• Title/Summary/Keyword: The exterior disease

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A Study on 『Shanghanlun』 through Interpretation of the Post-formula Instructions(方後注文) (방후주문(方後注文)의 해석을 통한 『상한론(傷寒論)』 연구(硏究))

  • Bang, Jung-Kyun
    • Journal of Korean Medical classics
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    • v.32 no.4
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    • pp.1-15
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    • 2019
  • Objectives : To broaden understanding of "Shanghanlun", this paper analyzes and interprets its Post-formula instructions(方後注文). Methods : From the contents of Post-formula instructions that follow formulas in "Shanghanlun", the effects, administration instructions, decocting methods are examined specifically. Based on annotators's interpretations, the author provides his understanding. Conclusions & Results : The treatment principle of sweat inducive formulas is 'to induce subtle sweating(微似汗)'. Meanwhile, in the case of Inner water and fluid retention(水飮內停), 'sweating(汗出)' is expressive of healing. Among the emetic formulas in the "Shanghanlun", the meaning of 'vomiting(得吐者)' in the descriptions of Zhizichitang(梔子豉湯), is that the stagnated heat in the chest area has been relieved, letting the Qi communicate upwards. In terms of formula administration, besides the usual 2~3 times a day method, there is '頓服法' for immediate effects; three times within six hours application method in cases where the exterior symptoms are extremely severe or the stagnation of exterior pathogen is severe; 6 times a day or continuous application day and night regardless of frequency. In terms of decocting methods, there is '再煎法' to have the formula's effects not be biased or too strong; the decocting method of Dahuanghuanglianxiexīntang where the formula is brewed momentarily in order to cool the immaterial pathogenic heat. Moreover, when there is disease in the chest, Dahuang is brewed first to soften its effects. When there is disease in the abdomen area, Dahuang is added later to quicken its effects. In the case of Guizhirenshentang, to maximize the effect of Guizhi, it was suggested that Guizhi is added later.

Study on the Development of Diagnosis and Assessment Instrument for the Original Symptom of Taeeumin (태음인 소증 진단평가도구 개발 연구)

  • Kwon, Jin-Hyeok;Lee, Jun-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.33 no.1
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    • pp.57-89
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    • 2021
  • Objectives This study is aimed to develop a standard instrument of diagnosis and assessment for the original symptom of Taeeumin. Methods 1. Based on the clinical practice guidelines, the works of Dong-mu, and the expert clinical judgment of the research team, the items to be used in the instrument of diagnosis and assessment for the original symptom of Taeeumin were extracted, and translation was proceeded in plain Korean for easy application and feasible use in daily clinical practice. As a result, candidate items for the diagnosis and assessment tool were derived. 2. An online questionnaire survey was conducted on the candidate items derived through the above process to the expert advisory group for (1) inclusion/exclusion as diagnosis and assessment index (2) evaluation of importance and (3) the validity of translation. Results & Conclusions Through survey of expert advisory group, the number of candidate items were reduced and the preliminary weights were assigned. And based on this, was developed. There were a total of 9 items for Exterior Cold[Wiwanhan] original symptom diagnosis and assessment tool, 21 items for Interior Heat[Ganyeol] original symptom, 15 items for Exterior Disease Unfavorable Patterns[Wiwanhan-paejo] original symptom, and 17 items for Interior Disease Unfavorable Patterns[Ganyeol-paejo] original symptom, and the weights were reflected in each response score so that the final total score could be calculated.

A Study on the Management Condition of Exterior Space in APT. Complex -In the Case of GISAN APT. Complex in DAEGU- (대단위 아파트단지에 있어서 조경공간의 관리실태에 관한 연구 -대 구시 지산지구 아파트단지를 대상으로-)

  • 이기철;이현택;김동필
    • Journal of the Korean Institute of Landscape Architecture
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    • v.22 no.3
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    • pp.121-135
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    • 1994
  • The Purpose of this study was to obtain data about management of the landscape plants and facility in APT. complex. Because of be completed 2 years ago, landscape plants ware damaged by transplantation and lost the nature tree shape. As well, the management conditions of plants and facility were wholly bad. In details, tree-species consisted of 52 species arbors and 35 species shrubs in APT. complex. The high rank 5 species were planted as main plants. The rates were 45.6-62.8% in arbors and 81.8-97.0% in shrubs. In the degree of tree shape and damage by diseuse and pest, the bad level of 1-2points were ranked highly as 13.9% and 10.4%. In the degree of tree shape and damage by disease and pest, the bad level of 1-2points were showed as 5.1% and 4.7%. In the interview Survey, the main problems of management-maintenance were expressed deficiency of budget, specialist and concern of residents. In the future, methods for the intensive management of APT. complex; First, the management of landscape plants and facility should be attained by a expert and need to establishment of maintenance scheme thoroughly. Above all, for improvement of residential life, we should be lead to convert of a resident recognition in the management -maintenance of exterior space.

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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)'.

A Study on The Origin and Background of GalgeunNabokja-Tang (갈근나복자탕(葛根蘿葍子湯)의 기원(基源)과 창방(創方) 시기(時期)에 관한 고찰(考察))

  • Jeung, Yong-Jae;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
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    • v.22 no.1
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    • pp.9-16
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    • 2010
  • 1. Background: GalgeunNabokja-Tang(葛根蘿葍子湯) is suggested as treatment and prescription of Exterior Heat syndrome Diarrhea(表熱證泄瀉) in Donguisusebowon Tae-eumin Interior febrile disease induced form the liver affected by heat("東醫壽世保元" "太陰人肝受熱裏熱病論"), but is not recorded the treatment contents in Sinjungbang("新定太陰人病應用要藥二十四方"). 2. Methods: Accordingly, the writer surveyed, compared, and arranged the relevant contents by collecting books of doctors of Four-Constitutional Medicine(四象醫) since Lee Je-ma including Lee Je-ma's books. 3. Results: and Conclusions: 1) The treatment contents in GalgeunNabokja-Tang are thought to be valid to have the criterion as the contents of appearing in SanggyohyuntoDonguisusebowon Boyubang("詳校懸吐東醫壽世保元" "補遺方"). 2) The origin in GalgeunNabokja-Tang is GalgeunNabokja-Tang in Bimang-lok("備忘錄"). And the period of having made treatment for the first time may be estimated to be the one between Donguisuse- bowonSasangchobonguan("東醫壽世保元四象草本卷") and HamsansachonDonguisusebowonGabogubon ("咸山沙村東醫壽世保元甲午舊本"). 3) GalgeunNabokja-Tang is thought to be probably what Han Du-jeong recorded in Boyubang by searching for what Lee Je-ma modified some of GalgeunNabokja-Tang in Bimang-lok while writing Pathological Syndromes("病證論") in Donguisusebowon("東醫壽世保元").

Clinical Practice Guideline for Taeyangin Disease of Sasang Constitutional Medicine (태양인체질병증 임상진료지침)

  • Park, Hye-Sun;Joo, Jong-Cheon;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.1
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    • pp.71-81
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    • 2015
  • Objectives This research was proposed to present clinical practice guideline (CPG) for Taeyangin Disease of Sasang Constitutional Medicine (SCM). This CPG was developed by the national-wide experts committee consisting of SCM professors. Methods This guideline was performed that search and collection of literature related SCM such as "Dongeuisusebowon", textbook of SCM, clinical guidebook of SCM and fundamental research to standardize diagnosis of Sasang Constitutional Medicine. Journal search related clinical trial or human complementary medicine of SCM was performed domestic and overseas. Finally, 1 article was selected and included in CPG for Taeyangin disease. Results & Conclusions The CPG of Taeyangin disease include classification, definition and standard symptoms of each pattern. Taeyangin disease is classified into exterior-origin lower back (EOLB) disease and interior-origin small intestine (IOSI) disease by region of symptom. EOLB can be replaced with Oegam-yocheok and IOSI can be replaced with Naechok-sojang that is Korean pronuncation. EOLB disease is classified into lower back favorable symptomatology (LBFS) and lower back unfavorable symptomatology (LBUS). Lower back is to say Yocheok, so LBFS can be called Yocheok favorable symptomatology and LBUS can be called Yocheok unfavorable symptomatology. LBUS is to say paraparesis symptomatology or Haeyeok, that is Korean pronunciation, symptomatology. IOSI disease is classified into small intestine favorable symptomatology (SIFS) and small intestine unfavorable symptomatology (SIUS). Small intestine is to say Sojang, so SIFS can be called Sojang favorable symptomatology and SIUS can be called Sojang unfavorable symptomatology. SIUS is to say regurgitation symptomatology or Yeolgeok, that is Korean pronunciation, symptomatology.

Analysis of herbal formulation about a series of Chijasi-tang in Dongeuibogam (동의보감(東醫寶鑑)에 수록된 치자시탕(梔子豉湯) 가미방(加味方) 분석(分析))

  • JeGal, Kyung-Hwan;Kim, Young-Woo;Byun, Sung-Hui
    • Herbal Formula Science
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    • v.20 no.2
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    • pp.177-186
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    • 2012
  • In this study, we selected some herbal formulation about a series of Chijasi-tang in Dongeuibogam by using web-based open program;Prescription Lineage Graph (http://164.125.206.43/PrescriptionLineageGraph.aspx). And we compared and analyzed the changes of efficacy, major target symptoms of each herbal formulation according to compositional variation of each herbal formulation. Chijasi-tang, first appeared in Sanghanlun, consists of Capejasmine and Fermented soybean, and it is mainly used to treat insomnia due to vexation, heartburn and yellow greasy tongue fur. Capejasmine can clear away irritable feverish sensation in chest by flowing downward the heat, and Fermented soybean can disperse stagnated heat throughout the chest by expelling stagnated heat from the exterior In the case of the heat stagnation caused by relapsing of disease due to overstain, Chisijisil-tang can be used. And if symptom appear more on the upper or exterior than a case of Chisijisil-tang, Seosisi-tang could be more suitable, if half exterior and half interior, Omae-tang could be for it. In addition, if symptom caused by relapsing due to improper diet, Chisijihwang-tang could be proper formulation. In the case of the heat stagnation body inside and jaundice, if it is caused by alcohol, Chijadaehwang-tang could be used for the purpose of urgent purgation, Galchul-tang would be suitable for helping the function of the spleen and the stomach and for treatment of damp-heat of the spleen and the stomach. And if it is caused by pandemic infection, Jangdal-hwan would be good formulation for it. Samhwangseokgo-tang and Yangdokchija-tang could be appropriate formulation for the raging of noxious heat and pathogenic fire caused by febrile disease with toxic yang. Daehwangeum-ja is for severe constipation due to heat-dryness with stagnated fever, Haebaek-tang is appropriate for severe diarrhea due to heat type change of Soeum. According to the result of our investigation, although there are various target causes and symptoms of each herbal formulations, whatever pathogenetic cause is, the stagnated heat in interior side is the basis of symptoms. Therefore, the purpose of including Chijasi-tang in composition of each herbal formulation is treatment of the stagnated heat. For such reason, on the fundamental or ancillary basis of Chijasi-tang plus some herbs for each therapeutic purpose.

Study on Common Conceptual Terms as a Premise for Korean Classification of Disease in Oriental Medicine in Connection with ICD-10 (ICD 연계 한의질병분류를 위한 전제로서의 공통개념어 연구)

  • Chi, Gyoo-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.4
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    • pp.718-724
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    • 2008
  • In order to classify diseases of oriental medicine in liaison with International Classification of Diseases, there should be intermediation and sharing concepts between the two in addition to proper classification. Classification units were settled for differentiation of diseases or syndromes first. And second, the standard forms of disease classification system were proposed. Third, this classification system was made of serial groupings of syndrome under the traditional disease name. Fourth, the location of disease and the interrelation between different syndromes were depicted with diagram in order to define more clearly. As the results and conclusion, The classification units were composed of 2 categories; topology, organ, meridian, somatic structure, body fluid units for description and various regulatory unit terms of western and traditional medicine for explanation. The mixed classification model of western diseases and traditional syndromes(證) was adopted as a fundamental classification system containing disease by exterior pathogen, systemic internal diseases, psychoneuronal diseases, metabolic diseases, diseases of sense organs, supportive structure diseases, obstetric-gynecology diseases, child diseases, 4-type constitutional diseases. And those were differentiated with generalized, localized, functional, oncogenic, environmental features in detail. The cause, site, condition, dispositions must be expressed in each disease name too. The types of diagnosis using classification system are principal and final diagnosis, principal procedure, main conditions, and these are applied to this Korean classification system equally. For more clarification of differentiation, a plane topological map and three dimensional coordinates were proposed to manifest the location, features and relation of disease itself or each other.

A Study on 'Dokyeok(毒疫)' of Byeokyeoksinbang(辟疫神方) (『피역신방(辟疫神方)』의 독역(毒疫)에 대한 고찰)

  • Kim, Sang-Hyun;Jang, Woo-Chang;Baik, You-Sang;Lyu, Jeong-Ah;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.28 no.2
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    • pp.33-45
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    • 2015
  • Objectives : Through the study on Byeokyeoksinbang(辟疫神方), it would be expected to analyze Dokyeok(毒疫)'s characteristic and to comprehend how the changes in viewpoints of epidemic febrile disease were made. Methods : It has been done to analyze the original text of Byeokyeoksinbang(辟疫神方), and to compare the theory of Onbyeongjobyeon(溫病條辨) associated with the signature symptom of Dokyeok(毒疫). Results : Heo Jun(許浚) experienced a specific epidemic disease called 'Dokyeok(毒疫)', on which he made observations and analyzed its features and wrote Byeokyeoksinbang(辟疫神方). In Byeokyeoksinbang(辟疫神方), 'Dokyeok(毒疫)' is characterized by rash[疹], its pathogenesis is warm temperature, thus its treatment principle is removing interior and exterior heat. The book's pragmatic perspective is highly appreciated, as HeoJun improved and solidified existing medical knowledge up to date. In addition, Byeokyeoksinbang(辟疫神方) is significant in that it differentiated between macula[癍疹] and rash[疹], much earlier than the febrile disease school of the Qing dynasty. Conclusions : Between Byeokyeoksinbang(辟疫神方) and Onbyeongjobyeon(溫病條辨), there are differences in treatments and patterns of rash[疹]. Based on this, it will be able to compare each disease that is written in two books. And a study on comparing the development between epidemic febrile disease[瘟疫學] of the Joseon dynasty and febrile disease[溫病學] of the Qing dynasty will be carried out with a follow-up study.

The Study on the Mangeum-syndrome(亡陰證) of Soyangin in Sasang Constitutional Medicine (SCM) (소양인(少陽人) 망음증(亡陰證)에 관한 고찰 - 갑오본(甲午本)과 신축본(辛丑本)을 중심으로 -)

  • Kwon, Oh-Il;Lee, Ji-Hyeon;Kim, Yun-Hee;Hwang, Min-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.1
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    • pp.44-52
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    • 2011
  • 1. Objectives: This research was proposed to find out how the recognition on Mangeum-syndrome(亡陰證) of Soyangin in Sasang Constitutional Medicine(SCM) evolved from "Donguisusebowon-GabObon(東醫壽世保元甲午本)"(DGO) to "Donguisusebowon-ShinChukbon(東醫壽世保元辛丑本)"(DSC). 2. Methods: We compared "Donguisusebowon-GabObon(東醫壽世保元甲午本)"(DGO) with "Donguisusebowon-ShinChukbon(東醫壽世保元辛丑本)"(DSC) to know how the symptom, mechanism, treatment principle and treatment methods on Mangeum-syndrome(亡陰證) of Soyangin in Sasang Constitutional Medicine(SCM). 3. Results and Conclusions: (1) The way to categorize the Exterior Disease and Interior Disease was different between DSC and DGO. (2) There was only a fundamental mechanism about the Boktongseolsa-syndrome(gastralgia and diarrhea) and no treatment principles and treatment methods about it in DGO. But the Boktongseolsa-syndrome was evolved into Mangeum-syndrome(亡陰證) in DSC with a detailed mechanism and treatment principles of it. (3) The evolution of Mangeum-syndrome(亡陰證) in DSC from Boktongseolsa-syndrome in DGO was attributed to the experience of treatment on Seomeo-syndrome(譫語證).