• Journal of Korean Medical classics
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• v.21 no.2
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• pp.1-20
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• 2008

The Song Dynasty(宋代) period gained the summit in the developmental phase of the history in pediatrics. In 1076, Taeuiguk(太醫局) was founded and Sobangmaek(小方脈) was the one of nine branch in Taeuiguk(太醫局). As a result, educational agency and system was arranged in the field of pediatrics. At the same time, pediatrics have furnished with foundation to develop independent field in medical science. Especially, Byeonjeungnonchi(辦證論治) system is established in pediatrics science according to the compilation of "Soayakjeungjikgyeol(小兒藥證直訣)" by Jeoneul(錢乙). Children's doctors, Jeoneul(錢乙), Jinmunjung(陳文中) and Donggeup(董汲) arranged clinically theories, so they made that age the peak of the pediatrics. Looking at the developmental part of theory in pediatrics of the Song Dynasty period, Jeoneul(錢乙), who was the representative children's doctor in Song Dynasty period, insisted that children had formed Ojang-yukbu(五臟六腑) in the physiological part but they were not perfect like adult's. Therefore they had to consider the poor part in children's body, and then they had to cure them. 'Byeonjeung(變蒸)' was considered to be normal physiological phenomenon. Also he insisted that Yukeum(六淫), 'Pung, Han, Seo, Seup, Jo, Hwa(風, 寒, 暑, 濕, 燥, 火)' and 'Gyeong, Pung, Gon, Cheon, Heo(驚, 風, 困, 喘, 虛)' are the main cause of the children's five vital organ's pathology Like this, his academic thought, which lay emphasized on children's spleen and stomach and Ojangbyeonjeung(五臟辦證) main principles, affected on doctors, Donggeup(董汲), Yeomhyochung(閣孝忠), Yubang(劉肪), Jang-wonso(張元素), Idong-won(李東垣), Manjeon(萬全). Bangje(方劑) fields of pediatrics had developed so fast and "Taepyeongsunghyebang(太平聖惠方)" contained about 2689 kinds of children's prescription. According to this, there are so many kinds of medicinal shape, for example 'Hwan, San, Go, Dan(丸, 散, 膏, 丹)', which cured children' s disease. Through this, we find that the shape of medicine about the children's diseases had developed to the more simple direction, taking account of the children's clinical trait.

• The Journal of Korean Medical History
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• v.17 no.1
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• pp.105-118
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• 2004

The four precious results are beard below after thorough study of Jeoneul(錢乙)'s descended piece and main citation reference from Song(宋) era. 1. Jeoneul(錢乙)'s historical period seems that he finished his life in the age of 82, from Cheonseong(天聖) 10years(Year 1032) to Jeonghwa(政和) 3years(Year 1113) in North Song(北宋) era. However, it also seems that his life terminated Seonhwa(宣和)元年in 1119. The title of "Soayakjeungjikgyeol(小兒藥證直訣)" was reflected in "Sagojeonseo(四庫全書)" as "Soayakjeungjikgyeol(小兒藥證直訣)", however according to various of previous descended references and citations indicate that "Soayakjeungjikgyeol(小兒藥證直訣)" is more appropriate than "Soayakjeungjikgyeol(小兒藥證直訣)". Furthermore, the name, Yeomhyochung(閻孝忠), who edited the reference "Soayakjeungjikgyeol(小兒藥證直訣)" was appeared as Yeomgyechung(閻孝忠) in many different old references. Thus, even though, Sagogoan(四庫館) and Juhakhae(周學海) looked as Yeomgyechung(閻孝忠), but it seems Yeomhyochung(閻孝忠) in "Songsa(宋史)" Yemunji(藝文志) is more authentic than others. 2. When first edition of "Soayakjeungjikgyeol(小兒藥證直訣)" was published, Yeomhyochung(閻孝忠)'s the first book of "Yeomssisoabangnon(閻氏小兒方論)" and the first chapter of Yugi's "Jeonjungyangjeon(錢仲陽傳)" were attached in one book. Not long after of the first edition, Donggeup(董汲)'s first book of "Soabanjinbigeupbangnon(小兒斑疹備急方論)" and Jeoneul(錢乙)'s additional attachment was added in prescription reference. Among these references which were published in Song era, the original copy which Jinsegeol(陳世傑) published in Chung era in Ganghi(康熙) 58years (Year 1719) was remained and the first edition that Yangsugyeong(楊守敬) collected in Japan was published in "(lbonbangseoji(日本訪書志)" called Seonhwabon(宣和本). 3. Ungjonglip(熊宗立)'s "LyujeungjuseokJeonssisoabanggyeol(類證注釋錢氏小兒方訣)", Seolgi(薛己)'s "Gyojeongjeonssisoayakjeungjikgyeol(校正錢氏小兒藥證直訣)" Muyeongjeon-Chuijinbon(武英殿聚珍本) were followed Yangsugyeong(楊守敬)'s called Seonhwabon(宣和本) theory, in addition Yubang(劉昉)'s "Yuyusinseo(幼幼新書)" and "Soayakjeungjikgyeol(小兒藥證直訣)" quoted from Chosun "Euibangyuchui(醫方類聚)" also followed Yangsugyeong(楊守敬)'s called Seonhwabon(宣和本) theory. On the other hand, Jinsegeol(陳世傑)'s Gisudangbon(起秀堂本) and reprinted Juhakhaebon(周學海本) belong to parts of Songbokganbon(宋復刊本). 4. In major references and citation materials descended from "Soayakjeungjikgyeol(小兒藥證直訣)", Yubang(劉昉)'s "Yuyusinseo(幼幼新書)" and "Soauisaengchongaminonbang(小兒衛生總微論方)" were cited in Song era and some related parts in "Yeongnakdaejeon(永樂大典)", "Soayakjeungjikgyeol(小兒藥證直訣)" related sections, Ungjonglip(熊宗立)'s reedited and annotated part of "Lyujeungjuseokjeonssisoabanggyeol(類證注釋錢氏小兒方訣)", Seolgi(薛己)'s proof reading and annotated "Gyojujeonssisoayakjeungjingyeol(校注錢氏小兒藥證直訣)", "Euibangyuchui(醫方類聚)"'s quotation. In Chung(淸)era, Jinsegeol(陳世傑)'s re-published reference, Gisudangbon(起秀堂本), which was simply printed in Song and proof read and republished Juhakhaebon(周學海本), Muyeongjeonchuijinbon(武英殿聚珍本) compiled from "Yeongnakdaejeon(永樂大典)", Yangsugyeong(楊守敬)'s "Jeonssisoayakjeungjikgyeol(錢氏小兒藥證直訣)" mentioned in "Ilbonbangseoji(日本訪書志)", Jangsui's annotation, "Soayakjeungjikgyeoljeonjeong(小兒藥證直訣箋正)" and Simgeumo(沈金鰲)'s "Yuguaseokmi(幼科釋謎)" which was applied Jeoneul(錢乙)'s theory and prescription.

• Journal of Korean Medical classics
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• v.21 no.3
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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).