The Literatual Study on Pathologic Change Cognition to the Liver Disease

간장의 병리변화 인식에 대한 문헌적 고찰

  • Lee Young Su (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Kwack Jeong Jin (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Lee Gang Nyoung (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Choi Chang Won (Department of Internal Medicine, College of Oriental Medicine, Dongshin University) ;
  • Kim Hee Chul (Department of Internal Medicine, College of Oriental Medicine, Dongshin University)
  • 이영수 (동신대학교부속한방병원 간계내과학교실) ;
  • 곽정진 (동신대학교부속한방병원 간계내과학교실) ;
  • 이강녕 (동신대학교부속한방병원 간계내과학교실) ;
  • 최창원 (동신대학교부속한방병원 간계내과학교실) ;
  • 김희철 (동신대학교부속한방병원 간계내과학교실)
  • Published : 2002.08.01

Abstract

After The Yellow Emperor's Canon of Internal Medicine, The text researches of pathologic change to the liver disease concluded the next, 1, The category of liver-disease(肝病) include the Symptoms of abnormality due to vital energy and blood motion, emotion and intention, muscular and reproductive function, and legions around descending liver channel. 2. In the theory that Liver-Yang energy(肝陽氣) is always overproducing, Liver-Yin blood(肝陰血) is always lacking, pathologic characteristics for liver disease is functional change of malfunction of the use of body(體用失調), So nourishing the liver and kidney is used for the principal aspects of a disease. regulating and calm the liver is used for the secondary aspects of a disease as the treatment plan, 3. If malfunctioning of the functions of dispersion and discharge(疏泄), Iiver-energy(肝氣) is becoming degected, So overproduct and overflow of ascent and exhalation of liver-yang(肝陽) is becoming blood are ascending following energy. complete usage of Yin-blood(陰血) is responsible for some kinds of mass formed by blood stasis in the early stage of pathogenesis of liver disease syndrome of the energy system as the progession of disease extravasated blood is forming. the pathologic characteristics is appeared loss of control of the vital energy and blood(體用失調) at the liver disease. 4. Sthenia-syndrome of liver(肝實證) and liver-heat syndrome(肝熱證) is appered that overproducing and overflow of dispersion(疏泄太過) and discharge is responsible for overfunctioning of liver disease or some kinds of heat syndrome such as liver fire(肝火), Sthenia of liver-yang(肝陽上亢), the syndromes of sthenic liver heat(肝實熱) are appered. deficiency of the liver(肝虛證) and cold syndrome of liver(肝寒證) is classified pathologic characteristics of cold and heat, deficiency and excess that regression of sensory, motor, mental due to lack of dispersion and discharge(疏泄不及), or intruding of the cold miasma, are degected. 5. The liver is close relation of physiologic function and internal organ such as spleen, stomach, lung, heart, kidney, gall bladder by the meridian channels, because of property of wind Zang, rapid progession is classified by phthologic charateristics.

Keywords

References

  1. 臨證指南醫案 葉天士
  2. 實用中醫肝病學 洪嘉禾
  3. 丹溪醫集 朱震亨
  4. 西溪書屋夜話錄(中國歷代名醫醫話大觀上冊) 王旭高
  5. 雜病源流犀燭 沈金鰲
  6. 臟腑辨證論治 金完熙(外)
  7. 東醫生理學 大韓東醫生理學會
  8. 東醫病理學 文濬典(外)
  9. 臨床東西醫學 東西醫學融合硏究會
  10. 實用中西醫結合診斷治療學 陳貴廷(外)
  11. 難經譯釋 秦越人
  12. 河間醫集 劉守眞(撰)
  13. 國譯景岳全書 張介賓
  14. 先醒齋醫學廣筆記 繆希雍
  15. 類證治裁 임패금
  16. 금궤요략 張仲景
  17. 脈經(中國醫學大成三冊) 王叔和
  18. 諸病源候論 巢元方
  19. 備急千金要方 孫思邈
  20. 小兒藥證直決 錢乙
  21. 聖濟總錄 宋越佶(編)
  22. 三因極一病證方論 陳無擇
  23. 六科證治準繩 王肯堂
  24. 傷寒論譯詮 蔡仁植
  25. 醫宗必讀 李中梓
  26. 玉機微義(中國醫學大系卷三十) 劉純