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Objectives : This study was aimed to assess characteristics in acute stroke patients according to abdominal obesity. Method : One thousand five hundred and six subjects were included from the patients admitted to the Internal Medical Department at Kyunghee university oriental medical center, Kyunghee university East-West Neo medical center, Kyungwon university Songpa oriental medical center, Kyungwon university Incheon oriental medical center, Dongguk university Ilsan oriental medical center from April 2007 to August 2009. Result : 1. On the demographic variables of the patients, gender, older age, diabetes, hyperlipidemia and multiple infarction group were significantly higher in abdominal obesity group than in control group. 2. Sasang constitution and oriental medical diagnosis has significant difference in abdominal obesity group. Between oriental medical diagnosis, Dampness-Phlegm group was significantly higher in abdominal obesity group than in control group. According to the analysis, we observed the general disposition of various characteristic distributions according to abdominal obesity in acute stoke patients These results can be utilized in the future as a basis material.