DOI QR코드

DOI QR Code

Factors of Variation in Diagrams and Location of Kidney

신장도(腎臟圖)의 형태요소와 그 변이(變異)에 대한 연구

  • Jo, Hak-Jun (Dept. of Korean Medical Classics & Medical History, Se-Myung University)
  • 조학준 (세명대학교 한의과대학 원전의사학교실)
  • Received : 2018.05.08
  • Accepted : 2018.05.28
  • Published : 2018.05.31

Abstract

This study examines the variation in diagrams of the kidney, and the effects on location of the Life Gate as a result. My study analyzes diagrams of kidney form and location, such as appearance, the vertebral spine, ShenXi, and "Life Gate", and also explores the causes for such variations. The kidney is commonly described as having the shape of a bean, which throughout medical history has showed almost no variation. The spine was initially described with a total of 21 vertebrae, and later with a range of 19-25 vertebrae. Regarding the height of kidney in relationship to the spine, it was initially described as beginning at the 14th vertebrae, and later changed to the 15th or 17th vertebrae. However, there have been no changes in the perception of the height of kidney. Initially, the location of the Life Gate could not be identified. Three different suggestions of its location were found throughout historical literature, including: (1) at or within the right kidney; (2) between two kidneys; and (3) between 14th-15th spine. There were also variations noted in the process of copying diagrams of kidney in many books not only because the work of copying was not precise, but also because each medical practitioner had a different interpretation of the kidney's form and function in Traditional Korean and Chinese Medicine. It appears that some practitioners may have been influenced by their understandings of theory of Life Gate.

Keywords

References

  1. 김성수. 에도(江戶) 시대 해부학의 발전. 의사학. 2012;21(1):123-124, 128.
  2. 네이버 지식백과(두산백과). [2018년 1월 8일 검색]. Available from: http://terms.naver.com/entry.nhn?docId=1084286&cid=40942&categoryId=32816
  3. 丹波康賴. 醫心方(鍼灸醫學典籍大系 vol. 23). 東京:出版科學總合科學硏究所. 1979:79, 82-86.
  4. 吳謙. 醫宗金鑑(下冊). 北京:人民衛生出版社. 1982:2180.
  5. 吳崑. 鍼方六集(續修四庫全書 子部 醫家類 vol. 996). 上海:上海古籍出版社. 1995:365.
  6. 王圻. 三才圖會(vol. 4). 서울:민속원. 2004:1379.
  7. 王冰. 重廣補注黃帝內經素問(王冰醫學全書 中). 北京:中國中醫藥出版社. 2006:315.
  8. 이명철, 박경남, 맹웅재. 明代 王圻의 三才圖會 臟腑圖에 대한 考察. 한국의사학회지. 2006;20(2):149-168.
  9. 李中梓. 刪補頤生微論(李中梓醫學全書 중). 北京:中國中醫藥出版社. 1999:677.
  10. 李梴. 編註醫學入門(上). 서울:남산당. 1991:27, 278, 279, 354-355.
  11. 張介賓. 類經圖翼. 서울:대성문화사. 1990:80.
  12. 張三錫. 經絡考(經絡全書 中). 北京:中醫古籍出板社. 1982:157.
  13. 章潢. 圖書編(文淵閣四庫全書 vol. 971). 臺北:商務印書館. 1971:14.
  14. 저자 미상. 上淸黃庭五藏六府眞人玉軸經(道藏 vol. 34). 上海:文物出版社, 上海書店, 天津古籍出版社. 1988:291.
  15. 저자 미상. 華陀玄門內照圖. 台北:自由出版社. 1976:24-25, 31, 32, 33, 41-42, 45.
  16. 錢雷. 臟腑證治圖說人鏡經(故宮珍本總刊 vol. 71). 海口:海南出版社. 2000:32.
  17. 조학준. 明堂臟腑圖에서 기원한 肝臟圖 29종의 비교. 대한한의학원전학회지. 2016;29(2):31-54. https://doi.org/10.14369/SKMC.2016.29.2.031
  18. 조학준. 明堂臟腑圖에서 기원한 心臟圖 29종의 비교. 대한한의학원전학회지. 2017;30(3):55-76. https://doi.org/10.14369/JKMC.2017.30.3.055
  19. 조학준. 明堂臟腑圖에서 기원한 肺臟圖 29종의 비교. 한국의사학회지. 2016;29(1):11-31. https://doi.org/10.15521/JKMH.2016.29.1.011
  20. 조학준. 北宋 이전 臟腑圖와 明堂臟腑圖에서 기원한 臟腑圖에 나타난 肝臟의 형태요소의 비교. 한국의사학회지. 2016;29(2):17-33. https://doi.org/10.15521/JKMH.2016.29.2.017
  21. 조학준. 북송 이전과 이후 臟腑圖의 심장 형태요소의 비교. 한국의사학회지. 2017;30(2):101-118.
  22. 扁鵲 撰. 王九思 등 集注. 難經集注. 臺北:臺灣中華書局. 1985:204, 205.
  23. 洪元植. 精校黃帝內經素問. 서울:東洋醫學硏究院出版部. 1985:21, 34, 39, 95.
  24. 洪元植. 精校黃帝內經靈樞. 서울:東洋醫學硏究院出版部. 1985:81, 235.
  25. 華陀. 華陀中藏經. 臺北:自由出版社. 1978:25.
  26. 黃龍祥 著. 박현국, 윤종화, 김기욱 譯. 中國針灸學術史大綱. 서울:법인문화사. 2005:961-962.
  27. 黃龍祥. 中國鍼灸史圖鑑(vol. 1). 北京:靑島出版社. 2003:30.
  28. 皇甫謐. 黃帝針灸甲乙經. 北京:中國醫藥科技出版社. 1990:140-142.