• The Journal of Internal Korean Medicine
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• v.19 no.1
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• pp.524-552
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• 1998

Purgation therapy has played an important role as a influential remedy from the begining of the Chinese medicine. Especially purgation therapy is raised as the effective remedy on the acute infectious disease in the book of 'Treatise on Febrile Disease'. But It was inclined to cold-nature and available only in the excess syndrome. Nevertheless it is evident that the book has showed an example of this therapy. During the middle age, purgation therapy is classified into several subtype; hydrogogue therapy, laxation with lubricants, purgation with cold-natured drugs and purgation with warm-natured drugs. Comparing with the ancient times, it must be a progression. It was investigated earnestly by a school leaded by Zhang Congzheng. They were not restricted to several diseases, but applied it to the wide range of diseases. They thought as following. 'One is ill from pathogenic factor so that you should eliminate it from the human body'. Hence, they frequently used three major remedies such as diaphoresis, emesis and purgation. In this process, purgation therapy had showed eye-opening progress. But opposition to it was not little. Li Gao was a representative man on the opposite side. He expressed a critical opinion and placed great importance on the genuine energy, the natural healing force. Under his influence, a large number of doctors evaded purgation and put it under taboo. On account of these trend, purgation therapy had took a backward step and retrograded. Therefore cathartics such as Rhei Radix et Rhizoma, Rharbitidis Semen, cold drugs such as Gypsum Fibrosum, etc. had been excluded for preservation of the genuine energy, and came about an obnoxious custom to value only 'tonity deficiency', or 'warm and tonify'. As it had came into fashion to approach most disease from the point of view, purgation therapy was merely fall into a remedy of constipation. After the eighteenth century purgation therapy encountered the new period of rivival. It was introduced by them who strived for the study of Epidemics to the new current of thought, so called '增水行舟'. It was because 온병 was apt to dissipate one's Yin fluid. Therefore purgation therapy of this period was characterized by establishing nourishment Yin and body fluid with or without use of timely purgation of accumulation of heat. From the time of Zhang Congzheng, it was accomplished by Lee Je-ma to the most epoch-making change. He caused an improvement in the use of purgation therapy by regarding innate constitutional contradiction as importance than representing clinical symptoms. He warned that existing remedies that depend only upon symptoms and signs, not upon individual characteristics including constitutional features didn't bring round to but kill them. And he understood all the pathologic processes in his constitutional theory, investigated specific drugs on four constitution, made indications of each prescriptions clear. For giving to differentiation of constition before differentiation of syndrom, his new slant on the pathologic phenomena overcome the limitations of 변증시치, and revaluate purgation therapy from remedy impaire the genuine energy to that restore it by recover the balance between the internal organ. It is the product of him to fundamentally upset the cause to be in disregard of purgation therapy.

• Journal of Korean Medical classics
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• v.13 no.1
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• pp.146-183
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• 2000

통과이상적연구(通過以上的硏究), 장상한학술적성숙기(將傷寒學術的成熟期), 칙지명대여청대관여상한의학사적내용정리(則至明代與淸代關與傷寒醫學史的內容整理) 여하(如下). 1. 명청시대적시대배경사상한학적내용갱풍부(明淸時代的時代背景使傷寒學的內容更豊富), 촉진상한학술적발전(促進傷寒學術的發展) 병차출현료흔다관여상한적저작(幷且出現了?多關與傷寒的著作), 단실제상야출현료상한론내용적중복여지론술일반부분(但實際上也出現了傷寒論內容的重複與只論述一般部分), 혹저자립안조잡적처방지폐단(或著者立案粗雜的處方之弊端). 차기우출현각종상한학파적리유(此期又出現各種傷寒學派的理由), 시인위당시류행적사조(是因爲當時流行的思潮), 칙정주리학적영향여명대문단부고(則程朱理學的影響與明代文壇復古), 의고적추향(擬古的趨向), 환유금원시대적백가쟁오등(還有金元時代的百家爭嗚等), 성료형성상한학파적기초(成了形成傷寒學派的基礎). 2. 위료불실거상한론적본래의식(爲了不失去傷寒論的本來意識), 주장정리화고정원문회부왕숙화이전모양적착간중정파시왕안도기료개단(主張整理和考訂原文恢復王叔和以前模樣的錯簡重訂派是王安道起了開端), 방유집확대료기의식(方有執擴大了其意識). 유창여침명종시대표저학파학자(喩昌與沈明宗是代表這學派學者), 장로(張?) 정응모(程應?) 주양준(周揚俊) 오겸등수료저학설(吳謙等隨了這學說). 3. 주장(主張)'존왕(尊王)(숙화(叔和))찬성(贊成)(무기(无己))'적유호구론파(的維護舊論派), 주장료불능수변개상한론삼음삼양편적배렬여순서(主張了不能隨變改傷寒論三陰三陽篇的排列與順序), 문자(文字), 구문(句文), 문장(文章), 고세식(高世?), 진념조등인(陳念祖等人). 4. 주장상한론적정수재어변증론치(主張傷寒論的精髓在於辨證論治), 선우운용칙능득상한핵심리론적학파시변증론치학파(善于運用則能得傷寒核心理論的學派是辨證論治學派). 저학파분사개계통(這學派分四?系統), 이처방수집증상적의가유허굉(以處方收集證狀的醫家有許宏), 가금(柯琴), 서대춘(徐大椿); 이치법수집증상적의가유오인구(以治法收集證狀的醫家有吳人駒), 우이(尤怡); 이분유륙경찰증상적의가유진념조(以分有六經察證狀的醫家有陳念祖), 포성(包誠); 이증상분류증후적의가유류순(以證狀分類證候的醫家有劉純), 왕긍당(王肯堂), 진지정(秦之楨), 침금오등인(沈金鰲等人). 5. 회통파유량종류형(?通派有兩種類型), 일시수통상한여온병적학파(一是誰通傷寒與溫病的學派), 간칭회통파(簡稱?通派), 대표의가유도화(代表醫家有陶華), 오정(吳貞), 유근초등인(兪根初等人), 령일개유회통중의여서의적립장상해석상한적의가당종해(?一?有?通中醫與西醫的立場上解釋傷寒的醫家唐宗海). 6. 경전학파시이상한론위보귀적경전래인식(經典學派是以傷寒論爲保貴的經典來認識), 병차지유숭상차경여사상적학파(幷且持有崇尙此經與思想的學派), 차리분량개편우원문적고증래연구적경전고증파(此里分兩?偏于原文的考證來硏究的經典考證派), 화인위지유상한론(和認爲只有傷寒論), 재능총괄치료외감병(才能總括治療外感病), 부정온병학설병배척적경전림상파(否定溫病學說幷排斥的經典臨床派).

• Journal of Korean Medical classics
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• v.25 no.1
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• pp.89-115
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• 2012

Objective : Blood disease is common these days due to modern man's excessiveness in Yang heat (陽熱) and vulnerability of the Eum blood(陰血). This exposes them to warmheat/ dampness-heat diseases, where pathogenic heat easily penetrates the blood dimension(血分) creating stagnated blood(瘀血). Consequently, pathogenic symptoms in the collateral vessels increase, making it crucial to understand the pathogenic mechanism of the disease. Method : This paper examines the condition and region of the collateral vessel diseases(CVD) according to the blood diseases of Onbyeong, by analyzing each prescription's matching symptom. The disease in question in this paper is 'stagnated blood fixated in the collateral vessels'. Therefore diseases with stagnated blood in the Yang collaterals and Viscera collaterals or viscera themselves from the chapter of "On-Yeok-Ron(溫疫論)", and < Dry Blood-DaeWhangJaChungWhan(大黃蟅蟲丸) > chapter of "Geum-Gue-Yo-Rak(金匱要略)", were examined respectively. Result & Conclusion : The process of CVD according to the blood diseases of Onbyeong can be summarized as follows. First, bleeding in the Yang and Bowel collaterals, then stagnation in the Yang and Bowel collaterals, and finally stagnation in the viscera collaterals or Liver itself. The refractory nature of blood stagnation symptoms of the collateral vessels is mainly due to the characteristics of the collateral vessel itself. In structure, they are very narrow and small, situated at the most terminal part of the body where it is difficult for the Jeong Gi(精氣) to reach. Also, as they are symptomatic of degeneration of Jeong Gi, the root of the disease is very deep. Therefore to resolve blood stagnation in the cases of Ju-Gaek-Gyo and Dry Blood, general approaches using 'Gi communication(行氣)' or 'Blood vitalizing(活血)' medicinals will not suffice. Special medicinals such as crustacean and insects need to be appropriately applied.

• The Journal of Dong Guk Oriental Medicine
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• v.7 no.1
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• pp.1-32
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• 1998

I found following idea, as a result of researching his Science idea, mainly, by translation of the "$Zh\bar{a}ng$ xi $ch\acute{u}n$ $Xu\acute{e}$ $Sh\acute{u}$ ssu $hsi\acute{a}ng$ "(張錫純 學術硏究). $Zh\bar{a}ng$ xi $ch\acute{u}n$ regarded $ch\tilde{u}ng$ $ch\bar{u}ng$ $ts'\bar{a}n$ $hs\bar{l}$' (衷中參西) as the core idea of The Chinese-Western medical combination. He didn't segregate philosophy of the West from One of the Orient. He persued to harmonize each other and thought that the Western medicint theory is included in the Chinese one in many parts. besides, He recognized that it is bad to reject each other, for the medical science's purpose is to save a life, and united The Chinese-Western medicine theory, by $ch\acute{u}ng$ $ch\tilde{u}ng$ $ch\bar{u}ng$ $ts'\bar{a}n$ $hs\bar{l}$'(衷中參西) idea which refers to consult the Western medicine on the basis of the Chinese one. Medical basic theory of $Zh\bar{a}ng$ xi $ch\acute{u}n$ brought up new views of the theory : Dae-gi(大氣), gi-Hwa(氣化) theory, Nongangubgan byung juing chi(論肝及肝病證治), Eum her chijung ja bi(陰虛治重滋脾). Lim Sangeung yong(臨床應用) of Hyul Her gub(血虛及)-Hwal Hyul Hwa $\breve{u}$ bub(活血化瘀法), on the basis of classics, such as, "$N\breve{e}i$ Ching"(內經), "Chin Kue $\breve{i}$ $y\bar{a}o$ $l\ddot{u}{\bar{e}}h$, "Shen $n\acute{u}ng$ $p\breve{e}n$ $t\acute{s}{\check{a}}o$ ching"(新農本草經) etc. I'll sum up $Zh\bar{a}ng$ xi $ch\acute{u}n's$ clinical idea now He unified Sang Han(像寒)-On Byung(溫病) with Yuk Kyung Byung Jung(六經辨證) and It was noticiable to utilize a kinds of Baek Ho Tang(白虎湯). He gave a detailed description about a method of grasp the symptoms of the cause of the internal medicine diseases and pathology and, he left abundant views of theory about using remedy and experience of clinic.

• Journal of Korean Medical classics
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• v.37 no.2
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• pp.49-76
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• 2024

Objectives : The purpose of this paper is to examine the mechanism and treatment of the Zangfu warm disease in the Beijiqianjinyaofang. Methods : This study examined the Zangfu warm disease content in the Beijiqianjinyaofang, Shanghanzongbinglun, Saninfang, based on the Neijing explanation of the pathological mechanism. Treatment was analyzed among the three texts in terms of their similarity and difference. Results & Conclusions : 1. Zangfu warm disease is caused by seasonally inappropriate qi, which is infectious, epidemic, and seasonal. 2. While the Qingjinqian disease pattern was explained in terms of the relationship between Shaoyin and Shaoyang, the actual disease pattern happened more in the Taiyang channel, and partly in the Shaoyang channel. For treatment of Fu deficiency pattern, the Chaihudihuangtang was listed in the Qianjinyaofang and the Shanghanzongbinglun, while in the Sanyinfang, the formula was modified to extinguish heat and thin phlegm, while reinforcing healthy qi. 3. The Chimaifei disease pattern was explained in terms of the relationship between Shaoyin and Taiyang that is deeply associated with Wei qi. For treatment of Fu deficiency the Qianjinyaofang and Shanghanzongbinglun used the Shigaodihuangtang, while the Sanyinfang reinforced healthy qi and eliminated pathogenic qi. 4. The Huangrousui disease pattern was explained as being caused by problems in the Taiyin and Yangming, in which the Triple Burner fails to control and manage cold dampness. In treating Zang excessiveness, the Qianjinyaofang and Shanghanzongbinglun used the Xuanshenhanshuishitang, while the Sanyinfang instructed to reinforce healthy qi and eliminate pathogenic qi. In treating Fu deficiency, the Sanyinfang instructed to warm the center and dry dampness, tonifying the Spleen and reinforcing qi. 5. The Baiqili disease pattern was explained within the relationship between Taiyin and Taiyang. In treating Fu deficiency, the Qianjinyaofang and Shanghanzongbinglun used the Shigaoxingrentang, while the Sanyinfang instructed to reinforce healthy qi and eliminate pathogenic qi. In treating Zang excessiveness, the Qianjinyaofang and Shanghanzongbinglun used the Shigaocongbaitang, while the Sanyinfang instructed to reinforce healthy qi and eliminate pathogenic qi. 6. The Heiguwen disease pattern was explained as being caused by stagnation and obstruction in the Triple Burner due to clash between Taiyang and Shaoyin. In treating Zang excessiveness, the Qianjinyaofang and Shanghanzongbinglun used the Kushenshigaotang, while the Sanyinfang instructed to reinforce healthy qi and eliminate pathogenic qi. The Zangfu Warm Disease is a infectious disease concept which is based on the Five Zang that integrates the meridian aspect together with the Six Fu with which there is an external/internal relationship. This concept and treatment could be considered in dealing with COVID-19.