부인과(婦人科) 냉증환자(冷症患者)의 변증유형(辨證類型)과 사상체질(四象體質)과의 관계에 대한 소고(小考)

이인선,김종원,이상훈,Lee, In-seon,Kim, Jong-weon,Lee, Sang-hoon 사상체질의학회 1997 사상체질의학회지 Vol.9 No.2

We studied the relationship between each type which was figured out by the question paper given to the patients who chiefly complained feeling of cold and Sasang constitution. The results are as follows. 1. Diagnoses in woman's disease with feeling of cold(冷病) are abdomnal mass(uterine myoma, ovarian cyst), dysmenorrhea, leukorrhea and infertility, orderly in number. They have commoness in the origin of disease which are stagnation of Qi(氣滯) and blood stasis(血瘀), cold(寒), damp(濕) and we can find the causes of feeling of cold are stagnation of blood(血瘀) and harmness of damp(水毒). 2. In the type of survey through the question paper, the largest number of the origin of that disease is cold, the next is blood stasis and dificiency of Qi(氣虛), dificiency of blood(血虛), stagnation of Qi, damp phlegm(濕痰) etc. 3. (1)The numbers by constitutional assortment of object are like this. Taeumin are 23 persons,Soumin 14 and Soyangin 6, so we can find the feeling of cold turn up evenly in all constitution but the number of Soyangin was relatively small. (2)The inclination of constitutional type is the highest in Soumin and they often have and feel strongly disorders of their body. (3)We could find the corelation of theoretical background of Sasang Medicine in constitutional type of survey. 4. (1)The numbers by constitutional assortment of the patients with feeling of cold and numbness(冷痺症) are like this. Taeumin are 16 persons, Soumin 7 and Soyangin 3, as are like the distribution of 3-(1). (2)The inclination of constitutional type is the highest Soumin, so they have multiple type of differentiation of symptoms and signs and their symptoms is old and severe, therefore they need long time for cure. In all, except the symptom with feeling of cold caused by dificiency of the blood and insufficiency of yang(氣虛와 陽虛) that we meet frequently on clinic is numerous, the number of that caused by stagnation of Qi and blood(氣滯와 血滯) alike dysautonomia is also large. And we can find the feeling of cold turn up evenly in all constitution but the number of Soyangin was relatively small. Within the case of Soumin, they have both dificiency of Qi and blood, have complex source, so their symptoms are old and severe and they need long time for cure. In Taeumin, they are of large number with dificiency of Qi and we think thst that are concerned with the symptom of exterior cold.

매운맛 등급화 고추장으로 제조한 오이생채의 이화학적 관능적 특성

이인선,Lee, In-Seon 한국식품조리과학회 2015 한국식품조리과학회지 Vol.31 No.3

This study investigated the spicy hot flavor related quality characteristics of cucumber salad prepared using spicy hot flavor graded gochujang that had been stored for 60 and 120 days. The results showed that the pH of both the 60-day and 120-day fermented gochujang was significantly higher in the cap-200 sample (p<0.001). In contrast to the results on pH, the acidity of both the 60-day and 120-day fermented gochujang was found significantly lower in the cap-200 sample (p<0.001). Measurements of salinity were found to be significantly lower in the sample with higher capsaicin content than in the sample with lower capsaicin content. The sugar content was found to be generally higher in the sample with the 120-day fermented gochujang than that with the 60-day fermented gochujang. Lightness (L) was higher in the sample with a lower capsaicin content than in the sample with a higher capsaicin content. The redness (a) was found to be significantly higher in the cap-200 sample than in other samples (p<0.001). The values of the L, a, and b tended to be lower in the sample with the 60-day fermented gochujang than in the sample with the 120-day fermented gochujang. The hardness of the cucumber salad was found to be lowest in the 120-day fermented sample with the cap-200 gochujang, which had the highest capsaicin content (p<0.05). The results of the sensory evaluation of the cucumber salads showed that the spiciness was stronger with the higher capsaicin content (p<0.001), and approximately one-level higher than the spiciness rating of hot pepper. The results of a key ingredient analysis showed that the sample with high capsaicin content was classified as having a relatively hot spicy aroma and flavor, and strong stinging pain, and the sample with the low capsaicin content was classified as having a salty aroma and a dark appearance.

체계적 문헌고찰과 델파이 기법을 활용한 갱년기장애 변증(辨證)진단 도구 개발을 위한 기초 연구

이인선,김동일,유정은,강창완,Lee, In-Seon,Kim, Dong-Il,Yoo, Jeong-Eun,Kang, Chang-Wan 대한한방부인과학회 2017 大韓韓方婦人科學會誌 Vol.30 No.4

Objectives: This study was conducted towards developing a screening tool for syndrome differentiation in the diagnosis of menopause in menopausal and perimenopausal women. Methods: We conducted a literature review of studies on menopausal diagnosis based on syndrome differentiation, and examined well-founded differentiated syndromes and their respective clinical symptoms. Based on the findings, we created a questionnaire through consultations with Oriental medicine experts in physiology, pathology, and diagnostics. Finally, the research team conducted an expert Delphi study on differentiated syndromes and the associated clinical symptoms. Results: Seven differentiated syndromes were selected, including Liver Depression (肝鬱), Kidney Yin Deficiency (腎陰虛), Kidney Yang Deficiency (腎陽虛), Liver and Kidney Yin Deficiency (肝腎陰虛), Kidney Yin and Yang Deficiency (腎陰陽兩虛), Heart-Kidney Noninteraction (心腎不交), and Dual Deficiency of Heart and Spleen (心脾兩虛); 4 disease locations, including liver (肝), heart (心), spleen (脾), and kidney (腎); and 3 disease natures, including Yin Deficiency (陰虛), Qi Stagnation (氣滯), and Blood Deficiency (血虛). In addition, we added 3 supplemental disease natures, including Yang Deficiency (陽虛), Qi Deficiency (氣虛), and Heat (火熱), in consideration of syndrome differentiation categories that may possibly be added in a follow-up clinical questionnaire. Conclusions: This resulted in a total of 7 differentiated syndromes, 4 disease locations, and 6 disease natures. We translated the clinical symptoms of these 17 categories into Korean Hangeul. After consulting with 5 Oriental medicine experts and a psychology expert, we produced a questionnaire for use in diagnosing menopause based on syndrome differentiation. The calculation of scores for the syndrome differentiation screening tool will be confirmed through clinical research based on the results of a review of existing literature.

한방진단시스템 DSOM을 활용한 사상체질에 따른 폐경(閉經)전후 중년여성(中年女性)의 변증연구(辨證硏究)

이인선,전수형,김종원,Lee, In-Seon,Jeon, Sooo-Hyung,Kim, Jong-Won 사상체질의학회 2013 사상체질의학회지 Vol.25 No.4

Objectives We carried out this study to know that there is any differences on the health condition of the middle aged women between Sasang coustitution. We used Diagnosis System of Oriental Medicine(DSOM) for diagnosis and determining pattern identification. Methods This research was approved by the Dongeui University Oriental Hospital Institutional Review Board (certificate no. 2011-06). From March 2012 to October 2012, we examined Kupperman's index, the MENQOL, DSOM, and Sasang Constitution of 291 women from the general population, with ages ranging from 40 to 60 years. And we compared the results statistically by the chi-square test and F-test. Results and Conclusions We excluded 4 Taeyangin to analyze because they were few, and analyzed 287 subjects which were 53 Soyangin, 131 Taeeumin, and 103 Soeumin. 1. The pathogenic factors that showed significant differences were deficiency of qi, insufficiency of Yin, heat on the frequency of the output and deficiency of qi, heat, phlegm on the mean of pathogenic factor score. Deficiency of qi was higher in Soeumin, insufficiency of Yin and heat were higher in Taeeumin, and phlegm was higher in Taeeumin and Soeumin. Overall, Soyangin tended to be lower than others on both the frequency of the output and the mean of pathogenic factor score. 2. The middle aged women with ages ranging from 40 to 60 years tended to be dryness, kidney, damp and became to be blood-deficiency, stagnation of qi, heart easily. Soyangin was more health than others, Taeeumin tended to be heat, phlegm, insufficiency of Yang, and Soeumin tended to be deficiency of qi.

요통 환자의 임상 연구에 사용된 경혈에 관한 연구

이인선,김동원,김지성,In-Seon Lee,Dongwon Kim,Ji-sung Kim 대한융합한의학회 2021 대한융합한의학회지 Vol.1 No.1

경혈과 경락학설은 침의 치료 효과를 설명하고 최선의 침 치료 전략을 세우기 위해 이용되어 왔다. 이번 연구를 통해 요통 환자를 대상으로 한 무작위 대조군 임상 연구에서 요통을 치료하기 위해 사용된 경혈의 빈도를 알아보았다. PUMBED 데이터베이스를 통해 요통 환자를 대상으로 manual acupuncture나 electro-acupuncture를 사용한 논문을 분석했다. 총 664편의 논문이 검색되었으며, 그 중 62편의 논문을 분석 결과에 따르면 신수, 위중, 대장수, 곤륜, 환도, 아시혈, 관원수, 양릉천, 기해수, 요양관이었으며, 태계혈이 함께 조합되어 사용되었다. 이를 통해 요통에 대한 침 치료 효과를 밝히기 위한 이전의 연구들에서 족태양방광경의 경혈들이 주로 사용된 것, 그리고 근위와 원위의 경혈이 사용된 것을 알 수 있다. 추후 연구를 통해 경혈과 치료 효과 간의 상관 관계를 밝히고 경혈을 선정하고 조합하는 원리에 대한 가이드라인을 제시하기 위해서는 치료 효과에 대한 정량적인 분석 방법과 이용한 경혈에 대한 자세한 보고가 필수적이다.

원발성 월경곤란 치료를 위한 경혈 및 경혈 조합의 네트워크 분석

이인선,In-Seon Lee 대한융합한의학회 2022 대한융합한의학회지 Vol.4 No.1

Objectives: Primary dysmenorrhea is a representative disease that causes intestinal pain, and it has long been known that acupuncture treatment is effective. In this study, a network analysis was conducted using acupuncture points reported in the existing systematic literature review, and the combination of acupuncture points used to treat primary dysmenorrhea was analyzed. Methods: Among of a total of 60 papers, excluding those that used ear acupuncture, the analysis results indicated that combinations of BL23, BL40, BL25, BL60, BL30, Ashi-points, BL26, GB34, and GV3 were used in combination. Results: Through this, it can be seen that previous studies to reveal the effectiveness of acupuncture on back pain mainly used the acupoints of the bladder meridian (BL), local acupoints group, and distal acupoints group. Conclusion: In order to reveal the correlation between acupoints and therapeutic effects through future studies and to provide guidelines on the principles of selecting and combining acupoints, it is necessary to employ a quantitative analysis method for therapeutic effects and to provide detailed reports on acupoints.

친족 성인에 의한 아동 성폭력 피해자의 눈을 통해 본 한국의 성폭력 피해자 지원 서비스

김기현 ( Ki Hyun Kim ),이미정 ( Mi Jeong Lee ),이인선 ( In Seon Lee ) 한국사회복지연구회 2014 사회복지연구 Vol.45 No.1

본 연구는 최근 성폭력 피해자 지원체계의 변화이후 성폭력 피해자들의 지원서비스 이용 경험을 살펴보았다. 서비스 이용자의 관점에서 지원체계를 탐색했으며, 특히 친족 성인에 의한 아동성폭력 피해자에 초점을 맞추었다. 최근 피해자 지원 기관을 이용한 친족 성폭력 피해 아동 및 보호자와 지원 서비스 경험에 대해 심층 인터뷰를 진행했고 연구결과 참여자들의 보호자 부재와 다양한 환경적 위험요인의 존재 및 보호요인의 취약성은 이들의 지원기관 경험을 이해하는 중요한 맥락적 조건을 구성하고 있는 것으로 나타났다. 피해자들의 피해자 지원기관에 대한 인지도가 높지 않은 상황에서 피해자들은 다양한 경로로 지원기관에 접근하고 있었으며, 지원기관에서 사례를 통합, 조정할 수 있는 사회 서비스 기능의 강화와 피해자들이사건 종료 후 성인기로의 진입을 성공적으로 완수할 수 있도록 진학과 취업 준비를 위한 지원의 필요성이 중요하게 대두되었다. 이를 바탕으로 친족 성폭력 피해아동 연구 및 서비스 제공을 위한 학문적, 실천적 함의를 논의하였다. Recently, Korea witnessed the development and change in victim support system for sexual violence survivors. This study explored the sexual violence survivors` experiences of victim support system in Korea. Particularly, the study focused on the intrafamilial child sexual abuse and examined the system from the perspective of the survivors. In-depth interviews were conducted with the survivors with regard to their experiences of the support services. Results indicated that the absence of parents or guardians, existence of multiple risk factors as well as scarcity of protective factors were important context in which we can understand the survivors` experiences. Few were aware of the existence of crisis intervention center, which prevented the survivors from receiving the services from the initial stage. Case management coordinating and integrating services from various disciplines emerged as an important imperative. Based on the findings, the study discussed theoretical implications for the findings and suggestions for providing services.

보릿가루의 첨가가 부침개의 품질특성에 미치는 영향

이인선,Lee, In-Seon 한국식품조리과학회 2017 한국식품조리과학회지 Vol.33 No.3

Purpose: This study investigated the quality characteristics of vegetable pancake prepared with various levels of barley flour. Methods: The pH level and spreadability of the batters as well as the color, texture, and sensory evaluation of the vegetable pancake were analyzed. Results: The results show that spreadability of batter significantly decreased as the substitution amount of barley flour increased (p<0.001). The pH level of the batter significantly decreased as the substitution amount of barley flour increased (p<0.001). Redness and yellowness increased as the substitution amount of barley flour increased. For texture, the sample groups with substituted barley flour showed high characteristics of hardness, gumminess, and chewiness. Principal component analysis showed that the sample group with a high substitution amount of barley flour was characterized by relatively high darkness, roasted grain aroma, bitterness, astringent, and chalkiness. Acceptance test found that the sample group with 15% barley flour received higher acceptance than the sample group with 0% barley flour in terms of color, texture, and overall acceptance. Conclusion: Acceptance test found that the sample group with 15% or 30% of barley flour had significantly higher or similar acceptance attributes than the sample group without barley flour, which suggests the possibility of developing vegetable pancake with barley flour.

청국장 향미에 미치는 ${\beta}-cyclodextrin$의 포접 효과

이인선,김순미,김혜영B,Lee, In-Seon,Kim, Soon-Mi,L. Kim, Hye-Young 한국식생활문화학회 2001 韓國食生活文化學會誌 Vol.16 No.4

식품의 향기를 포접하여 향기성분을 순화시키는 성질을 지닌 ${\beta}-cyclodextrin$을 청국장에 0%, 10%, 20% 및 30%씩 첨가하여 청국장의 냄새에 대한 포접효과를 살펴보면, ${\beta}-cyclodextrin$을 20% 대체한 시료의 단백질과 회분양은 control 시료보다 유의적으로 감소하였다. 지방량과 탄수화물량은 대체시료가 control 시료보다 유의적으로 증가하였다. 시료의 L값은 ${\beta}-cydodextrin$을 30%대체한 시료가 53.99로 가장 밝게 평가되었고, 대체수준이 10%일 때 L값은 51.81으로 유의적으로 가장 낮은 수치를 보이며 색이 더 진하게 평가 되었다. 시료의 a값은 대체 수준이 증가할수록 감소하여 붉은 정도가 옅어지었다. 시료의 b값은 대체량이 증가할수록 시료의 노란정도가 점점 옅어짐을 나타내었다. 시료 입자의 내부구조 조직을 주사전자 현미경으로 관찰한 결과, control 시료의 내부구조는 점질물질이 불규칙 한 모양으로 뭉쳐져 있거나 거칠게 퍼져 있음을 볼 수 있었으며, 첨가수준이 증가할수록 불규칙하고 거친 내부조직이 점차 감소하여 30% 대체 시료에서는 매끈하고 안정된 조직감과 내부구조를 보여 주었다. 관능적 특성에 대한 결과, 청국장 시료의 구수한 냄새는 시료의 대체수준이 20% 이상으로 될 때 구수한 냄새는 6.65에서 6.78의 수치를 보이며 유의적으로 다소 감소하여 구수한 냄새가 약하게 나타났다. 시료의 이취는 ${\beta}-cyclodextrin$을 대체량을 20%로 증가한 시료에서 control 시료의 이취보다 유의적인 감소를 보여 주었다. (p<0.05). 시료의 짠맛은 20% 대체시료군이 control 시료의 짠맛보다 유의적으로 현저히 감소하였으며, 쓴맛은 control 시료에 비하여 모든 대체시료군이 낮은 수치로 쓴맛이 약해지는 경향을 나타내었다. 이상으로 ${\beta}-cyclodextrin$으로 청국장을 포접시엔 특히, 구수한 냄새 이취 및 짠맛을 순화하는 경향이 있는 것을 알 수 있었다. Flavor modifing effects of ${\beta}-cyclodextrin$ on the flavor of Chungkookjang(Korean traditional fermented bean paste) were investigated with varied substitution levels of 10, 20, and 30%. The 20% substituted sample groups showed significantly lower amount of protein and ash contents compared to those of control. The L value of brightness had significantly the largest value of 53.99 with 30% substituted sample group, and lower a and b values. Internal structures of control group observed using the scanning electronic microscope, had irregular round type shape with viscous materials, and they had tendencies to be less rough and organized making even and ordered internal cell structures as the substituted levels were increased. Results of sensory characteristics showed significantly lower off-odor and salty flavor with the 20% substituted sample groups compared to those of control. Results of this study showed the possibilities of flavor moderating effects of ${\beta}-cyclodextrin$ when it was used as one of the flavor modifier of the Chungkookjang. Future studies of finding the optimum level of substitution is further required.

임신·출산 관련 산업안전보건 및 산재보험 정책의 개선방안

김영택(Young-Taek Kim),이인선(In-Seon Lee),정진주(Jin-Joo Chung),유혜경(Hye-Kyung Yoo) 한국여성정책연구원 2016 한국여성정책연구원 연구보고서 Vol.2016 No.-

Korea has faced serious social problem on low birth rates. Yet, it is not sufficient for our government to care for female workers when they go through pregnancy and delivery. Recently, Korea has witnessed that nurses lost the court case, even though they got diseases due to unsafe working places which has been proved through the epidemiological study. Under the context above, this study aimed for examining environment of working places among female workers as well as their exposure to dangerous working conditions affecting physical, m?uscloskeletal, and mental diseases as well as degree of hard work during their pregnant periods. For speaking of methods, this study employed both quantitative and qualitative analysis. The study used the secondary data to prove the study goals quantitatively. Also, the study used an in-depth interview for possible victims suffering from risky working places. Based on the results of the two analysis, the study found that law and institutional impracticality in providing assistance to female workers during their pregnancy and delivery period, although we found evidence such as increasing rates of abortion up to now and existing exposure to the dangerous working conditions, etc. Thus, the study suggested policy agendas for better law and institutional system for safety and health of female workers. 1. 연구 목적 및 필요성 □ 최근 간호사의 유산 및 선천성 이상 질환아 출산 사례가 집단적으로 발생하였고, 역학조사 결과 업무관련성이 있는 것으로 조사됨에도 불구하고 산재보험의 적용은 결국 받아들여지지 않음 - 이는 임산부의 건강 및 태아의 건강이 손실되었을 경우 모든 책임은 임신한 근로자에게 있는 것으로 간주되어질 수 있음 - 이는 직장 내에서 여성근로자들이 근무 기간 안전하게 출산을 하게끔 근무환경 조성 및 관련 법 및 제도적 정비라는 정부의 저출산 위기방지 전략에 분명히 위배됨 □ 본 연구의 목적은 가임기 여성근로자의 보건안전통계 현황 및 근무환경에 따른 가임기 여성 임금근로자 건강상태 원인 분석, 임신·출산 관련 산업재해 피해자 사례 조사 및 국내외 법 및 제도 분석을 통하여 정책 개선방안을 제시함 2. 연구 내용 □ 기존 자료 활용 가임기 여성근로자 안전보건통계 현황 분석함 -「산업재해통계분석」보고서를 활용하여 2013년∼2014년 여성근로자 산업재해 통계 현황을 비교 분석함. - 사업장 규모별, 연령별, 근무기간별, 발생형태별로 여성근로자 산업재해 현황 분석을 실시함 □ 국민건강보험공단의 자료 제공 아래 2006년∼2015년 기간 동안 업종별 및 연령별 유산 현황을 분석함 □ 제4차 근로환경조사(2014)를 활용하여 양적 통계분석 실시함 - 사업장에서의 가임기 여성 임금근로자의 물리적 위험, 근골격계 위험, 정신적 위험 노출여부를 산업별로 분석함 - 작업장에서 노동 강도, 안전·건강 위험 정보를 받았는지 여부와 일이 가임기 여성 임금근로자 건강에 미치는 영향에 관하여 분석을 실시함 □ 임신 중 및 출산 후 산업재해 피해자를 대상으로 임신·출산 여성의 근무환경을 파악하고 근무환경이 근로자와 태아의 건강에 어떤 영향을 미쳤는지 조사 분석하였음 - 임신 중 또는 출산 후에 업무상의 이유로 건강상의 위험이나 불안을 경험한 14명의 여성근로자 및 근무지의 노조원으로 소속되어 있는 여성근로자 2명을 대상으로 심층면접을 실시함 □우리나라와 외국의 임신·출산 여성근로자 보호 관련 법제에 관하여 분석하였음 -우리나라 여성근로자 보호에 관한 우리나라 법제의 주요 내용인 헌법, 근로기준법, 남녀고용평등과 일·가정 양립 지원에 관한 법률, 모자보건법, 산업안전보건법, 산업재해보상보험법의 주요내용을 고찰함 -태아의 산재인정 여부에 대한 판례 및 태아에 대한 불법행위 손해배상청구권 인정 판례 임신·출산 여성근로자와 태아보호를 위한 국제기준과 주요국의 법제를 고찰함 □ 이러한 분석결과를 근거로 정책개선방안을 제시하였음 3. 연구 방법 □ 임신 및 출산 시기 여성근로자의 안전보건 관련 근무환경과 유산과의 상관성 관련 문헌연구 및 관련 선행 연구 조사를 고찰함 □ 문헌연구 및 관련 선행 연구 조사를 통하여 국내외 법·제도 분석을 실시함 □ 본 보고서에서는 혼합연구방법론을 활용함 □ 산업안전보건 전문가 집담회를 개최함. 여성근로자의 산업안전보건 관련 전문가 등을 대상으로 전문가 집담회를 실시하여 정책개선방안을 마련함 □산업안전보건 및 산재보험 정책의 전문가와 함께 관련 정책에 대해 논의하는 포럼을 3회 개최함. 이를 통해 임신·출산 여성근로자 보호 법제의 기본방향과 개선방안에 관한 경험 및 정보를 교류함