침금동인(鍼金銅人)의 제작(製作)에 대한 고찰(考察)

박영환,Park, Yung-Hwan 한국의사학회 2012 한국의사학회지 Vol.25 No.2

The Chimgeumdongin(鍼金銅人) is a Acupuncture Bronze Man that casted by Choe Cheonyak(崔天若) the meister and directed by O Jicheol(吳志哲) the royal chief acupuncture doctor of Chosen dynasty(朝鮮) in 1741. Choe Cheonyak casted the Chimgeumdongin at least 12 parts. After welding the parts, engrave the names of acupuncture point on it. It is suggested that there maybe one or more Wooden Acupuncture Man that remedy mistakes for a longtime before 1741. This became a prototype of Chimgeumdongin. The contents of Chimgeumdongin's acupuncture points are equal to <Buzhutongrenjing : 補註銅人經> which was recited by royal acupuncture doctors for hundreds years. Chimgeumdongin rigorously apply the bone proportional unit measurement of <the chapter on Measurement of the bone, chapter 14 of the Lingshu : 靈樞.骨度篇>. and the range of error was between 0.01cm~1.67cm. Specially, they made it's head 1.34 times bigger, by long experience. Accoding to <Seungjeongwonilgi : 承政院日記>, the Chimgeumdongin was used for training inexperienced royal acupuncture doctors. As shown above, the Chimgeumdongin could be represents standard acupuncture technology of Chosen dynasty.

大靑龍湯의 투여로 고열이 호전된 소아 만성 상기도감염증 환자 6例에 대한 증례 보고

박영환(Yung-Hwan Park) 한국의사학회 2013 한국의사학회지 Vol.26 No.1

There are many children suffering from chronic upper respiratory infections with high fever(CURIHF) for years. High fever mainly caused by tonsillitis comes from cold and flu season-related. Observing CURIHF children, they also have a night sweat(盜汗) and a thick voice, a chronic cough, a loss of appetite in common. I found that after administering the Daqinglong-tang(大靑龍湯) to the 6 CURIHF children, high fever was dropping quickly and did not recur for 233~733 days. Also, the symptoms of a night sweat(盜汗) and a thick voice, a chronic cough, a loss of appetite are improved significantly. These case report suggests that in case of CURIHF, Daqinglong-tang could effectively control recur of high fever in children.

鍼金銅人의 製作에 대한 考察

박영환(Yung-Hwan Park) 한국의사학회 2012 한국의사학회지 Vol.25 No.2

The Chimgeumdongin(鍼金銅人) is a Acupuncture Bronze Man that casted by Choe Cheonyak(崔天若) the meister and directed by O Jicheol(吳志哲) the royal chief acupuncture doctor of Chosen dynasty(朝鮮) in 1741. Choe Cheonyak casted the Chimgeumdongin at least 12 parts. After welding the parts, engrave the names of acupuncture point on it. It is suggested that there maybe one or more Wooden Acupuncture Man that remedy mistakes for a longtime before 1741. This became a prototype of Chimgeumdongin. The contents of Chimgeumdongin’s acupuncture points are equal to 〈Buzhutongrenjing : 補註銅人經〉 which was recited by royal acupuncture doctors for hundreds years. Chimgeumdongin rigorously apply the bone proportional unit measurement of 〈the chapter on Measurement of the bone, chapter 14 of the Lingshu : 靈樞, 骨度篇〉. and the range of error was between 0.01㎝~1.67㎝. Specially, they made it’s head 1.34 times bigger, by long experience. Accoding to 〈Seungjeongwonilgi : 承政院日記〉, the Chimgeumdongin was used for training inexperienced royal acupuncture doctors. As shown above, the Chimgeumdongin could be represents standard acupuncture technology of Chosen dynasty.

傷寒六經의 起源에 對한 硏究

박영환(Yung-Hwan Park) 한국의사학회 2013 한국의사학회지 Vol.26 No.1

The Theory of Meridian can be classified into early form of pre-<Huangdineijing : 黃帝內經> and present form of after-<Huangdineijing>. The representative early form of meridian is Eleven Meridians in Mawangdui scrolls(馬王堆帛書) which use Six Qi Diagnosis(六氣辨證). because it did not adopt Visceral Pattern Identification(臟腑辨證). The present form of meridian is Twelve Meridians of <the chapter on meridians, chapter 10 of the Lingshu : 靈樞･經脈篇>. It has developed to investigate relations between Visceral and disease with Five Phase Theory. Analyzing the name of the Six Meridians in the Shanghanlun(傷寒論)On Cold Damage, there are no hands, feet and visceral signs. and it is almost identical to Eleven Meridians in Mawangdui scrolls. According to <the chapter 6 of Suwen : 素問･陰陽離合論第六>, Eleven Meridians use only Six Foot Meridians(足六經) to classify diseases. This fact was applied identically to the Six Meridians in the Shanghanlun. Therefore many doctors, especially Hanzhihe(韓祗和) and Zhangzhicong(張志聰) mentioned that “I have never seen a book on Shanghanlun discuss about Hand Meridians(手經).”

證으로 分類한 傷寒書에 引用된 《傷寒雜病論》과 《金匱要略》의 頭痛, 項强 條文에 대한 硏究

박영환(Yung-Hwan Park),강연석(Yeonseok KANG) 한국의사학회 2011 한국의사학회지 Vol.24 No.2

The headache has various causes and symptoms in clinic, Therefore The headache and the stiff neck also can found in many articles of Shanghanlun(傷寒論) On Cold Damage, In the past, many doctors classified the headache and the stiff neck according to their own theories, and published some Shanghan books(傷寒書), In this study, I select ten Shanghan books which classified the headache and the stiff neck in table of contents, and compared with the articles of 〈Shanhanjabingrun : 傷寒雜病論 and 〈Jinkaeyauruo : 金匱要略, the first books of Shanghanlun(傷寒論) to found meanings of them. As a result, the Osuyutang(吳茱萸湯) was the most quoted herb medicine of 〈Shanhanjabingrun: 傷寒雜病論 The second was Jowisunggitang(調胃承氣湯 and Sosunggitang(小承氣湯), the group of Sunggitang(承氣湯類), Mahwangtang(麻黃湯) and Gyejitang(桂枝湯) are substituted as Ganghwalchunghwatang(羌活沖和湯) in 〈shanbanlanlae : 湯寒捷訣〉 for simply prescribe medicine, or even not mentioned as in 〈shanhanliusu : 湯寒六書〉, This can be understand as a result of copy the previous generation doctor’s writings, not as a study of 〈Shanhanjabingrun : 傷寒雜病論> and 〈Jinkaeyauruo : 金匱要略〉. The articles of the headache in 〈Jinkaeyauruo : 金匱要略〉 was not quoted in that ten books, But the stiff neck was frequently quoted that Gyejigualutang(桂枝加括蔞湯), Dehamhyungtanghwan(大陷胸湯丸) articles includes chibyong(痓病) The Opisthotonos, gyongbyong(痙病) The Convulsions, Yuchi(柔痓) Opisthotonos With Sweat And Fever.

28宿에 대한 考察

박영환(Park, Yung Hwan),박경남(Park Kyoung Nam),맹웅재(Maeng Woong Jae) 한국의사학회 2007 한국의사학회지 Vol.20 No.1

This dissertation aims at studying how ‘the 28 Lunar Mansions’ was applied to the Oriental medicine(韓醫學) and was set up as one of the most important theories of Oriental medicine. This study especially examines how ‘the 28 Lunar Mansions’ has influenced Oriental medicine focusing on the exploration of “The Huang Di Nei Jing, the Inner Classic of the Yellow Emperor 《黃帝內經》” and “Lei Jing《類經》”. Through that examination, there came some findings as follow.

한국인에서 자가면역성 간질환의 임상 양상

표승일 ( Seung Il Pyo ),이한주 ( Han Chu Lee ),서동대 ( Dong Dae Seo ),신정우 ( Jung Woo Shin ),류수형 ( Soo Hyung Ryu ),박영환 ( Young Hwan Park ),정영화 ( Young Hwa Chung ),이영상 ( Yung Sang Lee ),유은실 ( Eun Sil Yu ),서동진 ( 대한내과학회 2003 대한내과학회지 Vol.64 No.1

목적 : 자가 면역성 간질환에는 AIH, PBC, 중복 증후군, AIC, PSC 등이 있으며, 면역학적 기전에 의해서 발생한다고 알려졌고, 약물 치료로 호전되는 경우가 많아 임상적 중요성을 갖는다. 저자 등은 한국인에서 자가 면역성 간질환들의 임상 양상 및 치료에 대한 반응을 알아보고, 질환들 간에 임상양상, 생화학적지표, 혈청학적 지표 및 조직소견을 비교해보고자 본 연구를 시행하였다. 방법 : 1990년 1월부터 2001년 3월까지 서울아산병원에서, Background : Autoimmune hepatitis (AIH), primary sclerosing cholangitis (PSC), primary biliary cirrhosis (PBC), and autoimmune cholangiopathy (AIC) are major classes of liver diseases currently considered autoimmune. We investigated the clinical, biochemi

최근 5 년 사이에 발생한 자발성 세균성 복막염의 임상 양상과 배양 균주 및 항균제 내성 추이

박영환,서동진,이윤정,이한주,정영화,이영상,신정우,송희곤,주연호,정세라,류수형 대한간학회 2002 Clinical and Molecular Hepatology(대한간학회지) Vol.8 No.1

Backgrounds/Aims: Recently, treatment failure with the third generation of cephalosporin was increasingly noted in patients with spontaneous bacterial peritonitis (SBP). We therefore were to evaluate the pattern of antibiotic resistance and its clinical significance. Methods: We retrospectively analyzed 580 episodes of SBP occurring between 1995 and 1999. There were 87 episodes of SBP in 1995, 222 in 1998, and 271 in 1999. The pattern of isolated organisms and antibiotic resistance, and prognostic factors for survival, were analyzed. Results: Microorganisms were isolated in 41% of total episodes. The three most frequently isolated organisms were E. coli (48%), K. pneumoniae (15%), and Aeromonas (8%). The percentage of resistant strains to cefotaxime (9%, 14%, 32%) and ciprofloxacin (13%, 21%, 32%) significantly increased. The proportion of E. coli producing extended spectrum β-lactamase (ESBL) also increased significantly (0%, 16%, 33%). The need of secondary antibiotics such as imipenem due to treatment faiure was significantly increased from 0% in 1995 to 33% in 1999. Overall in-hospital mortality, however, was not changed (20%, 20%, 24%, respectively). The factor affecting early mortality was renal failure at diagnosis. Prognostic factors for long-term survival were the presence of associated malignancy and ESBL-producing microorganisms. Conclusion: Microorgansims resistant to third generation cephalosporin and quinolone were increasingly isolated over the 5 years in patients with SBP. Measures to prevent in-hospital spread of resistant strains and indiscreet use of antibiotics should therefore be instituted.(Korean J Hepatol 2002;8:61-70)

수치해석을 도입한 파괴역학의 기하학적 고찰과 응력확대계수의 합성에 관한 연구

박영환 東洋大學校 産業技術硏究所 1999 東洋大學校 産業技術硏究所 論文集 Vol.1 No.1

Stress intensity factor is one of the most important factors in analysing fracture mechanics. To access fracture mechanics easily, the geometric consideration of fracture mechanics, particularly in stress intensity factor calculation, is studied. When geometric consideration of crack tip opening for the stress intensity factor ?? of opening mode case and for the stress intensity factor ?? of sliding mode case is successfully set up, the combined mode stress intensity factor ?? can be interpreted from the geometrically introduced ?? and ??. As the ??, ?? and ?? can be calculated from the physical displacement calculation in the consideration of the crack opening geometry, we can obtain each stress intensity factor by adopting displacement or stress value from the numerical analysis calculation for the various configurations of the geometry we need to analyse.

횡경막내번증의 외과적 치료 : 14예 보고

박영환,정경영,이두연 최신의학사 1991 最新醫學 Vol.34 No.2