• Journal of Acupuncture Research
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• 제25권6호
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• pp.125-133
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• 2008

Objectives : The aim of this study is to review $\ll$Chimgudaesung$\gg$ on documentary characteristics such as truth or falsehood of authors, editions, the relationship of $\ll$Hyeongibiyo(玄機秘要)$\gg$. Materials and Methods : Based on Hwangyongsang(黃龍祥)'s study, the author of $\ll$Chimgudaesung$\gg$, the number of volumes and edition, basic contents and constitution, characteristic of reference, and the documentary research results will be arranged. Results and Conclusions : 1. $\ll$Chimgudaesung$\gg$ was made by Geunhyeon based on Yanggyeju(楊繼洲)'s $\ll$Hyeongibiyo$\gg$, and in the 29th year of the Manryeok(萬曆) era Jomunbyeong(趙文炳) saw to the inscription. Therefore, the author must be recorded as 'Originally by Yanggyeju of the Myeong(明) dynasty, revised by Geunhyeon'. 2. The existing Myeong dynasty editions are mostly Leewolgyu(李月桂)'s 'Jungsu edition(重修本)' from the 14th year of the Sunchi(順治) era of the Qing(淸) dynasty and Wangbo(王輔)'s 'Chesu edition (遞修本)' Leewolgyu and Wangbo's preface was deleted and the original text was supplemented from the 37th year of the Ganghui(康熙) era. There are many traces of revision, supplementation and copying by people of later generations in these editions. 3. The 'Chukin edition(縮印本)' of $\ll$Chimgudaesung$\gg$ is mostly a merge of the Myeong dynasty editions and used much of the new revised 'Chesu edition'. This editions should not ever be used again as an original in putting the $\ll$Chimgudaesung$\gg$ in order. 4. After $\ll$Chimgudaesung$\gg$ was published Jomunbyeong had a craftsman publish 4 drawings of $\ll$Donginmyeongdangdo(銅人明堂圖)$\gg$, of which the originally published ones were w drawings of the front and rear, and when Jomunbyeong republished he added 2 Cheukindo(側人圖) of the frontal side(正側) and rear side(背側). 5. When Geunhyeon edited $\ll$Chimgudaesung$\gg$ only 14 medical books were used and quotes copied from other texts were always reedited. Most of the origins of the collected text are shown under the index, but many do not match with the original text. Also many documents were copied from medical books from later times and not the primal text. 6. The annotated sections of $\ll$Chimgudaesung$\gg$ such as 'Yangsi(楊氏)', 'Yangsijip(楊氏集)', 'Yangsijuhae(楊氏注解)', 'Hyeongibiyo' are all from Yanggyeju's $\ll$Hyeongibiyo$\gg$. Of these the origins for the sections marked 'Yangsijip' can be found, but some of the origins for sections annotated 'Yangsi' cannot be found.

• 대한한의학원전학회지
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• 제21권3호
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• pp.127-145
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• 2008

We have known that "Chimgudaeseong(鍼灸大成)" had been written by Yanggyeju(楊繼洲) in Myeong(明) Dynasty. And it had been the only text book of acupuncture & moxibustion for 300 years. This book is composed of 10 chapters dealing almost all the medical theories of that times. This book is so enormous that it is hard to understand essential ideas of author. The reading medical records is one of the best way to develop one's abilities of curing a disease without clinical practice. so we can't help dealing with medical records, because it is one of important method of understanding Oriental Medicine. On this study, we investigate a objective method on understanding medical records in "Chimgudaeseong(鍼灸大成)".

• 대한한의학원전학회지
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• 제21권4호
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• pp.13-28
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• 2008

We have known that "Chimgudaeseong(鍼灸大成)" had been written by Yanggyeju(楊繼洲) in Ming(明) dynasty. And it had been the only text book of acupuncture & moxibustion for 300 years. This book is composed of 10 chapters dealing almost all the medical theories of that times. This book is so enormous that it is hard to understand essential ideas of author. The reading medical records is one of the best way to develop one's abilities of curing a disease without clinical practice. so we can't help dealing with medical records, because it is one of important method of understanding Oriental Medicine. On this study, we investigate a objective method on understanding medical records in "Chimgudaeseong(鍼灸大成)".

• 동국한의학연구소논문집
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• 제8권2호
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• pp.175-199
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• 2000

침구요법은 한국을 비롯한 중국, 일본 등의 아시아권 국가들에서 전통 의학의 주된 치료법으로 사용되어 왔고 최근에는 미국, 독일, 프랑스 등의 서구 여러 국가들에서도 침구요법의 유효성에 관한 연구가 지속적으로 진행되고 있으며 그 결과 세계보건기구에서는 침구요법의 유효성이 이미 검증된 임상영역들을 발표 공인하기에 이르렀다. 한편 의료행위는 사람을 대상으로 하기 때문에 그 자체가 어느 정도의 위험성을 항상 내포하고 있으며 침구 의료행위 또한 예외일 수는 없다. 또한 과거와는 달리 환자들은 의료정보를 취득할 수 있는 기회가 증가하고 있으며 권리의식도 신장되어 최근에는 의료분쟁의 발생이 급증하고 있는 추세이다. 그러나 현재까지 국내에서는 침구시술과 관련한 의료분쟁의 발생 및 그 대책에 관한 연구보고는 실로 미비한 실정이다. 따라서 본 연구는 이러한 제반 상황을 배경으로 침구 의료행위로 인한 의료사고를 예방할 수 있는 대책을 강구하기 위한 기초적 연구로서 침구취영, 의학입문, 침구대성 및 의종금감에 수록된 금침혈가에서 제시하고 있는 자침 금지혈들의 시술 위험성을 문헌적으로 규명하고자 하였다.

• Journal of Acupuncture Research
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• 제23권5호
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• pp.115-125
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• 2006

Objectives & methods : This study aimed to investigate and compare the traditional acupuncture treatment and Sa-am acupuncture treatment of stroke. We investigated ${\ll}$Sa-am chimgujeongjeon(舍岩鍼灸正傳)${\gg}$ for Sa-am acupuncture treatment, and ${\ll}$Dongeuibogam(東醫寶鑑)${\gg}$ and ${\ll}$Chimgudaesung (鍼灸大成)${\gg}$ for traditional acupuncture treatment. Results & Conclusion : 1. In the traditional acupuncture treatment, acupoints on CV, GV, GB, LI, ST meridians to remove pathogens such as fire, damp, phlegm, blood stagnation and Ashi points (nearby points) are often used rather than acupoints according to the diagnosis of excess & deficiency in organs and meridians. 2. In ${\ll}$Sa-am chimgujungjeon(舍岩鍼灸正傳)${\gg}$, symptoms of stroke are classified into 21 and each symptoms are analyzed according to the diagnosis of excess & deficiency of organs and meridians, consequently treated using tonification & sedation of corresponding meridians. 3. For the treatment of stroke in ${\ll}$Sa-am chimgujungjeon(舍岩鍼灸正傳)${\gg}$, tonification & sedation of the acupoints on related meridian is often omitted, using only the acupoints on targeted meridian. 4. In ${\ll}$Sa-am chimgujungjeon(舍岩鍼灸正傳)${\gg}$, empirical points are preferably used for the treatment of stroke.

• Korean Journal of Acupuncture
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• 제34권4호
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• pp.231-240
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• 2017

Objectives : This study was designed to establish the basis for expanding the indications for Blood-letting therapy by reviewing the contents recorded in the Zhenjiudacheng. Methods : Articles associated with the Blood-letting therapy were categorized according to the factors such as the characteristics of the treatment site, the used instruments, the caution, the side effects, the diseases, the acupoints, etc. Results : 1. The characteristics of treatment site were the red, purple, purplish red, purplish black color and the localized collection of fibrous exudate. 2. There were several instruments used for Blood-letting therapy; Samreongchim, Sochim, Loguan, Stone needle, Jukyeop, etc. 3. Several cautions and side effects of the Blood-letting therapy were recorded in the Zhenjiudacheng. 4. The Blood-letting therapy could be performed for a broad spectrum of symptoms such as headaches, backaches, schizophrenia, hyperemia, etc. 5. Not only acupoints but also extra points were used for blood-Letting therapy. 6. In addition to the usual Blood-letting region, Blood-letting therapy was performed directly on the pathologic site and pathologic reaction site. Conclusions : In the Zhenjiudacheng, Blood-letting therapy was described in a concrete and substantive manner in order to enable practical clinical application.

• Korean Journal of Acupuncture
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• 제35권2호
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• pp.105-115
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• 2018

Objectives : This research aimed to verify the validities of contraindicated acupoints in acupuncture treatment in Zhenjiudacheng. Methods : We investigated contraindicated acupoints when performing needling in Zhenjiudacheng, then verified them in today's medical knowledge and clinical studies. Results : In Zhenjiudacheng, 39 acupoints - LU2, LI4, LI13, LI14, LI16, ST1, ST9, ST12, ST17, ST25, ST30, ST42, SP6, SP11, SI18, BL8, BL9, BL56, KI11, TE7, TE8, TE19, TE20, GB3, GB18, GB21, GV10, GV11, GV17, GV22, GV24, CV1, CV4, CV5, CV8, CV9, CV15, CV17 and EX-HN11 - were described to need a careful approach in acupuncture treatment and 21 acupoints among them had contraindications. Most of the contraindications can be explained based on anatomical knowledge and results of clinical studies, and acupuncture treatment at the 39 contraindicated acupoints can induce injury of tissues or organs near the acupoints. Conclusions : The contraindicated acupoints in acupuncture treatment in Zhenjiudacheng seem to have been classified based on the adverse events experienced by doctors at that time. Therefore careful acupuncture treatment at these acupoints is needed to avoid injury to tissue or organs.

• Korean Journal of Acupuncture
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• 제22권4호
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• pp.175-185
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• 2005

Objective : The skill of locating acupoints accurately is an essential part of acupuncture treatment. Bone-scale has been used as a basic coordinates to locate acupoints and has been considered as an important factor of locating acupoints. This study was designed to stress the impotance of QieXunMenAn, which means pressing and rubbing softly the surface around the part pointed with proportional method, in locating acupoints. Methods and results : All expressions related with QieXunMenAn, among the descriptions of acupoint locations in ${\ulcorner}Zhenjiudacheng{\lrcorner}$, were investigated. The activity of QieXunMenAn has been regarded as an important method of locating acupoints since Neijing. QieXunMenAn means pressing and rubbing softly the surface around the part pointed with proportional method. It is a process of locating acupoint in detail by finger-sensation after locating the point with proportional method. Xianzhang, Dongmaiyingshou, and Wanwanzhong have been used to describe how to locate acupuncture-point through QieXunMenAn procedure. Xianzhong means a small depression or a pit on the surface of the body. Wanwanzhong describes that it feels very soft and tender. Descriptions related with QieXunMenAn procedures were found in around 87% of acupoint locations, thus stressing out its procedure. Conclusions : Bone-scale and QieXunMenAn do not mean different methods but the procedures that should be both performed every time when we locate most of the acupoints. Until recently, QieXunMenAn has been paid less attention that it should be. OieXunMenAn as well as bone-scale may be necessary to help locate acupoints accurately.

• 대한한의학회지
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• 제43권1호
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• pp.42-59
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• 2022

Objectives: This study was done to establish the anatomical meaning of the term 'Geun(筋)'. Methods: Through analysis of 《HwangJeNaeGyeong(黃帝內經)》, the meaning of 'Geun(筋)', 'GeunMag(筋膜)', 'Yug(肉)', and 'Gi(肌)' were established. Based on analysis, the anatomical meaning of the 'Meridian-muscle(經筋)' was studied by comparing it with anatomy. Results & Conclusions: 'Gyeong(經)' is recognized as a metaphysical expression and "Geun(筋)" means myofascia in anatomy. The concept of 'Geun(筋)' includes the epimysium and perimysium, as well as tendons and ligaments, which are extensions of these. 'Fascia', refers to the fascia of the whole body, and also appertain to 'Geun(筋)'. 'Yug(肉)' means endomysium, muscle fiber, and adipose tissue and layer. The word 'GeunMag(筋膜)' used in the 《HwangJeNaeGyeong(黃帝內經)》 means anatomically a 'tendon'. Therefore, 'Muscle' should be translated as 'GeunYug(筋肉)' in Traditional medicine. 'Meridian-muscle(經筋)' can be defined as the longitudinal muscle and fascia system, which is the basis of whole body encompassing dynamics.