• Title/Summary/Keyword: Shanghan disease

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A Study on the Diversity of Shanghan(傷寒) Concept in Gangpyeong-Sanghanlun(康平傷寒論) (『강평상한론(康平傷寒論)』 내 '상한(傷寒)' 개념의 다양성에 대한 고찰)

  • Lee, Soong-In;Jeong, Jong-Kil
    • Journal of Korean Medical classics
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    • v.28 no.1
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    • pp.97-110
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    • 2015
  • Objectives : Usually medical terminology of oriental mecidine has a multiple meaning. But concept of Shanghan(傷寒) should be simple, because Shanghanlun(傷寒論) is a clinical guideline book. So I researched to suggest many concept of Shanghan, which are suitable for each chapter of Shanghanlun. Methods : I enumerated provisions including Shnaghan from the original texts of Gangpyeong-Shanghanlun(康平傷寒論). And I translated and reviewed them. Results : 1. Shanghan of Preface(序文) means a disease of high fatality. 2. Shanghan of Shanghanrye(傷寒例) means diseases due to physical damage of cold weather. 3. Shanghan of Diagnosis of Daeyang Disease(辨大陽病) - Neck stiffness(痙), Dampness(濕), Sun stroke(暍) means certain disease names accompanying fever, chill. 4. Shanghan used in Diagnosis of Diseases is a premise of many provisions of Shanghanlun. And Shanghan is made up of finished fever, expected fever, chill, body pain, loss of appetite, image of tension. Conclusions : We can use a appropriate translation on Shanghan of each chapter of Gangpyeong-Sanghanlun. Especially Shanghan used in "Diagnosis of Diseases" should have more accurate meaning.

Liuwansu's 『Fire-Heat』 & 『Warm disease』 -on pathology(pathogenesis)of exterior-contact causes- (유완소(劉完素)의 화열론(火熱論)과 온병학(溫病學) - 외감(外感) 병기(病機)를 중심으로 -)

  • Jin, Jupio;Cha, Wung-Seok;Kim, Nam-Il
    • The Journal of Korean Medical History
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    • v.22 no.1
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    • pp.57-67
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    • 2009
  • The results of analyzing "Shanghanlun-Shanghan examples" of Song Dynasty Text and Liuwansu's writings in the pursuit of comprehending his views written in "Fire-Heat" & "Warm disease" -are as follow. 1.He introduced Exterior-Interior Shanghan and Latent in the Winter & recurrent in the Spring Shanghan concept in the Febrile disease pathology as the link and the bifurcation point. His perception on Febrile disease encompassed Shanghan and Febrile disease on the same plane but actually discriminated in the treatment and medication between the two actually. 2.He suggested Febrile disease pathology in the concept of Shanghan and Febrile disease, which is coherent in the formation of interior heat as the result of the invasion of the lung by warm pathogen described in Warm disease Wei, Qi, Ying and Xue Fen Syndrome differentiation. He expanded the concept of esoteric portal 玄府 of "Suwon Tiaojinglun", to that of the omni-present portal & way of Qi's all directions movement, which is in accordance of invasion of upper energizer 上焦 by warm or hot pathogen via mouth and nose as used in Warm disease three-energizer differentiation. 3.He recognized both exterior-interior febrile disease in the context of both exterior-interior contact cause disease. He prescribed pungent-cool exterior releasing medicinal similar to that of exterior-releasing treatment adopted in warm disease. As lily-talc powder百合散 introduced in "Golden chamber synopsis" dispells heat by promoting excretion of urine and defecation, it is regarded as the original formula of later ikwonsan yiyuansan 益元散.

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Comparative Study on Diseases and Symptoms between Shanghan-lun and Juyan Wooden Slips (거연한간(居延漢簡)과 상한론(傷寒論)의 병증(病症) 비교 연구)

  • Ha, Ki-Tae;Jeong, Han-Sol;Shin, Sang-Woo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.1
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    • pp.19-28
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    • 2011
  • More than 30,000 Wooden Slips were excavated in the Juyan region in 1930s and 1970s. These slips recorded military actions of Juyan Frontier Fortress during Han dynasty, which is about BC 100 ~ AD 30. On the slips, there are many disease names and symptoms mentioned. We focused on a certain disease name, namely, Shnaghan(傷寒; injured by cold), which is the main subject of Shangha-lun(傷寒論). Looking closely into these Juan Wooden Slips, we found many articles recording Shanghan, including related diseases and symptoms, such as Shanghan(傷汗; injured by sweat), headache, fever and chills, immobilization of limbs, unacceptance of foods. And there are another Shanghan-related symptoms, such as inflation of upper-abdomen(心腹支滿), pain of upper abdomen(心腹痛), strain of both armpits(兩胠葥急), inflation of chest(胸脇支滿), tightness and fear in the chest(煩滿). Although they have no direct relationship with Shanghan, there are many symptoms, including the external wounds of waist, finger, thigh, back, breast and head, abscess of leg and elbow, sore throat, itching, leucorrhea, powerlessness of hands and legs(手足癃), visceral injury(傷臟), tinnitus, cold, warm and heat. Because the Wooden Slips are very short, with some characters even missing, we can not confirm the detail of the disease and symptoms. In addition, we will report about the herbal medicines and other treatments, which are recorded on the slips, by further research.

Structuralistic Analysis for Establishment of Concept and Variables of Shanghan Diseases (상한병(傷寒病)의 개념(槪念)과 논치근거(論治根據) 확립을 위한 구조주의적 분석)

  • Chi, Gyoo Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.2
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    • pp.127-132
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    • 2015
  • In order to grasp the clear concepts and variables to treat Shanghan diseases which has complex meaning by each medical literature, several concepts and analytic method of structuralism from early to late stage encompassing Saussure and Derrida were used. Main concepts are langue and parole, signifiant and signifie, syntagme and paradigme, denotation and connotation, synchronie and diachronie, identity of structure and differance etc. and methods are substituting these concepts to historical Shanghan theories from Zhongjing to Ming-Qing dynasty and comparisons of synchronie about their era. Essential qualities of Shanghan diseases are pathologic phenomena under the order of unification of nature and man formed through concrescence between individual human body and geo-climatico-socio-cultural environmental conditions, neither injuries by cold pathogen nor five types of exopathogenic febrile diseases. The former environmental elements can be inferred from general traits of desires and public pathological aspects of social members, and the latter personal factors from corresponding features to those pathogenic variables. In addition, the concepts of Shanghan disease are added successively up to now via Jin-Yuan's four great masters and Wenbing masters, and thus the new concepts of denotation became another connotation obtaining new signifiant. In this way, for the treatment of Shanghan diseases, new theories should be made for ranging prescription over the wenbing field; reflecting not only climatical variables but also each patient's physio-pathological features and sociocultural variables. Thereby an appropriate and reasonable therapeutical systems can be designed and can guide research direction hereafter.

Philological Analysis of Shanghan Prescriptions from the Chinese Unearthed Documents (중국 출토문헌에 보이는 상한방(傷寒方)의 문자학적 분석)

  • Lee, Kyung
    • Journal of Korean Medical classics
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    • v.32 no.3
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    • pp.17-29
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    • 2019
  • Objectives : This paper is an analysis of the name 'Shanghan(傷寒)' and its related contents in unearthed documents. "Shanghanlun" as we know it is an edited version by Wangshuhe of the Jin period, as the original text as written by Zhangzhongjing has been unavailable. Recently in China, documents of the Xian Jin and Liang Han periods are being unearthed, allowing us to look at medical texts of previous times that Zhang referenced. The aim of this paper is to look at the developmental process of the Shanghan theory based on these medical texts. Methods : Research documents include all unearthed documents that include the name 'Shanghan'. There were a total of 4 written cases, 2 in "Wuweihandaiyijian", and one each in "Dunhuanghanjian" and "Juyanhanjian". Meaning of extracted examples were analyzed in reference to the shape of the character, then compared and analyzed with existing medical texts such as "Shanghanlun", "Jibeiqianjinyaofang", and "Bencaogangmu" Conclusions : By examining the 4 examples, Bianzhenglunzi and clinical prescriptions which are characteristics of Shanghanlun could be found. There was an 'Eliminating Wind' formula that was used to eliminate Cold pathogen of the exterior which showed remarkable resemblance to that found in "Jibeiqianjinyaofang". There are also formulas that 'Communicate to Disentangle' and 'Disentangle the Stomach' which are used in progressed stages of Shanghan disease, showing that Bianzhenglunzi had already been applied to Shanghan conditions.

A Study on the Harmonization Method(和法) in Huang Di Nei Jing(黃帝內經) and Shanghan Zabing Lun(傷寒雜病論) (≪황제내경(黃帝內經)≫ 여(與) ≪상한론(傷寒論)≫ "화법(和法)"지고찰(之考察))

  • Ju, Bao-zhao;Kim, Hyo-chul
    • Journal of Korean Medical classics
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    • v.28 no.4
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    • pp.57-63
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    • 2015
  • Objectives : Through the analysis of the harmonization(和) thought in Traditional Chinese culture, and then excavate the theory and application of Harmonization Method(和法) in Huang Di Nei Jing(黃帝內經) and Shanghan Zabing Lun(傷寒雜病論). Methods : We find the harmonization(和) means harmony and neutral in traditional Chinese culture, including the harmony of society, the harmony of the mind and the body, and so on. Results : Huang Di Nei Jing(黃帝內經) emphasized the health status is moderate, the disease state is unbalance, preserving our health should keep the yin-yang equilibrium, treating disease should reestablish the equilibrium status, which establish the foundation of the theory of Harmonization Method(和法). Shanghan Zabing Lun(傷寒雜病論) created the methods of settlement and harmony, which is a precedent for the wide application of Harmonization Method(和法) for future generations, including to reconcile the interior-exterior and yin-yang, to harmony the ying-wei and qi-blood, to reconcile the activities of qi of internal organs. Conclusions : The harmonization(和) is the ideological foundation of the theory system of TCM and the Harmonization Method(和法). The Harmonization Method(和法) is an important treatment method for clinical practice of Traditional Chinese Medicine.

A Study on the Absence of the Zhuniao decoction among the Four Directions Sishen decoction in 『Shanghan Lun』 (『상한론(傷寒論)』의 사방(四方)·사신탕(四神湯) 중(中) 주조탕(朱鳥湯)의 부재(不在)에 관한 고찰)

  • Shin, Chang-Yong
    • The Journal of Korean Medical History
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    • v.34 no.2
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    • pp.25-43
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    • 2021
  • Among the ancient ideas of East Asia, there is a myth about the symbol of the Four Gods who commands all directions in the east, south, west, and north, and this is also reflected in the medical field. However, although there is discussion about Qinglong Decoction (青龍湯), Baihu Decoction (白虎湯) and Xuanwu Decoction (玄武湯) in the 『Shanghan Lun (傷寒論)』, there is no content focusing on Zhuniao decoction (朱鳥湯). Considering the consistent perspective of 『Shanghan Lun』, which recognizes the disease-syndrome and seeks prescriptions based on yin and yang thinking, this is very unusual. Therefore, in this study, it was revealed that the concept of 'Sishen Decoction (四神湯)' itself was a concept that emerged when the authors of 『Shanghan Lun』 established the 'eight-principles syndrome differentiation (八綱辨證)' system in their recognition and response to diseases-syndromes. Based on this, I considered the following possibilities: They were able to present Qinglong decoction, Baihu Decoction and Xuanwu decoction, as appropriate prescriptions for 'exterior cold excess syndrome (表寒實證)', 'interior heat deficiency syndrome (裏熱虛證)', and 'interior cold deficiency syndrome (裏熱實證)'. However, it is possible that the name of the prescription 'Zhuniao decoction' was not intentionally used, because it was not possible to provide an appropriate prescription for 'exterior cold excess syndrome (表熱實證)'.

Studies on Foundation for Standard <Shanghan Lun> Text through Comparison of Sentences from 5 Types of Printed Book (<상한론(傷寒論)> 판본별 문장비교를 통한 표준 텍스트 연구;태양병(太陽病) 상편(上篇) (1-30조(條)))

  • Chi, Gyoo-Yong;Eom, Hyun-Sup
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.1
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    • pp.25-31
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    • 2008
  • This paper is written for foundation of standard <Shanghan Lun> text to research febrile disease referring from <Jin-gui-yu-han-jing>, Kang-ping-ben, Tang-ben, Song-ben and supplementarily Gui-lin-gu-ben. Through the comparative and analytical investigation of 30 articles of ${\ulcorner}$Taiyang bing Volume 1${\lrcorner}$, 22 articles were newly compiled after getting rid of doubtful sentences or putting together. Also, one article, "wind damage of Tai-yang give rise to fever and chilling", was added from Tang-ben. And many articles were unchanged or in some case, collected together with relevant articles to make sense more.

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.

Discussion on Classical Text-based Evidence in Guidelines for the Traditional Chinese Medical Treatment of COVID-19 (COVID-19의 중의(中醫) 진료방안에 반영된 문헌 근거에 대한 고찰)

  • Kim, Sanghyun
    • Journal of Korean Medical classics
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    • v.35 no.4
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    • pp.115-125
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    • 2022
  • Objectives : This study reviews whether the traditional medical thought process reflected in the Traditional Chinese Medical Treatment Plan for COVID-19 is based on existing classical texts, and examine concerns over the quality of evidence that the plan is based on. Methods : First, terminology and basic formulas composing the compound formulas in the COVID-19 TCM Treatment Plan were collected. Next, their usage in existing classical texts were searched in the medical classics database. Results : Infectious diseases similar to COVID-19 were understood as external disease due to Six Qi in the texts. Basic formulas used for treatment were those applied in Shanghan and Wenbing, among which cases where such formulas were applied in infectious diseases could be found in the classics. Conclusions : The level of evidence of the Treatment Plan suggested by various specialists could be evaluated as insufficient if we consider the literature. However, if application of such a plan could be supported institutionally, it could become a starting point for evidence generation.