• Title/Summary/Keyword: Shanghanlun (傷寒論)

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Three cases of chronic cough treated with Gui-Zhi-Tang(桂枝湯) in Shanghanlun 12th, and 15th text (상한론(傷寒論) 12조(條), 15조(條)에 근거한 계지탕(桂枝湯)의 투여를 통해 호전된 만성 기침 환자 치험 3례)

  • Kim, Su-Jung
    • 대한상한금궤의학회지
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    • v.5 no.1
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    • pp.31-43
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    • 2013
  • Objective : This study evaluated the effect of Gui-Zhi-Tang(桂枝湯) on chronic cough. Methods : Three patients who had a chronic cough were diagnosed by the Shanghanlun(傷寒論) Six meridian patterns diagnostic system (六經診斷體系) and treated with Gui-Zhi-Tang(桂枝湯) based on Shang-han-lun's 12th and 15th text. The treatment lasted more than 4 weeks. The severity of Chronic cough was evaluated by the questionnaire(symptom severity assessment) before and after administration of each treatment term. Results : After the treatments, the patients' symptoms and results of the questionnaire improved. Conclusions : This case study showed an effectiveness of using Gui-Zhi-Tang on chronic cough.

A Case Report of Edema Treated by Mahwang-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병(辨病) 진단체계(診斷體系)에 근거하여 마황탕(麻黃湯) 투여 후 호전된 부종 증례 1례)

  • Seo, Young-ho;Wang, In-ho;Hwangbo, Min;Choi, Hae-Yun
    • 대한상한금궤의학회지
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    • v.11 no.1
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    • pp.103-111
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    • 2019
  • Objective : The purpose of this study was to report the improvement in a patient with edema treated by herb medication based on Shanghanlun provisions. Methods : According to 'A disease pattern identification diagnostic system based on Shanghanlun provisions (DPIDS)', a patient was diagnosed with Taeyang-byung, no. 46 provision and was administered with Mahwang-tang herbal medication for 30 days. The Numeric rating scale (NRS) was used to estimate the response. Results : The NRS score changed from 10 to 1 and the edema disappeared by 46th provision of Mahwang-tang selected according to Shanghanlun provisions. Conclusions : This case report suggests that the two words in the 46th provision of Shanghanlun, '陽氣重, 無汗' (Yang qi heavy, Absence of sweating) indicate a close relationship between photosensitivity and absence of sweating, thereby affecting edema in this case.

A Case Report of migraine and a case report of restless legs syndrome treated with Osuyu-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 오수유탕(吳茱萸湯)을 투여한 편두통 증례 및 하지불안증후군 증례 각 1례)

  • Heo, Joo;Lee, Wook-jea;Jeong, Jae-won
    • 대한상한금궤의학회지
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    • v.11 no.1
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    • pp.125-138
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    • 2019
  • Objective : This study was intended to evaluate if treatment with Osuyu-Tang following the disease pattern identification diagnostic system based on Shanghanlun provisions (DPIDS) worked analyzing the progress of patients with migraine and restless legs syndrome and to reinterpret the provision of 309 Soyinbing Osuyu-Tang based on the analysis of whether it worked. Methods : Two cases treated with Soyinbing Osuyu-Tang were analyzed using DPIDS. The migraine and restless legs syndrome in both cases were evaluated using the migraine disability assessment (MIDAS) and the Korean versions of the international restless legs scale (K-IRLS), respectively. Results : In the first case, during 45 days of treatment, the MIDAS decreased from 10 days to 3 days. In the second case, during 30 days of treatment, the K-IRLS decreased from 30 to 9. In both cases, Soyinbing was associated with the disease, although the activity was less; and Leng (冷) was associated with numbness in the kneeling position. Conclusions : It was confirmed that treatment with Osuyu-Tang was effective against migraine and restless legs syndrome and that Leng could be associated with numbness in the kneeling position. The etymological analysis of the Shanghanlun characters suggested the possibility of further clarifying the clinical significance and interpretation of Shanghanlun.

A Case Report of Chronic Fatigue Syndrome treated by Jisilchija-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 지실치자탕(枳實梔子湯) 투여 후 호전된 만성피로증후군 1례)

  • Ryu, Hee-Chang;Rho, Yeong-Beom
    • 대한상한금궤의학회지
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    • v.9 no.1
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    • pp.115-123
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    • 2017
  • Objective : The purpose of this paper is to report the improvement of patient with Chronic Fatigue Syndrome(CFS) treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient was diagnosed with Eumyangyeokchahunobok-byung, number 393 provision, and took Jisilchija-tang herb medication for 75days. The changing symptom of chronic fatigue syndrome was estimated by QOL-CFS(Chalder Fatigue Scale) and VAS(Visual Analogue Scale). Results : The QOL-CFS changed 21 to 8 and VAS changed 10 to 1. Conclusions : It is existing theory that Eumyangyeokchahunobok-byung is caused by 'having too much sex relation'. But the author diagnosed Eumyangyeokchahunobok-byung as 'Symptoms worsen when awaken at night, and sleep at day caused by poor sleep pattern' according to the palaeography about shanghanlun, and got a good results.

A Conceptual study on Shanghanlun Jueyinbing :Based on 2 cases treated by Shanghanlun provisions (『상한론(傷寒論)』 궐음병(厥隂病)에 대한 고찰: 변병진단체계(辨病診斷體系)에 입각해 치료한 증례 2례에 근거하여)

  • Cho, Seong-Hwan;Yun, Hyo-Joong;Lee, Sung-Jun
    • 대한상한금궤의학회지
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    • v.9 no.1
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    • pp.1-20
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    • 2017
  • Objective : This study is to propose a new hypothesis about the interpretation of Jueyinbing in Shanghanlun by studying 2 Jueyinbing cases. Methods : We analyzed the original form of the chinese characters 'Jue(厥)', 'Jueyin(厥陰)' and 'Huoluan(?亂)' and tried to understand their contexts in Shanghanlun. At the same time, we analyzed 2 clinical cases diagnosed and treated as Jueyinbing according to newly hypothesized definition. Results : Both patients suffered from eye diseases which caused by concentrating on a sophisticated work by straining their hands, feet and chest during the night time. After the herbal intervention, their eye diseases are improved firstly. The National Eye Institute 25-item Visual Function Questionnaire (NEI-VFQ) score increased on both patients. Not only all the patients' chief complaints relieved but their other clinical problems such as limb pain, hand tremble also improved. Conclusions : These results highly insist that, at least in 15 characters provision of Shanghanlun, Jueyinbing had had the different usage from the conventional terminology, and it is assumed that Jueyinbing means the disease made by concentrating on a sophisticated work by straining hands, feet and chest during night time.

A Conceptual Study 'Heo(虛)' in Shanghanlun : Based on 2 Cases Treated by Chijasi-tang (『상한론(傷寒論)』 '허(虛)'에 대한 고찰 : 변병진단체계(辨病診斷體系)를 통한 치자시탕(梔子豉湯) 증례 2례에 근거하여)

  • Choi, Woon-yong;Lee, Sung-jun
    • 대한상한금궤의학회지
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    • v.12 no.1
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    • pp.49-60
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    • 2020
  • Objective: To explore the meaning of 虛in Shanghanlun through two cases. Methods: We analyzed the original form of 虛and the contexts in Shanghanlun. Concurrently, we report two clinical cases treated with Chijasi-tang according to the newly deduced definition of 虛. Results: 虛is composed of 丘and 虍, which means a tiger on a large hill. Here, the meaning of "empty"was derived. In both cases, sleep disorders and heart stuffiness were the chief complaints, which were confirmed to occur under 虛's circumstances. Therefore, Chijasi-tang was administered to two patients with a feeling of emptiness as a pathogenic factor, and improvements were confirmed in both cases. Conclusions: In 15 provisions of Shanghanlun, 虛is defined as "a feeling of emptiness"instead of of "deficient,"which was widely used previously, and appears clinically as "emptiness after being hurt by someone."This definition was applicable in both cases.Further study of the other characters is needed because the previously used meaning may be different in the 15-character provisions of the Shanghanlun.

A Documentary Study on Article 39 of Shanghanlun (『상한론』 제 39조에 대한 문헌적 연구)

  • Kim June Ki
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.1
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    • pp.45-51
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    • 2002
  • This paper deals with the documentary study on article 39 of Shanghanlun(傷寒論). It has been reported that symptom of Daqinglong-tang(大靑龍湯) of article 39 of Shanghanlun is caused by the following four factors: 1) the additional evidence of article 38 2) the transformation into heat-syndrome of cold evil 3) the chronic and less acute process of Taiyangshanghan(太陽傷寒) 4) a kind of anasarca coming from an evil of wind-warm. After studying and comparing the above artide with the article of Daqinglong-tang of Jinguiyaolue, I found that symptom of Daqinglong-tang of article 39 is anasarca.

A Case Report of Recurrent Cystitis Treated by Baektong-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 백통탕(白通湯) 투여 후 호전된 재발성 방광염 증례 1례)

  • Ryu, Hee-chang
    • 대한상한금궤의학회지
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    • v.12 no.1
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    • pp.161-169
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    • 2020
  • Objective: This case report describes the improvements of a patient with recurrent cystitis who was treated using an herbal medication according to the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: 'DPIDS'and 'Interpretation based on Etymological chinese characters,'the patient was diagnosed with Shaoyin-bing, provision number 315, and administered Baektong-tang herb medication for 30 days. The changes in the symptoms of recurrent cystitis were estimated using the Interstitial Cystitis Symptom Index and Problem Index-Korean version (ICSI/ICPI-K) and Visual Analogue Scale (VAS). Results : The ICSI/ICPI-K score changed from 33 to 0 and VAS score changed from 7 to 0. Conclusions: The main causes of the disease were 微 and 利,and the symptoms of recurrent cystitis

A Study of Abdominal Syndrome in Shanghanlun (상한론(傷寒論) 조문중(條文中) 상견복증(常見腹證)에 관한 연구(硏究))

  • Shin, Sang Seup;Park, Won Hwan
    • The Journal of Dong Guk Oriental Medicine
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    • v.7 no.2
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    • pp.47-67
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    • 1999
  • The subject of Abdominal syndrome in the field of Shanghanlun takes a quarter of the whole research quantity, and has greatly contributed to the development of diagnoses due to the well-growth of syndrome differentiation through the differentiation of symptoms and signs based on prescription-centered abdominal syndrome. Since then, while the diagnostic has been developed mainly in the field of pulse fee ling and the inspection of the tongue, application of the abdominal diagnostic has not been continuously improved because of special historical and social environments. Recently, since interest in the differentiation of symptoms and signs based on abdominal syndrome has been raised by emphasis of Oriental diagnostic methods and medical treatment which have led to the study of Abdominal Syndrome in Shanghanlun. The following is the results of the study. 1. Shanghanlun abdominal syndrome is categorized into all abdominal symptoms. Epigastric symptoms, Hypochondrium symptoms, and Lower abdomen symptoms. 2. Subjective symptoms and Objective symptoms have been found in Abdominal syn drome, and Subjective symptoms have been more often than Objective symptoms. Both of the symptoms have been found more to co-exist in abdominal syndromes. 3. more cases of fullness of abdomen symptoms in All abdominal symptoms, a smaller number of cases in Taiyang disease, Yangming disease, disease, disease involving all three yang, Tayin disease and Jueyin disease have been found, but there have not been found in shaoyin disease. 4. More cases of Epigastric fullness and rigidity in Epigastric symptoms, Epigastric throbs in Palpitation symptoms, and sense of fullness-in-chest in Abdominal syndrome of chest and hypochondrium have been recognized. 5. Any regularity caused by abdominal symptoms has not been identified. 6. Diagnosis of the abdomen caused by abdominal symptoms has been identified in Epigastric fullness, Epigastric pain, Epigastric procrastination, Epigastric throb, fullness of abdomen and distension of lower abdomen.

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A Case of Panic Disorder Patient Improved by Gyeji-tang(Guizhi-tang) Based on Shanghanlun Provision (상한론(傷寒論) 변병진단체계(辨病診斷體系)에 근거한 계지탕(桂枝湯)의 투여로 호전을 보인 공황장애 환자 1례)

  • Roh, Young-Beum;Kim, Ji-Young
    • The Journal of Korean Medicine
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    • v.42 no.2
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    • pp.98-106
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    • 2021
  • Objectives: The objective of this case report is to find a therapeutic effect of Gyeji-tang in panic disorder patients, based on Shanghanlun provision. Methods: At patient's first visit, we had conducted a medical interview in order to diagnose the physical and mental symptoms of the patient. A questionnaire called BAI had been also used to measure the degree of anxiety in panic disorder. After all the diagnoses had been done, the patient was allowed to take 120cc of Gyeji-tang, three times a day for 25 weeks. 25 weeks later, we conducted a second medical interview to compare with the initial treatment and to evaluate whether his physical and mental symptoms had been decreased or not. Likewise, the patient was asked to fill out the BAI questionnaire to measure the decline of anxiety degree. Results: Based on Shanghanlun provision, the patient with panic disorder due to overwork was diagnosed as Tai-yang-bing. Considering that the patient was having dyspnea, 15th provision of Gyeji-tang was selected and administered for 25 weeks. After 25 weeks, we could have observed that the main physical symptoms such as palpitation, dyspnea, stifling, headache, and fatigue were moderately improved. Moreover, the BAI score, which was evaluated to measaure the degree of anxiety, was also decreased from 49 points to the level of normal condition, 16 points. Conclusions: A 44 year old male patient who suffered from panic disorder due to overwork was allowed to take 15th provision Gyeji-tang for 25 weeks, based on Shanghanlun Provision. In results, the main physical symtpoms including dyspnea, palpitation, stifling, headache, and fatigue, and mental symptom such as extreme anxiety were all effectively improved.