대한상한금궤의학회지

  • 제14권1호
  • /
  • Pages.1-26
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  • 2022
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  • 2287-8696(pISSN)
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  • 2288-744X(eISSN)
대한상한금궤의학회 (Korean Medical Association of Clinical Sanghan-Geumgwe)
권호 표지

『상한론(傷寒論)』 '발작(發作)'과 뇌전증의 연관성 : 다수증례보고

The correlation between 『Shanghanlun』 'Seizure' and epilepsy : Case series

  • 이성준 (올라한의원 ) ;
  • 김민환 (알면한의원) ;
  • 윤용갑 (원광대학교 한의과대학 방제학교실 ) ;
  • 임규상 (원광대학교 한의학전문대학원 한약자원개발학과) ;
  • 이숭인 (동신대학교 한의과대학 방제학교실 )
  • Sung Jun Lee (Olla Korean Medical Clinic) ;
  • Min hwan Kim (Al-meyon Korean Medical Clinic) ;
  • Young Gap Yun (Department of Herbal Formula Science, College of Korean Medicine, Wonkwang University) ;
  • Kyu Sang Lim (Department of Korean Medicine Resources Development, Graduate School of Korean Medicine, Wonkwang University) ;
  • Soong-in Lee (Department of Herbal Formula Science, College of Korean Medicine, Dong-Shin University)
  • 투고 : 2022.12.14
  • 심사 : 2022.12.31
  • 발행 : 2022.12.31
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초록

Objectives: We aimed to confirm the safety and effectiveness of the decoction of Sibjo-tang, which is a powder type purgative. In addition, we checked whether the '發作' of 『Shanghanlun』 can be interpreted to have the same meaning as "seizure" in English. By confirming these objectives, we intend to lead the progress in the application of Sibjo-tang and to expand the clinical application of the 152nd provision and Sibjo-tang. Methods: We analyzed the medical records of patients who visited Apgujeongjeongin Oriental Clinic and Almyeon Oriental Clinic for seizures. We confirmed side effects in patients who took Sibjo-tang for a long time. Sibjo-tang was prepared as a hot water extract by using 5 g each of Euphorbiae Pekinensis Radix, Eurphobiae Kansui Radix, and Genkwae Flos and 15 g of Zizyphi Fructus. The "seizure" recorded in the 152nd provision was interpreted through the shape analysis of Oracle bone scripts. The seizure frequency of patients diagnosed with epilepsy after taking Sibjo-tang was compared, and we analyzed other symptoms and psychosocial conditions associated with seizures at the first episode. Results: No side effects were found in 7 patients who took Sibjo-tang for 16.57 ± 14.10 months. Seizures were eliminated in 6 cases while taking Sibjo-tang and significantly decreased in 1 case. Frequent indigestion (in 7 cases), mild exhaustion (in 5 cases), and inferiority complex (in 5 cases) were identified as accompanying pathogenic conditions. The "seizure" in the 152nd provision was interpreted as "a state of being stabbed by a sharp substance in clothes", confirming a deep connection with epileptic seizures. Conclusions: The results suggest that using a decoction of Sibjo-tang is safe and efficacious. In addition, the necessity of conducting an advanced study on epileptic seizures accompanied by frequent indigestion using Sibjo-tang was confirmed.

키워드

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