1
|
Comprehensive characterization of the chemical composition of Lurong dabu decoction and its absorbed prototypes and metabolites in rat plasma using UHPLC–Q Exactive Orbitrap–HRMS. Food Res Int 2022; 161:111852. [DOI: 10.1016/j.foodres.2022.111852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 08/12/2022] [Accepted: 08/21/2022] [Indexed: 11/23/2022]
|
2
|
Lee JH, Kim MG, Kim DY, Shin HW, Kang H, Koo BS, Kim KK. Effectiveness of an integrative medicine approach to improve cognitive dysfunction and dementia: An observational study. Medicine (Baltimore) 2022; 101:e30301. [PMID: 36197176 PMCID: PMC9509052 DOI: 10.1097/md.0000000000030301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Despite the urgent need to control dementia, an effective treatment has yet to be developed. Along with the Korean government's policy of cooperation between conventional medicine (CM) and Korean medicine (KM), integrative medical services for dementia patients are being provided. This study aimed to compare the integrative medical clinic (IMC) for dementia used by Dongguk University Hospitals (DUH) with other service models and to review the characteristics and treatment outcomes of patients who had visited DUH over the past 5 years. Patients' electronic medical records from May 2015 to June 2020 were searched and their data were analyzed to evaluate the IMC's service model. Patient demographic and clinical characteristics, diagnostic tests, and treatment patterns for CM and KM were collected. The proportion of patients who did not show worsening cognitive function was described in detail. A strength of the DUH integrative medicine clinic is its ability to manage both KM and CM patients in the same space at the same time. Among the 82 patients who visited the clinic during our study period, 56 remained for data analysis after we excluded patients who met the exclusion criteria; nineteen patients had diagnoses of mild cognitive impairment. Among collaboration patterns, the first visit to the IMC had the highest proportion (55.4%). Among diagnosed tests in CM, laboratory tests and neuropsychological tests were used the most. In KM, a heart rate variability test was frequently used. The most common CM treatment prescribed was anticonvulsants, with 22 patients (39.2%) receiving donepezil, whereas the most frequent KM treatments were acupuncture (82.1%) and herbal medicine (78.6%). Twelve patients were followed up with the Mini-Mental State Examination, and 8 demonstrated either no worsening or improved cognition (baseline Mini-Mental State Examination range: 21-26). All 8 patients had mild cognitive impairment including 6 with amnestic, multidomain impairment. This study searched for a way to improve cognitive dysfunction and dementia using an integrative approach, and it shows promising results for mild cognitive impairment. However, more precisely designed follow-up studies are needed to address the present work's limitations of a retrospective study design and a small sample size.
Collapse
Affiliation(s)
- Ji Hyun Lee
- Woorisaam Oriental Medicine Clinic, Goyang, South Korea
| | - Man Gi Kim
- Department of Oriental Neuropsychiatry, Dongguk University Ilsan Korean Medicine Hospital, Goyang, South Korea
- Department of Oriental Neuropsychiatry, Graduate School of Dongguk University, Seoul, South Korea
| | - Do Yeun Kim
- Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, South Korea
| | - Hye-Won Shin
- UCI Memory Impairments and Neurological Disorders (UCI MIND), Irvine, CA, USA
- RIIID Medical Group of Irvine, Irvine, CA, USA
| | - Hakmook Kang
- Biostatistics and Center for Quantitative Sciences, Vanderbilt University, Nashville, TN, USA
| | - Byung Soo Koo
- Department of Oriental Neuropsychiatry, Dongguk University Ilsan Korean Medicine Hospital, Goyang, South Korea
- Department of Oriental Neuropsychiatry, Graduate School of Dongguk University, Seoul, South Korea
- *Correspondence: Byung Soo Koo, Department of Oriental Neuropsychiatry, Dongguk University Ilsan Korean Medicine Hospital, Goyang 10326, South Korea (e-mail: ) and Kwang Ki Kim, Department of Neurology, Dongguk University Ilsan Hospital, Goyang, 10326, South Korea (e-mail: )
| | - Kwang Ki Kim
- Department of Neurology, Dongguk University Ilsan Hospital, Goyang, South Korea
- *Correspondence: Byung Soo Koo, Department of Oriental Neuropsychiatry, Dongguk University Ilsan Korean Medicine Hospital, Goyang 10326, South Korea (e-mail: ) and Kwang Ki Kim, Department of Neurology, Dongguk University Ilsan Hospital, Goyang, 10326, South Korea (e-mail: )
| |
Collapse
|
3
|
Analysis of Sasang Constitutional Medicine as an Optimal Preventive Care Strategy for Hemophilia Patients. BIOMED RESEARCH INTERNATIONAL 2020; 2020:4147803. [PMID: 32090089 PMCID: PMC7015185 DOI: 10.1155/2020/4147803] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/13/2019] [Revised: 09/25/2019] [Accepted: 12/06/2019] [Indexed: 11/20/2022]
Abstract
Introduction. Medical improvements have allowed hemophilia patients to anticipate an increased quality of life and life expectancy similar to that of the general population. Analysis of the potential disease symptoms of hemophilia patients based on a survey of Sasang Constitutional Medicine (SCM) is important for optimal preventive care and adjunctive therapy to avoid life-threating complications.
Collapse
|
4
|
Kim MJ, Lee DH, Ahn J, Jang YJ, Ha TY, Do E, Jung CH. Nutrikinetic study of fermented soybean paste ( Cheonggukjang) isoflavones according to the Sasang typology. Nutr Res Pract 2019; 14:102-108. [PMID: 32256984 PMCID: PMC7075739 DOI: 10.4162/nrp.2020.14.2.102] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Revised: 04/23/2019] [Accepted: 11/07/2019] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND/OBJECTIVES In Oriental medicine, certain foods may be beneficial or detrimental based on an individual's constitution; however, the scientific basis for this theory is insufficient. The purpose of this study was to investigate the effect of body constitution, based on the Sasang type of Korean traditional medical classification system, on the bioavailability of soy isoflavones of Cheonggukjang, a quick-fermented soybean paste. SUBJECTS/METHODS A pilot study was conducted on 48 healthy Korean men to evaluate the bioavailability of isoflavone after ingestion of food based on constitution types classified by the Sasang typology. The participants were classified into the Taeeumin (TE; n = 15), Soyangin (SY; n = 15), and Soeumin (SE; n = 18) groups. Each participant ingested 50 g of Cheonggukjang per 60 kg body weight. Thereafter, blood was collected, and the soy isoflavone metabolites were analyzed by ultra-performance liquid chromatography/quadrupole time-of-flight mass spectrometry. Ntrikinetic analysis of individual isoflavone-derived metabolites was performed. RESULTS Our nutrikinetic analysis identified 21 metabolites derived from isoflavones in the blood samples from 48 healthy Korean men (age range, 21-29 years). Significant differences were observed in the time to maximum concentration (T max) and elimination half-life (t 1/2) for nine metabolites among the three groups. The T max and t 1/2 of the nine metabolites were higher in the SE group than in the other groups. Moreover, the absorption rates, as determined by the area under the plasma-level curve (AUC) values of intact isoflavone, were 5.3 and 9.4 times higher in the TE group than in the SY and SE groups, respectively. Additionally, the highest AUC values for phase I and II metabolites were observed in the TE group. CONCLUSIONS These findings indicate that isoflavone bioavailability, following Cheonggukjang insgestion, is high in individuals with the TE constitution, and relatively lower in those with the SE and SY constitutions.
Collapse
Affiliation(s)
- Min Jung Kim
- Research Division of Food Functionality, Korea Food Research Institute, Wanju-gun, Jeonbuk 55365, Republic of Korea
| | - Da-Hye Lee
- Research Division of Food Functionality, Korea Food Research Institute, Wanju-gun, Jeonbuk 55365, Republic of Korea.,Department of Food Biotechnology, Korea University of Science and Technology, Wanju-gun, Jeonbuk 55365, Republic of Korea
| | - Jiyun Ahn
- Research Division of Food Functionality, Korea Food Research Institute, Wanju-gun, Jeonbuk 55365, Republic of Korea.,Department of Food Biotechnology, Korea University of Science and Technology, Wanju-gun, Jeonbuk 55365, Republic of Korea
| | - Young-Jin Jang
- Research Division of Food Functionality, Korea Food Research Institute, Wanju-gun, Jeonbuk 55365, Republic of Korea
| | - Tae-Youl Ha
- Research Division of Food Functionality, Korea Food Research Institute, Wanju-gun, Jeonbuk 55365, Republic of Korea.,Department of Food Biotechnology, Korea University of Science and Technology, Wanju-gun, Jeonbuk 55365, Republic of Korea
| | - Eunju Do
- Clinical Trial Convergence Commercialization Team, Korea Medicine Industry Support Center, Daegu Technopark, Susung-gu, Daegu 42158, Republic of Korea
| | - Chang Hwa Jung
- Research Division of Food Functionality, Korea Food Research Institute, Wanju-gun, Jeonbuk 55365, Republic of Korea.,Department of Food Biotechnology, Korea University of Science and Technology, Wanju-gun, Jeonbuk 55365, Republic of Korea
| |
Collapse
|
5
|
Effect of Lifestyle Factors on Hypertension by Constitution Type: A Large Community-Based Study. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2019. [DOI: 10.1155/2019/3231628] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Background. The risk of hypertension differs according to lifestyle factors and individual constitution types. The aim of this study was to investigate the effect of lifestyle factors on hypertension and to assess whether those effects differ according to the constitution types. Methods. A total of 5,793 men and women were recruited between 2012 and 2014. Odds ratios for hypertension associated with constitution types and lifestyle factors were estimated. Lifestyle factors included smoking status, body mass index, alcohol consumption, physical activity, and sleep quality. Constitution types were estimated based on the Sasang constitutional medicine as the TE type, SE type, and SY type. Results. The risk of hypertension was significantly higher for SY (odds ratio 1.25 (95% confidence interval 1.03 to 1.52) and TE types (1.38 (1.10 to 1.74)) than the SE type even with adjustment of health behaviors. Compared with individuals who had an unhealthy lifestyle, those with healthy lifestyle scores showed significantly lower risk of hypertension in only SY (odds ratio 0.62 (95% confidence interval 0.48 to 0.81)) and TE types (0.69 (0.58 to 0.81)). The difference in risk for hypertension among constitution types was decreased with a healthy lifestyle (1.34 in SY and 2.35 in TE types, as compared with the SE type) versus an unhealthy lifestyle (2.21 in SY and 3.64 in TE types, as compared with the SE type). Conclusion. The risk of hypertension was different by Sasang constitution types. The impact of lifestyle factors differed according to Sasang constitution types, and the difference in risk of hypertension among constitution types was decreased with a healthy lifestyle.
Collapse
|
6
|
Lee J, Han SY, Hwang M, Bae N, Chae H. Biopsychological and pathophysiological features of Cold-Heat subgroup of Sasang typology with Sasang Digestive Function Inventory, Sasang Personality Questionnaire and Body Mass Index. Integr Med Res 2018; 7:68-76. [PMID: 29629293 PMCID: PMC5883998 DOI: 10.1016/j.imr.2017.09.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Revised: 09/19/2017] [Accepted: 09/19/2017] [Indexed: 12/13/2022] Open
Abstract
Background The Sasang typology is a traditional Korean personalized medicine and its Cold-Heat subgroup identification is essential for effective use of medical herbs and acupuncture. The purpose of this study was to discover differences between Cold-Heat subgroups with objective clinical measures and to examine its clinical usefulness. Methods The pathophysiological symptoms of the digestive system, temperament and body shape of 241 patients were measured using the Sasang Digestive Function Inventory (SDFI), Sasang Personality Questionnaire (SPQ) and Body Mass Index (BMI). The differences between Cold and Heat subgroups of each Sasang types were tested by Analysis of Covariance considering age and sex, while the associations of SDFI, SPQ and BMI with Cold-Heat subgroup were examined by logistic regression analysis. Results There were significant differences between Cold and Heat subgroups in SDFI, SPQ and BMI for the So-Yang, SDFI and BMI for the Tae-Eum type and SDFI-Digestion subscale for the So-Eum type. Moreover, the SDFI-Digestion was a substantial predictor for Cold-Heat subgroup identification in three Sasang types. The logistic regression model with SDFI, SPQ and BMI correctly predicted 81.9%, 77% and 75.5% of the Cold-Heat subgroups in So-Yang, Tae-Eum and So-Eum types, respectively. Conclusion The results of the present study showed that the objective and validated clinical measures of SDFI, SPQ and BMI would be useful for differentiating Cold-Heat subgroups of Sasang typology. Further clinical studies on pathophysiological mechanisms in Cold-Heat subgroup are required to generalize these results.
Collapse
Affiliation(s)
- Jeongyun Lee
- Department of Sasang Constitutional Medicine, Pusan National University Korean Medicine Hospital, Yangsan, Korea.,Korean Institute of Oriental Medicine, Daejeon, Korea
| | - Sang Yun Han
- Division of Longevity and Biofunctional Medicine, School of Korean Medicine, Pusan National University, Busan, Korea
| | - Minwoo Hwang
- Department of Sasang Constitutional Medicine, College of Korean Medicine, Kyung Hee University, Seoul, Korea
| | - Nayoung Bae
- Department of Sasang Constitutional Medicine, Pusan National University Korean Medicine Hospital, Yangsan, Korea.,First Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Busan, Korea
| | - Han Chae
- Division of Longevity and Biofunctional Medicine, School of Korean Medicine, Pusan National University, Busan, Korea
| |
Collapse
|
7
|
Kang YM, Komakech R, Karigar CS, Saqib A. Traditional Indian medicine (TIM) and traditional Korean medicine (TKM): aconstitutional-based concept and comparison. Integr Med Res 2017; 6:105-113. [PMID: 28664134 PMCID: PMC5478252 DOI: 10.1016/j.imr.2016.12.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Revised: 10/17/2016] [Accepted: 12/01/2016] [Indexed: 01/24/2023] Open
Abstract
Traditional and complementary medicine (T&CM) plays an integral role in providing health care worldwide. It is based on sound fundamental principles and centuries of practices. This study compared traditional Indian medicine (TIM) and traditional Korean medicine (TKM) basing on data obtained from peer reviewed articles, respective government institutional reports and World Health Organization reports. Despite the fact that TIM and TKM have individual qualities that are unique from each other including different histories of origin, they share a lot in common. Apart from Homeopathy in TIM, both systems are hinged on similar principle of body constitutional-based concept and similar disease diagnosis methods of mainly auscultation, palpation, visual inspection, and interrogation. Similarly, the treatment methods of TIM and TKM follow similar patterns involving use of medicinal herbs, moxibustion, acupuncture, cupping, and manual therapy. Both T&CM are majorly practiced in well-established hospitals by T&CM doctors who have undergone an average of 6–7 years of specialized trainings. However, unlike TIM which has less insurance coverage, the popularity of TKM is majorly due to its wide national insurance coverage. These two medical traditions occupy increasingly greater portion of the global market. However, TIM especially Ayurveda has gained more global recognition than TKM although the emergence of Sasang Constitutional Medicine in TKM is beginning to become more popular. This comparative analysis between TIM and TKM may provide vital and insightful contribution towards constitutional-based concept for further development and future studies in T&CM.
Collapse
Affiliation(s)
- Young Min Kang
- K-Herb Research Center, Korea Institute of Oriental Medicine, Daejeon, Korea.,Korean Medicine Life Science, University of Science & Technology, Daejeon, Republic of Korea
| | - Richard Komakech
- Korean Medicine Life Science, University of Science & Technology, Daejeon, Republic of Korea.,Natural Chemotherapeutics Research Institute, Ministry of Health, Kampala, Uganda
| | | | - Asma Saqib
- Department of Biochemistry, Maharani's Science College for Women, Bangalore, India
| |
Collapse
|