• Journal of Korean Medical classics
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• v.30 no.3
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• pp.55-76
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• 2017

Objectives : The transition of the 29 diagrams of Heart originated from MingTangZangFuTu will be used to understand the shape of heart and the changes of people's understanding of heart. Methods : The 29 diagrams of Heart originated from MingTangZangFuTu are divided according to their shape elements (Heart itself, internal curvatures, structures above heart, wuzangxi, and excursus). Then its transitions are analyzed, and each shape element is compared to modern anatomy and its textual basis is searched. Results : The lengthy cylinderical organ situated above the heart is composed of upper part consisting with joints and the lower part void of joints. The upper part is Pyewan (such as the lungs) and fall into trachea. The lower part is Xinxi or Feixi which are either relative vein (or aorta) or left bronchus that passes behind the heart. This depiction of the structures around the heart can be considered to have composed by actual observance of a physical heart, a method that is similar to anatomy. However, the shape of the heart itself is described as a lotus flower that has not been bloomed, a depiction which finds its origin from Zhongguangbuzhu huangdineijing suwen (762). The three short curvatures inside the heart is described as Pericardium, influenced by Shisijingfahui (1341) in its depiction, or as sammo, influenced by Nanjing. Structures that are connected directly from the heart to spleen, kidney, and uterus are not found in modern anatomy. The saying in Excursus "All cords of five internal organs belong to heart" is based on Huatuoxuanmenneizhaotu, and this is changed to the saying cords of four internal organs belong to heart in Leijingtuyi for the first time. Conclusions : The authors of medical scriptures at the time did not have a method of direct observance when they were copying heart diagrams. Therefore, they made changes to the source material's diagram and excursus while being influenced by Nanjing, Huatuoxuanmenneizhaotu, and Shisijingfahui. Then the doctors' understandings with regards to the shape and function of heart were reflected during that process.

• Journal of Korean Medical classics
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• v.31 no.1
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• pp.1-14
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• 2018

Objectives : This paper reviews the possibility of confusing wind-cold and cold dryness that can be found in the critical discussion revolving Wu Jutong's concept of cold dryness. With this, the paper aims to refresh the understanding of the concept of cold dryness as put together by Wu Jutong. Methods : The paper reviews the concept of Wu Jutong's cold dryness based on today's critical discussions on the topic. At the same time, the paper searches for additional theoretical basis that can be proposed with regards to Wu Jutong's concept of cold dryness. Results : The core element of the criticisms against Wu Jutong's cold dryness is that cold dryness's cold dryness pattern proposes cold fluid as one of the main symptoms, and that Xiaoqinglongtang is referred to as a cure. However, the problem of the dryness and dampness that can be found in Wu Jutong's cold dryness seems that it can be explained by the discussions regarding Shenkuzao as written in Neijing. Moreover, considering the fact that the connection between cold paathogen and Shenkuzao that surfaced in historical medical theories can also be applied to the concept of cold dryness, it seems that it can be helpful in understanding the characteristics of disease mechanism of cold dryness. Conclusions : The discussion on the concept of cold dryness originally derives as a branch of the discussion on cold. Acknowledging this, it seems that reconsideration is required on the assertion that Wu Jutong confused the symptoms of wind-cold with that of cold dryness.

• Journal of Korean Medical classics
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• v.30 no.3
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• pp.77-93
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• 2017

Objectives : Clear and detailed analysis on Pulse-taking on both Carotid and Wrist Pulses is an absolute prerequisite if it is to be applied in real practice or its practical value proven. Methods : The original notes found in Suwen and Lingshu, their translations, and conventional studies regarding Suwen LiuJieCangXiangLun's Pulse-taking are compared and analyzed to find cases within medical texts where this method was used and to get an idea of the direction taken by the conventional study. Results : The ilsung, esung, samsung, and sasung of Carotid (or wrist pulses) refers that the pulse is one-, two-, three-, four-fold in differences. Refrainment should be practiced while comparing carotid and wrist pulses. Rather, they need to be compared with their normal states. Used by Luo Tianyi in Ming Dunasty, this method of pulse-taking was used for (radial artery) when diagnosing and treating the degree of seriousness of food injury. The measurement of maximum blood flow velocity using TCD done recently proved the validity of this pulse-taking, and it's been used for alleviating hypertension or tinnitus through acupuncture, or abating intractable diseases (around carotid). Conclusions : The obscurity of the measuring method of this pulse-taking can be resolved, and the problem which occurs while comparing carotid and wrist pulses can be solved. Even though there are differences in opinion regarding the positions when comparing the two pulses, their practical values are acknowledged since their usages in diagnosis, treatments, experiments, and researches have yielded positive results to a degree. They may not be used that often, but they are nonetheless under utilization.

• 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.

• Journal of Korean Medical classics
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• v.36 no.4
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• pp.93-108
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• 2023

Objectives : This paper aims to study the characteristics of zhongfeng treatment by examining the eight principles of zhongfeng treatment in the Zhongfeng Jiaoquan of Zhang Shanlei along with Zhang Bolong's treatment of 'Yangxu Leizhongfeng[Yang deficiency pseudo Wind damage]' which is missing from the eight principles. Methods : The treatment methods in the Zhongfeng Jiaoquan was organized in the order of cause, characteristic, symptom, treatment, and precautions, in order to analyze features that were emphasized by Zhang in zhongfeng treatment. Results : First, treatment for bizheng is to 'open and close', then apply methods of 'qianyang jiangqi(潛陽降氣)' and 'zhenni huatan(鎭逆化痰)' while that for tuozheng is to 'lianyin yiye(戀陰益液)' accompanied by medicinals that 'qianzhen xutang(潛鎭虛陽)'. Second, treatment for ganyang shangnizheng is to 'qianzhen rougan', while for tanzian yongsezheng, one must 'dangdi(蕩滌)' for those who are strong in qi, 'xiehua(泄化)' for those who are weak in qi, while for those who have qinizheng[qi reverse syndrome] to 'shunqi(順氣).' Third, for deficiency in xinye and ganyin, one must 'yuyin yangxue[育陰養血]', while for deficiency in shenyin, one must first 'qianjiang shena[潛降攝納]' then slowly apply the method of 'ziyang shenyin[滋養腎陰]' if there is no phlegm turbidity. Fourth, in order to communicate the meridians and unfold collaterals, if the pathogen is external, apply the method of 'yangxue tongluo[養血通絡]', while if the pathogen is internal, calm by doing 'qianyang zhenni[潛陽鎭逆].' Fifth, in order to treat pseudo zhongfeng caused by yang deficiency, one must 'lianyin gutuo[戀陰固脫]' while using medicinals that 'jiangxiang[潛降]'. Conclusions : Treatment of zhongfeng in the Zhongfeng Jiaoquan diverged from 'wenjing sanhan', the usual approach to zhongfeng which sees it as external, and established the 'qianjiang zhenshe [潛降鎭攝]' treatment method based on the internal wind theory. It suggests a new Korean Medical pathology based on theories of Western medicine, and introduces eight principles in treating zhongfeng, which would influence the treatment of zhongfeng in the future.

• Journal of Korean Medical classics
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• v.35 no.1
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• pp.33-42
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• 2022

Objectives : This paper is to find the meaning of Tan pulse in Qikooujiudamai Diagnosis, Methods : In terms of Qikooujiudamai, the position to diagnose the Intermittent Pulse is Kwan(關) position and the pulse is Tan(彈) pulse. To find the meaning of Tan pulse, the symptoms of Intermittent pulse were analyzed. Then the symptoms were analyzed in terms of both Qikooujiudamai Diagnosis and 28-pulse diagnosis to find the correlation. Results & Conclusions : The Tan pulse at Kwan position is related to Hyen(弦), Kin(緊), Hwal(滑), Dan(短) pulse in 28-pulse diagnosis. The symptom of disease of Intermittent pulse's diagnosis is mostly concluded to those 4 pulses. Qikooujiudamai is the diagnosis for acupucture treatment, but with 28-pulse diagnosis, it can be developed to usage of medicine.

• Journal of Korean Medical classics
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• v.33 no.1
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• pp.61-80
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• 2020

Objectives : To clarify the construction, changes, and contents of the diagrams of spleen through comparison of 30 different diagrams originated from Mingtangzangfutu. Methods : The diagrams were analyzed in whole shape, ratio between width and height, shape of the lower part, and concavo-convex of the middle part, then matched to the characteristics of the section diagram. The contents of the diagram of the spleen were newly interpreted with comparison to the classical texts. Results : The whole shape is described to be a long sword, long stick, bottle gourd, western pear, sole of feet. The height to width ratio was mostly above 4.0:1, but those listed in the 『Bianquemaishunaning』 and 『Hehensancaituhui』 were 1.9:1~1.0:1, most similar to the numbers described in the 『Nanjing』. The shape of the lower part was narrow and sharp, narrow and flat or wide and flat. To analyze through affiliation characteristic, properties of other affiliations could be found. In comparison to classical texts, the diagrams could be found to be affected by 『Nanjing』 and Wangbing's annotations. The diagrams of the spleen should be composed of the spleen, the cord of spleen, and Sangao(散膏); but those which distinguish the spleen and the cord of spleen are twelve. The description of its shape as being similar to sword or sickle seems to come from Lichan's misunderstanding of the diagram in 『Zhenjiujuying』. Those that mention Sangao are merely two and their opinion on the position are different from each other; both did not identify it with the pancreas. Conclusions : In the process of the diagrams differentiating into 30 they were affected by the classical texts. The various changes seem to come from difference in understanding of the content composition of the diagram of the spleen.

• Journal of Korean Medical classics
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• v.32 no.1
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• pp.1-27
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• 2019

Objectives : By studying the contents of Zhang Yuansu's "Zhenmairushijie", which are introductory remarks of "Chandobangronmaekkyulgipseong", this study attempts to clarify the academic meaning expressed in it and consider his real significance. Methods : First, based on previous studies on Zhang Yuansu and "Wangshuhemaijue", this study divides the contents of "Zhenmairushijie" into 4 chapters and read out the original text. Next, based on Zhang Yuansu's notes and other writings on the original text, this study examines contents in detail. Finally, based on the discussion, this study examines the current significance of academic thoughts expressed in Zhang Yuansu's "Zhenmairushijie". Results ＆ Conclusions : "Zhenmairushijie" emphasizes the combination of nervation and Byeonggi in the process of feeling the pulse for diagnosis, the combination of Byeonggi and Yongyak to declare that the feeling of the pulse for diagnosis is the principle of differential diagnosis. The combination principle of nervation-Byeonggi can be found in comprehensive pulse methods of "Nanjing", and the combination of Byeonggi-Yongyak should follow Ohaeng's Bubuheoshilsajeongbosa principle. Pulse methods of "Wangshuhemaijue" integrated Byeonggi expressed in Uigyeong and Byeonggi in Gyeongbang in the process of the feeling of the pulse for diagnosis to present the principle of diagnosis to perform Byeongjeungronchi. Therefore, "feeling the pulse for diagnosis ipsik" is not only an introductory remark of feeling the pulse for diagnosis, but an comprehensive remark of whole diagnosis as well. It is an introductory remark of the entire medical field due to the nature of oriental medicine which emphasizes diagnosis.

• Journal of Korean Medical classics
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• v.36 no.3
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• pp.27-54
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• 2023

Objectives : To determine the background against which Zhishi has been applied to treat Pi pattern, through examination of changes in Pi pattern treatments in a historical context. Methods : The properties and nature of Zhishi as written in multiple bencao texts were analyzed. In addition, understanding of the Pi pattern, the changes in its treatment were examined diachronically based on opinions of Zhang Zhongjing, Zhugong, and Li Dongyuan. Examples of Zhishi application in Pi pattern treating formulas were collected and their mechanisms analyzed. Results : Zhishi is strongly effective in relieving accumulation and stagnation, due to its properties of dispersing and lowering. The early view of contrasting Pi with Jiexiong shifted to viewing the Pi pattern as an inner damage, from the perspective of rising and lowering of the Qi mechanism based on the Spleen and Stomach. As a result, Zhishi became a key ingredient in the treatment of the Pi pattern. Conclusions : As the perspective of seeing Pi as one end of the Yin-Yang coupling with Jiexiong from the Shanghanlun shifted to seeing it as a problem of Qi mechanism of the Spleen and Stomach, Zhishi became a key ingredient in the formulas to treat Pi pattern. The complexity of Zhishi's direction made it appropriate to treat the changed Pi pattern.

• Journal of Korean Medical classics
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• v.36 no.2
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• pp.61-75
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• 2023

Objectives : This study aims to examine the multi-layered meanings of Li Dongyuan's concept of 'internal damage' through examining the origins of the 'internal damage' concept together with discussions derived from his 'Differentiation of Internal and External Damage'. Methods : Rather than Li's original works, those done by later doctors who were influenced by Li were thoroughly examined in this study to determine the relationships among internal and external damage, and external contraction. Results : Based on discussions related to the 'differentiation of internal and external damage' following Li, his concept of 'internal damage' could be understood as multi-layered, as it contains both spatial as well as pathogenic meaning. Therefore the meaning behind categorizations of internal and external damage, and internal damage and external contraction could be different. Li's 'internal damage' concept includes not only internal pathogen but elements of external contraction of wind and cold, which seems to have been integrated into the 'Cold Damage Theory' after Zhu Danxi, seemingly having changed the concept of cold damage. Therefore, discussions on the crossing between internal damage and external contraction have on one hand expanded the boundaries of each concept, while on the other hand, have caused confusion between the two at times. Conclusions : The concept of 'internal damage' has been widely accepted due to Li Dongyuan, on which related discussions have been centered. However, the concept was originally multi-layered, naturally leading to various discussions. Future studies should focus on the relationship of 'internal damage' with 'external damage' or 'external contraction', beyond the theories of Li.