• 제목/요약/키워드: exterior syndrome

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"동의수세보원(東醫壽世保元)" 소음인(少陰人) 표병(表病)의 익기(益氣) 및 승양(升陽) 치법(治法)에 대한 고찰(考察) (A Study of the Treatment Method of Ikgi(益氣) and Seung-yang(升陽) in the Soeumin Exterior Disease)

  • 박수현;정창현;백유상;장우창
    • 대한한의학원전학회지
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    • 제22권2호
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    • pp.337-347
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    • 2009
  • "Dong-uisusebowon("東醫壽世保元")", written by Ijema(李濟馬), is about the treatment and prevention of diseases according to the four constitutions, Soeum, Soyang, Taeeum and Taeyang. He presents a precise pathogenic mechanism along with specific treatment methods of the Ulgwang(鬱狂) Syndrome which are Seungbo(升補) and Ikgiseung-yang[益氣而升陽] in comparing Mang-yang(亡陽) and Ulgwang Syndromes. However, in the case of the Mang-yang Syndrome, he merely presents formulas without mentioning details of the treatment methods. In this study, the formulas of the Mang-yang Syndrome and Ulgwang Syndrome were thoroughly compared and analyzed, leading to the conclusion that the concept of the Ikgi(益氣) method matches that of the Bojung-ikgitang(補中益氣湯) of Idongwon(李東垣), consisted of ingredients such as Ginseng, Radix Astragali, Radix Angelicae Gigantis, Rhizoma Atractylodis Macrocephalae etc,, and the concept of Seung-yang matches that of Gyejitang(桂枝湯). Furthermore, we have examined the addition of Radix Aconti Lateralis Preparata[附子] to the Ikgiseung-yang[益氣而升陽] method to be aimed at restoring the Yanggi(陽氣). Lastly, through comparison of formulas according to the progress of the Mang-yang Syndrome and Ulgwang Syndrome, we have presented a more detailed explanation of the concept of each treatment methods: the Mang-yang Syndrome focuses more on Seung-yang(升陽), Ulgwang leans more towards Ikgi(益氣).

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"동의수세보원(東醫壽世保元)" 소음인(少陰人) 표병(表病)의 병기(病機) 및 치법(治法)에 대한 고찰(考察) - 익기(益氣)와 승양(升陽)을 중심으로 - (A Study on The Disease Mechanism and Treatment of The So-eumin Exterior Disease of "Dong-uisusebowon(東醫壽世保元)" -On Ikgi(益氣) and Seung-yang(升陽)-)

  • 박수현;정창현;장우창
    • 대한한의학원전학회지
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    • 제23권2호
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    • pp.235-270
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    • 2010
  • This paper studies the main treatment methods, Ikgi(益氣) and Seung-yang(升陽) applied frequently by Lee Jema(李濟馬) on the exterior disease of So-eumin(少陰人), one of the four constitutions. The methodology of this paper is to understand the pharmacology of "Dong-uisusebowon(東醫壽世保元)" by examining the formulas applied by Lee Jema. I have examined the organization of formulas in "Dong-uisusebowon(東醫壽世保元)" beforehand to categorize the formulas applicable in this study according to an objective standard. I have analyzed the prescriptions applied to So-eumin exterior disease. As a result, I could see that in the case of Ulgwang(鬱狂) syndrome, Ikgi(益氣) and Seung-yang(升陽) methods were mainly applied, but as the disease progressed, Seung-yang(升陽) was withdrawn while Ikgi(益氣) was stressed. Likewise, in the case of Mang-yang(亡陽), both methods were mainly adopted, but as the patients got worse, the level of Seung-yang(升陽) was maintained and that of Ikgi(益氣) was elevated with the addition of Buja(附子). Through this process, we could verify the overall action of Ikgi(益氣), Seung-yang(升陽) and Buja(附子). Originally, the two methods of Ikgi(益氣) and Seung-yang(升陽) are intimately related, but by analyzing the overall functions of the two methods, we could see that Seung-yang(升陽) and Buja(附子) support the Yang gi of the interior of So-eumin, while Ikgi(益氣) resolves inner stagnation of Yang gi and emits the cold pathogen of the exterior. Also, in the course of treatment, Ikgi(益氣) could only be realized after securing Seung-yang(升陽).

『동의수세보원(東醫壽世保元)』의 형방사백산(荊防瀉白散)에 대한 고찰 (A study on Hyungbangsabaeksan of Dongyisusebowon)

  • 신상원;정창현;백유상;장우창
    • 대한한의학원전학회지
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    • 제28권1호
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    • pp.173-194
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    • 2015
  • Objectives : It is told that Hyungbangsabaeksan is important to treat the Soyangin(少陽人) disease in Dongyisusebowon. Though Hyungbangsabaeksan is widely applied in Soyangin(少陽人) disease, it is difficult to understand the meaning of Hyungbangsabaeksan and also hard to use clinically. In this study, We tried to reveal the fundamental meaning of the Hyungbangsabaeksan and the indication of Hyungbangsabaeksan. Methods : We mainly studied diseases in Dongyisusebowon. The use of drug in Soyang disease(少陽病) is relatively difficult. So we firstly reviewed Mang-um disease(亡陰證) that is almost close to the Interior syndrome(裏病) and an Analogous Hak(似瘧) that is one of the interior syndrome. Based on the understanding of interior syndrome, We tried to understand Hyungbangsabaeksan in the usage of the drug in Soyang disease(少陽病). Results : We found the key point of indication of Hyungbangsabaeksan in Mang-um disease(亡陰證) of Exterior cold syndrome(表寒病) and an Analogous Hak of Interior syndrome. Also based on that, We identified characteristics of Soyang disease(少陽病). Therefore, we inferred that there are significant symptoms in Soyang disease(少陽病) that Hyungbangsabeaksan could be applied. Conclusions : Reviewing the usage of Hyungbangsabeaksan in Mang-um disease(亡陰證) and an Analogous Hak, we found that Interior syndrome is important in indication of Hyungbangsabeaksan. Also we found that Hyungbangsabeaksan is especially applied when irreversible transition of the disease can be predicted. Based on this, We concluded Hyungbangsabeaksan is preventively used in specific Soyang disease(少陽病), of which the machanism of the disease is similar.

이동원(李東垣) 내외상변맥법(內外傷辨脈法)의 유래와 이론적 근거에 대한 고찰 (Study on the origin and theoretical foundation of I Dong-won(李東垣)'s pulse diagnosis distinguishing internal and external injuries(內外傷辨脈法))

  • 장우창
    • 대한한의학원전학회지
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    • 제20권2호
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    • pp.137-145
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    • 2007
  • Pulse diagnosis that distinguishes internal injury from external injury by comparing the left and right of the chon pulse was formed in the process of Naegyoung's pulsation theory of ST9 and LU9 being assimilated into diagnostic method by taking chon pulse. The founder of school of internal injury, I Dong-won, expanded the horizon for this method to be widely used in clinical practice by especially explaining the specific application and theoretical background. According to him, pulse at ST9 which means chon pulse at the left hand, is bigger than the chon pulse at the right hand, it reflects external injury. Bigger "entrance pulse", a chon pulse at the right hand means internal injury. The reason is the left side of the body is a path for Yanggi so it controls the exterior part and the right side of the body is a path for Eumgi to descend so it controls the interior part. Internal injury develops as the spleen and stomach get injured. If the spleen and stomach is damaged essence derived from food cannot ascend to the stomach and will flow back to the lower part. As a result, fire of Eum type formed at the lower part will shoot up to the upper part and manifests external injury-like exterior syndromes. In this case, evidence distinguishing between internal and external injury is the fact that right hand pulse is bigger than the left hand. The important reason for distinguishing between internal and external injury is because when treating external injury caused by excess syndrome, pathogenic Gi should be dispelled. However, treating internal injury cased by deficiency syndrome, requires promoting the primordial Gi.

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방풍통성산(防風通聖散)의 문헌(文獻) 및 형상의학적(形象醫學的) 고찰(考察) (Documentational Study and Observation from the View of Hyungsang Medicine on Bangpungtongseong-san)

  • 석민희;김준홍;이용태
    • 동의생리병리학회지
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    • 제22권1호
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    • pp.51-59
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    • 2008
  • The following conclusions were obtained from the studies on Bangpuntongseongsan both from the documents and Hyungsang medicine. Bangpungtongseong-san was created by Yu Wan-so to relieve both interior and exterior of disease from the pathogenic fire, and it cures wind syndrome and dry syndrome. Bangpungtongseong-san is of light herbal combination and it works in the upper part of the body and is mainly applied to skin disease. Perspiration without harming the exterior and purgation without hurting the interior shows that it is not a severe prescription belonging to meditation therapy. It is mostly used for curing the disease of internal heat caused by over drinking and consuming heavy food, and it has special relationship with Yangmyung meridian. It is mentioned in the chapters of spirit, head, face, eye, ear, nose, throat, skin, hair, prescription, wind, dryness, fire, internal damage, epidemic infectious disease, carbuncle and cellulitis, ulceration, and pediatrics of ${\ulcorner}$Donguibogam${\lrcorner}$. It is usually applied to those who belong to Yangmyung type of the six meridian types or wind type, who has excessive heat, people with red complexion, reddened nose, pimples over the face and nose, coarse heel, loss of hair due to wind-heat, and to those who tend to have dandruff. Through examination over the cases treated with Hyungsan medicine, Bangpungtongseong-san was found efficacious in bloodshot eyes, brandy nose, loss of hair, various skin problems, tetanus, acute alcoholism, paralysis of hand and foot, deafness, and tinnitus.

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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"의종금감(醫宗金鑑).정정중경전서상한론주(訂正仲景全書傷寒論註)" "변태음병맥증병치전편(辨太陰病脈證幷治全篇)"에 대한 번역연구 (Translational Study on a Chapter of Taeeum-Disease[太陰病篇] in "The Golden Mirror of Medicine.The Notes of Treatise on Cold-Induced Diseases(醫宗金鑑.傷寒論注)")

  • 이용범
    • 대한한의학원전학회지
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    • 제23권2호
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    • pp.33-62
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    • 2010
  • "The Golden Mirror of Medicine(醫宗金鑑)" was compiled by the medical officers of the Cheong(淸) government headed by Ogyeom(吳謙: 1736-1795) in 1742, and was adopted as a textbook by the Institute of Imperial Physicians(太醫院) in 1749. This book provides a good summary of academic contents and clinical experiences from before the Cheong(淸) dynasty, and serves as a convenient and practical guide book. "The Notes of Treatise on Cold-Induced Diseases(傷寒論注)" is one part of "The Golden Mirror of Medicine(醫宗金鑑)", and this is placed at the beginning of the book, indicating its importance. The chapter on taeeum-disease[太陰病篇], which is the third part of "The Notes of the Treatise on Cold-Induced Diseases(傷寒論注)", has not yet been translated into Korean. Therefore, in this study, the characteristics of Ogyeom's(吳謙) notes are inspected through a comparative study of the chapter of taeeum-disease[太陰病篇] based on translation and the notes of famous scholars. The texts first provide an outline of taeeum-disease[太陰病], which is followed by diarrhea, vomiting and therapeutic methods of syndrome involving both the exterior and interior[表裏兼證], as well as abdominal distension and pain. The prognoses are then explained in succession. The eight texts that have been shown in the chapter of taeeum-disease[太陰病篇] of original text were relocated and the seven texts that existed in the chapters of taeyang(太陽), yangmyeong(陽明) and gwol-eum(厥陰) were moved to this chapter. Furthermore, Ogyeom(吳謙) moved the cold-dysphagia[寒格] text from a chapter of gwol-eum-disease[厥陰病] to a chapter of taeeum-disease[太陰病] and explained vomiting due to pathogenic cold. The origins of taeeum-disease[太陰病] are purported to occur through the yang-channel[陽經] to the eum-channel[陰經], and taeeum-disease[太陰病] was reported to include both interior-deficiency-cold-syndrome[裏虛寒證] and interior-excess-heat-syndrome[裏實熱證]. In the case of diarrhea-more-severe-symptoms[自利益甚], he thought it induced by faultpurgation[誤下], and in indication for decoction of cinnamon with peony[桂枝加芍藥湯] and decoction of cinnamon with rhubarb[桂枝加大黃湯], he thought it included the exterior syndrome of taeyang-disease[太陽表證], and rhubarb was used in purgation of taeeum-excess[太陰實].

병성에 대한 소고 (Consideration of the Nature of Disease)

  • 조성연;이광규
    • 동의생리병리학회지
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    • 제16권5호
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    • pp.857-866
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    • 2002
  • The main current in the pathology of oriental medicine is composed of etiologic factor, pathogenesis and clinical manifestation. The access of a disease is consist of etiologic factor, location of the lesion, nature of the disease and patient's condition. The nature of disease and the property of a drug are inseparably related to each other. The nature of disease is composed of six exogenous factors, cold and heat, deficiendy and excess, Yinyang and pain. Cold nature is divided into cold symptom due to excess and asthenia cold, fever nature is divided into sthenic fever and asthenic fever. According to the location, cold and heat can be subdivided into heat in the upper and cold in the lower, cold in the upper and heat in the lower, exterior cold and interior heat, exterior heat and interior cold. Yin syndrome characterized by hypofunction of the viscera is generated from insufficiency of yang-qi, excess of yin-coldness, deficiency of both qi and the blood.

("동의수세보원(東醫壽世保元)"에 나타난 사상인(四象人)의 소갈(消渴)에 대한 고찰(考察) (The Bibliographical Study on So-gal of Sasangin)

  • 초재승;임치혜;김효수;김신;김일환;박혜선;이정환
    • 사상체질의학회지
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    • 제19권1호
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    • pp.1-18
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    • 2007
  • 1. Objectives This study is purposed to classify treatment and diagnosis of So-gal on the relationship of Sasang Constitutional Medicine. 2. Methods We compared conception, symptoms, mechanism and treatment of Sasangin's So-gal in ${\ulcorner}$Dongyisusebowon${\lrcorner}$ ${\ulcorner}$Gabobon${\lrcorner}$, ${\ulcorner}$Sinchukbon${\lrcorner}$ and ${\ulcorner}$Chobongwon${\lrcorner}$. 3. Result and Conclusion (1) So-gal of Soyangin is general disease, it is important disease of interior heat syndrome. So-gal of Taeumin is troubled by dryness of the lung, category of interior heat syndrome, but it bring about various complication. So-gal of Soeumin is important point that divide seriousness of disease. (2) So-gal is interior heat syndrome, it is related to interior heat syndrome of Soyangin, Taeumin. So-gal of Soeumin expresses conclusion of seriousness regardless of exterior and interior disease. (3) So-gal is related to nature, it is most important disease to Soyangin who is apt to variation of nature.

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도씨소시호탕(陶氏小柴胡湯)에 대한 연구(硏究) (Study on the Dossisosihotang)

  • 신영일
    • 대한한의학원전학회지
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    • 제30권2호
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    • pp.99-112
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    • 2017
  • Objectives : 28 prescriptions with the name 'Dossi' can be found in Yixuerumen, and all these prescriptions are highly useful due to their clinical effectiveness. Among them, Dossisosihotang has an important role as the essential prescription utilizing harmonizing and releasing formula. Therefore, this paper aims to ponder upon this prescription. Methods : Dossisosihotang's origin and effectiveness were studied, and the findings served as the basis for analyzing the varied forms of this prescription which came about in the later generations in order to consider more detailed usage of this prescription. Results & Conclusions : Dossisosihotang directs its patient to consume sosihotang added with chenpi, shaoyao, chuanxiong, then simmered, and added with three spoons worth of raw wormwood juice. Its origin can be traced back to shachechuifa's 'Sihossanghaeeum,' and it is mainly effective for treating the blood aspect syndrome of lesser yang disease such as women's cold damage and heat entering the blood chamber. In treating the symptom of half-exterior and half-interior, taohua developed prescriptions depending on the syndrome, such as Sihijigyungtang, Sihohamhyoungtang, Samhosambacktang, Siryungtang, Sihosamultang, Sigalhaegitang, and Samhoseoggotang. These prescriptions became widely known for their clinical efficacy, leading to many later generations of clinical doctors to use them.