• 제목/요약/키워드: Warm-disease

검색결과 167건 처리시간 0.032초

이동원(李東垣)의 음화론(陰火論)에 대(對)한 연구(硏究) (A Study on Eum-Fire[陰火] Theory of Idongwon(李東垣))

  • 방정균
    • 대한한의학원전학회지
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    • 제21권1호
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    • pp.175-181
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    • 2008
  • As the representative medical scholar at the time of Geumwon(金元) Dynasty, Idongwon(李東垣) deepened and developed the meaning of the diseases on internal injuries. He also proposed the primordial Gi[原氣] and Eum-Fire[陰火] theory in the physiology and pathology. Idongwon(李東垣) defined the pathological metabolism of internal injuries as the hyperactivity against Eum-Fire[陰火] due to the lack of primordial Gi[原氣不足], and he suggested the deficiency of Gi[氣虛] in the Spleen and Stomach and the surge of seven modes of emotion as the causes of the Eum-Fire[陰火] hyperactivity. Additionally, he established the therapy principles of eliminating Heat with Sweet and Warm drug[溫熱藥] and raising yang and spreading fire[升陽散火] based upon the above mentioned pathological metabolism. The Eum-Fire[陰火] that was suggested by Idongwon(李東垣) indicates the Heat syndrome[熱證] developed by internal causes[內因], and the principle reason is the consumption of the Spleen and Stomach Therefore, it is important to recuperate the function of Spleen and Stomach in treating the disease symptoms caused by Eum-Fire[陰火], and the therapies of eliminating Heat with Sweet and Warm drug [溫熱藥] and raising yang and spreading fire[升陽散火] are the corresponding ones. However, since vital Essence could be lacked due to the consumption of Spleen and Stomach, the therapy of replenishing Eum has to be considered. Additionally, the damp removal therapeutic method also has to be considered since Damp could be stagnated by the loss of function in Spleen and Stomach. In other way, Eum-Fire[陰火] developed by the consumption of Spleen and Stomach is somewhat similar aspect to the premier Fire[相火] that is developed by the lack of Eum[陰虛]. But complications could be developed if therapies of enriching the Eum[滋陰] to suppress Fire and replenishing Eum[補陰] are mainly used to control the symptoms developed by the lack of Eum[陰虛]. Namely, the drugs used to replenish Eum[補陰] mostly have the heavy and turbid properties, which contrarily have the possibility to debilitate the functions of Spleen and Stomach by causing Dampness within a body. So, care must be made in their use.

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정신재활시설을 이용하는 정신장애인 가족의 돌봄 경험 - 포토보이스방법론을 적용하여 (Caring of Family of Persons with Mental Disabilities who uses the Psychiartric Rehabilitation Facility - Using the Photovoice Methodology)

  • 류세나;조현미
    • 한국콘텐츠학회논문지
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    • 제22권3호
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    • pp.547-559
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    • 2022
  • 본 연구는 정신재활시설을 이용하고 있는 정신장애인 가족의 돌봄 경험은 어떠한지 탐색하기 위한 질적 연구이다. 분석결과, 정신장애인 가족의 삶은 6개의 주제에서 12개의 하위주제로 나타났다. 발병하기 이전의 삶의 모습은 전기난로처럼 따뜻하고 편안한 일상생활, 가족간 갈등으로 새장의 앵무새처럼 답답하고 힘든생활로 나타났다. 증상이 나타나기 시작한 당사자를 바라보는 느낌은 앞이 잘 보이지 않는 두려움과 막막함, 삶을 꽃 피우기 전 질병에 갇힌 자녀에 대한 죄책감이었고, 강제 입원, 그리고 나의 느낌은 찢어지는 마음에 어찌할 바를 모름, 불투명한 회복과 미래의 삶에 대한 걱정으로 생각이 혼란해짐으로 나타났다. 질병이 장기간 지속되고 입·퇴원이 반복되면서 느낀 경험은 주변에 가족의 정신병이 알려질까 두려움, 반복되는 재발과 증상 악화에 대처하기 위해 안간힘을 씀으로 도출되었다. 정신재활시설을 이용하면서 변화된 삶은 편안한 쉼터에서 마음의 위로를 받음, 미래에 대한 희망이 보이고 웃을 수 있는 여유가 생김으로 나타났고, 앞으로 기대하는 삶, 그리고 희망은 작은 변화를 보며 감사함을 느낌, 회복을 위한 따뜻한 울타리가 되길 다짐함으로 도출되었다.

한국표준질병사인분류중 한방내과영역의 분류체계 개선 및 진단명 구성에 관한 연구 (The Research about the Classification System Improvement and Cord Development of Korean Classification of Disease on Oriental Internal Medicine)

  • 이원철
    • 대한한방내과학회지
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    • 제31권1호
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    • pp.1-10
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    • 2010
  • Objectives : It is necessary that the international classification of diseases (ICD) be examined in order to comprise the third revision of the Korean Classification of Disease on Oriental Medicine (KCD-OM) and disease classification in the oriental internal medicine field. It is essential that the selection, classification and definition of disease and pattern names of oriental concepts in internal medicine be clear. Since 2008, the fifth revision of the Korean Classification of Disease (KCD-5) has been used in Korea. It was required to use the reference classification from the Oriental medicine area based on the ICD-10. Methods : In this review, the necessity for, meaning of and content of the third revision are briefly described. The ICD system was reviewed and KCD-OM was reconstructed. How diagnosis in the oriental internal medicine area had changed is discussed. Review and Results : In 1973, the disease classification of oriental medicine was established the basis on the contents of Dongeuibogam. It was irrespective of the ICD. As to the classification system in the Oriental internal medicine field, systemic disease was comprised of wind, cold, warm, wet, dryness, heat, spirit, ki, blood, phlegm and retained fluid, consumptive disease, etc. Diseases of internal medicine comprised a system according to the five viscera and the six internal organs and followed the classification system of Dongeuibogam. The first and second revisions were of the classification system based on the curriculum in 1979 and 1995. In 1979, in the first revision, geriatric disease and idiopathic types of disease were deleted, and skin disease was included among surgery diseases. This classification was expanded to 792 small classification items and 1,535 detailed classification items to the dozen disease classes. In 1995, in the second revision, it was adjusted to 644 small classes and 1,784 detailed classification items in the dozen disease classes. KCD-OM3 did KCD from this basis. It added and comprised the oriental medical doctor's concept names of diseases considering the special conditions in Korea. KCD-OM3 examined the KCD-OMsecond revised edition (1994). It improved the duplex classification, improper classifications, etc. It is difficult for us to separate the disease names and pattern names in oriental medicine. We added to the U code and made one classification system. By considering the special conditions in Korea, 169 codes (83 disease name codes, 86 pattern name codes) became the pre-existence classification and links among 306 U codes of KCD-OM3. 137 codes were newly added in the third revision. U code added 3 domains. These are composed of the disease name (U20-U33, 97 codes), the disease pattern name (U50-U79, 191 codes) and the constitution pattern name of each disease (U95-U98, 18 codes). Conclusion : The introduction of KCD-OM3 conforms to the diagnostic system by which oriental medical doctors examine classes used with the basic structure of the reference classification of WHO and raises the clinical study and academic activity of the Korean oriental medicine and makes the production of all kinds of nation statistical indices possible. The introduction of KCD-OM3 promotes the diagnostic system by which doctors of Oriental medicine examine classes using the association with KCD-5. It will raise the smoothness and efficiency of oriental medical treatment payments in the health insurance, automobile insurance, industrial accident compensation insurance, etc. In addition, internationally, the eleventh revision work of the ICD has been initiated. It needs to consider incorporating into the International Classification of Diseases some of every country's traditional medicine.

제주도 노거수 자연유산의 100년 전과 현재 분석 (An Analysis of a 100-Years-Old Map of the Heritage Trees in Jeju Island)

  • 송국만;김양지;서연옥;최형순;최병기
    • 한국전통조경학회지
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    • 제37권2호
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    • pp.20-29
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    • 2019
  • 본 연구는 100년 전 제작된 1918년 제주도 정밀 고지도를 바탕으로 당시 제주도의 노거수에 대한 기록정보를 확인하고 복원하여 기초정보를 구축하는데 목적이 있다. 고지도 분석을 위해 ArcGIS를 활용하여 대표지점 선정을 통한 좌표계 및 배율 일치작업을 수행하였다. 고지도에서 표기한 독립수 좌표정보를 점 추출법을 활용하여 디지타이징하였으며, 지도에서의 범례 형태 및 상대적 크기를 바탕으로 속성정보를 추출하였다. 100년 전의 고지도를 바탕으로 제주에 분포했던 노거수 현황을 파악하였으며, 당시 노거수의 특성을 분석하였다. 또한 현재 보호되고 있는 노거수 정보를 바탕으로 과거와 현재 노거수의 특성 및 제주 경관과 식생에서의 노거수 기여 가능성을 분석하였다. 연구결과 100년 전 제주도에는 1,013개체의 노거수가 섬 전역에 분포하고 있었다. 목재이용에 집약적이었던 당시 시대적 상황에도 불구하고 마을과 인접한 저지대에서도 노거수는 보호의 대상이 되었으며, 제주 고유 경관의 대표적인 구성요소로 존재해 왔다. 현재 잔존하고 있는 노거수는 총 159그루로 파악되었다. 과거와 마찬가지로 저지대 인가 주변에서 분포가 확인되고 있으며, 개체수의 감소는 섬 전역에서 확인된다. 개체 감소의 주요 요인으로는 제한수명 도달, 자연적 교란(태풍, 병해충, 건조 등)과 함께 인위적 교란(대규모 개발 사업, 목재이용 등)이 주도적으로 영향을 미친 것으로 판단된다. 그러나 405개체에 이르는 많은 수의 개체는 제주 식생의 복원과정에서 중요 종급원으로 기여하여 현재의 숲을 형성하는데 주도적인 역할을 감당한 것으로 판단된다.

소나무재선충병 피해를 받은 곰솔 원목의 열처리 소요시간 예측 (Prediction of Heat-treatment Time of Black Pine Log Damaged by Pine Wilt Disease)

  • 한연중;서연옥;정성철;엄창득
    • Journal of the Korean Wood Science and Technology
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    • 제44권3호
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    • pp.370-380
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    • 2016
  • 제주도 지역에서 소나무재선충병 피해를 받은 곰솔 원목의 이용확대를 위하여 열처리를 수행하였다. 열처리는 처리 원목의 중심부가 소나무재선충의 사멸온도인 $56^{\circ}C$를 30분간 유지하여야 한다. 곰솔 원목의 초기함수율과 말구지름은 각각 46% ~ 141%, 180 mm ~ 500 mm의 범위이고, 기본비중과 전건비중은 각각 0.47, 0.52이었다. $105^{\circ}C$ 조건에서 함수율과 말구지름에 따라 열처리에 소요되는 시간은 7.7 h ~ 44.2 h의 범위로 측정되었다. 다양한 함수율 및 지름을 갖는 곰솔 원목의 열처리 소요시간을 예측하기 위하여 열처리 진행 중 처리목 내부의 온도분포를 유한차분법을 적용한 2차원 열전달 해석을 통하여 제시하였다. 열전달 해석을 위한 목재의 열적 특성은 함수율에 따른 열전도계수와 비열을 적용하였으며, 자연대류와 강제대류를 합한 형태의 혼합대류에 의한 혼합대류계수를 적용하였다. 실험값과 예측 값의 오차는 3 ~ 45%의 범위로 분석되었다. 곰솔 원목에서 초기함수율이 50%이고, 말구지름이 200 mm, 300 mm, 400 mm인 경우, 예측된 열처리 소요시간은 각각 10.9 h, 18.3 h, 27.0 h이었다. 초기함수율이 75%일 때, 지름에 따라 각각 13.6 h, 22.5 h, 32.8 h이고, 초기함수율이 100%일 때, 지름에 따라 각각 16.2 h, 26.5 h, 38.2 h이었다. 이러한 열처리 소요시간의 예측방법에 소나무와 잣나무 등 다른 소나무재선충병 피해목의 물리적 특성을 적용하면, 함수율과 말구지름에 따른 열처리 소요시간을 제시할 수 있을 것으로 판단된다.

소음인(少陰人) 보중익기탕(補中益氣湯)과 보중익기탕(補中益氣湯)에 대한 사상의학적(四象醫學的) 비교(比較) 연구(硏究) (A Comparative Study on Soumin Bojungyikgitang and Bojungyikgitang in the View of Constitution Medicine)

  • 김일환;김경요
    • 사상체질의학회지
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    • 제8권2호
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    • pp.69-94
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    • 1996
  • The main purpose of this work is comparing the difference between Soumin Bojungyikgitang of constitutional medicine and Li Dongyuan's Bojungyikgitang Bojungyikgitang, the prescription originated from the Pi-Wei theory(脾胃論) of Li Dongyuan who was a medical man in the Jin Yuan dynasty, had been used widely for many kinds of disease caused by the singking of the qi of middle energizer due to the weakness of the spleen and stomach. But in the singking of the qi of middle energizer due to the weakness of the spleen and stomach. But in the end of Choseon dynasty Li Je Ma, the creator of the constitutional medicine, modified the Bojungyikgitang and applied to Soumin's disease. In this paper, the difference between the two prescription were investigated from the viewpoint of chinese herb pharmacology and purpose of prescription. Additionally the problems which could be brought out by applying Bojungyikgitang to the Soyangin and the Taeumin were studied. And the conclusion could be summarized as follows: 1. The prescription of the Li Dongyuan's Bojungyikgitang is based on the deficiency of vital energy due to internal damage and the Soumin Bojungyikgitang is useful to only a certain stage of progressing disease on the basis of Shanghanlun(傷寒論). 2. In the Li Dongyuan's Bojungyikgitang, Cimicifugae Rhizoma and Bupleuri Radix were used for emphasizing the ascending action and have the antipyretic action and the effect of elavating of yangqi as they are bitter in taste and cold in nature. 3. In the Soumin Bojungyikgitang, Pogostemonis Herba and Perillae Folium have the ascending-descending action and strengthen the stomach with the effect of mild sweating by pungent taste and warm nature. 4. The effect of elavating of yangqi in the Li Dongyuan's Bojungyikgitang offers the pathway where vital qi go up by eleminating the pathogenic fire with the action of Cimicifugae Rhizoma and Bupleuri Radix in the triple energizer and yangming muscular striae. On the other hand, the Soumin Bojungyikgitang depends on the effect of reinforcing qi and elavating yangqi by Astrgalli Radix entirely and supply vital qi by reinforcing yangqi with Ginseng Rsdix. 5. The exahausion of yin(亡陰證) in the Soyangin exterior syndrome and cold limbs(寒厥證) in Taeumin exterior syndrome are similar to the indication of Li Dongyuan's Bojungyikgitang. As the causes of the disease are fundamentally different in the view of constitutional medicine, the diseases could be aggravated by applying Li's Bojungyikgitang. These results suggest that Li Dongyuan's Bojungyikgitang is proper to the exterior syndrome of Soumin and Soumin Bojungyikgitang seems to be appropriate to the Soumin's disease.

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Outbreaks of Yuzu Dieback in Goheung Area: Possible Causes Deduced from Weather Extremes

  • Kim, Kwang-Hyung;Kim, Gyoung Hee;Son, Kyeong In;Koh, Young Jin
    • The Plant Pathology Journal
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    • 제31권3호
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    • pp.290-298
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    • 2015
  • Starting in 2012, severe diebacks usually accompanied by abundant gum exudation have occurred on yuzu trees in Goheung-gun, Jeonnam Province, where severely affected trees were occasionally killed. On-farm surveys were conducted at 30 randomly-selected orchards located at Pungyang-myeon, Goheung-gun, and the resulting disease incidences were 18.5% and 39.6% for dieback and gumming symptoms, respectively. Black spots on branches and leaves also appeared on infected trees showing a typical dieback symptom. Morphological and molecular identifications of the isolated fungal organisms from lesions on the symptomatic leaves and branches revealed that they are identical to Phomopsis citri, known to cause gummosis. In order to find the reason for this sudden epidemic, we investigated the weather conditions that are exclusively distinct from previous years, hypothesizing that certain weather extremes might have caused the severe induction of pre-existing disease for yuzu. There were two extreme temperature drops beyond the yuzu's cold hardiness limit right after an abnormally-warm-temperature-rise during the winter of 2011-12, which could cause severe frost damage resulting in mechanical injuries and physiological weakness to the affected trees. Furthermore, there was an increased frequency of strong wind events, seven times in 2012 compared to only a few times in the previous years, that could also lead to extensive injuries on branches. In conclusion, we estimated that the possible damages by severe frost and frequent strong wind events during 2012 could cause the yuzu trees to be vulnerable to subsequent fungal infection by providing physical entries and increasing plant susceptibility to infections.

사상의학(四象醫學)과 증치의학(證治醫學)의 비교(比較) 연구(硏究) (Study on the Contrasting Aspects Between Sasang Constitutional Medicine and Traditional Oriental Medicine)

  • 이항재;최승훈
    • 사상체질의학회지
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    • 제9권2호
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    • pp.95-145
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    • 1997
  • This study was performed to reveal some contrasting aspects between Sasang Constitutional Medicine(四象醫學) and Traditional Oriental Medicine(傳統 韓醫學). This aims ultimately for the unified standardization of Korea-Oriental Medicine. Suggesting the clear contrasting aspects of thse two medical system, this study might give several basic informations for ultimate achievement. As a result, some contrasting aspects were revealed as follows. 1. The interpretation of the man's status is contrasted. In Sasang Constitutional Medicine, man is interpreted as the member of the Society(天下) while in Traditional Oriental Medicine as the part of the Nature(天地). 2. The man's modeling is contrasted. In Sasang Constitutional Medicine, man is in the process of becoming as differentiating itself by the inner emotional producing. While in Traditional Oriental Medicine, man is generalized as one model according to the Nature, one great universe(天地). 3. The pathogenesis is contrasted. In Sasang Constitutional Medicine, emotional inclination is the main factor provoking the primary pathogenesis. While in Traditional Oriental Medicine the external isolated pathogenic factors such as Cold, Heat, Warm etc. are significant for the pathogenesis. 4. The evaluation of the disease is contrasted. In Sasang Constitutional Medicine all the diseases are evaluated according to the inherent condition of patient himself. But in Traditional Oriental Medicine the evaluation of disease isolated from the inheret condition of patient himself is generalized in its own system. 5. The prime method of healing, controlling, and maintaining health of the patient is contrasted. For these, the patient's spontaneous effort for adjusting his emotional inclination is important in Sasang Constitutional Medicine. While in Traditional Oriental Medicine, the external adjustment dependent on the herbal medication is the main method for healing, controlling, and maintaining health of the patient.

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동의보감(東醫寶鑑)을 통한 식적(食積)에 대한 고찰 (A study on Sik-jeok in Dong-ui-bo-gam)

  • 노주희;이재흥;장명준;배재룡
    • 대한의료기공학회지
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    • 제11권1호
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    • pp.173-197
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    • 2009
  • 1. The concept about Jeok-chwiui(積聚) has been around since before "Hwangje-Naegyeong". Since "Hwangje-Naegyeong(黃帝內經)", Sik-jeok(食積) was made mention of specifically. In "Yu-gyeong(類經)", it is said that Sik-jeok is a combination of our body fluid and blood by bad eating and sleeping habits. 2. In the narrow sense Sik-jeok is indigestion and broadly it is inappropriately stagnant fluids in our body. 3. If studying on Sik-jeok in Dong-ui-bo-gam 1) It is located on the right side, in the epigastric region and between the skin and fascia. 2) The cause of Sik-jeok is indigestion, inappropriate temperature and weak stomach. 3) Symptoms of Sik-jeok are very diverse such as sick ascension, nausea, abdominal pain, headache, fever, etc. The right pulse is big and stressful. 4) Various symptoms related to digestive, respiratory, circulatory and reproductive system are represented by Sik-jeok. - Contemporarily women uterine or ovarian disease and back pain are mostly caused by Sik-jeok 5) Pediatric disease are mostly caused by Sik-jeok. 6) Treatment of Sik-jeok is light eating and if it is serious, you have to induce vomiting or diarrhea. Commonly used drugs are digestive medicine and invigorative medicine 7) To prevent Sik-jeok, you should forbid to eat until you are satisfied and wear warm clothes and continue to do spleen and genital do-in-beop.

이동원(李東垣)의 풍약(風藥) 활용법(活用法)에 대한 고찰 (A Research on Li Dong-yuan's Application Rule of Wind Herbs(風藥))

  • 신상원
    • 대한한의학원전학회지
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    • 제31권4호
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    • pp.1-16
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    • 2018
  • Objectives : The paper studies the epistemology of Wind Herbs, its origin, its drug category and medicinal property, attempted to understand Lidongyuan's framework of mechanism of internal damage and treatment principle, and why he used it from his viewpoint. Methods : His suggestion was based on this treatment of internal damage suing wind herbs. Therefore, it cannot be viewed as a simple herbological concept. It rather displays the characteristics of medication based on clinical pathology. Therefore, wind herb should be comprehensively understood from the understanding of the mechanism of internal damage. That is why the paper studied around Piweilun, where Lidongyuan's concept on internal damage is established with finality. Additionally, the paper also referred to Wanghaogu's Tangyenbencao, a text that comprehensibly assembles the authors of Zhangyuans, Yixuqiyan's and Yishuixuepi's knowledge o herbology. Results : The origin of wind herb is 'herbs that uses the unique nature of wind in treatment of disease.' Medication unfolds yang qi, and this signifies the Shengyang function. This means that it starts from the lower energizer yin aspect, which is the beginning point of yang qi, and unfolds to the whole body through upbearing and effusion. Instead of producing yang qi directly similar to pungent, sweet and warm formula, however, it contributes to the achievement of the final purpose of the way of Shengyang through forming a ascending mechanism in the whole body via yin aspect's yang qi upbearing and effusion. Conclusions : Wind herb is within the scope of clinical herbology selected by Lidongyuan, for the purpose of achieving comprehensive clinical purposes, in order to treat internal damage. In this way, wind herb is distinguished from the application of other medicines that are limited in usage depending on Qiwei.