• 제목/요약/키워드: Jangbu

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턱떨림을 주증상으로 내원한 환자 3명에 대한 증례 보고 (A Clinical Study on 3 Cases in Submaxillary Tremor)

  • 김진형;국윤재;백동기;김태헌;강형원;류영수;양희숙
    • 동의신경정신과학회지
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    • 제15권1호
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    • pp.187-196
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    • 2004
  • 하악진전(下顎振顫)이 나타난 여자 노인 환자 3례를 발병 초기에 간신부족(肝腎不足), 기혈양허(氣血兩虛)로 변증하여 지황음자가미(地黃飮子加味), 귀비온담탕가미(歸脾溫膽湯加味)를 투여하고, 간정격(肝正格)시술, 백회구(百會灸) 요법을 병행하여 치료해서 좋은 결과를 얻었고 이를 보고하는 바이다. 하지만 연구 기간이 짧아 지속적인 관찰이 요구되며, 이번 연구에 서는 한약요법, 침요법, 백회구요법을 동시에 시행하였지만 각각의 치료 효과에 대한 비교 분석을 포함하여 향후 객관적이고 지속적인 연구가 필요하리라 생각한다.

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진두마비(震頭痲痺)에 대(對)한 문헌적(文獻的) 고찰(考察) (Literatural observation on the Paralysis agitans)

  • 신현철;김종대;정지천
    • 동국한의학연구소논문집
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    • 제4권
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    • pp.81-98
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    • 1995
  • This study is that examine and readjust cause-pathology, symptom, treatment, clinical reports recorded in western medicine, successive literatures of oriental medicine and recent literatures and journals of chinese medicine about Paralysis agitans. The results was followed ; 1. Paralysis agitans is similar with symptoms of Jinjeon, Qi, Gyeong, Gyejong, Lyeon and Pyengo, Tantan, Jungbu of Jungpung. 2. There are Pung, Hwa, Dam, Eo in the causes of disease, Gansinyinheo, Qihyeolyangheo, Jeokyeoldamhwa, Qichehyeoleo, Ganpungnaedong etc in clinical types, to be concerned with liver, kidney, heart and spleen in Jangbu, Gansinyinheo and Qihyeolyangheo are concerned wiyh idopathic paralysis agitans, Jeokyeoldamhwa and Qichehyeoloe successive it, Ganpungnaedongboth idiopathic and successive. 3. Treatments are Jayinjamyang, Pyeonggansikpung, Ikqiyanghyeol, Sikpunghwallak, Seoganhaewool, Hwalhyeoltonglak etc, and prescriptions are Yukmi, Chunmagudeongum, Paljintang, Tonggyuhwalhyeoltang, Hyeolbuchukeotang etc. 4. In caring, it is necessary to live pleasantly, to be temperate sexual intercourse, to control, diet, to do suitable exercises, for example Qigong, Physical exercises, Walking etc. 5. In clinical reports, this disease frequently-occurs more than 60 years, male is more than female, and there are many complications as hypertension and arteriosclerosis etc. The majority of causes are Gansinyinheo, Qichehyeoleo, and the others are Qihyeolyangheo, Damhwa, Ganpungnaedong, Qigiulche, Yeolyoesimsin etc, the majority of care Jabogansin, Yukyinsikpung, Hwalhy-eolhrwaeo, and the others Ikqiyanghyeol, Haldamtonglak, Seoganhaewool. Curing period is generally from 2 to 3 months. In effectiveness rate, successive Qichehyeoleo type is the highest, and idiopathic Qihyeolyangheo type is the lowest. Effectiveness of rigidity is higher than tremor.

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『상한론(傷寒論)』 비약증(脾約證)의 의미에 대한 소고(小考) - 179조와 247조의 비교를 중심으로 - (A Study on the Meaning of Splenic Constipation Syndrome(脾約證) in Shanghanlun(傷寒論))

  • 안진희;정창현;장우창;백유상
    • 대한한의학원전학회지
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    • 제28권2호
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    • pp.147-162
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    • 2015
  • Objectives : The purpose of this study is to investigate splenic constipation syndrome(脾約證) in Shanghanlun by comparing 179 & 247 provisions. Methods : Including Shanghanlun, several texts which contain Cheng Wu-ji, Wan Mi-zhai, Qian Huang, Zhu Gong, Fang You-zhi, Yu Jia-yan, Zhang Lu, Cheng Ying-mao, Zhang Xi-ju, Chen Xiu-yuan, Wu Qian, Xu Ling-tai, You Zai-jing, Zhu Dan-xi's opinion about the splenic constipation syndrome were chosen and comparative consideration was carried out. Results & Conclusions : The following conclusions could be drawn. 247 provisions in Shanghanlun is different from 179 provisions because the beginning of the each splenic constipation syndrome is different. The difference between 179 & 247 provisions are proved by comparing Mild Purgative Decoction which is used Taiyangyangming splenic constipation syndrome and Fructus Cannabis Pill which is used Dorsal pedal pulse splenic constipation syndrome. Cheng Wu-ji's opinion that 179 & 247 provisions is different is meaningful because he is first investigated the different beginning of the splenic constipation syndrome. Several annotator's opinion which oppose Cheng Wu-ji is majority and they set a high value on Jangbu(臟腑) factor. Several annotator's opinion which agree Cheng Wu-ji is minority and they set a high value on splenic constipation syndrome also begins from Taiyangbing. The concept of overlapping of Taiyangyangming is different from the concept of Taiyangyangming. Consequently 179 & 247 provisions has to be distinguished.

명대(明代)의 소아과학(小兒科學)에 관(關)한 연구(硏究) (The Medical Study on the Development of Pediatrics in Myeong(明) Dynasty)

  • 박현국;김기욱;이영석
    • 대한한의학원전학회지
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    • 제21권3호
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    • pp.1-25
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    • 2008
  • Myeong(明) Dynasty Period put together clinically various medical theory in Song(宋) Dynasty and Geum-Won(金元) age, organized medical system. They have been developed in theory, which thought of Byeonjeungronchi(辨證論治) more important, and clinical part which included diagnosis, therapy, prevention. In that age reactional medical thought was in fashion because of affect of Ihak(理學), therefore pediatrics have been affected from them. Especially, looking at the symptom of Byeonjeungronchi doctors, Manjeon(萬全), Nobaeksa(魯伯嗣), Wangdaeryun(王大綸), Wanggeungdang(王肯堂), Nuyeong(樓英) had succeed to Jeoneul(錢乙)' the five viscera Byeonjeung(辨證) system. Manjeon advocated Samyuyeosabujokron(三有餘四不足論) about Jangbu(臟腑) and organized the curative principle about Ojangheosil(五臟虛實). Gupyeong(寇平), commented on diagnosis of five viscera and classification of disease of five viscera. Wangdaeryun in the close of Myeong Dynasty Age explained main pulse, pulse of illness in detail according to weakness or strength of five viscera, pathological or physiological features of five viscera and Saenggeuk(生克) relation of Ohaeng(五行) in the book of "Yeongdongryuchwe(嬰童類萃)". Wanggeungdang and Nuyeong had organized system of argument which classified disease as a result of symptom of five viscera. "Yugwajeungchijunseung(幼科證治準繩)" and "Uihakgangmok(醫學綱目) Soabu(小兒部)" had been written by this principle. Nobaeksa had arranged the principle of cure about five viscera and explained method of common use about each organ's disease. Besides, Seolgi(薛己), Janggyeong-ak(張景岳), insisted about Myeongmun(命門) because he thought of Bisin(脾腎) of children and vigor by nature importance. Seolgi had applied and used very well Bojung-ikgitang(補中益氣湯) based on Idongwon(李東垣)'s Biwiseol(脾胃說) and controled and helped spleen and stomach. At the same time, he took a serious view about supplementing children's Sin-gi(腎氣) according to so many spleen and stomach disease was fallen because they couldn't make warm the spirit of Jungju(中州), result of weakening Hwa(火) of Myeongmun. Also Janggyeong-ak took a serious view strengthen of Bisin, so he assorted and used Insam(人蔘) and Buja(附子) to supplement children's weaken energy in kidney Jeonggi(精氣).

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중풍(中風)의 담인설(痰因說)에 대한 고찰(考察) (The Literature Rearches on "Dam-eum(痰飮)", resulted in Stroke)

  • 정완우;이원철
    • 동국한의학연구소논문집
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    • 제8권1호
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    • pp.133-144
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    • 1999
  • 담음(痰飮)은 질병(疾病)의 경과중에 발생되는 병리적(病理的)인 산물(産物)로, 담음(痰飮) 자체가 질병(疾病)의 원인(原因)이 될 수 있으며, 질병(疾病)의 결과물로 생길수도 있다. 저자는 <내경(內經)> 이후의 역대(歷代) 문헌(文獻) 고찰(考察)을 통해 담음(痰飮)이 중풍(中風)의 발생에 미치는 영향과, 아울러 담음(痰飮)과 진액(津液)의 관계, 진액(津液)과 뇌(腦)의 관계, 담음(痰飮)과 어혈(瘀血)의 관계 등을 연구하였다. 담음(痰飮)은 칠정(七情)의 부조(不調), 정기휴손(精氣虧損), 음식실조(飮食失調), 외감육음(外感六淫), 체질적(體質的) 소인(素因)등의 인자(因子)로 인해 발생되어 열담(熱痰), 풍담(風痰), 습담(濕痰)으로 화(化)하고 장부(臟腑) 경락(經絡)에 울체(鬱滯)하여 기혈(氣血)의 순환을 막아 중풍(中風)을 유발하게 된다. 한편 담음(痰飮)은 진액(津液)으로부터 형성되고, 진액(津液)은 기체(氣滯), 화울(火鬱), 한응(寒凝)의 병리과정(病理過程)을 통하여 담음(痰飮)으로 전화(轉化)되며, 뇌(腦)는 진액(津液)의 자윤(滋潤)과 충양(充養)에 의해 그 기능을 유지한다. 따라서 진액(津液)이 담음(痰飮)으로 전화(轉化)되어 기혈운행(氣血運行)을 막으면 뇌(腦)에도 영향을 미칠 수 있을 것으로 사료된다. 담음(痰飮)과 어혈(瘀血)의 관계를 보면 담음(痰飮)은 어혈(瘀血)과 병리변화(病理變化)에 있어 밀접한 관계에 있으며, 중풍발생(中風發生)에 있어서 담음(痰飮)이 어혈(瘀血)에 선행(先行)하거나, 어혈(瘀血)이 먼저 형성된 후에 담음(痰飮)이 형성되거나, 혹은 서로 겸(兼)하여 발생할 수도 있다.

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