Tongue of Fatigue by Classification of Sasang Constitution and Qi Blood Pattern Identification

특발성 피로의 사상체질 및 기혈변증 설진 분석

Choi, Na-Rae;Park, Soo-Jung;Joo, Jong-Cheon;Kwon, Young-Mi

  • Received : 2015.09.08
  • Accepted : 2015.10.01
  • Published : 2015.12.31


Objectives The purpose of this study was to investigate the relevance of Sasang constitution, Qi Blood pattern identification, and tongue diagnosis in subjects complaining of fatigue.Methods Seventy-three subjects who complained of fatigue were assessed using the Chalder Fatigue Scale, tongue diagnosis, pattern identification questionnaire and Sasang constitution diagnosis. The association of tongue diagnosis with Qi Blood pattern identification and Sasang constitution was evaluated.Results 1. There was no significant association between tongue diagnosis and Sasang constitution.2. Tongue color, which is one of the diagnostic indicators in tongue diagnosis, was redder in the Qi stagnation group than in the Qi deficiency and Blood deficiency groups.Conclusions Tongue diagnosis can be utilized in future if proper research regarding Sasang constitution and Sasang constitution pattern identification is conducted.


Fatigue;Tongue diagnosis;Sasang constitutional medicine;Qi Blood pattern identification


  1. Yoon TH, Park SJ, Choi NR, Jin M, Joo JC, Kwon YM. Indicator of Diagnosing Fatigue by Analyzing Questionnaire Data. The J Society Korean Med Diagn. 2013;17(3):179-188. (Korean)
  2. Yi JH, Lee JH, Park SM, Kim YC, Lee JH, Woo HJ. Clinical Investigation and Follow-up Monitoring of Fatigue Patients Visiting the Oriental Medical Hospital. J Korean Orient Med. 2000;21(4):55-63. (Korean)
  3. Jones JF, Maloney EM, Boneva RS, Jones AB, Reeves WC. Complementary and alternative medical therapy utilization by people with chronic fatiguing illnesses in the United States. BMC Complement and Altern Med. 2007;7:12-18.
  4. Griffith JP, Zazzouf FA. A Syspematic Review of Chronic Fatigue Syndrome: Don't Assume It's Depression. Prim Care Companion J Clin Psychiatry. 2008;10(2):120-128.
  5. Kim JG, Kang KW, Kim TH, Jung SY, Kim AR, Shin MS, et al. Acupuncture for Chronic Fatigue Syndrome and Idiopathic Chronic Fatigue : a Protocol for a Pilot Randomized Controlled Trial. Korean J of Acupunct. 2011;28(3):151-163. (Korean)
  6. Oh MK. Evaluation of the chronic fatigue of periodic health examination visitors. J Korean Acad Fam Med. 1990;11(4):12-19. (Korean)
  7. Cho JH, Yoo SR, Cho JK, Son CG. Analytic Study for Syndrome-differentiation and Sasang-constitution in 72 Adults with Chronic Fatigue. Korean J Orient Int Med. 2007;28(4):791-796. (Korean)
  8. Kwak KK, Cho JH, Son CG. Study on Chronic Fatigue Syndrome from Oriental Medicine Point of View. Korean J Orient Int Med. 2008;29(4):962-969. (Korean)
  9. Yun CY, Park JK. The Study on the history of tongue diagnosis. Research Istitute of Korean Med, Daejeon Univercity Press. 1997;5(2):281-292. (Korean)
  10. Sasang Constitution Analysis Tool. Korea Institute Oriental Medicine. 2013.
  11. Kim JC, Choi MK, Jung WK, Yoo JS, Shin WY, Kim SH. A Study on the Sasang Constitutional Checkup List and Inspection Diagnosis of Face and Tongue. J Sasang Constitut Med. 2007;19(3):156-175. (Korean)
  12. Lee JC, Kim JY, Ryu HH, Kim KH. A Literature study on the Sasang Constitutional Tongue Diagnosis based on Experience Prescriptions(經驗方) in the Donguisusebowon (Longevity and Life Preservation in Oriental Medicine). J Sasang Constitut Med. 2010; 22(1):1-8. (Korean)
  13. Lee EJ, Koh BH, Kim DR, Kim JY, Kim JW, Park SS, et al. Clinical Practice Guideline for Soeumin Disease of Sasang Constitutional Medicine: Overview. J Sasang Constitut Med. 2014;26(1):1-10. (Korean)
  14. An KS. The System of Symptom Differentiation and the Contents in Oriental Medicine. The Journal of Korean Oriental Medical Pathology. 1987;2:6-11. (Korean)
  15. Kim K, Ha YJ, Park SJ, Choi NR, Lee YS, Joo JC. Characteristics of Fatigue in Sasang Constitution by Analyzing Questionnaire and Medical Devices Data. J Sasang Constitut Med. 2013;25(4):306-319. (Korean)
  16. Kim DW. Clinical Study for Tongue Change as Diagnostic Method on 34 Acute Stage Cerebrovascular Accident Patients. The J Korean Orient Med Pathol. 1998;12(1):28-32. (Korean)
  17. Park SW, Kang KW, Kang BG, Kim JC, Kim BY, Go MM, et al. Study of Tongue Diagnosis for Pattern Identification in Stroke Patients. Korean J Orient Physiol & Pathol. 2008;22(1):262-266. (Korean)
  18. Eo YH, Kim JY, Yoo HS, Kim JY, Park KM. Quantitative Study on Tongue Images according to Exterior, Interior, Cold and Heat Patterns. J Korean Orient Med. 2006;27(2):134-144. (Korean)
  19. Kim BNR, Koog GH, Yang DM, Lee KW, Oh MS. Research Trends for Tongue Diagnosis in Korea. Research Istitute of Korean Medicine, Daejeon Univercity Press. 2012;21(1):143-150. (Korean)
  20. Kim SY, Kim JS, Kim YS, Hong IN, Hur WY, Eom GH, et al. Correlation Study between Dry mouth and Comprehensive Diagnosis of Qi xu·Qi yu in Patients with Halitosis. Korean J Orient Int Med. 2007;28(1): 97-105. (Korean)
  21. Han GJ, Kim JS, Seon JK, Son JH, Oh SG, Park YS, et al. Correlation between Xerostomia, Stress, and Qi Movement Stagnation in Halitosis Patients. Korean J Orient Int Med. 2010;31(3):488-499. (Korean)