• The Journal of Korean Medicine
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• v.26 no.2 s.62
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• pp.126-139
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• 2005

Objective: This study was undertaken to examine the reliability of disease mechanism diagnosis, estimate the disease mechanism items of questionnaires and inquire about the relation of disease mechanisms to the oriental OB & GY diagnosis program. Questionnaires and abridged questionnaires were used for the object diagnosis of oriental medicine in the dept of Oriental OB & GY, Oriental Medical Hospital of Dong-Eui University. Methods: We analyzed the results of questionnaires about 1706 outpatients who had OB & GY disease in the Oriental Medical Hospital of Dong-Eui University from April 2000 to March 2004. Results: 1. The reliability of Oriental OB & GY questionnaires between $90\%$ and $95\%$ were 9 cases, between $85\%$ and $90\%$ were 3 cases, and under $85\%$were 3 cases. Abridged questionnaires were lower than original questionnaires, but 12 cases of a total 15 cases of disease mechanism were above $85\%$. Therefore, both abridged questionnaires and original questionnaires had similar results. 2. Abridged questionnaires were usually lower than existing questionnaires in the comparison of disease mechanism output frequency and that of disease mechanism average score. Therefore, the results of abridged questionnaires seemed to be poorer than those of existing questionnaires, but a great difference wasn't seen. 3. Disease mechanism that was over $50\%$ in the rate of pure question per disease mechanism was 10 cases $(66.7\%)$. Disease mechanism that contributed to producing disease mechanism result and in which pure question was over relevance calculation 0.9 was also 10 cases $(66.7\%)$. In abridged questionnaires, the duplication of questions per disease mechanism Was decreased, the rate of pure questions was increased, and the number of related disease mechanisms was decreased by abridgment of the questionnaires' questions. 4. The calculation of disease mechanism went with the increase of the duplication of questions in many cases, but Tam­Umhe, Kihe-Hyule, Kihe-Umhe, and Shin-Tam went with disease mechanism in many cases despite no duplication of questions. Conclusions: About the reliability of Oriental OB & GY questionnaires, 12 of a total 15 cases of disease mechanism were above $85\%$; therefore both abridged questionnaires and original questionnaires had similar results.

• The Journal of Korean Obstetrics and Gynecology
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• v.27 no.4
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• pp.57-68
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• 2014

Objectives: The purpose of this research is to investigate the relationship between Sasang constitution and cold hypersensitivity. Methods: We investigated 391 outpatients who visited Dong-Eui Oriental Hospital OB & GY from June 12, 2013 to April 18, 2014. Among 134 patients who complained feeling of cold, we analyzed 107 patients whose Sasang constitution is confirmed. Results: 1. There were 21 persons 19.8% of under age 27, 28 persons 26.4% of age 28-34, 23 persons 21.7% of age 35-41, 18 persons 17% of age 42-48, 16 persons 15.1% of age over 49. 2. Among 107 patients, there were 52 persons 48.6% of Soeumin, 29 persons 27.1% of Taeeumin, 25 persons 23.4% of Soyangin, 1 person 0.9% of Taeyangin. And Taeyangin interior disease was 1 case 100%, Soyangin exterior disease was 22 cases 88% and interior disease was 3 cases 12%, Taeeumin exterior disease was 11 cases 37.9% and interior disease was 18 cases 62.1%, Soeumin exterior disease was 19 cases 36.5% and interior disease was 33 cases 3.5%. 3. In the distribution of cold-hypersensitive part, hands and feet with chills were 58 cases 4.7% by largest number, and the following was hands and feet in 24 cases 22.6%. 4. In the distribution of chief complaint, there were 25 cases 23.58% of menstrual pain, 19 cases 17.92% of postpartum symptoms, 17 cases 16.04% of oligomenorrhea and hypomenorrhea, 14 cases 13.21% of cold hypersensitivity. 5. In the distribution of chief complaint depending on age, menstrual pain of under age 27, postpartum symptoms of age 35-41 and cold hypersensitivity of over age 49 were at a high rate. Conclusions: Results suggest that patients with symptom of cold hypersensitivity have some tendencies in age, Sasang constitution, chief complaint, cold-hypertensive part.

• The Journal of Korean Obstetrics and Gynecology
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• v.26 no.2
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• pp.46-65
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• 2013

Purpose: Generally menstrual disorder caused by functional deficiency of ovary is not treated clinically because it manifests as normal process of growth. In this study we collected experimental group having several or severe menstrual disorder and we tried to find out whether there is any relationship between menstrual disorders and the function of Thoroughfare and Conception vessels or not. Methods: First, this study was researched to learn the meaning and the symptoms of 'the emaciation of Thoroughfare and Conception vessels', and to learn the relationship between menstrual disorders and 'the emaciation of Thoroughfare and Conception vessels' through literature review. And we set up a experimental group who have two or more menstrual disorders or severe degree of menstrual disorders(N=97) and control group who don't have menstrual disorders(N=97) as a result of the menstruation survey. Afterwards we conducted the DSOM in both experimental group and control group. Results and Conclusions: The meaning of 'the emaciation of Thoroughfare and Conception vessels' is deficiency of qi and blood from the Thoroughfare and Conception vessels. As a result, the female reproductive system is difficult to be worked properly with deficiency of skin, muscles, bone, and vessels. Symptoms of the emaciation of Thoroughfare and Conception vessels are classified into drying, skinny body, feeling of cold, menstrual disorders, pain and personality traits. In this study, severity of drying, skinny body, feeling of cold, menstrual disorders, pain and personality traits is significantly higher in experimental group than in control group. Like this, symptoms of 'the emaciation of Thoroughfare and Conception vessels' appear with menstrual disorders because disorder of circulation is occurred by qi and blood deficiency of Thoroughfare and Conception vessels. It is appropriate to identify this case as 'the emaciation of Thoroughfare and Conception vessels' pattern and necessary to treat actively through regulating qi and blood in advance.

• The Journal of Korean Obstetrics and Gynecology
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• v.26 no.1
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• pp.82-91
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• 2013

Objectives: The purpose of this study is to find out the patterns of teenage girls who is easy to suffer from Menstrual Disorders. Methods: The data from the 1681 participants were collected using a structured menstrual history questionnaire. Based on the survey responses, we had 97 adolescents with menstrual disorder as the test group and 97 adolescents without menstrual disorder as the control group. The clinical trials subjects were asked to respond to another questionnaire for identifying Blood Pressure Pulse Analyzer tests. We identified significant variables for dysmenorrhea from comparison between the test and control group; a binary response variable from the test group's responses for ever experiencing dysmenorrhea and explanatory variables from Blood Pressure Pulse Analyzer. Results: The reselts of Blood Pressure Pulse Analyzer test showed that the score of Energ_R, EIX_R were lower in dysmenorrhea group than the control group. The reselts of Blood Pressure Pulse Analyzer test showed that the score of Energ_R, EIX_R were lower, and T4_R were higher in hypomenorrhea group than the control group. The reselts of Blood Pressure Pulse Analyzer test showed that the score of Energ_R, EIX_R were lower in Irregular Menstruation group than the control group. Conclusions: Blood Pressure Pulse Analyzer test showed that the score of Energ_R, EIX_R were lower in the test group than the control group.

• Journal of Oriental Medical Thermology
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• v.2 no.1
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• pp.11-16
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• 2003

Purpose D.I.T.I. can be used to diagnose the dysmenorrhea and prove the Oriental Medical Theory and the Sasang Constitutional Medicine concerning Dysmenorrhea. According to the Sasang Constitutional Medicine, we chose 39 dysmenorrhea patients (Soeumin 26 Patients, Taeumin 13 Patients) and expremented D.I.T.I. to find difference of chilliness and fever in the upper part of body and the lower part of body. Methods We expremented 39 dysmenorrhea patients chosena expremental group from Apr 1. 2002 to May 30, 2002. We diagnosed the constitution by Q.S.C.C. and selected six acu-points CV-17, CV-12, CV-4, G-21, B-15 and B-23. To appraise difference of temperature according to constitution we compared skin temperature of front to back. Result Mean Absolute Value of ${\Delta}T$ in body (front and back) shows significant difference. Totally the temperature of front is higher than the temperature of back. the temperature of Soeumin is higher than the temperature of Taeumin in whole. Conciusion Especially the upper abdomen area(CV-17) shows high temperature in 39 dysmenorrhea patients, the lower abdomen area (CV-4) of Soeumin shows lower temperature relatively.

• The Journal of Korean Obstetrics and Gynecology
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• v.26 no.4
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• pp.150-168
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• 2013

Purpose: The purpose of this study is to find out the patterns of teenage girls who is easy to suffer from dysmenorrhea with the Inbody test results by Sasang constitutions. Methods: The data from the 1681 participants were collected using a structured menstrual history questionnaire. Based on the survey responses, we had 97 adolescents with menstrual disorder as the test group and 97 adolescents without menstrual disorder as the control group. The clinical trials subjects were asked to respond to another questionnaire for identifying their constitutional types and undergo Inbody test. Results: The result of a comparison of the test and control groups showed that there' no relevance to the body fat mass and body fat percentage with menstrual irregularities. The lesser yang person with menstrual irregularities was no relevance to the body fat percentage. The greater yin person with menstrual irregularities was especially lacking in body fat mass and body fat percentage. The lesser yin person with menstrual irregularities was poor in body fat mass. Conclusions: As for study, female high school students with menstrual disorders have nothing to do with muscle mass. Body fats shortage could pose problems. According to the study, Taeumin female high school students usually needed to higher body fat than a general standard. It seems to be needed more body fat and weight than modern standards in period of poor sexuality for having a normal menorrhea especially Taeumin. It will take some continuing study that BMI standards should be changed or not on the Sasang constitutions.

• The Journal of Korean Obstetrics and Gynecology
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• v.26 no.4
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• pp.169-190
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• 2013

Purpose: The purpose of this study is to examine acupuncture treatment suggested in the papers of endometrisis in Chinese Medicine Journals and to establish the further direction. Methods: The papers which were associated with endometrisis and acupuncture published between 2000 and 2012 in China Academic Journal were reviewed. Results: 25 studies met the condition. Acupuncture is reported as significant in improving clinical symptoms and reducing the size of endometrisis, which covers acupuncture, moxibustion, and burning acupuncture. Conclusions: Acupuncture treatment seems to be effective on endometrisis, from the paper research. It would be necessary to fulfill further study with a diversity of remedies and establish standard of evidence of them.

• The Journal of Korean Obstetrics and Gynecology
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• v.32 no.2
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• pp.29-49
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• 2019

Objectives: This study was a methodological study to verify the reliability and validity and to make a diagnosis of a diagnostic tool for climacteric and postmenopausal syndrome pattern identification (CaPSPI). Methods: This study was conducted from June 1, 2018 to October 18, 2018 with ${{\bigcirc}{\bigcirc}}$ University Korean Medicine Hospital IRB's approval (2018-3). To make a diagnosis using CaPSPI, we decided the cut-points for the tool. Three professors of ${{\bigcirc}{\bigcirc}}$Korean Medical University conducted pattern identification diagnosis. The result is marked from 0 to 3, 0 is 'No', 1 is 'Slightly Yes', 2 is 'Yes' and 3 is 'Very Yes'. And if two or more professors' diagnoses are the same, we took the diagnoses as a diagnostic criteria. The decision of pattern by three experts converted to 0-1 scores in two ways. In "method 1", if the diagnosis was zero points, the score was 0 (have no such identification), and the rest was 1 (have such identification). In "method 2", if the diagnosis was zero or 1 point, the score was 0, and the rest was 1. After that, intraclass correlation was calculated for experts agreement. And logistic regression was conducted. A response variable was the results of the experts' diagnosis and an explanatory variable was the results of the pattern identification diagnostic tool. Results: The diagnosis of the three experts showed excellent concordance of more than 0.794 and showed a significant correlation with the diagnostic tool. Both 'Method 1' and 'Method 2' showed statistically significant effects with the diagnosis of 3 experts and the results of the diagnostic tool. The frequency of cumulative pattern identification diagnosis in 'Method 1' and 'Method 2' were found to be 578 occasions and 203 occasions, respectively. The average number of pattern held by participants in 'Method 1' and 'Method 2' were found to be 5.26 and 1.85, respectively. In both "Method 1" and "Method 2," the yield frequency of liver qi depression was the highest, and the frequency of kidney yin deficiency and liver-kidney yin deficiency was relatively high. Conclusions: Based on the above results, it is thought that, in diagnosis using CaPSPI of menopausal women, 'method 1' could be used for the health diagnosis and prevention, 'method 2' could be used for the pattern diagnosis. On the conclusion, CaPSPI is thought to be available for pattern diagnosis of menopause women.