素問·調經論에 대한 연구(Ⅱ)

鄭憲瑩,琴坰樹,朴炅 대한한의진단학회 1998 大韓韓醫診斷學會誌 Vol.2 No.2

'Joe'(調) implies the harmony or the regulation, and 'Kyung'(經) indicates a meridian on that is translating meridian blood and Meridian-Qi. The Meridian channel is opened to the Five viscera(五藏) and the Six bowels(六腑) internally and that is connected with three hundred and sixty five joints externally. The body never occurs disease until Qi-hyul(氣血) is harmonied and Yin-Yang(陰陽) is balanced. If the disease occurs by means of the internal cause-the eating and drinking, the living of dwelling space, the importance of the emotion etc, I or by means of the external cause- the wind and rain, and the cold and dampness, it has influence on the Qi-hyul(氣血) of the body. Therefore with disharmony of the body has Qi-hyul, each kind of the Hei-shil disease brake(&實病燮) occur. From this chapter, Joe kyung(調經) implies the regulation that each kind of Hei-shil disease brake with ocwrance of the disorder of the body Yin-Yang-Qi-hyul(陰陽氣血), the shortage(&) is supplied, and the surplus(R) is decreased. Summerizing the contents of the "Joe Kyung Ron(調經陰)" in reference to the contents of successive generation note, the contents were as follows; In chapter 1, it was made clear that the revelation of the body normal physiological function had an action that connected human being's inside with it's outside, and that play the part of a passage in Qi-hyul(氣血) risvolving. In chapter 2, it was made clear about the plentiful disease, and it's administration of the Shen-Qi-Hyul-Hyung-Zhi(神·氣·血·形·志) with kept in the five viscera. In chapter 3, it was made clear about the Hei-shil(虛實) of the cause of the disease(病機), Qi-Hyul(氣血) union malim(雅氣), that by Qi-Hyul(氣血) itself union how Hei syndrome(虛證) and Shil syndrome(#%) are? In chapter 4, it was made clear that cause of a disease about Hei-Shil(虛實) has an attack of disease by pung(風)·woo(雨)·han(寒)·seo(署), and by the eating and drinking, the living of dwelling space and it explained the cause of a disease. In chapter 5, it explained the cause of a disease about Yin-Yang-Han-Yul(陰陽寒熱). In chapter 6, it explained an acupuncture technique about Hei syndrome(虛證) and Shil syndrome(l實證). chapter 7, it explained the method of Joe Kyung(調經) through the region of the body. The above contents had significient influence on the assortment and demonstration of the method of the acupuncture and moxibustion and disease in the future.

素問·繆刺論에 對한 硏究(Ⅱ)

柳太植,鄭憲瑩,琴坰樹,朴炅 대한한의진단학회 1998 大韓韓醫診斷學會誌 Vol.2 No.2

The Scripture, the research on The MuJa Ron(○刺論) of the So Moon(素問), is described in the MuJa(○刺) of the Kap U1 Kyung(甲乙經). Also it is written in MuJa of Tae So(太素) volume 23,. And Wang(王○) interpreted it in volume 18 chapter 63. In ChimJaRyu(鍼刺類) of RyuKyung(類經) volume 20, it is introduced. And it is mentioned in the 2nd chapter of ShinKyoJung(新校正). In MuJa(○刺), Mu(#) means crossing left and right. Since this paper is describing the differences between MuJa(○刺) and KeoJa(巨刺), and it is also mentioning about carrying out the idea into practice, it is named MuJa(○刺). This paper, the theory of MuJa(○刺), can be divided into three properties in content. Chapter Ⅰ. deals with the common points and differences comparing with KeoJa(巨刺). Chapter Ⅱ. treats the idea that since RakMaek(絡脈) which is invaded by pathogenic factors are different, the states of the disorder are appeared differently so the place, method, atid number and order of acupuncture should be different. In chapter Ⅲ. it is said that in the state of disease of Kyung(經), KeoJa(巨刺) should be applied and in the state of the disease of Rak(絡), MuJa(○刺) should be used. treating oppositThe metabiosis of pathogenic factors flows from the skin and bodyhair to SonRak(孫絡), SonRak(孫絡) to RakMaek(絡脈), RakMaek(絡脈) to internal organs in general. In this situation KeoJa(巨刺) could be used in general. But if pathogenic factors flows irregularly, overflowing from one RakMaek(絡脈) to another place rather than internal organs, MuJa(○刺) could be applied. Therefore in the acupuncture treatment, the theory of MuJa(○刺) which implies side of the troubled places rather than the site itself is very important. But MuJa Ron(○刺論) is too difficult to interpret since is written in old Chinese, the writer of this paper has researched to prove the exact meaning of the MuJa(○刺).

靈樞·寒熱病에 對한 硏究

蘇勇燮,鄭憲瑩,琴坰樹,朴炅 한국전통의학연구소 1998 한국전통의학지 Vol.8 No.2

The contents of Han Yul Byung(寒熱病) are explained on the basis of the so-called theory "Yin and Yang, the Five Evolutive Phases(음양오행)". The text of the Han Yul Byung(寒熱病) of the Young Chu(靈樞) was written in the Kap Ul Kyung(甲乙經) chapter 5, 7, 8, 10, 11 and 12. Also it was written in the Tae So(太素) volume 10 and 26. Also it was introduced in the Ryu Kyung(類經) volume 20, 21 and 22 by Jang Kae-Pin(張介賓) in the Myung(明) dynasty. Summarizing the contents of the Han Yul Byung in reference to the contents of successive generation note, the contents run as follows: Chapter 1 deals with the symptoms and treatment of diseases which accompany chills and fever(寒熱病). Chapter 2 deals with arthralgia with other joint systems(骨痺) and flaccid paralysis of Iimbs(體惰病). Chapter 3 deals with indications of five points around the Chen You Points(天牖穴). Chapter 4 deals with the treatment of toothache. Chapter 5 deals with the treatment of headache and eye pain. Chapter 6 deals with the acupuncture manipulation according to changes of season. Chapter 7 deals with the serious influence of carbuncle according to the region of body. Chapter 8 deals with the treatment of heat-syndrome. Chapter 9 deals with the side effect of acupuncture. It is too difficult to understand the Han Yul Byung(寒熱病), because it is written in old chinese. Consequence of above reason, the writer of this article has researched to find out the exact meaning of that.

素問·骨空論에 對한 硏究

曺基烈,鄭憲瑩,琴坰樹,朴炅 대한한의진단학회 1998 大韓韓醫診斷學會誌 Vol.2 No.2

The text of the Go1 Gong Ron (骨空論) of the So Moon (素問) was written in the Kap UI Kyung (甲乙經) volume 2 chapter 2 and volume 8 chapter 1. Also it was written in the Tae So (太素) volume 10, 11 and 26. In the Shin Kyo Jung (新校正), they say that it is wriien in the Jeon Won Ki Bon (全元起本) volume 2 and 6. But Wang (王永) interpreted it in volume 16. Also it was introduced in the Ryu Kyung (類經) volume 8, 9, 21 and 22 by Jang Kae Pin (張介賓) in the Myung (明) dynasty. In Go1 Gong (骨空), Gol(骨) means bone and Gong(空) means hole. So Go1 Gong(骨空) means the holes on bone of the human body. A large number of acupuncture points in 12 meridians are located on the holes of bone, and they are playing an important part in the treatment of diseases. In Go1 Gong Ron (骨空論), many points that is choosed when we treat various diseases by acupuncture are mentioned, locations that the holes of bone are distributed in are introduced. So it is called Go1 Gong Ron (骨空論) . This article of the research on the Go1 Gong Ron (骨空論) can be divided into 4 chapters. Summerking the contents of the Go1 Gong Ron (骨空論) in reference to the contents of successive generation note, the contents were as follows. Chapter 1 is about the way to use in treating various diseases what caused by Pung Sa (風??) and deals with the methods of locating acupoints based on a frame. Chapter 2 is written about lines that Conception Vessel (任??), Governer Vessel (????), and Throughfare Vessel (????) pass through, and pathological explanations on the diseases which are belong to those three meridians. The name of each part of the leg and the treatment corresponded to each phase of diseases of the leg are also mentioned in this chapter. Chapter 3 is concretely written about the name and position of the hole on bone of the human body. Chapter 4 deals with moxibustion therapy which we use to treat having an attack of indigestion, being bitten by dog, and feeling cold and heat in turn. Because the ancient men used acupuncture as main treatment of disease, they thought much of acupoint. A large number of acupoints are located on the holes of bone, and are playing an important part in the treatment of diseases. Therefore well understanding of Gol Gong Ron (骨空論) is very important. It is too difficult to understand the Gol Gong Ron (骨空論), because it is written in old Chinese. Consequence of above reason, the writer of this article has researched to find out the exact meaning of that.

素問·氣厥論에 對한 硏究

琴坰樹 圓光大學校 韓醫學硏究所 1995 원광한의학 Vol.5 No.1

<素問·經絡論篇>에 大한 硏究

琴坰樹 圓光大學校 韓醫學硏究所 1992 원광한의학 Vol.2 No.1

A study on the Kuungraklonpyun (經絡論篇) of the Somoon (素問), one of the classic book of orientaial medicine, was carried ort analytically for the fight comments. The priencipal ideas abtained were summerized as follows: This chapter was named Kyungraklonpyun, because it stated the changes of five colors in Meridian (經絡) As the Channels (經脈) communicate with five visecra, it also act in concert with five colours. The Collaterals (絡脈) are superificial parts of human body, it is easy for the External Evils (外邪) to invade. So, to observe the colours of the Collaterals, we are able to estimate the symptoms. From the current anatomical point of view, the Collaterals are the small vessels and the capillary vessels.

靈樞·厥病에 대한 硏究

琴坰樹 대한한의진단학회 1998 大韓韓醫診斷學會誌 Vol.2 No.2

This fascicle introduced differences explicitly of symptoms in headache due to cold(??頭痛), unendurable headache(眞頭痛), and hemicrania(偏頭痛), and made a plain description of the aspect of outbreaking of precordial pain with cold limbs(??心痛) and angina pectoris(眞心痛), and differentiated the selection of acupuncture points in acupuncture treatment. And it explained the acupuncture treatment about tinnitus and parasitic diseases. But the point of acupuncture in curing precordial pain with cold limbs is worth studying with attention because it was not applied deeply in following medical texts. As a result of refering to nine kinds of commentary books and comparing and inspecting many other medical books, it is revealed that the original text is wrongly lost and inserted in the course of being handed down, and that there is a part that commentary is wrongly inserted as the original text.

素問.皮部論에 對한 硏究

朴炅,琴坰樹,李玗珍 대한동의병리학회 1996 동의생리병리학회지 Vol.10 No.2

皮膚는 인체 중에서 외부에 노출된 最淺表部分으로 生體가 외부세계에 직접 접촉하여 外界의 氣候등의 변화에 가장 민감하게 반응하는 組織이다. 또한 皮膚는 이러한 변화에 調節하고 適應하는 기능을 갖추고 있어서 生體를 保衛하고 外邪에 抵抗한다. 十二經脈의 循行部位를 근거하여 皮膚를 12개의 부분으로 구분한 것이 바로 본 論文에서 연구하고자 하는 十二皮部이다. 本篇의 內容은 제 1장에서는 皮部의 명칭과 피부의 色澤으로 질병을 진단하는 방법을 논하고 있으며, 제 2장에서는 邪氣는 먼저 皮毛에 침범하고, 다음은 絡脈에, 그 다음은 經脈에, 그다음에는 臟腑에 침입하는 轉變순서와 그 과정에서 발생하는 질병에 관하여 논하고 있고, 제 3장에서는 開闔樞의 기능에 대하여 설명하고 있다. By the results of investigetion, comparison and interaction with eight commentaters Books including Hwang Je Nae Gyung So Moon(黃帝內經素問) of Wang Bing(王永) about the Pi Bu Ron(皮部論), what can be acquired are summarized as follows: 1. The skin is the part which is not only invaded evil factor(邪氣), first of all, but also has the protective function of exogenous evil(外邪), which remains in the most external of human body, and divided into jingluo of twelve merdian. 2. Little elimination of evil factor (邪氣) from skin results in its invasion into the site where the skin and muscles are joined(주理), which causes it to enter branch of the large channel (絡脈). Not to be done away with from branch of the large channel(絡脈), evil factor(邪氣) will be allowded to get in the large channel(經脈). As a result, evil factor(邪氣) will intrude into Zang-fu(臟腑). 3. Above which names just explain all the function of Kai(開), He(闔) and shu(樞) .

심폐소생술중 심실기능 및 판막운동의 평가

이부수,김영식,이강현,황성오,임경수,박금수,윤정한,안무업,최경훈 대한응급의학회 1994 대한응급의학회지 Vol.5 No.2

Background : Mechanism of blood flow during cardiopulmonary resuscitation(CPR) in humans remains controversial and poorly understood, although cardiac or thoracic pump theory was proposed. We investigated cardiac movement, ventricular function and atrioventricular valve motion with aid of transesophageal echocardiography during precordial compression during CPR in humans. Methods and results : During CPR transesophageal echocardiography was performed in 14 patients with non-traumatic cardiac arrest. Manual precordial compression during CPR was performed according to American Heart Association guidelines. Mitral valve closed in 9 and did not close in 5 patients during "compression systole". Tricuspid valve closed during compression systole. Compression vector directed to right ventricle, basal portion of interventricular septum and left atrium. The heart rotated clockwise and the apex was more displaced than the base("swing motion"). Fractional shortening(FS) and ejection fraction(EF) of right ventricle exceeded those of left ventricle(FS : 55±9% vs 18±8%, p<0.05), EF : 79±9% vs 37±16%, p<0.05). FS and EF of left ventricle was higher in patients with systolic mitral valve closure than patients with persistent systolic opening of mitral valve(FS : 21±7 vs 13±7%, EF : 45±12 vs 22±12%, p<0.05), but FS and EF of right ventricle was not different. Conclusion : During precordial compression, the heart rotated clockwise and displaced. Systolic function of right ventricle exceeded left ventricle. Marked compression of right ventricle and systolic closure of tricuspid valve suggested that right ventricle functioned as a pump generating blood flow during precordial compression. Closure of mitral valve was dependant on systolic function of the left ventricle.

원주지역에서 발생한 비외상성 심정지의 일주변화

박금수,김영식,이진응,임종천,이강현,임경수,황성오,최경훈 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

To estimate the quality of the emergency medical services system of Wonju City, we studied the diurnal variations of 179 non-traumatic cardiac arrest victims who received cardiopulmonary reuscitation at the emergency center of Wonju Christian Hospital. Diurnal variations of non-traumatic cardiac arrest patients were as follows ; The occurence of cardiac arrest at day-time was higher than night-time; 18 cases (11%) from midnight to AM 4, 25 cases (14%) from AM 4 to AM 8, 42 cases (24%) from AM 8 to AM 12, 46 cases (25%) from AM 12 to PM 4, 35 cases (19%) from PM 4 to PM 8, 13 cases (7%) from PM 8 to midnight. Witness cardiac arrest was increased more during the day than night ; 40% from midnight to AM 4, 48% from AM 4 to AM 8, 57% from AM 8 to AM 12.52% from AM 12 to PM 4, 60% from PM 4 to PM 8, 38% from PM 8 to midnight. The transportation time at night-time cardiac arrest was more longer than day-time cardiac arrest ; 30±12mins from midnight to AM 4, 26±9mins from AM 4 to AM 8, 27±12mins AM 8 to Am 12, 25±11mins from AM 12 to PM 4, 25±9mins from PM 4 to PM 8, 35±15mins from PM 8 to midnight. The rate of restoration of spontaneous circulation(ROSC) in day-time cardiac arrest was higher than the night-time cardiac arrest ; 30% from midnight to AM 4, 36% from AM 4 to AM 8, 32% AM 8 to AM 12, 44% from AM 12 to PM 4, 41% from PM 4 to PM 8, 15% from PM 8 to midnight. The survival rate of cardiac arrest has been correlated with collapse time, early bystander CPR, early advanced care. To improve outcome for prehospital cardiac arrest, we concluded that early bystander CPR, and early advanced life support should be performed at the scene and during the transportation especially at night.