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김정원(Chong Won Kim),김남일(Nam il Kim),차웅석(Wung Seok Cha) 한국의사학회 2017 한국의사학회지 Vol.30 No.1
This paper is a study on the life and clinical reasoning of Kim Goo Young (1958-2014). Offering a new perspective through his interpretation of Donguibogam (東醫寶鑑), Kim introduced his unique theory of Korean medicine, ‘The Theory of Byeongin (病因論)’. Kim recognized the confusing situation of communication between people studying Korean medicine and tried to make a new standard based on the principle that many people can share. ‘The Theory of Byeongin offers a newly constituted Donguibogam focusing on ‘Byeongin’ (病因, pathologic origin) which can be translated as the cause of a disease. In so doing Kim recognized ‘Byeongin as the most important factor in ‘Byeonjeung’ (辨證, classifying the origin), or the classification method of symptoms. In addition, Kim recognized how ‘Byeongin was considered to be a diseased lifestyle, and tried interpreting. The patient’s lifestyle to treat diseases. As a result, ‘The Theory of Byeongin’ is a theory consisting of an intuitive structure, reducing notable elements like Yin Yang Five Movement theory. The theory s significant characteristic is its easy application in clinical settings due the established core principles which are based on Kim’s insight and clinical experience. This study contributes to the understanding of the theoretical and clinical development of Korean medicine through deeper studies on ‘The Theory of Byeongin and Kim s medical theory.
흡입마취가스의 가온가습방법이 수술환자의 체온에 미치는 영향
김정원,우성,김종덕,조강희 인제대학교 1991 仁濟醫學 Vol.12 No.3
광범위한 개복술을 시행한 환자를 대상으로, MR450을 사용한 능동적인 방법과 Thermovent-1200을 사용한 수동적인 방법으로 마취흡입 가스를 가온 가습한 결과 수술중에 환자의 체온을 유지하는데 효과적이었다. To determine the effects on body temperature of heating and humidifying anesthetic gases through active methods by using MR 450 and passive methods by using thermovent 1200, 30 patients who were scheduled for major abdomen surgery under general anesthesia were studied. Group 1 (control) consisted of 10 patients who inspired gases from a standard semicircle absorbion system with no added heat and humidity. Group 2 consisted of 10 patients who inspired gases that were heated and humidified by MR 450. Another 10 patients, Group 3 inspired gases that were heated and humidified by thermovent 1200. In MR-450 group, fall in mean esophageal temperature was 0.65+0.73℃ 3 hours after the induction, hereas fall in temperature was 0.70+0.36℃ by thermovent 1200 and was 1.25+0.51℃ by control group. To maintain patient's body temperature during operation. MR 450 and thermovent were more effective than without heated humidification of anesthetic gases. In conclusion, we recommend method of heated humidification of anesthetic gases for the patients who undergo extended abdominal operation to maintain body temperature.