• 제목/요약/키워드: The exterior disease

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일개 한방병원에 파킨슨병으로 내원한 환자의 사상의학적 특성에 관한 고찰 (The Analysis on Characteristics according to Sasang Constitution of Patients with Parkinson's Disease in a Korean Medicine Hospital)

  • 김소형;이슬;이용재;배나영;이정윤
    • 사상체질의학회지
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    • 제30권3호
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    • pp.62-73
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    • 2018
  • Objectives The aim of this study was to make an analysis of clinical characteristics and status of Sasang constitutional medicine of patients with Parkinson's Disease who visited a Korean medicine hospital. Methods We studied 129 patients with Parkinson's Disease who visited a Korean medicine hospital from September 1, 2012 to June 30, 2018. We retrospectively collected medical history and characteristics of subjects using data of EMR (electronic medical record). Results The proportion of female was higher than male. The average age was 60s. The patients visited a hospital more than one year after the occurrence of symptoms. And they were mostly under western medicine treatment. Among the 129 patients, 56 persons(43.4%) were Taeeumin, 45 persons(34.9%) Soyangin and 28 persons Soeumin(21.7%). In the distribution of prescription according Sasang Constitutional Medicine symptomatology, there was no significant difference in the proportion of exterior cold disease(48.9%) and interior heat disease(51.1%) in Soyangin. Meanwhile the proportion of heat disease's prescription was higher than cold disease in Taeeumin(73.2%) and Soeumin(84.1%). The majority of disease were Dry-febrile symptom(73.2%) of heat disease in Taeeumin, Yang depletion-syndrome(64.3%) of heat disease in Soeumin, and Gyolhyung-symptom(33.3%) of exterior cold disease and Wasting thirst-syndrome(22.2%) of interior heat disease in Soyangin, Conclusions By Developing of guideline for treatment of Parkinson's Disease through analyzing on clinical characteristics and distribution of Sasang Constitutional Medicine symptomatology could contribute to the improvement of the cure rate and accuracy of constitution pattern.

사상(四象) 체질별(體質別) 약재(藥材) 분류(分類)에 관한 연구(硏究)(소음인편(少陰人編)) (A Research on the Classification of Herbal Medicines based on the Sasang Constitution (Soeumin Part))

  • 김종열;김경요
    • 사상체질의학회지
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    • 제13권1호
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    • pp.8-16
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    • 2001
  • We analyzed 57 types of herbal medicines for Soeumin, clinically applied in Dongyisoosebowon. In order co discover the standard of herbal classification for the Sasang Constitutions, four concepts of Sasang Medicine were applied. These included 'Sadangron (theory of four groups)', 'Seungganggaehap(ascending-descending and gathering-dispersing)', 'Pyorihanyoul(exterior-interior and hot-cold)', and 'Hyungchiaekmi(fragrance, smell, bodily fluid and taste)'. According to these analyzing methods of herbal properties, we have reached the following conclusions: 1. Lee Je-ma first established the physiology of the internal organs of the Sasang Constitutions through the understanding of constitutional pathology. Dr. Lee then classified herbal medicines into four constitutional groups by observing the herbal effects according to such perspective of organ physiology and pathology. 2. Among the Sasang concepts applied in the analysis of herbal properties based on the physiology and pathology of Sasang constitutions, 'Seungganggaehap (ascending-descending and gathering-dispersing)' was found to be the most useful. Meanwhile, 'Sadangron, (the theory of four groups - Spirit, Qi, Blood and Essence),' along with 'Pyorihanyoul (exterior-interior and hot-cold)' and 'Hyungchiaekmi (fragrance, smell, bodily fluid and taste)' were partially useful. 3. Herbal medicines for Soeumin are characterized by ascending energetics that protect the Yang Qi. The 'Exterior heat disease' is treated with herbal medicines that raise the "Exterior Yang" in three different way: by tonifying Qi. by tonifying Blood and by releasing exterior. The 'Interior cold disease' is treated with herbal medicines that descend "Interior Yin" in two ways. One by warming the stomach, and the other by regulating Qi. 4. Cases where a whole category of herbs with the same effect have been applied co one constitution, are most frequent among Shaoyin herbs. There was an intimate connection between the treatment methods and the traditional effects of herbs for 'Soewnin'. These discoveries allowed us to see that the development of the pharmacology of the Sasang Constitutional pathology more progressed in 'Soeumin'. *analysing simple herbs of "DongEuiBoGam JangBu" we compare JangBu of traditional oriental medicine with JangBu of Sasang Constitutional Medicine. So we can comprehend the JangBu's difference of traditional-oriental with sasang-constitional medicine.

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("주해상한론(註解傷寒論)" 에 대한 연구 (Study on ${\ulcorner}$Zhujieshanghanlun${\lrcorner}$)

  • 김진호;방정균
    • 동의생리병리학회지
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    • 제21권2호
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    • pp.370-378
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    • 2007
  • ${\ulcorner}$Zhujieshanghanlun(註解傷寒論)${\lrcorner}$ are som particular points as below ; first, set up the concepts of chuanjing(傅經), zaichuanjing(再傅經), and guojing(過經). Second, suggested the half exterior and half interior syndrome(半表半裏證) firstly. The third, understood origin literature by the distinguished way for syndrome in accordance with the Yin and Yang(陰陽). Forth, wangyang(亡陽) is described by two different syndromes. One is with perspiration. The other is yangxuzheng(양허증(陽虛證)) from injured yangqi(陽氣). Fifth, xialibiannongxue(下利便膿血) was distinguished by the generic characters of The Cold and Hot(熱${\cdot}$寒). The last, ${\ulcorner}$Shanghanlun${\lrcorner}$ (傷寒論) was described at the view of viscera & bowels's physiology and their pathology. And shaoyin(少陰) disease was aware of kidney case and Taiyin(太陰) disease was aware of spleen case. There are two different cases of bowel diseases. One is that xieqi(邪氣) goes in stomach of Yangming(陽明). The other is that xieqi(邪氣) follows channel and goes into bowel.

허준(許浚) <이십칠맥(二十七脈)>에 대한 고찰 - 입론(立論) 원칙과 칠표맥(七表脈) 분석을 중심으로 - (A Study on the 27 Pulse Patterns of Heo Jun Based on the Theoretical Principle and Analysis of the Seven Exterior Pulses)

  • 장우창;윤은경;남걸;김진욱;김현기
    • 대한한의학원전학회지
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    • 제36권4호
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    • pp.1-24
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    • 2023
  • Objectives : To understand the theoretical principle of the pulse patterns listed in the 27 Pulses chapter in the Donguibogam, to further examine the relationship between the pattern and according disease of each pulse. Based on these findings, the fundamental meaning of Heo's theories and specific characteristics of the seven exterior pulses were understood. Methods : First, the 27 Pulses chapter of Heo Jun and Zhenmaimun chapter of Lichan were compared. Next, the Chandomaekgyeol and the Maijing were compared to determine bibliographical evidence of Heo's integration of pulse patterns. Based on the main references, the relationship between pattern and disease were studied, along with cases where the principles of the 27 pulses were applied in the Maekbeob chapter of the Donguibogam. Results & Conclusions : In the 27 Pulses chapter, Heo undertook the task of integrating the pulse patterns based on the differentiation of the excessive type and deficient type, along with the awareness of the issue of pulse pattern and disease matching. In specific, he organized and integrated the linguistic expressions of pulses in major pulse texts, directly intervening in places that he felt needed additional explanation. In conclusion, we found that the 27 pulses are systematic, rational, and unique in terms of pulse integration.

화타상한(華佗傷寒)에 관(關)한 소고(小考) (A Study of Huatuo's Shang-han (Cold Damage) Theory)

  • 강민휘;이병욱;김기욱
    • 한국의사학회지
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    • 제31권1호
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    • pp.71-87
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    • 2018
  • This study investigated Hua Tuo's Shang-han theory, which precedes the period of Zhang Zhong Jing's Shang-han theory, and considers the relationship between the two approaches. Researchers compared terminology and language of Hua Tuo's Shang-han theory as published in Theory in Qian Jin Yao Fang and Wai Tai Mi Yao, with Zhang Zhong Jing's Shang-han theory. In Hua Tuo's theory, Shang-han involves pathogenic invasion of the body surface, where the pathogen transforms to 6 different stages, Pi (皮), Fu (膚), Ji (肌), Xiong (胸), Fu (腹), Wei (胃). Among these, the stage sof Pi (皮), Fu (膚), Ji (肌) can be considered as exterior syndrome (表證). Those that invade the lower chest can be considered as lower chest disease, and those that violate the abdomen or stomach can be considered as Interior heat excess syndrome (裏熱實證). Stomach heat excess syndrome (胃中實熱證) is the most severe and is similar to septicaemia or bubonic plague. Hua Tuo's treatment used three methods which are 汗 (perspiration), 吐 (emesis), 下 (purgation). In the case of Phlegm syndrome (痰?證), HuoTuo's theory was similar to Zhang Zhong Jing's Shang-han exterior syndrome (傷寒表證) and therefore used Zhuling-powder (猪?散). In the case of deficiency hot flush Syndrome (虛煩證) in Shang-han disease, HuoTuo uses ZhuYe-decoction (竹葉湯), of which the drug contents is the same as Zhang Zhong Jing's ZhuYeShiGao-decoction (竹葉石膏湯), which was used for the same condition.

소양인(少陽人) 비수한표한병론(脾受寒表寒病論)의 병증(病證) 및 약리(藥理)에 대한 연구(硏究) (A Study on Disease and Medical Theory of Soyangin Bisoohan-pyohanbyung-theory)

  • 최지숙;김경요
    • 사상체질의학회지
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    • 제10권2호
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    • pp.61-110
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    • 1998
  • 1. 목 적 소양인(少陽人) 비수한표한병론(脾受寒表寒病論)의 주요 처방과 약재의 효능 및 병증의 인식을 역사적으로 고찰해보고자 한다. 2. 방 법 "동의수세보원(束醫壽世保元)" 소양인(少陽人) 비수한표한병증(脾受寒表寒病證)의 주요 처방 및 약재의 효능을 관련 조문과 원출전 및 동의보감(東醫寶鐵)을 중심으로 과거문헌을 비교하여 소양인(少陽人) 표병증(表病證)의 인식근거를 추론하며 처방과 약재의 효능 인식의 변화를 분석하였다. 3. 결과 및 결론 이제마(李濟馬)는 소양인(少陽人) 표병증(表病證)을 대부분 장중경(張仲景)의 " 상한론(傷寒論)"에서 취하였으나, 처방에 있어서 몇몇 약재를 인용했을 뿐 송대이후 처방으로 대신했다. 소양인(少陽人) 비수한표한병증(脾受寒表寒病證)의 처방구성은 음기(陰氣)를 하강(下降)시키는 약물을 기본전제로 그 증상정도에 따라 수반된 흉복열(胸腹熱)을 치고 손상된 음기(陰氣)를 보하는 약재를 첨가함으로써 구성되었다.

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외사(外邪)(풍한습사(風寒濕邪))에 의한 외감표증(外感表證)의 발병기전(發病機轉)에 대한 소고 (Consideration of the Exterior Syndrome Caused by External Pathogen (wind-cold-dampness))

  • 이상룡;이창현;이광규
    • 동의생리병리학회지
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    • 제26권4호
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    • pp.409-417
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    • 2012
  • External pathogens such as wind, cold can easily invade the external parts of the body when host's external defense ability is not secure. Herein, we consider the underlying mechanisms against the external contraction at the body surface. During the early period after primary invasion, external defense mechanisms are gradually activated. The classic clinical manifestations are aversion to cold, fever, headache, generalized pain, and nasal congestion. This condition is called by invasion of external pathogen into the body surface. As the disease progress, lung qi is stagnated and thereby up-outward and downward movement action of lung become disturbed. Therefore, when doctor administrate formula to treat the exterior syndrome, doctor must keep in mind not only materia medica, but also underlying mechanisms through which many clinical symptoms appear.

일개병원에서의 수족냉증환자에 대한 사상체질분포 및 처방 (Distribution of Sasang Constitution and Prescriptions of Patients with Coldness in Hands and Feet)

  • 유준상
    • 사상체질의학회지
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    • 제28권3호
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    • pp.225-232
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    • 2016
  • Objectives This study was implemented to investigate the distribution of Sasang constitution and prescription of the patients with coldness in hands and feet.Methods Sixteen patients with coldness were analyzed in terms of age, Sasang constitution, season and prescriptions.Results The distribution of Sasang constitution of the patients with coldness in hands and feet was like Taeeumin 50%, Soeumin 43.8% and Soyangin 6.2%. And the date of consultation of the patients is different seasonally, 50% of the patients visited in winter, 18.8% in spring and fall respectively and 6.3% in summer. The frequency by age group is different was like 31.3% of the patients visited in 20s, 18.8% in 10s, 30s and 50s, 12.5% in 40s. In terms of Exterior and Interior diseases, Soyanging and Soeumin patients were categorized in Interior diseases while Taeeumin patients were categorized in Exterior disease.Conclusions Patients with coldness in hands and feet were mostly classified into Taeeumin and Soeumin and the prevalence of its symptom was high in their 20s. Patients were willing to visit clinics in winter. The Exterior/Interior diseases and mild/severe diseases were different according to Sasang constitution.

이제마(李濟馬)의 난치병(難治病)에 대(對)한 시각(視角)에 관(關)한 연구(硏究) (A study on Intractable disease in the sight of Lee Je Ma)

  • 장현진
    • 사상체질의학회지
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    • 제7권2호
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    • pp.129-134
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    • 1995
  • Lee Je Ma (1837~1900) wrote the DongEuSuSeBoWon in 1894. Constitutional Medicine what is called Sasang Medicine has originated from him. In this book he refers to mild, serious, intractable, incurable and fatal disease. In the sight of his Medical theory each state of disease deserves to be researched. 1. In the case of Soumin exhaustion of Yang, Taeyang-Kwolum, noxious Yin, Yang is kept in the exterior by excessive Yin in the interior, middle diabetes and swelling belong to intractable disease and solid mass in the right epigastric zone belongs to fatal disease. 2. In the case of Soyangin exhaustion of Yin, lower diabetes, afternoon fever due to deficiency of Yin, spitting blood and swelling belong to intractable disease and distention of abdomen with gas or fluid belongs to fatal disease. 3. In the case of Taeumin syncope due to chills, dryness-heat, diabetes, pain of chest and abdomen and swelling belong to intractable disease and apoplexy with dosed eyes belongs to fatal disease. 4. In the case of Taeyangin vertebral disease makes flaccidity of lower limbs and dysphagia with vomiting of frothy fluid belongs to fatal disease.

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수족냉증을 호소하는 소양인 비수한표한병 환자의 증례보고 7례 (A Case Series of Cold Hypersensitivity in Hands and Feet in Soyangin Cold Pattern Patients)

  • 이지연;황민우
    • 사상체질의학회지
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    • 제35권3호
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    • pp.12-28
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    • 2023
  • Introduction This study reports case series of Soyangin patients with coldness in hands and feet using Sasang constitutional medicine approach. This study suggests a value of using constitutional medicine indicators as both prognostic and diagnostic tools. Methods Among patients who visited an outpatient clinic, 7 patients were selected based on the criteria. These selected patients were exclusively treated with herbal medicine and monitored every 2 to 4 weeks retrospectively. Results The average treatment period was 8 weeks. Patients with a favorable pattern showed the improvement within 8 weeks, while those with an unfavorable pattern required more time. Discussion This study confirms the significance of Sasang constitutional medicine approach in Soyangin exterior cold syndrome with coldness in hands and feet. It also validates the current coldness in hands and feet as meaningful diagnostic indicator of Soyangin exterior cold syndrome. Furthermore, it highlights the value of original symptoms as prognostic tools.