• Title/Summary/Keyword: 풍사

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중풍(中風)과 유중풍(類中風)의 개념 및 명칭의 변천에 관하여

  • Yu, Je-Gu;Yun, Chang-Yeol
    • Journal of Haehwa Medicine
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    • v.16 no.2
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    • pp.43-52
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    • 2007
  • 金匮要略所论及的中风乃属张仲景之创见, 但因时代所限过于拘泥和忠实于所谓正气虚而感受外邪致病的"内经"基本思想, 提出半身不随等症状必需要有外部风邪的感受方可发病, 并以此作为中风硏究的指标, 如此则视外部风邪为最根本因素, 故经隋唐代以来, 许多因外部風邪发生的疾病都被称为中風, 以致造成十分复杂的状况. 金元四大家则从所谓由外部风邪之感受而发生中风的框框脱离出来, 提出了火, 氣, 濕等原因, 以想摆脱张仲景的理论, 但由于后代很多医家固执于中风症状的发生必以外部风邪为必要条件, 所以亦将金元四大家所论之中风归属于没有半身不随等中风症状的类中风范畴中. 自金元四大家以后, 对類中風的槪念就象隋唐时代中風的概念曾经复杂的那样, 一直表现为非常复杂, 但其要点就是要有口眼歪斜, 半身不遂等症状才可以按金元四大家的本意類中风归入類中風当中. 后来, 叶天士, 尤在泾等将中风的病因看做内风, 也就是肝风开始, 中风的病因完全转入内因阶段, 于是眞中風与類中風的争议便告一段落. 后随着西医的传入确认脑部确有病巢之后, 张伯龙, 张山雷等则则以此为基础认定中风的病因病机乃为肝风内动, 与大厥, 煎厥, 薄厥的机理一样, 乃是气血上衝, 而导致脑部病变的发生, 使中风理论更加成熟.

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"금궤요략심전(金櫃要略心典)"의 경병(涇病)조문에 대한 번역 연구

  • Lee, Seon-Ran;Lee, Yong-Beom
    • Journal of Korean Medical classics
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    • v.18 no.3 s.30
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    • pp.126-135
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    • 2005
  • 통과분석(通過分析)${\ulcorner}$금궤요약심전${\lrcorner}$경병조문중우재경적주석(痙病條文中尤在痙的註釋), 득출여하결론(得出如下結論) 1. 경병적원인유이(痙病的原因有二) : 외인시태양풍한중감한습(外因是太陽風寒重感寒濕); 내인시혈기음양적손상(內因是血氣陰陽的損傷), 단진액부족시기공통지처(但津液不足是其共通之處). 2. 경병기본속우표병(痙病基本屬于表病), 출현심맥시인감수습사소치(出現沈脈是因感受濕邪所致). 3. 경병(痙病), 출현강직시인감수풍사(出現强直是因感受風邪). 4. 강경유오한증상(剛痙有惡寒症狀), 단유가능인위표실증무오한증상(但有可能認爲表實證無惡寒症狀), 고장원문중적'반'자직접인용과래설명(故將原文中的反字直接引用過來說明). 5. '기맥여고'화'폭복장대'시풍사거이습사잔존적시후출현적('其脈如故’和‘暴腹腸大'是風邪去而濕邪殘存存的時侯出現的). 6. 경병적양명어열증가사용대승기탕(痙病的陽明瘀熱證可使用大承氣湯), 기병불시위료거제조실(其幷不是爲了去除燥實), 이시위료하양명어열(而是爲了下陽明瘀熱), 고실제상사용대승기탕적시후요소심근신(故實際上使用大承氣湯的時候要小心謹愼).

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A Study on Hemifacial spasm (안면경련의 침구치료에 대한 문헌적 고찰)

  • Cho, Hyun-Seok;Jang, Jun-Hyouk;Kim, Kyoun-Ho;Yoon, Jong-Hwa;Kim, Kap-Sung
    • The Journal of Dong Guk Oriental Medicine
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    • v.7 no.2
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    • pp.69-79
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    • 1999
  • Hemifacial spasm including blepharospasm is characterized by spontaneous clonic an d tonic muscle spasm on one side of the face with synkinesis. Though the etiology of hemifacial spasm is not entirely understood, generally there are two. One is nuclear hypothesis and the other is peripheral hypothesis. There are two ways of treatment of hemifacial spasm. One is internal medicine and the other is operative method. In oriental medicine, hemifacial spasm is very similar to diseases such as Anpojindo (眼胞振跳), Poryunjindo(胞輪振跳), or Aunido(眼眉跳) in symptoms. The diseases such as Anpojindo(眼胞振跳), Poryunjindo(胞輪振跳), Anmido(眼眉跳) is related to the function of liver(肝) and risk factors are regarded as Pung(風). The acupuncture therapy of hemifacial spasm is based on Liver meridian(LV), Gallbladder meridian(GB). And ear-acupuncture is recommended as a good method for hemifacial spasm.

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A Literal Study about the Apoplexy Prognosis of Primary Factors and the Method of the Function Assessment (중풍의 예후 인자 및 기능 평가방법에 관한 문헌적 고찰)

  • 조은희;권정남;김영균
    • The Journal of Korean Medicine
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    • v.21 no.4
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    • pp.138-147
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    • 2000
  • Objectives and Method : In this study, I have investigated what kind of primary factors detennine the apoplexy prognosis, and the method of the function assessment about the apoplexy by inquiry into the literature on this subject Results and Conclusions : 1. The primary factors to have an effect upon the appoplexy are : the location of Pungsa; whether five organs ki is existent or not; pulse feeling; tongue condition; whether or not the patient produces stool or urine; for males, the left side; for females, the right side ; whether or not the patient sweats; consciousness; vital signs; and the region and size of disease and brain hernia. 2. MBI is often used because it is considered to be objective, simple, and highly reliable. But its absence of a legal recognition assessment is a major incongruence. 3. Inclusive and standard assessment are key points in the reinforecement by AM of legal recognition assessment, but it takes a lot of time and is not endowed with adding an extra weight and is vague to the division between the communication and social recognition grade. 4. AI is useful and easy to evaluate the mental ability, the capacity for locomotion and the daily activities inclusively.

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