형방지황탕(荊防地黃湯)으로 증상 호전을 보인 성인형 스틸병 후유증 소양인(少陽人) 환자 1례(例)

강미정,이지원,장현수,김윤희,이준희,이의주,고병희,Kang, Mi-Jeong,Lee, Ji-Won,Jang, Hyun-Su,Kim, Yun-Hee,Lee, Jun-Hee,Lee, Eui-Ju,Koh, Byeong-Hee 사상체질의학회 2009 사상체질의학회지 Vol.21 No.2

1. Objective : This study aims to report symptomatic improvement of a Soyangin patient reporting general weakness, dizziness, gait disturbance, cold sensitivity, nocturnal sweating, and anorexia after treatment with Hyeongbangjihwang-tang. 2. Method : The patient's subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout the hospitalization period. 3. Result : The general condition of the patient improved by the end of the hospitalization period, where the VAS score dropped from VAS 10 to VAS 5 and the symptoms of dizziness, general weakness, cold sensitivity, and nocturnal sweating disappeared by day 4 of admission without recurrence. 4. Conclusion : Although the patient did not report diarrhea, one of the main Mangeum symptoms, the general symptoms improved with Hyeongbangjihwang-tang medication. This indicates that Hyeongbangjihwang-tang can be used to treat chief and subsidiary symptoms related to Mangeum symptomatic pattern when applied to the appropriate base and manifesting symptomology.

소양인(少陽人) 치험례(治驗例)가 소양인(少陽人) 병리관(病理觀) 형성과정에 미친 영향에 대한 고찰

강미정,이지원,이준희,고병희,이의주,Kang, Mi-Jeong,Lee, Ji-Won,Lee, Jun-Hee,Koh, Byung-Hee,Lee, Eui-Ju 사상체질의학회 2011 사상체질의학회지 Vol.23 No.3

1. Objective: This literary review investigates Lee Jema's clinical experiences with Soyang-type patients and their influence on his conceptualization of the Soyang physiology and pathology. 2. Methods: 1) The case reports in "Soyang constitutional type: Spleen Cold-based Exterior-Cold disease" were compared before and after the Sinchuk revision to explore the temporal change in the Sasang medical concepts. 2) The texts in Donguisusebowon (Gabo edition) and Donguisusebowon (Sasangchobongwon) were analyzed to investigate the pathological concepts appearing before the completion of the Donguisusebowon (Gabo edition). 3) The texts in Donguisusebowon (Sinchuk edition) was analyzed to investigate the pathological concepts formed between the Gabo and Sinchuk editions of Donguisusebowon. 3. Results and Conclusions: 1) Gabo edition : The Gabo edition divided the External-origin Exterior disease into Cold-dominant (Heat-moderate) and Heat-dominant (Cold-moderate) patterns and differentiated the severity of Exterior-based Exterior disease and Interior-based Interior disease into mild, moderate, severe, and critical conditions. Cold-damage Delirium disease pattern was categorized as an Interior-based Interior disease, and the treatment protocol using Baekho-tang (Baihu-tang) was established. The stool condition and bowel movement reflecting the patient's defecation habits, the prime indicator of health in the Soyang constitutional type, were emphasized on their importance. 2) Sinchuk edition: The Delirium disease pattern was moved into the Exterior-cold disease, and the treatment protocol applying Jihwangbaekho-tang (Dihuangbaihu-tang) and Hyeongbangsabaek-san (Jingfangxiebai-san), with variational usage of Gypsum, was newly established. The Seong-Jeong and basal disease patterns were suggested as important factors in treating the patients. Also, it was proposed that the symptoms and signs reflecting the condition of the life-preserving energy be assessed to understand the patient's current condition. The importance of post-acute rehabilitation and aftercare as well as the most appropriate acute-stage treatment were emphasized.

클릭스트림 분석을 위한 웹 서버 시스템의 설계 및 구현

강미정,정옥란,조동섭,Kang, Mi-Jung,Jeong, Ok-Ran,Cho, Dong-Sub 한국정보처리학회 2002 정보처리학회논문지D Vol.9 No.5

인터넷을 통한 비즈니스에 수익 모델에 대한 관심이 높아지면서 방문자별로 개인화된 서비스를 제공하려는 노력이 커지고 있다. 개인화(Personalization)란 고객 한 명을 대상으로 하여 그 고객 한 사람을 위한 정보나 제품을 제공해주는 작업을 말한다. 개인화 서비스를 위해서 전 처리과정인 사용자 프로파일 생성과정이 필요하며, 적극적인 개인화 서비스를 제공하기 위해서는 충분한 고객 데이터가 필요하다. 본 논문에서는 웹사이트 상에서 사용자 행위 패턴을 파악할 수 있는 클릭스트림 정보를 모듈화 하였으며, 이를 이용하여 확장된 웹 로그 시스템을 구현하였다. 클릭스트림 정보를 웹 로그정보에 포함시켜 사용자의 행위 패턴을 파악할 수 있도록 웹 서버 시스템을 설계하고 구현하였다. 그리고 이 웹 서버는 웹사이트로부터 얻은 클릭스트림 정보를 분류하고 저장하여 관리자가 쉽게 분석할 수 있다. 이때 데이터베이스 저장 기술로 OLE DB Provider상에서 수행되는 ADO(ActiveX Data Object)기술을 사용함으로써 확장된 웹 로그 처리 시스템을 설계하였다. 확장된 웹 로그 DB를 패턴분석, 군집분석 등의 마이닝(Mining) 기법을 통하여 맞춤서비스에 대한 사용자 프로파일을 구축할 수 있다. Clickstream is the information which demonstrate users' path through web sites. Analysis of clickstream shows how web sites are navigated and used by users. Clickstream of online web sites contains effective information of web marketing and to offers usefully personalized services to users, and helps us understand how users find web sites, what products they see, and what products they purchase. In this paper, we present an extended web log system that add to module of collection of clickstream to understand users' behavior patterns In web sites. This system offers the users clickstream information to database which can then analyze it with ease. Using ADO technology in store of database constructs extended web log server system. The process of making clickstreaming into database can facilitate analysis of various user patterns and generates aggregate profiles to offer personalized web service. In particular, our results indicate that by using the users' clickstream. We can achieve effective personalization of web sites.

향사양위탕(香砂養胃湯)의 기원(基源), 변천과정(變遷過程) 및 구성원리(構成原理)

강미정,이준희,고병희,이의주,Kang, Mi-Jeong,Lee, Jun-Hee,Koh, Byung-Hee,Lee, Eui-Ju 사상체질의학회 2010 사상체질의학회지 Vol.22 No.3

1. Objectives: The purpose of this study is to understand the origin, changes and the constructive principles of Hyangsayangyitang (XiangShaYangWeiTang). 2. Methods: Hyangsayangyi-tang and other related prescriptions were analyzed in terms of pathology, based on "Donguibogam(東醫寶鑑)", "Donguisusebowon Chobongwon(東醫壽世保元 草本卷)", "Donguisusebowon Gabobon(東醫壽世保元 甲午本)", "Donguisusebowon Sinchukbon(東醫壽世保元 辛丑本)". 3. Results and Conclusions: (1) The origin of Hyangsayangyi-tang is Hyangsayukgunja-tang from "Gongshin Uigamseo(?信 醫鑑書"). Hyangsayangyi-tang inherited some of the principles from"Euihangangmok(醫學綱目)" Jeonssiyigong-san's (全氏異功散) application. (2) "Gabobon(甲午本)"'s prescription emphasizes the effect of lossen up by using Pogostemonis Herba(藿香). "Sinchukbon(辛丑本)"'s prescription emphasizes the effect of warm up stomach by using Zingiberis Rhizoma(乾薑). (3) Ginseng Radix(人蔘), Atractlodis Rhizoma White(白朮), Glycyrrhizae Radix(甘草), Paeoniae Radix Alba(白芍藥) support Soeumin's spleen root (脾元), and Zingiberis Rhizoma(乾薑), Myristicae Semen(肉豆?) warm up stomach, and Pinelliae Rhizoma(半夏), Citri Pericarpium(陳皮) circulate Qi, Crataegi Fructus(山?), Amomi Fructus(砂仁), Cyperi Rhizoma(香附子) encourage digestion to maintain descending Yin.

스트레스 조절 및 부신 호르몬 분비(分泌)에 대한 국내외 침구치료(鍼灸治療) 연구(硏究) 현황(現況)에 대한 분석

강미정,김지연,오혜정,최보빈,권오상,김재효,Kang, Mi-Jung,Kim, Ji-Yeon,Oh, Hye-Jung,Choi, Bo-Bin,Kwon, Oh-Sang,Kim, Jae-Hyo 대한한의정보학회 2009 大韓韓醫情報學會誌 Vol.15 No.2

Objective : All kinds of stimulus can be work as a stressor, and too much stress can makes disease and leads to a death. It has studied to know what kinds of study have carried out for controlling stress with acupuncture. Methods : It has searched articles in various web sites with key words of acupuncture, stress, hormone, adrenal, cortisol, catecholamine, epinephrine, and ACTH. Result : 1. It will work in the hypothalamus-pituitary gland-adrenal axis to control stress with acupuncture. 2. It has studied most in the years of 1990's and with acupoint of BL23 (腎兪) about controlling stress with acupuncture in Korea. 3. It has studied most in USA, the years of 2000's and with acupoints of ST36 (足三里), PC6 (內關) about controlling stress with acupuncture in Korea. Conclusion : It can be said that is growing interest about controlling stress with acupuncture in other countries, and it should be studied more various about controlling stress with acupuncture in Korea.

일부 의과대학 4학년 학생들의 모유수유에 대한 태도 및 지식

강미정,이충원,진규복,서은정,안재석,서석권,이미영,Kang, Mi-Jung,Lee, Choong-Won,Jin, Kyu-Bok,Suh, Eun-Jung,Ahn, Jae-Suk,Suh, Suk-Kwon,Lee, Mi-Young 대한예방의학회 1999 예방의학회지 Vol.32 No.1

Objectives. This study surveyed medical students attending clerkship to assess their attitude toward and knowledge about breastfeeding, and self-confidence to manage common breastfeeding problems. Methods. A self-report questionnaire was administered to the 323 medical students at four medical colleges in Taegu in May 1997. The response rate was 92.9%, but the respondents used in the final data analysis were 245 (75.8%) due to missing variables. Results. Overall, respondents showed equivocal attitudes toward breastfeeding (mean score 2.9 on a 6-point scale). Knowledge about breastfeeding was substantially low with the median % correct 39.2%. Of nine knowledge areas, weak areas were especially 'contraindications and barriers to breastfeeding', 'use of breastfeeding aids', 'expression and storage of breast milk'. Those reported to be confident to manage common breastfeeding problems were only 25.7%. Correlations between knowledge and self-confidence were not statistically significant except in college A (r=0.35, p<0.05). Correlations between knowledge and attitude were not significant. Conclusions. These results suggest that medical students attending clerkship in Taegu show equivocal attitudes toward breastfeeding, low self-confidence to manage common breastfeeding problems and have substantially limited level of knowledge. There should be more concerted efforts to improve this situation on the part of those involved in breastfeeding education.

Dasatinib 제제 복용 중이던 chronic myeloid leukemia 환자의 hypoalbuminemia를 동반한 전신부종 및 흉막삼출에 대한 한⋅양방 병행치료 1례 보고

강미정,이동근,손아현,신현수,Kang, Mi-jung,Lee, Dong-keun,Son, Ah-hyun,Shin, Hyeon-su 대한한방내과학회 2016 大韓韓方內科學會誌 Vol.37 No.2

Objective: This clinical study reports on a case of generalized edema with hypoalbuminemia and pleural effusion improved by combined traditional Korean and Western medical treatments in a patient with chronic myeloid leukemia medicated with dasatinib.Method: Combined traditional Korean and Western medical treatment was carried out, including herbal medicine, acupuncture, moxibustion, and albumin injection. We examined the serum albumin, measured the circumference of both thighs and ankles to estimate the volume of the edema, and evaluated the pleural effusion symptoms.Results: The serum albumin increased, and generalized edema and pleural effusion improved significantly after the administration of Bojungchiseub-tang-gami.Conclusion: These results showed that complications of generalized edema and pleural effusion associated with dasatinib medication have the potential to be improved via combined traditional Korean and Western medical treatments.

구안와사(口眼喎斜)에 대한 한의(韓醫) 및 한(韓)·서의(西醫) 협진(協診) 치료(治療)의 임상(臨床) 관찰(觀察)

강미정,김기현,황현서,Kang, Mi-Jung,Kim, Kee-Hyun,Hwang, Hyeon-Seo 대한침구의학회 2000 대한침구의학회지 Vol.17 No.1

The following results have been obtaind after examing 72patients with facial paralysis who were hospitalzed and treated through the time period of December 1st, 1996 to November 30th, 1999 at the Department of Acupuncture and Moxibustion of Seoul Oriental Medicine, Kyungwon University. During the examination, those 72 patients were divided into two groups, and One group was treated by oriental-western treatment, the other group was treated by oriental treatment. Oriental treatments were acupuncture and moxibustion, herb medicine, physical treatment and hygienic treatment. The one of main western treatments is steroid therapy. The results were obtained as follows : 1. In regard to signs at the first medical examination, lacrimation was showed highest number and facial paralysis, dysgeusia, hyperacusis were showed in numerical order. 2. In regard to prescription of oriental herb medicine, Kamissangbotang(加味雙補湯) was prescribed in greatest numbers and Boyangwhanotang(補陽還五湯), Kamiboiktang(加味補益湯), Ligigepungtang(理氣祛風湯) were prescribed in numerical order. 3. In regard to treatment number, 10~19 times for treatment was showed highest number and 1~9 times, 20~29 times, 40~49 times were showed in numerical order . 4. In regard to mean treatment times about injury region and main sign, the effect of oriental-western treatment was showed as follows: lacrimal gland disorder, hyperacusis, dysgeusia, facial paralysis were treated for 15.1, 27, 13.2 and 21.4 times, repectively. The effect of oriental treatment was showed as follows: lacrimal gland disorder, hyperacusis, dysgeusia, facial paralysis were treated for 34.8, 22.1, 33.8 and 16.3 times, respectively. 5. In regard ta the effect of treatment about injury region and main sign, oriental-western treatment was showed as follows: cases of lacrimal gland disorder were showed 1 of excellent case, 1 of fair case, 5 of good cases. In hyperacusis patients, there was showed 1 of fair case. In dysgeusia patients, there was showed 1 of excellent case, 3 of fair cases, 1 of good case. In facial paralysis, there were showed 5 of fair cases. Oriental treatment was showed as follows: In lacrimal gland disorder, the excellent were 4 cases, the fair were 10 cases, the good were 3 cases and the poor were 4 cases, In hyperacusis, the fair were 5 cases, the poor 2 cases. In dysgeusia, the excellent were 4 cases, the fair were 1 case, the good were 1 case and the poor was 1 case, In facial paralysis, the excellent were 9 cases, the fair were 4 cases, the good 3 cases and the poor were 3 cases. 6. The effect of total treatment was as follows: 30 cases were showed fair effect, 19 cases were showed excellent effect, 13 cases were showed good effect and 10 cases were showed poor effect. 7. In regard to attack factor, overlabour was showed highest number and wind-cold, mental stress, trauma, ear disease, common cold, dental diseae, reason unknwon were showed in numerical order. 8. In regard to premonitory symptoms, non significant symptoms were in 38 cases, the pain of peri-stylomastoid region were in 38 cases and headache, dysaesthesia of periorbit, dysgeusia, stomatitis, eyelid tic were showed in numerical order. 9. In regard to sex, male were 33 cases and female were 39 cases. The distribution of age was disclosed that thirty, forty, fifty, seventy, sixty, twenty and below twenty years were revealed in turn. Sex and paralytic side were showed as follows: male-left were 15 cases, male-right were 18 cases, female-left were 19 cases and female-right were 19 cases. In regard to attack frequence in month, March was showed highest number and January, April, May, August, October, etc were showed in numerical order. In regard to attack frequence in season, spring was showed highest number and winter, summer, fall were showed in numerical order, but attack frequence between four seasons wasn't showed significant difference.

유기용제 폭로작업자들의 후천성 색각이상 평가

강미정,강수희,서석권,신동훈,이종영,Kang, Mi-Jung,Kang, Su-Hee,Suh, Suk-Kwon,Shin, Dong-Hoon,Lee, Jong-Young 대한예방의학회 1996 예방의학회지 Vol.29 No.3

이 연구는 산업장에서 색각이상과 관련된 유기용제 폭로근로자들에서 후천성으로 발생할 수 있는 색각이상을 정성적이고 정량적으로 평가하고 색각이상에 영향을 미치는 요인을 조사하고자 저농도의 유기용제 폭로근로자 70명과 대조군 47명을 대상으로 실시하였다. 한식 이중 15색상 배열 검사기를 이용한 색각이상을 평가한 결과 색상배열의 착오 비율과 정량적으로 산출한 색 혼란지수는 유기용제 폭로군과 대조군간 차이가 없었다. 색 혼란지수와 연령과의 선형관계는 두 군 모두에서 연령이 증가할수록 색 혼란지수가 유의하게 증가하였으며(p<0.05), 각 연령군별로 층화한 색 혼란지수의 중앙값은 폭로군이 대조군보다 높게 나타났으나 29세이하 연령군에서만 통계학적으로 유의하였다. 15색상 배열검사의 배열형태에 따라 분류한 색각이상의 유병률은 두 군 모두에서 21%로 차이가 없었으며 색 혼란지수에 대해 연령, 흡연, 음주상태 및 유기용제 폭로유무를 독립변수로 하여 다중회귀분석을 실시한 결과 연령이 유의한 변수로 나타났다(p<0.05). 이상의 결과로는 유기용제 폭로와 색각이상 발생과의 관련성을 제시할 수 없으며, 추후 색각이상 평가를 위한 색상배열 검사의 표준환경 설정, 유기용제 폭로 근로자들의 개개인의 폭로정도 평가, 그리고 색각이상 검사결과를 정확하게 분류하는 기준 등에 대한 연구가 필요할 것이라고 생각되며, 또한 저농도의 유기용제에 폭로되는 근로자들의 색각이상의 평가는 정성적이고 정량적인 방법을 통한 평가가 바람직하며 일시적인 평가보다는 추적관찰을 통한 정량적인 지수의 변화를 관찰해야 할 것으로 생각된다. We investigated the occurrence of color vision loss in 70 organic solvent mixtures exposed workers and in 47 controls. Color Vision was assessed with a color arrangement test designed to identify the defective color sense, the Han Double 15-Hue Test. The results of the test were no significant difference between exposed workers and controls in the proportion of subjects who committed one or two errors. Quantitative analysis, using color confusion index(CCI), showed no signicant difference between exposed workers and controls. A significant linear correlation was present between age and CCI in both exposed workers (CCI=0.0056age + 0.94; r=0.23; p<0.05) and controls(CCI=0.0066age + 0.86; r=0.33; p<0.05). Qualitative analysis of the patterns on the hue circle showed that the prevalence of acquired dyschromatopsia was 21% in both and no significant difference. Multiple regression analyses showed that age was significantly related to color vision loss. These results did not provide evidence of a relationship between organic solvents exposure and incidence of color vision loss. In field studies for monitor the people at risk of the acquired color vision loss involving low-dose organic solvents exposed workers, both quantitative and qualitative information should be considered.

사상체질(四象體質)과 심혈관질환 예측인자인 High-sensitivity C-reactive protein의 상관성에 관한 연구

강미정,이지원,이의주,고병희,이준희,Kang, Mi-Jeong,Lee, Ji-Won,Lee, Eui-Ju,Koh, Byung-Hee,Lee, Jun-Hee 사상체질의학회 2011 사상체질의학회지 Vol.23 No.4

1. Objectives The purpose of this study was to investigate the high-sensitivity C-reactive protein (hsCRP) related characteristics found in each Sasang Constitutional type. 2. Methods This cross-sectional epidemiological study was conducted using data from 2,842 men and women. After typing each participant into one of the four Sasang constitutional types, they were analyzed on various cardiovascular disease-related variables. 3. Results 1) The predictors of cardiovascular disease (metabolic syndrome, high risk FRS group, high risk hsCRP group) was found to show the highest prevalence in the Taeeum type. 2) In the group with metabolic syndrome, the mean hsCRP concentration in the Taeeum and Soyang types were higher than in the Soeum type. In the group without metabolic syndrome, the mean hsCRP concentration in the Taeeum type were higher than in the Soyang and Soeum types. 3) In the FRS low risk group, the mean hsCRP concentration were higher in order of Taeeum type > Soyang type > Soeum type. In the FRS high risk group, the mean hsCRP concentrations were not significantly different among the Sasang constitutional types. 4. Conclusions The results of this study suggest that the Taeeum constitutional type is a risk factor for high hsCRP and cardiovascular disease. These findings suggest that the prevention of cardiovascular disease is more important in the Taeeum type compared to other constitutional types. Moreover, preventive measures are warranted even in the Taeeum-type persons with low clinical cardiovascular risk.