"동천오지(洞天奧旨)"에 관한 소고(小考)

A Study on "Dongchunohji(洞天奧旨)"

  • 김기욱 (동국대학교 한의과대학 원전.의사학교실) ;
  • 박현국 (동국대학교 한의과대학 한의학연구소)
  • Kim, Ki-Wook (Dept. of Oriental Medical Classics, College of Oriental Medicine, Dongguk University) ;
  • Park, Hyun-Guk (Institute of Oriental Medicine, Dongguk University)
  • 발행 : 2009.05.25

초록

This book was completed in the 33rd year of Gang-hui-gapsul(康熙 甲戌) in the Cheong(淸) dynasty(1694), and was first inscribed in the 55th year of Geonryung(乾隆). In this first edition named 'Daechudangbon(大雅堂本)', his descendant Jinbonghui(陳鳳輝) wrote the postscript. There are also other editions such as 'Ga-gyeong-ganchwihyeondangbon(嘉慶間聚賢堂本)', 'Wimundanggeonsangbon(緯文堂巾箱本)' and 'Guangseo-ganseonseongdangbon(光緒間善成堂本)' Second, this book was called "Oe-gwabirok(外科秘錄)" and used the pen name 'Gibaekchunsasojeon(岐伯天師所傳)'. There are 16 volumes in total. The beginning of volume one, is a drawing of the 14 meridians. Volumes 1$\sim$4 are on the symptoms and treatment of abscesses and sores and ulcers[癰疽瘡瘍]. Volumes 5$\sim$13 are on surgery, dermatology and 156 diseases such as wounds by contusion, sharp objects and insects and beasts[跌撲, 金刃, 蟲獸傷]. Volumes 14$\sim$16 list the internal treatments, external medicine, acupuncture and moxibustion and surgery of sores and ulcers. Third, the book stressed early detection and treatment of diseases, emphasized inner resolving[內消] being cautious about using medicine, and further deepened the syndrome differentiation and treatment[辨證施治] of sores and ulcers[瘡瘍] by dividing fire toxin(火毒) into Eumhwa and Yanghwa(陰火/陽火). Also, it established the cause of sores and ulcers development as the deficiency of Gi(氣) and blood[血] and focused especially on the liver and kidney's involvement in the process. It also asserted that the pathogen[邪] is the tip[標], so one should eliminate and reinforce[攻補] to balance it out. The sore and ulcer surgery[瘡瘍外科] part is mostly based on detoxifying[解毒] and resolving[消散]. Although the meridians were mentioned, they were not emphasized, while moxibustion treatment of sores and ulcers[瘡瘍] were thoroughly analyzed. Also, of all 550 formulas in this book, 90% are experience-based which frequently use Geum-eunhwa(金銀花), Pogong-yeong(蒲公英) and Jahwajijeong(紫花地丁). The usages are unique, and the formulas have good adaptability. The symptoms of the diseases are explained first, followed by according main and sub treatments.

키워드

참고문헌

  1. 裘沛然 主編. 中國醫籍大辭典(下冊). 上海. 上海科學技術出版社. 2002. p.1002.
  2. 陳士鐸 著. 柳長華, 徐春波, 喬海法, 王燕 編. 洞天奧旨 陳士鐸醫學全書. 北京. 中國中醫藥出版社. 2001. p.1015, 1016, 1017, 1023, 1024, 1026, 1027, 1036, 1038, 1042, 1044, 1045, 1057, 1059, 1060, 1067, 1082, 1134, 1144. pp.1013-1014, 1026-1027, 1036-1037, 1040-1041, 1138-1144, 1144-1145.
  3. 劉祖貽, 孫光榮 主編. 中國歷代名醫名述. 北京. 中醫古籍出版社. 2001. pp.938-943.
  4. 陳士鐸 著. 張燦玾, 劉長華, 皋永利, 徐春波 点校. 石室秘錄. 北京. 中國中醫藥出版社. 1991. p.13, 14, 21, 100.
  5. 薛淸錄 主編. 全國中醫圖書聯合目錄. 北京. 中醫古籍出版社. 1991. p.541.
  6. 丁福保, 周雲靑 編. 四部總錄醫藥編. 北京. 文物出版社. 1984. p.397.