분석심리학적 관점에서 본 동의보감의 정신치료

박선영 ( Park Sun Young ),정인모 ( Jung In Mo ),여한구 ( Yeo Han Koo ) 한국정신분석심리상담학회 2022 정신분석심리상담(구 정신역동치료) Vol.8 No.-

본 연구는 Jung의 분석심리학적 관점에서 동의보감의 병리와 치료원리를 탐구한 연구이다. 연구 결과, 분석심리학의 핵심 개념인 대극의 원리가 동의보감을 관통하는 기본적인 철학임을 알 수 있고, 동의보감에 나타난 정신치료 원리는 3가지로 구분할 수 있다. 첫째, 정신의 작용은 에너지 균형과 순환을 나타내는 소장평형(消長平衡)의 원리로 모든 우주 만물이 형태나 성격이 바뀔 뿐 에너지는 사라지지 않고 균형을 이루는, 대극의 초월과 합일을 통해 계속 순환하는 만물의 생성과 소멸의 원리이다. 둘째, 정신병리는 대극의 불균형을 극복하려는 물극필반(物極必反)의 원리로 에너지가 한쪽으로 치우쳐 불균형이 심화되면 다시 반대쪽으로 에너지가 기울게 된다는 상호작용의 원리이다. 정신병리는 불균형을 만드는 에너지의 일방성과 에너지의 상호작용의 부재 및 부조화, 들고나는 에너지의 속도 차이에 의해 초래된다. 셋째, 정신치료는 불균형에서 조화와 균형을 회복하는 것이며 치우침 없이 균형을 유지하는 중화(中和)의 원리로 설명한다. 중화는 신체뿐만 아니라 정신의 에너지 불균형을 다루는 정신치료 원리이며, 이는 마음을 다스려 양생(養生)을 돕는 음평양비(陰平陽秘)와 대극의 균형과 합일을 통해 치료적 작용을 돕는 치이권형(治以權衡)으로 구분할 수 있다. 요컨대 동의보감은 정기신(精氣神) 대극(對極)의 상호관계 속에서 신체와 정신이 조화와 균형을 이루고 생리와 병리 및 치료의 원리를 다루고 있으며, 그 치료원리는 분석심리학적 관점의 대극의 합일과 개성화 과정으로 이해할 수 있다. 이를 통해 한의학의 치료에서 분석심리학을 기초로 한 개입 가능성을 살펴볼 수 있었다. The present study reviews the pathology and treatment principles of Donguibogam from the perspective of Jung’s analysis psychology in order to explore psychotherapy principles inherent in Donguibogam. The results indicate that the principle of opposing poles, a core concept of analytical psychology, is in line with Donguibogam. More specifically, three principles of psychotherapy are derived from Donguibogam. First, Sojangpyeonghyeong, a concept of the balance and circulation of energy, describes psychological functioning. Sojangpyeonghyeong, in which all things in the universe change only in forms or characteristics whereas their energy does not disappear but maintains its balance, is a principle of generation and extinction of things that circulate consistently through the unity and transcendence of two opposing poles. Second, Mulgeukpilban, a concept of overcoming the imbalance of opposing poles, accounts for psychopathology. It is a principle of interactions that, if energy is skewed to one side and its imbalance intensifies, the energy is tilted back to the other side. Psychological disorders develop if unilateral tendencies of energy create imbalance and occur from the absence and incongruity of interactions due to the confinement of energy and speed discrepancy in the ebb and flow of energy. Third, psychotherapy restores harmony and balance from imbalance, and is explained through JoongHwa, a concept of maintaining balance without bias. JoongHwa is a principle dealing with psychological as well as physical imbalances. It is categorized into two parts. One is Yinpyeongyangbi that helps protection from psychological disfunction. The other is Chiygwonhyeong, which helps therapeutic action through balance and unity of opposing poles. In summary, Donguibogam deals with the principles of physiology, pathology and treatment where the body and mind are harmonized and balanced in the mutual relationship of the Jung (精), Qi (氣) and Shin (神) polarities. The treatment principle could be interpreted as the unity and individualization of opposing poles from the perspective of analytical psychology. The findings implicate the plausibility of the psychotherapeutic application based on analytical psychology to the interventions of Korean medicine.

금 합금 보철물의 교합면 삭제로 인한 임플란트-골 계면으로의 열전달에 관한 연구

조재영,강선녀,정창모,윤미정,허중보,전영찬 대한치과보철학회 2012 대한치과보철학회지 Vol.50 No.1

연구 목적: 임플란트-골 계면에서 발생하는 과도한 열은 골유착을 저해하여 임플란트의 실패를 유발한다. 이에 이번 연구에서는 임플란트 금 합금 보철물의 교합면 삭제시 임플란트-골 계면으로의 열전달 양상과 냉각 방식의 효율성을 알아 보고자 하였다. 연구 재료 및 방법: 온도 감지 장치 제작을 위하여 Internal cone 연결형태의 임플란트에 16개의K형 열전대를 부착하여 아크릴릭 레진에 포매하였다. 치과용 금 합금과 주조용 abutment를 사용하여 교합면에 3개의 요철을 가지는 시편을 10개 제작하였고, 연결 나사를 이용하여 임플란트와 연결한 뒤 온도 감지 장치를 37℃로 유지되는 수조에 위치시켰다. 저속 핸드피스와 green stone bur를 이용하여 30초 동안 보철물의 요철을 삭제하였는데, 무냉각군, 공기 냉각 군, 물 분사 냉각 군으로 나누어 요철을 삭제하였다. 보철물이 삭제 되는 동안 임플란트의 부위별로 온도가 0.05초 간격으로 기록되었고, 삭제를 멈춘 뒤에도 무 냉각 군의 경우 임계 온도인 47℃ 이하로 온도가 하강할 때까지, 공기 냉각군과 물 분사 냉각군의 경우 삭제 중단 후 30초 동안 추가로 온도를 기록하였다. 냉각 방식에 따른 임플란트-골 계면의 온도를 알아보고, 임플란트의 부위별 온도변화의 유의차를 알아보기 위하여 one-way ANOVA를 실시하였고, Turkey HSD 이용하여 95% 유의수준에서 사후 검증하였다. 결과: 무 냉각 군은 임플란트-골 계면의 온도가 47℃ 이상으로 상승하였으며, 임플란트의 경부에서 유의하게 높은 열이 측정되었다(P>.05). 공기냉각군과 물분사 냉각군은 임플란트-골 계면의 온도가 47℃ 이하로 유지되었다. 무 냉각 군에서 임플란트 경부의 온도가 47℃에 도달되는 데는 약 10.8 ± 1.5초가 소요되었다. 공기 냉각 군과 물 분사 냉각 군 사이에서는 임플란트-골 계면 온도의 유의차가 없었다(P>.05) 결론: 이상의 결과로부터 임플란트 금 합금 보철물의 교합면 삭제 시, 임플란트 주위 조직에 위해를 가할 수 있는 임계 온도 이상의 열이 발생했음을 알 수 있었으며, 냉각방식은 공기 냉각과 물 분사 냉각 모두 효과적이라고 생각된다. PURPOSE. The purpose of this study was to analyze temperature change along the implant-bone interface induced by grinding the occlusal surface of implant gold prosthesis and to compare the temperature generated by grinding of prosthesis with different cooling methods. MATERIALS AND METHODS. The experimental gold prostheses were fabricated with dental gold alloy and castable abutment. The prostheses had 3 cylindrical protrusions on the occlusal surface with 1mm in height. Temperature was measured using 16 thermocouple wires attached to the implant fixture surface and the fixture was embedded in an acrylic resin block inside the 37℃ water bath. Cylinders were grinded for a period of 30 second with a low-speed handpiece with green stone point. One cylindrical protrusion was grinded without cooling, the second one was grinded with air blow, and the third one was grinded with water-spray. RESULTS. The mean maximum temperature was measured more than 47℃ of the implant and the maximum temperature was measured at the cervical portion of the implant in the group without cooling. There was statistically significant difference between the group without cooling and the groups with cooling (P<.05). However, there was no significant difference at all portion of implant in the groups with cooling (P>.05). CONCLUSION. The results of this study support that the grinding of implant gold prosthesis without cooling may damage the peri-implant tissue. The continuous use of air blow and water-spray adjacent to prosthesis during the grinding of implant gold prosthesis may prove to be beneficial for cooling of the implant.

후두 미세 수술전후의 음성기능분석

김영모,조정일,김철호,김영진,하현령 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.9

일부 지역 학동기 아동의 우발사고에 대한 조사

모정욱,심운택,이태용 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2

The purpose of this study was to investigate school children's monthly incidence rates and causes of accident. The number of studied subjects were 279 school children. The results were as follows: 1. Average monthly incidence rate of accident for male was 17.8 per 100 persons, and that of female was 12.7. That of the 6th grade was 32.7, and the 1st grade was 5.6, and March was the highest in incidence rate of studied months. 2. The accidents occured most frequently in the 6th grade and relatively low in the 1st grade. 3. The presence of parents, their occupation, and education and monthly income of household were not affected school children's accident. 4. Time required and distance from house to school were concerned to children's accident. Walking was relatively lower than other way in the way of transport from house to school. 5. The majority sites of injury were legs & arms. 6. Most of injured children treated at the medical institute.

미용산업에 있어 상업적 우정이 고객 충성도에 미치는 영향

정형식,모정희,김영심 朝鮮大學校 經營經濟硏究所 2003 經營經濟硏究 = Management and economics research Vol.26 No.2

생쥐 정소 발달과정에 대한 미세구조적 연구

안영모,오승한,이정환,김완종 순천향대학교 기초과학연구소 2001 순천향자연과학연구 논문집 Vol.7 No.2

Differentiation and development of the mouse testis were studied by light and electron microscopes from the newborn up to the adult stage. The purpose of the present study was to investigate the morphological changes of developing germ cells in seminiferous tubule and Leydig cells in interstitial tissue during the developmental process of mouse testis. The results were as follows: the seminiferous tubule diameter began to increase from 1 day and was fully developed at the 30th day after birth, particularly, the seminiferous tubule diameter was rapidly increased between 15 days and 30 days of age. Germ cells of various stages were embedded in cytoplasm of the Sertoli cell. Leydig cell contained numerous mitochondria with tubular cristae and well developed smooth endoplasmic reticulum. Spermatogonia were located close to the basal layer. Spermatocytes were connected to each other by the intercellular bridge until the late spermatid stage. An acrosome located to the head apex and the microtubule arrangement of flagellum shown the typical "9+2" pattern. At the newborn stage, the Sertoli cell and germ cells started to be already differentiated. Spermatids and immature spermatozoa were appeared at 30 days of age, and thereafter, spermatogenesis occurred actively. In conclusion, the development of mouse testis was completed after 30 days of age at which the secondary sexual characteristics and the spermatogenesis began to occur. These results suggest that ultrastructural features of developing germ cells and Leydig cell were thought to have close interrelationship with their functional accomplishment.

흉요추부 굴곡-신연 손상에서 척추체의 골절 양상

고영도,김종오,윤여헌,유재두,정준모 대한골절학회 2003 대한골절학회지 Vol.16 No.2

목적 : 흉요추부 굴곡-신연 손상에 동반되는 척추체의 골절 양상을 알아 보고자 하였다. 대상 및 방법 : 흉요추부 굴곡 - 신연 손상 21례의 방사선 검사를 검토하여 골절된 척추체의 위치, 전후방 추체 높이, 손상된 분절의 후만각, 척추체 골편의 척추관내 침범 정도 및 척추체의 분쇄 정도를 관찰하였다. 결과 : 총 21례 중 압박 골절이 11례, 방출성 골절이 9례 있었다. 척추체 골절은 85%에서 굴곡-신연 손상된 분절내에서 하부 척추체에 위치하였다. 전방 추체 높이는 평균 27% 감소하였고, 압박 골절이 동반된 경우 18%, 방출성 골절이 동반된 경우 40% 감소하였다. 후방 추체 높이는 평균 1% 감소하였고, 압박 골절이 동반된 경우 1% 증가하였으며, 방출성 골절이 동반된 경우 4% 감소하였다. 손상된 분절의 후만각은 평균 19.5도이었고, 압박 골절이 동반된 경우는 15.4도, 방출성 골절이 동반된 경우는 26.8도이었다. 방출성 골절이 동반된 9례 중 골편의 척추관내 침범은 평균 27%이었으며, 척추체의 분쇄 정도는 71.4%에서 경미하였다, 결론 : 흉요추부 굴곡-신연 손상에서 척추세의 골절은 매우 흔하며 분절내 하부 척추체에 호발하였다. 가해진 힘에 비하여 전후방 추체 높이의 감소, 척추관내 침범 및 분쇄 정도가 적었으며, 이는 굴곡력이나 축성 부하의 효과가 신연력에 의해 일부 상쇄되었기 때문이다. Purpose : To evaluate the configuration of vertebral body fractures in flexion-distraction injuries of thoracolumbar spine. Materials and Method : We investigated the location of fractures, anterior or posterior vertebral body height, kyphotic angle of injured segments, canal encreachment and severity of comminution on radiologic examinations of 21 cases. Result : There were 11 compression fractures and 9 burst fractures. 85% of fractures were located in the inferior vertebrae of injured segments. Anterior vertebral height decreased by 27% on average with decrease of 18% in compression fractures and 40% in burst fractures. Posterior height decreased by 1% on average with increase of 1% in compression fractures and decrease of 4% in burst fractures. The average kyphotic angle of injured segments was 19.5˚ with 15.4˚ in compression fractures and 26.8˚ in burst fractures. The canal encreachment in 9 burst fractures was 27% on average, and the comminution of vertebral body was mild in 74%. Conclusion : The fracture of vertebral body in flexion-distraction injuries of thoracolumbar spine was very common, and located on the inferior vertebare of injured segment. The decrease of vertebral height, canal encreachment and severity of comminution was relatively less than the estimated from mechanism of injury, with offset effect of distraction force.

수입소동맥 저항과 수출소동맥 저항의 상호 작용에 대한 연구

양훈모,민영기,이정범 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

It has generally been accepted that efferent arteriolar constriction increase GFR. However, it has also been shown in mathematical studies that increases in efferent arteriolar resistance beyond some extent causes GFR to decrease. The aim of the present study is to investigate the occurrence of physiological and/or pathophysiological conditions in which GFR is decreased by efferent constriction. The renal hemodynamic data obtained by several investigators were analyzed with a mathematical model of single nephron GFR (SNGFR). The glomerular model is based on a simulation of flow along a glomerular capillary with negligible resistance and uniform ultrafiltration coefficient (K_(f), 0.09 nl · sec^(-1) · mmHg^(-1)). The data analyzed are from rats which have been shown to achieve filtration pressure equilibrium(FPE) during filtration along the glomerular capillary. The hemodynamic states of rat kidney is characterized by a high K_(f), low RBF, and high vascular resistance. In these animals, inhibition of the renin-angiotensin system was associated with increases in GFR. This was mainly contributed to the increase in K_(f). Analysis with the present model has shown that lowered efferent arteriolar resistance during angiotensin inhibition augmented GFR response to K_(f). The analysis of the data obtained by manipulating efferent resistance during aortic constriction demonstrated the importance of pregiomerular resistance(R_(PRE)) related to efferent resistance (R_(E)). in this hemodynamic condition. The FPE which determines the sensitivity of SNGFR to SNBF and K_(f) is attained nearer the afferent end as R_(PRE) increases further: On the other hand, R_(PRE) had no effect on FPE. In conclusion, certain physiological manipulation affects R_(PRE) and K_(f) in such fashion that a decrease in R_(E) may have a beneficial effect on GFR and vice versa. This analysis indicates that it is not limited to theoretical importance; it demonstrated that in rat kidneys which have low flow and high afferent resistance the efferent arteriolar dilation can be associated with the promotion of GFR.

신생아 황달에서 디옥타헤드랄 스멕타이트와 광선요법의 병행 치료시 효과

김희모,정영철,조동영,오명호 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

Background : Dioctahedral smectite is an alumina silicate of phyllitic structure and absorbs bile acid in the intestine, forming a nonabsorbable complex preventing enterohepatic circulation. The purpose of this study is to clarify the value of dioctahedral smectite and the adequate dosage, in combination with phototherapy, as well as to confirm whether it shorten the duration of hospitalization, Method : Total 45 full-term neonate with a total bilirubin level greater than 12 ㎎/dl were studied. The neonate were randomly divided in to three groups :(1) Only phototherapy group(A)(2) 1.5g/day dioctahedral smectite with phototherapy group(B)(3) 3g/day dioctahedral smectite with phototherapy group(C). Results : Forty-eight hours and 72 hours after the beginning of the study, the mean bilirubin level among the B, C groups were significantly diminished than that of A group(P<0.05). The duration of phototherapy and hospitalization were significantly diminished in the C group. After phototherapy finished, mean bilirubin level was not significantly diminished. Conclusion : The data revealed that oral administration of dioctahedral smectite(especially 3 g/day with phototherapy group : C) not only increased the efficacy of phototherapy, but also shortened the duration of phototherapy.

걷기운동이 비만중년여성의 건강관련체력과 피하지방두께변화에 미치는 영향

원영두,문현화,정천모,신명건 朝鮮大學校 스포츠科學硏究所 2007 스포츠科學硏究 Vol.18 No.-

The purpose of this study was to analyze the effect of walking exercise on health-related physical fitness and Subcutaneous fat thickness in obese middle-aged women. SPSS 11.0 was used to calculate mean and SD, and ANCOVA was conducted to examine the group difference between paired sample t-test and pre-test and post-test. The level of significance was set at a=.05. 1. The change of health-related physical fitness was examined, In the EG, there was no statistically significant difference in muscular strength, but there was statistically significant difference in muscle endurance(p<.05), f1exibi1ity(p<.01), and cardivascular endurance(p<.OOl). In the CG, there was no statistically significant difference in all factors. 2. The change of body composition was examined. In the EG, there was statistically significant difference in weight(p<.001) and % body fat(p(.001), but 3. The change of skinfold thickness was examined. In the EG. there was statistically significant difference in triceps. subscapular, midaxillary, abdominal, suprailliac, and popliteal muscles(p<.001) and front thigh(p(.01), but there was no statistically significant difference in medial calf. In the CG, there was no statistically significant difference in all regions. In conclusion, as results of conducting the 12-week walking exercise program for obese middle-aged women, it was found that the program improved health-related and effectively reduced % body fat and skinfold thickness. It is recommended that middle-aged women should do low intensity endurance exercise rather than excessive exercise. Further study should conduct a walking exercise program and a dietary cure together to provide obese middle-aged women with a more effective program.