테이핑 요법으로 호전된 요통환자의 요추전만도 변화 1례

윤유석,이종수,문상현,Youn, Yu-Suck,Lee, Jong-Soo,Moon, Sang-Hyun 척추신경추나의학회 2003 대한추나의학회지 Vol.4 No.1

Low back pain (LBP) is a significant in today's society, with lifetime include factors associated with LBP ar reporter. Among the causes, aberration of posture may play a role in the development of LBP. Many investigators have assessed the curvature of spine in standing posture. But LBP is associated with Lumber Hyperlordosis of Hyperlordosis is controversial Subjects: In conservative treatment(acupuncture, herb med, manipulation & TENS. exercise, potural correction) for a 40 years old woman who had low back pain(V AS) be caused by decrease lumbar lordotic angie. Objectives: The object is change of lumbar lordotic angle of a 40 years old woman who had low back pain with Lumbar hyperlordosis, In conservative treatment. Method: In conservative treatment, We added taping therapy(mechanical correction taping of Kinesio Taping) about Lumbar Lordosis. Conclusion: We experienced a 40 years old woman who had love pack pain with Lumbar hyperlordosis. In conservative treatment, Her pain was Improved by additional taping therapy In company with decrease of Lumbar Lordosis. 1. abnormal spinal curvature, specially lumbar hyperlordosis act on induction & perpetuation agent for low back pain 2. In a patient had low back pain with lumbar hyperlordosis, change of lumbar lordotic angle is of utility value for the effect of treatment and assessment of prognosis. 3. pain control is more relative with change of lumbosacral angle than lumbar lordotic angle, in patient had low back pain with lumbar hyperlordosis. 4. mechanical taping therapy with elastic adhesive tape is effective for patient had low back pain with lumbar hyperlordosis

자침(刺針)이 주관절(?關節) 동통(疼痛) 환자(患者)의 악력(握力)에 미치는 영향

윤유석,정석희,신현대,이상학,Youn, You-Suk,Chung, Seok-Hee,Shin, Hyun-Dae,Lee, Sang-Hak 척추신경추나의학회 2004 대한추나의학회지 Vol.5 No.1

Objective : Acupuncture therapy is known as a effective method to pain control including elbow area pain. To make clear about effectiveness of acupuncture affecting to recovery of grip power for the patient with elbow area pain, we compare the patients recieved acupuncture treatment to people with elbow pain unrecieved acupuncture treatment. Material and Methods : This clinical study has been carried out with 30 cases of patients with elbow area pain. 20 patients divides into two groups were treated by acupuncture in MPS with elbow area. Two groups were radial area pain group and ulnar area pain group. The other 10 people with elbow area pain working a resturant in Ilsan were no treatment. The study was applicated and estimated grip power before 1 st treatment and after each treatment for 4 days. Results : 1. In the radial area pain group, the acupuncture treatment is more effective than no treatment (p<0.007). 2. In the ulnar area group, the acupuncture treatment is more effective than no treatment (p<0.037). 3. The effectiveness of acupunctrue treatment is no differnce between radial area pain and ulnar area pain(P<0.529) 4. In the elbow area pain group, the acupuncture treatment is more effective than no treatment (p<0.001). Conclusion : These results shows that acupuncture treatment is effective in elbow area pain.

요추 추간판탈출증 환자의 발병시기에 따른 보존적 치료 결과 비교 연구

윤유석 ( You Suk Youn ),이종수 ( Jong Soo Lee ),하인혁 ( In Hyuk Ha ),김주원 ( Joo Won Kim ),권혁준 ( Hyeok Joon Kwon ) 한방재활의학과학회 2008 한방재활의학과학회지 Vol.18 No.4

Objectives : To investigate therapeutic outcomes of back pain modalities in patients with disc herniation according to the duration by treated with herbal medicine, chuna, acupuncture, bee-venom acupuncture. Methods : We separated 36 patients with disc herniation into three group according to duration; acute patients within 4 week, subacute patients within 5-12 week, and chronic group within 13-24 week. 36 patients with lumbar disc herniation were treated with chuna therapy, acupuncture, bee-venom acupuncture one times a week and took herbal medicine after a meal two times daily. The patients` symptoms were assessed 1 week, 2 week, 4 week, 8 week by Visual analogue scale(VAS), Oswestry disability index(ODI), 36-Item short-form health survey(SF-36). Results : 1. ODI of disability of daily activities showed significantly decreased in acute stage group compared to subacute and chronic stage groups(P<0.05). 2. Physical functioning(PF), bodily pain(BP), social functioning(SF) score of SF-36 showed significantly increased in acute stage group compared to subacute and chronic stage groups(P<0.05). Conclusions : This study suggests that acute stage group compared to subacute and chronic stage groups in patients with lumbar disc herniation is the more effective to improve symptoms treated with herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture.

추나요법 후 악화된 요추 추간판 탈출증 1례

윤유석(You-Suk Youn),조재흥(Jae-Heung Cho),류한진(Han-Jin Ryu),이종수(Jong-Soo Lee) 척추신경추나의학회 2004 대한추나의학회지 Vol.5 No.1

The occurrence of neurologic symptom, for example cauda equina syndrome or disc rupture after Chuna treatment seems to be an uncommon event considering the large number of Chuna treatment performed. We experienced a woman who developed sudden complication after lumbar Chuna treatment. Patients in spinal hernation undergone Chuna treatment can be the causative factor in neurological symptom and must be considered in each case. Therefore, physicans and patients should be aware that neurological complication may occur as a result of lumba Chuna treatment.

사용 이론과 회의주의를 넘어서

윤유석(You-Seok Youn) 서강대학교 철학연구소 2022 철학논집 Vol.69 No.-

본고는 후기 비트겐슈타인의 철학이 사용 이론이나 회의주의가 아니라 정적주의로 해석되어야 한다고 지적하고자 한다. 사용 이론이나 회의주의를 통해 후기 비트겐슈타인의 철학을 설명하려는 입장은 얼핏 서로 다른 것처럼 보이더라도 사실 동전의 양면에 지나지 않는다. 두 입장은 모두 비트겐슈타인이 특정한 의미의 조건을 미리 상정한 상태에서 의미 있는 언어와 무의미한 언어를 구분하였다고 주장한다. 이러한 독해는 심지어 후기 비트겐슈타인의 철학에 대한 정통적 해석에서조차 발견된다. 그러나 의미의 조건을 바탕으로 의미의 한계를 규정하려는 시도는 의미에 대한 독단주의와 회의주의의 딜레마를 피할 수 없다. 본고는 우선 사용 이론을 통해 후기 비트겐슈타인의 철학을 해석하려는 입장과 회의주의를 통해 후기 비트겐슈타인의 철학을 해석하려는 입장을 각각 비판할 것이다(Ⅱ~Ⅲ). 다음으로, 두 입장이 전제하는 의미의 한계 개념이 후기 비트겐슈타인의 철학을 일종의 초월론적 철학으로 바라보는 정통적 해석에도 숨겨져 있다는 사실을 폭로할 것이다(Ⅳ). 마지막으로, 정적주의야말로 후기 비트겐슈타인의 철학에 대한 주석적으로 올바른 해석이자 철학적으로도 설득력 있는 입장이라고 강조할 것이다(Ⅴ). This study points out that later Wittgenstein’s philosophy should be interpreted not as a use theory of meaning or skepticism but as quietism. Although the positions trying to explain later Wittgenstein’s philosophy as a use theory of meaning or skepticism seem different from each other, they are in fact both sides of a coin. The two positions claim that Wittgenstein separates significant and nonsensical languages by postulating certain conditions for meaning. This kind of reading is sometimes found even in the orthodox interpretation of later Wittgenstein. However, the endeavor to define the bounds of sense on the basis of conditions for meaning can not escape the dilemma between dogmatism and skepticism of meaning. First, I will criticize the positions attempting to interpret later Wittgenstein’s philosophy as a use theory of meaning or skepticism (Ⅱ~Ⅲ). Next, I will expose that the idea of the bounds of sense presupposed by the two positions is hidden in the orthodox interpretation, which understands later Wittgenstein’s philosophy as a kind of transcendental philosophy (Ⅳ). Finally, I will emphasize that it is quietism that is an exegetically right interpretation of later Wittgenstein’s philosophy and a philosophically plausible position (Ⅴ).

대속은 어떻게 우리를 냉혹한 현실에서 구원하는가?: 대속의 이야기로서 〈마법소녀 마도카☆마기카〉

윤유석(Youn, Youseok) 한국만화애니메이션학회 2020 만화애니메이션연구 Vol.- No.61

우로부치 겐이 각본을 담당한 샤프트 원작 TV 애니메이션 〈마법소녀 마도카☆마기카〉(2011)는 ‘마법소녀’라는 얼핏 꿈과 희망으로 가득할 것만 같은 소재를 사용하여 냉혹한 현실을 진지하게 반영한 역설적 작품으로 흔히 여겨진다. 이러한 평가는 대개 작품 속에서 묘사되는 불행과 절망을 강조하는 과정에서 주인공 마도카를 통해 이루어지는 ‘대속(substitution)’의 사건을 단순히 비현실적 요소로 치부하는 경향이 있다. 지난 10년 동안 작품에 대해 제시된 수많은 비평이 대속의 사건이 지닌 의의를 제대로 강조한 적이 없다는 사실은 대단히 의아하다. 모든 마법소녀를 비극적 운명에서 구원하기 위해 한 명의 마법소녀가 스스로 희생을 선택한다는 이야기는 그 자체로 이미 대속 서사이다. 작품을 단순히 ‘이단적 마법소녀물’로 규정하는 비평은 마도카가 다른 사람을 위해 희생을 선택하는 방식으로 비극적 운명을 넘어서는 희망을 증명한다는 사실을 간과하고 만다. 우리는 이야기가 말하는 희망을 이해하기 위해 작품을 미리 전제된 해석의 틀에 억지로 끼워 맞추려는 시도를 극복해야 한다. 본고는 우선 그동안 제시된 수많은 비평이 작품에 흐르고 있는 서사보다는 작품에 나타난 ‘절망적 세계관’과 ‘장르 해체적 시도’에만 과도하게 주목하였다고 비판할 것이다(Ⅱ). 다음으로, 작품이 보여주고 있는 이야기를 충실하게 기술하기 위해 ‘현상학적 서사 분석’이라는 비평의 방법을 해명할 것이다(Ⅲ). 여기서 ‘마법소녀’는 다른 사람을 위해 비극적 운명을 감당하는 자로서 ‘타자를 위한 존재’라는 사실이 드러날 것이다(Ⅳ). 또한 타자를 위한 존재가 빠지게 되는 불행과 절망은 작품을 통해 ‘마녀’라는 모습으로 상징적으로 표현된다는 사실이 지적될 것이다(Ⅴ). 그러나 ‘발푸르기스의 밤’으로 대표되는 마법소녀의 비극적 운명은 작품 속에서 아무런 필연성도 지니지 않는다는 사실이 논증될 것이다(Ⅵ). 오히려 타자를 위해 희생하는 대속의 사건이야 말로 작품을 성립시키는 근원적 필연성이라는 사실이 주장될 것이다(Ⅶ). Shaft’s original TV animation Puella Magi Madoka Magica (2011), written by Gen Urobuchi, is often regarded as a paradoxical work that reflects harsh reality seriously, using a material “magical girl,” which seems to be filled with dreams and hopes. These evaluations, focusing on misery and despair depicted in the animation, usually tend to dismiss the event of substitution revealed through the heroine Madoka as an unrealistic element. It is strange that numerous criticisms of the work over the past decade have never properly emphasized the significance of the event of substitution. The story of the sacrifice of one magical girl to save every magical girl from the tragic fate is, in itself, a substitutionary narrative. The criticisms, which simply define the work as a “heretical magical girl genre,” overlook that Madoka proves hope beyond tragic fate by choosing the sacrifice for others. First, I will criticize that the numerous criticisms presented so far have focused excessively on the “hopeless world view” and the “genre deconstructive attempt” of the work, rather than on the narrative flowing in the work (Ⅱ). Next, I will explain the method of criticism called “phenomenological narrative analysis” to faithfully describe the story that the work is showing (Ⅲ). Here, it will be presented that the “magical girl” is “being there for others” who takes on the tragic fate for others (Ⅳ). Besides, it will be pointed out that the misery and despair of being there for others are symbolically expressed through the work in the form of “witch” (Ⅴ). However, it will be argued that the tragic fate of magical girls represented by Walpurgis Night has no necessity in the work (Ⅵ). Rather, it will be claimed that the event of substitution as the sacrifice for others is a fundamental necessity to establish the work (Ⅶ).

충돌과 창조 속의 언어

윤유석(Youn, You-Seok) 서울대학교 철학사상연구소 2015 철학사상 Vol.57 No.-

1950년대 이후로 해석학적 철학과 분석철학은 ‘언어’라는 주제에 대해 생산적인 대화를 진행하고 있다. 본고는 상이한 이 두 사조가 언어의 ‘세계개시성(Welterschlossenheit)’이라는 논의에서 일치한다고 본다. 두 사조에 따르면, 언어는 단순히 우리가 세계를 기술해 내기 위해 사용하는 도구에 불과한 것이 아니다. 오히려 우리는 언어 안에서 살아가고 있으며, 언어는 다른 언어사용들과의 충돌 속에서 세계를 창조해 내는 힘을 지니고 있다. 본고는 이와같은 논의들이 해석학적 철학과 분석철학에서 각각 어떻게 나타나게 되었는지를 추적해 보고자 한다. 그리고 본고는 이를 위해 소위 현대철학의 ‘언어적 전회(linguistuc turn)’에 커다란 기여를 한 철학자들인 한스게오르크 가다머(H. G. Gadamer)와 루트비히 비트겐슈타인(L. Wittgenstein)의 언어관을 비교하고자 한다. 이 비교는 크게 세 가지 문제를 중심으로 이루어질 것이다. 첫째로, 두 철학자 모두 우리가 제약조건 속에서 세계를 파악하고 있다는 사실에 주목하였다. 본고는 우선 이 제약조건이 ‘경험의 역사성’이라는 점을 밝힐 것이다 (Ⅱ). 둘째로, 두 철학자 모두 제약조건으로부터 완전히 벗어나 세계 자체를 파악하려는 시도가 우리에게 불가능하다는 점에 동의하였다. 본고는 가다머의 ‘선입견’ 개념과 비트겐슈타인의 ‘규칙 따르기’ 문제를 비교함으로써 이 점을 논의할 것이다(Ⅲ). 셋째로, 두 철학자 모두 이 제약조건 속에서 우리가 세계를 이해하는 과정이 언어를 사용하는 과정과 분리되지 않는다는 점을 지적하였다. 본고는 가다머의 ‘대화로서의 언어’와 비트겐슈타인의 ‘사적언어 논증’을 중심으로 이 문제를 다룰 것이다(Ⅳ). 결론적으로 본고는 이러한 논의들을 종합하여 ‘세계’가 단순히 물리적 사물들의 총체인 ‘자연’에 불과한 것이 아니라, 의미관계의 총체인 ‘언어’라는 점을 주장할 것이다. 또한 언어로서의 세계는 타자와의 대화 속에서 충돌하는 가운데 끊임없이 새롭게 열어밝혀지며 창조된다는 것을 보이고자 한다. Since the 1950s, language has become the central philosophical issue in hermeneutic and analytic philosophies. This study supposes that these two different trends of philosophy are the same with regard to the problem of the World-disclosure (Welterschlossenheit) of language. According to the two trends, language itself is the world in which we live, rather than a mere tool for us to use when describing the world. That is to say, within the clash with other languages, language has its own power to form the world. The purpose of this study is to find out how these discussions have occurred from two trends: hermeneutic and analytic philosophies. This study will present it by comparing two important philosophers, H. G. Gadamer and L. Wittgenstein, who have had a great influence on the so-called linguistic turn of contemporary philosophy. This comparative study will consist of three issues. First, both philosophers focused on how we perceive the world under constrained conditions. This study will show that the constraint condition is based on the historicity of experience (Ⅱ). Second, both philosophers agreed that it is impossible for us to escape the constrained condition. This study will discuss this problem dealing with Gadamer’s prejudice and Wittgenstein’s rule following (Ⅲ). Third, both philosophers claimed that, under the constraint condition, our understanding of the world is not separated from our language usage. This will be further explained in regards to Gadamer’s language as dialogue and Wittgenstein’s private language argument (Ⅳ). Consequently, combining these discussions, this study will suppose the world is not merely nature which is a sum of physical things, but a language which is a sum of the relations among meanings. Furthermore, this study will claim that the world as language is newly disclosed and created ceaselessly while clashing with others in dialogue.

표상주의, 변증법, 역사성

윤유석(Youn, You-seok) 서울대학교 철학사상연구소 2016 철학사상 Vol.61 No.-

본고는 데카르트 이후 근대철학을 지배하였던 인식론적 입장인 ‘표상주의’를 헤겔의 경험 개념에 근거하여 비판하고자 한다. 첫째로, 본고는 ‘표상주의’가 수용하는 철학적 전제들을 살펴볼 것이다. 이를 통해 본고는 표상주의가 ‘독단주의’와 ‘회의주의’라는 두 가지 극단적인 면모를 지니고 있다는 사실을 드러낼 것이며, 이 입장이 주체와 객체 사이의 ‘대응’이라는 관계를 제대로 설명하지 못한다는 점을 지적할 것이다(Ⅱ). 둘째로, 본고는 헤겔의 철학에서 ‘변증법’이 지닌 의미에 대해 논의할 것이다. 여기서 본고는 변증법이 부정의 운동을 통해 끊임없이 모순을 극복해나가는 의식 경험의 과정이라는 점을 이야기할 것이며, 변증법을 바탕으로 경험을 이해하고자 하는 헤겔의 시도가 이전의 표상주의와는 어떠한 점에서 차이를 보이는지 비교할 것이다(Ⅲ). 셋째로, 본고는 경험의 ‘역사성’에 대해 다룰 것이다. 이 과정을 거치며 본고는 변증법이 경험의 역사성에 대한 함의를 지니고 있었음을 보일 것이며, 역사성을 무시하거나 극복하고자 하는 표상주의의 시도가 결국 실패할 수밖에 없음을 논증할 것이다(Ⅳ). This study will criticize representationalism, which is the dominant epistemological trend in modern philosophy after Descartes, on the basis of Hegel’s concept of experience. This study initially investigates the philosophical premises of representationalism and reveals that representationalism has two extreme aspects: dogmatism and skepticism. It will be explained that representationalism cannot explain the relationship of correspondence between subject and object (Ⅱ). Second, this study discusses the meaning of the dialectic in Hegel’s philosophy, claiming that the dialectic is the process of the experience of overcoming contradictions constantly with movement generated by negativity. Differences are suggested between Hegel’s dialectical understanding of experience and the representational understanding of experience (Ⅲ). Third, the study deals with the historicity of experience and shows that historicity is implied in Hegel’s dialectic. It will be argued that attempts at representationalism which overlook or overcome historicity cannot succeed in their goals (Ⅳ).

요추 추간판탈출증 환자에 대한 한약, 봉독약침, 침, 추나요법의 유효성 평가

윤유석 ( You Suk Youn ),박원상 ( Won Sang Park ),하인혁 ( In Hyuk Ha ),이종수 ( Jong Soo Lee ),신현대 ( Hyun Dae Shin ) 한방재활의학과학회 2008 한방재활의학과학회지 Vol.18 No.1

Objectives : To investigate therapeutic outcomes of back pain modalities in patients with disc herniation; Korean medical treatments(Herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture.). Methods : Operation(OP) recommended 20 patients with lumbar disc herniation were treated with chuna therapy, acupuncture, bee-venom acupuncture one times a week and took herbal medicine after a meal two times daily. The patients` symptoms were assessed 1 week, 2 week, 4 week, 6 week, 8 week by Visual analogue scale(VAS), Oswestry disability index(ODI), 36-Item short-form health survey(SF-36). Results : 1. VAS(LBP and Sciatica) score was significantly improved after 8 weeks (P<0.05). 2. ODI, SF-36 score was significantly improved after 8 weeks (P<0.05). 3. There were significant changes in physical functioning(PF), bodily pain(BP), social functioning(SF), role emotinal(RE), mental health(MH) score of SF-36 after 8 weeks (P<0.05). Conclusions : This study suggests that Korean medical treatment(Herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture) can be applicable to improve symptoms in patients with lumbar disc herniation.

중풍 하지마비의 재활에 건측 상지 운동요법이 미치는 효과

윤유석 ( You Suk Youn ),정석희 ( Seok Hee Chung ),이종수 ( Jong Soo Lee ) 한방재활의학과학회 2004 한방재활의학과학회지 Vol.14 No.2

Objective: The muscle pattern excercise(MPE) is freqeuntly usde to enhance stroke rehabilitation. and the electroacupunture(EA) is also used to facililitate stroke rehabilitation. Although many studies have indicated that each MPE and EA might improve the motor and functional recovery, there is no study about using MPE and EA simultaneously for effective treating for stroke rehabilitation especially lower extremity function. So we compare the effect between electroacupuncture on affected lower extremity and simultaneously elbow exercise on unaffected upper extremity and only electroacupuncture on affected lower extremity. Methods: 53 stroke patients with hemiplegic stroke were randomized into two groups. 28 patients were treated by electroacupuncture on affected lower extremity and simultaneously elbow exercise on unaffected upper extremity. The other 25 patients were treated by only electroacupuncture on affected lower extremity. The study was applicated a day for 20 days. The frequency of stimulation was 2Hz and intensity was set at a level sufficient to include muscle contraction. The elbow exercise was elbow flexion and extension. Outcome were assessed by weight difference of both leg, Fugl-Meyer score, Medical research council scale, modified Ashworth sclae, modified Barthel index and NIH. Results: By the end of treatment, the sample group showed significantly more improvement than the control group in the section of weight difference of both leg, Fugl-Meyer score, Motor Power, modified Barthel index. Conclusion: These results support that electroacupuncture on affected lower extremity and simultaneously unaffected elbow exercise is more effective than only electroacupuncture on affected lower extremity for Stroke rehabilitation.