『변증기문(辨證奇聞)』의 의학적(醫學的) 특징(特徵)에 관(關)한 고찰(考察) -상한문(傷寒門)을 중심(中心)으로-

Study on 『BianZhengGiMun)』's medical characteristics - In view of ShangHan -

"변증기문(辯證奇聞)"은 청대(淸代)(1687년(年)) 진사탁(陳士鐸)이 저술(著述)한 의서(醫書)로서 126문(門)의 형식으로 이루어져 있다. 내용을 보면 한의학적 이법방약(理法方藥)의 논리체계를 제시하였다고 볼 수 있다. 명말청초(明末淸初)이후 중국에서는 실증적(實證的)인 학풍(學風)의 등장에 따라 역사이론(歷史理論)에 대한 비판 및 정리작업이 활발히 이루어지기 시작하였으며, 이 시기에 저작된 "변증기문(辯證奇聞)"은 현재 우리나라 임상가(臨床家)에서 널리 회자(膾炙)되고 있는 비방(秘方)과 관련된 의서(醫書)중의 하나로 이에 대한 내용을 정리함으로서 현대와의 연계를 도모해 볼 수 있었다. 주로 부장변증논치(腑臟辨證論治)에 대한 시각에 입각하였고, "상한론(傷寒論)"을 보완하면서 비판한면도 찾아볼 수 있었다. 약물은 체내(體內)의 진액손상여부(津液損傷與否)를 살펴 사용하였다.

In order to find the characteristic medical methods of "BianZhengGiMun" by the author ChenShihTo, we have translated and analyzed the mentioned book. Upon analyses, the following facts were noted : 1) "BianZhengGiMun" is written and composed of case studies. Prescriptive methods described here differ rather from previously known methods, where as our nation's Oriental medicine practitioners refer and consider these methods as miraculous modern methodologies. 2) Book's content has much similarities to "ShangHanLun"'s original text. Moreover, the content is adjusted towards presenting methodologies not coverd in "ShangHanLun"'s text, together with adding more information to conserve "ShangHanLun"'s methods as well as to critique them. 3) Diagnostic methods mainly follow the ZangFuBianZheng(臟腑辨證)'s pattern, where it's recorded information and theories are valid. 4) "BianZhengGiMun"'s proscriptive methods usually follow BuYinShengJin(補陰生津)'s form, where they were appropriate for that period and circumstances. 5) In consideration of all of the above factors, ChenShihTo grasped ShangHan and WenBing(acute febrile disease due to exogenous factor) as WaiGanReBing(外感熱病)'s double sided characteristics, where this corresponds with the current belief. It is believed that this in turn would provide much practical value to the present time.