四象體質診斷의 客觀化에 관한 硏究(旣存 說問紙의 分析을 中心으로)

The object of this study was 200 patients who had been treated in the Oriental Medical Hospital at Dong Eui Medical Center during 9 months from Jan. 1999 to sept. 1999. We proceeded the judgment of Sasang Constitution according to 'Questionnaire of Sasang Constitution Classification (I)', and 'Questionnaire of Sasang Constitution Classification II(QSCCII)' and the diagnosis by a medical specialist. The following conclusion were made in comparison with Sasang Constitution and Questionnaire. 1. We selected the 84 subjects what had the statistical value out of the 196 subjects('Questionnaire of Sasang Constitution Classification (I)' had the 71 subjects and 'Questionnaire of Sasang Constitution Classification II(QSCCII)', had the 121 subjects). And we selected again the 73 subjects('Questionnaire of Sasang Constitution Classification (I)', had the 33 subjects and 'Questionnaire of Sasang Constitution Classification II (QSCC II)' had the 40 subjects) out of the 84 subjects, because it had a repeated subjects. 2. We made the Questionnaire what has the 85 subjects, including the subjects what was approved its statistical value by 'A CLINICAL STUDY OF THE JUDGMENT OF SASANG CONSTITUTION ACCORDING TO QUESTIONNAIRE' and 'A CLINICAL STUDY OF THE TYPE OF DISEASE AND SYMPTOM ACCORDING TO SASANG CONSTITUTION CLASSIFICATION'. The subject what ask the physique and the body form was 7, the subject what ask the external appearance and the posture was 7, the subject what ask the habit and the character was 3, the subject what ask the physiology and the pathology was 3, the subject what ask the phenomenon that he has frequency was 4, the subject what ask the eating was 3, the subject what ask the symptom that he has frequency was 14, the subject what ask the work and the qualities-defects was 6, the subject what ask the friendly intercourse was 7, the subject what ask the usual mind was 5, the subject what ask the emotional inclination was I, the subject what ask the behavioral inclination was 10, the subject what ask the character was 15. 3. In the new Questionnaire, the subject what has relevance to Soyang was 84, the subject what has relevance to Soeum was 87, the subject what has relevance to Taeeum was 70. And we made the point of subject with the statistical ratio. The total point of Soyang was 7785.04, the total point of Soeum was 7742.80, the total point of Taeeum was 7746.60. 4. As a result of judgment of Sasang Constitution between the clinical diagnosis by a medical specialist and the new Questionnaire, the diagnostic accuracy of new Questionnaire was 73.33%. The diagnostic accuracy of Soyang was low, the others was high. And the Taeyang was excepted. 四象體質診斷에 있어 臨床的으로 가장 많이 活用되며 또한 客觀性이 認定되고 있는 方法으로는 設問紙를 이용하는 方法이 있으며 그 중 대표적으로 四象辨證內容 設問調査紙(I)과 四象體質分類調査紙(QSCC II)가 있으나, 그 體質判定에 있어 각기 한쪽 體質로 치우치는 傾向性을 보이므로 因하여 臨床家에서는 그 나름대로의 價値를 지니면서도 크게 一般化되지 못하는 것이 現實이다. 本 硏究는 四象體質診斷의 客觀化를 위한 設問紙의 硏究로써 東義大學校 韓醫科大學 附屬韓方病院에 來院한 者 692名(종합건강진단센터 對象者 575名과 患者 117名 중 設問紙(I)과 設問紙(II)의 設問調査 結果와 四象體質專攻醫의 體質判別 結果가 모두 一致하는 250名 中에서 設問紙 內容이 比較的 充實한 200名을 對象으로 設問調査 內容을 統計分析하고 이를 土臺로 새로운 設問의 構成을 試圖하여 다음과 같은 結果를 얻게 되었다. 1. 設問紙(I), 設問紙(II)의 總 192問項(設問紙(I) 71問項, 設問紙(II) 121問項)중에서 有意性을 가지는 問項(P값이 最小 0.01 以下)은 84問項(設問紙(I)이 39問項, 設問紙(II)가 45問項)이었다. 이중에서 서로 중복되는 項目이 22項目을 감안하연 設問紙(I)과 設問紙(II)의 總 192問項 中 體質에 따른 有意度 檢査에 있어서 實質的으로 有意있게 나타나는 問項은 總 73問項이었다. P값이 0.001以下의 값을 보인 問項은 設問紙(I)이 33問項이었으며, 設問紙(II)의는 40問項으로 나타나 대체로 有意性이 매우 높음을 알 수 있었다. 2. "設問紙를 통한 四象體質의 臨床的 分類方案 硏究"와 "體質診斷分類에 따른 疾病 및 症狀類型에 관한 臨床的 硏究II"에서 有意性이 立證된 設問問項을 몇 가지 追加하여 總 851問項의 設問紙를 構成하였다. 各 問項들을 項目別로 나누어 살펴보면, <體格과 體型>을 묻는 問項이 7個 問項이었고, <外貌(顔色)와 態度>를 묻는 問項이 7個 問項이었고, <習慣과 性格>을 묻는 問項이 3個 問項이었고, <生理-病理狀態>를 묻는 問項이 3個 問項이었고, <平素 健康할 때 자주 느끼는 症狀>을 묻는 問項이 4個 問項이었고, <食事習慣>을 묻는 問項이 3個 問項이었으며, <平素 잘 나타나는 症勢>를 묻는 問項이 14個 問項이었고, <일처리와 長短點>을 묻는 問項이 6個 問項이었고, <對人關係>에 대하여 묻는 問項이 7個 問項이었고, <平素의 마음>에 대하여 묻는 問項이 5個 問項이었고, <感情特性>에 대하여 묻는 問項이 1個 問項이었고, <行動特性>에 대하여 묻는 問項이 10個 問項이었고, <性格>에 대하여 묻는 問項이 15個 問項이었다. 3. 設問紙에서 少陽人에 해당되는 項目은 84項目이었으며, 少陰人에 해당되는 項目은 87項目이었으며, 太陰人에 해당되는 項目은 70項目이었다. 또한 各 設問項目의 有意性 檢査에서 나타난 應答率을 點數化하여 加算點을 附加한 後 合算한 結果 少陽人 項目의 點數 合計는 7785.04點이었고, 少陰人 項目의 點數 合計는 7742.80點이었으며, 太陰人 項目의 點數 合計는 7746.60點이었다. 4. 새로운 設間紙(III)의 有意性은 臨床患者 75名의 體質診斷에 있어 73.33%의 診斷 正確率을 보이고 있으 나, 少陰人과 太陰人에 비하여 少陽人의 判別率이 다소 떨어지게 나타나고 있으며 太陽人은 設問에서 除外 되었다.