• 제목/요약/키워드: Epidemic Febrile Disease

검색결과 25건 처리시간 0.217초

"온사상수(溫邪上受)" 개념의 형성요인에 대한 고찰 (A Study on the Development of the Understanding that the Cause of Warm Pathogen Lies in Upper Portion of Body)

  • 은석민
    • 대한한의학원전학회지
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    • 제30권2호
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    • pp.11-29
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    • 2017
  • Objectives : Contemporary researches suspect that, contrary to the past belief, the understanding that the cause of warm pathogen lies in the upper portion of human body is an understanding that had been well-established even before Yetianshi. This new understanding now requires us to contemplate the process of theoretical development which this understanding, termed Onsasangsu, had taken within the boundary of the theory of warm pathogen. This paper aims to shed light on this within the framework that this is the emergence of a new theory of warm pathogen caused by a new understanding of warm pathogen. Methods : First, the theories of warm pathogen as developed by historical doctors were studied, and elements that seem to be related to the understanding of Onsasangsu were selected and studied to understand their theoretical characteristics. Furthermore, the paper studied what academic significance do these theories have on the development of the theory of warm pathogen. Results & Conclusions : Provided that the underlying assumption of Onsasangsu is that febrile diseases are caused through moutn and nose, the study showed that this understanding arose before the period of Qing Dynsasty from the need by many doctors to differentiate the pathogens of various diseases such as the disease of heat, febrile disease, and epidemic. The reason that these discussions could not have much impact on the study of febrile disease during the Qing Dynasty could be because they were not passed on down to the future generations, or because commonly held perspective was unable to accept criticisms.

온병학(溫病學)의 막원(膜原) 개념과 그 실제적 활용에 대한 고찰 (A Study on the concept of makwon in onbyeonghak(溫病學) and its practical application)

  • 김상현
    • 대한한의학원전학회지
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    • 제30권4호
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    • pp.83-93
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    • 2017
  • Objective : Doctors' discussions on Makwon's warm-disease are studied in an effort to contemplate a way to use the outcome in practice. Method : Doctors' discussions on Makwon as found in researches and texts are categorized into physical and pathologica, and their symptoms and treatments are analyzed. Result & Conclusion : Many doctors of warm disease explained that, in terms of the physical aspect, Makwon is closely related to stomach. Some doctors also mentioned its relationship with triple engizers, defense and nutrient qi, and spleen. In terms of pathology, most of the doctors considered Makwon to be a hiding place of foul turbidity pathogen, and explained that a treatment has to be applied before the disease pattern worsens. Diverse syndroms of Makwonwere introduced. Their discussions mainly revolved around warm and epidemic or category of dampness-heat diseases. Alternating chills and fever was also mentioned often, and generalized pain, nausea, tongue of thick and slimy fur symptoms are shown. Ouguk's Dalwonneum is used as the basic treatment. The most effective prevention method of the incubation of pathogen are the symptoms that allows the analysis of the mechanism of disease. Therefore, a good utilization method of resolve turbidity with aroma or spices may contribute to the prevention of Makwon-disease in terms of cultural aspect.

"온병조변(溫病條辨)"의 삼초변증(三焦辨證)에 대한 고찰 (A study on Samchobyeonjeung(三焦辨證) of "OnByeongJoByeon(溫病條辨)")

  • 김상현;백유상;정창현;장우창
    • 대한한의학원전학회지
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    • 제24권2호
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    • pp.81-100
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    • 2011
  • Byeon Jeung[辨證], which is to differentiate symptoms is a process of assessing the patient's condition. And like any other differentiation system, a ceratin pathological perspective is embedded. In Onbyeonghak(溫病學), new Byeon Jeung systems were designed to complement the insufficient, existing perspectives on acute epidemic febrile diseases. Oguktong(吳鞠通)'s Samchobyeonjeung(三焦辨證) is one of these newly designed systems. Though the meaning of Samchobyeonjeung varies among Onbyeong(溫病) researchers, they stand on common grounds of differentiating damp-heat disease[濕熱病]. However, Oguktong(吳鞠通) clearly demonstrated this system on epidemic febrile diseases. Researchers have acknowledged the importance of Oguktong(吳鞠通)'s approach, but thorough analysis of the subject has been insufficient. In this study, I have primarily studied the meaning of Samchobyeonjeung by analyzing "Onbyeongjobyeon(溫病條辨)", followed by assessment of negative and positive aspects.

17세기 초 조선에서 유행한 '당독역'에 대한 연구 -허준의 『벽역신방』을 중심으로- (A Study on 'Dangdokyeok' Epidemics in the Early 17C of the Joseon -Focusing on Heojun's 『Byeokyeoksinbang』-)

  • 조원준;김용익;염기복;임효종;정우열;전병훈
    • 동의생리병리학회지
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    • 제18권2호
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    • pp.311-343
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    • 2004
  • Various aspect of epidemics broke out continually from the middle of Joseon Dynasty due to the famine and drought caused by abnormal climate of the sixteenth century and the war. Thus the Dynasty performed sacrificial rites, isolated the patients and published plenty of medical books related epidemics in order to cure of the patients, and Heojun edited 『Byeokyeoksinbang』 as 'Dangdokyeok' broke out at Gwanbuk(關北) districts in 1613, Heojun explained the cause of Dangdokyeok as meteorology under the feudal conditions, and concluded Simhwa(心火) by fever toxin, Therefore he selected the method of puting out Simhwa by attack of fever toxin. In addition he presented emergency treatment that can maintain the airway by bleeding. To treat Dangdokyeok, Heojun presented lots of prescriptions so as Seungmagalgeuntang(升麻葛根湯), Cheongyeolhaedoksan(淸熱解毒散), Yeongyopaedok-san(連翹敗毒散), Bangpungtongsaongsan(防風通聖散), Jowiseunggitang(調胃升氣湯) and Hwangryeonhaedoktang(黃連解毒湯) etc. And he proposed Samdueum (三豆飮), Realgar(石雄黃) and so on to prevent infection from that. They presume from 120 to 150 years as the period of human adaptation to the first epidemics. Dangdokyeok put a large number of people to death at first, but it wasn't referred at the history any more after Byeokyeoksinbang. So we can say that the treatment of Heojun may be effective. Common cold and dyspeptic cold broke out in our country differently from 'Shanghan(傷寒)' in the China, so we had settled 'pestilence infectious epidemic disease(瘟疫)' while 'epidemic febrile disease(溫病)' of the China. Dangdokyeok of Heojun is similar to 'Scalet fever' belonging to 'virulent heat pathogen(溫毒)', 'newly epidemic febrile disease(新感溫病)'. As a cure of Dangdokyeok, the Korean medicine uses the treatment of removing fever state whereas the western medicine uses the antibiotics to kill the streptococcus. The symptoms of Dangdokyeok are remarkably similar to those of the Scarlatina, so this occupies a high position on the world history of medicine in aspects of the period and details of symptoms. These days we have the problems that the tolerance of antibiotics increases and disease of unknown cause is prevalent. It means the western medicine get to limits. So if we progress epidemiography based on Heojun's medicine, we may contribute to the world history of medicine.

전신형태 진단과 변증시치의 연계를 위한 엽계의 형태체질론 연구 (Study on the Seop-Gye's constitution theory for the connection with 'the differentiation of syndromes' and the general body form diagnosis)

  • 김경철;이용태;신순식
    • 동의생리병리학회지
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    • 제18권1호
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    • pp.22-27
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    • 2004
  • Seop-Gye divided up the constitution's strength and weakness, and so he cured disease by the 'cold and heat'. 'deficiency and excessiveness' means on the basis of the YINㆍYANG of constitution. He classified constitution with pathogenesis grounding in body formal distinction, flesh hardness and softness, face color and form, skin color. Therefore he grasped the rule of constitution connected with physiological function and pathological distinction, applied the rule of constitution in the diagnosis and cure of the chronic & epidemic febrile disease.

장석순(張錫純)의 "상한론강의(傷寒論講義)" 연구 (A Study on the Jangseoksun(張錫純)'s "Sanghanrongang-ui(傷寒論講義)")

  • 장우창
    • 대한한의학원전학회지
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    • 제22권2호
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    • pp.349-362
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    • 2009
  • Jangseoksun(張錫純), a noted doctor of China in the early 20th century, has influenced the establishment of Contemporary Chinese Medicine greatly. , which is an accumulation of Jang's lectures and publications, contains the essence of his medical spirit to fuse his theory and experience of Traditional Medicine and the newly imported Western Medicine knowledge of his time. is especially important, presenting the core of Jang's academic theory. In this book he gives full play of his unique experience of treating the Eum(陰, Yin) Deficiency Syndrome which is presented as excess in the upper and deficiency in the lower[上盛下虛]. He also shows the importance of merging theory and practice, the pliability to collaborate the Sanghan(傷寒, Damage from Cold) theory and Onbyeong(溫病, Epidemic Febrile Disease) theory and the study of the blended affect of external and internal pathogens.

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명청대(明淸代) 설진(舌診) 발전(發展)에 관한 고찰 (A Historical Review on the Development of Tongue Inspection in Ming and Ching Dynasty)

  • 이흥구;안상우
    • 한국한의학연구원논문집
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    • 제8권2호통권9호
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    • pp.23-35
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    • 2002
  • 통과대명청대진단학발전사적고찰(通過對明淸代診斷學發展史的考察), 득도료여하결론(得到了如下結論):도료명대(到了明代), 출현료대량적유관망진적전문서적(出現了大量的有關望診的專門書籍), 정차(井且), 개시대소아지문진행요망진연구(開始對小兒指紋進行了望診硏究), 환유(還有), 대설진적발전이경유료탁월인식(對舌診的發展已經有了卓越認識). 명대적사진화변증학설적발전여오우가적(明代的四診和辨證學說的發展與吳又可的) ${\ulcorner}$온역론(溫疫論)${\lrcorner}$ 개시거두적온병학설적발전유밀녕접적연계(開始據頭的溫病學說的發展有密接的連繫). 도료명대(到了明代), 이경대륙경변증(已經對六經辨證), 장부변증화팔강변증유료계통면완선적변증체계(臟腑辨證和八綱辨證有了系統面完善的辨證體系), 특별시개시출현료온병변증(特別是開始出現了溫病辨證). 대우청대적망진적발전특징(對于淸代的望診的發展特徵), 가이귀납위대우설진적대량적연구화유관망진적전문서적적출현(可以歸納爲對于舌診的大量的硏究和有關望診的專門書籍的出現). 특별시수착온병학설약발전면공동발전적설진적만화야흔돌출.

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코로나19 후유증을 호소하는 태음인 환자에 대한 치험 1례 (A Case Report of Taeeumin with Post COVID-19 Syndrome)

  • 이슬;박지은;이용재;김소형;이정윤
    • 사상체질의학회지
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    • 제33권4호
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    • pp.32-42
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    • 2021
  • Objectives The purpose of this case study was to report a patient with Post COVID-19 syndrome treated with Seunggeumjowi-tang based on Sasang Constitutional Medicine. Methods The patient was hospitalized after being diagnosed with COVID-19 and was suffering with post from COVID-19 syndrome such as fatigue and loss of appetite after discharge. The patient was diagnosed as Taeeumin and treated with Seunggeumjowi-tang. The progress was evaluated with the global assessment scale (GAS). Results and Conclusions Fatigue and anorexia were significantly improved, and other symptoms were restored as before. This case shows the possibility of Sasang Constitutional medication treatment for the sequelae of COVID-19.

동의보감(東醫寶鑑) 중(中) 백지(白芷)가 주약(主藥)으로 배오(配伍)된 방제(方劑)의 활용(活用)에 대한 고찰(考察) (A study on Applications of prescriptions including Radix Angelicae Dahuricae as a main component in Donguibogam)

  • 이성준;장선일;윤용갑
    • 대한한의학방제학회지
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    • 제15권2호
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    • pp.47-64
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    • 2007
  • This report describes 94 prescriptions related to the use of Radix Angelicae Dahuricae main bl ended from Donguibogam. The following conclusions were reached through investigations on the prescriptions that use Radix Angelicae Dahuricae as a key component. 11.7% of wind. 10.6% of carbuncle and deep-rooted carbuncle. recorded the largest number of clinical frequency of the prescriptions in therapeutic use when Radix Angelicae Dahuricae was ta ken as a monarch drug in prescriptions, Prescriptions that utilize Radix Angelicae Dahuricae as t he main component are used in the treatment of apoplexy and carbuncle and deep-rooted carbuncle. headache. wound and they are also used for treating 26 different types of diseases. The prescriptions are compounded with Radix Angelicae Dahuricae as a monarch drug can ap ply to apoplexy, exogenous febrile disease, invasion by wind. wind-cold pathogen, wind-heat path ogen. epidemic disease, pestilence. bruise, bites, deficiency of liver and kidney, deficiency, phlegm-fire, phlegm-heat. The dosage of Radix Angelicae Dahuricae is 0.37g to 7.5g, however 3.75g has be en taken the most for clinical application. The function of Radix Angelicae Dahuricae is to expelling Wind and relieving pain, to expelling wound and forming muscle. to astrict and neutralizing poison. to expelling wind and to getting through body hole. to emit and relieving pain from the combination of drugs and prescriptions.

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가을철 유행하는 급성열성질환의 폐침범과 CRP와의 연관관계 (A Correlation between Pulmonary Involvement of Acute Febrile Illness with High Incidence during the Fall and C-reactive Protein)

  • 김고운;이우진;홍원기;이성화;이창률;이명구;현인규;정기석
    • Tuberculosis and Respiratory Diseases
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    • 제66권2호
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    • pp.116-121
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    • 2009
  • 연구배경: 쯔쯔가무시병, 렙토스피라병, 신증후출혈열은 우리나라에서 흔한 급성열성질환으로 최근 발병과 유행성의 보고가 있음에도 불구하고 열성질환에 있어서 폐침범에 대한 연구는 부족한 상태이다. 열성질환에 있어서 폐합병증이 있을 때 임상적으로 더 심한 경과를 보이고 CRP 수치도 더 높게 측정되는 경우가 있어 입원 시 측정한 CRP값이 조기에 적극적인 치료 대상에 대한 예측인자가 될 수 있는지 알아보고자 하였다. 방 법: 2002년 1월부터 2008년 5월까지 한림대학교 춘천성심병원에서 혈청학적 검사에서 양성이거나 임상적으로 진단을 받았던 환자를 대상으로 후향적 연구를 하였다. 결 과: 총 105명의 환자가 대상이 되었고 쯔쯔가무시병 63명(63%), 신증후출혈열 32명(30.5%), 렙토스피라병 10명(9.5%)이었고 폐침범은 42명(40%)에서 관찰되었으며 폐부종 20명(19%), 가슴막삼출 20명(19%), 간질폐렴 2명(2%)이었다. CRP는 평균 8.87${\pm}$7.29 mg/dl였고 20 mg/dl 이상의 높은 값을 보였던 환자도 8명 있었고 폐침범 중 간질폐렴 형태에서 가장 높은 평균값을 보였다(p=0.027). 폐합병증을 보였던 환자군에서 임상적으로 심한 경과를 보였으며 중환자실 입원치료와 인공호흡기 치료를 동반하고 있었고 더 높은 CRP값을 보였다(p=0.0073). 결 론: 급성열성질환에 있어서 폐합병증을 보인 군에서 더 높은 CPR 수치가 측정되었으며 입원 시 CRP측정을 통해 조기에 더 적극적인 치료가 필요한 환자군을 선택할 수 있고 폐침범에 의한 사망률과 치명률의 감소에도 도움이 될 것으로 추정된다.