued, and hope to be used as subsidiary diagnosis in clinical practice.

• Journal of Sasang Constitutional Medicine
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• v.29 no.4
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• pp.326-335
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• 2017

Objectives The purpose of this study was to analyze the difference of cold-heat pattern according to sasang constitution. Methods 3891 subjects were joined in this study. The sasang cinstitution diagnosis were proceeded by sasang constitution experts. The questionnaires and anthropometric measurements of the subjects were collected. Results The effect of gender and body mass index on the cold-heat pattern according to sasang constitution were significant. The effect of age on the cold-heat pattern according to sasang constitution were not significant. The distribution of short form-12 and blood test on the cold-heat pattern according to sasang constitution were significant. Conclusions There were significant different distribution of cold-heat pattern asscording to sasang constitution by gender, body mass index, short form-12, blood test.

• Asian-Australasian Journal of Animal Sciences
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• v.7 no.3
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• pp.357-362
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• 1994

Five adult sheep were exposed to intermittent cold for 12 h (18:00-06:00) at an air temperature of $5{\pm}1^{\circ}C$ followed by 12 h (06:00-18:00) at $25{\pm}2^{\circ}C$ over a period of 8 days continuously. Carotid artery blood (Tc), mean skin (Ts) and mean body (Tb = 0.86 Tc + 0.14 Ts) temperatures, heat production rate (HP), respiratory evaporative heat loss, respiration rate (RR) and volume were measured before and after exposure. Tc during the 12 h cold period of intermittent cold exposure was similar to that during the corresponding period in the warm environment, while Tc in the $25^{\circ}C$ of intermittent cold was higher (p < 0.05) than that in the corresponding period in the warm environment. Ts during the cold period markedly decreased (p < 0.001) by about $9^{\circ}C$ when compared with that in the corresponding time period in the warm environment, while Ts during the $25^{\circ}C$ period of intermittent cold recovered to a similar level to that in the warm environment. Tb was lower (p < 0.001) during the cold period of intermittent cold, whereas a slight increase in Tb during the $25^{\circ}C$ period of intermittent cold was significant (p < 0.05) when compared with the value during the similar period in the warm environment. HP was greatly increased (p < 0.001) by cold exposure, followed by an immediate decrease during the first one hour of the 12 h warm period, reaching a similar level to that in the warm environment. A lower (p < 0.05) RR was observed during both the cold and $25^{\circ}C$ period of intermittent cold than during the corresponding periods in the warm environment. The results of the present investigation clearly show that the body temperature of sheep increased during a 12 h warm period following 12 h of exposure to cold. These results suggest that during a warm period of an intermittent cold exposure cycle, heat could be shored in the animal body.