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  Constitutional
    Medicine
  Constitutional
    Diagnosis
  Constitutional
   Acupuncture
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 Introduction

  New medical paradigm 

 Constitution Medicine

 Uniqe Organ Theory

 Characteristics of
    the Four Constitutions

 Problems with the Four 
   Constitutional Classifications

 Eight-Constitution Medicine 

The First Soyangin    

 The Second Soyangin     

 The First Soumin

 The Second Soumin     

 The First Teumin    

 The Second Teumin

The First Teyangin  

 The Second Teyangin    

 Practice of Distinguishing     Between Constitutions

 O-ring test to determine     constitutions


The First Soyangin (Teyanginesque Soyangin)

As explained earlier, the first soyangin has an organ structure with the pancreas as the largest, lungs second, liver third, and kidneys smallest. We can write this as pancreas > lungs > liver > kidneys.
              

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Illustration 7. Organ structure of the first soyangin

We can express this as follows, according to the organ theory of Lee Jema, who attributes the organs to the four jiaos.

Largest: upper middle jiao: pancreas group (pancreas, stomach, breasts, eyes, spine, muscles)  
                                                                 i
Medium large: upper jiao: lung group (lungs, esophagus, tongue, ears, brain, skin)                                                                      i 
Medium small: lower middle jiao: liver group (liver, small intestine, navel, nose, waist, hypodermal tissues) 
                                                                 i
Smallest: lower jiao: kidney group (kidneys, large intestine, sex organs, mouth, bladder, bones)


Because with the first soyangin the pancreas is largest, naturally the upper middle jiao is most developed. That is, the pancreas and all of the organs in that group: stomach, breasts, eyes, spine and muscles. Secondly, the lungs are the medium large organs, so the upper jiao is relatively well developed. This group includes the lungs, esophagus, tongue, ears, brain and skin.

The liver is the medium small organ, so the lower middle jiao is not very well developed, including the liver, small intestine, navel, nose, waist, and hypodermal tissues. The smallest of the four organs is the kidney, so the lower jiao is least developed, This includes the kidneys, large intestine, sex organs, mouth, bladder and bones.

In a word, the structure pancreas > lungs > liver > kidneys of the first soyangin naturally characterizes this constitution's body form. The first soyangin's body shape is such that the upper middle jiao, in which is the largest organ, the pancreas, is most developed, including the chest. Thus a man with this structure will have a broad chest and a woman will have large breasts.
The relatively large lungs also have influence on the body shape of the first soyangin. The upper jiao, including the lungs and shoulders, are relatively well developed. So naturally the first soyangin has the best developed upper body with wide chest and shoulders.

The small liver and smallest kidneys respectively represent the lower middle and the lower jiaos. The organs in those groups, for example waist and hips, are not well developed and so look comparatively smaller and weaker than the chest and shoulders.

                       

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Illustration 8. Body shape of the first soyangin

* Note: for clarity, the pancreas has been replaced with the stomach in the picture.

When observing the shape of someone's body, one must, of course, compare the various parts of the same person's body. There are no absolute criteria for their sizes. In other words, one should compare his chest and shoulders with his waist and hips, and judge their relative sizes.

The constitutional characteristic of the first soyangin, the teyanginesque soyangin, is that the pancreas is the largest organ. He can digest food well, so he easily gains weight or even becomes obese if he doesn't check his tendency toward eating too much.

Because of the largest pancreas he has good digestion, and in contrast, due to the small kidneys, he has difficulty with bowel movements. This lack of balance causes corpulence. It is safe to say that almost all of our acquaintances who are obese are first soyangins. Among the eight constitutions, only those with the largest pancreas can become obese.

Sumo is a Japanese wrestling sport whose professionals have a unique body form. Almost all of them are first soyangins. Most people who are corpulent from early childhood are first soyangins. They have a very large pancreas and stomach from birth and digest well everything that they eat.

However, that doesn't mean that every first soyangin will unconditionally become corpulent. They have only that tendency, but many have ordinary body shapes. In order to distinguish a first soyangin who is not fat, it is necessary to consider the body shape, temperament, and physiological characteristics.

According to the organ theory of Lee Jema, muscles belong to the pancreas group, so the first soyangin has better developed muscles than others. He has a strong body and likes sports. His muscles are easily developed, so if he cultivates his body, he can be proud of his most outstanding physical beauty. He easily gains weight, so many of the shot-putters, weight lifters and other athletes are first soyangins.

Eyes, too, belong to the pancreas group, so soyangins have a bright shine in their eyes and a good sense of visual beauty because of their good eyesight. Depending on the individual, sometimes the eyeballs project forward. Generally the eyes are very bright and impressive, and in some cases, a few people find it difficult to look directly into their eyes.

Lungs in the first soyangin are second largest, influencing the lung capacity and vocal chords, so many successful opera singers are first soyangins. This is a characteristic of a teyangin with largest lung capacity, but is a result of the fact that the first soyangin is combined with teyangin.

Another result of this mixture with teyangin is that the first soyangin is temperamentally progressive, creative and imaginative, due to the large upper jiao and evolved brain that belongs to it.

On the other hand, the smallest kidneys influence the lower jiao (to which the kidneys belong), and the first soyangin has chronic lumbar pain due to a weak waist. Besides, the large intestine (part of the lower jiao) is small and weak, so he easily suffers diarrhea or constipation.
The first soyangin usually sits leaning backward or leaning against the back of a chair. Therefore he can at first glance seem arrogant, but in fact the reason for sitting that way is that his upper body is more developed than the lower body, and is heavier.

The upper body is well developed while the lower body is weak. It follows, that many are not fond of long walks, and prefer to ride. Thus, the weak lower body becomes even weaker, so it is useful for their health to practice sports which strengthen the lower body more than the upper.

Walking, running, bicycling and mountain climbing are examples of such sports that use the feet a lot. The more a first soyangin practices that kind of sports that balance out the strength of the lower and upper body, the better will be his health.

If a first soyangin gets fat, the extra weight goes mainly onto the upper body, because constitutionally he has well developed upper middle and upper jiaos and so from birth a well developed upper body.

Heat from the most developed pancreas is the main force for digesting well all foods. So the first soyangin easily gains weight even with little food, and has the biggest appetite.

Due to his good digestion he doesn't have indigestion in spite of some excessive eating. Therefore he often eats too much.

If he often eats a lot of spicy foods, eats irregularly, or eats too much at once, even with the strongest pancreas he will get indigestion. In that case, it is difficult to cure.

The first soyangin has a small liver, so he must restrain himself from drinking. However, many of those who like to drink a lot are first soyangins. This may be due to the constitutional inclination to eat and drink. But eating and drinking too much will inevitably bring many chronic illnesses. Many obese people, diabetics and sufferers of hypertension and arteriosclerosis have this constitution. Wine, beer and cognac are appropriate for this constitution, but whiskey and vodka are not.

Relative underdevelopment of the lower body compared to the upper body means that not only the external body shape is not well developed, but also the organs that belong to the lower body. So the first soyangin has a weak waist, urinary tract and sex organs, and these areas will be ill relatively often. For example, a woman with a very developed upper body will have trouble giving birth or conceiving. She complains of frequent urination because of a weak bladder and has menstrual pain and an early menopause. A man may complain of chronic lumbar pain, easily suffer from urethritis and early ejaculation, and often has weak energy in old age.

The first soyangin tends to walk quickly, because the lower body is not developed and light. He goes with an easy motion, swinging both shoulders or looking into the distance.

Of the eight constitutions, the first soyangin is born with the strongest yang, maybe because this constitution is the mixture of the two yang constitutions: soyangin and teyangin. The first soyangin contains much warmth principally in the upper body from the warmth of the pancreas and the stomach. Therefore he prefers cold food and drinks cold water even in the middle of winter. Food with a warm character is not good for a first soyangin. If he continues to feed himself those kinds of foods, they will increase the latent warmth too much and put the body even more out of balance.

Korean ginseng, known as a miraculous panacea, has a very warm character, so it is harmful to the first soyangin, although useful to many others. Also honey, royal jelly, chicken and mutton have warm characters. A first soyangin is better off not eating such foods as much as possible. Pork, on the other hand, has a cold character and is very good for him. Beef is acceptable to a degree, but generally it's better for his health to eat vegetables instead of meat.

In that way, foods that we often eat daily can be divided into foods that are good or bad depending on the constitution. This is a unique aspect of constitutional medicine, based on the thinking of Oriental medicine that food and medicine have the same roots.
The fact, that the first soyangin has the strongest yang, influences not only the physiology and pathology, but also the temperament and character that he is born with. The first soyangin has the most yang temperament.

The general characterization of the first soyangin is of an impatient, strong, direct, extraverted and manly character. The manliest of men, or if a women, she is energetic, kind and active.
The first soyangin is intuitive, quick thinking, adaptive, clever, progressive, and inclined toward fairness. He likes to work outdoors and to serve others. He is very self-confident and is inclined to start doing something without hesitation. This is caused by the influence of the strong yang.

However, when he does something, he doesn't completely prepare or plan for it. He gets tired of things easily and often quits in the middle of the job. He treats things according to his humor or emotion and is too frank and can't hide or control his emotions. This leads to frivolous conduct. Again, this is due to the fact that the first soyangin has too much yang in his character.

The first soyangin is very sensitive. He gets excited easily, gets emotional easily, and sheds tears easily. He speaks without thinking and does whatever he wants; this sometimes leads him to deeply hurt other people emotionally.

Lee Jema said that if a soyangin develops his personality, he can become a great force for justice and be respected by many; otherwise he may become the most frivolous of people. From this viewpoint, his medical theory isn't just for curing people's physical ailments, but also aims to help people develop themselves by being conscious of themselves and by defeating their limits.

It is important to know that the above constitutional characterizations vary according to the individual. Not all first soyangins are corpulent. From life-style, environment, and constitutional factors from birth, people have various bodily forms. Similarly, even though people have the same constitution, they are different to some extent in temperament,physiology and pathology.

For example, Soyangin has a direct and extroverted temperament, but not all are like that to the same degree; there are differences between them. One soyangin may be too direct and extroverted, while another may be less so. This is due to the degree of yangness factors received from birth and the efforts toward self cultivation made after birth.

Useful foods for soyangin
Grains:
rice, oats, wheat, buckwheat, whole wheat.
Vegetables: cucumber, cabbage, Chinese cabbage, bracken fern, bean sprouts, mallow, lettuce, aloe, radish (or daikon), shepherd's purse, squash, green beans, red beans, wild sesame, black sesame.
Fruits: watermelons, raspberries, strawberries, grapes, melons, bananas, persimmons, pears, kiwi.
Meats: pork, duck.
Fish and seafood: prawns, shrimp, crab, trepang, oyster, shellfish, cuttlefish, octopus, small octopus, flatfish, frog flounder, stingray, mackerel, Pacific saury, sardine, swordfish.
Others: wine, beer, cold water, mushrooms.

Harmful foods for soyangin
Grains:
corn, glutenous ("sticky") rice, glutenous millet, sorghum, whole grain ("brown") rice.
Vegetables: potatoes, carrots, leeks, ginger, onion, green onions, peppers, brown seaweed, sweet potato, laver, black pepper, mustard, sea tangle.
Fruits: apple, mandarin, lemon, orange, peach, jujube, pomegranate.
Meats: chicken, goat, roe-deer, pheasant, dog, sparrow.
Fish: eel, loach.
Others: Ginseng, honey, snake.

Note: here "useful" or "harmful" food means appropriate or not appropriate food for the concerned constitution, but does not mean that a "harmful" food will cause an allergic reaction or side effect. One should understand, then, that it is good to eat as little as possible of the harmful foods inappropriate for the constitution.

Examples of the first soyangin:
Luciano Pavarotti, Marilyn Monroe, Hilary Clinton, Lech W¡±SA, Miloseviç Slobodan, Mikhail Gorbachyov, Kim Jongil, Helmut Kohl, Ariel Sharon.

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