Journal of Korean Medical classics (대한한의학원전학회지)

The Society of Korean Medical Classics (대한한의학원전학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on The Changes of Concept of Syndrome Differentiation in The History of Traditional Medicine - Focusing on meaning and process -

변증(辨證) 개념의 변천(變遷)에 대한 소고(小考) - 의미(意味)와 방법(方法)을 중심으로 -

  • Baik, You-Sang (Dpt. of Oriental Medical Classics, College of Oriental Medicine, Kyunghee University)
  • 백유상 (경희대학교 한의학과대학 원전학교실)
  • Received : 2014.11.02
  • Accepted : 2014.11.17
  • Published : 2014.11.25
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : In this study, the changes of concept of Bianzheng(辨證)[syndrome differentiation] in the traditional medical history are investigated for the purpose of understanding conditions of Korean Medicine in modern times. Methods : The concepts of Zheng(證)[syndrome] and Bianzheng[syndrome differentiation] in Sanghanron(傷寒論) and many important medical literatures were selected and analyzed to overview the historical changes of those. Results : To the modern ages, the concept of Zheng had included the two kinds of concepts, that is, symptom/sing and syndrome with slight changes of meaning. As a abstract meaning of syndrome, Zheng(證) has been systematized and complicated with the times, that means changes of syndrome differentiation. The concept of Zheng has been recognized as the symbol that expresses the characteristics of Traditional Medicine since the modern age that concepts of sign and symptom have flowed from Western Medicine into Traditional Medicine. Conclusions : One of the main key of studies about Bianzheng(辨證) in future would have been harmonizing the balance between the two trends of modern Traditional Medicine, ideation and objectification.

Keywords

References

  1. Ke YF. Chinese Medicine Syndrome Differentiation. Shanghai. Shanghai University of TCM publishing house. 1987. p.24. pp.36-37. 柯雪帆 主編. 中醫辨證學. 上海. 上海中醫學院出版社. 1987. p.24. pp.36-37.
  2. Jiang BH. Bihuayijingbuzhu. Shanxi. Science and technical documentation press. 1990. pp.5-7, 38-73. 江筆花. 筆花醫鏡補注. 山西. 科學技術文獻出版社重慶分社. 1990. pp.5-7, 38-73.
  3. Kou ZS. Bencaoyanyi. Beijing. People's medical publishing house. 1990. pp.7-8. 寇宗奭. 本草衍義. 北京. 人民衛生出版社. 1990. pp.7-8.
  4. Lou Y. Yixuegangmu. Beijing. China press of TCM. 1996. pp.1-89. 樓英. 醫學綱目. 北京. 中國中醫藥出版社. 1996. pp.1-89.
  5. Ma JX. Mawangduiguyishukaoshi. Hunan. Hunan science and technical publisher. 1992. pp.541-544. 馬繼興. 馬王堆古醫書考釋(上). 湖南. 湖南科學技術出版社. 1992. pp.541-544.
  6. Mun JJ. Sanghanronjeonghae. Seoul. Kyung Hee University communication & press. 1996. p.81, 107, 113, 138, 270, 275, 277, 283, 287, 317, 381, 447, 465, 522. 文濬典 외. 傷寒論精解. 서울. 慶熙大學校出版局. 1996. p.81, 107, 113, 138, 270, 275, 277, 283, 287, 317, 381, 447, 465, 522.
  7. Fang ZQ. zhongyibianzhenglunzhiliaoxue. Shanghai. Shanghai University of TCM publishing house. 2008. p.107, 377. 方肇勤. 中醫辨證治療學. 上海, 上海中醫藥大學出版社. 2008. p.107, 377.
  8. Shirakawa S. Jitsu. Tokyo. Heibonsha. 1996. p.795. 白川 靜. 字通. 東京. 平凡社. 1996. p.795.
  9. Simaqian. Shijiliezhuan. Seoul. Bogyeongmunhwasa. 1986. p.291. 司馬遷. 史記列傳. 서울. 保景文化社. 1986. p.291.
  10. Xu DC. Lantaiguifan. Beijing. Quanguotushuguanwenxianfuzhizhongxin. 2004. p.5. 徐大椿. 蘭臺軌範. 北京 全國圖書館文獻縮微復制中心. 2004. p.5.
  11. Chao YF. Zhubingyuanhoulunxiaozhu(1). Beijing. People's medical publishing house. 1991. p.425, 439, 496, 589. 巢元方, 丁光迪. 諸病源候論校注(上). 北京. 人民衛生出版社. 1991. p.425, 439, 496, 589.
  12. Chao YF. Zhubingyuanhoulunxiaozhu(2). Beijing. People's medical publishing house. 1991. p.1091. 巢元方, 丁光迪. 諸病源候論校注(下). 北京. 人民衛生出版社. 1991. p.1091.
  13. Sunyikui. Chishuixuanzhuquanji. Beijing. People's medical publishing house. 1986. p.16. 孫一奎. 赤水玄珠全集. 北京. 人民衛生出版社. 1986. p.16.
  14. Wu YX. Wenyilun. Seoul. Daeseongmunhwasa. 1995. p.54. 吳有性. 溫疫論(四庫全書醫家類47). 서울. 大星文化社. 1995. p.54.
  15. Li JR. Beijiqianjinyaofangxiaoshi. Beijing. People's medical publishing house. 1998. p.171, 182, 412. pp.254-256. 李景榮 外. 備急千金要方校釋. 北京. 人民衛生出版社. 1998. p.171, 182, 412. pp.254-256.
  16. Li G. Suwenbingjiqiyibaomingzhiwaiqizhong (Neiwaishangbianhoulun). Shanghai. Shanghai ancient works publishing house. 1991. p.371, 406, 431, 435. 李杲. 素問病機氣宜保命集外七種(內外傷辨惑論). 上海. 上海古籍出版社. 1991. p.371, 406, 431, 435.
  17. Zhang JB. Jingyuequanshu. Beijing. People's medical publishing house. 1991. p.9, 10, 257, 469, 592. pp.3-4. 張介賓. 景岳全書. 北京. 人民衛生出版社. 1991. p.9, 10, 257, 469, 592. pp.3-4.
  18. Zhang YS. Suwenbingjiqiyibaomingzhiwaiqizhong. Shanghai. Shanghai ancient works publishing house. 1991. p.24. pp.10-11. 張元素. 素問病機氣宜保命集外七種. 上海. 上海古籍出版社. 1991. p.24. pp.10-11.
  19. Cheng GP. Yixuexinwu. Beijing. People's medical publishing house. 1963. pp.11-15. 程國彭. 醫學心悟. 北京. 人民衛生出版社. 1963. pp.11-15.
  20. Cheng SE. Xia HS. Zhongyizhengzhenghouzhenduanzhiliaoxue. Beijing. Beijing science technology publishing house. 1993. pp.31-57. 程紹恩, 夏洪生. 中醫證候診斷治療學. 北京. 北京科學技術出版社. 1993. pp.31-57.
  21. Zheng SQ. Yilizhenquan. Beijing. Academy press. 2007. pp.14-16. 鄭壽全. 醫理眞全. 北京. 學苑出版社. 2007. pp.14-16.
  22. Zhao JD. Zhongyizhengzhuangjienbiexue. Beijing. People's medical publishing house. 1984. 趙金鐸 主編. 中醫症狀鑑別診斷學. 北京. 人民衛生出版社. 1984.
  23. Zhao JD. Zhongyizhenghoujienbiexue. Beijing. People's medical publishing house. 1987. 趙金鐸 主編. 中醫證候鑑別診斷學. 北京. 人民衛生出版社. 1987.
  24. Publishing committee of Zhonwendacidian. Zhonwendacidian(6). Taibei. Zhongguowenhuadaxuechubanbu. 1973. p.748. 中文大辭典編纂委員會. 中文大辭典(6). 臺北. 中國文化大學出版部. 1973. p.748.
  25. Zou XM, Chen XG, Dong CW. Origin and characteristics of formula-related syndrome differentiation. Journal of Beijing University of TCM. 2013. 36(3). pp.153-155. 周雪梅, 陳雪功, 董昌武. 論方證辨證的形成源流和運用特点. 北京中醫藥大學學報. 2013. 36(3). pp.153-155.
  26. Chen JF. Jinguiyaolue. Beijing. People's medical publishing house. 2000. p.183, 228, 471. 陳紀蕃 主編. 金匱要略. 北京. 人民衛生出版社. 2000. p.183, 228, 471.
  27. Chen WZ. Sanyinjiyibingzhengfanglun. People's medical publishing house. 1957. p.5, 9, 265. pp.15-17. 陳無擇. 三因極一病證方論. 北京. 人民衛生出版社. 1957. p.5, 9, 265. pp.15-17.
  28. Xu S. Shuowenjiezi. Nanjing. Phoenix publishing house. 2007. p.180. 許愼 撰, 殷玉裁 注. 說文解字注. 南京. 鳳凰出版社. 2007. p.180.
  29. Hu X. Zhongyibienzhenglunzhijiaocheng. Beijing. Huayi publishing house. 1994. pp.12-26. 胡欣. 中醫辨證論治敎程. 北京. 華藝出版社. 1994. pp.12-26.
  30. Hua S. Nanjingbenyi. Tainan. Shiyishuju. 1981. p.46. 滑壽. 難經本義. 臺南. 世一書局. 1981. p.46.
  31. Hong WS. Jeonggyohwangjenaegyeongsomun. Seoul. Institute of Oriental Medicine. 1981. p.23, 301. 洪元植. 精校黃帝內經素問. 서울. 東洋醫學硏究院. 1981. p.23, 301.
  32. Guo L, Qiao ZR, Wang YY, Zhang ZB. The Study of the Evolution of the Concept of Syndrome Language and Words in Long History. Guide of China Medicine. 2008. 6(23). p.223. 郭蕾, 喬之龍, 王永炎, 張志斌. 證候概念語言和字意演變過程研究. 中國醫藥指南. 2008. 6(23). p.223.
  33. Tang YP, Jiang RX, Fan XR. The trend of study on symptom factors and syndrome differentiation of symptom factor. Lishizhen Medicine and Materia Medica Research. 2008. 19(10). pp.2543-2544. 唐亞平, 姜瑞雪, 樊新榮. 證素及證素辨證的研究近况. 時診國醫國藥. 2008. 19(10). pp.2543-2544.
  34. Fang ZQ. Essential factors and constituents of syndrome differentiation standard in Chinese Medicine. Shanghai journal of TCM. 2004. 38(1). pp.3-6. 方肇勤. 辨證標準的基本要素與構成. 上海中醫藥雜誌. 2004. 38(1). pp.3-6.
  35. Xu Yun-sheng. Judging relationship of syndrome differentiation and disease diagnosis from concept of symptom, syndrome and disease. Medicine and Philosophy. 2005. 26(1). pp.65-66. 徐雲生. 從中醫症證病的槪念談辨證與辨病的關係. 醫學與哲學. 2005. 26(1). pp.65-66.
  36. Xie Jing, Piao En-xi, Jia Chun-hua. A study on the relation between syndrome differentiation and disease diagnosis from the concepts of symptom, syndrome and disease in Traditional Chinese Medicine. World Science and Technology. 2011. 13(5). pp.910-913. 謝菁, 朴恩希, 賈春華. 從認知心理學角度探析中醫辨證過程. 世界科學技術. 2011. 13(5). pp.910-913.
  37. Xue Fei-fei, Chen Jia-xu. Formation and development of syndrome differentiation and treatment system of Chinese medicine. Journal of Beijing University of TCM. 2006. 10. pp.658-659. 薛飛飛, 陳家旭. 中醫辨證論治體系的形成和發展. 北京中醫藥大學學報. 2006. 10. pp.658-659.
  38. An KS. The system of symptom differentiation and the contents in Oriental Medicine. Journal of Oriental Medical Pathology. 1987. 2. pp.6-11. 安圭錫. 한의학의 변증체계와 그 내용. 대한동의병리학회지. 1987. 2. pp.6-11.
  39. Yan Ming-yang. Discussion of priori intentionality of syndrome differentiation of Chinese Medicine. World chinese medicine. 2009. 4(3). pp.121-124. 嚴名揚. 中醫辨證的先驗意向性淺析. 世界中醫藥. 2009. 4(3). pp.121-124.
  40. Li DT. Some concepts in the origin of syndrome differentiation. Journal of sichuan of TCM. 2012. 30(12). pp.30-31. 李東濤. 證候源流中的機個概念-證,證,症,候,證候演變分析. 四川中醫. 2012. 30(12). pp.30-31.
  41. Ren Ying-qiu. The system of syndrome differentiation of Chinese Medicine. Journal of Chinese Medicine. 1955. 4. pp.19-21. 任應秋. 中醫的辨證論治的體系. 中醫雜誌. 1955. 4. pp.19-21.
  42. Jiang Jian. Limitations of treatment based on syndrome dif ferentiation and necessity of combining syndrome differentiation with disease differentiation. Journal of Chinese Integration Medicine. 2005. 3(2). pp.85-87. 蔣健. 論辨證論治的缺陷及與辨病論治相結合的必要性. 中西醫結合學報. 2005. 3(2). pp.85-87. https://doi.org/10.3736/jcim20050201
  43. Zhang Fo-ming, Huang Yan. Discussion of crowd differentiation. Jiangsu Chinese Medicine. 2011. 43(1). pp.1-2. 張佛明, 黄燕. 論群體辨證論治. 江蘇中醫藥. 2011. 43(1). pp.1-2.
  44. Zhang Tian-feng. General view on thinking mode of syndrome differentiation of TCM. China Journal of TCM and Pharmacy. 2010. 25(8). pp.1265-1267. 張天奉. 中醫辨證思維模式槪要. 中華中醫藥雜誌. 2010. 25(8). pp.1265-1267.
  45. Na Chu. Research on Hybrid Intelligent based Syndrome Differentiation System for Traditional Chinese Medicine. School of Computer Science and Engneering Shanghai Jiao Tong University. 2013. pp.1-159. 褚娜. 基于混合智能的中醫辨證系統研究. 上海交通大學大學院. 2013. pp.1-159.
  46. Cheng You-mu. Microscopic pattern identification and changes of microscope in pattern identification. Lishizhen Medicine and Materia Medica Research. 2006. 17(10). p.2059. 程有木. 微觀辨證與辨證微觀化. 時珍國醫國藥. 2006. 17(10). p.2059.
  47. Qian Bo-wei. Overview of Chinese syndrome differentiation. Jiangsu Chinese Medicine. 1957. 1. pp.2-6. 秦伯未. 中醫辨證論治槪說. 江蘇中醫. 1957. 1. pp.2-6.
  48. Cheng Ying, Ma Li-zhuang, Xu Jia-tuo. Analysis on the research status of TCM syndrome differentiation information. Journal of Yaoning Journal of TCM. 2009. 36(3). pp.486-488. 陳穎, 馬利莊, 許家佗. 淺析中醫辨證信息化研究现狀. 遙寧中醫雜誌. 2009. 36(3). pp.486-488.
  49. Chen Zhi-qiang, Lu Li-guo. Integral syndrome differentiation, local syndrome differentiation and microcosmic syndrome differentiation-Thinking on the modern TCM system of syndrome differentiation dependent treatment. Chinese Journal of Integrated Traditional and Western Medicine. 2006. 26(12). pp.1126-1127. 陳志强, 呂立國. 整體辨證,局部辨證與微觀辨證. 中國中西醫結合雜誌. 2006. 26(12). pp.1126-1127.
  50. Xu Wen-jie, Wang Yi-qin. Application of modern methodology in the research of TCM syndrome differentiation based on Bayesian network. China Journal of TCM and Pharmacy. 2012. 27(12). pp.3168-3171. 許文杰, 王憶勤. 基于貝葉斯網的现代方法學在中醫辨證研究中的应用. 中華中醫藥雜誌. 2012. 27(12). pp.3168-3171.

Cited by

  1. Comparison of Health Status and Mibyeong Characteristics between Cold Syndrome and Heat Syndrome by Cold Heat Syndrome Differentiation Score vol.39, pp.1, 2018, https://doi.org/10.13048/jkm.18002
  2. 시스템 생리학에 기반한 한열 변증의 이해 vol.30, pp.6, 2014, https://doi.org/10.15188/kjopp.2016.12.30.6.376
  3. 한방 음허변증에 따른 피부특성 및 설문 분석 연구 vol.45, pp.4, 2019, https://doi.org/10.15230/scsk.2019.45.4.381
  4. 건선의 동서의학적 연구 특징의 비교 vol.42, pp.2, 2014, https://doi.org/10.13048/jkm.21016