"동의보감(東醫寶鑑)"과 "동의수세보원사상초본권(東醫壽世保元四象草本卷)"에 나타난 양생관(養生觀)에 대한 고찰

이수경,이의주,고병희,송일병,정용재,Lee, Soo-Kyung,Lee, Eui-Ju,Koh, Byung-Hee,Song, Il-Byung,Jeong, Yong-Jae 사상체질의학회 2002 사상체질의학회지 Vol.14 No.2

To understand characteristic of preservation of health in Sasang constitutional medicine, 1 first study preservation of health In ${\ulcorner}$Dongyi Bogam${\lrcorner}$, and then study preservation of health in the ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun${\lrcorner}$ particularly Inherent vitality(命脈實數) and Regimen in ordinary life(生息充補之道) which shows early thought of Lee Je-ma. I acquire relation and difference between ${\ulcorner}$Dongyi Bogam${\lrcorner}$ and Dongyi Soose Bowon Sasang Chobongyun${\lrcorner}$, and conclude as follows. 1. In preservation of health ${\ulcorner}$Dongyi Bogam${\lrcorner}$ says Ups and downs of Qi according to degree, tells congenital health and acquired care of health, grades Jin-In, Ji-In, Seong-In, Hyeon-In according to degree of moral culture, and especially emphasizes managing mind which is based on Taoism. 2. In ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun${\lrcorner}$ Dongmu divides human being to Sasangin(Taeyangin, Taeumin, Soyangin, Soeumin) according to Large & small of viscera, and regards as determine lift span and rendition of disease & health according to Inherent vitality which is degree of Small viscera. 3. Inherent vitality of Sasangin is supplemented by Regimen in ordinary life. Because Regimen in ordinary life decreases according to age, Dongmu emphasizes managing mind through an autonomic Knowledge Deed to maintain Regimen in ordinary life. 4. In the way of managing mind ${\ulcorner}$Dongyi Bogam${\lrcorner}$ says Taoist moral culture, but Dongmu emphasized control of knowledge and Deed by Confucian moral culture and the mind of control others through confucian self-control.

성선자극호르몬 및 GnRH agonist을 동시에 중단하는 1$\sim$2일 단기 코스팅이 임신율을 포함한 난소과자극증후군 예방에 미치는 효과

이수경,주보선,박세희,이수경,김경서,문성은,문화숙,Lee, Soo-Kyung,Joo, Bo-Sun,Park, Sea-Hee,Lee, Su-Kyung,Kim, Kyung-Seo,Moon, Sung-Eun,Moon, Hwa-Sook 대한생식의학회 2007 Clinical and Experimental Reproductive Medicine Vol.34 No.1

목 적: 성선자극호르몬과 GnRH agonist (GnRH)를 동시에 중단하는 1$\sim$2 일간의 단기 coasting이 임신율을 포함한 난소과자극증후군 예방에 미치는 효과를 조사하고자 한다. 연구방법: 체외수정시술을 위한 과배란유도 시 15 mm 이상의 난포가 20 개 이상이고 혈중 E$_2$ 농도가 4,000 pg/ml 이상일 때 coasting을 시도한 37 명의 여성들을 대상으로 하였다. Coasting은 성선자극호르몬과 GnRH agonist를 동시에 중단하였으며, 초음파상 난포의 상태와 혈중 E$_2$ 농도 에 따라 1일 또는 2일 동안 시행하였다. 혈중 E$_2$ 농도, 채취된 난자 수, 수정율, 임신율 등을 후향적으로 비교 분석하였다. 결 과: 평균 혈중 E$_2$ 농도는 coasting 시작 당일 6,993 pg/ml 에서 hCG 투여일에 3,396 pg/ml로 감소하였다. 평균 채취 난자 수와 수정율은 15.7개와 70%였다. 15명 (40.6%)이 임신을 하였고 착상율은 15.2%였다. 26명 (70.3%)이 1일, 11명 (29.7%)이 2일 동안 coasting 하였다. 평균 혈중 농도의 감소율은 1일 coasting한 군에서 43%, 2일 costing한 군은 15% (첫날)와 81% (둘째날)이었다. 임신율은 두 군간 유사하였고, 중증도 이상의 OHSS는 발생하지 않았으며 3명 (8.1%)에서 경미한 OHSS가 나타났다. 결 론: 성선자극호르몬과 GnRH agonist의 통시 중단에 의한 1$\sim$2 일의 단기 coasting은 체외수정의 결과에 영향을 주지않고 OHSS 를 예방하는데 성공적으로 적용될 수 있을 것으로 사료된다. Objective: To evaluate the effect of short coasting, by withdrawing both gonadotropins and GnRH agonist (GnRHa), on the prevention in severe ovarian hyperstimulation syndrome(OHSS) without compromising pregnancy outcome. Method: Thirty-seven women who had been coasted during COH for IVF were coasted when $\geq$20 follicles > 15 mm with serum E$_2$ level of 4,000 pg/ml were detected. Coasting was initiated for one or two days depending on the status of follicle on ultrasound and serum E$_2$ level. Both gonadotropin and GnRHa were withheld for coasting. Retrospective study was carried and changes of serum E$_2$ levels, number of oocytes retrieved, fertilization rate, pregnancy rate were compared and analyzed. Results: The mean serum E$_2$ level fell from 6,993 pg/ml on the onset of coasting to 3,396 pg/ml on the day of hCG administration. The mean number of oocytes retrieved and fertilization rate were 15.7 and 70.0%, respectively. Fifteen patients were pregnant (40.6%) and implantation rate was 15.2%. Twenty-six (70.3%) patients were coasted for one day and 11 (29.7%) were coasted for two days. The mean decrease rate of serum E$_2$ level was 43% in one day coasting group and 15% (1$^{st}$ day) and 81% (2$^{nd}$ day) in two day coasting group. The pregnancy outcome was similar between the two groups. After coasting, no severe or moderate OHSS occurred in any patients and mild OHSS occurred in 3(8.1%) patients. Conclusions: Coasting for one or two days can be used successfully in the prevention of OHSS without compromising IVF cycle outcome.

태음인(太陰人) 알레르기성 비염환자의 사상의학적(四象醫學的) 치료효과(治療效果)에 관한 임상 연구

이수경,송일병,고병희,김형구,Lee, Soo-Kyung,Song, Il-Byung,Ko, Byung-Hee,Kim, Hyung-Gu 사상체질의학회 2006 사상체질의학회지 Vol.18 No.1

1. Objectives The present study purposed to examine Taeumin after Sasang Constitutional medical treatment showed faster improvement in sneezing or rhinorrhea or nasal obstruction, the main symptoms of allergic rhinitis. 2. Methods One group treated by Sasang Constitutional medicine in allergic rhinitis patients of T aeumin is 20 cases. The other group treated by other herb medication in alletgic rhinitis patients of Taeumin is 15 cases. We analyzed the improvement of the main symptoms in 2 group who had allergic rhinitis for less than five years in the 2nd, 4th, 6th and 8th week of treatment. 3. Results & Conclusions (1) Sneezing showed a significant decrease from the 6th week of treatment in the group treated by Sasang Constitutional medicine and from the 6th week in the group treated by other herb medication. (2) Rhinorrhea showed a significant decrease from the 2nd week of treatment in the group treated by Sasang Constitutional medicine and from the 4th week in the group treated by other herb medication. (3) Nasal obstruction showed a significant decrease from the 4th week of treatment in the group treated by Sasang Constitutional medicine and from the 4th week in the group treated by other herb medication. (4) Satisfaction with subjective symptoms was higher in the group treated by Sasang Constitutional medicine than in the group treated by other herb medication but the difference was not significant (p>0.01). (5) Change in total symptom score showed a significant decrease from the 2nd week in the group treated by Sasang Constitutional medicine and from the 4th week in the group treated by other herb medication(p>0.01).

물 분자의 해리에 의한 Si (001)-c(4×2) 표면에서의 수산화기의 균일한 분포

이수경,오현철,김대희,정용찬,백승빈,김영철,Lee, Soo-Kyung,Oh, Hyun-Chul,Kim, Dae-Hee,Jeong, Yong-Chan,Baek, Seung-Bin,Kim, Yeong-Cheol 한국재료학회 2010 한국재료학회지 Vol.20 No.9

Adsorption of a water molecule on a Si (001) surface and its dissociation were studied using density functional theory to study the distribution of -OH fragments on the Si surface. The Si (001) surface was composed of Si dimers, which buckle in a zigzag pattern below the order-disorder transition temperature to reduce the surface energy. When a water molecule approached the Si surface, the O atom of the water molecule favored the down-buckled Si atom, and the H atom of the water molecule favored the up-buckled Si atom. This is explained by the attractions between the negatively charged O of the water and the positively charged down-buckled Si atom and between the positively charged H of the water and the negatively charged up-buckled Si atom. Following the adsorption of the first water molecule on the surface, a second water molecule adsorbed on either the inter-dimer or intra-dimer site of the Si dimer. The dipole-dipole interaction of the two adsorbed water molecules led to the formation of the water dimer, and the dissociation of the water molecules occurred easily below the order-disorder transition temperature. Therefore, the 1/2 monolayer of -OH on the water-terminated Si (001) surface shows a regular distribution. The results shed light on the atomic layer deposition process of alternate gate dielectric materials, such as $HfO_2$.

건강교육 : 교육가능급 정신지체아에 대한 지각 - 운동학습 지식의 적용

이수경,변영신 ( Soo Kyung Lee,Young Shin Pyun ) 한국체육학회 1992 국제스포츠 학술대회 Vol.1992 No.-

'사상의학에서는 인간을 왜 넷으로 나누는가?' - 장부를 중심으로 한 의학적 고찰 -

이수경,Lee, Soo-Kyung 사상체질의학회 2003 사상체질의학회지 Vol.15 No.3

Lee, Jema recognized human being as human figure and human nature according to 'if threre is a thing, there are a law to explain the thing'. And he thought Sa-Sang is the most basic and proper concept to explain things and changes. This paper is to find his medical view why human beings are classified into four types. 1. A medical clue to classify human being is different viscera function. 2. The size of viscera means the strength and weakness of metabolic function of viscera. 3. The essence of different viscera function is related to metabolism of water and food, air and fluid. Lungs and Liver do metabolic function through exhale and inhale of air and fluid. Spleen and Kidneys do metabolic function through intake an d output water and food. 4. It is most important to consider and to treat the condition of small size viscera.

태음인 중풍환자에 있어 체질치료가 체중감소에 미치는 영향에 대한 임상적 연구

박계수,이수경,고병희,송일병,Park, Gye-soo,Lee, Su-Kyung,Koh, Byung-hee,Song, Il-byung 사상체질의학회 2001 사상체질의학회지 Vol.13 No.1

The Clinical Study on the Body Weight Loss of Taeumin Inpatients in Stroke by Sasang Constitutional Medicinal Treatment. Purpose: It has been frequently noted that overweight and obesity have a stronger relationship to hypertension and diabetes mellitus than to the risk of stroke. The purpose of this study is to find out whether Sasang Constitutional Medicinal treatment in the stroke patients of Tae-um-in has an effect on local or general weight loss. Methods: Case-control study was applied. The experiment group is the 24 Taeumin stroke inpatients who were in hospital in Kyung-Hee Oriental Hospital from July 1, 2000 to October 1 and received Sasang Constitutional Medicinal treatment. The control group is the 13 Taeumin stroke inpatients who were in the hospital during the same period but didn't receive Sasang Constitutional Medicinal treatment. In the two groups, body weight, BMI, the skin fold(cm) of triceps, suprailiac, abdominal portion, and thigh and the circumference(cm) of wrist, biceps, triceps, and W/H ratio were compared and studied for three weeks. Results: 1. In the experiment group, there were 8 women and 15 men, 23 in total and in the control group, there were 5 women and 9 men, 14 in total. 2. From two weeks later, there was a significant decrease in the experiment group in weight loss, the ratio of loss, and BMI(p<0.05). 3. Concerned with the change in the skin fold of suprailiac portion, there was a significant decrease in each group(p<0.05). 4. Concerned with the change in the skin fold of Chunchu-Hyel portion(天樞穴), thigh and in the circumference of hip, W/H ratio, there was a significant decrease in the experiment group(p<0.05). 5. Concerned with the change in the value of Lipid Profile, GOT, and GPT, only Glucose(GLU) showed a significant decrease(p<0.05) in the experiment group(p<0.05). As Conclusion, Sasang Constitutional Medicinal treatment in the stroke patients of Tae-um-in has an effect on local or general weight loss.

중풍입원환자의 체질별 소증(素證)과 중풍 발생 후 병증(病證)에 관한 임상적 연구

함통일,황민우,이태규,김상복,이수경,고병희,송일병,Ham, Tong-Il,Hwang, Min-Woo,Lee, Tae-Kyoo,Kim, Sang-Bok,Lee, Soo-Kyung,Koh, Byung-Hee,Song, Il-Byung 사상체질의학회 2004 사상체질의학회지 Vol.16 No.3

1. Objectives The purpose of this study is to investigate constitutional ordinary and pathological symptoms differences among each constitutional groups of stroke in-patients. 2. Methods 101 stroke in-patients(Soyangin(SY) $n^{a)}=52$, Taeumin(TE) n=39, Soeumin(SE) n=10) hospitalized at Kyung-Hee Oriental medical center from Nov. 2003 to Sept. 2004 were investigated through questionnaire which consists of 18 parts, 289 questions(156 questions concerned ordinary symptoms and 133 pathological symptoms). The answers were analyzed statistically in order to find the questions which represent the significant differences among each constitutional groups. ( a) number of patients) 3. Results As for the ordinary symptoms, majority of the Soyangin group replied that they experienced "frequent dreams during sleep" and "scarce constipation". Majority of the Taeumin group affirmed to "dark redness of face", "dry nose", "low intolerance of heat", "good appetite and digestion", and "frequent overeating experiences". Majority of the Soeumin group affirmed to "pale face", "insomnia", "frequent constipation", "poor appetite and digestion", "small amount of diet", "slow eating", "fond of warm or hot water", and "easily tired(especially after sweating)". As for the pathological symptoms, majority of the Taeumin group affirmed to "frequent optic fatigue", "frequent tinnitus", "frequent bitter mouth", "fond of cold water", "flatulent", "stuffiness in the navel area", "irregular stool habits", "frequent constipation", "large amount of sweat", and "frequent rigidity of neck". Majority of the Soeumin group affirmed to "bad appetite", "fond of warm or hot water", "drink small amount of water", "sensitive during sleep" and "frequent heavy head". 4. Conclusions Through this study, We found statistically significant questions distinguishing the characteristics of each constitutional group.

사상체질(四象體質)과 성별(性別)에 따른 위염(胃炎)의 정도, 종류 및 소화기(消化器) 증상(症狀)에 관한 연구

이태규,황민우,임진희,김상복,이수경,고병희,송일병,Lee, Tae-Gyu,Hwang, Min-Woo,Lim, Jinny,Kim, Sang-Bok,Lee, Soo-Kyung,Koh, Byung-Hee,Song, Il-Byung 사상체질의학회 2004 사상체질의학회지 Vol.16 No.2

1. Objectives However there was a report that dyspepsia occurs more frequently in Soeumin, there has not been any clinical research if structural changes such as gastritis occurs differently according to Sasang Constitution. So in this research, we investigated to find out if there are differences in the degree and types of gastritis and gastrointestinal symptoms according to Sasang Constitution and gender difference. 2. Methods Subjects were 30 men and 38 women, who had visited Kyung-Hee Medical Center for physical examination and took gastroscopy and differential diagnosis of Sasang Constitution in March, 2003. We investigated the degree and types of gastritis and gastrointestinal symptoms. 3. Results and conclusions Gender difference han no relation with types of gastritis, but had significant relation with the degree of gastritis and gastrointestinal symptoms. But Sasang Constitution had no significant relation with the degree and types of gastritis and gastrointestinal symptoms.

사상의학(四象醫學) 전문의(專門醫)의 체질진단(體質診斷)결과 일치도에 관한 연구

함통일,황민우,이태규,김상복,이수경,고병희,Hahm, Tong-Il,Hwang, Min-Woo,Lee, Tae-Gyu,Kim, Sang-Bok,Lee, Soo-Kyung,Koh, Byung-Hee 사상체질의학회 2006 사상체질의학회지 Vol.18 No.3

1. Objectives The purpose of this study was to investigate the concordance rate of the diagnostic results among Sasang Constitutional Medicine(SCM) specialists. 2. Methods We carried out two studies in order to investigate the concordance rate of the diagnostic results between SCM specialists. We calculated the kappa value for analyzing concordance rate(using the SPSS program). 1) Study A : We investigated 142 clients who had taken health examinations and diagnosis of Sasang constitution from March 9, 2005 to March 29, 2005 at a health examination center of Kyung-Hee medical center. Every SCM specialist diagnosed 142 clients directly. Each SCM specialist don’t know the other specialist’s diagnosis. 2) Study B : We investigated 176 clients who had taken health examinations and diagnosis of Sasang constitution from January 2005 to March 2005 at the department of Occupational and Environmental medicine of Kyung-Hee medical center. One SCM specialist diagnosed 176 clients directly and the other specialist knowing previous specialist’s diagnosis, diagnosed each person indirectly 3. Results 1) The concordance rate of the diagnostic results among SCM specialists in study A was relatively high(kappa value=0.700). 2) The concordance rate of the diagnostic results among SCM specialists in study B was high(kappa value=0.895). 4. Conclusions We can confirm the concordance rate of the diagnostic results among SCM specialists is relatively high.