• 제목/요약/키워드: lon

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위가실(胃家實)에 관(關)한 연구(硏究) ('Study on Oui-Ga-Sil( 胃家實 )')

  • 한규언;류봉하;박동원;류기원;장인규
    • 대한한방내과학회지
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    • 제10권1호
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    • pp.65-80
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    • 1989
  • About Oui-Ga-Sil(胃家實) in order to considerate the contents recorded in Nai-Gyung Sang-Han-Lon and latter literature, definition, etiopathology, syndrome, differential diagnosis, therapy, Prognosis and prevention were classified. And the results were as follows: 1. Oui-Ga(胃家)was a term which indicated the whole digestive system such as stomach, small intestine, large intestine, rectum and anus. Sil(實)could be defined as the peculiar concept pertaining to the acute and last stage which was invaded to inside bowels because of abundance with evil influence. 2. Eliology of Oui-Ga-Sil was abunt gastric fever originally, injured mucus because of mistreatment, the invasion to inside of outside evil influence through meridian. Pathology was the opening and shutting appearance of gastric abundance with intestinal emptiness, and intestinal abundance with gastric emptiness, Oui-Ga-Sil could be occurred because of gastric abundant dryness and splenic humidifying capacity decrease. 3. Symptom of Oui-Ga-Sil was classified as for the sunlight outside syndrome and the inside abundant syndrome. The sunlight outside syndrome was body fever, sweating, no chilling, on the contrary hatred of fever. The chief complaint of inside abundant syndrome was daily fever, talking in delirium, hand and foot sweating, abdominal distention, difficult defection and those could be pertained to sunlight bowel syndrome. 4. Diagnostic views of Oui-Ga-Sil were that pulse was descending abundant large strong and smooth quick, a coated tongue was yellow, deep yellow, old yellow, thick, scorching dry rough or gray black. On abdominal diagnosis, pressing by hand, patient was conscious of pain, excessive pain, rejection against press, impossible press or intermittent abdominal pain and bowel cutting pain without press. 5. Differential diagnosis was that the sunlight of Nai-Gyung-Fever-Theory was outside desease making meridian the prime object, Baik-Ho-Tang syndrome was making figureless abundant fever the pivotal point. And important differential standard of splenic shrink syndrome was that a daily fever, an irritation with fever were not occurred. 6. Theory of Oui-Ga-Sil was that Seng-Gi-Tang classes had been used in attacking downward or making balance, and moxibustion on Jung-Wan, honey boiling induction theory had been also used. Attacking downward therapy was invigorating method to preserve mucus, and if mucus had been exausted with complicating emptiness prognosis had been appeared badly. 7. Preventing from Oui-Ga-Sil diet by rule, fitness to cold and warmth may be needed to prevent outside evil influence attack and inside evil influence occurrence. Prudence with being very busy, fatigue, wine and woman may be also needed not to be an injury to splanic and gastric spirit.

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비드형 이온교환체의 합성 및 담배 주류연 중 카보닐 화합물의 선택 흡착 특성 (Synthesis of Bead Type lon Exchangers and Selective Adsorption Properties of Carbonyl Compounds in Cigarette Mainstream Smoke)

  • 이존태;박진원;이문수;황건중;황택성
    • 폴리머
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    • 제29권1호
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    • pp.74-80
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    • 2005
  • 담배 주류연 중 카보닐 화합물의 감소를 위한 필터 물질로 비드 형상의 양이온 및 음이온교환체를 glycidylmethacrylate(GMA)와 d9ivinylbenzene(DVB)의 현탁중합에 의해 중합체를 합성한 후 설폰화 반응 및 아민화 반응에 의해 합성하였다. 합성한 이온교환체의 구조는 FT-IR/ATR을 이용하여 확인하였으며 SEM을 이용하여 주류연 흡착에 따른 이온교환체의 표면을 관찰하였다. 또한 이온교환용량, 관능화율 및 담배 주류연 중 카보닐 화합물의 흡착 특성을 확인하였다. 관능화율과 이온교환용량은 공단량체 중 DVB의 함량이 5 wt%에서 최대를 나타내었다. 이온교환체에 의한 담배 주류연 중 카보닐 흡착량은 카보닐기 내의 전자 편재화에 의한 음이온교환반응이 더 용이하여 음이온교환체에서 더 높게 나타났으며, 수분 존재 시 더 많은 흡착량을 나타내었다. 또한 짧은 접촉 시간에서도 높은 흡착량을 가지고 있어 궐련 필터의 적용 가능성을 확인할 수 있었다.

수처리제 은이온이 E. Coli RB 797과 Bacillus sp. 에 미치는 영향 (Effects of Silver lon Exchanged Water Treatment Agent upon E. Coli RB 797 and Bacillus sp.)

  • 신혜자;신춘환
    • 생명과학회지
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    • 제7권4호
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    • pp.316-321
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    • 1997
  • 본 연구에서는 은이온이 이온 교환되어 있는 수처리제(Ag-Os)의 영향을 Bacillus sp. 와 E. Coli RB 797을 사용하여 연구하였다. Bacillus sp.의 성장이 E. Coli RB 797의 성장에서보다 더 은이온에 민감하게 억제됨을 보였다. 성장억제에 필요되어지는 Ag-Os양은 0.2 mg/ml 이상에서 E. Coli RB 797를 0.02 mg/ml 이상에서 Bacillus sp. 의 성장을 저해하며 Ag-Os 수처리제의 존재하에서 생존 할 수 있는 세포 수도 E. Coli RB 797이 더 많음을 보여 윗 결과와 일치함을 보였다. 세포에 bind되는 것은 몇 분안에 일어 나는 과정이며 starved cells에서도 일어나는 에너지를 필요치 않는 과정임을 Binding연구는 나타내고 있다. 또한 Bacillus sp.의 은이온 binding이 더 많이 일어남을 보여준다. 수처리제의 존재하에서 reducing substances가 생성됨을 methylene blue를 indicatr로 사용하여 관찰하였다. 이상의 결과로 이 수처리제는 E. Coli RB 797과 Bacillus sp. 에 대해 효과적이며 은이온은 빠르고 에너지를 필요로 하지 않는 과정에 의해 세포에 bind한후 세포내로 들어가 sulfur group과 반응할 것으로 사료된다.

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Efficacy and safety of vitamin D3 B.O.N intramuscular injection in Korean adults with vitamin D deficiency

  • Choi, Han Seok;Chung, Yoon-Sok;Choi, Yong Jun;Seo, Da Hea;Lim, Sung-Kil
    • Osteoporosis and Sarcopenia
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    • 제2권4호
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    • pp.228-237
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    • 2016
  • Objective: There has been no prospective study that examined intramuscular injection of high-dose vitamin D in Korean adults. The aim of this study was to assess the efficacy and safety of high-dose vitamin $D_3$ after intramuscular injection in Korean adults with vitamin D deficiency. Method: This study was a 24-week, prospective, multicenter, randomized, double-blind, placebo-controlled trial. A total of 84 subjects ${\geq}19$ and <65 years of age were randomly allocated to either the vitamin $D_3$ or placebo group in a 2:1 ratio. After randomization, a single injection of plain vitamin $D_3$ 200,000 IU or placebo was intramuscularly administered. If serum 25-hydroxyvitamin D (25[OH]D) concentrations were <30 ng/mLon week 12 or thereafter, a repeat injection was administered. Results: After a single intramuscular injection of vitamin $D_3$ to adults with vitamin D deficiency, the proportion of subjects with serum 25(OH)D concentrations ${\geq}30ng/mL$ within 12 weeks was 46.4% in the vitamin $D_3$ group and 3.6% in the placebo group (p<0.0001). The proportion of subjects with serum 25(OH)D concentrations ${\geq}30ng/mL$ within 24 weeks was 73.2% in the vitamin $D_3$ group and 3.6% in the placebo group (p<0.0001). Mean change in serum 25(OH)D concentrations at weeks 12 and 24 after vitamin $D_3$ injection was $12.8{\pm}8.1$ and $21.5{\pm}8.1ng/mL$, respectively, in the vitamin $D_3$ group, with no significant changes in the placebo group. Serum parathyroid hormone concentrations showed a significant decrease in the vitamin $D_3$ group but no change in the placebo group. Conclusion: Intramuscular injection of vitamin $D_3$ 200,000 IU was superior to placebo in terms of its impact on serum 25(OH)D concentrations, and is considered to be safe and effective in Korean adults with vitamin D deficiency.

주단계(朱丹溪)의 생애(生涯)와 의학사상(醫學思想)에 관한 연구(硏究) (The life and medical idea of Chu, Dan-Gae.(朱 丹溪))

  • 이영원;윤창열
    • 대한한의학원전학회지
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    • 제5권
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    • pp.200-251
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    • 1992
  • As concerned the life and the medical idea of Choo, Tan-Kye(朱丹溪), which it can be summarized as follows by studying. 1. Tan-Kye(丹溪) lived in the end of the won dynasty(元代末期), When the people starved and suffered from a flood-disaster and drought. etc, also the social conditions were in disorder on account of the corrupt ion of politics. And Cheol Kang seong(浙江省), located in the south region of China, has sterile soil and the climate condition humid and heatful. So the south district peoples have very weak constitution. So We can found that his medical idea reflected the phases of the periods and the regional enviornmental situations. 2. For that reason, Tan-Kye(丹溪) rejected the prescription of the "WHa Che Gook Bang(和劑局方)" which was prevalent at that time, in which the the pungent-dried herbs were widly used ; So he persisted in the "Sang Wha Lon(相火論)" and the "Positivity is usually excedeed while the negativity deficient(陽有餘陰不足論)". Then he treated with the drugs to nourish the negativity for the prime object to be applied in the clinic. 3. Tan-Kye(丹溪) refined the follows from the natural law; Heaven is to the positivity(陽) and the Earth is defined the negativity(陰), so the heaven is to the Macro(大) and the earth, micro(小):So the Sun is to the Positivity(陽), the Moon, the Negativity(陰): as to the Sun is always full while the moon always defected too. Therefore the "positivity is always excedeed for that the negativity is deficientalways(陽有餘陰不足)". In Human body, "the negativity energy (陰精) "is hard formed-easily defected(難成易虧)". And the heat(相火) in the body can be moved easily and let the negative energy to leak out. Therefore the more the positivity excedeed, the more the negativity deficient"(陽當有餘陰常不足). 4. He made it expanded the contents of the "Heat(相火)" in the Chapter Woon Chi of the Nae Kyeong(內徑) and discribed, the Life-string of the human body is originated from the movement of the "Heat with unique energy(相火一氣)". And more in human body, it is specifically regulated by the two visceras, Liver and Kidney, and is distributed in the 'Pericardium(心包絡)' 'Tripie Warmer(三焦)' 'Gallbladder(膽)' etc. In the point of his assertion of heat(相火), it is concluded both the physiological and the pathological heat of all. 5. Tan-Kye(丹溪) grew up in the family or the Confucianism. He was instructed the Confucianism(性理學) from Heo-Kyeom(許謙), the fourth diciple of Chu-Ja(朱子), and was received the Yoo Chang Ri(劉 張 李)'s triple doctrine from the La Tae Moo(羅太無), the second disciple of Yoo Wan So(劉完素). So there are much of content of Confucianism(性理學) in his medical thedry, and his theory has succeeded the achievements of the triple study. 6. About the theory of the "positivity is usually excedeed while the negativity deficient"(陽常有餘陰常不足論) of Tan-Kye, it was asserted that the positivity is never sufficient for the vital mainspring, by Chang, Kye-Pin(張介賓) and Lee, Kyoo-Zoon(李奎晙) etc. And for the Heat theory(相火論), eventhough the scholars of postorior generations criicized all of that, there are defect of the content and unification between them. 7. The father of the "Cha Eum Pa(滋陰派), Tan-Kye(丹溪) contributed considerably to the development of the oriental medicine and to the general therapy for the various diseases(一般雜病施治). 8. there are handed down and remained twenty or more of volumes of list of his writings. Among them, except "Kyeok Chi Yeo Ron"(格致餘論), "Kuk Pang Pal Hyeu"(局方發揮), they are reorganized by posteriority. There are Cho, Do-Chin(趙道震). Cho, Ee-Teok(趙以德), Tae, Sa-Gong(戴思恭), Wang Ri(王履) and Yoo, Suk-Yeon(劉淑淵) etc as disciples of his. And Wang Ryoon(王論) and Woo Pak(虞搏) as the admirer of him.

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Ti 합금표면의 항균성 HAp Coating에 관한 연구 (Ag Ion Substituted HAp Coatings on Ti-6Al-4V Substrate by IBAD and It's Bactericidal Effect)

  • 정문영;김택남;김윤종;임혁준;김종옥;임대영;김선옥
    • 공학논문집
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    • 제3권1호
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    • pp.189-197
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    • 1998
  • 생체적합성이 뛰어난 Hydroxyapatite(HAp)를 Wet Chemical Process로 만든 후 Ion Beam Assisted Deposition (IBAD)를 이용하여 Ti-6Al-4V의 표면에 coating 시켰다. 그런후 5ppm, 10ppm, 20ppm, 100ppm의 $AgNO_3$용액으로 HAp의 Ca이온과 Ag이온을 치환시켰다. 본 논문에서는 Ag-HAp로 coating된 Ti-6Al-4V를 만들어 항균효과와 생체적합성을 연구하였다. 먼저 생체 대체재료 이식수술시 감염이 큰 2가지 종류의 bacteria (P. Aeruginosa, S. Epidermidis)로 항균 test를 하였고, 그 결과 20ppm의 $AgNO_3$로 처리한 Ti-6Al-4V에서 우수한 항균성이 관찰되었다. 또한 생체적합성 연구을 위해 osteoblast와 macrophages로 생체적합성 실험을 하여 SEM으로 관찰한 결과, 5ppm과 10ppm의 $AgNO_3$로 처리한 Ti-6Al-4V 에서 좋은 생체적합성을 보였다. HAp의 Ca 이온에 치환된 Ag 이온의 항균원리를 관찰하기 위하여, 가장 일반적인 bacteria인 E. coli를 Ag-HAp로 처리한 후 transmission electron microscope (TEM)으로 관찰하였다. Ag-HAp로 처리한 E. coli에서 cell wall과 cytoplasm이 파괴된 것이 관찰되었고, cytoplasm에서는 검은점이 발견되었다. 이 검은점을 Energy dispersive analysis X-ray (EDAX)로 분석한 결과 미량의 Ag이온이 검출되었다. 이로써 Ag 이온이 효과적으로 Bacteria를 파괴하여 항균효과를 나타내는 것을 알 수 있었다.

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향약구급방(鄕藥救急方)에 대(對)한 고증(考證) (A research on Hyang-Yack-Ku-Keup-Bang(鄕藥救急方) (Restoration and Medico-Historic Investigation))

  • 신영일
    • 한국한의학연구원논문집
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    • 제2권1호
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    • pp.71-83
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    • 1996
  • Hyang-Yack-Ku-Keup-Bang(鄕藥救急方) is our own, medical work written about the middle of the time of Korea Dynasty. I restored and researched this book because it needed to be illuminated about its medico-historic value and then I came to some conclusions as follows. 1. Hyang-Yack-Ku-Keup-Bang was published in Dae-jang-do-kam(大藏都監) of Kanghaw island(江華島) about the middle of Korea Dynasty. Choi Ja-ha(崔自河) republished it on original publication ground in Euiheung(義興) of Kyungsang-Province(慶尙道) in July, Taejong's(太宗) 17th year of Chosen Dynasty (A.D.1417) and this book was published again in Chungcheng Province(忠淸道) in Sejong's(世宗) 9th year(A.D.1427). The book published in Taejong's days was in the possession of books department of Kung-nae-cheng(宮內廳) in Japan and was the oldest medical book of existing ones. 2. Bang-Jung-Hyang-Yack-Mock-Cho-Bu(方中鄕藥目草部) of this book was originally intended to be adjusted in each division with the title of Bang-Jung-Hyang-Yack-Mock(方中鄕藥目). But Herb part(草部) only followed editing progress of Jeung-Lew-Bon-Cho(證類本草), the rest is not divided into each part and is together arranged at the below of Herb part with the title of Bang-Jung-Hyang-Yack-Mock-Cho-Bu. The Korean inscriptions on some drugstuffs in this book are different between Native Name(鄕名) of three volumes of provisions and general-spoken(俗云) of Bang-Jung-Hyang-Yack-Mock-Cho-Bu. In this, it is estimated that the publishing time and editor of tile volume of provisions and Bang-Jung-Hyang-Yack-Mock-Cho-Bu are different. I think Choi Ja-ha compiled this behind three volumes of provisions when he published. 3. This book picked some prescriptions which consisted of obtainable drugs with ease in Korea in the books of Chell-Keum-Yo-Bang(千金要方), Oi-Dae-Bi-Yo(外臺秘要), Tae-Peong-Sung-Hye-Bang(太平聖惠方), Ju-Hu-Bang(?後方), Kyung-Hum-Yang- Bang(經驗良方) Bo-Je-Bon-Sa-Bang(普濟本事方) Bi-Ye-Baik-Yo-Bang(備預百要方) and so on and got together our own prescriptions. On the whole Bi-Ye-Baik-Yo-Bang was a chief referrence book, On this, other books referred to and corrected. 4. In provisions quoted from Hyang-Yack-Jip-Sung-Bang(鄕藥集成方), there are seven provisions; leg-paralysis part, coughing part, headache part, obstetrics part, etc. don't show in this book. This is why Choi Ja-ha published only certain texts on Dae-jang-do-kam edition his own posession. So we can think the existing edition has a little misses compared with original edition. 5. This book recorded only names of drugstuffs in animal drug department like fowls, crab, goldbug, earthworm, etc. and didn't tell us ways of taking those. This is effect of Buddhist culture on medicine. This is efforts to practice 'Don't murder';one of Five Prohibition of Buddhism. 6. Beacause this book was published at the time, when our originative medicine would be set forth. This followed the Chinese ways in Theory, Treatment, Prescription and used 'Hyang Yack' in Medication out of theory of Korean medicine, which was a transitional form. So this is all important material which tell us aspects of development of 'Hyang Yack' the middle of Korea Dynasty.and this is also the beginning of originative, medical works like Dong-Eui-Bo-Kam(東醫寶鑑), Dong-Eui-Su-Bo-Won(東醫壽世保元). 7. There are few contents based on 'Byen-Jeung-Lon-Chi(辨證論治)'in this book. So we can see this book is not for doctors who study medical thoughts but for general public who suffer from diseases resulted from war. Because this book was written for a first-aid treatmeant, this is an index of medical service for the people those days. And this is also an useful datum for first-aid medicine or military medicine in these modern days. 8. Nowadays, parts of learned world of Korean medicine disregard essential theories and want to explain Korean medicine only by the theories or the methods of Western medicine. Moreover they don't adopt Chinese and Japanese theorys & thoughts about Oriental medicine in our own style and just view in there level. What was worse, there is a growing tendency for them to indulge in a trimming policy of scholarship and to take others' ideas. I think these trends to ignore our own medical thoughts involving growth of 'Hyang Yack' in the middle of Korea Dynasty, Dong-Eui-Bo-Kam and Dong-Eui-Su-Se-Bo-Won. So we, as researchers of Korean medicine, must get out of this tendency, and take over brilliant tradition and try to develop originative Korean medicine.

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GMS-5 Split Window 자료를 이용한 가강수량 산출 (Estimation of Precipitable Water from the GMS-5 Split Window Data)

  • 손승희;정효상;김금란;이정환
    • 대한원격탐사학회지
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    • 제14권1호
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    • pp.53-68
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    • 1998
  • 대기중에 존재하는 수증기의 관측은 일기와 기후의 이해에 있어서 매우 중요한데, 기존의 관측체계로는 지구상의 극히 제한된 지역의 수증기 분포만을 관측할 수 있다. 이 연구에서는 일본 정지기상위성인 GMS-5의 적외 split window 채널 관측자료로부터 대기중에 함유되어 있는 수증기 총량 즉 가강수량(precipitable water)을 산출하였다. 가강수량 산출에는 라디오존데 관측 가강수량과 split window 관측자료 사이의 회귀분석에 기초한 Chesters et al.(1983)의 알고리즘을 사용하였 다. 가강수량 산출을 위하여 센서의 필터 함수와 관련된 수증기 흡수 파라미터는 우리 나라 고층 관측소인 오산, 광주,포항,제주에서 관측한 '76년 8월부터 11월가지의 4개월간 관측한 라디오존데 자료와 위성 관측자료의 회귀분석을 통하여 산출하였다. 한편 기상청 전구 스펙트랄 모델의 700 hPa온도를 1층 복사 모델의 대기 평균 온도로 사용하였다. 1996년 7월부터 12월까지의 기간에 대하여 산출한 GMS-5 가강수량 자료를 같은 기간 관측된 라디오존데 관측자료와 비교한 결과 0.46의 상관계수와 0.65 g/$cm^2$~1.09 g/$cm^2$의 RMS 오차를 나타내었다. GMS-5로부터 산출된 월평균 가강수량 분포는 계절에 따른 전지구 규모의 수증기 분포변화를 잘 나타내었다. 이번 연구에서 산출된 위성 가강수량은 0.5$^{\circ}$격자 간격으로 6시간마다 기상청에서 정규적으로 산출된다. 이 자료는 수치예보의 객관분석 초기 자료로 이용되어, 특히 청천 조건하에서의 습도 분석의 정확도 향상에 기여하며 기후 연구에 있어서도 현존하는 자료 세트에 대한 유용한 보완 자료가 될 것이다. 그러나 연구 결과의 실용화를 위하여는 좀더 높은 상관계수와 산출절차 등의 개선이 필요하다.용성을 고찰하였다.산마와 재배와 점질다당류가 각각 219~332$^{\circ}C$, 229~341$^{\circ}C$ 범위였다.TEX> 범위였다. 사면의 풍화와 침식에 대한 대책연구도 수행되어야 한다. 15ng/$\textrm{cm}^2$로서 90분간 조사로 27ng/$\textrm{cm}^2$량이 생성되었다. 7-DHC은 당초의 123ng/$\textrm{cm}^2$으로부터 계속 감소되어 150분간 조사시 53ng/$\textrm{cm}^2$량까지 내려갔다.하였으며, 그 외의 항목간에는 대동소이하였다.ckarti 와 E. serrulatus가 스파르가눔의 중간숙주가 될 수 있음을 확인하였다. 충란의 배양에서부터 종숙주의 충란 배출까지 약 2개월 정도의 기간이 소요되었고, 우리 나라 자연환경에서는 5일에서 7월에 주로 이 충체의 유충이 발육되고 전파되는 것으로 추측되었다.러 가지 방법들을 적극 적용하여 금후 검토해볼 필요가 있을 것이다.잡은 전혀 삭과가 형성되지 않았다. 이 결과는 종간 교잡종을 자방친으로 하고 그 자방친의 화분친을 사용할 때만 교잡이 이루어지고 있음을 나타내고 있다. 따라서 여교잡을 통한 종간잡종 품종육성 활용방안을 금후 적극 확대 검토해야 할 것이다하였다.함을 보이고 있다.X> , ZnCl$_{3}$$^{-}$같은 이온과 MgCl$^{+}$, MgCl$_{2}$같은 이온종을 형성하기 때문인것 같다. 한편 어떠한 용리액에서던지 NH$_{4}$$^{+}$의 경우 Dv값이 제일 작았다. 바. 본 연구의 목적중의 하나인 인체유해 중금속이온인 Hg(II), Cd(II)등이 NaCl같은 염화물이 함유된 시료용액에

금원사대가의학(金元四大家醫學)이 조선조의학(朝鮮朝醫學) 형성(形成)에 미친 영향(影響) (The influence of the four noted physicians of Geum-Won era on the completion of the medicine in the Chosun dynasty)

  • 정면;홍원식
    • 대한한의학원전학회지
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    • 제9권
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    • pp.432-552
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    • 1996
  • The influence of the four noted physicians of Geum-Won era(金元代) on the completion of the medicine in the Chosun dynasty(朝鮮朝) can be summarized as follows. 1. The four noted physicians of Geum-Won era were Yoo-Wan-So(劉完素), Jang-Jong-Jung(張從正), Lee-Go(李杲), Ju-Jin-Heung(朱震亨). 2. Yoo-Wan-So(劉完索) made his theory on the basic of Nae-Kyung("內經") and Sane-Han-Lon("傷寒論"), his idea of medicine was characterized in his books, for exemple, application of O-Oon-Yuk-Ki(五運六氣), Ju-Wha theory(主火論) and hang-hae-seng-je theory(亢害承制論). from his theory and method of study, many deviations of oriental medicine occurred. He made an effort for study of Nae-Kyung, which had been depressed for many years, on the contrary of the way old study that Nae-Kyung had been only explained or revised, he applied the theory of Nae-Kyung to clinical care. The theory of Yuk-Gi-Byung-Gi(六氣病機) and On-Yeul-Byung(溫熱病) had much influenced on his students and posterities, not to mention Jang-Ja-Wha and Ju-Jin-Heung, who were among the four noted physicians therefore he became the father of Yuk-Gi(六氣) and On-Yeul(溫熱) schools. 3. Jang-Jong-Jung(張從正) emulated Yoo-Wan-So as a model, and followed his Yuk-Gi-Chi-Byung(六氣致病) theory, but he insisted on the use of the chiaphoretic, the emetic and the paregoric to get rid of the causes, specially he insisted on the use of the paregoric, so they called him Gong-Ha-Pa(攻下派). He insisted on the theory that if we would strenthen ourselves we should use food, id get rid of cause, should use the paregoric, emetic and diaphoretic. Jang-Jong-Jung'S Gang-Sim-Wha(降心火) theory, which he improved Yoo-Wan-So's Han-Ryang(寒凉) theory influenced to originate Ju-Jin-Heung'S Ja-Eum-Gang-Wha(滋陰降火) theory. 4. Lee-Go(李杲) insisted on the theory that Bi-Wi(脾胃) played a loading role in the physiological function and pathological change, and that the internal disease was originated by the need of Gi(氣) came from the disorder of digestive organs, and that the causes of internal disease were the irregular meal, the overwork, and mental shock. Lee-Go made an effort for study about the struggle of Jung-Sa(正邪) and in the theory of the prescription he asserted the method of Seung-Yang-Bo-Gi(升陽補氣), but he also used the method of Go-Han-Gang-Wha(苦寒降火). 5. The authors of Eui-Hak-Jung-Jun("醫學正傳"), Eui-Hak-Ib-Moon("醫學入門"), and Man-Byung-Whoi-Choon("萬病回春") analyzed the medical theory of the four noted physicians and added their own experiences. They helped organizing existing complicated theories of the four noted physicians imported in our country, and affected the formation of medical science in the Choson dynasty largely. Eui-Hak-Jung-Jun("醫學正傳") was written by Woo-Dan(虞槫), in this book, he quoted the theories of Yoo-Wan-So, Jang-Jong-Jung, Lee-Go, Ju-Jin-Heung, especially, Ju-Jin-Heung was respected by him, it affected the writing of Eui-Lim-Choal-Yo("醫林撮要"). Eui-Hak-ib-Moon("醫學入門"), written by Lee-Chun(李杲), followed the medical science of Lee-Go and ju-jin-heung from the four noted physicians of Geum-Won era. Its characteristics of Taoism, idea of caring of health, and organization affected Dong-Eui-Bo-Kham("東醫寶鑑"). Gong-Jung-Hyun(龔延賢) wrote Man-Byung-Whoi-Choon("萬病回春") using the best part of the theories of Yoo-Wan-So, Jang-Jong-Jung, Lee-Go, Ju-Jin-Heung, this book affected Dong-Eui-Soo-Se-Bo-Won("東醫壽世保元") partly. 6. our medical science was developed from the experience of the treatment of disease obtained from human life, these medical knowledge was arranged and organized in Hyang-Yak-Jib-Sung-Bang("鄕藥集成方"), medical books imported from China was organized in Eui-Bang-Yoo-Chwi("醫方類聚"), which formed the base of medical development in the Chosun dynasty. 7. Eui-Lim-Choal-Yo("醫林撮要") was written by Jung-Kyung-Sun(鄭敬先) and revised by Yang-Yui-Soo(楊禮壽). It was written on the base of Woo-Dan's Eui-Jung-Jun, which compiled the medical science of the four noted physicians of Geum-Won era. It contained confusing theories of the four noted physicians of Geum-Won era and organized medical books of Myung era, therefore it completed the basic form of Byun-Geung-Non-Chi (辨證論治) influenced the writing of Dong-Eui-Bo-Kham("東醫寶鑑"). 8. Dong-Eui-Bo-Kham("東醫寶鑑") was written on the base of basic theory of Eum-Yang-O-Haeng(陰陽五行) and the theory of respondence of heaven and man(天人相應說) in Nae-Kyung. It contained several theories and knowledge, such as the theory of Essence(精), vitalforce(氣), and spirit(神) of Taoism, medical science of geum-won era, our original medical knowledge and experience. It had established the basic organization of our medical science and completed the Byun-Geung-Non-Chi (辨證論治). Dong-Eui-Bo-Kham developed medical science from simple medical treatment to protective medical science by caring of health. And it also discussed human cultivation and Huh-Joon's(許浚) own view of human life through the book. Dong-Eui-Bo-Kham adopted most part of Lee-Go(李杲) and Ju-Jin-Heung's(朱震亨) theory and new theory of "The kidney is the basis of apriority. The spleen is the basis of posterior", so it emphasized the role of spleen and kidney(脾腎) for Jang-Boo-Byung-Gi(臟腑病機). It contained Ju-Jin-Heung's theory of the cause and treatment of disease by colour or fatness of man(black or white, fat or thin). It also contained Ju-Jin-Heung's theory of "phlegm break out fever, fever break out palsy"(痰生熱 熱生風) and the theory of Sang-Wha(相火論). Dong-Eui-Bo-Kham contained Lee-Go's theory of Wha-Yu-Won-Bool-Yang-Lib (火與元氣不兩立論) quoted the theory of Bi-Wi(脾胃論) and the theory of Nae-Oi-Sang-Byun(內外傷辨). For the use of medicine, it followed the theory by Lee-Go. lt used Yoo-Wan-So'S theory of Oh-Gi-Kwa-Keug-Gae-Wi-Yul-Byung(五志過極皆爲熱病) for the treatment of hurt-spirit(傷神) because fever was considered as the cause of disease. It also used Jang-Jons-Jung's theory of Saeng-Keug-Je-Seung(生克制勝) for the treatment of mental disease. 9. Lee-je-ma's Dong-Eui-Soo-Se-Bo-Won("東醫壽世保元") adopted medical theories of Song-Won-Myung era and analyzed these theories using the physical constitutional theory of Sa-Sang-In(四象人). It added Dong-Mu's main idea to complete the theory and clinics of Sa-Sang-Eui-Hak(四象醫學). Lee-Je-Ma didn't quote the four noted physicians of Geum-Won era to discuss that the physical constitutional theory of disease and medicine from Tae-Eum-In(太陰人), So-Yang-In(少陽人), So-Eum-In(少陰人), and Tae-Yang-In(太陽人) was invented from their theories.

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대기오염과 이비인후과 (Air Pollution and Its Effects on E.N.T. Field)

  • 박인용
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1972년도 춘계종합 학술대회 초록집
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    • pp.6-7
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    • 1972
  • 최근 10년간 우리나라 경제의 급격한 발전으로 이에 부수적으로 일어나는 대기오염은 생활환경을 파괴하는 오염형태의 하나로서 직접 또는 간접으로 인체에 미치는 피해는 격심하여가고 있으며 이것이 심각한 사회문제로 대두되었다. 대기오염이 인체에 미치는 영향에 관하여 병리나 임상적으로는 많은 연구보고가 있으나 호흡기로의 기시부인 비강이나 인의 영향에 관한 연구보고는 많지 않은 실정인 차제에 대기오염과 비, 인후질환자의 관계를 추구하여 그 대책을 논하는 것은 의의 있는 일이라 하겠다. 이러한 연구의 일환으로서 연세의대 공해연구소의 대기오염도조사에서 가장 심한 곳으로 확인된 부산시 우암동 지역에 위치한 S 공업고등학교 학생 469명은 조사군으로 하고 대기오염도가 낮은 K고등학교 학생 345명을 대조군으로 하여 내과, 안과, 비, 인후과적 검사를 실시하여 얻은 성적과 그 외의 문제점들을 검토하고자 한다. I. 위해오염물질 대기오염물질은 자극성가스와 질식성가스로 구분되며 이비인후과 질환과 밀접한 관계가 있는 것은 자극성 가스이며 여기에는 질소산화물, 유황산화물, 탄화수소와 그리고 광합성작용에 의하여 2차적으로 발생하는 강력한 자극성물질인 PAN(Peroxy acyl nitrate) 등을 열거할 수 있으며 이들 가스는 산화성이 강하기 때문에 점막이 부착되어 괴양 및 2차감염을 일으켜 인체에 피해를 준다. 이리한 오염물질은 고체연료(특히 석탄)나 액체연료의 불완전 연소때와 각종 차량의 배기가스로서 배출된다. 대표적인 오염물질인 일산화탄소, 질소산화물 및 유황산화물의 조사지역과 대조지역의 오염도는 다음과 같다. II. 인체에 미치는 피해 1. 일반적인 피해 대기오염이 인체에 미치는 영향은 오염물질의 물리적 화학적 성상 및 오염물질의 농도, 양, 그리고 폭로기간 등에 따라 다르다. 각 오염물질별 건강피해를 보면 (1) $아황산가스(SO_2)$ 아황산가스는 오염물질 중 가장 대표적인 독성을 가지고 있으며 용해도가 높아서 기도에 용이하게 흡수되어 처음에는 자극증상이 오고 나중에는 기도 저항을 일으켜 폐부종, 호흡중추의 마비를 일으킨다. 만성 폭로 시에는 비염, 인루염, 후각 및 미각장해를 일으킨다. (2) 일산화탄소(CO) CO는 혈색소의 산소운반 능력을 박탈하기 때물에 중독증상을 일으킨다. 즉 CO 중독은 농도와 흡입시간에 따라 차이가 있으나 우선 두통, 현기, 오심, 구토, 이명이 오고 호흡곤란, 허탈상태, 근육이완, 졸도등을 수반하고 혼수상태에서 사망한다. (3) 질소산화물 여러 질소산화물중 배기가스에서는 $NO_2로$ 배출되며 또한 탄화수소와 태양광선이 대기중에서 작용하여 $NO_2를$ 생산하며 $NO_2는$ 변성 Hemoglobin 을 생성하여 호흡기 장해를 일으킨다. $NO_2의$ 급성 중독증상으로서는 눈, 코를 강하게 자극하고 폐충혈, 폐수종, 기관지염, 폐염 등을 일으킨다. 만성 중독시에는 만성폐섬유와 및 폐수종을 일으킨다. (4) $오존(O_3)$ Ozone은 자동차 배기가스에서 나오는 $NO_2$ gas 및 탄화수소와 작용하여, PAN이라는 자극성 물질을 생성시키는 광학적 Smog의 주요소로 알려져 있다. 자극적인 냄새가 있음으로 불쾌감을 주고 비, 인후점막의 전조감과 두통이 오며 폐기능을 저하시키며 더욱 진행되면 폐충혈, 폐수종 등을 일으킨다 (5) Smog에 의한 건강피해 대표적인 것이 1952.12.5~12.8까지 4일간 영국 Lon-don에서 계속된 Smog사건이며, 이 사건으로 말미암아 호흡기질환 사망율이 사건전보다 사건기간 중 혹은 사건후에 5~10배의 증가율을 보였다. 이때 Smog의 주원인은 연료의 불완전 연소에 의한 연기와 이때 발생하는 아황산가스가 주원인이며 dust가 2차적 원인이라고 생각하였다. 새로운 종류의 공해로서 광학적 Smog에 의한 피해가 1970. 7. 18 Tokyo의 한 고등학교에서 발생한 바 운동장에서 운동 중이던 여학생 43명이 눈에 대한 자극증상, 인후동통, 기침을 호소하고 그중에는 호흡곤란으로 의식불명에 빠진 학생도 있었다. 이러한 현상은 대기중에 배출된 탄화수소와 oxidant가 대기중의 광 energy와 결합하여 발생한 것이라 하였다. 2) 비, 인후과 질환 대조군 345명과 조사군 469명중 호흡기계, 안과 및 비, 인두의 자각증상의 유소견자는 각각 39명(11.3%)와 106명(22.6%)로서 조사군이 대조군 보다 약 2배 많았다. 조사군의 유소견자중 호흡기증상 29명(29%), 안증상 22명(21%), 비폐쇠 및 비후 50명(47%), 인후통 5명(5%)으로서 비, 인두 자각증상의 유소견자가 55명(52%)으로서 과반수를 차지하고 있었다. 임상검사에 의한 타각증상의 유소견자는 대조군 99명 (28.8), 조사군 180(384%)으로서 조사군이 대조군 보다 10%정도 많았다. 조사군의 유소견자중 호흡기질환 1명(0.6%), 안질환 8명(4.4%), 비염 97명(54%), 인두편도염 74명(41%)으로서 비, 인두질환이 171명이었다. 이상의 성적에서 오염지구의 자, 타각증상의 유소견자중 비, 인두질환이 압도적으로 많은 것으로 보아 대기오염과 이비인후과 질환과는 밀접한 관계가 있으며 앞으로 그 대책이 시급히 요구된다고 하겠다.

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