• Title/Summary/Keyword: 溫病

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View on Treatment of Exogenous Disease in Yeoksimanpil in the Late Joseon Dynasty - from the Viewpoint of the Theory on Epidemic Febrile Disease - (『역시만필』에 기록된 조선 후기 외감병 치료에 대한 소고 - 온병학적 관점에서 본 -)

  • Kim, Sang-Hyun
    • The Journal of Korean Medical History
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    • v.30 no.2
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    • pp.133-143
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    • 2017
  • Objectives : This paper summarizes results from review of 36 cases and medical records extracted from Yeoksimanpil, involving treatment of exogenous disease in the last Joseon dynasty, and considers significance of treatment protocols. Methods : About 130 medical records from Yeoksimanpil related to exogenous disease were reviewed, and 36 cases were extracted for closer investigation. The author examined the characteristics of exogenous diseases treated in Yeoksimanpil during the Joseon dynasty, employing Yi Suki's theory about exogenous febrile disease, and analyzed the theory from the viewpoint of epidemic febrile disease (溫病學). Results : The majority of exogenous diseases recorded in Yeoksimanpil include Sanghan (傷寒); Seo (暑); Ryeohwan (厲患); and Hongjin (紅疹). Sanghan was found to be prevalent among the exogenous diseases, but diseases caused by warmth and epidemic are recognized separately from Sanghan. Yi Suki's theory about exogenous febrile disease is similar to the basic theory of modern epidemic febrile disease, although his theory was developed independently during the last Joseon dynasty. Conclusions : Although some exogenous diseases in Yeoksimanpil were recognized separately, Yi Suki did not specify each feature nor did he focus on each symptom. Instead, the author's research suggests that Yi Suki was able to identify and treat a variety of various exogenous diseases due to his accumulation of medical knowledge and skill.

A study on Samchobyeonjeung(三焦辨證) of "OnByeongJoByeon(溫病條辨)" ("온병조변(溫病條辨)"의 삼초변증(三焦辨證)에 대한 고찰)

  • Kim, Sang-Hyun;Baik, You-Sang;Jeong, Chang-Hyun;Jang, Woo-Chang
    • Journal of Korean Medical classics
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    • v.24 no.2
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    • pp.81-100
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    • 2011
  • Byeon Jeung[辨證], which is to differentiate symptoms is a process of assessing the patient's condition. And like any other differentiation system, a ceratin pathological perspective is embedded. In Onbyeonghak(溫病學), new Byeon Jeung systems were designed to complement the insufficient, existing perspectives on acute epidemic febrile diseases. Oguktong(吳鞠通)'s Samchobyeonjeung(三焦辨證) is one of these newly designed systems. Though the meaning of Samchobyeonjeung varies among Onbyeong(溫病) researchers, they stand on common grounds of differentiating damp-heat disease[濕熱病]. However, Oguktong(吳鞠通) clearly demonstrated this system on epidemic febrile diseases. Researchers have acknowledged the importance of Oguktong(吳鞠通)'s approach, but thorough analysis of the subject has been insufficient. In this study, I have primarily studied the meaning of Samchobyeonjeung by analyzing "Onbyeongjobyeon(溫病條辨)", followed by assessment of negative and positive aspects.

History of Symptom Discrimination based on Theory of Triple Energizers(三焦) before Tang Dynasty(唐代) (당대(唐代) 이전(以前)의 '삼초이론(三焦理論)에 기초한 변증(辨證)'의 연혁(沿革))

  • Jo, Hak-Jun
    • Journal of Korean Medical classics
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    • v.28 no.2
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    • pp.87-102
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    • 2015
  • Objectives : I intended to find out the origin and development of symptom discrimination based on theory of triple energizers before Tang Dynasty(唐代). Methods : I extracted the topic-related contents from books in this era. After arraying them in a chronological order, I analyzed the materials. Results : The author in Zhong Zang Jing(中藏經) first mentioned that symptom of Huo Luan(霍亂) was deeply related with triple energizers. Ge Hong(葛洪) did not only come out with some symptoms and mechanisms for Shang Han(傷寒) and Za Bing(雜病), but also applied them to their usages for herb medicine. Chao Yuan Fang(巢元方) suggested its symptoms were more closely related with Shang Han and Za Bing than before. For the first time, Chao subdivided its symptoms to both cold-heat and weakness-strength sides. Sun Sai Miao(孫思邈) supplemented its discrimination invented by Chao(巢元方), adding more symptoms and prescriptions for triple energizers. Wang Tao(王燾) showed more prescriptions for triple energizers than before, and initially designed the discrimination for Huo Luan, diabetes(消渴), and epidemic Wen Bing(溫病). Conclusions : Before Tang dynasty, the symptom discrimination based on theory of triple energizers had been originated and developed for the purpose of repairing Za Bing, not just treating Wen Bing.

Study on the medical philosophy of Zheng Zhi Xin Chuan(證治心傳) - based on the theory of acute febrile disease - (≪증치심전(證治心傳)≫의 의학사상 고찰 - 온병이론(溫病理論)을 중심으로 -)

  • Jeong, Chang-hyun
    • Journal of Korean Medical classics
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    • v.28 no.4
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    • pp.139-154
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    • 2015
  • Objectives : Zheng Zhi Xin Chuan(證治心傳) is a compact compilation of 14 discussions on medicine, written by Yuan Ban(袁班) in the late Ming-early Qing period. Methods : To survey the scholarly position of Yuan Ban(袁班) in the history of Wenbing by systematically analyzing and organizing Wenbing related theories in Zheng Zhi Xin Chuan (證治心傳). Results & Conclusions : In his book, YB suggests concepts such as 'mainly attack upper heater(多犯上焦)', 'transmission to the nutrient phase(轉入營分)', 'sequential transmission(順傳)', 'abnormal transmission(逆傳)', 'dryness invasion of human body in autumn(秋傷於燥)'. In the history of Wenbing, it has been widely acknowledged that the concept of weiqiyingxiebianzheng(衛氣營血辨證) and abnormal transmission to the pericardium(逆傳心包) were originally suggested by Ye Tianshi(葉天士). However, according to the findings of this study, these concepts are traced back to the contents of YB's publication, nearly a century before Ye's time. In addition, YB's discussion on '秋燥' was highly advanced than any other scholar of his time, hinting his influence on medicine thereafter.

Literatural Study on Prescription of the Skin Disease from the Viewpoint of the Onbyung(溫病) (온병적(溫病的) 관점(觀點)으로 본 피부질환(皮膚疾患) 처방(處方)에 관(關)한 고찰(考察))

  • Chang, Seung-Soon;Kang, Jung-Soo
    • Journal of Haehwa Medicine
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    • v.9 no.1
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    • pp.113-120
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    • 2000
  • This study was carried out to investigate the relation between the Onbyung and the skin disease, and classify the medical treatment by some categories. The results were as follows ; 1. Onbyung reduces the Eun(陰) by the fever and the skin disease results from the deficiency of the Eun and blood. 2. We can grasp the depth of the disease and the damage of the Jung Gi(正氣) by the observation of the every condition on the skin disease. 3. Medical treatment 1. Hae Phyo Bub(解表法) Using the method of the perspiration, we take care of the preservation of the sap. 2. Cheong Gi Bub(淸氣法) of the using Gypsum and Tong Ha Bub(通下法) of the using Dae Whang(大黃). A. Cheong Gi Bub(淸氣法) When the Sa(邪) stay the Gi area(氣分), we use the radiational material or the Wha Sub(化濕) material with Gypsum. B. Tong Ha Bub(通下法) We reduce the evil fever by the Ha Bub(下法). 3. Cheong Yul Hae Dog Bub(淸熱解毒法) and Ja Eum Bub(滋陰法) 4. Wha Sub Bub(化濕法) This treatment reduce the fever by eliminating the urine or the sweat.

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A study on the History of Yusanghan and the Types (유상한(類傷寒)의 내력(來歷)과 그 종류(種類)에 대한 소고(小考))

  • Kim, Sang-Un
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.17 no.3
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    • pp.203-214
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    • 2013
  • Objectives Yusanghan(類傷寒) means disease which chills and fever manifest like Cold damage(傷寒) but not Cold damage. However, study on Yussanghan is insignificant. The purpose of this study is to examine the origin and development process of Yusanghan. Methods: 1. Terms and disease related with Yusanghan was collected from books covering Cold damage of all time and analyzed. 2. The transition history was researched by analyzing collected terms. 3. Total appearance frequency of all time by collected disease was researched. Results: Yusanghan was appeared in Hwalinseo(活人書), which Ju Geong(朱肱) of the Song Dynasty wrote, for the first time and the definition and type were established. For the types of those, there are four diseases such as Phlegm-Fluid Retention(痰飮), Food Accumulation(食積), Vexation of Deficiency Type(虛煩), Beriberi(脚氣). Since then, the theory about Yusanghan had developed and the number of types had also increased until the Myung Dynasty. Conclusions: In early days, External Contraction Diseases(外感病) was not included in Yusanghan, but since the late Myung Dynasty, there were a lot of doctors who included External Contraction Diseases in Yusanghan, not in Cold damage. There are Summerheat Stroke, Wind-Dampness(風濕), and Warm Disease(溫病) etc. for included External Contraction Diseases. Because of this, the number of types of Yusanhan had significantly increased.

A Study on the Conceptual Origin of Pathogenic Qi in the Mawangdui Yishu (마왕퇴의서 속 사기(邪氣)의 시원적(始原的) 개념 고찰)

  • Lee, Kyung
    • Journal of Korean Medical classics
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    • v.35 no.1
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    • pp.81-92
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    • 2022
  • Objectives : This paper aims to analyze the origins of the pathogenic qi[邪氣] concept through analysis of related character shapes and examples within the Mawangdui Yishu, where we can grasp the state of medicine pre-Huangdineijing. Methods : Etymology was determined through ancient character analysis, while examples of its usage and original texts were compared to extract their implications. For usage analysis, medical texts of later periods that contained similar verses or contents with the Mawangdui text were compared, through which similarities and changes in meaning of the word or verse were examined. Conclusions : While the term 'xieqi(邪氣, pathogenic qi)' had not yet been mentioned in the Mawangdui text, 'eqi(惡氣)' was used similarly. Wind[風], cold[寒], dampness[濕] were not only understood as terms referring to weather or climate but possible causes for disease. Meanwhile, there was lingering belief from the Shang(商) period that saw disease as God's punishment, which could be seen as transition phenomenon from superstition to rational thought. Through diseases 'wind disease[風病]' and 'bi(痹)', we could determine that medicine at the time was limited to the Yin-yang theory, having not yet integrated the Five phases perspective. Moreover, the possibility of other pathogenic qi elements, 'heat[暑]', 'dryness[燥]', and 'fire[火]' could be assumed to have been embedded in 'wenbing(溫病)'.

A Case Report of Taeeumin with Post COVID-19 Syndrome (코로나19 후유증을 호소하는 태음인 환자에 대한 치험 1례)

  • Lee, Seul;Park, Jieun;Lee, Yong-jae;Kim, So-hyoung;Lee, Jeongyun
    • Journal of Sasang Constitutional Medicine
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    • v.33 no.4
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    • pp.32-42
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    • 2021
  • Objectives The purpose of this case study was to report a patient with Post COVID-19 syndrome treated with Seunggeumjowi-tang based on Sasang Constitutional Medicine. Methods The patient was hospitalized after being diagnosed with COVID-19 and was suffering with post from COVID-19 syndrome such as fatigue and loss of appetite after discharge. The patient was diagnosed as Taeeumin and treated with Seunggeumjowi-tang. The progress was evaluated with the global assessment scale (GAS). Results and Conclusions Fatigue and anorexia were significantly improved, and other symptoms were restored as before. This case shows the possibility of Sasang Constitutional medication treatment for the sequelae of COVID-19.

A Study on the Development of the Understanding that the Cause of Warm Pathogen Lies in Upper Portion of Body ("온사상수(溫邪上受)" 개념의 형성요인에 대한 고찰)

  • Eun, Seokmin
    • Journal of Korean Medical classics
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    • v.30 no.2
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    • pp.11-29
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    • 2017
  • Objectives : Contemporary researches suspect that, contrary to the past belief, the understanding that the cause of warm pathogen lies in the upper portion of human body is an understanding that had been well-established even before Yetianshi. This new understanding now requires us to contemplate the process of theoretical development which this understanding, termed Onsasangsu, had taken within the boundary of the theory of warm pathogen. This paper aims to shed light on this within the framework that this is the emergence of a new theory of warm pathogen caused by a new understanding of warm pathogen. Methods : First, the theories of warm pathogen as developed by historical doctors were studied, and elements that seem to be related to the understanding of Onsasangsu were selected and studied to understand their theoretical characteristics. Furthermore, the paper studied what academic significance do these theories have on the development of the theory of warm pathogen. Results & Conclusions : Provided that the underlying assumption of Onsasangsu is that febrile diseases are caused through moutn and nose, the study showed that this understanding arose before the period of Qing Dynsasty from the need by many doctors to differentiate the pathogens of various diseases such as the disease of heat, febrile disease, and epidemic. The reason that these discussions could not have much impact on the study of febrile disease during the Qing Dynasty could be because they were not passed on down to the future generations, or because commonly held perspective was unable to accept criticisms.

488 cases analysis of tongue characteristic from case record monographs of Warm disease in Qing Dynasty (488례청대온병의안적설상분석)

  • Li, Ya;Wang, Shenghua;Hou, Yangfang;Guan, Junda;Liang, Rong
    • Journal of Korean Medical classics
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    • v.19 no.3
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    • pp.427-431
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    • 2006
  • From 51 monographs of case record in Qing Dynasty, we chose 29 monographs in which tongue diagnosis applied to Warm disease. Then extracted all the case records and got 488 cases from them. In according to the classification of tongue diagnosis in teaching material of TCM diagnosis of higher TCM schools education, we had a statistic analysis on the 488 cases. Results show that the recording rate of tongue coating was highest, 65.16%. From high to low sequentially, the frequency of different fur was yellow fur, white fur and black fur. During $1850{\sim}1911$ of Qing Dynasty, the description of tongue coating changed that the proportion of white fur, yellow fur and compound fur was increased. On the contrary, the proportion of black fur was decreased. The recording rate of the color of tongue was 23.16%, in which the rate of red tongue and crimson tongue were higher. The recording rate of fur character was 37.7%. During $1850{\sim}1911$ of Qing Dynasty, the recording rate of greasy fur was increased to the first. The application of tongue diagnosis involves the warm-heat species of Warm Disease, damp-heat species of Warm Disease and pestilence.

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