• 대한한의학원전학회지
• /
• 제28권3호
• /
• pp.67-77
• /
• 2015

Objectives : This study is to verify the organ weights in Nanjing based on the weights of five viscera (五臟) in autopsy studies of modern times. Methods : Contents on organ weights from many annotations and articles on Nanjing were collected. Organ weights in autopsy studies dealt in many countries including China, India, U.S. and Korea were collected. Among the data, the average weights of liver, heart, spleen, pancreas, lung and kidney of males in the age of 18 to 60 were calculated, and the ratio of each organ was examined. Based on those results, the organ weights of Nanjing were evaluated. Results & Conclusions : There is a close correspondence between the organ weight ratios of liver(肝), heart(心), lung(肺) and kidney(腎) in Nanjing and those in autopsy studies. It proves that the organ weights in Nanjing were recorded based on an actual dissection. As a result of the analysis on autopsy studies, the average organ weights and the ratio among the organs were: liver 1416g(43.0%), heart 296g(9.0%), lung 1047g(31.8%), kidney 273g(8.3%), spleen 264g(4.5%) and pancrease 113g(3.4%). The weight of liver in Nanjing shall be 4 jin and 4 liang(4斤4兩) instead of 2 jin and 4 liang(2斤4兩) to occupy proper proportion out of other organs. It is highly possible that the weight of spleen(脾) in Nanjing is including the weight of pancrease(散膏), and the weight shall be 1 jin and 1 liang(1斤1兩) or 1 jin and 2 liang(1斤2兩) instead of 2 jin and 3 liang(2斤3兩) to occupy proper proportion out of other organs.

• 대한한의학원전학회지
• /
• 제30권1호
• /
• pp.31-50
• /
• 2017

Objectives : This paper aims to shed light on the change in Korean medicine's anatomical awareness through reviewing the locations and the interrelationship between back acupoints, live, and spleen as revealed in Suwen Xueqixingzhipian. Methods : The locations of the back acupoints described in the Suwen Xueqixingzhipian were compared with the information found in Neijing annotations, Lingsu, and other books on acupuncture, and the location of liver and spleen were compared with the figures of internal organs found in pre-Northern Song Period texts and with Neijing's other chapters. Results : According to Taisu, the acupoint UB18 and UB20 as described in the back acupoints of Suwen Xueqixingzhipian are located left side and right side of human body respectively, and this knowledge derives from an accurate anatomical awareness of the locations of liver and spleen. Although such anatomical awareness found in Taisu, which was published in the Sui Dynasty, was unable to influence the 10th century Oh Dynasty's Yanluozi Neijingtu, it was gradually revised in Northern Song Period's Qixifan Wuzangtu and Cunzhentu through autopsies. However, the Theory of Five Elements which described as seen in the other chapters in Neijing or Tang Dynasty Wang Bing's annotation that liver is located at the left side of human body and spleen at the center exerted an immense influence over the subsequent generations' future doctors. Even though Taisu disappeared in Korea and China at the end of Southern Song period, the accurate anatomical knowledge with regards to the locations of viscera and entrails were passed down through medical texts such as Ming Dynasty's Yixuerumen. Conclusions : Suwen Xueqixingzhipian's awareness on the anatomical locations of liver and spleen only continued until the end of Southern Song period through Taisu. Because of this, it's anatomical awareness did not have a chance to gain much following like the Theory of Five Elements' point of view that were introduced in Wang Bing's annotations.

• 동의생리병리학회지
• /
• 제21권1호
• /
• pp.250-257
• /
• 2007

Uterus myoma is a benign tumor of smooth muscle in the wall of the uterus, In oriental medicine, we used to made an effort to management this patients without surgical operation. Doctors have treated patients of uterus myoma mainly by checking over each symptom they have. Then we think that patients have some symptoms in relation to an etiological cause. So I have carried out this study to investigate association of DSOM scores and an attack of uterus myoma in oriental medicine. We chose 3 groups, the first one is 257 uterus myoma patients who visited Dongeui University Oriental Medical Center from May 2001 to June 2006, the second one is 558 outpatients who didn't have uterus myoma from May 2005 to June 2005, the third one is 129 clinical trials who volunteered for Sasang constitutional medicine. Then we made up 3 groups to checkup DSOM, and investigated the All DSOM Fluents which effect uterus myoma patients using regression model. Logistic regression analysis indicate as follows ; In comparison with 558 outpatients data, blood stasis(血瘀), dryness(燥) is associated positively and insufficiency of Yang(陽虛), spleen(脾), phlegm(痰) negatively, and mean of the index for pathogenic factor(病機指標 平均) of deficiency of qi(氣虛), heart(心) negatively. In comparison with 129 clinical trials data, blood stasis(血瘀) is associated positively and phlegm(痰) negatively, and mean of the index for pathogenic factor(炳機指標 平均) of deficiency of Yin(陰虛), liver(肝), diarrhea positively, heart(心) negatively. 3. In investigation of DSOM items, items of blood stasis(血瘀), deficiency of Yin(陰虛), coldness(寒) is associated positively and items of heart(心), spleen(脾), Phlegm(痰) negatively.

• 대한한의학회지
• /
• 제27권3호
• /
• pp.212-221
• /
• 2006

Objectives: This study was designed to investigate acupuncture treatment of alopecia patients by researching literature and to standardize acupuncture treatment. Methods: We extracted the parts about acupuncture treatment of alopecia which are called 'Tal Bal(說髮), 'Ban Dok'(斑禿), 'Tal Mo'(脫毛), 'Bal Rak'(髮洛), 'Wonhyung Talmo'(圓形脫老) from 2 ancient and 49 modern oriental medicine literal sources. We surveyed the frequency and characteristics of the acupoints used for treatment of alopecia, and the acupoint was classified according to its meridian or demonstration. The results of this study were recorded as follows: 1. The most frequently used acupoints were GB20(風紙), GV20(百會), BL13(膈兪), SP6(三陰交), ST36(足三里), BL23(腎兪), SP10(血海), LI11(曲池), in that order. 2. The most frequently used meridians were the urinary bladder meridian (足太湯膀胱經), the Governor Vessel(督豚), the spleen meridian(足少陰脾經), and the gall bladder meridian(足少陰膽經), in that order 3. The most frequently used regions were the head, under the knee, and the back, in that order. 4. The most frequently used Jang organs and Bu organs were the spleen(脾), the stomach(胃), the liver(肝), the gall bladder(擔), the lungs(肺), and the large intestines(大腸), in that order. 5. Common methods of differentiation of alopecia are Hyulyulsaengpung(血熱生風), Gichehyutea(氣滯血瘀), Gihyulyanghea(氣血兩瘀), and Gansinbugok(肝腎不足). Conclusions : For treatment of alopecia, all the patient's symptoms, including alopecia, must taken into consideration and demonstrated.

• 대한한방부인과학회지
• /
• 제30권4호
• /
• pp.175-202
• /
• 2017

Objectives: This study was conducted towards developing a screening tool for syndrome differentiation in the diagnosis of menopause in menopausal and perimenopausal women. Methods: We conducted a literature review of studies on menopausal diagnosis based on syndrome differentiation, and examined well-founded differentiated syndromes and their respective clinical symptoms. Based on the findings, we created a questionnaire through consultations with Oriental medicine experts in physiology, pathology, and diagnostics. Finally, the research team conducted an expert Delphi study on differentiated syndromes and the associated clinical symptoms. Results: Seven differentiated syndromes were selected, including Liver Depression (肝鬱), Kidney Yin Deficiency (腎陰虛), Kidney Yang Deficiency (腎陽虛), Liver and Kidney Yin Deficiency (肝腎陰虛), Kidney Yin and Yang Deficiency (腎陰陽兩虛), Heart-Kidney Noninteraction (心腎不交), and Dual Deficiency of Heart and Spleen (心脾兩虛); 4 disease locations, including liver (肝), heart (心), spleen (脾), and kidney (腎); and 3 disease natures, including Yin Deficiency (陰虛), Qi Stagnation (氣滯), and Blood Deficiency (血虛). In addition, we added 3 supplemental disease natures, including Yang Deficiency (陽虛), Qi Deficiency (氣虛), and Heat (火熱), in consideration of syndrome differentiation categories that may possibly be added in a follow-up clinical questionnaire. Conclusions: This resulted in a total of 7 differentiated syndromes, 4 disease locations, and 6 disease natures. We translated the clinical symptoms of these 17 categories into Korean Hangeul. After consulting with 5 Oriental medicine experts and a psychology expert, we produced a questionnaire for use in diagnosing menopause based on syndrome differentiation. The calculation of scores for the syndrome differentiation screening tool will be confirmed through clinical research based on the results of a review of existing literature.

• 대한한의학원전학회지
• /
• 제20권3호
• /
• pp.49-56
• /
• 2007

The "Somun Jogyongron(素問 調經論)" describes excess and deficiency syndromes. The study suggests that excess syndrome(實證) is caused by vigorous pathogenic fire(火邪)(the spirit(神)), pathogenic dryness(燥邪)(Gi(氣)), pathogenic wind(風邪)(blood(血)), pathogenic dampness(濕邪)(physique(形)) or pathogenic coldness(寒邪)(will(志)). When pathogenic fire is dominant within the body, Gi and blood becomes excessive and come out of the body, but the body cannot take them back, leading to the symptom in which the patient cannot stop laughing. When pathogenic dryness prevails, the lung(肺) cannot function properly. This means that the convergence(收斂) function of the clearing the lung and descending Gi(肅降) is deteriorated, and the patient shows symptoms of dyspnea and cough. Strong pathogenic wind increases the ascencling Gi in the liver(肝氣) and fuel angry emotion when the patient becomes upset. When pathogenic dampness is dominant, spleen(脾) function drops due to lumping effects, and the patient will experience abdominal distention(腹脹), which will disturb urination and defecation. When pathogenic coldness prevails, abdominal distention occurs due to condensating effects, and Yang Gj(陽氣) in the kidney(腎) is disturbed, leading to digestion disorders and eventually water-grain dysentery. Deficiency syndrome is caused by the lack of essential Gi(精氣) in the five viscera(五藏). Deficiency of sprit means the lack of Gi in the heart(心氣), so the patient becomes vulnerable to sadness. Deficiency of Gi means the lack of Gi in the lung(肺氣), so the patient may have breathing disorders. Deficiency of blood means the lack of Gi in the Liver(肝氣), so the patient can be easily scared. Deficiency of physique means the lack of Gi in the spleen(脾氣), making it difficult to use arms and legs. Deficiency of will means the lack of Gi in the kidney(腎氣), so Gowl syndrome(厥證) can ensue.

• 한국전통의학지
• /
• 제15권1호
• /
• pp.1-48
• /
• 2006

Dang, jonghae had written five books on chinese medicine, ${\ulcorner}$Hyeoljeungron${\lrcorner}$ is his most important work. He wanted to correct the fallacies of the theory of Jang(臟) and Bu(腑) by comparing with chinese and western medicine. He distinguished Bi(脾) from Cheomyuk(甛肉) by comparing the spleen with the pancreas. He recognized Stomach as the warehouse of foods, and explained that Bi took charge of digestion actually. Bi charged the function of Transportation(運化) and Blood-govering(統血) in addition to plain digestion, he wrote. Dang, jonghae regarded the metabolism of the human body as the interaction of Gi(氣), Blood (血), Water(水) and Fire(火). And he explained that Bi adjusted them. He classified Syndrome of Blood(血證) into five sorts of syndrome and presented four kinds of treatment. Especially he took a serious view of the treatment connected with Bi and Stomach. He set up the theory of Bi and Stomach(脾胃論) practically on basis of anatomy, but he didn't assorted the physiology and pathology of each organ clearly. However he proved the importance of Bi and Stomach by treating Syndrome of Blood and provided with the foundation of merging chinese and western medicine.

• 대한한의학원전학회지
• /
• 제13권2호
• /
• pp.85-85
• /
• 2000

Following is the result through translating. studying, and analyzing 『San Zhi Shan(三指禪)』, the book worked by Zhou Xue Ting(周學霆). 1. The chapter of 『Mai Xue Yuan Liu(脈學源流)』 explains thc Xiang Shu Xue(象數學) viewpoint, the part that pulse is based on Lu guan(律管). 2. The chapter of 『Liu Bu Mai Jie(六部脈解)』 explains that emphasizing Shen(神) through understanding the shape of pulse(脈象) is more important than the locating the area of thc shape of pulse(脈象). 3. The chapter of 『Zuo Xin Tan Zhong Can Dan Shen Xiao Chang You Fei Xiang Zhong Pi Wei Ming Da Chang Bian($좌심단중간담신소장{\cdot}우폐흉중비위명대장판$)』exhibits the different view about the position of pulse from Li Shi Zhen(李時珍)'s. the chapter in which Zhou(周) arranges Heart{\cdot}Small\;Intestine{\cdot}Liver{\cdot}Gall\;Bladder{\cdot}Kidneys{\cdot}and$ Bladcler($心{\cdot}小腸{\cdot}肝{\cdot}膽{\cdot}腎{\cdot}膀胱$) in left hand and $Lungs{\cdot}Large{\cdot}Intestine{\cdot}Spleen{\cdot}Stomach{\cdot}Kidney{\cdot}and$ The gate of Vitality($肺{\cdot}大腸{\cdot}脾{\cdot}胃{\cdot}腎{\cdot}命門$) in right hand. From the above results, I'm sure that 『San Zhi Shan(三指禪)』which has headed down to descendants as the special book about the study of pulse has developed the theory of pulse. Therefore I expect that the more profound study about this will be going on.

• 대한한방내과학회지
• /
• 제13권1호
• /
• pp.167-180
• /
• 1992

This study has been carried out to investigate the cause and originative mechanism of vertigo by referring to 46 literatures. The results were as follows; 1. The 1st factors causing vertigo are exuberance of fire in the Liver (肝火偏亢). and ascending of Yang of Wind (風陽升動) resulting from thought excess (思慮太過) and melancholy (憂鬱). 2. The 2nd factors causing vertigo is a malnurtrient of the brain resulting from dispersion of the Liver function (肝血虛) and failure in ascending of the Clear Yang (淸陽不升) due to hemorrhage and so on. 3. The 3rd factors causing vertigo are failure in ascending to the Brain and deficiency of blood of the Liver (肝血虛) resulting from the injury of the essence of the Kidney (肝精虧損). 4. The 4th factors causing vertigo is a ascending of exogenous pathogenic factors (外邪) to the Brain on deficiency state. 5. The 1st factors causing vertigo are Stagnatum of clear Yang (淸陽不振) and pershing of Yang (亡陽) resulting from loss of water and damage of active thin body fluid (津氣虧損). 6. The obesity is beonged to excessiveness Symptom-Complex (實證) and the thin to deficiency Symptom-complex (虛證). 7. The vertigo is connective with the Live (肝), Spleen (脾) and the Kidney (腎), but among those, most intimative viscera is the Liver (肝).

• 대한한방내과학회지
• /
• 제13권1호
• /
• pp.135-142
• /
• 1992

Pi(Spleen, 脾) corresponds to central earth and is called as the basis of acquired essence as it has the function of transforting and transforming the nutrients, keeping the blood circulating, and nourishing the muscle and limbs. Recently many studies to research the nature and deficiency of Pi are actively carried out. Especially functional deficiency of Pi(脾虛證) which occupies 60 to 70% or 88% in miscell aneous disease is divided into deficiency of Qi(脾氣虛), Yang(脾陽許), and Yin(脾陰虛), and tought to be positive when three or more such symptoms as anorexia, abdominal distension, loose bowels, pale face and weakness are present. Investigating the resent studies on the nature of the deficiency of Pi shows that Pi has the function of digestive system and also should be considered as functional unit of mult system related immune, metabolic, hematic, muscular, rnddocrine and nervus system. Various experiments as ptyaline activity test and xylose absorption test are used as an indication to deficiency of Pi and would be helpful to understand its nature. As deficiency of Pi appears in many disease and has various manifestations, further studies to diagnose the symptom of Pi using various experiments and oriental medical diagnostic method should be ensued.