• Journal of Physiology & Pathology in Korean Medicine
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• v.30 no.1
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• pp.7-13
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• 2016

In order to understand correctly about Shanhanlun, the intension of the author from the preface must be definitely understood. Compared the preface of Shanghanzubinlun with the prefaces of other commentaries, figuring out the contents. The preface of Shanghanlun describes the time period and the production background of Shanghanlun. The publish of Shanhanlun is related to outbreak of epidemic, which is related to the war, rebellions, and the secure of trade route from west to east. The episode of Pianque in the preface is the example of the diagnosis in general, and it has connection with the four ways of diagnosis (inspection, listening & smelling, inquiring and palpation) in the last part of the preface. Shanghanzubinglun is influenced by Taoism, which is the ideology behind Huangdineijing and Shennongbencaojing. Zhang Zhongjing had studied deeply about fangshu.

• The Korea Journal of Herbology
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• v.26 no.4
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• pp.155-161
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• 2011

Objective : The purpose of this study is to determine the origin and daily dose of Gardeniae Fructus in Shanghanlun. Methods : Define the origin and daily dose of Gardeniae Fructus by searching Shanhanlun and Herbology Books(本草書). And Compared these with those of current Gardeniae Fructus. Results : According to Shanhanlun, the origin of Gardeniae Fructus is Gardenia jasminoides, but G. jasminoides f. longicarpa must excluded since originally it was used for dyeing. Among the 8 prescriptions containing Gardeniae Fructus, 15 Gardeniae Fructuses for the daliy dose in Chijabekpi-tang(Zhizibopi-tang) is assumed to be 14 Gardeniae Fructuses, as it is found 14 in many other prescriptions same in other prescriptions. The quantity of 14 Gardeniae Fructuses in Shananlun is 3 Ryang(兩), which is equal to 19.5 g in the current measurement. 1 Gardeniae Fructus is equal to 1.4 g. The length of the Gardeniae Fructus in the market which is produced in korea is 22-27 mm, and the diameter is 15-19 mm, whereas in China it is 20-25 mm, and the diameter is 13-18 mm. This meets the standard requirements of the Pharmacopoeia. Conclusions : As a result from above, the origin of Gardeniae Fructus is Gardenia jasminoides, but G. jasminoides f. longicarpa must be excluded. The recommended dose in a day is 14 Gardeniae Fructuses, which is equivalent to 19.5 g, the amount generally used in Shanhanlun.

• 대한상한금궤의학회지
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• v.14 no.1
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• pp.27-39
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• 2022

Objective : This study aimed to report the improvement of one patient with arrhythmia treated using Bokryeonggyejibaekchulgamcho-tang based on the disease pattern identification diagnostic system (DPIDS) by Shanhanlun Provisions. Methods : The patient with arrhythmia was treated using Bokryeonggyejibaekchulgamcho -tang according to to Shanghanlun provisions. The results were evaluated using Modified European Heart Rhythm Association symptom scale (mEHRA). Results : After taking Bokryeonggyejibaekchulgamcho-tang for 257 days, mEHRA decreased from 3 to 1. Conclusions : The Administration of Bokryeonggyejibaekchulgamcho-tang to patient with arrhythmia, based on Shanhanlun DPIDS was effective.

• The Korea Journal of Herbology
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• v.22 no.4
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• pp.45-50
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• 2007

Objectives : The purpose of this study is to determine dose of Gypsum and Natrii sulfas in Shanhanlun and Geumgyeyoryak Methods : We measured the egg size Gypsum, and Natrii sulfas 1 Seong(升), and Results : 1. The weight of GYPSUM, egg is about $48{\pm}4g$, it will end up with 104g, when applying egg gravity of 1.055 and Gypsumls weight of 2.3. 2. One Ryang(兩) is equal to 6.5g in Sanghanlun and Gumgyeyoryak, and therefore the weight of ones gypsum is equal to 1 Keun(斤). 3. Compare to a dose of Gypsum is equal to one egg in Mokbanggitang. 4. Maximum dosage of Gypsum is equal to half an egg, 8Ryang(兩) of Sanghanlun, which is 52g. 5. Daily dosage of One Keun(斤) of Natrii sulfas is 8 Ryang(兩), of sanghanlun, which is 52g, Maximum dosage of Sanghanlun is 4 Ryang(兩), which is 26g. Conclusion : As stated above we may acknowledge that a dosage of Gypsum and Narii sulfas in either Sanghanlun and Keumgyeyoryak is applicable range in practical clinic.

• Herbal Formula Science
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• v.25 no.2
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• pp.253-270
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• 2017

Ojectives : To indicate source of prescriptions in "Wenbingtiaobian" and draw pathologic consideration for differences between prescription and source. Methods : Analysed cause and mechanism of disease, pattern identification, treatment, prescriptions and medicinal herbs based on "Translation of Wenbingtiaobian", "Modern Shanhanlun", "Jinkuiyaolueyishi", "Medical collection of Yetianshi" and "Herbal Formula Science". Results : 64.5% of prescriptions in "Wenbingtiaobian" are derived from "Linzhengzhinanyian", "shanghanlun" or "Jinkuiyaolue". Prescriptions from "shanghanlun" or "Jinkuiyaolue" have been modified to fit for heat pattern differentiations, to expand or reduce their medicinal scope, to build up efficacy by adding cold herbs, herbs of nourishing yin, engendering fluid or outthrusting through the exterior, to diffuse water-dampness or warm yang by adding warm herbs. Prescriptions from "Linzhengzhinanyian" have been modified to eliminate cold-dampness, disperse and outthrust with lightness, tonify yin. Conclusions : Wenbingtiaobian" inherited "Linzhengzhinanyian", "shanghanlun" nd "Jinkuiyaolue" andchanged and developed them to cure the febrile disease in the aspect of prescription, mechanism of disease, pattern differentiation and treatment.

• Journal of Korean Medical classics
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• v.28 no.4
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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.

• Journal of Sasang Constitutional Medicine
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• v.9 no.2
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• pp.67-94
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• 1997

The main purpose of this study is to arrange the diseases, principal medicinal substances and the prescriptions for the Soumin's Sinsooyul-Pyoyul-Byung(少陽人 腎受熱表熱病) by historical examination in the viewpoint of the Constitutional Medicine(四象醫學). In this study, first I collected the original texts of the diseases and priscriptions in Dongyi-Soose-Bowon(東醫壽世保元), and described the development process of the Soumin(少陽人)'s diseases and priscriptions by comparing with the contents in Dongyi-Soose-Bowon(東醫壽世保元). Next, I collected the efficacy of the medicinal substances and priscriptions by the examination of successive literatures referred it, and tried to explain the efficacy of each medicinal substances in the viewpoint of the Constitutional Medicine(四象醫學) by the analysis of successive literatures. As a result, the conclusions could be summarized as follows. 1. The Differentiation of Syndromes(辦證) in the Existing Medicine(旣存醫學) was formed according to the Eight Principal Syndromes(八綱), the Five Elements(五行), the Merdian system(經絡), therefore there were many confusions with the changes of the times. The differentiation of Syndromes(辦證) in the Constitutional Medicine(四象醫學) was formed according to the pathological change of Ascending and Descending Yin Yang(陰陽升降) in the Four Internal Organs(四臟), therefore, there was the consistency in the recognition of diseases. 2. The classification of the Soumin's Pyoyul-Byung(少陽人 表熱病) was divided into Yukuang Disease(鬱狂證) and Mangyang Disease(亡陽證) according to sweating or not. The conception of these diseases was mostly achived in Shanhanlun(優寒論). The treatment of Shanhanlun(優寒論) was alike to that of Dongyi-Soose-Bowon(東醫壽世保元) in a part. 3. Je ma, Lee thinked that the cause of the Soumin's Pyoyul-Byung(少陽人 表熱病) is the breakdown of the balanced equilibrium in ascending and descending Yin Yang(陰陽升降) for a Large Sin and a Small Bi(腎大脾小), and it is treated by warming and ascending Yang(溫補升陽). 4. The medicinal substances composing prescriptions for the Soumin's Pyoyul-Byung(少陰人 表熱病) is characterized with the efficacy of Ascending Yang and supplying Qi(升陽益氣) and regulating the digestive organs with the efficacy of warming it. 5. The medicinal substances composing the precriptions for the Soumin's Pyoyul-Byung(少陰人 表熱病) is divided into four parts with the state of Yang Qi(陽氣) in the disease it used. 6. The purpose of prescriptions for the Soumin's Pyoyul-Byung(少陰人 表熱病) is to strengthen the Soumin(少陰人)'s Yangnan Qi(陽暖之氣). Je ma, Lee kept the principle not to mix with another constitution's medicinal substances in the creation of the priscription.

• 대한상한금궤의학회지
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• v.11 no.1
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• pp.103-111
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• 2019

Objective : The purpose of this study was to report the improvement in a patient with edema treated by herb medication based on Shanghanlun provisions. Methods : According to 'A disease pattern identification diagnostic system based on Shanghanlun provisions (DPIDS)', a patient was diagnosed with Taeyang-byung, no. 46 provision and was administered with Mahwang-tang herbal medication for 30 days. The Numeric rating scale (NRS) was used to estimate the response. Results : The NRS score changed from 10 to 1 and the edema disappeared by 46th provision of Mahwang-tang selected according to Shanghanlun provisions. Conclusions : This case report suggests that the two words in the 46th provision of Shanghanlun, '陽氣重, 無汗' (Yang qi heavy, Absence of sweating) indicate a close relationship between photosensitivity and absence of sweating, thereby affecting edema in this case.

• Journal of Physiology & Pathology in Korean Medicine
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• v.32 no.1
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• pp.1-12
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• 2018

This article is for understanding characteristics of febrile disease through analysing usage of representative prescriptions in "Wenbingtiaobian", composition of their related prescriptions and their coverage of modern diseases. Analysis of prescriptions was based on "Translation of Wenbingtiaobian", "Modern Shanhanlun" and "Herbal Formula Science" and clinical papers were searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI). Conclusions are as follows. First, principles of modifying or formulating prescriptions for febrile diseases are clearing heat, nourishing yin or dispelling dampness. Second, Zengyechengqitang, Xinjiahuanglongtang and Huweichengqitang are applied to pattern of bowel excess such as constipation or ileus. Third, Jiajianfumaitang is applied to heart diseases, Sanjiafumaitang to liver and heart, Dadingfengzhu to liver diseases. Fourth, Jiajianzhengqisan related prescriptions are applied to spleen diseases like conspitation, diarrhea or gastritis. Fifth, Baihujiarenshentang is applied to diabetes or fever and Baihujiaguizhitang to gout or arthritis. Sixth, Xuanbaichengqitang is applied to lung diseases and Taorenchengqitang to gynecology diseases. Seventh, Sanrentang is applied lung diseases like cough or pneumonia, spleen diseases like diarrhea or enteritis and kidney diseases like edema, arthritis or leucorrhea. Eighth, Yinqiaosan and Sangjuyin tend to be applied to exogenous diseases and diseases of five organs of sense, Jiajianfumaitang and Sanjiafumaitang to heart diseases, Angongniuhuangwan to encephalopathy, Qingyingtang and Huabantang to skin diseases, Zengyetang to gastrointestinal disorders, Shashenmaidongtang to lung or spleen diseases.

• 대한상한금궤의학회지
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• v.14 no.1
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• pp.69-79
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• 2022

Objective : Fatigue is the most common symptom in post-COVID-19 syndrome. We report the case of a patient with post-COVID-19 syndrome with fatigue treated using herbal medicine (Saengkangsasim-tang). Methods : A 64-year-old man had severe fatigue for 4 months after a severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection. Saengkangsasim-tang was administered to this patient based on the disease pattern identification diagnostic system by Shanghanlun provisions (DPIDS). We used the Numeric Rating Scale (NRS) and Beck Depression Inventory (BDI) to evaluate the effectiveness of Saengkangsasim-tang for fatigue in the patient with post-COVID-19 syndrome. Results : According to DPIDS, the patient was diagnosed with the provision 157. After administration of Saengkangsasim-tang for 30days, the fatigue based on NRS and depression based on BDI were improved. Conclusions : The administration of Saengkangsasim-tang to patients with post-COVID-19 syndrome with fatigue, diagnosed according to the Shanghanlun provision 157, may be effective.