• Journal of Korean Medical classics
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• v.20 no.3
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• pp.143-157
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• 2007

통과분석(通過分析)"금궤요략심전 혈비허노병맥증병치제육(血痺虛勞病脈證幷治第六)" 조문중우재경주석적특미(條文中尤在經註釋的特微), 득출여하결론(得出如下結論) : 인위혈비적발병원인(認爲血痺的發病原因), 주요시양허위외불고(主要是陽虛衛外不固), 기주요증상(其主要症狀), 시신체불인(是身體不仁). 여풍사소치적풍비구별개(與風邪所致的風痺區別개). 음양구미중적음양(陰陽俱微中的陰陽), 해석위(解釋爲)'해인영(該人迎), 부양(趺陽), 태계위언(太溪爲言)'. 인위허노천증적병인시기허혹양허(認爲虛勞喘症的病因是氣虛或陽虛), 여일반인위시신불납기적관점유소부동(與一般認爲是腎不納氣的觀點有所不同). 인위건중적중시사운지축(認爲建中的中是四運之軸), 음양지기(陰陽之機), 구체지비위(具體指脾胃). 영위생성우수곡(營衛生成于水穀), 수곡전수우비위(水穀轉輸于脾胃). 비위시음양순환적관건(脾胃是陰陽循環的關鍵). 위료화음양조영위(爲了和陰陽調營衛), 강조필수사용구우중기지입적치법(强調必需使用求于中氣之立的治法).

• Journal of Korean Medical classics
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• v.19 no.4
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• pp.147-168
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• 2006

통과대이연화장개빈관우중풍관점적비교연구, 이급기대중풍적분류(以及基對中風的分類), 증상(證狀), 치료(治療), 예후적관점진행분석득출여하결론(豫後的觀點進行分析得出如下結論): 이연파중풍적원인분류위진중풍(李挻把中風的原因分類爲眞中風), 겸중풍(兼中風), 류중풍(類中風), 사중풍(似中風), 종이조취료구분외풍여내풍계기(從而造就了區分外風與內風契機). 대어중풍적원인(對於中風的原因), 장개빈주장배제외풍근한어내풍적관점(張介賓主張排除外風僅限於內風的觀點). 재차기초상(在此基礎上), 설기여조헌가주장진수고갈급진화허시기원인소재(薛己與趙獻可主張眞水枯褐及眞火虛是基原因所在), 대차관점(對此觀點), 장수신적"중풍각전"중, 기유찬동적(旣有贊同的), 역유지비판의견적내용(亦有持批判意見的內容). 대어중풍적증상(對於中風的證狀), 이연근거병사소재분위중장, 중부(中부), 중혈맥(中血脈), 중경등(中經等). 우기대중경증적분류(尤基對中經證的分類), 재기타의서중시무법견도적분류적표준(在基他醫書中是無法見到的分類的標準). 저가이인위(這可以認爲), 타이 "금궤요략" 위의거(爲依據), 시부합내풍적증상분류(是符合內風的症狀分類). 장개빈파비풍적증상종대적방면분위경병화장병(張介賓把非風的症狀從大的方面分爲經病和臟病), 연후재파경병세분위경증화위증(然後在把經病細分爲經證和危證), 장병세분위초경증화위증(臟病細分爲稍經證和危證). 진관경병출현어지체(盡管經病出現於肢體), 이장병출현정신이상(而臟病出現精神異常), 단시경병여장병균유경증화위증(但是經病與臟病均有經證和危證). 저일주장시흔유지이성적. 대중풍적치료(對中風的治療), 이연대체상견지료금원이전적치료방법. 기용신한혹신온거풍화담(旣用辛寒或辛溫去風化痰), 혹용신온발한(惑用辛溫發汗), 혹용고한공리등(或用苦寒攻裏等). 장개빈지출상술방법대원기쇠약적중풍부적합사용(張介賓指出上述方法對元氣衰弱的中風不適合使用), 차장수신지출차시거풍치법실제상부적합내용풍이적합어외풍적치료(且張壽신指出此時去風治法實際上不適合內風而適合於外風的治療). 장개빈인위비풍적원인시진양여진음지허이불시풍담(張介賓認爲非風的原因是眞陽與眞陰之虛而不是風痰), 진관시급성기(盡管是急性期), 여과몰유담증(如果沒有痰證), 타견결반대사용거담지법(他堅決反對使用祛痰之法). 재중풍치료상(在中風治療上), 장개빈인위한다(張介賓認爲汗多), 소변소(小便少), 시진액부족소치(是津液不足所致), 소이수유열증역불요사용삼리지법, 병지출유뇨증시신허소치적위증(幷指出遺尿症是腎虛所致的危證), 종이진일보강조료진액적중요성(從而進一步强調了津液的重要性).

• The Journal of Internal Korean Medicine
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• v.27 no.1
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• pp.288-293
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• 2006

Background : Monoplegia is the paralysis of a limb. It is commonly caused by an injury to the cerebral cortex, and rarely caused by injury to the internal capsule, brain stem, or spinal cord. Most problems with cerebral cortex is derived from the occlusion of a brain cortex blood vessel due to thrombus or embolus. Objectives : This study is to see if there is a significance in thermal differences of acupoints in diagnosis and treatment of monoplegia on an upper extremity to test the validity of acupuncture and herbal treatment for it. Methods : By using Digital Infrared Thermographic Imaging(DITI), thermal differences$({\Delta}T)$ of acupoints on the upper extremity in a patient with monoplegia on the right upper extremity were measured after an attack of the disease. By giving Mangeum-tang(萬金湯) and treating the patient with acupuncture. the temperature changes of the upper extremity were examined through DITI and improvement was observed. Results : Compared with the left arm which suffered no such injury, the right recovered about 80% of sensation, and the grade of monoplegia improved from Grade O to Grade V. Also, the temperatures of right palmar-dorsal hand and the region of Weiguan(外關, Waiguan, TE5) were $1^{\circ}C$ and $1.45^{\circ}C$ higher than the same left region on admission day, but the thermal differences$({\Delta}T)$ narrowed to $0.5^{\circ}C$ by the last day. Conclusions : Results suggest that DITI screening is a reliable method of prognosis and that the time required for treatment can be estimated through this method in cases of monoplegia to an upper extremity. Also, progress in treatment is reflected in thermal differences of acupoints of the monoplegic upper extremity in accordance with the theory of meridian. This supports a role for acupuncture and herbal treatment for monoplegia.