"상한론(傷寒論)"의 궐(厥)과 궐음병(厥陰病)에 대한 고찰

Study of gwol(厥) and gwoleumbyeong(厥陰病) from "Sanghanron (傷寒論)"

From pathological view, Gwoleumbyeong(厥陰病) may be explained as extreme reduction of Gwoleumgyeonggi(厥陰經氣) due to immoderate Wihan(胃寒). Also, concerning regions of human body, Gwoleumbyeong has close relation to lower abdomen and genital, which are the origins of Gwoleum meridian[厥陰經]. Therefore, it is appropriate that the nature of Gwoleumbyeong be described as Hangeukyangul(寒極陽鬱), rather than Sangyeolhahan(上熱下寒), Hanyeolchakjap(寒熱錯雜). Sangyeolhahan, Hanyeolchakjap does not represent Gwoleumbyeong to the full extent, in a sense that the term views Hanyeol(寒熱) as two equal rank, whereas pathogenesis of Gwoleumbyeong depends on the sole extremity of Wihan(胃寒). The reason that the nature of sanghallon(傷寒論) be regarded as Sangyeolhahan, Hanyeolchakjap has been lying on the presupposition that whole symptoms of Hangwol (寒厥), Yeolgwol(熱厥), diarrhea[下利], vomiting[嘔吐] and hiccup, from "Gwoleumpyeon(厥陰篇)",may be categorized into Gwoleumbyeong. However, the symptoms described above do not show Gihwa(氣化) characteristic of Gwoleum(厥陰) and follow the regional distribution of Gwoleumbyeong, from which it can be pointed that those symptoms have no relation with Gwoleumbyeong. Ever since the theory of Yukgigihwa(六氣氣化) was used to comprehend and interpret "Sanghallon", Gwoleumbyeong has been thought as equivalence of Gwol(厥), which led to misunderstanding of Sangyeolhahan, Hanyeolchakjap. However, Gwoleumbyeong from "Sanghallon" has been argued in specific, through the historical practice of Sanghan(傷寒) as pathogen, particular state of meridian and correlation of meridian and Byeongjeung(病證).