A study on a paradigm of Radix Aconiti(附子) in the treatment of heart-systemic disease(心系疾患) through 'Sanghanron'(傷寒論)

심계질환(心系疾患)을 중심으로 한 상한론(傷寒論)의 부자(附子) 활용(活用)

  • Kim, Ji-Hyoung (Dept. of Internal Medicine, Dongguk University, College of Oriental Medicine) ;
  • Lee, Won-Chul (Dept. of Internal Medicine, Dongguk University, College of Oriental Medicine)
  • 김지형 (동국대학교 한의과대학 내과학교실) ;
  • 이원철 (동국대학교 한의과대학 내과학교실)
  • Published : 1999.09.29

Abstract

The aim of the study was the application of Radix Aconiti(附子) in the treatment of heart-systemic disease(心系疾患). We inquired into the prescriptions with Radix Aconiti (附子) in the treatment of heart-systemic disease(心系疾患) in many other aspects through 'Sanghanron'(傷寒論). The results were obtained as follows; The prescriptions with Radix Aconiti(附子) form about 18%, it's related text forms about 11%. Radix Aconiti(附子) was used with other 20 kinds of herbs in 7 categories-hyepyo(解表), jesp(除濕), selyul(泄熱), hwagihyengsu(化氣行水), onjungsanhan(溫中散寒), ikum(益陰), anhejitong(安蛔止痛). Among these herbs, the combination with Zingiver officinale Roscoe(乾薑) is focal usage, because the combination was used in 8 prescriptions out of 20. A fresh Radix Aconiti(附子) which was used with Zingiver officinale Roscoe(乾薑) is efficacious against poison of Radix Aconiti(附子). When this combination was used, it had been boiled for a long time in most cases, it is also helpful of counteracting poison. A Steamed Radix Aconiti(附子) was used with Zingiver officinale Roscoe (生薑). In the special feature of dosage of Radix Aconiti(附子), it was considerately used in many different conditions which includes strength or weakness of patients, and the critical or slight condition of illness. In the taking frequency and dosage of the medicine, it was applied the same. There are 2 methods of boiling, one is boiling separately from other herbs and the other is boiling all together. When boiling seperately, it works more quikly and strongly. In the case of severe 'rehan'(裏寒) which refuses warmed medicine, it was used with 2 other herbs(猪膽汁, 人尿) that take down from yang(陽) to ying(陰). The foci of prescriptions that contain Radix Aconiti(附子) is the type of Sayektang(四逆湯類), because Gungangbujatang(乾薑附子湯) does the important work in the prescriptions. The paradigm of Radix Aconiti(附子) treated palpitation, edema, diziness, confusion, numbness, iced limbs in the treatment of heart-systemic disease(心系疾患). In the usage of Radix Aconiti(附子), the above results need to be referred and further clinical studies will be necessary.

Keywords

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