• 대한한의진단학회지
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• 제20권1호
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• pp.45-50
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• 2016

Objectives Although the word Zheng (證) is widely used basic term in nowaday's East Asian traditional medicine, it's definition can't be found in ancient texts before 20th century, and the history in which that term got general meaning in public, have not been clearly introduced. So the present author show the way Zheng confirm it's modern implication. Methods To search the books that contain any contents on Zheng's definition, the author mainly used the electronic texts of Super Star Reader (超星閱讀器). To search modern study article on Zheng's definition, the author used China National Knowledge Infrastructure (www.cnki.net). Results The present study shows that : although Treatments according to disease Pattern Identification (辨證施治) have been prominent treatment modality in East Asian traditional medicine, the general definition of disease Pattern (證) was given in late 20th century. Especially from 1955 to 1965, some major scholars like Ren Ying Qiu (任應秋), Zhu Yan (朱顔), Qin Bo Wei (秦伯未) and Jiang Jian Fu (蔣見復) did important roles in it's concept creation. Conclusions Modern concept of Zheng (證) was defined in late 20th century.

• 한국한의학연구원논문집
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• 제15권2호
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• pp.125-130
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• 2009

동의보감(東醫寶鑑) "내경편(內景篇)"에 "사람의 형은 긴 것이 짧은 것만 못하며, 큰 것이 작은 것만 못하고, 살찐 것이 마른 것만 못하다. 사람의 색은 흰 것이 검은 것만 못하고, 옅은 것이 짙은 것만 못하며, 엷은 것이 두터운 것만 못하다. 더욱이 살찐 사람은 습이 많고, 마른 사람은 화가 많으며, 흰 사람은 폐기가 허하고, 검은 사람은 신기가 넉넉하다. 사람마다 형색이 다르면 오장육부 역시 다르기 때문에 외증이 같더라도 치료방법을 달리해야 한다."고 하였다. 이것은 "동의보감(東醫寶鑑)"의 체 병 증을 서로 결합하여 진단 치료하는 사상으로 "이체질동병이치", "이체질동증이치"의 체질진료사상을 나타낸 것이다. "동의보감(東醫寶鑑)" "탕액편(湯液篇)"에서 "약이란 병을 치료하는 것이다. 변화하는 것은 병에 있고, 병 치료를 주관하는 것은 약에 달렸으며, 약을 만들어 쓰는 것은 사람에게 달려 있다. 이 셋 중 하나라도 빠지면 안된다."고 하였다. 이것은 체 병 증과 방약이 서로 대응하는 용약사상을 보여주는 것으로 동의약의 진료체계를 건립하였는데 이 점이 바로 동의약학의 장점이자 특색이라 할 수 있다.

• 제3의학
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• 제2권1호
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• pp.55-84
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• 1997

Inferential structure and reality problem is a serious issue to O.M.(oriental medicine). The study will analyze this issue through a philosophical and historical comparative study of W.M.M(Western modern medicine) and O.M. First, I presuppose some basic ideas. The first is the division of the 'the philosophy of medicine' and 'the medicine itself'. Second, there is a 'visibility' that discriminate between 'the abstractive concept' and 'the concrete object' in diagnostic terminology. The third is the separation of disease, the entity and disease, the phenomenon. Finally, the distinction between the cause of disease and the nature of disease. Through these basic concepts, this study will analyze O.M's diagnostic methodology, 'Pattern identification of the S.A.S(sign and symptom)'. The results are follows: 1. O.M's views disease as a phenomenon. So, the S.A.S, which is visible, is the disease itself. Tough the analysis and inference of the S.A.S, 證(zheng) the essence is derived. 2. 證(zheng) can be considered as 'the abstractive concept' reflecting the essence of a disease. 3. 證(zheng) is not arrived through causal sequence reasoning but rather by analogical reasoning. 4. 證(zheng) is 'the non-random correlative combination of S.A.S', pattern. These patterns secure the abstractive deduction in reality. that is, The causality, the positivism, the view of disease as entity, and anatomical knowledge are the traits peculiar to W.M.M. But, these properties can not be applied universally to every medical systems. Also, these properties do not indicate the superiority or inferiority of any medical system. 5. 證(zheng) summarizes the patients condition simultaneously with the S.A.S. However, 證(zheng) doesn't necessarily indicate the knowledge about the actual internal organ. That is, Early in O.M.'s history, the diagnostic terminologies including 證(zheng) were analogical reflections of a naive knowledge of internal organs and external environmental factors. Later, the naive knowledge in 證(zheng) changed int new nature, an abstractive concept. The confusion of the concept of disease, the indiscriminate acceptance of Western anatomical knowledge, and the O.M.'s theoretical evolution et are the challenge facing modern O.M. To find solutions, this study looks at the sequence of the birth of W.M.M. and then compares it's system with the O.M. system. The confusion of the concept of disease, the indiscriminate acceptance of Western anatomical knowledge, and the O.M.'s theoretical evolution et are the challenge facing modern O.M. To find solutions, this study looks at the sequence of the birth of W.M.M. and then compares it's system with the O.M. system. It is recommended that O.M. diagnostics should pay close attention to the ambiguity of the diagnostic methodology in order to further development. At present time, the concept and the system peculiar to O.M. can not be explained by common language. but O.M.'s practitioner can not persist in this manner an: longer. Along with the internal development of O.M., the adjustment of O.M.'s diagnostic terminology needs to be adopted.

• 사상체질의학회지
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• 제11권2호
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• pp.95-117
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• 1999

1. 연구목적 동서양과 고금을 통해 많은 체질 이론들이 있었지만 그 중에서도 이제마의 사상의학은 이론과 임상이 체계적으로 연계되어 있어서 널리 사용되고 있다. 이제마는 동의수세보원의 사단론(四端論), 변증론(辨證論) 등에서 체질진단의 근거로 외형(外形), 심성(心性), 증(證)의 세 가지를 제시하였으나 세 가지 기준별 임상적 중요도에 대한 연구가 이루어진 바가 없어서 임상에서 세 가지 진단 기준을 종합적으로 활용하는데 많은 어려움이 있는 형편이다. 그러므로 향후 세 가지 체질진단 기준을 임상에 적용하여 각각의 기준이 지니는 임상적 중요도를 검증하는 연구가 필요하다고 보며, 본 논문에서는 이러한 임상적 연구에 앞서 기존의 체질진단 연구를 외형(外形)과 심성(心性), 증(證)의 세 가지로 분류, 고찰하는 기초적 연구를 하고자 한다. 2. 연구방법 <동의수세보원(東醫壽世保元)>과 사상의학회지 및 사상의학 관련 도서를 중심으로 문헌적 고찰을 하였다. 본론에서는 그간의 연구들을 세 가지로 분류하여 열거하였으며. 고찰에서는 임상적으로 활용이 가능하거나 이미 완료된 연구 위주로 논하였다. 3. 연구결과 (1) 외형(外形)에 관한 연구 경험과 직관적 관찰을 통한 기상(氣像)과 사기(詞氣)위주의 연구가 선행되었고 이를 바탕으로 체형(體形)과 용모(容貌)의 실제 계측을 통한 각 체질별 이미지 정형화 연구가 진행되고 있다. 체질진단의 정확률 제고를 위해서는 이 두 가지 방법을 균형있게 활용해야 한다. (2) 심성(心性)에 대한 연구 각종 연구나 진단의 객관화 등을 위해 자기보고식 설문조사 기법이 체질진단에 응용되고 있으며, 현재까지 개발된 설문지를 이용함에는 사상변증내용설문조사지(I)의 판별식을 이용한 결과와 QSCCll의 결과를 함께 참고하는 것이 적절하다. (3) 증(證)에 대한 연구 체질증과 체질병증에 대한 연구는 원리론적 연구와 체질별 임상증상 유형에 관한 연구, 기존의 증치의학적 병증관을 사상의학적 병증개념에 적용시켜 해석하고자 하는 연구가 진행되어 왔다. 향후 현대적인 의미의 다양한 병증을 사상의학적 관점에서 해석하고 진단하기 위한 객관화 연구가 필요하며, 또한 체질의 편차를 야기시키는 근본적 문제인 장국(臟局)의 대소(大小) 및 장리(臟理)에 대한 연구도 필요하다.

• 동국한의학연구소논문집
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• 제6권2호
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• pp.1-31
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• 1998

송대(宋代)에는 상한학(傷寒學)에 대하여 많은 연구가 진행되었다. 그 중에 대표적인 의가가 허숙미(許叔微)이다. 그는 자신이 직접 임증(臨訂)에서 경험한 것을 토대로 "상한론(傷寒論)"을 증(證)에 따라 분류하여 변증논치의 발전을 추동하고 가결형식(歌訣形式)으로 편집하여 임상응용에 접근을 용이하게 하였다. 그리고 임상각과(臨床各科)의 제방용약(制方用藥)에 대해서도 조예가 깊어 방제학에 대한 발전을 촉진시켰으며 아울러 독특한 의론(醫論)을 전개하였다. 그의 대표적인 저작으로는 "상한백증가(傷寒百證歌)", "상한발미론(傷寒發微論)", "상한구십론(傷寒九發十論)", "보제본사방(普濟本事方)"등이 있고 후세에 많은 영향을 끼쳤다.

• 대한한의학원전학회지
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• 제19권2호통권33호
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• pp.266-293
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• 2006

Accumulation of pathogens in chest refers to a syndrome of fullness, stuffiness and pain in the chest, diaphragm, epigastrium and abdomen, which is ascribable to accumulation of pathogenic heat with stagnancy of fluid or phlegm in the chest. Retching refers to vomiting with sound but without any vomitus. It is usually ascribable to adverse flow of ki due to deficiency of stomach, or by pathogenic heat or cold, and failure in descending of the stomach-ki. It may also be found in Soyang disease. Bloody purulent stool refers to passing stool with blood and pus. It is formed mainly due to invasion of the stomach and the intestines by epidemic pathogenic summer-heat, steaming of stagnateed damp-heat fighting against ki and blood, or improper diet, obstruction of bu-ki stagnation of blood and ki.

• 대한한의학원전학회지
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• 제19권4호
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• pp.241-256
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• 2006

Aversion to wind is a feeling of cold when exposed to wind; aversion to cold is a feeling of cold. The distinction between aversion to wind and aversion to cold is ambiguous because in greater yang disease the two terms seem to be used indiscriminately. It is, however, worth noting that "aversion to wind" does not occur in the lines presenting disease of the three yin. In this text, we render as "heat effusion" rather than "fever," since the Chinese term is somewhat wider in meaning than familiar English term, Heat effusion is associated with many conditions and occurs both in externally contracted disease and miscellaneous disease (雜病), disease due to causes other than external evils). In externally contracted disease of the three yang channels, heat effusion is a manifestation of the struggle between right qi and evil qi; it does not necessarily indicate the presence of evil heat. In diseases of the three yin, right qi is not strong enough to counter evil qi; hence heat effusion is absent, and instead only aversion to cold is present. Sweating occurs in a variety of patterns. A distinction is made between spontaneous and night sweating(自汗). Spontaneous sweating is so called because it occurs spontaneously without exertion. it has numerous causes. Night sweating(盜汗) is sweating during sleep that ceases on awakening.

• 제3의학
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• 제1권1호
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• pp.37-44
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• 1996

This study has surveyed the problems raised through the standardization process of differentiation system and searched its solution, reaching the following conclusion. 1. The most serious problem is, most frequently occurred, an wilful application of differentiation system or constitutive classification for disease. 2. To overcome this wilfulness, we must make a definite understanding of the origin and its applicative limit of the theory. 3. And it must be preceded for a correct and objective differentiation to standardize in all choice of the differential diagnostics and its applicative condition. 4. To establish such a corresponding diagnostic scheme, it must be generally agreed on an individuality and inevitability of the suitability to differentiation principles. 5. And, though we can make a prescription through the frequency, degree, and clarified cause of the symptom, its flexibility of application must not be necessarily, ignored. 6. As this study for standardizing the disharmony between liver and pancreas(肝脾不調) shows, accordingly, we must begin by scrutinizing and defining what the chief cause, head, and inevitable symtoms are and discern them from its affinities, making necessarily a great deal attention to minute feelings and degree about its individual symptoms. On the ground of these recognition, we must go further to establish a general standardization and try to get a specific study series.

• 대한한방내과학회지
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• 제10권1호
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• pp.53-64
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• 1989

In an attempt to investigate the current of clinical researches on spleen yang or vital energy deficiency syndrome, the results were as follows. 1. It is possible to occure spleen deficiency syndrome which come from genetic factor. 2. The absorption disturbance in spleen deficiency syndrome can be likely caused by gastrointestinal mucosa injury, disorder of vagus nerve funtion and impairment of excretion of exocrine gland in pancreas. 3. Owing to the failure of tansporting and converting funtion of spleen, minerals, hematogenic substance and nutritional substance are scanty and then imbalanced metabolism state which heat production is decreasing is appeared. 4. By the failure of vital energy and blood growth, decreasement of $O_2$ transportation ability of RBC, disoder of blood coagulation, immune system disturbance which humoral immunity is enhanced and cellular immunity is decreased, are noted. 5. While there is not still an attemt to study the spleen deficiency sydrome in muscle disease or disease of four extremities, but it is likely suggested that spleen-stomach supplyment thereapy is very excellent effect on muscle disease and disease of four extremities.

• 한방안이비인후피부과학회지
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• 제22권1호
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• pp.89-99
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• 2009

인진호탕(茵蔯蒿湯)은 한의학에서 여러 가지 질환에 사용되어 왔다. 특히 간경의 습열(濕熱)로 인한 질환에 습열을 제거함으로써 증(證)의 완화에 많은 응용이 되어 왔다. 본 연구는 습열(濕熱)로 인한 질환중의 하나인 아토피 피부염에 그동안 응용이 적은 인진호탕(茵蔯蒿湯)을 실험적으로 응용함으로써 임상적인 가치를 가질 수 있는 지에 대한 기초연구를 진행하였다. 본 실험에 사용된 세포주는 rat leukemia (RBL-2H3) cells로 인진호탕(茵蔯蒿湯)은 알레르기와 관련된 사이토카인인 tumor necrosis factor (TNF)-$\alpha$, interleukin (IL)-4를 용량의존적으로 억제하였지만 세포독성은 일으키지 않았다. 그리고 동물실험에서 인진호탕(茵蔯蒿湯)은 PCA반응에서 충분한 억제효과를 나타내었다. 또한 Compound 48/80으로 유도된 anaphylaxis shock도 용량 의존적으로 억제함이 밝혀졌다.