• Title/Summary/Keyword: Exterior-Interior disease

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A Study on Change of Conceptions about Disease through Taeumin's Disease (태음인(太陰人) 병증(病證)을 중심으로 판본에 따른 병증 개념의 변화에 관한 고찰(考察))

  • Lee, Eui-Ju;Koh, Byung-Hee;Song, Il-Byung;Im, Jin-Ny
    • Journal of Sasang Constitutional Medicine
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    • v.14 no.1
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    • pp.26-33
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    • 2002
  • 1. Purpose The purpose of this article was to find the change of Dong-mu's conceptions about constitutional disease through comparing with ${\ulcorner}$Sasang-Yihak-chobonguen${\lrcorner}$, ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ written in 1894(Old edition) and ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ published in 1901(In Edition) 2. Methods Comparing with ${\ulcorner}$Sasang-Yihak-chobonguen${\lrcorner}$, ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ written in 1894(Old edition) and ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ published in 1901(In Edition) we found the change of Dong-mu's conceptio ns about constitutional disease 3. Result 1) In ${\ulcorner}$Sasang-Yihak-chobonguen${\lrcorner}$, diseases were classified 'Oi-Gam(外感)‘, ’Nae-sang(內傷)‘, ’Ok-roi(牢獄)‘. ’Wi-gyoung(危傾)‘. In ${\ulcorner}$Sasang-Yihak-chobonguen${\lrcorner}$ ordinary symptoms was more impotant than disease, and good life style was emplasized for health 2) In ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ written in 1894(Old edition), diseases were classified 'Oi-Gam(外感)‘, ’Nae-sang(內傷)‘. siseases from exterior causes was classified into 'Oi-gam-noi-chu-byoung(外傷腦?頁病)’, and diseases from interior causes was classified into 'Nae-sang-wi-wan-byoung(內觸胃脘病).‘ Herbal medication yet was't used by Disease 3) In ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ published in 1901(In Edition), diseases was classified not by causes of disease but by mechanism and symptom of disease, so into Exterior-cold disease' and 'Interior-hot disease'. Herbal medication was used by pattern of Disease. 4) Conception of constitutional diseases was gradualy complished through edition.

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A Research on the Classification of Herbal Medicines based on the Sasang Constitution (Soeumin Part) (사상(四象) 체질별(體質別) 약재(藥材) 분류(分類)에 관한 연구(硏究)(소음인편(少陰人編)))

  • Kim, Jong-yol;Kim, Kyung-yo
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.1
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    • pp.8-16
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    • 2001
  • We analyzed 57 types of herbal medicines for Soeumin, clinically applied in Dongyisoosebowon. In order co discover the standard of herbal classification for the Sasang Constitutions, four concepts of Sasang Medicine were applied. These included 'Sadangron (theory of four groups)', 'Seungganggaehap(ascending-descending and gathering-dispersing)', 'Pyorihanyoul(exterior-interior and hot-cold)', and 'Hyungchiaekmi(fragrance, smell, bodily fluid and taste)'. According to these analyzing methods of herbal properties, we have reached the following conclusions: 1. Lee Je-ma first established the physiology of the internal organs of the Sasang Constitutions through the understanding of constitutional pathology. Dr. Lee then classified herbal medicines into four constitutional groups by observing the herbal effects according to such perspective of organ physiology and pathology. 2. Among the Sasang concepts applied in the analysis of herbal properties based on the physiology and pathology of Sasang constitutions, 'Seungganggaehap (ascending-descending and gathering-dispersing)' was found to be the most useful. Meanwhile, 'Sadangron, (the theory of four groups - Spirit, Qi, Blood and Essence),' along with 'Pyorihanyoul (exterior-interior and hot-cold)' and 'Hyungchiaekmi (fragrance, smell, bodily fluid and taste)' were partially useful. 3. Herbal medicines for Soeumin are characterized by ascending energetics that protect the Yang Qi. The 'Exterior heat disease' is treated with herbal medicines that raise the "Exterior Yang" in three different way: by tonifying Qi. by tonifying Blood and by releasing exterior. The 'Interior cold disease' is treated with herbal medicines that descend "Interior Yin" in two ways. One by warming the stomach, and the other by regulating Qi. 4. Cases where a whole category of herbs with the same effect have been applied co one constitution, are most frequent among Shaoyin herbs. There was an intimate connection between the treatment methods and the traditional effects of herbs for 'Soewnin'. These discoveries allowed us to see that the development of the pharmacology of the Sasang Constitutional pathology more progressed in 'Soeumin'. *analysing simple herbs of "DongEuiBoGam JangBu" we compare JangBu of traditional oriental medicine with JangBu of Sasang Constitutional Medicine. So we can comprehend the JangBu's difference of traditional-oriental with sasang-constitional medicine.

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A Study on the Mechanism of Spontaneous Sweating(自汗) and Night Sweating(盜汗) -Focusing on Discussions in Classical Medical Texts- (자한(自汗)과 도한(盜汗)의 기전에 대한 고찰 -역대 의서의 논설을 중심으로-)

  • Yun, Ki-ryoung
    • Journal of Korean Medical classics
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    • v.33 no.3
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    • pp.111-133
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    • 2020
  • Objectives : The aim of this paper is to examine the mechanisms of spontaneous sweating and night sweating, their relationship and how the explanations of their mechanisms have changed over the course of time, through examination of past discussions on spontaneous sweating and night sweating. Methods : Contents in classical medical texts that mention the mechanisms of spontaneous sweating and night sweating among search results from databases such as the Siku Quanshu were analyzed, followed by examination of each of their mechanisms, and their relationship with each other. Results & Conclusions : The cause of night sweating before the 『Danxixinfa』 was seen to be caused by yang deficiency in relation to problems of Exterior Qi and the theory of 'Heart governs perspiration', as the focus was on the phenomenon of sweating. However, it seems that yin deficiency came to be seen as playing a more fundamental role in the process of determining the root cause of night sweating. Moreover, Zhu Danxi's emphasis on nurturing yin, the composition of Dangguiliuhuangtang, and the development of the fire-heat pathology since the Jin Yuan period added to this shift in perspective. Night sweating from Shanghan could be seen as a sign of the already damaged Exterior Qi becoming more deficient while the pathogenic qi is in the half-exterior-half-interior zone, or as the pathogenic qi which entered with the Exterior Qi unsettling yin, or as a result of heat that is produced in the struggle between healthy qi and pathogenic qi that happens when Exterior Qi enters. Night sweating from miscellaneous disease could be seen as a sign of a deficient exterior that resulted from excessive entering of the Exterior Qi during yin deficiency, or resulting from relatively excessive Exterior Qi to deficient yin, producing heat that leads to sweating. If yin is not cultivated during the night but rather consumed leading to deficiency of Exterior Qi which also needs to be cultivated during night time, it could result in sweating.

Pain management in 『Treatise on Cold Damage and Miscellaneous Disease』 according to sufficiency-deficiency of fluid and humor (mainly with greater yang disease part) (진액(津液)의 유무(有無)에 따른 『상한잡병론(傷寒雜病論)』의 통증(痛症) 치법(治法)에 관하여(태양병편을 중심으로))

  • Lee, Myeong-Cheol;Kang, Yeon-Seok
    • The Journal of Korean Medical History
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    • v.27 no.2
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    • pp.135-143
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    • 2014
  • Human body fluid and humor include not only sweat, joint fluid but also every fluids, for example, blood, essence, kidney essence and marrow. Historically, in the oriental medicine, there are a lot of efforts in order to preserve fluid and humor. In "Treatise on Cold Damage and Miscellaneous Disease (傷寒雜病論)", when treating cold damage, preservation of fluid and humor is put first. I tried to find out the relation about fluid and humor and pain treatment in "Treatise on Cold Damage and Miscellaneous Disease". So, I investigated sentences related to pains in "Treatise on Cold Damage and Miscellaneous Disease" "greater yang disease part" and commentaries of several chinese medical doctors. And I divide pain treatments into four categories. (fluid and humor sufficiency-exterior pattern, fluid and humor sufficiency-interior pattern, fluid and humor deficiency-exterior pattern, fluid and humor deficiency-interior pattern) At first, when treating pains of cold damage, there are many considerations about deficiency and sufficiency of fluid and humor through pulse condition and symptoms. Second, in pain-cases of fluid and humor sufficiency, purge methods is chosen. And in pain-cases of fluid and humor deficiency, tonifying methods is chosen. Finally, one of the main objects of "Treatise on Cold Damage and Miscellaneous Disease" is preservation and supply of fluid and humor.

A study on Soeumin's disease symptom based on the diaphoretic therapy and the purgative therapy of Shanghanlun (상한론(傷寒論)중 한(汗), 하법(下法)을 중심(中心)으로 한 소음인(少陰人) 병증론(病症論) 고찰(考察))

  • Lee, Byung-No;Kim, June-Ki;Choi, Dall-Yeong
    • The Journal of Dong Guk Oriental Medicine
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    • v.9
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    • pp.95-110
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    • 2000
  • The main purpose of this study is to lay the groundwork of mutual assistance between Shanghanlun and Sa-sang Constitutional Medicine by looking into their differences and similarities in the concept and the medical treatment in the diaphoretic therapy and the purgative therapy. The study compared Shanghan Jomun quoted in Soeumin. Dongyi-Soose-Bowon with Je-ma, Lee's Theory of Medicine. And its conclusion is the following: 1. Both Shanghanlun and Sa-sang Constitutional Medicine connote the concept of pathogenic factors in the Nae-Kyung Medicine as the medicinal substances. And both of them have the fundamental structure of exterior-to-interior movements in the symptoms of disease to appear when pathogenic factors penetrate into the bodies. 2. Sa-sang Constitutional Medicine has treated the causes and the mechanism of disease in the symptoms of disease differently from other therapies: focusing on the body's constitutional symptom of disease. namely Soeumin's lack of the Yang-Qi and the poor Ascending Yang, not an attack on pathogenic factors as a interior-exterior symptom. Therefore Ascending-yang Supplying Qi, which fills up the lacking parts of the body and keeps the balance of the body fitted in one's constitution, has been used rather than the diaphoretic and purgative therapy. 3. As Shanghanlun and Sa-sang Constitutional Medicine have the similarities in the interior-to-exterior structure, pathogenic factors. and the notion of diaphoresis and purgation, they do so in the principle of the medicinal substance and the therapy. However, there are actually differences of carrying out the diaphoretic and purgative therapy and other treatments between Shanghanlun and Sa-sang Constitutional Medicine by the reason of the dissimilarities in the mechanism of disease and focal points.

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A Study on The Disease Mechanism and Treatment of The So-eumin Exterior Disease of "Dong-uisusebowon(東醫壽世保元)" -On Ikgi(益氣) and Seung-yang(升陽)- ("동의수세보원(東醫壽世保元)" 소음인(少陰人) 표병(表病)의 병기(病機) 및 치법(治法)에 대한 고찰(考察) - 익기(益氣)와 승양(升陽)을 중심으로 -)

  • Park, Su-Hyun;Jeong, Chang-Hyun;Jang, Woo-Chang
    • Journal of Korean Medical classics
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    • v.23 no.2
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    • pp.235-270
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    • 2010
  • This paper studies the main treatment methods, Ikgi(益氣) and Seung-yang(升陽) applied frequently by Lee Jema(李濟馬) on the exterior disease of So-eumin(少陰人), one of the four constitutions. The methodology of this paper is to understand the pharmacology of "Dong-uisusebowon(東醫壽世保元)" by examining the formulas applied by Lee Jema. I have examined the organization of formulas in "Dong-uisusebowon(東醫壽世保元)" beforehand to categorize the formulas applicable in this study according to an objective standard. I have analyzed the prescriptions applied to So-eumin exterior disease. As a result, I could see that in the case of Ulgwang(鬱狂) syndrome, Ikgi(益氣) and Seung-yang(升陽) methods were mainly applied, but as the disease progressed, Seung-yang(升陽) was withdrawn while Ikgi(益氣) was stressed. Likewise, in the case of Mang-yang(亡陽), both methods were mainly adopted, but as the patients got worse, the level of Seung-yang(升陽) was maintained and that of Ikgi(益氣) was elevated with the addition of Buja(附子). Through this process, we could verify the overall action of Ikgi(益氣), Seung-yang(升陽) and Buja(附子). Originally, the two methods of Ikgi(益氣) and Seung-yang(升陽) are intimately related, but by analyzing the overall functions of the two methods, we could see that Seung-yang(升陽) and Buja(附子) support the Yang gi of the interior of So-eumin, while Ikgi(益氣) resolves inner stagnation of Yang gi and emits the cold pathogen of the exterior. Also, in the course of treatment, Ikgi(益氣) could only be realized after securing Seung-yang(升陽).

Study on ${\ulcorner}$Zhujieshanghanlun${\lrcorner}$ (("주해상한론(註解傷寒論)" 에 대한 연구)

  • Kim, Jin-Ho;Bang, Jung-Kyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.2
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    • pp.370-378
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    • 2007
  • ${\ulcorner}$Zhujieshanghanlun(註解傷寒論)${\lrcorner}$ are som particular points as below ; first, set up the concepts of chuanjing(傅經), zaichuanjing(再傅經), and guojing(過經). Second, suggested the half exterior and half interior syndrome(半表半裏證) firstly. The third, understood origin literature by the distinguished way for syndrome in accordance with the Yin and Yang(陰陽). Forth, wangyang(亡陽) is described by two different syndromes. One is with perspiration. The other is yangxuzheng(양허증(陽虛證)) from injured yangqi(陽氣). Fifth, xialibiannongxue(下利便膿血) was distinguished by the generic characters of The Cold and Hot(熱${\cdot}$寒). The last, ${\ulcorner}$Shanghanlun${\lrcorner}$ (傷寒論) was described at the view of viscera & bowels's physiology and their pathology. And shaoyin(少陰) disease was aware of kidney case and Taiyin(太陰) disease was aware of spleen case. There are two different cases of bowel diseases. One is that xieqi(邪氣) goes in stomach of Yangming(陽明). The other is that xieqi(邪氣) follows channel and goes into bowel.

A Literature Study on the Concept and Classification of Soyangin Gochang ("동의수세보원(東醫壽世保元)"에 나타나는 소양인(少陽人) 고창(鼓脹)의 범주(範疇)에 대한 고찰(考察))

  • Jang, Hyun-Su;Kim, Yun-Hee;Hwang, Min-Woo;Lee, Jun-Hee;Lee, Eui-Ju;Koh, Byung-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.1
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    • pp.28-34
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    • 2009
  • 1. Objective This study aims to establish the concept and classification of the Gochangl(鼓脹) pathology introduced in the Sasang Constitutional Medicine literature. 2. Methods Different editions of Donguisusebowon, including the Gabo version and the Sinchuk version, were compared for differences and similarities in the concept, symptomology, pathology, and therapeutics concerning the Soyangin Gochang disease. 3. Results and Conclusion (1) In the Gabo edition, Gochang(鼓脹) is introduced to Eumheohwadongwiyeolyukran(陰虛火動胃熱肉爛) disease category of the Interior-Based Symptomatic Pattern in the "Soyangin Interior Large Intestine Disease" section and is introduced to the conditions progressed from edema included in the Exterior-Based Symptomatic Pattern in the "Articles added to the Soyangin Bladder and Large Intestine Disease" section. (2) In the Sinchuk edition, Gochang(鼓脹) is introduced ro the conditions progressed from Jungso(中消) of the Interior-Based Symptomatic Pattern in the "Soyangin Interior-heat-disease by the fever in the stomach" section and "Articles added to the Soyangin" section. (3) It is reasonable to think that Soyangin's Gochang is considered to Interior-Based Symptomatic Pattern because the Sinchuk edition is developed from the Gabo edition and Gochang is introduced to Jungso(中消) category after the distinction between Gochang and edema in the Sinchuk edition.

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Reinterpretation of Taeyang disease(太陽病) in "Shanghanlun(傷寒論)" Based on the Pathologic Perspective of Sasang Constitutional Medicine (사상체질의학적 병리관에 의한 "상한론(傷寒論)" 태양병(太陽病)의 재해석)

  • Lee, Ji-Won;Shin, Seung-Won;Kwak, Sang-Hyup;Kim, Yeong-Jun;Lee, Jun-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.22 no.3
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    • pp.18-28
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    • 2010
  • 1. Objectives: Purpose of this paper is to study the reinterpretation of Taeyang disease(太陽病) in "Shanghanlun(傷寒論)" based on the pathologic perspective of Sa-sang Constitutional Medicine by comparing factors as pathologic mechanisms, clinical symptoms, and remedies. 2. Methods: The texts referred to pathologic mechanisms, clinical symptoms, and remedies of Taeyang disease(太陽病) described in "Donguisusebowon Gabobon(東醫壽世保元 甲午本)", "Donguisusebowon Sinchookbon(東醫壽世保元 辛丑本)", and Shanghanlun(傷寒論)" in "Donguibogam(東醫寶鑑)" were analysed. 3. Results and Conclusions 1) Early phase of Ulgwang symptomatic pattern(鬱狂證 初證) and of Mangyang symptomatic pattern(亡陽證初證) of Kidney Heat-based Exterior Heat disease(腎受熱表熱病), a category of Soeumin(少陰人) diseases, were described by adopting pathologic models of Taeyang-sangpung symptomatic pattern(太陽傷風證) and Sanghan-hyeol symptomatic pattern(傷寒血證) from "Sanghanlun(傷寒論)". 2) Soyang-sangpung symptomatic pattern(少陽傷風證) of Spleen Cold-based Exterior Cold diseae (脾受寒表寒病) and Hyunggyeok-yeol symptomatic pattern(胸膈熱證) of Stomach Heat-based Interior Heat disease(胃受熱裏熱病), categories of Soyangin(少陽人) diseases, were described by adopting pathologic models of Taeyang-yangsangpunghan symptomatic pattern(太陽兩傷風寒證), Soyang-sangpung symptomatic pattern(少陽傷風證) and Tayangbyong-sahak symptomatic pattern(太陽病似瘧證) from "Sanghanlun(傷寒論)". 3) Baechu-pyo symptomatic pattern(背顀表病輕證) and Hangual symptomatic pattern(寒厥證) of Esophagus Cold-based Exterior Cold disease(胃脘受寒表寒病), a category of Taeeumin(太陰人) diseases, was described by adopting pathologic models of Taeyang-sanghan symptomatic pattern(太陽傷寒證) and Hangual symptomatic pattern(寒厥證) from "Sanghanlun(傷寒論)". 4) Je-Ma Lee reinterpreted various diseases classified as Taeyang disease(太陽病) with the pathologic perspective of Sa-sang Constitutional Medicine. Different from existing medicine, diseases were analysed and treated by the standard, constitution of the patient.

Documentational Study and Observation from the View of Hyungsang Medicine on Bangpungtongseong-san (방풍통성산(防風通聖散)의 문헌(文獻) 및 형상의학적(形象醫學的) 고찰(考察))

  • Suck, Min-Hee;Kim, Jun-Hong;Lee, Yong-Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.1
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    • pp.51-59
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    • 2008
  • The following conclusions were obtained from the studies on Bangpuntongseongsan both from the documents and Hyungsang medicine. Bangpungtongseong-san was created by Yu Wan-so to relieve both interior and exterior of disease from the pathogenic fire, and it cures wind syndrome and dry syndrome. Bangpungtongseong-san is of light herbal combination and it works in the upper part of the body and is mainly applied to skin disease. Perspiration without harming the exterior and purgation without hurting the interior shows that it is not a severe prescription belonging to meditation therapy. It is mostly used for curing the disease of internal heat caused by over drinking and consuming heavy food, and it has special relationship with Yangmyung meridian. It is mentioned in the chapters of spirit, head, face, eye, ear, nose, throat, skin, hair, prescription, wind, dryness, fire, internal damage, epidemic infectious disease, carbuncle and cellulitis, ulceration, and pediatrics of ${\ulcorner}$Donguibogam${\lrcorner}$. It is usually applied to those who belong to Yangmyung type of the six meridian types or wind type, who has excessive heat, people with red complexion, reddened nose, pimples over the face and nose, coarse heel, loss of hair due to wind-heat, and to those who tend to have dandruff. Through examination over the cases treated with Hyungsan medicine, Bangpungtongseong-san was found efficacious in bloodshot eyes, brandy nose, loss of hair, various skin problems, tetanus, acute alcoholism, paralysis of hand and foot, deafness, and tinnitus.