신체계측(身體計測) 및 검사소견(檢査所見)을 중심으로 한 사상인(四象人)의 특징(特徵)에 대한 분석(分析)

이수경,이의주,홍석철,고병희,Lee, Su-Kyung,Lee, Ui-Ju,Hong, Seok-Cheol,Ko, Byung-Hee 사상체질의학회 1996 사상체질의학회지 Vol.8 No.1

연구 목적 : 사상인의 각 체질별 특성을 파악하기 위한 통계조사 연구이다. 연구 방법 : 경희의료원 동서 종합 건강진단센타에 1995년 2월 3일부터 1996년 5월 10까지 내원한 검사자들의 인구학적 특성, 21 개 검사 소견, 체질증을 중심으로 각 사상인에 따른 특성을 빈도분석, Oneway Anava검정, 교차분석을 통한 ${\chi}^2$ 검정을 실시하여 사상인에 따라 유의성있는 차이가 있는지를 살펴 보았다. 연구 결과 : 사상인 체질 진단과 체질의 특성을 파악하기 위해 196례 검사자의 체질진단을 시행하고 각 사상인에 따른 일반적 특성 신체계측 완실무병 조건인 땀, 대 소변, 수면상태, 그리고 각종 검사소견을 살펴 아래의 결과를 얻었다. 1. 196례 검사자의 사상체질 진단 결과 태음인(太陰人) 110명 (56.1%), 소음인(少陰人) 58명(29.6%), 소양인(少陽人) 28명 (14.3%)으로 태음인(太陰人)이 가장 많았고 소음인(少陰人)이 소양인(少陽人)보다 많았다. 2. 직업에 따른 사상인의 분포는 사무직, 행정직, 주부는 태음인(太陰人)과 소음인(少陰人), 연구전문직은 소음인(少陰人), 사기업 경영은 태음인(太陰人), 서비스직은 소양인(少陽人)이 많았다. 3. 각 체질 진단 설문 조사의 특성은 QSCC(I)은 다른 체질이 태양인(太陽人)으로 진단되는 경향이 높고, 1번 설문지 는 소음인(少陰人) 판정 정확율이 76.4%로 높았다. 4. 각 체질별 체질중을 살펴 보면 태음인(太陰人)은 땀이 잘 나고 소음인(少陰人)은 땀이 잘나지 않는 것으로 나타났다. 태음인(太陰人)은 식욕이 좋으며 찬음식을 좋아하고 소화가 잘되나 소음인(少陰人)은 식욕이 좋지 않고 더운 음식을 좋아하며 소화가 잘 안되는 것으로 나타났다. 5. 비만도의 검사에서 태음인(太陰人)이 비만도가 가장 높은 것으로 나타났다. 6. 고혈압자의 사상인 분포에서 수축기 혈압과 확장기 혈압은 태음인(太陰人)이 높은 것으로 나타났고, 고혈압자의 발생빈도도 태음인이 사상인(四象人)중 가장 높게 나타났다. 7. 고지혈중과 사상인 분포에서 중성지방은 태음인(太陰人)이 가장 높은 것으로 나타나 태음인(太陰人)에게 중성지방이 높은 고지혈중 발생빈도가 높았으나 총콜레스테롤은 사상인(四象人)간의 유의성 있는 차이가 없었다. 8. 간기능 효소와 사상인 분포에서 GPT, GGT는 태음인(太陰人)이 소양인(少陽人)보다 높은 것으로 나타났고 GOT는 사상인(四象人)의 유의한 차이가 없었다. 9. 초음파 검사에 의한 지방간의 발생빈도는 태음인(太陰人)이 가장 높은 것으로 나타났다. In orther to find the characteristics of each constitution, the examinee of Kyung Hee medical center was diagnosed constitution, and resulted body measures and diagnosis. That was considered and the results are as follows 1. The Diagnosis result of Sa-sang Constitutional Medicine is that there are 110 persons of Taeum-In(56. 1%), 58 persons of Soum-In(29.6%), 28 persons of Soyang-In(14. 3%). 2. The distribution of occupation, there are many of Taeum-In who are engaged in business, administeration, and management and many of Soeum-In who are engaged in reserch. 3. QSCC(I) has a tendency that other constitutions diagnose to Taeyang-In, the quastionare 1 has the accuracy of 76. 4% to diagnose Soeum-In. 4. Taeum-In sweats easily but Soeum-In doesn't sweat easily, Taeum-In has a good appetite and likes cold food and digests well, but Soeum-In has a poor appetite and like hot food and digest poorly. 5. The degree of obesity is the highest in Taeum-In. 6. The systoric blood pressure and diastolic blood pressure is high in Taeum-In and the high blood pressure are frequent in Taeum-In. 7. Triglyceride is the highest in Taeum-In and the Hyperlipidemia is the most frequent in Taeum-In, but Total cholesterol has no difference among constitutions. 8. GPT GGT is higher in Taeum-In than Soyang-In, but GOT has no difference among constitutions. 9. The frequency of fatty liver is the highest in Taeum-In.

성선자극호르몬 및 GnRH agonist을 동시에 중단하는 1$\sim$2일 단기 코스팅이 임신율을 포함한 난소과자극증후군 예방에 미치는 효과

이수경,주보선,박세희,이수경,김경서,문성은,문화숙,Lee, Soo-Kyung,Joo, Bo-Sun,Park, Sea-Hee,Lee, Su-Kyung,Kim, Kyung-Seo,Moon, Sung-Eun,Moon, Hwa-Sook 대한생식의학회 2007 Clinical and Experimental Reproductive Medicine Vol.34 No.1

목 적: 성선자극호르몬과 GnRH agonist (GnRH)를 동시에 중단하는 1$\sim$2 일간의 단기 coasting이 임신율을 포함한 난소과자극증후군 예방에 미치는 효과를 조사하고자 한다. 연구방법: 체외수정시술을 위한 과배란유도 시 15 mm 이상의 난포가 20 개 이상이고 혈중 E$_2$ 농도가 4,000 pg/ml 이상일 때 coasting을 시도한 37 명의 여성들을 대상으로 하였다. Coasting은 성선자극호르몬과 GnRH agonist를 동시에 중단하였으며, 초음파상 난포의 상태와 혈중 E$_2$ 농도 에 따라 1일 또는 2일 동안 시행하였다. 혈중 E$_2$ 농도, 채취된 난자 수, 수정율, 임신율 등을 후향적으로 비교 분석하였다. 결 과: 평균 혈중 E$_2$ 농도는 coasting 시작 당일 6,993 pg/ml 에서 hCG 투여일에 3,396 pg/ml로 감소하였다. 평균 채취 난자 수와 수정율은 15.7개와 70%였다. 15명 (40.6%)이 임신을 하였고 착상율은 15.2%였다. 26명 (70.3%)이 1일, 11명 (29.7%)이 2일 동안 coasting 하였다. 평균 혈중 농도의 감소율은 1일 coasting한 군에서 43%, 2일 costing한 군은 15% (첫날)와 81% (둘째날)이었다. 임신율은 두 군간 유사하였고, 중증도 이상의 OHSS는 발생하지 않았으며 3명 (8.1%)에서 경미한 OHSS가 나타났다. 결 론: 성선자극호르몬과 GnRH agonist의 통시 중단에 의한 1$\sim$2 일의 단기 coasting은 체외수정의 결과에 영향을 주지않고 OHSS 를 예방하는데 성공적으로 적용될 수 있을 것으로 사료된다. Objective: To evaluate the effect of short coasting, by withdrawing both gonadotropins and GnRH agonist (GnRHa), on the prevention in severe ovarian hyperstimulation syndrome(OHSS) without compromising pregnancy outcome. Method: Thirty-seven women who had been coasted during COH for IVF were coasted when $\geq$20 follicles > 15 mm with serum E$_2$ level of 4,000 pg/ml were detected. Coasting was initiated for one or two days depending on the status of follicle on ultrasound and serum E$_2$ level. Both gonadotropin and GnRHa were withheld for coasting. Retrospective study was carried and changes of serum E$_2$ levels, number of oocytes retrieved, fertilization rate, pregnancy rate were compared and analyzed. Results: The mean serum E$_2$ level fell from 6,993 pg/ml on the onset of coasting to 3,396 pg/ml on the day of hCG administration. The mean number of oocytes retrieved and fertilization rate were 15.7 and 70.0%, respectively. Fifteen patients were pregnant (40.6%) and implantation rate was 15.2%. Twenty-six (70.3%) patients were coasted for one day and 11 (29.7%) were coasted for two days. The mean decrease rate of serum E$_2$ level was 43% in one day coasting group and 15% (1$^{st}$ day) and 81% (2$^{nd}$ day) in two day coasting group. The pregnancy outcome was similar between the two groups. After coasting, no severe or moderate OHSS occurred in any patients and mild OHSS occurred in 3(8.1%) patients. Conclusions: Coasting for one or two days can be used successfully in the prevention of OHSS without compromising IVF cycle outcome.

시력장애에 관한 국내외 한의학적 임상 연구 경향 고찰

이수경,홍현진,이현범,이창원,Lee, Su-Kyung,Hong, Hyeon-Jin,Lee, Hyun-Bum,Lee, Chang-Won 대한한방안이비인후피부과학회 2018 한방안이비인후피부과학회지 Vol.31 No.3

Objectives : This study is designed for trend analysis of oriental medicine treatment for visual impairment. Methods : Research studies related to objectives were gathered through OASIS, KTKP, PUBMED with keywords such as "visual impairment", "myopia", "hyperopia", "presbyopia", "astigmatism" and analyzed. Results : As a result of searching domestic and overseas research on oriental medical treatment for visual impairment, 7 domestic research papers and 11 overseas research papers have been selected. Among those research papers, 15 of those are studies related to childhood or juvenile myopia. Acupuncture, ear acupuncture, herb medicine, periocular massage, eye muscle exercise and habit correction are used as treatment methods for visual impairment. 14 out of 17 research papers which mentioned treatment effect of oriental medicine reported oriental treatment of visual impairment is effective. Conclusions : Various types of oriental medical treatment could be effective in treating visual impairment. Thus, related in-depth research must be proceeded.

『동의수세보원(東醫壽世保元)』 태소음양인(太少陰陽人)의 「병증론(病證論)」에 관(關)한 연구(硏究)

이수경,송일병,Lee, Su-kyung,Song, Il-byung 사상체질의학회 1999 사상체질의학회지 Vol.11 No.2

1. 연구 목적 사상의학(四象醫學)의 체질증(體質證)과 체질병증(體質病證)의 접근에는 기존 증치의학(證治醫學)과는 다른 통증(痛症)에 대한 시각을 제시하고, 사상의학(四象醫學) 고유 술어로 병리(病理)나 병증(病證)을 설명하여 기존 개념과 혼돈되며, "성명론(性命論)", "사단론(四端論)", "확윤론(擴允論)", "장부론(臟腑論)"을 통해 제시한 인간관(人間觀)과 세계관(世界觀). 이들 간의 조직 원리가 "병증론(病證論)"을 통해 몸에 구현되므로 사상의학(四象醫學)의 병증용약(病證用藥)에 어려움을 느끼게 된다. 그러나 사상의학(四象醫學)도 기존의 증치의학(證治醫學)을 바탕으로 하고 있어 기존의 의학에서 사상의학(四象醫學)이 성립되는 과정과 이제마(李濟馬)의 인간관으로 "병증론(病證論)"을 접근하여 사상의학(四象醫學)의 체질증(體質證)과 체질병증(體質病證)에 대한 정확한 이해를 돕고자 하였다. 2. 연구 방법 문헌적 구로 태소음양인(太少陰陽人)의 병증(病證)을 설명하기 위해 "상한론(傷寒論)", "활인서(活人書)" 등 인용 원서의 병증(病證) 인식(認識)과 이를 인용한 "동의보감(東醫寶鑑)"에서의 병증(病證)을 비교하고 이것이 태소음양인(太少陰陽人)의 체질증(體質證)과 체질병증(體質病證)으로 자리매김되는 과정을 파악하고 그 병리(病理)와 병증(病證)을 "동의수세보원(東醫壽世保元)"의 "성명론(性命論)", "사단론(四端論)", "확윤론(擴允論)", "장부론(臟腑論)"을 통해 드러나는 인간관의 체계로 파악하고자 하였다. 3. 결론 태소음양인의 병증론을 통해 표리병증의 인식 배경과 변화 과정 표리병증의 특징, 체질증과 체질병증의 출발점인 소증의 인식, 기존 의학과 다른 체질병증, 태소음양인의 병증의 특징 등을 살펴 사상의학 체질병증에 대한 결론을 얻어 보고하는 바이다. This paper was written in order to understand each constitutional symptoms and diseases with two aspects. The first was to trace the courses to accomplish constitutional symptoms and diseases from that of oriented medicine through "Dongyi Bogam" and the original writing such as "Shanghanlun". The second was to analyze the constitutional diseases with Lee Je-ma's own recognition on human being and the society which was based on the "Dongyi Suse Bowon". The original concepts of 'The Interior Disease' and 'The Exterior Disease' were based on the Nature and the Emotion, the Environmental Frames and the Human Affairs, the Ears Eyes Nose Mouth and the Lung Spleen Liver Kidney. The exterior disease were caused by the abilities of ears to listen, eyes to see, nose to smell, and mouth to taste on the environmental frames which were related one's recognition to society. The interior diseases were caused by the abilities of lung to study, spleen to ask, liver to think, kidney to judge on human affairs which were related the relationship between me and others. So the titles of constitutional diseases were named by these views on his first writing of "Dongyi Suse Bowon" in 1894. So the titles of Taeyangin diseases, 'The lumbar Vertebae Disease Induced by Exopathogen' and 'The Small Intestine Disease Induced by Endopathogen' were still remained as the first writing. But the titles of constitutional diseases were rewritten such as present titles in 1900. In order to express pathology and mechanism of constitutional diseases exactly, he rewrote titles which contained the manifestation sites of diseases, and the symptoms of febrile and cold, and the different congenital formations of organs. The exterior diseases and interior diseases had three characteristics. The first was that the exterior disease injured by the nature which had a tendency to progress slowly and the interior disease injured by the emotion which had a tendency to progress rapidly. The second was not that the interior disease and the exterior disease were separated, but that one influenced the other and these were revealed as a disease together when the diseases continued for a long time. The third was that even though the disease caught together it was included the beginning disease. The symptoms in ordinary times was the origin and clue to recognize the constitutional symptoms and diseases. It enabled to establish the constitutional medicine which treated by different ways according to constitution. It had two characteristics which were different from the Traditional Chinese Medicine in appearance of diseases. The first was that the disease was progressed to the next step from the symptoms in ordinary times. The second was that each constitution had different symptoms which were due to symptoms in ordinary times under the same disease, The third was the manifestation of disease were different from symptoms in ordinary times in the same constitution. But the most important thing was that Lee Je-ma recognized these symptoms in ordinary times as four categories and he presented constitutional symptoms and constitutional disease. The four categories were the method to recognize the human being and the diseases for him As the symptoms and diseases of Sasang Constitutional Medicine were compared to Traditional Chinese Medicine, the constitutional diseases of "Dongyi Suse Bowon" could be classified into two groups. The first group was the unique diseases and symptoms, which were not in the Traditional Chinese Medicine, and which were established by the Lee Je-ma. These contained the diseases of taeyangin, the exterior disease of taeumin, the exterior disease of soyangin. The second group used the unique methods to treat disease, which were not in Traditional Chinese Medicine, and which were established by Lee Je-ma. This contained the interior disease of taeumin, the delirium diseases from the MangYin of soyangin, the treatment to help the Yang-Qi ascend and to supplement the ql I

사상체질분류검사지(四象體質分類檢査紙)(QSCC) II 에 의한 소음인(少陰人) 진단(診斷)의 타당성(妥當性) 연구(硏究)

이수경,이의주,고병희,송일병,김상복,Lee, Su-Kyung,Lee, Eui-Ju,Koh, Byung-Hee,Song, Il-Byung,Kim, Sang-Bok 사상체질의학회 2000 사상체질의학회지 Vol.12 No.2

The purpose of this study is to examine validity to Soeum scales by QSCC II. For this study, the objects are 336 patients who were made a diagnosis of Soeumin and 422 patients of other constitutions in Oriental Medicine & Western Medicine Cooperative Health Examination Center KyungHee University Medical Center. A systematic analysis has been made and the results are as follows. 1. We made a frequency analysis in 758 examinees' questions and concluded that 35 questions, among which 30 questions were existing and 5 were new, had statistical significance in making a diagnosis of Soeumin by more than 10% in comparison with answer frequency of other constitutions. 2. Because confidence coefficient of 0.8011 revised Soeum scales(35) rises up as compared with that of 0.6319 existing Soeum scales(51), I think revised Soeum scales reflect trait of Soeumin well and it is liable to shorten question time by controling questions. 3. Soeumin's discrimination probability in Soeumin was 55.4% by QSCCII, but that rises up to 64.3% by discriminant function made by revised Soeum scales. So there is statistical significance in discriminant function. 4. When questions in QSCCII are divided into body-spirit(體形氣像), looks-attitude(容貌詞氣), temper- talent(性質才幹), continuous mind(恒心), avarice(心慾), physiological symptoms(生理的 證) and pathological symptoms(病理的 證), response frequency and constitution discrimination probability falls in questions about avarice and pathological symptoms.

A Study on the Fire Spread between Office Room and Atrium in the Atrium Building

이수경,김종훈,Lee, Su-Kyung,Kim, Jong-Hoon 한국안전학회 2000 한국안전학회지 Vol.15 No.2

Generally, There is to install fire resist shutter or to compart between the office room and the atrium in the atrium buildings in Korea. But, Glass wall that is installed sprinkler which purpose to protect it from fire, is already installed between the office room and the atrium in the advanced nations. We study this problem as follow; We made the fire scenario, and analyze each scenario using FASTLite is fire modeling software and BREAK1 is to predict the window breakage time in the compartment fire. In this study, we can decide that fire compartmentalization between atrium and office rooms doesn't require in Atrium building if the material and fire protection system were reliable. Consequently, Korean Fire Protection Regulations have to consider in direction of increasing freedom of building. 일반적으로 국내에서는 아트륨과 사무실 공간 사이를 내화구조로 하거나 방화셔터를 설치하고 있다. 그러나 선진외국에서는 이미 아트륨과 사무실 공간 사이에 유리벽을 설치할 수 있도록 하고 있다. 단, 유리벽면을 따라 방호용 스프링클러를 설치한다는 조건에서 이다. 본 연구는 이러한 문제점에 대하여 다음과 같이 진행하였다. 각 시나리오에 대하여 화재 시뮬레이션 프로그램인 FASTLite와 BREAK1을 사용하여 화재 전파 및 위험성을 분석하였다. 결과적으로 아트륨과 사무실간에는 아트륨의 규모가 크고 상부가 충분한 연기와 열기의 조정이 가능하고, 창문을 사이에 두고 일정간격으로 스프링클러 헤드를 설치하여 충분히 화재로부터 유리를 보호할 수 있는 경우 방화구획으로 인정 해주어야 할 것이다. 또한 충분한 연기와 열의 제어가 가능한 것이 공학적인 화재분석방법을 통해 인정받은 경우에는 아트륨과 주변 사무실간의 완전개방도 검토되어야 할 것이다.

태음인 류마티스 관절염 환자의 쇄양가위주승청탕(鎖陽加謂胄升淸湯) 치험(治驗) 1예(例)

이수경,이의주,고병희,송일병,노성호,Lee, Su-Kyung,Lee, Eui-Ju,Koh, Byung-Hee,Song, Il-Byung,Ro, Sung-Ho 사상체질의학회 2003 사상체질의학회지 Vol.15 No.3

Rheumatoid arthritis is a popular disease in clinic. It is a chronic disorders with general joint pain and stiffness as it is chief complain and it will develop to deformity if it isn't treated medically. This cases of rheumatoid arthritis has treated for Taeeumin Jowiseungchungtang(調胃升淸湯). The general symptoms are improved as a result such treatments.

가스 벨브 기지의 인적오류 분석 및 최소화 반응

이수경,정재희,김래현,제무성 ( Su Kyung Lee,Jae Hee Jung,Lae Hyun Kim,Moo Sung Jae ) 한국화학공학회 1996 화학공학의이론과응용 Vol.2 No.2

"동의수세보원(東醫壽世保元) 갑오구본(甲午舊本)" 병증논(病證論) 고찰(考察)

이수경,고병희,송일병,이준희,Lee, Su-Kyung,Koh, Byung-Hee,Song, Il-Byung,Lee, Jun-Hee 사상체질의학회 2001 사상체질의학회지 Vol.13 No.2

The purpose of this article was to compare 'The Discourse on the Constitutional Symptoms and Disease' of ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ written in 1894(Old Edition(舊本)) with that of ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ published in 1901(In Edition(印本)), and to find the idea of pathologic mechanism and classification of 'the Exterior and Interior disease'. the conclusions were as follows. 1. The classification of constitutional symptoms and disease of Soeumin and Soyangin in 'Old Edition(舊本)' was almost equal to that in 'In Edition(印本)' 2. In pathological mechanism of constitutional symptoms and disease of Soeumin and Soyangin, 'The Exterior Disease' could be explained as the disease resulted from fight between 'Yang-chi(陽氣)(Hot-chi(熱氣))'of 'Thoracic vertebrae' and 'Yin-chi(陰氣)(Cold-chi(寒氣))' of 'Bladder' and 'The Interior Disease' between 'Hot-chi(熱氣)(Stomach-chi(胄氣))' of 'Stomach' and 'Cold-chi(寒氣)' of 'Large intestine'. 3. 'The Exterior Symptoms and Disease of the Exterior and the Interior Disease(表裏之表病)' could be explained as the disease occurring at the Branch portion(large portion)(標) by overcoming of Pathogenic factors but Vital energy still sufficient, and 'The Interior Symptoms and Disease of the Exterior and the Interior Disease(表裏之裏病)' occurring at Root portion(small portion)(裏) by invasion of Pathogenic factors and Vital energy almost exhausted. 4. In the classification of constitutional symptoms and disease of Taeumin, 'The Exterior Symptoms and Disease of the Exterior and the Interior Disease(表裏之表病)' in 'Old Edition(舊本)' were rearranged to 'The Exterior Disease' in 'In Edition(印本)', 'The Interior Symptoms and Disease of the Exterior and the Interior Disease(表裏之裏病)' to 'The Interior Disease'. 5. It was assumed that 'The Exterior and the Interior Disease' of Taeumin could be explained in relation between the exterior and e interior, based on the Healthy energy(保命之主) and e concept of the Branch and the Root portion

제 4류 위험물 취급소 및 LPG 충전소의 화재$\cdot$폭발 피해 영향분석

이수경,이창욱,Lee Su-Kyung,Lee Chang-Wook 한국가스학회 1999 한국가스학회지 Vol.3 No.2

본 연구에서는 경기도 부천시 OOO소재의 위험물 판매 취급소인 XX상사를 표준모델로 선정하여 여기서 취급하는 제 4류 위험물에 대한 위험성 평가를 실시하고 아울러 바로 길건너 맞은편의 약 20m 거리에 위치한 LPG 충전소에 대한 위험성 평가도 아울러 실시하였다. 본 연구에서의 위험성평가를 위해서는 PHAST와 Super-Chem 소프트웨어를 이용하였으며 이러한 Simulation 결과를 이용하여 분석한 결과 물질 중 아세톤의 경우 TNO 모델에 의한 복사열 평가에 의해 설비에 손상을 줄 수 있는 $37.5kw/m^2$에 해당하는 거리는 PHAST 모델의 경우 68.51m에 이르렀으며, Super-Chem 모델의 경우는 40.9,3m에 이르렀다. LPG 충전소에 대한 Simulation 결과 Fireball 지름은 125.2m에 이르며 Fireball의 높이는 206.2m에 이른다. 또한, 그 지속시간은 11.28초로 계산되었다. The XX company that is handling the class IV hazardous materials, located in Bu-Chon City and the LPG station in front of the XX company which is about 20 meters apart, was chosen as the standard model for this study In carrying out the consequence analysis, PHAST and Super-Chems were used for the study and utilizing the output of the simulation, we have evaluated the consequences throughout the probit analysis and explosion overpressure analysis. In case of Acetone, the effect distance of the damage on facilities-that is the result of radiation heat flux of $37.5kW/m^2$ by TNO model-is 68.51m by PHAST model and 40.93m by Super-Chem model. The risk assessment of the LPG station which is based on the explosion resulted as the analysis of the fire ball showed the diameter 125.2m, the height 206.2m and the duration 11.28sec and the effect distance for the radiant heat flux $37.5kW/m^2$ was 137.0m.