소화불량(消化不良)과 과심상(過心傷)의 상관성(相關性)에 대(對)한 고찰(考察) -스트레스, 기울(氣鬱), 비병증(脾病證)의 평가(評價)를 통(通)해-

김진성,윤상협,류봉하,류기원,이상욱,Kim, Jin-Sung,Yoon, Sang-Hyub,Ryu, Bong-Ha,Ryu, Ki-Won,Lee, Sang-Wook 대한한방내과학회 2004 大韓韓方內科學會誌 Vol.25 No.4

Background & Object : Dyspepsia for which no organic causes are disclosed is referred to as functional dyspepsia. Functional dyspepsia is here studied in connection with a biopsychosocial model. From the aspect of individual response to external environment, in connection with stress response, functional dyspepsia is studied by both the psychology department and the internal medicine departments. The disease is taken as approachable from the aspect of internal injury due to seven emotions and stress as differentiated by Oriental medicine. Materials and Methods : Targeted at 223 patients underwent medical checks and endoscopy at Kangnam Korean Hospital, Kyunghee University. They agreed to join this clinical experiment. Stress response inventory, GARS (global assessment of recent stress scale), GSRS (gastrointestinal symptom rating scale), diagnostic scores for Ki-depression, and Spleen Disease Differentiation of Syndromes were all measured and evaluated. The test group was comprised of functional dyspepsia patients. The control group was comprised of nonsymptomatic chronic gastritis patients who were found to suffer from chronical gastritis in endoscopy and thus could be diagnosed with functional dyspepsia if symptoms would arise, but did not complain of subjective symptoms. Results showed these corelations: Functional dyspepsia patients were found to have more serious Ki-depression compared to nonsymptomatic chronic gastritis patients. The more serious Ki-depression the more serious the dyspepsia symptoms. The higher the stress response inventory the more serious the dyspepsia. Deficiency of spleen Eum, and Deficiency and Sinking of spleen Gi were found to coincide with serious Ki-depression.

六味地黃湯이 生理活性指標와 淋巴球細胞數에 미치는 影響

金榮權,柳逢夏,朴東源,柳基遠 대한한방종양학회 1998 대한한방종양학회지 Vol.4 No.1

Yookmijihwangtang has been widely used oriental herb prescriptions, which is healing some discuss that come from insufficiency of innate essence and deficiency of kidey Ki. the meaning of healing discusses tonification of insufficient innate essence and insufficient kidney Ki can be regarded as reinforcement of wholely power of keeping homeostasis, that is correlated with immuno-responsibility which protects subject from outer antigen to keep normal vital condition. This study was aimed to investigate correlative effects of Yookmijihw angtang water abstract on the RBC, WBC, blood CD4+ Theler cell count, blood testosterone, blood cAMP and blood cortisol. 40 Sprague-Dawley male rats were divided into 5 groups(Normal, Control, SampleⅠ, SampleⅡ, SampleⅢ), 6 animals in every group. Normal group was not treated anything, control group was administrated normal saline in the same desage of sample Ⅰ. 3 Sample groups were received some of Yookmijihwangrang water abstract at one time per 24 hours during 5 days in different dosage. Sample Ⅰ (1/3 10pack/ml), SampleⅡ (1/62pack/ml), SampleⅢ(1/2.4pack/ml). After finishing treatment, all experimental svbjects were killed for blood sample on RBC, WBC, blood CD4+ T helper cell count, spleen CD4+ T helper cell count, axillary lymph node CD4+ T helper cell count. .blood cAMP, blood testosterone and blood cortisol. The results were as follows: RBC and WBC were incrased in all sample groups. Blood CD4+ Thelper cell count(CD4+ T cell count in the blood/whole lymphocyte count in the blood ×100%) was Mormal 46.17±5.88. Control 44.50±4.37, Sample Ⅰ 53.00±2.28. Sample Ⅱ 53.83±3.87, SampleⅢ 52.17±2.93. By the 95% Duncan ANOVA all experimental groups(sampleⅠ, sampleⅡ, sampleⅢ) showed slight significant difference from Nornal and Control. Blood cAMP(nmd/l) were Normal 1.12±0.17, Control 1.16±0.32, SampleⅠ 0.46±0.07, SampleⅡ 0.44±0.04, SampleⅢ 0.54±0.04 All cxperimental groups were signigicantly different from both Normal and Control groups(p<0.05). Blood cortisol(m l/ml) were Normal 100.00±2.00, Control 90.00±4.00, Samplc Ⅰ 440.00±5.00, SampleⅡ 520.00±40.00, SampleⅢ 470 00±7.00, Blood cortisol of all experimental groups were signifieantly increased(p<0.05). The results suggest that Yookmijihwangiang water abstract could be administrated to patienrts who have some diseases insufficient essence.

육미지황탕(六味地黃湯)이 생리활성지표(生理活性指標)와 임파구세포수(淋巴球細胞數)에 미치는 영향(影響)

김영권,류봉하,박동원,류기원,Kim, Young-Kuen,Ryu, Bong-Ha,Park, Dong-Won,Ryu, Ki-Won 대한암한의학회 1998 大韓癌韓醫學會誌 Vol.4 No.1

Yookmijihwangtang has been widely used oriental herb prescriptions, which is healing some discuss that come from insufficiency of innate essence and deficiency of kidney Ki. The meaning of healing discusses tonification of insufficient innate essence and insufficient kidney Ki can be regarded as reinforcement of wholely power of keeping homeostasis, that is correlated with immuno-responsibility which protects subject from outer antigen to keep normal vital condition. This study was aimed to investigate correlative effects of Yookmijihwangtang water abstract on the RBC, WBC, blood CD4+ T helper cell count, blood testosterone, blood cAMP and blood cortisol. 40 Sprague-Dawley male rats were divided into 5 groups(Normal, Control, Sample I, Sample II, Sample III), 6 animals in every group. Normal group was not treated anything, control group was administrated normal saline in the same dosage of Sample I. 3 Sample groups were received some of Yookmijihwangtang water abstract at one time per 24 hours during 5 days in different dosage. Sample I(1/310pack/ml), Sample II(1/62pack/ml), Sample III(1/2.4pack/ml). After finishing treatment, all experimental subjects were killed for blood sample on RBC, WBC, blood CD4+ T helper cell count, spleen CD4+ T helper cell count, axillary lymph node CD4+ T helper cell count. blood cAMP, blood testosterone and blood cortisol. The results were as follows; RBC and WBC were increased in all sample groups. Blood CD4+ T helper cell count(CD4+ T cell count in the blood/whole lymphocyte count in the blood ${\times}100%$) was Normal $46.17{\pm}5.88$, Control $44.50{\pm}4.37$, Sample I $53.00{\pm}2.28$, Sample II $53.83{\pm}3.87$, Sample III $52.17{\pm}2.93$. By the 95% Duncan ANOVA all experimental groups(sample I, Sample II, Sample III) showed slight significant difference from Normal and Control. Blood cAMP(nmol/l) were Normal $1.12{\pm}0.17$, Control $1.16{\pm}0.32$, Sample I $0.46{\pm}0.07$, Sample II $0.44{\pm}0.04$, Sample III $0.54{\pm}0.04$. All experimental groups were singificantly different from both Normal and Control groups(p<0.05). Blood cortisol(nl/ml) were Normal $100.00{\pm}2.00$ Control $90.00{\pm}4.00$, Sample I $440.00{\pm}5.00$, Sample II $520.00{\pm}40.00$, Sample III $470.00{\pm}7.00$. Blood cortisol of all experimental groups were significantly increased(p<0.05). The results suggest that Yookmijihwangtang water abstract could be administrated to patients who have some diseases insufficient essence.

수족냉증(手足冷症) 환자(患者)에 대(對)한 컴퓨터 적외선(赤外線) 체열촬영(體熱撮影)의 의의(意義)

조유경,오수완,조남희,김동묵,김진성,류봉하,박동원,류기원,Cho, Yu-Kyung,Oh, Su-Wan,Cho, Nam-Hee,Kim, Dong-Mook,Kim, Jin-Seong,Ryu, Bong-Ha,Park, Dong-Won,Ryu, Ki-Won 대한한방내과학회 1998 大韓韓方內科學會誌 Vol.19 No.2

To make a objective diagnosis of the syndrome of cold-limbs, We investigated the 20 patients with cold limbs and GI trouble and 20 normal people as a control group. And we compared the thermal difference between Chon-jung(CV17) and Chung-wan(CV12 中脘), Chon-jung(CV17) and Ki-hae(氣海 CV6) and we compared the thermal differences of No-gung(PE8 勞宮) and Yong-chon(湧泉 KI1), too. The results were as follows. 1. All 20 patients had GI trouble and cold limbs. They had the symptom-Indigestion(16 cases-80%) with heart burn, tympanites, abdominal distention, hiccup, belching. Beside that symptom they also had constipation(6 cases-30%), diarrhea(3 cases-15%), headache & dizziness(6 cases-30%). And some had the menstrual syndrome, chronic fatigue, palpitation, insomnia, edema, arthralgia. 2. The thermal difference of the palms between the patients group and the control group were $25.70^{\circ}C,\;25.82^{\circ}C$, but they were not significant. 3. The thermal difference of the soles between the patients group and the control group were $23.58^{\circ}C,\;24.42^{\circ}C$ and the significancy was P=0.020 so it was significant(P<0.05). 4. The thermal difference of the palms and Chon-jung(CV17) between the patients group and the control group were $1.08^{\circ}C,\;0.76^{\circ}C$, but they were not significant. 5. The thermal difference of the sales and Chon-jung(CV17) between the patients group and the control group were $3.01^{\circ}C,\;1.90^{\circ}C$ and the significancy was P=0.003 so it was significant(P<0.05). 6. The thermal difference of Chon-jung(CV17) and Chung-wan(CV12 中脘) between the patients group and the control group was $0.30^{\circ}C,\;0.62^{\circ}C$ and the significancy was P=0.793 so it was significant(P<0.05). 7. The thermal difference of Chon-jung(CV17) and Ki-hae(CV6 氣海) between the patients group and the control group was $0.53^{\circ}C,\;0.68^{\circ}C$, but they were not significant. From the above, I could find the significance of D.I.T.I to diagnose the cold-feet not the cold-hands and the thermal difference between the trunk and limbs was more significant on cold-feet than on cold-hand, either.

고도비만 환자에서 복강경 위소매절제술 후 발생한 누공의 내시경 치료 1예

류민선,심기남,조원영,김찬용,강현주,김미연,안소영,이윤표,조형원,정성애,이주호 이화여자대학교 의과학연구소 2013 EMJ (Ewha medical journal) Vol.36 No.2

Laparoscopic sleeve gastrectomy can reduce morbidity and mortality in patients with morbid obesity, but it can cause complications such as a gastrointestinal leak. A 30-year-old morbidly obese female who had type 2 diabetes mellitus and hypertension with estimated body mass index of 40.2 kg/m2 was admitted. Laparoscopic sleeve gastrectomy was performed. On postoperative day 19, a leak was suspicious on physical examination and radiologic findings. Conservative management was performed, but the patient was hemodynamically unstable and imminently septic. After laparoscopic drainage procedure, esophagogastroduodenoscopy was performed and revealed the fistula opening at staple line just below gastroesophageal junction. Fibrin tissue adhesive was injected around the fistula and the esophageal covered stent was inserted to cover the leak. At 14th days after stent insertion, the barium study confirmed no more leak. In this case, we experienced that the esophageal stent insertion with fibrin tissue adhesive injection may reduce recovery time of the fistula developed after laparoscopic sleeve gastrectomy

半夏白朮天麻湯 및 加味半夏白朮天麻湯의 抗疲勞效能에 關한 硏究

柳逢夏,朴東源,柳基遠,申秉澈 慶熙大學校韓醫科大學韓醫學硏究所 1999 慶熙韓醫大論文集 Vol.22 No.1

These studies were conducted to investigate the antifatigue effect of Banhabaekchoolchunmatang and Kamibanhabaekchoolchunmatang liquid extract on muscle artier swimming exercise. These studies measured the results of fatigue materials in the blood of rats before and after swimming, and compared to control group. The results of these studies were summarized as follows: 1. These studies measured the results of fatigue materials without the destruction of muscle cells. 2. After 30 minutes swimming, the lactate increase 46% on control group, Banhabaekchoolchunmatang and Kamibanhabaekchoolchunmatang worked on sample group by 37% decreation of the lactate, compare to that of control group. This result means Banhabaekchoolchunmatang and Kamibanhabaekchoolchunmatang control the lactate accumulation on muscles(p<0.05). 3. Activity level of lactate dehydrogenase was more increased by Banhabaekchoolchunmatang and Kamibanhabaekchoolchunmatang than control group. This result seems related with low lactate level by Banhabaekchoolchunmatang and Kamibanhabaekchoolchunmatang(p<0.05). 4. Activity levels of triglycerides and creatine phosphotransferase remarkably increased by swimming, but there was not considerable results by Banhabaekchoolchunmatang and Kamibanhabaekchoolchunmatang(p<0.05). 5. There were no remarkable changes of glucose level, cholesterol level by the Banhabaekchoolchunmatang and Kamibanhabaekchoolchunmatang nor swimming(p<0.05).

平胃散과 平胃散 構成藥物의 加減方이 摘出臟器, 抗瀉下作用 및 中樞神經系에 미치는 影響

柳逢夏,朴東源,柳基遠,金倫寬 慶熙大學校韓醫科大學韓醫學硏究所 1999 慶熙韓醫大論文集 Vol.22 No.1

The aim of this experimental study was to investigate the effects of Pyungwee-san samples on the movement of gastrointestinal smooth muscles, anticatharsis, and central nervous system by using rats or mice. Samples were divided into five groups : Sample-Ⅰ : Pyungwee-san(Atractylodes Rhizoma, Aurantii Nobils Pericarpium, Magnoliae Cortex and Glycyrrhizae Radix), sample-Ⅱ : Exclusion of Atractylodes Rhizoma from Pyungwee-san, Sample-Ⅲ : Exclusion of Aurantii Nobils Pericarpium from Pyungwee-san, Sample-Ⅳ: Exclusion of Magnoliae Cortex Rhizoma from Pyungwee-san, Sample-Ⅴ : Exclusion of Glycyrrhizae Radix from Pyungwee-san. The results were as follows : 1. All samples showed inhibitory effect on the motility of the isolated ileum and relaxant effect on the contracted ileum induced by acetylcholine chloride and barium chloride, these effects were dependent on their concentrations. 2. All samples in which sample-Ⅲ was exclude showed inhibitory effect on the motility of the rat fundus strip and relaxant effect on the contracted fundus strip induced by acetylcholine chloride and barium chloride, these effects were dependent on their concentrations. 3. Anticathartic effect of Pyungwee-san samples was appeared in sample-Ⅰ, sample-Ⅳ, sample-Ⅴ after drug medication in caster oil induced diarrhea. 4. Analgestic effect of Pyungwee-san samples on inhibition of writhing syndrome by acetic acid was recognized in sample-Ⅰ, sample-Ⅱ, sample-Ⅴ. 5. Effect of Pyungwee-san samples prolonging the hypnotic duration by pentobarbital-Na in Mice was shown in sample-Ⅱ, sample-Ⅲ. 6. Effect of Pyungwee-san samples on prolonging the time to death induced by strychnine was appeared in sample-Ⅳ(p<0.001). 7. Effect of Pyungwee-san samples on Picrotoxin-induced Convulsion in mice was appeared in all samples and on prolonging the time to death induced by strychnine was appeared in sample-Ⅱ, sample-Ⅲ, sample-Ⅳ. 8. Effect of Pyungwee-san samples on Caffeine-induced Convulsion in mice was appeared in sample-Ⅰ(p<0.01), sample-Ⅳ(p<0.05).

대구지역에서 꿀벌이 수집한 화분의 동정

류장발,장정원,김기만,권외정,김민식,박도규 대구대학교 생명과학연구소 2002 생명과학연구 Vol.1 No.2

Pollens gathered by bees at an apiary at Daegu district were identified with light microscope and scanning electro microscope for effective establishment of honey plant plantations for year-round honey production. Pollen loads were collected from bees from March to October at one week interval, ten loads at each collecting time, a load from a colony. Pollens from fifty-four species were collected and 34 species were identified and 20 species unidentified, which would be identified later. Most of the pollen loads were composed with one species. However, a few loads were composed with up to four species. Pollens of 37 species were collected just one time. Pollens from just one species were not collected at any time. In July pollens from many species, up to six species at July 15 and 20, were collected. Pollens of four species, Erigeron annuus, Lagerstroemia indica, Koelreuteria paniculata, Evodia daniellii, were collected up to one month. As the latter two species were known as good honey producing plants, these two species proved to be good pollen producing plants. The former two species were known as poor honey producing plants, the importance of these two species should be reevaluated.

保精湯의 抗癌 및 免疫增强效果에 關한 硏究

류기원,박동원,류봉하,김혜영 경희대학교 1998 慶熙醫學 Vol.14 No.3-4

하계 실내 및 실외환경의 공기 중 휘발성 유기화합물 농도 및 개인노출

양원호,손부순,박종안,장봉기,박완모,김윤신,어수미,윤중섭,류인철 한국환경과학회 2003 한국환경과학회지 Vol.12 No.9

Volatile organic compounds (VOCs) are present in essentially all natural and synthetic materials from petrol to flowers. In this study, indoor and outdoor VOCs concentrations of houses, offices and internet-cafes were measured and compared simultaneously with personal exposures of each 50 participants in Asan and Seoul, respectively. Also, factors that influence personal VOCs exposure were statistically analyzed using questionnaires in relation to house characteristics, time activities, and health effects. All VOCs concentrations were measured by OVM passive samplers (3M) and analyzed with GC/MS. Target pollutants among VOCs were Toluene, o-Xylene, m/p-Xylene, Ethylbenzene, MIBK, n-Octane, Styrene, Trichloroethylene, and 1,2-Dichlorobenzene. Indoor and outdoor VOCs concentrations measured in Seoul were significantly higher than those in Asan except Ethylbenzene. Residential indoor/outdoor (I/O) ratios for all target compounds ranged from 0.94 to 1.51 and I/O ratios of Asan were a little higher than those of Seoul. Relationship between personal VOCs exposure, and indoor and outdoor VOCs concentrations suggested that time-activity pattern could affect the high exposure to air pollutant. Factors that influence indoor VOCs level and personal exposure with regard to house characteristics in houses were building age, inside smoking and house type. In addition insecticide and cosmetics interestingly affected the VOCs personal exposure. Higher exposure to VOCs might be caused to be exciting increase and memory reduction, considering the relationship between measured VOCs concentrations and questionnaire (p<0.05).