• 대한한의학원전학회지
• /
• 제19권2호통권33호
• /
• pp.294-300
• /
• 2006

왕숙화(王叔和)의 저작으로 알려진 ${\ulcorner}$맥경${\lrcorner}$은 중국의학사상 매우 중요한 지위를 차지하고 있다. 현재 사람들이 이 책을 중시하는 것은, 진단학의 저작일 뿐만 아니라, 그 가운데 장중경(張仲景) ${\ulcorner}$상한론(像寒論)${\lrcorner}$, ${\ulcorner}$금궤요약방${\lrcorner}$의 내용을 수록 하고 있기 때문이다. 따라서 이 책의 연구를 통해 장중경(張仲景)의 의학문헌 발전사를 살펴볼 수 있다. 본문에서는 ${\ulcorner}$맥경${\lrcorner}$과 중경(仲景)의 ${\ulcorner}$금궤${\lrcorner}$의 편장(篇章)의 목록사이의 관계를 비교하여 토론하였다. 고보혀(高保衝) 등 송신(宋臣)의 교정을 거친 ${\ulcorner}$맥경${\lrcorner}$은 비록 권수가 바뀌지 않았지만 그 내용이 여러 전적을 참고하여 이루어졌다. 중복된 글을 삭제하고 빠진 곳을 채워서 편제가 많이 바뀌어서 부류에 따라 귀속하였으므로 중대한 변화가 발생하였다. 인용문의 통계분석에 따르면, 현본 ${\ulcorner}$${\lrcorner}$ 가운데 제 1, 5, 9, 13, 19, 23편 외에, 나머지는 모두 혹은 대부분 ${\ulcorner}$맥경(？？)${\lrcorner}$에 나온다. 둘의 글자를 비교하면, 조문이 같은 것이 대부분이며, 글자가 다른 곳도 있다. 이들을 ${\ulcorner}$맥경${\lrcorner}$의 글자가 분명히 ${\ulcorner}$금궤${\lrcorner}$보다 많은 것, ${\ulcorner}$맥경${\lrcorner}$ 및 ${\ulcorner}$금궤${\lrcorner}$의 동일 조문을 서로 교정한 것 ${\ulcorner}$맥경${\lrcorner}$ 및 ${\ulcorner}$금궤${\lrcorner}$에서 피해(避害) 인해 같은 조문의 글자가 다른 것 등의 세 가지로 나누어 토론하였다. ${\ulcorner}$맥경${\lrcorner}$과 중경의서(仲景書件)의 편장목록의 비교하여 필자는 만일 왕숙화(王叔和)의 ${\ulcorner}$맥경${\lrcorner}$ 권7의 원래의 존재에 대해 완전히 부정한다면 받아들이가 어려울 것으로 본다. 본문에서 설명한 것처럼, 송신(宋臣)이 ${\ulcorner}$맥경${\lrcorner}$을 정리할 때 당시의 몇 종류의 류핸본(流핸本)을 참고하였으며, 그들은 원래의 구조에 의거하여 이 책을 10 권으로 교간(校刊)하였다. 아마도 원서의 권 7 내용이 풍부하지 않았으므로, 송신은 기타의 책을 참조하여 보충하고 수정하였으며, 추측컨대 권8, 권9도 또한 이러한 가능성이 있다. 이러한 점은 송선이 이미 서문에서 강조하여 설명한 ‘중복된 것을 제거하고, 빠진 것을 보충하였으며 그 편제도 또한 상당히 개역하여 부류에 따라 맞추도록 하였다’ 라는 것이다. 어쨌든, 중경(件景)의 ${\ulcorner}$금궤요약방${\lrcorner}$의 유전과정에서 ${\ulcorner}$맥경${\lrcorner}$은 매우 중시할 만한 문헌의 하나인 것이다.

• Journal of Chest Surgery
• /
• 제39권8호
• /
• pp.619-625
• /
• 2006

배경: 죽상동맥경화성 하지동맥폐쇄증은 대부분의 경우에 전신 동맥 경화증이 동반되며 사망의 원인으로는 주로 반 이상이 관상동맥질환에 의하여 발생한다. 또한 만성 동맥폐쇄증 수술 후 수술 사망 원인은 심장 합병증에 의한 사망이 가장 빈번한 것으로 알려져 있다. 특히 죽상동맥경화성 하지동맥폐쇄증 환자에게 과거에 심질환이 없거나 허혈성 심질환의 주증상이 없던 경우에 수술 후 높은 사망률을 보이는데 이런 이유로 이 환자군에 대한 관상동맥질환의 동반 여부에 대한 수술 전 검사의 필요성이 제기되는 바이다. 대상 및 방법: 2001년 2월부터 2004년 10월까지 죽상동맥경화성 하지동맥폐쇄증으로 입원한 환자 중 과거력상 심질환이 있었거나 허혈성 심질환이 주증상이었던 환자를 제외한 52명의 환자를 대상으로 관상동맥조영술과 하지동맥조영술을 동시에 시행하여 죽상동맥경화성 하지동맥폐쇄증에서 관상동맥질환의 동반 빈도를 파악하였다. 또한 죽상동맥경화성 하지동맥폐쇄증의 중증도를 나타내는 AVO score와 동반된 관상동맥질환과의 상관관계를 비교하였다. 결과: 죽상동맥경화성 하지동맥폐쇄증에서 관상동맥질환을 동반한 경우는 63%(33명)였고, 고령, 당뇨, 고혈압, 흡연력, 고콜레스테롤혈증 등의 동맥 경화증의 위험인자 중 고령과 고혈압이 관상동맥 질환을 동반하는 죽상동맥경화성 하지동맥폐쇄증의 중증도와 통계학적인 의미를 보였다. AVO score가 높을수록 관상동맥 질환의 동반이 흔하였고 관상동맥질환의 중증도 역시 증가되는 소견을 보였다. 관상동맥질환이 동반된 죽상동맥경화성 하지동맥폐쇄증 환자에서 관상동맥 우회술 및 관상동맥 중재적 시술을 병합하여 하지동맥 우회술을 시행한 경우, 하지동맥 우회술의 단독시행에 비해 사망률이 현저히 감소하였다. 결론: 과거력상 심질환이 없거나 허혈성 심질환의 주증상이 없는 죽상동맥경화성 하지동맥폐쇄증 환자에서 특히, 고령, 고혈압, AVO score가 높은 환자군에서는 수술 전 관상동맥조영술을 시행하여 동반되는 관상동맥 질환을 파악한 뒤 이에 대한 적극적인 치료를 시행하여야 한다.

• 대한한의학원전학회지
• /
• 제6권
• /
• pp.1-6
• /
• 1993

• 대한한의학원전학회지
• /
• 제32권4호
• /
• pp.57-66
• /
• 2019

Objectives : This paper seeks to contribute to restoring ancient literature related to Bianque through literature analysis of the fifth volume of "Maijing(脈經)". Methods : Literature referenced in the fifth volume of "Maijing(脈經)" which are "Huangdineijing(黃帝內經)", "Nanjing(難經)" among others were examined. Results & Conclusions : The fifth volume of "Maijing(脈經)" cites "Huangdineijing(黃帝內經)", "Nanjing(難經)", "Bixi Zhenfa(敝昔診法)", "Ni Shun Wu Se Mai Zang Yan Jing Shen(逆順五色脈藏驗精神)" etc. Based on the question and answer format of the text, it seems the fifth volume of "Maijing(脈經)" is a collective of three different lines of medical texts. It shows traces of Bianque's Zangfu theory where the Stomach is considered as one of the Five Zangs instead of the Spleen. It also contains the diagnostic method of symptom expression time based on distance between sites of pathological expression. Moreover, description of the number of pulses during one cycle of breathing (inhale/exhale) indicates that the early theories of the Bianque School has been preserved.

• 대한한의학원전학회지
• /
• 제21권3호
• /
• pp.307-355
• /
• 2008

This thesis make a study on the sixteen chapters from 9 to 24 of "Maekgyeong(脈經)" Vol.Ⅶ. In this volume indications for several curative procedures, especially physical procedures, prognoses for fevers and symptoms hard to cure such as Eumyanggyo(陰陽交) are reviewed by Wang(王). The physical procedures include acupuncture, moxibustion, hydrotherapy, thermotherapy etc. The contents mainly quoted from "Sanghallon(傷寒論)", "Geumgweyoryak(金匱要略)", "Yeongchu(靈樞)" and "Somun(素問)".

• 대한한의학원전학회지
• /
• 제23권5호
• /
• pp.103-116
• /
• 2010

"Maekgyung(脈經)" was the first book for diagnostic method in traditional Chinese medicine history, but it couldn't be spreaded widely. After that, "Maekgyeol(脈訣)" was widely spreaded for centuries, because it was more concise and easier to memorize than "Maekgyung". But as time went by, people got to know that "Maekgyeol" had many errors. After "Maekgyeolganoh(脈訣刊誤)" corrected the errors of "Maekgyeol", "Maekgyeol" came to lose its reputation and people began to study "Binhomaekhak(瀕湖脈學)" instead of "Maekgyeol". We got to wonder why "Maekgyeol" was criticized by many people, so we decided to compare the definitions of pulses(脈象) in "Maekgyung" and "Maekgyeol" and "Maekgyeolganoh". Both "Maekgyung" and "Maekgyeol" have 24 kinds of pulses, but 22 kinds are in common. In 22 kinds of pulses, only 2 kinds of definitions are similar and the others are different. And "Maekgyeolganoh" criticized errors of "Maekgyeol" and corrected the definitions by that of "Maekgyung". In conclusion, we come to know that "Maekgyeol" was rejected by people because it defined most of pulses different from "Maekgyung".

• 대한한의진단학회지
• /
• 제9권2호
• /
• pp.57-71
• /
• 2005

Background and purpose: Maek Kyoung(脈經) is a book written, compiled, and edited by Wang Hui circa 3 A.D. This book is the first technical book devoted to the diagnostics. These are very important data but never make a special study and translate. so I hope this treatise can be great help to understand diagnosis study. Methods: Maek Kyoung(脈經) consists of ten volumes, and the third volume consists of the five chapters, including inter-generation and inter-restriction of the five viscera and the six entrails and prognosis of diseases. This treatise is made up of principal, notes, study and conclusion, we tried to make a translation faithful to the original. Results and Conclusion: Chapter 5 refers to three things. The first is relation between kidney and urinary bladder, the second is ordinary and extraordinary pulse condition of kidney, and the third is how to treat diseases related to kidney.

• 대한한의학원전학회지
• /
• 제25권4호
• /
• pp.95-103
• /
• 2012

Objective : There are several terms on palpation such as cunkou(寸口), qikou(氣口), maikou(脈口). In traditional medicine dictionary or even WHO international standard terminologies on traditional medicine in the western pacific region, there are no discriminations about them. However, there are some differences in usages of cunkou, qikou, maikou at Maijing. Method : First, we searched usages of term, cunkou, qikou, maikou in Huangdineijing(黃帝內經) and Maijing and compared the meanings. Result : Meanings of cunkou, qikou, maikou in Huangdineijing are pair with renying(人迎) and inch-bar-cubit on wrist. Meanings of cunkou in Maijing are pair with renying, inch-bar-cubit on wrist and only inch on wrist. Meanings of qikou, maikou in Maijing are inch-bar-cubit on wrist. Conclusion : Cunkou, qikou, maikou are known as same terms. However, scholars have to be cautious when they use cunkou, qikou, maikou term and comprehend those in book.

• 동의생리병리학회지
• /
• 제22권5호
• /
• pp.1001-1034
• /
• 2008

This thesis is a study composed of eight chapters from 9. to 16. of the Maek Kyoung(脈經) Vol. VIII. ; the symptom & the pulse of Jaundice(黃疸), Malarial Disease(?疾). Carbuncle(癰腫) Intestines Carbuncle(腸癰), & c. It is as follows : Chapter 9 refers to the symptom, pulse, treatment and prognosis of Jaundice(黃疸) and Malarial Disease(?疾). Chapter 10 refers to the cause, symptom, pulse and treatment of Cardialgia(胸痺), Cardiagra(心痛) and Nephric Accumulation(賁豚). Chapter 11 refers to the symptom, pulse and treatment of Abdominal Fuliness(腹滿), Cold Mounting(寒疝) and Abiding Food(宿食). Chapter 12 refers to the symptom and pulse of Accumulation and Mass of the Five Viscera(五臟積聚). Chapter 13 refers to the cause, pathogenesis, symptom, pulse, treatment and prognosis of Terror and Palpitation due to Fright(驚悸), Hematemesis(吐血), Nasal Hemorrhage(?血), Metrorrhagia(下血) and Extravasated Blood(瘀血). Chapter 14 refers to the cause, pathogenesis, symptom, pulse and treatment of Vomiting(嘔吐), Hiccough(?) and Diarrhea(下利). Chapter 15 refers to the cause, pathogenesis, symptom, pulse and treatment of Atrophy of Lung(肺?), Pulmonary Abscess(肺癰), Lung-distention(咳逆上氣) and Phlegm(痰飮). Chapter 16 refers to the cause, pathogenesis, symptom, pulse. treatment and prognosis of Carbuncle(癰腫), Intestines Carbuncle(腸癰), Wound(金瘡) and Acute Eczema(侵淫瘡). There have been abundant investigations in China. But we couldn't find a clear result yet, and they were written in archaic texts and colloquial Chinese, therefore it is needed to be translated into Korean. And there was only one inaccurate translation with insufficient annotation. So I hope this study will be useful to develope Oriental Medical Diagnostics.

• 대한한의진단학회지
• /
• 제9권1호
• /
• pp.23-46
• /
• 2005

Background and purpose: Maek Kyoung(脈經) is a book written, compiled, and edited by Wang Hui circa 3 A.D. This book is the first technical book devoted to the diagnostics. These are very important data but never make a special study and translate. so I hope this treatise can be great help to understand diagnosis study. Methods: Maek Kyoung(脈經) consists of ten volumes, and the third volume consists of the five chapters, including inter-generation and inter-restriction of the five viscera and the six entrails and prognosis of diseases. This treatise is made up of principal, notes, study and conclusion, we tried to make a translation faithful to the original. Results and Conclusion: Chapter 3 refers to five things. The first is relation between spleen and stomach, the second is how to diagnose diseases by using intergneration and inter-restriction of five elements, the third is roles of spleen that has an influence on four viscera through four seasons, the forth is the fact that quantity of gastroqi decides prognosis of diseases, and the fifth is that climate change has influence on the seriousness of diseases. Chapter 4 refers to four things. The first is relation between lung and large intestines, the second is ordinary and extraordinary pulse condition of lung, the third is that pulse condition including its speed, and the forth is how to diagnose diseases by using intergneration and inter-restriction of five elements and climate change.