• Title/Summary/Keyword: "Shanghanlun"

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중국의학에 대한 새로운 이해 -중국의학사의 최근 연구 동향- (What Changes the Picture of Chinese Medicine : A Survey of the Current Historiography of Chinese Medicine)

  • 이충열
    • 동의생리병리학회지
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    • 제18권1호
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    • pp.39-49
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    • 2004
  • This article will introduce the changes of the historiography of the Chinese medicine which have been made during the last several decades. These will be described with the changes in the image of the Chinese medicine that has been occupied in our mind. We regard Chinese medicine as a rational knowledge system which is based on the theory of Yin-Yang and Five phases. Therefore we draw a dear line of demarcation between Chinese medicine and irrational cure means such as religious prayer, charms and folk remedies which have no theoretical background. We also think the medical lineages continue virtually uninterrupted over the whole time of the history of Chinese medicine that began from Huangdineijing(皇帝內徑) and Shanghanlun(傷寒論). And we consider Chinese medicine as a sort of science, and suppose there has been one universal and homogeneous medical system in the mainland China. This image, however, has been changing rapidly. These changes come from the join of externalists who were trained as historian not physician, for studying the history of Chinese medicine, and the methodological innovations of historiography which was influenced by the methodologies of anthropology, social history, cultural history and the discourse of postmodemism.

("주해상한론(註解傷寒論)" 에 대한 연구 (Study on ${\ulcorner}$Zhujieshanghanlun${\lrcorner}$)

  • 김진호;방정균
    • 동의생리병리학회지
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    • 제21권2호
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    • pp.370-378
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    • 2007
  • ${\ulcorner}$Zhujieshanghanlun(註解傷寒論)${\lrcorner}$ are som particular points as below ; first, set up the concepts of chuanjing(傅經), zaichuanjing(再傅經), and guojing(過經). Second, suggested the half exterior and half interior syndrome(半表半裏證) firstly. The third, understood origin literature by the distinguished way for syndrome in accordance with the Yin and Yang(陰陽). Forth, wangyang(亡陽) is described by two different syndromes. One is with perspiration. The other is yangxuzheng(양허증(陽虛證)) from injured yangqi(陽氣). Fifth, xialibiannongxue(下利便膿血) was distinguished by the generic characters of The Cold and Hot(熱${\cdot}$寒). The last, ${\ulcorner}$Shanghanlun${\lrcorner}$ (傷寒論) was described at the view of viscera & bowels's physiology and their pathology. And shaoyin(少陰) disease was aware of kidney case and Taiyin(太陰) disease was aware of spleen case. There are two different cases of bowel diseases. One is that xieqi(邪氣) goes in stomach of Yangming(陽明). The other is that xieqi(邪氣) follows channel and goes into bowel.

내상잡병(內傷雜病) 개념 형성에 대한 고찰(考察) (A Study on the Concept Formation of Neishangzabing)

  • 백유상
    • 대한한의학원전학회지
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    • 제28권4호
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    • pp.179-192
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    • 2015
  • Objectives : In this article, the concept of Neishang and Zabing and the establishment of the terms, are investigated. Methods : The literatures related to the establishment of Neishang and Zabing, for example, Huangdineijing, Shanhanlun, Jinguiyaolue etc are selected and then the analysis and investigation of the significant documents has followed. Results : The concept of Neishang originally means the group of disease caused by internal pathogens, for example, emotions in Huangdineijing; however, it has become rarely mentioned in Shanhanlun, Jinguiyaolue. The other concept, Zabing that is used once as a name of chapter in Huangdineijing means the group of diseases without exogenous diseases after Shanhanzabinglun was published. Conclusions : The concept of Neishang has divided into qiqingneishang that is caused by emotion disorders in Sanyinfang in the Song dynasty, and yinshineishang argued by Lidongyuan, a doctor in the Jinyuan dynasty: the latter has been the main meaning of Neishang. The concept of Zabing had been used as a narrow sense, the rest diseases until it was extended to a broad sense, the name of disease group except for internal and body-based diseases.

피부 질환 증례 연구를 통한 백호탕(白虎湯)과 백호가인삼탕(白虎加人參湯)의 비교 (Clinical Differences between Baekho-tang and Baekhogainsam-tang through Skin Disease Case)

  • 박승구;조은희;최한결;홍지은;박민철
    • 대한한의학방제학회지
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    • 제27권2호
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    • pp.179-187
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    • 2019
  • Objective : The purpose of this paper is to analyze the difference between Baekho-tang(白虎湯) and Baekhogainsam-tang (白虎加人蔘湯). Methods : We compared the effect of Baekho-tang on atopic dermatitis and the effect of Baekhogainsam-tang on allergic contact dermatitis. We focused on the level of thirst. Results : After the Baekho-tang treatment, the SCORAD of atopic dermatitis patient decreased $63.8{\rightarrow}4.3$ and VAS of pruritus on atopic dermatitis patient were improved $8{\rightarrow}2$ respectively. Meanwhile, after the Baekhogainsam-tang treatment, the VAS of pruritus on allergic contact dermatitis patient was improved $7{\rightarrow}2$ and the thirst of the patient improved. Conclusions : There is a difference between Baekho-tang and Baekhogainsam-tang at the level of thirst. Baekhogainsam-tang continues to thirst hard enough to find water.

새로 발견된 조선(朝鮮) 간본(刊本) 『상한지장도(傷寒指掌圖)』 연구 (A Study on the Newly Discovered 『Sanghanji jangdo』 Published in the Joseon Period)

  • 朴薰平
    • 대한한의학원전학회지
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    • 제34권2호
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    • pp.63-74
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    • 2021
  • Objectives :This paper analyzes the newly discovered manuscripts of the Sanghanjijangdo(傷寒指掌圖). A bibliographic study was carried out to examine the contents and the background of publication. Methods : First, a bibliographical analysis of the Joseon text was conducted. Next, the contents of the composition were compared with the Yuanand early Ming publications of China. Results : 1. The Joseon publication was published based on the original publication from the Yuan period. The Sanghanjijangdo has been cited in several medical texts from early Joseon such as the Euibangyuchwi and Hyangyakjipseongbang. 3. The background for publication of the Sanghanjijangdo is as following. First, it is an introductory text for beginners of Shanghan[cold damage] studies. Second, its contents do not conflict with the specialized Shanghan text that was used as the textbook for the royal physician examination. Third, it contains many Shanghan formulas that could be composed of domestic drugs only. Conclusions : The Sanghanjijangdo could be described as an introductory text for beginners of Shanghan studies that contributed to the expansion of the base of Shanghan studies in 15c mid-Joseon. Publication of this book clearly shows that Shanghan studies in early Joseon was practiced within the scopes of practicality and localization of medicinals.

허혈성 심질환에 활용된 사역탕(四逆湯)의 최신 연구 동향 (Recent Research Trends of Sayeok-tang Used in Ischemic Heart Disease)

  • 장일웅;홍준영;이숭인
    • 대한상한금궤의학회지
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    • 제13권1호
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    • pp.1-19
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    • 2021
  • Purpose : Sayeok-tang (Sini decoction, SND) is a cold-dispelling formula used for cold deficiency syndrome and is composed of Aconiti Lateralis Radix Preperata, Zingiberis Rhizoma, and Glycyrrhizae Radix et Rhizoma. It is used for diseases such as myocardial infarction, heart failure, acute and chronic gastroenteritis, and gastric effusion. This study proposes the possibility of expansion of basic research and clinical applications for ischemic heart disease (IHD) through systematic analysis of domestic and foreign studies on SND. Methods : We collected studies within the last 10 years on the use of SND in IHD and excluded those lacking relevance. Selected studies were classified by research method and the main themes of the studies were analyzed for each classification. Result: Out of 15 studies, there were 5 animal studies, 8 metabolite analyses in animals, 1 in vitro study, and 1 systematic review. Our review suggests that SND may be used as an adjuvant to nitroglycerin and percutaneous transluminal coronary angioplasty, and may improve symptoms and quality of life of patients with IHD. Myocardial protective effects through antioxidant, anti-inflammatory, anti-apoptotic, and anti-hypertensive actions were confirmed through these studies. Effects on carbohydrate, protein, and lipid metabolism were also reported. Conclusions : This study suggests that SND has potential as a treatment for IHD.

비증(痞證) 치법(治法)의 변천(變遷)으로 살펴본 지실(枳實)의 활용(活用) (Application of Zhishi(Poncirus fructus) as Examined in the Changes in Pi Pattern(痞證) Treatments)

  • 姜智友;辛相元
    • 대한한의학원전학회지
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    • 제36권3호
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    • pp.27-54
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    • 2023
  • Objectives : To determine the background against which Zhishi has been applied to treat Pi pattern, through examination of changes in Pi pattern treatments in a historical context. Methods : The properties and nature of Zhishi as written in multiple bencao texts were analyzed. In addition, understanding of the Pi pattern, the changes in its treatment were examined diachronically based on opinions of Zhang Zhongjing, Zhugong, and Li Dongyuan. Examples of Zhishi application in Pi pattern treating formulas were collected and their mechanisms analyzed. Results : Zhishi is strongly effective in relieving accumulation and stagnation, due to its properties of dispersing and lowering. The early view of contrasting Pi with Jiexiong shifted to viewing the Pi pattern as an inner damage, from the perspective of rising and lowering of the Qi mechanism based on the Spleen and Stomach. As a result, Zhishi became a key ingredient in the treatment of the Pi pattern. Conclusions : As the perspective of seeing Pi as one end of the Yin-Yang coupling with Jiexiong from the Shanghanlun shifted to seeing it as a problem of Qi mechanism of the Spleen and Stomach, Zhishi became a key ingredient in the formulas to treat Pi pattern. The complexity of Zhishi's direction made it appropriate to treat the changed Pi pattern.

『상한론(傷寒論)』 감초부자탕(甘草附子湯)으로 호전된 거골 박리성 골연골염 증례 1례 (A case of osteochondritis dissecans of the talus improved by Shanghanlun Gamchobuja-tang)

  • 최재영;이성준;이숭인
    • 대한상한금궤의학회지
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    • 제15권1호
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    • pp.161-182
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    • 2023
  • Objective: This is the result of a study on patients with osteochondritis dissecans (OCD) of the talus whose pain was improved by Gamchobuja-tang (GBT). Methods: The patient took GBT for 46 days. We observed the progress of symptoms, patient compliances and side effects. Quality of life related to pain was quantified through the SF-36 and AQoL-6D questionnaires. The degree of pain in the talus and ankle areas was quantified using VAS and observed through the symptoms and frequency complained of by the patient. Results: According to the DPIDS, the patient was diagnosed with the 175 provision in Taeyangbing chestbind (大陽病 結胸). As a result, SF-36 score increased from 36 points to 74 points, and the AQoL-6D score increased from 74 points to 104 points. The visual analogue scale (VAS) of ankle pain lowered from 9 to 2. The number of days with VAS levels 1 also increased. Conclusions: Gamchobuja-tang is effective in reducing pain in the talus area caused by osteochondritis dissecans..

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과송평(戈頌平)의 『소문지귀(素問指歸)』에 대한 고찰(考察) - 음양론(陰陽論)을 중심으로 - (A Study on Suwenzhigui(素問指歸) of Ge Songping(戈頌平) - Focusing on Yinyang theory (陰陽論) -)

  • 김도훈;김종현
    • 대한한의학원전학회지
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    • 제30권1호
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    • pp.1-15
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    • 2017
  • Objectives : Ge Songping(戈頌平) was a medical doctor in Qing Dynasty during the late $19^{th}$ century who annotated the original texts of four medical classics and wrote Suwenzhigui (素問指歸), Shanghanzhigui(傷寒指歸), Jinkuizhigui(金匱指歸), and Shennongbencaojingzhigui (神農本草經指歸). This paper's objective is to compile information about his writings, and shed a light on the unique characteristic of his scholarly works. Methods : Information regarding Ge Songping's life has been gathered through existing research papers and the sources revealed in the introduction. His works were divided into different formal characters as listed in part of the introduction and in the table of contents. Contents related to Yinyang(陰陽) found in Suwenzhigui were studied in order to discover his unique scholastic character. After selecting and analyzing three texts related to Yinyang, some characteristic terms and emphasized contents were studied. Results : The review yielded knowledge about Ge Songping's life, the times of his publications, the meanings of the names of his books, and basic information abou them. In terms of his scholarstic works, he used the ideas he gained from Shanghanlun(傷寒論) to form his medical theory, and used this to write annotations for four types of medical classics. The features of his theory of Yinyang can be divided into four categories. First, he coined the term Qiye(氣液) to bring contrast between yinyang as yinye(陰液) and yangqi(陽氣). Second, he shaped the temporal and spatial structure of the circulation of yinyang based on Shierdizhi(十二地支). Third, he explained the relationship between yin and yang while mainly focused on yangqi. Fourth, he explained the physiology and pathology mechanisms while focused on the circulation of ascending and descending and the idea of mutual beneficiary.

『온병조변』의 병리학적 고찰 (The Pathologic study on 『Wenbingtiaobian』)

  • 박미선;김영목
    • 동의생리병리학회지
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    • 제31권1호
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    • pp.8-19
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    • 2017
  • This study on "Wenbingtiaobian" covers identifying pattern of prescription, understanding system of multiple syndrome differentiations, characteristics of treatment and medicinal substances. The source books are "Korean translation of Wenbingtiaobian", "Modern Shanghanlun", "Jinkuiyaolueyishi", "Chinese Medicine Formulas". "Wenbingtiaobian" has system of multiple patterns including three energizer syndrome differentiation, classification of disease, six meridian syndrome differentiation and wei-qi-ying-xue syndrome differentiation. That describes cause, location, nature, power and transmutation of disease. Wei-qi-ying-xue pattern is meaningful to warm-heat disease and three energizer pattern is relevant to dampness-heat disease. The warm disease shows mostly yang brightness bowel syndrome and patterns of three yin viscera. In aspect of the heat disease, qi aspect pattern makes up the largest number of syndrome differentiation and have sometimes with bowel excess or fluid deficiency. And treatment for wei aspect pattern is primarily 'outthrust the pathogen with pungent-cool'. Deficiency cold pattern and cold pattern with dampness occupy most of cold patterns. And many dampness patterns are dampness-heat pattern in middle energizer and 'inhibited lung qi transforming' is major mechanism. Patterns with fluid deficiency in qi aspect syndrome appear mostly in upper or middle energizer and in xue aspect syndrome appear mostly in lower energizer and they form 20% of all syndrome differentiations. The treatment of clearing heat uses pungent-cool(cold) for upper energizer, sweet-cold for middle energizer, sweet(salty)-cold for lower energizer. The treatment of tonifying yin uses mostly salty-cold for middle or lower energizer. The treatment of outthrusting pathogen is applied to all the wei-qi-ying-xue aspect combined with other treatments by using pungent-cool(cold) and light herbs. Understanding diseases in the respect of syndrome differentiation can enhance understanding of modern diseases from a perspective of Korean Traditional Medicinal(KTM) and can make clinical application of KTM treatments easy. Data from this study are expected to be basic for standardization and systemization of KTM.