The Study on the History of Pugation therapy From -'Treatise on Febrile Diseases' to 'Longevity and Life Presservation In Oriental Medicine'-

하법(下法)의 발전 과정에 대한 연구(硏究) -상한론(傷寒論)에서 사상의학(四象醫學) 까지-

  • 최의권 (원광대학교 광주한방병원 사상의학교실) ;
  • 김경요 (원광대학교 광주한방병원 사상의학교실)
  • Published : 1998.08.30

Abstract

Purgation therapy has played an important role as a influential remedy from the begining of the Chinese medicine. Especially purgation therapy is raised as the effective remedy on the acute infectious disease in the book of 'Treatise on Febrile Disease'. But It was inclined to cold-nature and available only in the excess syndrome. Nevertheless it is evident that the book has showed an example of this therapy. During the middle age, purgation therapy is classified into several subtype; hydrogogue therapy, laxation with lubricants, purgation with cold-natured drugs and purgation with warm-natured drugs. Comparing with the ancient times, it must be a progression. It was investigated earnestly by a school leaded by Zhang Congzheng. They were not restricted to several diseases, but applied it to the wide range of diseases. They thought as following. 'One is ill from pathogenic factor so that you should eliminate it from the human body'. Hence, they frequently used three major remedies such as diaphoresis, emesis and purgation. In this process, purgation therapy had showed eye-opening progress. But opposition to it was not little. Li Gao was a representative man on the opposite side. He expressed a critical opinion and placed great importance on the genuine energy, the natural healing force. Under his influence, a large number of doctors evaded purgation and put it under taboo. On account of these trend, purgation therapy had took a backward step and retrograded. Therefore cathartics such as Rhei Radix et Rhizoma, Rharbitidis Semen, cold drugs such as Gypsum Fibrosum, etc. had been excluded for preservation of the genuine energy, and came about an obnoxious custom to value only 'tonity deficiency', or 'warm and tonify'. As it had came into fashion to approach most disease from the point of view, purgation therapy was merely fall into a remedy of constipation. After the eighteenth century purgation therapy encountered the new period of rivival. It was introduced by them who strived for the study of Epidemics to the new current of thought, so called '增水行舟'. It was because 온병 was apt to dissipate one's Yin fluid. Therefore purgation therapy of this period was characterized by establishing nourishment Yin and body fluid with or without use of timely purgation of accumulation of heat. From the time of Zhang Congzheng, it was accomplished by Lee Je-ma to the most epoch-making change. He caused an improvement in the use of purgation therapy by regarding innate constitutional contradiction as importance than representing clinical symptoms. He warned that existing remedies that depend only upon symptoms and signs, not upon individual characteristics including constitutional features didn't bring round to but kill them. And he understood all the pathologic processes in his constitutional theory, investigated specific drugs on four constitution, made indications of each prescriptions clear. For giving to differentiation of constition before differentiation of syndrom, his new slant on the pathologic phenomena overcome the limitations of 변증시치, and revaluate purgation therapy from remedy impaire the genuine energy to that restore it by recover the balance between the internal organ. It is the product of him to fundamentally upset the cause to be in disregard of purgation therapy.

Keywords

References

  1. 方劑學分冊, 中醫學問答題庫 王綿之(主編)
  2. 中醫名家學說 任應秋(主編)
  3. 中醫名家學說 北京中醫學院
  4. 東醫四象要訣 朴寅商
  5. 조선민족사상의학 중국 연변 조선민족의약연구소(편)
  6. 方劑學 陳偉;路一平(主編)
  7. 金元四大家學術思想之硏究 李聰甫;劉炳凡(編著)
  8. 圖解常用漢方方劑 許鴻源;許照信(編著)
  9. 바른 方劑學 康舜洙
  10. 中醫方劑問答 圓光大學校 第18期 卒準委(譯釋)
  11. 國譯 徐靈胎醫書 徐大椿(著);원광대학교 한의과대학 제17기 卒業準備委員會(共譯)
  12. 註解傷寒論十卷 張仲景(著);成無己(註);金容沃(解)
  13. 大韓韓醫學會誌 v.6 通便(大便)에 대한 임상적 고찰 林準圭(外)
  14. 醫學正傳 虞搏
  15. 萬病回春 공延賢
  16. 醫方集解 汪昻
  17. 景岳全書 張介賓
  18. 名老中醫醫話 劉强;王維澎(編輯)
  19. 北方醫話 夏洪生(主編)
  20. 燕山醫話 陳丹彡元(主編)
  21. 長江醫話 詹文壽(主編)
  22. 東醫壽世保元 李濟馬
  23. 凉膈$\cdot$加味凉膈散의 抗菌작용에 관한 실험적 연구 崔用德
  24. 小陷胸湯 煎湯液이 실험동물의 鎭痛, 消炎에 미치는 영향 殷鍾源
  25. 梔子大黃湯과 茵蔯梔子湯 extract가 白鼠의 간손상에 미치는 영향 車宗泰
  26. 下瘀血湯이 endotoxin으로 유발된 白鼠의 혈전증에 미치는 영향 鄭鉉雨
  27. 逐水湯 煎湯液이 家兎 신장기능에 미치는 영향 林昌秀
  28. 大承氣湯과 溫脾湯이 海冥腸片 運動에 미치는 영향 安孝昌
  29. 巴豆加大黃의 抗腫瘍效果와 자연살해세포의 활성에 미치는 영향 朴鍾郁
  30. 大黃牧丹皮湯이 실험동물의 진통, 소염, 진정 및 정상 체온에 미치는 영향 金聖培