대한상한금궤의학회지

Korean Medical Association of Clinical Sanghan-Geumgwe (대한상한금궤의학회)
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A Conceptual Study of "Pyo (表)" in Gangpyeong-Shanghanlun Based on Two Cases of Bipolar Disorder Improved with Mahwang-tang

『강평상한론(康平傷寒論)』 '표(表)'에 대한 고찰 : 마황탕(麻黃湯)으로 호전된 양극성 장애 2례를 바탕으로

  • Received : 2021.12.05
  • Accepted : 2021.12.28
  • Published : 2021.12.31
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Abstract

Objective : We explored the meaning of "Pyo (表)" in Gangpyeong-Shanghanlun through two cases. Methods : We analyzed the original form of 表 and its context in Shanghanlun. We also analyzed 2 clinical cases of bipolar disorder treated with Mahwang-tang (麻黃湯) according to the newly deduced definition of 表. Results : 表 can be interpreted as "pursuing something high-class seen from the outside." Both cases had various psychological symptoms including insomnia, mood swings, anxiety, and depression. We determined that the diseases in both cases occurred when 表 had not been achieved. We also found that 麻黃湯 can improve psychological status. Conclusions : 表 is different from "surface," which is the most widely used definition. After diagnosing these two patients with bipolar disorder using the Diagnostic and Statistical Manual of Mental Disorders (5th edition), we found that symptoms could be improved by administration of 麻黃湯 (46條). Although its potential for neuropsychiatric diagnosis has been suggested through etymological interpretation of 表 and analysis of two cases, more advanced clinical studies are needed in the future.

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References

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