분황 원효와 나옹 혜근의 서민교화

이철헌 동국대학교 세계불교학연구소 2023 불교 철학 Vol.12 No.-

원효는 교학적으로 일심(一心)사상을 중심으로 화쟁(和諍)을 이끌었고, 삶에서는 무애행을 실천했다. 원효가 막힘이 없다는 무애가를 부른 것은 불교의 내용을 일반 서민들에게 알리기 위함이었기에, 가사는 서민들이 알아들을 수 있는 향가로 지었을 것이고, 장단에 맞춰 가사를 읊느라 호로를 들고 춤을 추었던 것이다. 이후 무애가는 가사보다 춤으로 연출되면서 ‘무애무’ ‘무애희’라 불렀다. 한문도 모르고 시간 여유도 없는 서민들에게 노는 입으로 “나무아미타불”을 불러 극락세계에 왕생하라는 정토신앙을 권했다. 무애가는 승속을 막론하고 조선조에까지 널리 계승되었으며, 궁중에서는 기녀와무동이 무애가를 부르며 무애춤을 추었다. 원효의 서민교화를 이은 고승은 고려말 나옹이었다. 나옹은 우리말로 서왕가와 승원가를 지어 부지런히 염불하여 서방극락세계에 왕생할 것을 권장했다. 오늘날 일반인에게 널리 알려진 ‘청산은 나를 보고~’라는 시는 출처는 없지만 나옹의 시라 전해지는 것은 나옹이 서민 속에 얼마나 친숙하게 다가와 있는지를 알려주고 있다. 고려 대각국사 의천은 원효의 화쟁사상과 무애행으로 원효를 보살이라 불렀으며, 고려말 승속들은 나옹의 교화력과입적시 나타난 이적으로 나옹을 부처로 추앙했다. 조선조 전쟁으로 소실된 사찰을 재건하고 어려운 환경에서 사찰을운영하기 위해 서민들의 지원이 절실했던 시기에 서민들의 인기를 얻던 원효와 나옹의 존재는 절대적이었다. 그리하여 많은 사찰의 창건설화에서 원효와 나옹의 이름을 빌려와 사찰에 신성(神性)을 더했다. 원효와 나옹에 대한 승속의 예경은 조선후기 만들어진 각종 의례집에서 선문조사를 예경할 때도 원효와 나옹을 예경하고 화엄조사를 예경할 때도 원효와 함께 나옹을 예경하고 있다.

Trichophyton tonsurans에 의한 두부 독창 1예

이철헌,박천욱,김경일,임용순 대한피부과학회 2000 大韓皮膚科學會誌 Vol.38 No.5

We report a case of kerion celsi caused by Trichophyton(T.) tonsurans in an 11-year-old boy. He had suffered from a skin lesion and pain on the scalp for one month. The lesion showed a 4×5cm sized, markedly inflammatory, boggy indurated plaque exuding pus with multiple follicular pustules. We started to treat the patient with antibiotics under the impression of carbuncle, but only mild improvement was observed after several weeks. On mycological studies, T. tonsurans was identified from the lesion. So, we treated him with itraconazole 50mg/day for eight weeks, and the skin lesion had improved markedly.

Minocycline 복용 후 발생한 급성 두드러기 1예

이철헌,박천욱,임용순 대한피부과학회 2000 大韓皮膚科學會誌 Vol.38 No.12

Minocycline is a semisynthetic tetracycline derivative that is a widely prescribed systemic antibiotic for acne. But it is associated with a variety of adverse cutaneous reactions including fixed drug eruption, photosensitivity, hyperpigmentation, contact dermatitis, and generalized dermatitis of a morbilliform, urticarial, or exfoliative type. We herein report a case of acute urticaria in a 26-year-old woman who had taken minocycline for the treatment of acne.

안과용 점안제에 의한 알레르기성 접촉피부염 1예

이철헌,이지영,박천욱,신경열 대한피부과학회 1999 大韓皮膚科學會誌 Vol.37 No.7

Neomycin is one of the aminoglycoside antibiotics and not uncommonly causes allergic contact dermatitis. Wool alcohol is one of the most widely used lanolin bases and rarely has been reported to cause allergic contact dermatitis. A 63-year-old male presented with a pruritic, erythematous swelling on the right periorbital area. He had a cataract operation on his right eye 10 days ago and has applied several eye drops and topical antibacterial agents. Patch test with Korean standard antigens and ophthalmic preparations revealed strong positive reactions to neomycin sulfate and the Maxitrol$quot;ointment composed of dexamethasone, neomycin sulfate and polymyxin B, and positive reaction to wool alcohol. Neomycin may be the major causative agent to produce allergic contact dermatitis, and wool alcohol also has some relation to it.

사명당 유정의 명 자 호에 대하여

이철헌 한국불교학회 2000 韓國佛敎學 Vol.26 No.-

Methazolamide induced Stevens-Johnson syndrome

이철헌,양윤석,김진혜,조수익,정보영,김혜원,박천욱 대한피부과학회 2012 대한피부과학회 학술발표대회집 Vol.64 No.1

정상피부에서 Alpha Hydroxy Acid에 의한 피부자극

이철헌,박천욱,신경열 대한피부과학회 1998 대한피부과학회지 Vol.36 No.6

Background : Alpha hydroxy acids (AHAs) are known to diminish corneocyte cohesion at the innermost levels of the stratum corneum and have been used in the treatment of various disorders of keratinization. However, their effect on skin barrier function and their irritant potential is not fully understood. Objective : Our study was done to evaluate the skin irritancy of AHAs in normal human skin. Methods : Patches with 1%, 5% and 10% solutions of lactic acid (LA) and glycolic acid (GA) were applied to the volar forearm of 20 healthy volunteers for 24 hours using large Finn chambers with filter paper. Visual scores, erythema (E-) index and transepidermal water loss (TEWL) were measured at 30 min, 24 h and 48 h after removal of the patches. Results : The results are summarized as follows. 1. Visual scores were 0.1±0.3 (1%), 0.5±0.6 (5%) and 1.1±0.8 (10%) at 24 h after removal of LA, and were 0.2±0.4 (1%), 0.6±0.6 (5%) and 1.0±0.7 (10%) at 24 h after removal of GA. They were increased in proportion to the concentrations and there were significant differences in skin responses between the control and each concentration of the solutions. 2. E-indices were 9.1±2.1 (control), 8.8±1.8 (1%), 9.0±2.6 (5%) and 10.5±3.9 (10%) at 24 h after removal of LA, and were 9.4±1.8 (control), 9.3±2.3 (1%), 10.0±3.0 (5%) and 11.1±3.5 (10%) at 24 h after removal of GA. They were not increased in the patch areas of 1% and 5% solutions in both the LA and GA group, but were significantly increased in the patch areas of 10% solutions in both the LA and GA group. 3. TEWL values were 7.3±2.3 (control), 8.3±4.0 (1%), 9.8±4.5 (5%) and 16.7±9.1 (10%) at 24 h after removal of LA, and were 8.1±3.2 (control), 7.8±3.8 (1%), 8.6±3.0 (5%) and 10.9±4.1 (10%) at 24 h after removal of GA. They were not increased in the patch areas of 1% LA, 1% GA and 5% LA, but there were high significant differences between the controls and 10% solutions of both LA and GA. Conclusion : Visual scores were increased in all concentrations of AHAs tested, but the increase in E-index and TEWL values were not significant or minimal in 1% and 5% solutions of AHAs. These findings suggest that AHAs could be classified as non-corrosive irritants.

피부 신경종 1예

이철헌,이지영,박천욱,김경일 대한피부과학회 2000 大韓皮膚科學會誌 Vol.38 No.3

Cutaneous neuromas are uncommon, and three true neuromas exist in the skin: palisaded encapsulated neuroma, multiple mucosal neuroma, and traumatic neuroma. Traumatic neuroma is usually a solitary, skin-colored or pink, firm papule or nodule at the site a of scar following local trauma. The patient was a 51-year-old female and presented with a solitary 1×2×1.5cm sized erythematous to brownish tender polypoid firm mass on the left shoulder for 24 years. Although she could not remember any history of trauma or surgery on the lesional area, this case could be considered as traumatic neuroma on the basis of both the clinical and characteristic histological features and by ruling out other types of neuroma.

11개월 영아에서 발생한 대상포진 1예

이철헌,박천욱,김경일 대한피부과학회 1999 大韓皮膚科學會誌 Vol.37 No.7

We report here an uncommon case of herpes zoster in an 11-month-old infant. She had suffered from varicella when about 100 days old. When 11 months old, she presented with unusual skin eruptions on the right trunk. On physical examination, multiple grouped erythematous papulovesicles were seen on the right upper chest, the right axilla, and the right back along the T4 dermatome. Papanicolaou smear from freshly opened vesicle showed multinucleated giant cells, and she was treated by oral acyclovir 200mg daily for 7 days. After 7 days, the lesions disappeared without any sequelae but mild pigmentation.

Cephalosporin계에 의한 접촉 피부염 1예

이철헌,박천욱,우준하,신경열 대한피부과학회 1998 大韓皮膚科學會誌 Vol.36 No.6

Cephalosporins are B-lactam antibiotics. They are usually bactericidal in action and act by inhibiting mucopeptide synthesis in the bacterial cell wall. Cephalosporins have been used widely in Korea. However, allergic contact dermatitis to cephalosporins has not been reported in the Korean dermatologiy literature. We report a case of allergic contact dermatitis due to cephalosporins in a 23-year-old nurse who suffered from itchy, erythematous patches and plaques with numerous fissures on both hands. A patch test with ceftriaxone and a prick test with cefotiam were positive.