사상체질별(四象體質別) 두면부(頭面部)의 형태학적(形態學的) 특징(特徵)

고병희,송일병,조용진,최창석,김종원,홍석철,이의주,이상용,서정숙,Ko, Byung-Hee,Song, Il-Byung,Cho, Yong-Jin,Choi, Chang-Seok,Kim, Jong-Weon,Hong, Suck-CHull,Lee, Eui-Ju,Lee, Sang-Yong,Seo, Jeong-Sug 사상체질의학회 1996 사상체질의학회지 Vol.8 No.1

1. 연구배경 : 사상의학의 가장 중요한 요점은 체질진단이다. 그간 다양한 체질변증에 관한 연구가 있었지만 신체 각부의 형태학적인 연구, 특히 얼굴을 대상으로 한 연구는 거의 전무하였다. 저자들은 그 동안 전일적이고 직관적으로 표현된 동의수세보원의 형태적 묘사를 정량화하여 정리하고, 이 자료를 체질진단의 근거자료로 삼고자 하는 연구의 일환으로 먼저 두안부(頭顔部)의 형태를 태음인 소음인 소양인 별로 그 형상적 특징을 찾아내고자 하였다. 2. 방법 : 1995년 7월부터 1995년 12월까지 경희의료원 부속한방병원 외래환자 및 직원을 대상으로 설문지 및 임상적 치료 경과를 통하여 체질적 경향성이 뚜렷한 대상자를 선별하고 동일촬영 조건을 통하여 얻은 얼굴 사진 중 형태특이자를 제외한 170례의 고경(전두고외 26항목) 방사경(두최대장외 22항목) 및 폭경(안최대폭외 18항목)등 총 69항목을 측정한 후 이를 분석하여 체질별 상이점을 도출하였다. 3. 결과 : 체질별 두면부의 형태학적인 특징을 수치화하여 설명할 수 있게 되었고, 나아가 직관적이고 전일적인 형태를 구체화시킬 수 있는 특징을 도출할 수 있었다. 4. 결론 : 이상의 결과를 이용하여 체질별 각 부분의 형태를 계량화하여 비교 설명하고, 이를 이용하여 체질판별공식을 만들었다. The clinical application of constitutional Diagnosis is the most important part of Sasang constitutional medicine. It has been studied in various way. However, the study of morphologic characteristics on the face is applied for the first time. For quantitative analysis of the correlation between the sasang constitution and the shape of the face, the head-facial part of 170 cases were measured by Martin's measurement and analysis of a) the measurement value of height and the component ratio from the Gnathion to each part of face by constitution. b) the measurement value of depth and the component ratio from T-projected to each part of the face by constitution. c) the measurement value of breadth and component ratio between each parts of the facial breadth by constitution. d) the ratio of square on every part of face by constitution. e) the characteristics on each part of the face by constitution. f) the contour line of the forehead. g) the result of discriminant analysis about the constitution. Authors obtained the results from the study as follows; 1. The characteristics of Taeum-IN (1) The measurement value of Height, Breadth, T-Projected had a tendency to maximum value in general. (2) The value of lower opthal height and the square of lower opthal part was maximum. (3) The value of Pronasal T-projected length and Subnasal T-projected length was minimum, so Taeum-In has characteristics of depression in middle face, nasal part. (4) In the ratio of Breadth, T-Projected, T-Projected was minimum. (5) It was maximum that the square of nose, Alare, Middle face, Lower face and it was minimum that the square of eye. The square of nose, Alare, Middle facc, Lower face was maximum and the square of eye was minimum. (6) The curvature of the eyebrow was minimum. (7) The projection of jaw (Pogonion T-projection length) was maximum. (8) The breadth of eye was minimum. (9) There was a tendency that the projection of the forehead to the right in general. 2. The characteristics of Soeum-In (1) In all cases of projected length the measurement value was minimum. (2) The value of lower opthal height and the square of lower opthal part was minimum. (3) By the Pupulare T-projected length, the value of Pronasal T-projected length and Subnasal T-projected length was minimum, so the Soeum In's face shape is flat. (4) The square of eye, mouth, forehead was maximum and the square of nose, Alare, Middle face, Lower face was minimum. (5) The curvature of the eyebrow was maximum. (6) The projection of mouth was minimum. (7) The jaw was flat. (8) The breadth of eye was maximum. (9) There was a tendency that the projection of the forehead to the left in general. 3. The characteristics of Soyang-In. (1) In most cases of 고경 length the measurement value was minimum. (2) By the Pupulare T-projected length, each ratio of projected length was maximum, so the Soyang-In's face shape has many protrusions (3) In the ratio of Breadth, T-Projected, T-Projected was maximum. (4) The square of mouth was minimum. (5) The inclination of the forehead was minimum. (6) The projection of mouth was maximum. (7) The breadth of eye was minimum. (8) There was a tendency that the projection of the forehead to the left in general. (9) The middle face was protruded. 4. Discriminant about the constitution. According to the result of discriminant, the accuracy probability of discriminant was 85.58% in total and Taeum-In was 90.5%, Soeum-In was 70.8%, Soyang-In was 89.5%. The accuracy probability of discriminant about 3 constitutional group increased by 49.03% than the accident probility 36.55% 5. Suggestion (1) The study which gather and analysis the data should be continued. (2) The study which subdivide the characteristics of each part of the face by the constitution should be continued. (3) The analysis method about Moire should be supplement. (4) The study about the morphologic characteristics of the whole body should be continued. (5) Computer program of constitution diagnosis s

四種 鹿茸의 免疫學的 效能에 關한 實驗的 硏究

高炳熙(Ko, Byung Hee),金光湖(Kim, Kwang Ho),宋一炳(Song, Il Byung) 대한한의학회 1991 대한한의학회지 Vol.12 No.1

원저 : 수치에 따른 3 종의 인삼이 면역반응에 미치는 영향 ( Original Article : An Experimental Study on the Effect of Raw Ginseng , White Ginseng and Red Ginseng on Immune Response in Mice )

고병희(Byoung Hee Ko),송일병(Il Byung Song),오용성(Yong Sung Oh) 경희대학교 경희의료원 1987 慶熙醫學 Vol.3 No.1

鹿茸, 熟地黃, 人蔘, 五加皮가 免疫反應 및 NK細胞活性度에 미치는 影響

高炳熙(Byoung-Hee Ko),宋一炳(Il-Byung Song) 대한한의학회 1986 대한한의학회지 Vol.7 No.2

융의 마음의 구조, 유형론과 이제마(李齊馬)의 지인론(知人論), 사상인(四象人)과의 비교 고찰

김인태,고병희,송일병,Kim, In Tae,Ko, Byung-Hee,Song, Il-Byeong 사상체질의학회 1996 사상체질의학회지 Vol.8 No.2

융과 동무(東武) 이제마(李濟馬)의 지인론(知人論)과 인간의 유형 연구의 비교를 통해 다음과 같은 결론을 얻을 수 있었다. 1. 융의 인간의 마음의 구조를 탐구한 작업이나 이제마(李濟馬)의 지인론(知人論)은 각각의 유형론(類型論)의 기본개념 설정에 중요 한 의미가 있다. 이들은 인간의 심성의 분석을 통하여 자신만의 독특한 유형론(類型論)을 개발해내었다. 2. 인식의 체계로서는 융은 의식, 개인적 무의식, 집단적 무의식, 자기의 사상론적(四象論的) 구조(構造)로, 이제마(李齊馬)는 사심신물(事心身物)의 사상론적(四象論的) 구조(構造)로서 인간을 설명하려 하였다. 그리고 유형론으로는 융은 사고형 감정형 감각형 직관형의 4개로, 이제마는 태양인(太陽人) 소양인(少陽人) 태음인(太陰人) 소음인(少陰人)의 4개로 나누었다. 공통적으로 사상론적(四象論的) 구조(構造)라는 점에 양자간의 유사성이 있다. 3. 융은 의식과 무의식을 탐구하였고 이제마(李濟馬)는 인의예지(仁義禮智)인 성(性)과 비박탐뢰(鄙薄貪賴)의 심욕(心慾)을 탐구하였는데 양자간에는 밀접한 관련이 있다고 사료된다. 또, 의식, 무의식과 군자의필(君子之心), 소인지필(小人之必)의 관련도 적용시킬 수 있다고 사료된다. 4. 이제마(李濟馬)의 대동(大同), 각립(各立), 행기지(行其知), 행기행(行其行)과 호선(好善), 악악(惡惡), 사심(邪心), 태행(怠行) 그리고 장부(臟腑)의 대소관계(大小關係)등은 융이 말한 제1기능(우월기능), 제2기능, 제3기능, 제4기능(열등기능)의 구분과 연관지어 생각해 볼 수 있다고 사료된다. 5. 융의 사고형 감정형 감각형 직관형의 4분류와 이제마(李濟馬)의 태양인(太陽人) 소양인(少陽人) 태음인(太陰人) 소음인(少陰人)과의 관계는 앞으로 많은 연구가 필요한 부분이라 생각된다. As considering a comparison study of the structure of mind and psychologic type of C.G Jung to Ji-In-Lon and Sa-Sang constituition of Lee Je Ma, I've got the following conclusion. 1. The study of the structure of mind of Jung and Ji-In-Lon of Lee Je ma have a important meaning to each theory of type of men. They developed their own peculiar theory of type men by the analysis of the mind of men. 2. Jung explained the organization of recognition by four phase theorical structure; consciousness, personal unconsciousness, collective unconsciousness, self. Lee Je Ma explained the organization of recognition by four phase theorical structure;Sa, Sim, Sin, Mul. And theory of type of men, Jung established four type; Tae-Yang-In, Tae-Um-In, So-Yang-In, So-Um-In, They all established the four phase structure, which have things in common. 3. Jung studied the consciousness and unconsciousness and Lee Je Ma studied the Sung-In, Eui, Ye, Ji, and Sim-Yock-Bi, Bak, Tam, Na. I think they have a close relationship. And I think there is relationship between consciousness, unconsciousness to Gun-Ja-Ji-Sim, So-In-Ji-Sim. 4. I think there is thought of relationship between Lee Je Ma's Dae-Dong, Gak-lip, Hang-gi-ji, Hang-gi-hang and Ho-sun, Oh-ak, Sa-sim, Tae-hang and relationship of internal organ's size to Jung's the first function, second function, third function, fourth function. 5. I think the relationship between the type of Jung;thinking type, feeling, type, sensation type, intuition type to the type of Lee Je Ma; Tae-Yang-In, Tae-Um-In, So-Yang-In, So-Yang-In, So-Um-In needs more study.

태음인(太陰人) 청심연자탕(淸心連子湯)의 항(抗)스트레스 효과(效果)에 관(關)한 실험적(實驗的) 연구(硏究)

홍석철,고병희,송일병,Hong, Suck-Chull,Ko, Byung Hee,Song, Il Byung 사상체질의학회 1995 사상체질의학회지 Vol.7 No.2

In order to, study the anti-stress effect of $Tae{\breve{u}}min$ $Ch{\breve{o}}ngsimy{\breve{o}}njat^{\prime}ang$, several measures of stress, including catecholmine changes, body weight changes, and gastric ulcers were used.the following result were observed: 1. Plasma epinephrine contents of stress by food in rats, in the controlled group were $219.3{\pm}18.4pg/ml$, but in the experimental group the value was decreased to $169.0{\pm}16.6pg/ml$. 2. Plasma norepinephrine content of stress by food in rats in the controlled group was $303.0{\pm}18.9pg/ml$ but in the experimental group the value was decreased to $243.6{\pm}17.6pg/ml$. 3. Plasma dopamine contents of stress by food in rats in the controlled group was $16.9{\pm}1.9pg/ml$ but in the experimental group the value was derceased to $12.8{\pm}1.5pg/ml$, but it was nonsignificant. 4. Effects of body weight of stress by food in the Shay rats in controlled group was $175.9{\pm}3.0g$, but in the experimental grou the value was increased to $187.7{\pm}4.8g$. 5. Gastric ulcers of stress by food in Shay Rats, in the experimental group, the glade was decreased more than in the control group. 6. It is considered that the anti-stress effect of Taeumin Chongsimyonjat' depends on its concentration rate. Based on the results above, it may be concluded that Taeumin chongsimyonjat' aug is effective to prevent the harmful effects of stress.

사상변증내용(四象辯證內容) 설문조사지(設問調査紙)(I)의 타당화(妥當化) 연구(硏究)

이의주,고병희,송일병,Lee, Eui Ju,Ko, Byung Hee,Song, Il Byung 사상체질의학회 1995 사상체질의학회지 Vol.7 No.2

This study was conducted for the purpose of finding out an objective classification method for Sasang Constitutional medicine, which divides people into 4 groups of constitution and presents comprehensively physiology, pathology, diagnosis, therapy and recuperation regarding each constitution. Questionnaire of Sasang Constitution Classification(I) was administered to 328 inpatients at Kyung Hee Oriental Medicine Hospital. Data was collected during 10 months from June 1994 to Mar. 11, 1995. For the purposes of this study, the collected data was analyzed by crosstabs, variation analysis, and discrimination analysis. The analyzing program was SPSS PC+V4.0. For the purposes of this study, the collected data was analyzed by crosstabs, cariation analysis, and discrimination analysis. The analyzing program was SPSS PC+V4.0. The results were as follows : 1. There was significant differences of each group scales through variation analysis. The questions of each group had Sasang constitutional diagnostic discrimination abilities 2. The diagnostic discrimination abilities(Hit-ratio=56.10%) of the Questionnaire for Sasang Constitution Classification(I) were found to have over 20% improvement than the propotional chance criteria(33.3%), Especially, Hit-ratio for $So{\breve{u}}m$-In(63%) was higher than that of SoYang-In(55%) and $Ta{\breve{e}}um$-In(56.3%). 3. Through discrimination analysis on good questions of each group, the diagnostic discrimination abilities of the Questionnaire for Sasang Constitution Classification(I) was 57.93%. 4. This would be on the ground that the Questionnaire for Sasang Constitution Classification(I) could be used as a tool for Sasang constitution classification.

동무년표제작을 위한 동무유고의 고찰

홍석철,고병희,송일병,Hong, Suck-Chull,Ko, Byung-Hee,Song, Il-Byung 한국한의학연구원 1996 한국 한의학연구소 논문집 Vol.2 No.1

In order to improve comprehension of Dong-Mu's thought, the 'The manuscripts left by Dong-Mu' was studied. The contents of 'The manuscripts left by Dong-Mu' and the writing date of 31 articles were presumed. The chronological table of Lee Jae-Ma was made out with the affairs of everyday experience. The writing date of Lee Jae-Ma's articles and 4 articles which were written by others were presumed and the everyday experiences were excavated. The chronological table of Lee Jae-Ma was made out with upper results.

한국인의 체질별 스트레스 인지정도에 따른 건강상태에 대한 연구

전은영,고병희,김귀분,Jeon, Eun-Young,Ko, Byung-Hee,Kim, Kwuy-Bun 사상체질의학회 1992 사상체질의학회지 Vol.4 No.1

The purpose of this study was to find out the causal relationship between perceptual level of stress and health state according to Korean constitutions and to analyze that effect on the Korean constitution's health state. Subjects of this study were 87 out patient department of constitution at Kyung-Hee Oriental Medicine Hospital. Data were collected by using interview with Questionaire during 6 months from Feb. 2 to June 31, 1991. The Measurement tools used by this researcher were Go's The Questionaire of Identify about constitution, Lee's stress scale and Go's modified Cornell Medical Index which were approved it's reliability and validity. All of the questionaires of were used after pre- test. For the purposes of the study, the collected data were analyzed by frequency, t-test, ANOVA and Pearson correlation. And then this research's issue was tested by SAS program's ANCOVA. The findings of this study was summarized as follow. 1. There was significantly differences in stress perceptual level in Korean constitution. (F=9.68, P=.000). The So Em In (小陰人) were higher than the other constitution on stress perceptional level. 2. In health state, there was significantly difference among Korean constitution. (F=6.654, P=.002). Also the So Em In (小陰人) was lower than the other constitution at health state. Therefore, it was considerate that So Em In (小陰人) was higher perceptual level of stress than the other constitution and the resulting poor health state. 3. Stressful perception was effected on the health state, as a result inverted correlation was constructed between stress perception and health state. (r=-.6034, P=.0001) 4. After exclusion of stress perceptual level, each of the Korean Constitution's health state was not difference (F=1.01, P=.37). It was mean that differences of the Korean Constitution's perceptual level of stress effected on the health state. Bacause So Em In (小陰人) had higher perceptual level of stress than other constitution (F=9.687, P=.000), in proportion to that one's health state was poor. From the results of this study, it could be concluded that the higher stress perceptual level according to Korean constitution, the poorer health state. Further study in this area needs to be consideration that in order to coping with stress, researcher grope for quality nursing intervention with more accurative assessment about Korean constitution.

사상체질분류검사지(四象體質分類檢査紙)(QSCC)II의 표준화(標準化) 연구(硏究) - 각 체질집단의 군집별(群集別) Profile 분석을 중심으로 -

김선호,고병희,송일병,Kim, Sun-Ho,Ko, Byung-Hee,Song, Il-Byung 대한한의학회 1996 대한한의학회지 Vol.17 No.2

본 연구의 목적은 통계적 문항 분석을 통하여 새로 개발된 사상체질분류검사지(QSCC)II의 네가지 척도를 각 계층별로 표준화하여 그 진단 정확율을 알아 봄으로써 객관적인 사상 체질 분류의 검사 방법을 만드는데 있다. 사상체질분류검사지(QSCC)II는 전국에서 각 계층별(연령, 성별, 생활 수준별)로 고르게 수집된 136명의 피검자의 답안을 표준화 자료로 삼았다. 진단 정확율을 알아보기 위한 준거 집단으로는 경희대학교 한방병원 사상의학과 외래 환자 및 동서건진센타 내원객 265명을 대상으로 하였다. 수집된 자료는 SPSS PC + v. 4.0 Program으로 내적 일치도, 변량 분석(ANOVA), 사후검정(Duncan test) 및 판별분석을 하여 통계처리하였다. 위와 같은 연구의 결과는 다음과 같다. 1. 각 체질 별 척도의 내적 일치도는 0.5708 - 0.6319로서 설문지 구성에 체격과 체형을 포함한 다양한 요인이 추가되어 있음을 알 수 있다. 2. 검사지의 각 척도는 변양분석 결과 체질별로 유의한 차이가 있으므로 검사지의 문항은 진단변별력이 인정되는 문항들로 구성되어 있음을 확인하였다. 3. 검사지의 응답방향에 영향을 미치는 여러 가지 변인 가운데 연령 성별 그리고 문항수 등이 통계적으로 유의한 차이가 있는 것으로 나타났다. 4. 본 연구에서는 이상의 변인을 고려한 규준(Norms)을 표준화 자료로 제시 하므로써 검사지에 의한 체질진단의 객관적 지표를 마련하였다. 5. 검사지는 연령과 성별에 관계없이 고르게 적용시킬 수 있다. 6. 검사지에서 새로 구성된 척도들로 판별분석을 한 결과 평균 판별정확율은 70.08%였다. 이 결과는 QSCC의 타당화 연구에서 보인 평균 판별정확율 55.56%에 비하면 비교적 높은 분류정확율을 보이는 것이라고 사료된다. 7. 검사지의 네 가지 척도들은 이전의 검사지에 비하여 고르게 체질진단에 기여함을 알 수 있었다. 8. 검사지는 분석결과 이전의 검사지들 보다 사상체질 진단에서 정확율 향상, 차별화된 계층별 체질 진단 방법의 제시에 의한 객관성 확보 등의 문제점을 개선 할 수 있었다. 이상의 결과로 보아 새로 개발되어 표준화된 QSCCII는 다소의 제한은 있으나 임상 상담 및 실험연구에서 체질 진단을 할 때 객관적인 체질진단 도구로서 이용 가치가 인정되며 사상체질분류의 객관적 기준으로서도 그 가치가 인정된다. The purpose of this study is to evaluate and standardize the four scales of Questionnaire for the Sasang Constitution Classification II (QSCCII). QSCCII is newly prepared by statistical item analysis and is designed to examine its diagnostic discriminability. QSCCII is administered to 1366 random informants. From the survey, we could get the data for the standardization. The criteria of standardization are based on the data from 265 informants who are examined by professionals. Collectted data are analyzed by internal consistency, variation analysis(ANOVA), Duncan test and discrimination analysis of SPSS PC+ V4.0 program. The results are as follows reliability of four scales for QSCCII is relatively valid. The internal consistency of Tae-yang(太陽) (太陽) scale is Cronbach's a=0.5708. That of So-yang(少陽) scale is a=0.5708. That of Tae-eum(太陰) scale is a =0.5922. That of So-eum(少陰) scale is a=0.6319. 2. There is a significant difference between each group through variation analysis of four scales. 3. The process of standardization is based on the average value and standard deviation with respect to age and sex difference of each criteria 4. This study suggests a source of standardization of Sasang Constitution Classification by providing norms in which the differences of age, sex, and number of items are taken into deep consideration. QSCC Ⅱ, therefore, can be applied to every age(the 10's to the 60's) and sex groups. 5. The recalculation of the raw-score to standard value (T-score) shows that the diagnostic discriminability (Hit-ratio: 70.08%) of QSCC Ⅱ brings about 37% improvement than proportional chance criteria (33.33%). Especially, Hit-ratios of Tae-eum In(74.5%) and So-eum In(70.8%) are higher than that of So-yang In(60.0%). 6. QSCC has discriminability only to male informants. Compared with QSCC, however, QSCC II has relatively efficient discriminability both to male and female informants. 7. These results would be a demonstration of the fact that the QSCC II could be used as a tool for sasang constitution classification.