Urinary Function of the Sasang Type and Cold-Heat Subgroup Using the Sasang Urination Inventory in Korean Hospital Patients.

Seul Lee,Minwoo Hwang,Sang Yun Han,Nayoung Bae,Jeongyun Lee,Han Chae,Yongjae Lee

doi:10.1155/2020/7313581

Abstract

Introduction The Sasang type-specific pathophysiological symptom is pivotal for the Sasang type classification and pattern identification. The Sasang Urination and Defecation Inventory (SUDI) for urinary function analysis was developed; however, the clinical usefulness of urination-related subscales of SUDI in the Sasang type and Cold-Heat subgroup was not reported with acceptable validation analysis. Methods The clinical diagnosis of the Sasang type and Cold-Heat subgroup, responses to SUDI items, and weight and height of the 350 hospital patients were acquired retrospectively. The Sasang Urination Inventory (SUI) with SUI-CHR (problematic physical characteristics of urine), SUI-HSS (hypersensitivity of urinary urgency and high frequency), and SUI-DIS (urinary discomfort of hesitancy and residual urine sense) subscales using 12 items of SUDI were improvised. The item and construct validity of the SUI were examined using item response theory and confirmatory factor analysis, and the clinical usefulness of the SUI in Sasang type and Cold-Heat subgroup differentiation was attested. Results The SUI and its subscales showed acceptable structural validity and have clinical usefulness in the Tae-Eum type. The Tae-Eum type has a significantly higher SUI-CHR score than did the So-Yang type, and the Heat subgroup has a significantly higher SUI-HSS score than did the Cold subgroup in the Tae-Eum type. Discussion. The distinctive Sasang type- and Cold-Heat subscale-specific pathological symptoms in urinary function were revealed using the SUI. The SUI combined with objective Sasang typology measures might be useful for integrative precision medicine combining Eastern and Western practice and for evidence-based clinical education for medical professions.

Highlights

Previous studies on the Sasang typology showed the biopsychological characteristics [5, 6] that the So-Yang type has high Sasang Personality Questionnaire (SPQ) [7, 8] total score, high NEO-Personality Inventory Extraversion score, high Temperament and Character Inventory (TCI) Novelty-Seeking, and low TCI HarmAvoidance score, while the So-Eum type is on the contrary
Hospital records of 350 inpatients and outpatients of the Pusan National University Korean Medicine Hospital from October 2016 to August 2019 were included for the current analysis. e sex, age, height, weight, Sasang type, Cold-Heat subgroup, and responses to the Sasang Urination and Defecation Inventory (SUDI) questionnaire items acquired at the time of outpatient visit or hospitalization were retrieved and analyzed
Discussion e current study provided the Sasang type- and Cold-Heat subgroup-specific clinical features for clinical type and pattern identification using well-validated Sasang Urination Inventory (SUI) (Table 1) that might conciliate the medical theory of Jema Lee [2, 18], previous studies [22], and clinical practice in a traditional Korean medical hospital

Summary

Introduction

Introduction eSasang typology divides persons into four groups of Tae-Yang, So-Yang, Tae-Eum, and So-Eum Sasang types based on their typical psychological, physical, and pathological features [1, 2] and subsequently suggests safe and effective type- and subgroup-specific treatment using acupuncture [3] and medical herbs [4].Previous studies on the Sasang typology showed the biopsychological characteristics [5, 6] that the So-Yang type has high Sasang Personality Questionnaire (SPQ) [7, 8] total score, high NEO-Personality Inventory Extraversion score, high Temperament and Character Inventory (TCI) Novelty-Seeking, and low TCI HarmAvoidance score, while the So-Eum type is on the contrary.Evidence-Based Complementary and Alternative MedicineAs for the physical features [9,10,11], the Tae-Eum type has high body mass index (BMI), high Ponderal Index (PI), high Sasang Digestive Function Inventory (SDFI) score, high parasympathetic reactivity, and low sympathetic reactivity, while the So-Eum type has opposite features.there have been studies stating that specific disease is frequent in certain Sasang types. Sasang typology divides persons into four groups of Tae-Yang, So-Yang, Tae-Eum, and So-Eum Sasang types based on their typical psychological, physical, and pathological features [1, 2] and subsequently suggests safe and effective type- and subgroup-specific treatment using acupuncture [3] and medical herbs [4]. As for the physical features [9,10,11], the Tae-Eum type has high body mass index (BMI), high Ponderal Index (PI), high Sasang Digestive Function Inventory (SDFI) score, high parasympathetic reactivity, and low sympathetic reactivity, while the So-Eum type has opposite features. The So-Eum type has psychological problems of depression [5] and posttraumatic stress disorder [17]

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