• Title/Summary/Keyword: 계지탕(桂枝湯)

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Two Case Reports treated with Gyeji-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 계지탕(桂枝湯)을 투여한 증례 2례)

  • Kim, Nam-Gon;Heo, Joo;Lee, Sung-jun
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.69-80
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    • 2018
  • Objective : Patients complaining of dizziness and olfactory hallucination who were diagnosed and treated with the Shanghanlun disease pattern identification diagnostic system were analyzed to report cases. Methods : This is a case report on a patient who has been suffering from Dizziness andolfactory hallucination. According to Diagnostic system based on Shanghanlun provisions, Gyeji-tang was provided. The severity of Dizziness was evaluated by NRS. Results : When analyzing the patient's history and symptoms, it can be found in article No. 42 in Shanghanlun. In the first case, NRS changed from 8 to 2. In the second case, NRS change 8 to 1. Conclusions : Gyeji-tang can be effective in dizziness and olfactory hallucination with the Shanghanlun disease pattern identification diagnostic system.

A study of 'Ji-Qi-Shang-Chong(其氣上衝)' and Gui-Zhi-Tang(桂枝湯)in Shang-han-lun (상한론의 '기기상충(其氣上衝)'과 '계지탕(桂枝湯)'에 대한 연구)

  • Lee, Seung-Jun;Kim, Yeong-Mok
    • Herbal Formula Science
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    • v.20 no.2
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    • pp.165-176
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    • 2012
  • In pathologically analyzing, 'Qi(氣)' is fall downed 'Zheng-Qi(正氣; Base energy of human body)' or 'Wai-Gan-Xie-Qi(外感邪氣; poisoned energy from outside of human body)'. And all extroverted symptoms from this 'Qi(氣)' is 'Shang-Chong(上衝)'. Also this symptom's basic mechanism is deficiency of 'Zhong-yang(中陽; basic active energy acting pivot)' by non-proper 'Xia-fa(下法; treatment way getting out focus to down side)' at early days of 'Tai-Yang-bing (太陽病; Primary stage symptoms when the cold energy of the outside tresspasses the external layer of body)'. And comparing herbs in medicines for treating 'Shang-Chong(上衝)' in Shang han lun with Japanese in Shang-han medical practitioner's view, there is 'Ping-Chong(平衝; Supress out bursting energy)''s effect when use 'Gui-zhi(桂枝; Cinnamomum cassia loureirii zeylanuicum)' for mass dosage. Based on these, 'Qi-Shang-Chong(氣上衝)' means all of the symptom's aspects which called 'Yang(陽)''s aspect that is extrovesity, dynamic and imminent by results of the experiment about Cinnamaldehyde which are the main ingredients of 'Gui-zhi(桂枝; Cinnamomum cassia loureirii zeylanuicum)' and clinical data of 'Gui-zhi-tang(桂枝湯)'.

"상한잡병론"에 나타나는 양허증후의 변증론치에 대한 고찰

  • Do, Han-Hwa
    • Journal of Korean Medical classics
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    • v.19 no.1 s.32
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    • pp.207-210
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    • 2006
  • ${\ulcorner}$상한잡병론(傷寒雜病論)${\lrcorner}$에 나오는 양허증의 병인병리(病因病理)에 대한 내용을 종합하여 검토하고, 그 처방의 구성 약물과 용약 규율에 대하여 살펴본 결과, 양허증을 치료하는 상용약물로는 부자 계지 건강 오수유 생강 등이 쓰였음을 알 수 있었다. 임상에서 약을 사용할 때에는 장부의 생리적 특징에 근거하여 약물을 배합하여야 좋은 효과를 얻을 수 있다. 예를 들어 심양허(心陽虛)에는 계지감초(桂枝甘草)에 복령(茯笭)을 배합하고, 신양허(腎陽虛)에는 진무탕(眞武湯) 신기환 등(等)에 복령(茯笭), 택사(澤瀉), 백출(白朮) 등의 약물을 배합하여, 비양허(脾陽虛)로 인한 담음(痰飮)에는 계지감초(桂枝甘草)의 신감(辛甘)한 약성으로 화양(化陽)하고, 복령(茯笭), 백출(白朮)로 건비리습(健脾利濕)하는 영계출감탕을 사용하며, 심하(心下)에 수(水)가 정체된 경우에는 윗 처방에 사인 백두구 등의 온건비위(溫健脾胃)하고 성비소식(醒脾消食)하는 약물을 가하여 사용한다. 폐양허(肺陽虛)하여 폐위가 된 경우에는 감초(甘草) 건강(乾姜) 등을 사용하여 온폐복기하는데, 이는 ‘배토생금(培土生金)’의 의미이다. 간양허(肝陽虛)가 나타나는 경우는 매우 드문데, 위기가 허한(虛寒)하여 간(肝)이 소설(疏泄)작용을 못할 때에는, 오수유(吳茱萸)로 온위산한(溫胃散寒)하고, 인삼(人參) 대조(大棗)로 보중익기하며, 오수유(吳茱萸) 생강(生姜)의 신산(辛散)작용으로 간기를 다스리는 오수유탕(吳茱萸湯)을 사용하여 강역지구(降逆止嘔)하며, 혼(魂)을 수렴하지 못하여 생긴 실안(失眼)에는 산조인탕(酸棗仁湯)으로 보간(補肝)하여 치료하며, 간경(肝經)에 한사(寒邪)가 침입하여 근맥이 연급(攣急)하게 된 경우에는 지주산(蜘蛛散)을 사용하여 온경산한(溫經散寒)한다.

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A Clinical Case of a Recurrent Polyarticular Gout Patient Treated with Gyeji-tang-gami and Soshiho-tang-gami (계지탕과 소시호탕의 가감방으로 호전된 만성 재발성 다관절 통풍 환자 1례)

  • Kim, Bo-sung;Ahn, Seon-ju;Lee, Young-su
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.1006-1017
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    • 2022
  • Objectives: This study examined a clinical case of a recurrent polyarticular gout patient treated with Korean medicine. Methods: The patient was treated with Korean medicine (Gyejigagye-tang, Soshiho-tang-gami, Gyejigajakyak-tang, acupuncture, and moxibustion), Western medicine, and rehabilitative therapy. Their effects were evaluated using the Visual Analog Scale. Results: After receiving Korean medical treatment for two admission periods, the Visual Analog Scale score for joint pain improved or disappeared. Moreover, Korean medicine was able to manage the symptoms of the gout patient. Conclusions: Proper Korean medicine treatment could be effective in improving the symptoms of recurrent polyarticular gout pain.

A Study on Combination of Prescriptiion of Shanghanlun Using Database - Focused on Gyeji-tang, Mahwang-tang, and Daecheongryong-tang - (데이터베이스(DB)를 이용한 상한론(傷寒論) 조방(組方)의 분석(分析) - 계지탕(桂枝湯), 마황탕(麻黃湯), 대청룡탕(大靑龍湯)을 중심으로 -)

  • Kim, Sung-won;Kim, Ki-wook;Lee, Byung-wook
    • Journal of Korean Medical classics
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    • v.32 no.1
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    • pp.171-189
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    • 2019
  • Objectives : This study analyzes herbs combinations and primary virtues that constitute the prescriptions of Gyeji-tang, Mahwang-tang, and Daecheongryong-tang to effectively analyze medication preparations described in "Shanghanlun" using database, and test the results of the data structure and effectiveness of queries. Methods : This study enters "Sanghanjapbyeongronyeonggudaeseong" as the original text into the database, and even uses one provision as independent knowledge by dividing provisions in accordance with the content. Results : Five tables and 12 queries were created and used for data input and analysis. Using the types of Herbs included in the prescriptions, this study manages to search for the same or supplemented prescriptions, and the primary virtues of the prescriptions were collected and compared. Conclusions : Subject to the combination of herbs and pathology for the prescriptions described in "Shanghanlun" utilizing the database, this study found relevant texts and combinations of herbs and pathologies, and using this, the time required for theoretical research between prescriptions could be shortened.

A study on post-formula instruction of Kyejitang(桂枝湯) (계지탕(桂枝湯) 방후주문(方後註文)에 관한 연구(硏究))

  • Kim, Kang;Meang, Woongjae
    • The Journal of Korean Medical History
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    • v.23 no.1
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    • pp.23-41
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    • 2010
  • Greater yang disease(太陽病) is a syndrome induced by peripheral obstruction. One of them is "wind stroke(中風)" with the obstruction in lymphatic system. The other obstruction appearing on circulatory system is called "cold damage(傷寒)." Kyejitang(桂枝湯) is the formula prescribed for greater yang wind stroke pattern(太陽中風證) which is caused by peripheral lymphatic duct obstruction. Ramulus Cinamoni acts as a vasodilator and Radix Paeoniae relieves the abdominal tension. They make blood move to the internal organ and this can remove the retention of peripheral lymphatic system. Covering the patient with a blanket and getting him/her to have hot and thin rice gruel causes slight Diaphoresis, contributing to relieving the retention of lymphatic system. Disharmony between nutrient and defense(營衛不和) means that pressure becomes different between lymphatic system and vascular system. Kyejitang(桂枝湯) is called releasing muscles formula(解肌劑) because it can resolve such pressure difference. Diaphoresis is not a means to eliminate pathogenic qi(邪氣) from the body. That is the syndrome proving that the body fluid has moved around when disordered fluid distribution is corrected. Therefore, diaphoresis should be induced weakly all the time. If diaphoresis is induced excessively, body fluid will move more than desired and then illness cannot be cured. In Sanghanlun(傷寒論), dispersing drugs aim at addressing the retention in the exterior field, but it actually applies to the entire exterior and interior to make body fluid move. Therefore, diaphoresis does not just act on exterior field, and freeing the stool does not only apply to interior field. Distribution of body fluid changed by pathogenic qi(邪氣) influences the whole body because the human body has a closed circulatory system. Sanghanlun(傷寒論) has included treatments for pathogenic disease. However, its value should not be limited to pathogenic disease. It is because controlling blood flow by sending body fluid to the place a doctor wants is certainly worth using for treatment of non-exogenous disease or chronic illnesses.

"동의보감(東醫寶鑑)"의 소양병(少陽病)에 대한 고찰

  • Lee, Ju-Hye;Lee, Yong-Beom
    • Journal of Korean Medical classics
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    • v.19 no.1 s.32
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    • pp.194-201
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    • 2006
  • 일반래설(一般來說), 상한소양병포괄소시호탕증(傷寒小陽病包括小柴胡湯證), 시호계지탕증(柴胡桂枝湯證), 대시호탕증(大柴胡湯證), 황금탕증(黃芩湯證), 시호계지건강탕증(柴胡桂枝乾薑湯證), 시호가용골모려탕증(柴胡加龍骨牡蠣湯證). 가시한국대표성적임상의서(可是韓國代表性的臨床醫書)${\ulcorner}$동의보감(東醫寶鑑)${\lrcorner}$, 주요재잡병편중(主要在雜病篇中)${\ulcorner}$한(寒)${\lrcorner}$문적소양형증용약리참천술료소양병(門的少陽形證用藥裏參闡術了少陽病) 종차가이간출(從此可以看出)${\ulcorner}$동의보감(東醫寶鑑)${\lrcorner}$대소양병적인식정도여(對少陽病的認識程度與一般的傷寒體系具有明顯的區別). 필자통과분석(筆者通過分析)${\ulcorner}$동의보감(東醫寶鑑) 잡병편(雜病篇) 한(寒)${\lrcorner}$당중적유관소양형증용약적조문(當中的有關少陽形證用藥的條文), 득출여하결론(得出如下結論): ${\ulcorner}$동의보감(東醫寶鑑)${\lrcorner}$당중(當中), 소양병시이구고(少陽病是以口苦), 인건(咽乾), 목현(目眩), 협만(脇滿), 건구(乾區), 왕래한열등증상위주(往來寒熱等症狀爲主), 발병부위시소양병호발부위태양양명지간화흉협(發病部位是少陽病好發部位太陽陽明之間和胸脇); 기재적주요치방시소시호탕(記載的主要治方是小柴胡湯), 황금탕(黃芩湯), 십조탕등삼개처방(十棗湯等三個處方). 종저일점가이간출(從這一點可以看出)${\ulcorner}$동의보감(東醫寶鑑)${\lrcorner}$불구니어(不拘泥於)${\ulcorner}$상한론(傷寒論)${\lrcorner}$적체계(的體系), 갱가중시실용성(更加重視實用性), 즉이증상위중심료해병정(卽以症狀爲中心了解病情), 심조갱가적합적치법여치방(尋更加適合的治法與治方). 기대금후능유인연구유관십조탕시부가이열입소양병치방화(期待今後能有人硏究有關十棗湯是否可以列入少陽病治方和)${\ulcorner}$동의보감(東醫寶鑑)${\lrcorner}$육경형증용약당중적표본개념(六經形證用藥當中的標本槪念).

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Study on one Ryang of Guizhi-tang (계지탕 1량의 현대용량추정)

  • Kim In Rak;Park Jin Hee
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.4
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    • pp.637-641
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    • 2002
  • In order to convert the one ryang of Guizhi-tang into the modern weights and measures, herbs whose dose was expressed by number in Treatise on Feverile Disease of Zhongjing were measured actually. The results obtained are as follows. 1. Size of Jujubae fructus in Guizhi-tang is an average and if remove the seed, 12 Jujubae fructuses corresponds to 20g. These weights are the same as Belamcandae Rhizoma, Persicae Semen, Gleditsiae Fructus, Gardeniae Fructus and Armeniacae amarum Semen whose dose was expressed by number in Treatise on Feverile Disease of Zhongjing. If one ryang corresponds to 6.5g, 20g corresponds to three ryang. If one ryang corresponds to 15.6g, 20g corresponds to 1.3 ryang. When herbs were added in Guizhi-tang, the used weights were two more ryang. Almost unit of weights in Formulae of Zhongjing is the constantly multiplied. 2. Half sheng(升) of Pinelliae Rhizomae is 15 Pinelliae Rhizomas and corresponds to two and a half ryang. 14 Pinelliae Rhizomas are contained in 50 mL egg. 3.1 geun(斤), maximal amount of Gypsum Fibrosum and amount of one egg are the same weight supposing one ryang corresponds to 6.5g. 4. 2 ryang of Rhei Radix et Rhizoma is the 6.8 balls(碁子) of baduk and similar as 5-6 balls of baduk of Jisilchijasi-Tang. 5. General dose of Glycyrrhizae Radix is two ryang and 20mL, the size of thumb is 13g. 6. Half geun approaches the 3 flattened spoons. Consequently the presumption that one ryang in Guizhi-tang is 15.6g is wrong. One ryang is assumed as 6.5g.

A Case of Atopic Dermatitis Treated with Sihogeji-tang (시호계지탕가미방(柴胡桂枝湯加味方) 투여로 호전된 아토피 피부염 환자 증례)

  • Seo, Min-Su;Hur, Inn-Hee;Sim, Sung-Yong;Kim, Kyung-Jun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.21 no.3
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    • pp.215-225
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    • 2008
  • Object : In this study, the effect of herb medication, aromarherapy and acupuncture treatment against atopic dermatitis was investigated. Method : We treated him with herb medication, aromatherapy and acupuncture treatment during 28days. Atopic dermatitis grade ane the effect of medication was determined using Kunz type and SCORAD index. Atopic dermatitis lesion was checked by taking pictures. Result : The SCORAD index was lowered 39 at discharge than before of which the SCORAD index was 74.2. at admission. The patient's symptoms are getting reduced. Conclusion : On the basis of this study, herb medication, aromatherapy and acupuncture treatment were shown to treat atopic dermatitis effectively by decreasing oozing, itching, crust.

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A Case of Idiopathic Cholinergic Urticaria Associated with Acquired Hypohidrosis by Herbal Medicine Applied Gejimahwanggakban-tang(桂枝麻黃各半湯) (계지마황각반탕(桂枝麻黃各半湯)을 응용한 후천성 발한 감소증을 동반한 특발성 콜린성 두드러기 치험례)

  • Kim, Kyu-Seok;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.3
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    • pp.220-227
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    • 2009
  • Acquired hypohidrosis is a rare condition of unknown pathogenesis, while idiopathic cholinergic urticaria is relatively common. We report the case of a 18-year-old male with idiopathic cholinergic urticaria and acquired hypohidrosis. He presented with an intermittent pruritic eruption precipitated by mild activity, such as mild exercise or laughing, for last 4 years. He was diagnosed with cholinergic urticaria associated acquired hypohidrosis, successfully treated by herbal medicine applied Gejimahwanggakban-tang(桂枝麻黃各半湯).

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