• 제목/요약/키워드: "Shanghanlun"

검색결과 236건 처리시간 0.027초

양명중풍(陽明中風)에 관한 고찰(考察) (A Study on Yangmingzhongfeng(陽明中風))

  • 金鍾鉉;金度勳
    • 대한한의학원전학회지
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    • 제34권2호
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    • pp.95-106
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    • 2021
  • Objectives : The purpose of this paper is to understand the meaning of Yangmingzhongfeng in the Shanghanlun. Methods :Each verse was analyzed, along with consideration of the general context of the Bianyangmingbingmaizhengbingzhi(辨陽明病脈證幷治) chapter where Yangmingzhongfeng is explained. The meaning of Yangmingzhongfeng was discussed with a focus on the intention underlying the contrast between Zhongfeng[中風] and Zhonghan[中寒] within the text. Results : In Yangming Disease, disease patterns that have mutated from other channels are differentiated as either Zhuanshu[轉屬, change of assignment] or Zhuanxi[轉繫, change of connection]. Zhuanshu refers to the situation where symptoms of the original pathological site has disappeared, therefore being assigned to Yangming. Zhuanxi refers to the before-and-after pathological sites being connected. The condition of Zhuanxi is further divided into Taiyin and Yangming, where Zhuanxi Yangming needs to be differentiated from Zhuanshu Yangming in that the cathartic method[下法] cannot be applied even with the existence of constipation, despite it being the indication for such treatment. Yangming Zhongfeng and Yangming Zhonghan are differentiated according to coldness and heat of Zhuanxi Yangming. Conclusions : Yangming Zhongfeng refers to the heat type of Zhuanxi Yangming where the person presents constipation whilst residing exterior pattern. Yangming Disease cannot be understood as having a uniform pattern of Weijiashi-constipation-Shengqitang, and its disease pattern requires a multi-dimensional approach.

계지가부자탕(桂枝加附子湯)을 이용하여 호전된 요실금 치험 1례 (A case report of urinary incontinence improved by Gyejigabuja-tang.)

  • 윤효중;이숭인
    • 대한한의학방제학회지
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    • 제26권4호
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    • pp.381-389
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    • 2018
  • Objective : The purpose of this case report is to offer an unprecedented target for Gyejigabuja-tang by analyzing a case in which the symptoms were improved by the herbal decoction therapy, and to accumulate a fundamental knowledge in herbal medicine therapy for urinary incontinence. Method : We studied a patient's chart with the patient's consent and displayed patient's timeline and adherence in a figure according to the CARE guideline. The progress of urination symptoms were assessed with the frequency of urination and how long the patient can stand urine. The accompanied lower limb pain was estimated with Numerical Rating Scale(NRS) Results : The patient's adherence was good during the medication period and symptoms related with urination and accompanied lower limb pain were improved with no specific side effects. NRS of the lower limb pain decreased from 7 to 2, the frequency of urination also improved from over 10 times to 6~8 times per day, and the patient can stand urine from less than 1 second to 2~3 minutes. Conclusions : Gyejigabuja-tang was effective for an urinary incontinence patient which corresponds to the provision No.20 in Shanghanlun.

상한론(傷寒論)의 조문중(條文中) 맥증(脈證)에 관한 연구(硏究) (A study on the pulse symptoms of Shanghanlun)

  • 김종수;박원환
    • 동국한의학연구소논문집
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    • 제9권
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    • pp.73-93
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    • 2000
  • 상한론(傷寒論)은 이(理) 법(法) 방(方) 약(藥)의 합치(合致)에 중점(重點)을 두었고, 선녹(選錄)한 방제(方劑) 또한 대부분 실용적(實用的)이고 유효(有效)하므로 높은 임상적(臨床的) 실용가치(實用價値)가 있을 뿐만 아니라, 후세(後世) 임상의학(臨床醫學)의 발전(發展)에도 심원(深遠)한 영향을 미쳤다. 특히 상한론(傷寒論)은 맥(脈)과 증(證)을 모두 중시(重視)하는 원칙(原則)으로 보다 유기적(有機的)인 진단방법(診斷方法)을 만들어내어 진단학(診斷學)의 발전(發展)에 있어서도 기여한 바가 크다. 이에 상한론(傷寒論)의 맥증(脈證)을 조사(調査)한 결과(結果), 첫째 음맥(陰脈)과 양맥(陽脈), 이십칠맥(二十七脈), 양강맥(兩綱脈), 육요맥(六要脈)으로 분류(分類)할 수 있으며, 후대(後代)의 맥진(脈診) 분류(分類)와도 상응(相應)하여, 맥(脈)과 증(證)을 변증(辨證)의 주요(主要)한 근거(根據)로 삼아 변증론치(辨證論治)의 원칙(原則)을 확립(確立)하였다. 둘째 전체(全體) 398조문중(條文中)에서 맥증(脈證)과 관련(關聯)지을 수 있는 조문(條文)이 38%에 이르며, 맥증(脈證)이 상한(傷寒) 각(各) 단계(段階)의 전변(傳變), 병증(病症)의 기전(機轉), 병사(病邪)의 진퇴(進退)와 용약(用藥)의 근거(根據)가 됨을 알 수 있다. 셋째 각각(各各)의 맥증중(脈證中)에서 부맥(浮脈)이 가장 많이 나타났으며, 그외 미맥(微脈), 긴맥(緊脈), 침맥(沈脈) 등(等)의 음맥(陰脈)의 빈도(頻度)도 많았다.

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『상한론(傷寒論)』 '발작(發作)'과 뇌전증의 연관성 : 다수증례보고 (The correlation between 『Shanghanlun』 'Seizure' and epilepsy : Case series)

  • 이성준;김민환;윤용갑;임규상;이숭인
    • 대한상한금궤의학회지
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    • 제14권1호
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    • pp.1-26
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    • 2022
  • Objectives: We aimed to confirm the safety and effectiveness of the decoction of Sibjo-tang, which is a powder type purgative. In addition, we checked whether the '發作' of 『Shanghanlun』 can be interpreted to have the same meaning as "seizure" in English. By confirming these objectives, we intend to lead the progress in the application of Sibjo-tang and to expand the clinical application of the 152nd provision and Sibjo-tang. Methods: We analyzed the medical records of patients who visited Apgujeongjeongin Oriental Clinic and Almyeon Oriental Clinic for seizures. We confirmed side effects in patients who took Sibjo-tang for a long time. Sibjo-tang was prepared as a hot water extract by using 5 g each of Euphorbiae Pekinensis Radix, Eurphobiae Kansui Radix, and Genkwae Flos and 15 g of Zizyphi Fructus. The "seizure" recorded in the 152nd provision was interpreted through the shape analysis of Oracle bone scripts. The seizure frequency of patients diagnosed with epilepsy after taking Sibjo-tang was compared, and we analyzed other symptoms and psychosocial conditions associated with seizures at the first episode. Results: No side effects were found in 7 patients who took Sibjo-tang for 16.57 ± 14.10 months. Seizures were eliminated in 6 cases while taking Sibjo-tang and significantly decreased in 1 case. Frequent indigestion (in 7 cases), mild exhaustion (in 5 cases), and inferiority complex (in 5 cases) were identified as accompanying pathogenic conditions. The "seizure" in the 152nd provision was interpreted as "a state of being stabbed by a sharp substance in clothes", confirming a deep connection with epileptic seizures. Conclusions: The results suggest that using a decoction of Sibjo-tang is safe and efficacious. In addition, the necessity of conducting an advanced study on epileptic seizures accompanied by frequent indigestion using Sibjo-tang was confirmed.

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계지가갈근탕(桂枝加葛根湯)을 투여한 이명 증례 1례 (A Case Report of Tinnitus Treated by Gyejigagalgeun-tang)

  • 이성준;허주
    • 대한상한금궤의학회지
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    • 제7권1호
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    • pp.15-20
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    • 2015
  • Objective : This study is aimed to report the outcomes of the treatment of a patient with tinnitus during 6 month. Methods : Basic patient's data was analyzed as a CARE guideline. And related symptom was measured with VAS. Results : The symptom of tinnitus reduced from 10 to 2 on VAS. And the symptom of feeling cold get lower. Conclusions : Gyejigagalgeun-tang improved the symptom of tinnitus on this study.

<상한론(傷寒論)>의 병리전변분석을 통한 중경(仲景)의 삼음삼양(三陰三陽) 증치원리(證治原理) 연구 (Studies on Differential Therapeutic Principle of Three Yang and Three Yin through Analysis of Pathological Transmission)

  • 지규용
    • 동의생리병리학회지
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    • 제28권4호
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    • pp.365-370
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    • 2014
  • The intrinsic concepts of the three yin and three yang diseases in is unclear yet in spite of considerable controversy. In order to answer these problems, the structures of pathological transmission and anatomical terms used in the text were analyzed first. On these structural bases, the theoretical background and differential therapeutic principles of three yin and three yang disease classification. The organic structures frequently used in the text were heart, stomach, pancreas, blood chamber and urinary bladder, and the important regions in the transmission were chest, flank, epigastrium, abdomen, hypogastrium, groin on the other hand. When a host is invaded by extrinsic pathogen, an affinity is formed between the two based on the similarity of epidermal density condition and nutrient-defense features and existing disorders in the body. And then the symptoms show in 3 stages with 6 patterns in the general infective diseases. The initial stage is the period that the syndrome is limited in the external flesh area, and it mainly corresponds with taiyang bing besides the other exterior patterns of 3 yang and 2 yin bing. The middle stage is to the climax after the end of initial stage and it corresponds with mainly yangming bing including shaoyang and taiyin bing. In the terminal stage, the host gradually falls into exhaustive step or recovery phase, corresponding with shaoyin and jueyin bing. Conclusively, these dual meanings of three yang and yin should be a first guide and principle of treatment against various infective diseases.

아토피피부염 및 건선 환자 증례를 통한 상한론 백호탕 조문의 '면구(面垢)'에 대한 새로운 해석 (New Interpretation on 'MyeonGu' of Baekho-tang Text of Shanghanlun through Case Reports)

  • 홍지은;박민철;강수진;양금진;조은희
    • 동의생리병리학회지
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    • 제34권1호
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    • pp.45-52
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    • 2020
  • This paper suggested MyeonGu(面垢), symptom of Baekho-tang(白虎湯) in text 219 of Shang-Han-Lun(傷寒論), could be reinterpreted. There were 4 cases, 1 case on atopic dermatitis and 3 cases on psoriasis. All of them were diagnosed by Ying-Ming-Bing(陽明病) symptom. After taking Baekho-tang, SCORAD index of atopic dermatitis in case 1 improved 62.8 to 12.8 and PASI score of psoriasis in case 2, 3, and 4 improved 13.0 to 2.4, 10.8 to 0.8, and 8.6 to 1.0 respectively. Since Baekho-tang was effective for certain skin disease with Ying-Ming-Bing(陽明病) symptom, MyeonGu could be related on skin problem. MyeonGu was mainly translated in 'someone's face seems to be covered with dirt'. However if Myeon(面) is translated in 'surface of the body' and Gu(垢) is translated in 'inflammation', it means the surface of the body suffered from papules, erythema, white scales, etc. These are features of chronic inflammatory cutaneous disease like atopic dermatitis and psoriasis. This study is meaningful in case of giving specific clinical case of MyeonGu of Baekhotang text of Shanghanlun.

『동의수세보원(東醫壽世保元)』 인용문(引用文) 연구(硏究)에 적용할 수 있는 방법론(方法論)에 관한 고찰(考察)(3) (A study on research methodology of the quoted verses in Dong-uisusebowon(3))

  • 박수현;정창현;백유상;장우창
    • 대한한의학원전학회지
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    • 제27권2호
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    • pp.1-23
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    • 2014
  • This paper is sequel to the paper titled 'A study on research methodology of the quoted verses in Dong-uisusebowon(2)'. In the previous study, Tao-ren-cheng-qi-tang(桃仁承氣湯) and Di-dang-tang (抵當湯) lines from Shanghanlun quoted in the Dong-uisusebowon were examined. Through this study, we learned that Heo, Jun corrected these texts in the Dong-uibogam to avoid logical contradiction, which were again quoted by Yi, Jema in the Dong-uisusebowon. Thus the quotations in Yi's book were also corrected of the contradictory lines as found in the source text, Shanghanlun. In this paper, I would like to examine the lines regarding Jeokseokji-uyeoryang-tang(赤石脂禹餘糧湯) and Gan-cao-xie-xin-tang(甘草瀉心湯). Firstly, in the case of Jeokseokji-uyeoryang-tang(赤石脂禹餘糧湯) lines, many changes in contents were made to resolve contradiction within the lines as previous cases. By quoting the Dong-uibogam directly, Yi, Jema inherited the thoughts of Heo, Jun in his work. Secondly, in the case of Gan-cao-xie-xin-tang(甘草瀉心湯) lines, Heo, Jun suggested new perspectives on Pi(痞, stuffiness) and Jie-xiong(結胸, chest bind) different to those of Zhang Zhong Jing, based on empirical knowledge of later days. Yi, Jema quoted these corrected lines, which implies Yi's agreement to the theories of Heo. However, Yi made clear his difference in perspective with Heo through his unique theory of the Four(Sasang) Constitutions. I conclude my research regarding quotations in the Dong-uisusebowon by stressing the necessity of research on the Dong-uibogam prior to any further research regarding quotations in the Dong-uisusebowon.

계(桂)의 방제학적 감별과 활용에 관한 연구(硏究) (Study on a Prescriptional Discrimination and Usage of Cinnamomi Cortex)

  • 성혜령;이동규;박용수;안동선;이부균;이장천
    • 대한한의학방제학회지
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    • 제22권2호
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    • pp.55-61
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    • 2014
  • Objectives : The purpose of this study is to improve the fomula efficiency and prevent the resource abuse by clarifying the origin of kinds of Cinnamomum cassia Presl. Methods : 1. We researched "Shennongbencaojing", "Bencaogangmu", "Shanghanlun", "Jinguiyaolue", "Dongeuibogam", and other books. 2. Choosing a related words such as Cinnamomi ramulus(Gye-ji), Cassiae Cortex Interior(Gye-sim), Cinamomi Cortex(Yuk-gye). 3. Searching prescriptions: We searched prescriptions containing the Cinnamon in above books, and compared the differency among them. Conclusions : 1. Cinnamomi ramulus(Gye-ji) used for Shanghanlun contains Cinamomi Cortex(Yuk-gye), Cinnamomi ramulus(Gye-ji) and Cassiae Cortex Interior(Gye-sim) written in the Korean Pharmacopoeia. 2. Cinamomi Cortex(Yuk-gye) is the thick cortex of trunk of Cinnamomum cassia. It has functions like downwarding and warming-tonifying, and it is mainly used for Palmi-won(Bawei-yuan). 3. Cassiae Cortex Interior(Gye-sim) is about 30% of Cinamomi Cortex(Yuk-gye) middle layer, removing outer and inner cortex. Its main functions are regulating heart, coordinating the heart and kidney, and dispelling stastic blood and it is mainly used for Gyejibokryoung-hwan(Guizhifuling-wan) and Dangguisoo-san(Dangguixu-san). 4. Current Cinnamomi ramulus(Gye-ji) is a twig. thus, it means a small branch. Its main functions are upwarding, transversing, and exterior-effusing and it is mainly used for Gyeji-tang(Guizhijiagui-tang) and Gyejigagye-tang(Guizhi-tang).

개합추(開闔樞)에 대한 문헌학적 고찰 (A Philological Study of Previous Research on Open-Close-Pivot(開闔樞))

  • 최동현;백유상;정창현;장우창
    • 대한한의학원전학회지
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    • 제32권2호
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    • pp.33-47
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    • 2019
  • Objectives : To review the meaning of Open-Close-Pivot and its transition over time. Methods : Annotations and explanations in chapters where the theory of Open-Close-Pivot originated from in the "Suwen(素問)" and "Lingshu(靈樞)" were examined, followed by philological examination of key physicians. Results & Conclusions : Yang Shang Shan(楊上善) compared the 'Open-Close-Pivot' to a door. Wang Bing(王冰) explained it's movement and stillness to be the principle behind the Three-Yin-Three-Yang's threefold division. Wang Ji(汪機), in "XuSuwenChao(續素問鈔)" explained its physiological function as the entering and exiting of Ying Wei(營衛), and its scope to be exterior, interior, and center. Ma Shi(馬蒔) stratified it similar to "Shanghanlun(傷寒論)"'s six stages, while Wu Kun(吳崑) categorized Shaoyang(少陽) as being in-between exterior and interior. Zhang Jing Yue(張景岳) suggested a standard for the entering-exiting and exterior-interior-center concepts of the Open-Close-Pivot. Zhang Zhi Cong(張志聰) argued a theory of Open-Close-Pivot that emphasized the meaning of Three-Yin-Three-Yang, while Gao Shi Zong(高士宗) explained the relationship between Open, Close, Pivot and the functioning process. Shi Shou Tang(石壽棠) explained the physiology and pathology in the actions among Open-Close-Pivot with a focus on Pivot. Ke Qin(柯琴) applied Open-Close-Pivot to "Shanghanlun(傷寒論)" and used it as the basic principle to the Six Channel Ground Theory(六經地面說), also clinically applying it in the identification and treatment of the Six Channel patterns. Conclusions : Counting based word embedding methods seems to be more effective than.