• 제목/요약/키워드: 사상의학(四象醫學)

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양약부작용으로 R/O되어 입원한 우울증환자(患者) 1례(例) 보고 (A case about the patient who has deteriorated by symptoms being R/O because of side effects by Western medicine after having diagnosis of melancholia)

  • 이승진;이승희;황선미;정대규;김보영
    • 동의신경정신과학회지
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    • 제13권2호
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    • pp.213-223
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    • 2002
  • 우울증(憂鬱症) 환자(患者) 1인을 대상(對象)으로 사상체질(四象體質)을 바탕으로 치료(治療)한 결과 환자의 사고가 서서히 긍정적으로 전환되고 생활이 규칙적으로 돌아와 정상적인 일상생활이 가능하게 되는 등의 유의한 효과를 얻었는데 우울증(憂鬱症) 뿐만아니라 제반 신경정신과(神經精神科) 질환(疾患)에 대해 체질의학적(體質醫學的)인 관점(觀點)에서 체계적인 임상연구(臨床硏究)를 기울인다면 좀 더 유효한 치료법을 기대 할 수 있으리라 사료된다.

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"약징속편(藥徵續編)"을 통해 살펴본 촌정금산(村井琴山)의 의학사상에 대한 연구 (Study on Murai Kinzan's Medical thought Appeared in "Yakuchozokuhen")

  • 장기원;이미진;최준용;이병욱;신상우;정한솔;하기태
    • 동의생리병리학회지
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    • 제26권4호
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    • pp.418-426
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    • 2012
  • Murai Kinzan was a disciple of the great Ko-bang scholar, Yoshimasu Todo(吉益東洞). He was born in a family of doctors, he helped his father's medical works and together made an institution of medical education. He wrote many medical books such as "Yakuchozokuhen(藥徵續編)", "Idonisen'nenganmokuhen(醫道二千年眼目編)" and "Hogyokusantei(方極刪定)". He followed Yoshimasu Todo's theories that "All disease comes from a single poison" and criticized scholars such as Yoshimasu Nangai(吉益南涯) for modifying the theories of his teacher, Yoshimasu Todo. He was also influenced by Kagawa Shuuan(香川修庵) through his father, and learned medicine from Yamawaki Touyou(山脇東洋) through letters. Under the influence of these great scholars, he pursued empirical and practical medicine based on his own experience using "Shanghanlun(傷寒論)" and "Jinguiyaolue(金匱要略)" for reference. In "Yakuchozokuhen" and "Yakuchozokuhenhuroku", Murai Kinzan maintained the main frame of "Yakucho(藥徵)", Yoshimasu Todo's work, discussing in 5 categories. Medicines that are used popularly were written in "Yakucho" and "Yakuchozokuhen", therefore those books were discussed in 5 categories. However, "Yakuchozokuhenhuroku" were discussed only in 1 ~ 3 categories.

"주역참동계"에 나타난 의학사상 연구 (Study on Medical Thought of "Zhouyi Cantongxie(周易參同契)")

  • 임명진;김병수;강정수
    • 대한한의학원전학회지
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    • 제24권5호
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    • pp.1-10
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    • 2011
  • According to "Dongeuibogam(東醫寶鑑)", "the Shinnong Herb Bible(神農本草經)", "Chamdonggo(參同攷)", come to the conclusion about medical thought of "the Zhouyi Cantongxie(周易參同契)". Alchemy is a common field both on the eastern and western civilization, but a process of development is different. Ancient chinese alchemist made a study on external alchemy, but harmful consequences of external alchemy was consecutive, many scholars had turned their interest on internal alchemy which is related in human meridian biology and spirit. In the western alchemy has developed to make a study on analytic psychology and science of religion. Most importantly, the eastern and western alchemy have something in common what at the point of the perfection of self is similar, but the name is different, for example in the eastern alchemy we can be immortals and take a spiritual enlightenment with the elixir of life, in the western we can take a cure of souls as a christian. As for internal alchemy, "Cantongxie(參同契)" gives influence to the theories such as the theory of danjeon(lower part of the abdomen), evolution, aging, and life nurturing. Especially, the theory of danjeon shows such merit for studying since it is similar to triple energizers(三焦) and the theory of qi street(氣街) of oriental medicine. The study on "Cantongxie(參同契)" was achieved in Korea too, especially Chosun dynasty. "Candongkao (參同攷)" by Seo Myung-eung(徐命膺, 1716~1787) are representative. According to "Candongkao(參同攷)", Geon(乾), Gon(坤), Gam(坎), and Ri(離), the four trigrams for divination, each are affiliated with lungs, spleen, kidneys, and heart. Nowadays the study on alchemy correspond with modern trends, which are anti-aging and living without any disease. If processed mineral drugs is assured for stability, it can be used for incurable diseases such as cancer.

조선조 성리학자 윤지(尹指)의 "둔옹연소천지문답(鈍翁演小天地問答)"에 나타난 의학사상 연구 (Yun-Ji(尹指)'s Medical Thought in "Dunongyeonsocheonjimundap(鈍翁演小天地問答)")

  • 조원준;박완식
    • 대한한의학원전학회지
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    • 제20권4호
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    • pp.187-210
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    • 2007
  • Dunong(鈍翁), Yun-Ji had born by a concubine, and his dream didn't come true for the restraint of his social position, so he tried to train younger men. His writings still remain 4 volumes of "Dunongyeonsocheonjimundap" and "Dunongdongmongmundap(鈍翁童蒙問答)", which may be called its primer. "Dunongyeonsocheonjimundap" is written in question-and-answer form between Chal-Hye-Ja(察慧子) who has a meager knowledge and Sim-Gyeong-Ong(心耕翁) who search for the truth. It is progressed from the law of nature to human's cultivation of the mind so as to reconfirm the recognition of the unity between the heaven and human beings and lead the interpretation and practice of the metaphysical proposition. It is characterized by making use of metrical compositions to induce plain tone of argument. "Dunongdongmongmundap", whereas, uses archaic writings to describe natural science including astronomy to the beginners. Dunong's scholarship is characterized by these: He explained the metaphysical propositions by approaching usual things including oriental medicine practically; He comprised the Confucian concepts intensively to examine the Oriental studies closely; He groped for the outlooks on the world of taking serious view of human being or human body. And his medical thought is characterized by these: He attached importance to the theory of viscera and bowels based on yin-yang and five phase theory; He suggested the concrete yin-yang theory with a viewpoint of qi-blood theory; He considered the concept of 'six' only as mutual rooting of yin and yang and five visceras and six vowels, and denied the traditional six qi concepts; He explained the ghost theories of the metaphysics based on the yin-yang theory to analogize points of sameness between the oriental medicine and the metaphysics; He emphasized restore yang theory. Therefore, we can say that he regarded the human body as small heaven-earth and grafted the abstract propositions into the actuals so as to put the metaphysical propositions in practice.

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소아약증직결(小兒藥證直訣)의 의안(醫案)에 나타난 전을(錢乙)의 의학사상에 관한 연구 (A Study on the Medical Records and Qian Yi(錢乙)'s Medical Thought in $\ll$Xiao Er Yao Zheng Zhi Jue$\gg$)

  • 황영준;민상연;김장현
    • 대한한방소아과학회지
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    • 제24권1호
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    • pp.104-116
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    • 2010
  • Objectives The Medical record consist of symptoms, the cause of a disease, diagnostic studies, medical treatment, prescription, and so on. Doctors can use medical records as data for diagnosis, treatment, and education. Therefore, medical records are beneficial. Methods Translating $\ll$Xiao Er Yao Zheng Zhi Jue$\gg$ into modern Korean, and studying the medical records of Qian Yi(錢乙)'s Medical concept in $\ll$Xiao Er Yao Zheng Zhi Jue$\gg$ were examined. Results Regarding the diagnosis of the pediatric diseases, Si Zhen He Can(四該合參), consider in the eye exam closely. In addition, he closely combined the concept of Wu Zang Bian Zheng(五藏辨證), and diagnosis the pediatric diseases. Wu Zang Bian Zheng(五藏辨證). what Qian-Yi(錢乙) established method was based on Zheng Ti Guan(整體觀) in Huang Di Nei Jing(黃帝內經). Qian-Yi(錢乙) took a close look on Chuang Zhen(瘡疹) which had been an inadequate field in those days. He criticized on the habitual misuse of medications. He treated Ji Jing(急驚) and Man Jing(慢驚) separately; Ji Jing(急驚) as Liang Xie(凉瀉) and Man Jing(慢驚) as Wen Bu(溫補). He proposed Zong Gan Zhu Feng and Xin Zhu Jing(縱肝主風, 心主驚) theory and formulated Jing Feng(驚風) theory as well. He emphasized the treatment to Gong Bu Shang Zheng, Bu Bu Zhi Xie, Xiao Bu Jian Shi(攻不傷正, 補不滯邪, 消補兼施) because he had a clear demonstration to Han Re Xu Shi(寒熱虛實) of the five viscera in the field of Fang yao(方藥). Conclusions Understanding $\ll$Xiao Er Yao Zheng Zhi Jue$\gg$ and its medical records of Qian Yi(錢乙)'s medical concept had quintessential meaning to both modern pediatrician and oriental medical doctors of all medical fields in treating children.

분선충의 Hyperinfection 1례 (A Case of Strongyloidiasis with Hyperinfection Syndrome)

  • 홍성종;신진식;김선영
    • Parasites, Hosts and Diseases
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    • 제26권3호
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    • pp.221-226
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    • 1988
  • 면역기능이 저하된 한국인 73세 남자가 요통을 주소로 입원하였다. 환자는 prednisolone 을 장기간 투여하였다고 하며 입원시 전신성 pitting edema와 기침, 객담, 구토, 설사를 하였고 빈 사상태였다. 백혈구는 증가하였으나 초산구중가증은 없었으며 저 단백혈증, hypoalbuminemia, 패혈증, 빈혈이 있었다. 뇨는 한색이었다. 대변검사에서 rhabditiform 유충이 관찰되었으며 대변 배양 검사로 분선충의 filariform유충이 확인되어 분선충에 의한 hyperinfection으로 진단되었다. 치료목적으로 입원 제3일부터 albendazole을 4일간 투여하였다. 입원 제7일에 객담검사에서 filariform유충이 관찰되었으며 설사변에서 분선충의 기생세대 자충 619마리를 수집하였다. 그러나 환자는 희망없이 빈사상태로 퇴원하였으며 얼마 후 자택에서 사망하였다.

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신종 조충 Taenia asiatica sp.n.의 형태학적 기재 (Morphologic descritions of Taenia asiatica sp. n.)

  • 엄기선;임한종
    • Parasites, Hosts and Diseases
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    • 제31권1호
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    • pp.1-6
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    • 1993
  • 현재 인체에는 기새하는 Taenia 조충으로는 돼지고기 유구낭미층(Cysticercus cellulosae)을 먹어서 감염되는 Taenia solium Linnaeus 1785과 쇠고기의 무구낭미층(Cysticercus bovis)을 먹어서 감염되는 Taenia saginata Goeze 1782 두 종이 알려져 있다. 한편 인체에 기생하는 제 3의 Taenia 조충으로 최근 타이완, 한국, 인도내시아, 태국, 필리핀 등 아시아국가를 중심으로 발견되는 Asian Taenia saginata 조충은 돼지나 소의 간 또는 내장에 있는 내장형낭미충을 먹어서 감염되는 것으로 추정된다. 그러나 이러한 생활사상의 구분에도 불구하고 형태하적으로는 본충이 Taenia saginate Groeze 1782와 유사하기 때문에 아직 신종으로 인정되지 않은 상태이다. 이에 연구자들은 Asian Taenia saginata 조충의 형태학적 구분점을 새로이 발견하고 학명으로서 Taenia asiatica sp.n.(한국명:아시아조총)을 제시하고자 한다. 감별적으로는 1.선충의 두절에 있는 액취의 존재, 2. 성충의 수태편절에서 관찰되는 자궁세지의 수, 3.성충의 수태관절에서 관찰되는 미돌기의 존재 및 4.유추의 낭벽표면에서 관찰되는 사마귀양 구조가 광학 및 전자현경적으로 관찰되었다. 이중 '자궁세지'와 '미돌기'는 새로이 관찰하여 기재하는 구조물로서 처음으로 Taeniid의 종감별에 사용하였다.

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이제마의 도덕.성명론과 사상의학적 맥락 연구 (Study on the Concepts of Lee Jema's Way.Virtue.Nature.Imperative and the Contexts between Sasang Constitutional Medicine)

  • 노상용;고흥
    • 동의생리병리학회지
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    • 제19권5호
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    • pp.1137-1141
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    • 2005
  • This paper is written in order to investigate how Lee Je-Ma changed traditional Zhu Xi's philosophical view on Way(Tao; 道) Virtue(De: 德) Nature(Xing;性) and Imperative(Ming; 命), which was general concepts of his contemporary age, to practical philosophy and created new medical theories of Sasang(4 symbols) science from it. Lee emphasized the true thing which is able to be done in one's living not the concepts of Sasang. So he induced the concepts of Way and Virtue from the easy and simple way(易簡之道) in the Classic of Changes(I'Ching) for the purpose of practice by anyone. Because Nature and Imperative are derived from Way and Virtue in the context logically, human life is virtual in itself, so the substance of Nature and Imperative became equal with Way and Virtue. Herein the names and concepts of original 'Sasang' were substituted to Business(事), Mind(心), Body(身), Thing(物) which is able to be directly related with human being in his daily life. And he explained variously about the responses of Mind and Body of individuals onto Business and Thing. So it could be applied in medical aspects like emotional, symptomatical, characteristic features. Conclusively man is virtual being, so Nature and Imperative in the level of Human being are based on Way and Virtue in the level of Heaven. For that reason the new concepts of Sasang Business. Mind. Body Thing or Heaven. Human. Nature and Imperative were proposed.

전순의(全循義)의 의학사상과 저작내용에 관한 소고 (Study on Medical Thoughts of Writing works of Jeon Sun Eui)

  • 윤종빈;전병훈;김영목
    • 동의생리병리학회지
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    • 제21권2호
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    • pp.353-361
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    • 2007
  • This study searched the medical thought of Cheon Sun Eui (全循義). The relavance of his writings with the modern Korean Traditional Medicine, the science of food and nutrition, and the living science. His medical philosophy which was expressed in SikRyoChanYo(食療贊要), SanGaYoGok(山家要錄), ChimGuTaeKIlPeonJip(鍼灸澤日編集), etc., was investigated. The purpose of SikRyoChanYo(食療贊要) was to describe the food therapeutics before using drugs for treatment of diseases and stress the prevention of illness using foods. Second, he mentioned the science of breeding of plants and the method of food storage in his writing, SanGaYoGok(山家要錄). In this writings, the method of preparing and processing foods, storage of foods, fermentation of foods, the science of breeding of plants, etc., was mentioned. So, he could be called as a scientist. Also, he stressed the importance of food in maintaining health and curing illness in this book. Third, he wrote the good and bad luck of time and the day of getting away from the bad luck when the acupuncture and moxibustion was performed. In ChimGuTaeKIlPeonJip(鍼灸澤日編集), he reflected together the energy changes of nature and body in performing therapeutics.

$^{99m}Tc$-HMPAO를 이용한 발작시 뇌 SPECT상 반대편 소뇌의 섭취증가에 관한 연구 (Increased Contralateral Cerebellar Uptake of $^{99m}Tc$-HMPAO on Ictal Brain SPECT)

  • 원제환;이종두;정태섭;김희수;박창윤
    • 대한핵의학회지
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    • 제29권1호
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    • pp.9-14
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    • 1995
  • 뇌졸증환자의 뇌 SPECT 소견상 나타나는 소뇌교차해리현상(crossed cerebellar diaschisis)은 잘 알려진 현상이다. 한편 간질 환자의 발작시 뇌 SPECT에서 반대편 소뇌에 혈류증가를 보이는 역교차해리현상(reverse type of crossed cerebellar diashisis)은 드물게 보고되었었다. 따라서 본 저자들은 발작시 뇌 SPECT에서 역교차해리현상의 빈도 및 간질병소를 찾는데 있어서의 유용성에 대해 알아보고자 하였다. 복합부분발작환자 중 임상적, 뇌파검사상 및 SPECT 소견등에서 간질병소가 일치하는 12명의 환자를 대상으로 하였다. 환자 모두에서 시행한 발작시 스캔은 발작중 혹은 환자가 aura를 호소할때 $^{99m}Tc$-HMPAO 15-20mCi를 정맥주입 후 시행하였으며 발작간 스캔은 11명의 환자에서 발작시 스캔 후 적어도 3일 간격을 두고 시행하였다. 간질병소는 우측측두엽이 6예, 좌측측두엽이 4예, 우측후두엽이 1예, 좌측전두엽이 1예 등이었다. 발작시 스캔상 간질병소 및 반대편 소뇌에 혈류가 증가하는 역해리현상은 모두 8명(75%)의 환자에서 나타났으며 특히 2명의 환자에서는 간질병소보다 반대편 소뇌의 동위원소 섭취가 더욱 뚜렸했다. 역해리현상을 보였던 환자의 발작간 스캔소견에서는 발작시 증가되었었던 소뇌의 동위원소 섭취가 7예에서 정상화되었고 나머지 1예에서는 감소되었다. 따라서 소뇌의 역교차해리현상은 발작시 뇌 SPECT의 자주 볼 수 있는 현상으로 간질병소의 편측화에 도움을 줄 수 있을 것으로 생각된다.

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