• 동국한의학연구소논문집
• /
• 제7권2호
• /
• pp.47-67
• /
• 1999

상한론(傷寒論)은 복증(腹證)에 관한 내용이 전체의 1/4에 달할 정도로 重히 다루고 있으며 방증변증(方證辨證)이 중심이 되어 복증(腹證)을 통한 변증이 매우 발달되어 있어서 진단학(診斷學)의 발전에 크게 기여하였다. 이후 진단학診斷學)의 발전(發展)은 진맥(診脈), 진설(診舌)을 위주로 했으며, 복진(腹診)의 운용(運用)에 대해서는 역사적으로 사회적인 특수한 배경으로 인하여 계속 발전되지 못하였다. 최근 한의학적(韓醫學的) 진단방법(診斷方法)과 치료방법(治療方法)이 매우 강조되어 활발한 연구가 계속 진행되면서 복증변증(腹證辨證)에 관한 관심이 매우 집중되고 있기에, 복부진단(腹部診斷)에 관한 연구(硏究)의 한 방법(方法)으로써 상한론(傷寒論) 조문(條文)에 실려있는 상견복증(常見腹證)에 관련된 내용(內容)을 정리한 결과(結果) 약간의 지견(知見)을 얻었다.

• 사상체질의학회지
• /
• 제14권1호
• /
• pp.34-50
• /
• 2002

1. Background and Purpose At the year of 2000, the society of sasang constitutional medicine acqired ${\ulcorner}$HamsanSachon DongyiSuseBowon GoboGubon${\lrcorner}$ which is presumed as the copy of ${\ulcorner}$GoboGubon${\lrcorner}$. According to Lee Sung-Su who is the great-grandson of DongMu's older brother, $[\ulcorner}$HamsanSachon DongyiSuseBowon GoboGubon${\lrcorner}$ was worked by Lee Jin-Yoon who is the grandson of DongMu's older brother and it was copied by Han Min-Gab and now is owned by Lee Sung-Su who is the son of Lee Jin-Yoon. 2. Method This paper was written in order to understand the character of the discourse on the constitutional symp toms and diseases of ${\ulcorner}$HamsanSachon DongyiSuseBowon GoboGubon${\lrcorner}$. 3. Result and Conclusion 1) Each constitutional symptoms and diseases is classed as that of exterior and interior and then classsed again as that of exterior's exterior, exterior's interior, interior's exterior and interior's interior. 2) The degree of completion is high at the chapter of Soeumin and Soyangin comparing with that of Taeeumin and Taeyangin which don't exist as the contrasted explanation. 3) Soeumin's exterior-disease is divided Taiyang(太陽) and Yangmyung(陽明)'s disease by the sweating, that's interior-disease is same to Sinchukbon(辛丑本). BaboBon already have the concept of UlKwang(鬱狂) and mangYang(亡陽), so the discourse on the constitutional symptoms and diseases of Soyangin is early establish comparing with other constitution. 4) The Cold and Hot, the constitutional symptoms and diseases, the disease theory of Soyangin can be accessible to opposite side of Soeumin's that. The disease of exterior's exterior is only explained abdominal pain and diarrhea without the concept of Mangeum(亡陰) disease, but at the time of SinchukBon the concept of Mangeum-disease is invented. 5) There is many different with SinchukBon that the classification of symptoms and diseases of Taeeumin, and not mentioned the physiology and pathlogy of the airs and fluids metabolism. 6) Healthy Energy(保命之主) show us that JungKi(正氣) is key-point of the utility of the symptoms and diseases.

• 사상체질의학회지
• /
• 제11권1호
• /
• pp.79-102
• /
• 1999

1. 목적 네 가지 유형의 사상체질에 대한 한열증을 알아보고, 이것이 각 체질에 대한 생리, 병리의 이해와 진단, 치료에 도움을 주고자 하였다. 2. 방법 동의수세보원에 나타난 생리, 병리와 몇 가지 증후를 통한 한열증의 개념과, 기존의학에서의 한열증의 개념을 고찰해 보았다. 3. 결과 및 결론 병증과 편명을 중심으로, 비신의 수곡출납의 과정에 따라, 소음인은 '이한'한 체질적 소인을 바탕으로 표열 이한증으로 소양인은 '이열'한 체질적 소인을 바탕으로 표한 이열증으로 나타난다. 한편, 간폐의 기액내외 호산에 따라, 태음인은 '소병한다자'와 '소병열다자'로 나누어지는 경향이 있으며, 태양인은 한증이나 열증으로 치우쳐진 경향이 아닌 '불한불열'의 특정을 나타낸다. 몇가지 증후(편비, 설사, 한출, 소변, 구토)를 중심으로 각 체질의 한열 속성에 따라 각 증후의 한열 개념이 정해지는 것을 알 수 있는데, 이러한 것은 '체질적' 변증 방법을 제시한 것으로 사료된다.

• 동국한의학연구소논문집
• /
• 제8권1호
• /
• pp.51-76
• /
• 1999

금궤요략은 후한말기(後漢末期) 장기(張機)가 지은 임상의학(臨床醫學) 전문서적(專門書籍)으로써, 리(理) 법(法) 방(方) 약(藥)이 갖추어진 독창적(獨創的)인 변증론치체계(辨證論治體系)를 수립하고 있으며, 특히 복증(腹證)에 관한 내용을 중(重)히 다루고 있고, 방증변증(方證辨證)이 중심(中心)이 되어 복증(腹證)을 통한 변증(辨證)이 매우 발달되어 있어서 진단학(診斷學)의 발전(發展)에 크게 기여하였다. 이후 진단학(診斷學)의 발전(發展)은 진맥(診脈), 진설(診舌)을 위주로 했으며, 복진(腹診)의 운용(運用)에 대해서는 역사적으로 사회적인 특수한 배경으로 인하여 계속 발전되지 못하였다. 최근 한의학적(韓醫學的) 진단방법(診斷方法)과 치료방법(治療方法)이 매우 강조되어 활발한 연구가 계속 진행되면서 복증변증(腹證變證)에 관한 관심이 매우 집중되고 있기에, 복부진단(腹部診斷)에 관한 연구(硏究)의 한 방법(方法)으로써 금궤요략에 실려있는 상견복증(常見腹證)에 관련된 내용(內容)을 정리한 결과(結果) 약간의 지견(知見)을 얻었다.

• 혜화의학회지
• /
• 제9권1호
• /
• pp.201-214
• /
• 2000

Precise and detailed clinical research and evaluation based on objective standards are imperative factors in securing reliability of a clinical test. Built on this principle, this clinical test has been conducted during the period between March 1999 and March 2000 dealing with 31 outpatients treated with ShiHo-GuizhiTang or ShiHo-GuizhiTang modify and ShiHo-GuizhiTang mixed prescriptions at the Sung-bo ORIENTAL MEDICAL CLINIC. A variety of information relating to those patients has been collected and analyzed under such criteria as precise diagnoses and their clinical effectiveness. The analysis was duly based on "The theory of cold syndrome". Then, the 31 patients' individual clinical information was compared one another by breaking down the results into sub-categories including gender, age, disease, main symptom, blood pressure, pulse beats, syndrome of abdomen, treatment period, modify and mixed prescription, and evaluation. The result of this clinical test can be summarized as follows: First, ShiHo-GuizhiTang appears to be more frequently prescribed in the case of female patients than in the case of male patients despite the fact that it does not necessarily need to be applied only to female. In addition, the numbers of prescriptions of ShiHo-GuizhiTang in the two age groups consisting of elementary school children and economically active adults respectively were the highest among other age groups. Second, ShiHo-GuizhiTang proved to be most effective in treatment for respiratory ailments and arthritis. Third, ShiHo-GuizhiTang brought down blood pressure of hypertension patients and at the same time benefited patients with normal or lower-than-normal blood pressure who were vulnerable to diseases due to low disease-resistance. Fourth, ShiHo-GuizhiTang was effective in the case of frequent pulse(rapid pulse) and thereby indicating the fact it carries Taiyang superficies syndrome. 지맥 arises from suppressed immune responses owing to adrenocortical hormones. ShiHo-GuizhiTang controls and revitalizes those suppressed immune systems which stem from slow pulse and, as a consequence of that process, helps them return to normal condition of pulse. Fifth, from the standpoint of syndrome of abdomen, feeling of obstruction in the epigastrium serves as an important standard in the process of diagnosing diseases and evaluating effectiveness of treatments. Sixth, according to the results of the clinical test with the 31 patients, a total of 81 percent of test subjects benefited from the treatment. The figure is the sum of 52 percent of I-class (both main symptom and accompanying symptoms had been eliminated) and 29 percent of II-class (part of main symptom and accompanying symptoms had been eliminated) respectively. All told it is safe to say that ShiHo-GuizhiTang can elect to be a viable clinical treatment. In conclusion, it is estimated that this clinical study has drawn up guidelines for objective diagnostic standards and evaluation on specific treatments' effectiveness. This will lead to more general application of ShiHo-GuizhiTang. On top of that, this study could also provide an opportunity to stress the significance of ShiHo-GuizhiTang and ShiHo-GuizhiTang modify and ShiHo-GuizhiTang mixed prescriptions as an alternative treatment for collagen disease which comes from environmental degradation and pollution.

• 동서간호학연구지
• /
• 제8권1호
• /
• pp.50-62
• /
• 2003

Through this literal study, we have endeavored to provide korea's unique nursing intervention methods based upon Lee Je-Ma's Sasang Constitutional Theory which is a unique korean medical science. The Sasang Constitution Theory lay great emphasis upon health caring medicine to promote health according to self Constitution at normal times, preventive medicine to manage byself body and mind in everyday life, and eventually, ethical medicine to love benevolence and kindness but to dislike jealousy.A variety of methods has been introduced to diagnose a person's Constitution. And yet, appearance, mind and pathological signs are three major criteria. In appearance, comprehensive features such as figure (the shape of the human body), countenance, behavior, mood, and posture are observed. In mind, nature (character), talent, steadiness, personality, and greed are investigated. In pathological signs, physiological conditions when healthy and peculiar symptoms when being ill are diagnosed. By these three criteria, each Constitution is categorised into Taiyang Person, Soyang Person, Taieum Person or Soeum Person. Different healthcaring methods exist for each Constitution such as mind and body healthcaring, diet healthcaring, knowledge and behaviour leathering, age group healthcaring, regional healthcaring, social life hralthcaring, everyday life healthcaring, and materia medication healthcaring. An independent and unique healthcaring method for each person according to self Constitution could be an important nursing intervention strategy, and can product a new nursing theory. To enjoy longevity by inducing positive caring methods, I believe that individual nursing may be the most desirable nursing approach. Lee Je-Ma's Sasang Constitution caring method is not only a general nursing theory but also expected to be an important landmark/milestone/factor in Korean nursing, preventive nursing, developing new nursing intervention methods and forming new nursing theories. Therefore, it is required to conduct thorough, practical and theoretical researches in the field of nursing.

• 동국한의학연구소논문집
• /
• 제9권
• /
• pp.73-93
• /
• 2000

상한론(傷寒論)은 이(理) 법(法) 방(方) 약(藥)의 합치(合致)에 중점(重點)을 두었고, 선녹(選錄)한 방제(方劑) 또한 대부분 실용적(實用的)이고 유효(有效)하므로 높은 임상적(臨床的) 실용가치(實用價値)가 있을 뿐만 아니라, 후세(後世) 임상의학(臨床醫學)의 발전(發展)에도 심원(深遠)한 영향을 미쳤다. 특히 상한론(傷寒論)은 맥(脈)과 증(證)을 모두 중시(重視)하는 원칙(原則)으로 보다 유기적(有機的)인 진단방법(診斷方法)을 만들어내어 진단학(診斷學)의 발전(發展)에 있어서도 기여한 바가 크다. 이에 상한론(傷寒論)의 맥증(脈證)을 조사(調査)한 결과(結果), 첫째 음맥(陰脈)과 양맥(陽脈), 이십칠맥(二十七脈), 양강맥(兩綱脈), 육요맥(六要脈)으로 분류(分類)할 수 있으며, 후대(後代)의 맥진(脈診) 분류(分類)와도 상응(相應)하여, 맥(脈)과 증(證)을 변증(辨證)의 주요(主要)한 근거(根據)로 삼아 변증론치(辨證論治)의 원칙(原則)을 확립(確立)하였다. 둘째 전체(全體) 398조문중(條文中)에서 맥증(脈證)과 관련(關聯)지을 수 있는 조문(條文)이 38%에 이르며, 맥증(脈證)이 상한(傷寒) 각(各) 단계(段階)의 전변(傳變), 병증(病症)의 기전(機轉), 병사(病邪)의 진퇴(進退)와 용약(用藥)의 근거(根據)가 됨을 알 수 있다. 셋째 각각(各各)의 맥증중(脈證中)에서 부맥(浮脈)이 가장 많이 나타났으며, 그외 미맥(微脈), 긴맥(緊脈), 침맥(沈脈) 등(等)의 음맥(陰脈)의 빈도(頻度)도 많았다.