Literatual Study on Pathology of Insomnia

불면증(不眠症)의 병인병리(病因病理)에 관한 문헌고찰

  • Choi Jae-Hong (Department of Neuropsychiatry, College of Oriental Medicine, Dongshin University) ;
  • Lee Dong-Won (Department of Neuropsychiatry, College of Oriental Medicine, Dongshin University)
  • 최재홍 (동신대학교 한의과대학 신경정신과학교실) ;
  • 이동원 (동신대학교 한의과대학 신경정신과학교실)
  • Published : 2001.06.30

Abstract

Though, these days there are increasing many patient of insomnia, there was not considered literatual study on insomnia. So, the result of consideration about cause and process of insomnia from thirty kinds of literatures, are as follows. 1. Early literature like Huangjaenankyung(黃帝內經), Sanghanron(傷寒論) reffered to insomnia as accompanying symptom. on the other hand, Myung(明), Chung(淸)'s literatures reffered to that as chief symptom or distinguished chief symptom from accompanying symptom. 2. There were tendency of deductive expanding of various masters and tendency of induction of simple theory that was based on Huangjaenankyung(黃帝內經). 3. Huangjaenankyung(黃帝內經) showed basic process of the sleep disorder that 'exhausting of Yin and excess of Yang (陰盡陽盛)', protecting energy does not invade Yin portion(陽氣不入於陰). And Huangjaenankyung(黃帝內經) showed cause of insomnia that deficiency of vital energy and blood, imbalanced of spleen and stomach, a fever as a invasion in the outside, lung system's disease. This became a basic cause and process of the sleep disorder in ancient period. 4. Sanghanron(傷寒論) occurred to insomnia as accompanying symptom in progress, remedy of a fever invaded outside, Kumkyeyoriak showed as origination in weakness, fatique, various diseases. Out of that, there is a significance in description of insomnia from some disease like histery or neurosis. 5. Jaebyungwonhuron(諸病源候論), Chunkumbang(千金方), Kukbangseo(局方書.) occured to a fire of heart(心慤) and a deficiency of heart and gall bladder(心膽虛) in defails. Insomnia is caused by agony of seven emotion, delivering of a child, are similar to insomnia is caused by psychologic disorders. Injaesanghanyusu(仁劑傷寒類書) occured to exhausting of Yin and excess of Yang (陰盡陽盛), imbalanced of stomach(胃不和) invasion of coldness(傷寒) are brought a conclusion of assumption of sap(津液耗損) brought about unreturn of yin energy. 6. Manbyunghuechum(萬病回春) in Myung period (明代) made much of portion of phlegm's influence about spiritual function. Kyungakjunsu(景岳全書) valued much of treatment divided according to excess and deficiency. Junginmaekchi(證因脈治) occurred to concept of pyorihesil(表裏虛實), Dongyibokam(東醫寶鑑) synthesised various theories. 7. Hyuljungron(血證論), Byunjungkimun(辨證奇聞), Suksilbirok(石室秘錄) made much of surprisemeni(驚恐) Consideration(思慮), liver's dryness(肝燥) is caused by liver's weakness(肝虛), imbalance of haert -kidney(心腎不交), seven emotion(七情). Especially, ftyujungchijae(類證治載) said that heart, liver, gall-bladder, kidney, surprisment, consideration baought to a conclusion of inbalance of Yang and Yin (陽不交陰). There is a tendency in literature mostly that literature showed separation of insomnia as a chief symptom. 8. These days there are increasing many patient of insomnia. So, it is needed to study about insomnia as a psychologic disease. Saying in conclusion, it is needed that we have to recognize in modern style based on ancient style of cause and process of insomnia. It is regarded to study about insomnia definitely and experimently.

Keywords

References

  1. 黃帝內經靈樞釋解 楊維傑
  2. 黃帝內經素問釋解 楊維傑
  3. 難經今釋 唐湘淸
  4. 傷寒論 張仲景
  5. 金匱要略 張仲景
  6. 針灸甲乙經校釋 皇甫謐
  7. 諸病源候論 巢元方
  8. 外臺秘要 王燾
  9. 千金方 遜思邈
  10. 太平聖惠方 王懷隱
  11. 聖濟總錄 趙佶
  12. 陳無擇三因方(卷9) 陳言
  13. 欽定四庫全書;仁齊傷寒類書 楊士瀛
  14. 儒門事親 張子和
  15. 萬病回春 龔廷賢
  16. 醫宗必讀 李仲梓
  17. 欽定四庫全書;普濟方 周橚
  18. 景岳全書 張介賓
  19. 症因脈治 秦景明
  20. 東醫寶鑑 許俊
  21. 血證論 唐用川
  22. 辨證奇聞 錢松
  23. 國譯醫學心悟 程國彭
  24. 石室秘錄 陳士鐸
  25. 張氏醫通 張로
  26. 沈氏尊生書 沈金鰲
  27. 類證治裁 林珮琴
  28. 傅靑註女科 傅靑主
  29. 鍼灸集成 李經緯
  30. 雜病廣要 丹波元堅
  31. 內科學 李文鎬
  32. 大田大學校 韓醫學硏究所 論文集 v.6 no.2 睡眠障碍(不眠, 嗜眠)의 病因病機 및 鍼灸治療에 관한 文獻的 考察 朴文洋
  33. 大田大學校 韓醫學硏究所 論文集 v.5 no.2 不眠의 病因病機 및 鍼灸治療에 관한 文獻的 考察 車智徹
  34. 惠和醫學 v.9 no.1 睡眠障碍에 對한 東西醫學的 考察 李應來
  35. 神經精神科學 대한신경정신의학회
  36. HARRISON'S 내과학 해리슨 내과학 편찬위원회