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      • 고려시대(高麗時代) 의학사관(醫學史觀) 질정(叱正)(1) - 고려초기(高麗初期) 의학(醫學)에 관한 김두종(金斗鍾)의 역사인식에 대한 비판 -

        김홍균,Kim, Hong-Kyoon 한국한의학연구원 2003 한국한의학연구원논문집 Vol.9 No.1

        From the study on Doo-Jong Kims view of history about the early Korea$(Korea\;herewith\;stands\;for\;Korea\;dynasty\;A.D.918{\sim}1392)s$ Medicine, I came to a conclusion as follows. 1. Doo-Jong Kim is stressing on the fact that Early Koreas Medicine inherited from Shilla dynasty and seemingly expressing the pride of national medical science. But actually he distorted the Koreas independent growth with flunkeyism and insisted that Koreas medicine only took over Shilla dynastys which based on Chinese Tang dynastys medical science. As a result, Koreas medicine was blurred and evaluated as nothing but Tangs medicine. But, the reasons of Doo-Jong Kims viewpoints were not based on the fact, but on his speculation. 2. About the medical system, Doo-Jong Kim viewed that Korea copied Chinese Soo & Tangs medical system, But the fact is that Korea only borrowed a part of Chinese medical systems name, for examples, Tae-I-Gam, Sang-Yak-Kook, Sang-Sik-Kook, etc., and its actual functions were different and grew in Koreas own way, As a result, the titles or roles in the system were very different from those of Chinas. Especially, Korea saw much development in Science of Acupuncture and Moxibustion that there was a specialist on Acupuncture, called I-Chim-Sa, and even had much influences on Chinese Acupuncture and Moxibustions growth, exporting Hwang-Je-Ne-Kyong to Chinese Song dynasty. 3. About the education system of medicine, Doo-Jong Kim viewed that Koreas medicine was only a copy of Shilla dynastys which was based on Chinese Tang dynastys, taking the medical examination curriculum as an example. The fact is that Tangs medical curriculum was three, Bon-Cho, Kab-Ul, Maek-Kyong, Shilla had seven, Bon-Cho-Kyong, Kab-Ul-Kyong, So-Moon-Kyong, Chim-Kyong, Maek-Kyong, Myong-Dang-Kyong, Nan-Kyong, and Korea had ten, So-Moon-Kyong, Kab-Ul-Kyong, Bon-Cho-Kyong, Myong-Dang-Kyong, Maek-Kyong, Dae-Kyong-Chim-Kyong, Nan-Kyong, Ku-Kyong, Ryu-Yon-Ja-Bang, So-Kyong-Chang-Jeo-Ron. Simply considering this, it is so clear that Koreas medical curriculum was much more upgraded one than that of China. 4. About the examination system for civil service, Doo-Jong Kim expressed that Shilla dynasty did not have such system, and only expounded knowledge of Shilla medicine, In case of China, Tang danasty Hyang-Kong was only a qualification test for civil service, which the result was completely dependent on applicants social status, Song danasty examination system was composed of three steps of Hyang-Si, Sung-Si, Jeon-Si (See Note1), but it stuck to formality by having Jeon-Si of anti-fraudulence use. On the other hand, examination system for civil service in Korea dynasty started in 958 by an advice of Ssang-Ki, Chin-Si in 977 and K대-Ja-Si (See Note 1), a kind of Hyang-Si, in 1024., Three steps of examination system made employment for civil service strictly fair, Moreover, it was possible for offsprings of concubine to be an applicant. These easily explain that the examination system of Korea dynasty was more upgraded one than that of China, Tang & Song dynasty. <Notel> Hyang-Si : Exam in local area Sung-Si : Exam in province for those who passed Hyang-Si Jeon-Si : Exam held with Koea Kings supervision for those who passed Hyang-Si Keo-Ja-Si : Selective exam in local area like Hyang-Si. From the reasons above, it is clear that Doo-Jong Kim was much biased by flunkeyism through Japanese colonialisam and expressed his view on Korea Medical History based on such theory of heteronomy and stasis. Moreover, without rigid historical evidence on records, he distored the fact by translating incorrectly on his purpose. Therefore, Doo-Jong Kims Korean Medical History must be reevaluated through rigid historical research and his mistranslation should be corrected.

      • KCI등재후보

        歷代醫學姓氏의 針과 鍼에 대하여

        김홍균(Hong-Kyoon Kim),안상우(Sang-Woo An) 한국의사학회 2012 한국의사학회지 Vol.25 No.2

        From the part “歷代醫學姓氏(Historic Doctors)” in 『醫林撮要(Uirimchualyo)』, the following has been noticed and concluded. 1. Because acupuncture was originated from stony needle, the word “石(sok)” contains the meaning of needle, and from this point on, words like 石(sok), 砭石(pyumsok), 箴石(Jamsok), 鑱石(Chamsok) had been derived. 2. The word 砭石(pyumsok) used in 『Hwangjenaekyong(Yellow Emperor’s Canon of Medicine or Hwangdineijing)』should be interpreted as acupuncture in a verb form, not a noun form. 3. 鑱石(Chamsok) or 鑱鍼(Chamchim) was used for surgical treatment for tumor, by cutting open tumors and pressing the pus out. Therefore, 砭石(pyumsok), 鑱石(Chamsok) are the same kind of needles, and 鑱鍼(Chamchim) is the tool improved from 鑱石(Chamsok) used in the Bronze Age. 4. Kwakpak put a note on 鑱石(Chamsok) in 『山海經(Sanhaekyong)』 that reads “it is defined as 砥鍼Jichim) and treats tumor.” This let us know the shape of 石(sok), 砭石(pyumsok), 鑱石(Chamsok), 鑱鍼(Chamchim), and the stone that can be used as a surgical tool with slim & sharp shape is obsidian. 5. Because obsidian is only found around Mt. Baekdu and limited area in South Korea & Japan in Asia, it is closely related with the life & medical environment of the tribe “Mt. Baekdu”. 6. The development of 鑱鍼(Chamchim) was influenced by surgical treatment used in early stage of civilization, and its origin is traced upto Gochosun dynasty. Korea’s own traditional medical knowledge is derived from this surgical treatment skill. 7. Because the acupuncture is originated from Gochosun dynasty, 鍼(chim) was derived from 箴(Jam) of 箴石(Jamsok), 鍼(Chim) & 鍼(Chim) both were used for a time being, and finally settled into 鍼(Chim). 8. The word 針(Chim) showed up at Myung dynasty, and started to be used in Korea from early Chosun dynasty. 9. In the early Chosun dynasty, 鍼(Chim) was used for medical term, and 針(Chim) for non-medical term. In the mid Chosun dynasty, 針(Chim) was used as a term for tool, and 鍼(Chim) as a term for acupunctural medical treatment. 10. Under the order of King Sunjo, Dr. Yesoo Yang published 『醫林撮Uirimchualyo)』 added 『醫林撮要續集Sequel to Uirimchualyo)』 and added 『歷代醫學姓氏(Historic Doctors)』 again which eventually made totally 13 books of 『醫林撮要Uirimchualyo)』 In addition, many parts of 『醫林撮要續集(Sequel to Uirimchualyo)』 were quoted in 『東醫寶鑑Donguibogam)』 and influenced much in publishing 『Donguibogam』. 11. In 『歷代醫學姓氏(Historic Doctors)』 of 『醫林撮要Uirimchualyo)』 the same way in 『Donguibogam』 referred to 針(Chim) as a term for a needle, and 鍼(Chim) as a term for Acupuncture. 12. From the usage of 針(Chim) & 鍼(Chim), shown in 『鄕藥集成方(Hyangyakjipsungbang)』, 醫林撮要(Uirimchualyo)』 and 東醫寶鑑(Donguibogam)』, we can notice the spirit of doctors who tried to take over the legitimacy of Korean tradition, and their elaboration & historical view that expresses confidence on our own medical technology, through the wording 鍼(Chim).

      • KCI등재

        『本草精華』의 解題에 관한 醫史學的 접근

        김홍균(Hong-Kyoon Kim) 한국의사학회 2011 한국의사학회지 Vol.24 No.2

        The currently existing 『Bonchojeonghwa (本草精華)』. is a manuscript without the preface and the epilogue, composed of 2 books in 2 volumes. This book is a quintessence of knowledge on science of medicinal ingredients (medicinal phytology / herbal science) as well as an trial of new development in Chosun medical science. I.e. this book includes surprising change representing medical science in Chosun dynasty as a single publication on science of medicinal ingredients. It holds a value essential to clinician as a specialized book in medicinal ingredients, and includes richer content on medicinal ingredients than any other books published before. In addition, it is away from boring list-up of superfluous knowledge as seen in 『Bonchokangmok(本草網目)』 published in China, and well summarizes essential knowledge which can be used within a range of medicines available in Korea. This book has an outstanding structure that can be even used in today's textbook on science of medicinal ingredients, as it has clear theory, system and classification. Because it handles essential learning points prior to prescription to disease, it is possible to configure new prescription and adjustment of medicinal materials. Moreover, this book can play a good role for linguistic study at the time of publication, because it describes many drugs in Hangul in many parts of the book. 『Bonchqeonohwa』 includes a variety of animals, plants and mineral resources in Korea, like 『Bonchokangmok』 which was recently listed in UNESCO. As such, it has a significance in natural history as well as pharmacy in Korean Medicine. It has various academic relationships all in biologic & abiologic aspects. It has importance in sharing future biological resources, building up international potential, setting up the standard for biologic species under IMF system, and becoming a base for resource diplomacy. We should not only see it as a book on medicinal ingredients in terms of Oriental Medicine, but also make an prudent approach to it in terms of study strengthening Korea's national competitiveness. After bibliographical reviewing on the features & characteristics of the only existing copy of 『Bonchoieonohwar』 housed in Kyujanggak(奎章閣) of Seoul National University, the followings are noted. First, 『Bonchojeonghwa』 is a specialized book on medicinal ingredients voluntarily made by private hands to distribute knowledge on drugs in the desolate situation after lmjinoeran (Japanese Invasion in 1592), without waiting for governmental help. Second, it raised accessibility and practicality by new editing. Third, it classified 990 different kinds of drugs into plant, animal, and mineral at large, and classified more in detail into 15 Bu' and 48 'Ryu' at 258 pages. Fourth, the publication of this book is estimated to be around 1625~1633, at the time of lnlo's reign in 17th century. Fifth, it contains the existing & up-to-date knowledge at the time of publication, and it is possible to see the supply-demand situation by Hangul descriptions in 149 places in the book. By the fact that there are many linguistic evidences of 17th century, explains well when the book was published.

      • KCI등재

        공용중인 NATM 터널의 성능중심 평가체계 연구: 평가모형 개발 및 검증

        문준식,김홍균,안재욱,이종건,Moon, Joon-Shik,Kim, Hong-Kyoon,An, Jai-Wook,Lee, Jong-Gun 한국터널지하공간학회 2020 한국터널지하공간학회논문집 Vol.22 No.1

        공용중인 시설물의 성능기반 평가에서 보유 성능은 성능별 평가지표를 유목화 한 후 각 성능에 대한 평가지표의 중요도를 고려하여 가중평균하여 평가한다. 본 연구에서는 NATM 터널의 성능기반 평가기법을 제시하기 위해 이전 연구에서 도출된 평가지표의 지표별 특성과 유사성 등을 분석하여 최종 평가지표를 도출하였다. 평가지표별로 상대적 중요도를 산출하여 평가지표의 가중치를 도출하였다. 정량적인 평가모형을 개발하기 위하여 지표별 성능등급 평가기준을 관련 문헌 및 선행연구 분석을 통해 도출하고, 도로 및 철도 터널의 유지관리 시 적용할 수 있는 성능평가표를 제시하였다. 제시된 성능평가 모형의 유의미함을 제시된 평가표를 실제 공용중인 터널에서 정밀안전진단을 통하여 측정된 조사자료에 적용하여 각 평가지표와 최종 평가결과와의 상관분석을 실시함으로써 검증하였다. 본 연구에서 제시된 공용중인 터널의 성능평가를 위한 평가지표, 가중치, 그리고 용도별 평가모형은 추후 터널의 성능중심 유지관리 체계에 적용되어 유지관리 전략 수립 시 활용될 수 있을 것으로 판단된다. In a performance-based evaluation of structures in use, the current performance is assessed by summing up the weighting of the evaluation indices for each performance. In this study, to suggest a performance-based evaluation technique for NATM tunnels in use, the performance evaluation indices were derived by examining the characteristics and similarities of each index developed from previous study. The weighting of the evaluation indices was derived by calculating the relative importance of each evaluation indices from the AHP analysis. In order to develop a quantitative evaluation model, grading criteria for each performance index was derived through literature review, and performance evaluation tables for road and railway tunnels were presented. In order to verify the significance of the proposed performance evaluation model, the correlation analysis was performed between each evaluation index and the final evaluation result. In the correlation analysis, the survey data measured through precision safety diagnosis in the tunnel in use was applied. It may be said that the proposed evaluation indices, weighting, criteria and evaluation models for tunnels in use can be applied to the performance-based maintenance system of tunnels.

      • KCI등재

        공용중인 터널의 성능중심 평가기법 개발

        안재욱,김홍균,An, Jai-Wook,Kim, Hong-Kyoon 한국터널지하공간학회 2016 한국터널지하공간학회논문집 Vol.18 No.6

        기존의 터널 유지관리 체계는 결함 및 손상부위의 보수 또는 설계기준을 충족하기 위한 보강 등 사고예방적인 안전성 중심의 유지관리방식으로 관리되고 있어 효율적이고 전략적인 유지관리를 실시하는데 한계를 보이고 있다. 현재 국가연구를 통해 터널의 성능저하를 예측, 평가하여 한정된 재정을 효율적으로 투자할 수 있도록 성능중심의 유지관리체계로의 전환을 시도하고 있다. 본 연구에서는 터널시설물을 중심으로 기존의 안전중심의 유지관리 체계에서 구조적 안전은 물론이며, 서비스수준 및 내구성능 등의 성능저하를 고려한 터널시설물의 성능중심 평가체계의 개발을 위하여 성능평가를 위한 평가지표를 도출하고자 한다. 성능중심 평가기법 개발을 위한 평가지표는 문헌자료 분석 및 델파이 설문을 통하여 선정하였으며, 평가지표간의 중요도는 AHP 분석을 통해 산정되었다. 본 연구결과는 터널시설물의 성능중심 유지관리 체계에 적용되어 터널의 유지관리 시 합리적인 의사결정을 지원할 수 있을 것으로 판단된다. The purpose of current tunnel maintenance system in South Korea is safety-based maintenance system for accident prevention, So it is difficult to conduct a strategic maintenance. The development of a new maintenance system can lead to effective investment of limited financial and it's effort is still in progress. In this study, to develop a performance-based assessment method, indexes for assessment are derived taking into account the safety, durability and serviceability. The indexes for performance-based assessment were selected by a literature analysis and a delphi survey. Then the importance among indexes were calculated by the AHP analysis.

      • KCI등재

        『의림촬요(醫林撮要)』의 의안(醫案)에 대한 연구

        구민석,김민선,김홍균,차웅석,김남일,Ku, Minseok,Kim, Minseon,Kim, Hong-Kyoon,Cha, Wung-Seok,Kim, Namil 한국의사학회 2018 한국의사학회지 Vol.31 No.1

        Uirimchalyo (醫林撮要), one of the most important books in the history of Korean Medicine (KM), has not been researched within the framework provided by Yi'an (醫案), an East Asian tradition of describing clinical encounters with the therapies employed. In modern times, this practice of Yi'an might be similar to the outline of a singular "case study". The authors designed the study to analyze the basic information of Yi'an within the Uirimchalyo and to contribute to the foundations of employing Yi'an in Korean Medicine. A standard was established, and the 123 Yi'ans were extracted, most of which were taken from the chapter, Historic Doctors (歷代醫學姓氏). Using this information and in comparison with other medical books such as Euibangyoochui (醫方類聚), the authors learned that the Yi'ans from the Jinyuansidajia (金元四大家), including those of four eminent clinicians in Jin (金) and Yuan (元) Dynasty, are excluded from Uirimchalyo. The authors identified that Yi'ans from other medical books, are cited in the Uirimchalyo but with different format, not with the traditionally understood form of Yi'an. This study of the Uirimchalyo Yi'an resulted in three important understandings of Yi'an. First, the mere number of Uirimchalyo Yi'an is meaningful in that it raised the genre of Yi'an to the a level not previously recognized. Second, in the history of Korean Medicine, Yi'an is first systematized in the Uirimchalyo at the chapter of Historic Doctors. Third, Uirimchalyo raised the concept of usefulness of Yi'an, to the practice of Korean Medicine.

      • 지반함몰 사고 분석을 통한 제도 개선안 연구 - 지하시설물 및 주변지반 관리 중심으로 -

        김동진,이종근,김홍균,노태길,Kim, Dong-jin,Lee, Jong-keun,Kim, Hong-kyoon,No, Tae-kil 한국건설안전학회 2020 한국건설안전학회 논문집 Vol.3 No.1

        The purpose of this study is to propose a system improvement plan to prevent ground sinking accidents. To do this, follow the procedure below. First, it defines terms that are used interchangeably, such as ground subsidence and ground depression. Second, analysis of the current status and cause of ground sink, and the analysis of the correlation between rainfall and ground sink causes, derives priority management causes. Third, we propose a system improvement plan for the cause of priority management. As a result, damage to underground pipes and inadequate underground works were identified as the cause of priority management, and two system improvement plans to manage them were proposed. The results of this study can be used as basic data for improving the system for more effective prevention of underground sink in the future. 본 연구의 목적은 지반함몰 사고를 예방하기 위한 제도 개선안을 제안하는 것이다. 이를 위해 다음과 같은 수행절차를 따른다. 첫째, 지반침하 및 지반함몰 등의 혼용되어 사용되는 용어를 정의한다. 둘째, 지반함몰 사고 현황 및 원인 분석과 강우량과 지반함몰 원인간의 상관관계 분석을 실시하여 중점관리 원인을 도출한다. 셋째, 중점관리 원인에 대한 제도 개선안을 제안한다. 그 결과, 지하관로 손상과 지하공사 부실이 중점관리 원인으로 규명되었으며, 이를 관리할 두 가지의 제도 개선안을 제시하였다. 본 연구의 결과는 향후 보다 실효성 있는 지하함몰 예방을 위한 제도개선의 기초자료로 활용될 수 있다.

      • KCI등재

        국내 기후특성을 고려한 도로터널의 동결-융해 평가기준 연구

        문준식,안재욱,김홍균,이종건,Moon, Joon-Shik,An, Jai-Wook,Kim, Hong-Kyoon,Lee, Jong-Gun 한국터널지하공간학회 2020 한국터널지하공간학회논문집 Vol.22 No.1

        전 세계적으로 이상기후 현상의 빈도와 강도는 높아지고 있는 추세이다. 이는 인명과 재산에 직접적인 피해를 줄 수 있으므로 이상기후에 대응하여 적정한 유지관리 전략을 수립하고 실천하는 것이 중요하다. 한파 또는 폭설이 빈번하게 발생하는 한랭지역에 건설되는 시설물의 경우에는 다른 지역에 위치하고 있는 시설물에 비하여 동결-융해에 의한 피해를 많이 받을 수 있으며, 해를 거듭할수록 그 피해 정도는 증가할 가능성이 매우 높다. 그러나 동결-융해의 피해를 정량적으로 확인할 수 있는 명확한 기준과 이에 대한 대응방안은 아직 제시되고 있지 않은 실정이다. 따라서 실내 동결시험 결과를 기반으로 지역별 기후특성을 고려한 동결조건을 -14℃에서 1일, -7℃에서 2일 또는 -5℃에서 3일 지속될 경우로 선정하였으며, 그 결과, 강원지역의 대관령(8.3회), 철원(5.3회), 태백(4.9회)의 순으로 동결-융해 환경에 노출되어 있는 것으로 판단되었다. 이러한 연구결과를 기반으로 도로터널의 동결-융해 평가기준을 새롭게 제시하였다. 본 연구에서 제시된 도로터널의 동결-융해 평가기준은 추후 한랭지역 터널의 정량적 평가와 유지관리 전략의 수립 시 활용될 수 있을 것으로 판단된다. Globally, the frequency and intensity of abnormal climate events are increasing. Since this can directly damage lives and property, it is important to establish and implement an appropriate maintenance strategy in response to abnormal weather. Facilities built in cold regions where cold wave or heavy snow occurs frequently can be more damaged by freeze-thaw than facilities located in other regions. However, there are no clear criteria for quantitatively identifying the damage of freeze-thaw and how to cope with it. Therefore, based on the results of indoor freezing tests, the freezing conditions considering regional climate characteristics were selected as one day at -14℃, two days at -7℃ or three days at -5℃. As a result, it was confirmed that they were in the freeze-thaw environment in order of Daegwallyeing (8.3 times), Cheorwon (5.3 times) and Taebeak (4.9 times) in Gangwon region. Through this study, the evaluation criteria of freeze-thaw of road tunnels were newly proposed. The freeze-thaw evaluation criteria of the road tunnel presented in this study can be used for the quantitative evaluation and maintenance strategy of tunnels in cold regions.

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