• Title/Summary/Keyword: the theory of spleen and stomach

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A Comparative Study on Soumin Bojungyikgitang and Bojungyikgitang in the View of Constitution Medicine (소음인(少陰人) 보중익기탕(補中益氣湯)과 보중익기탕(補中益氣湯)에 대한 사상의학적(四象醫學的) 비교(比較) 연구(硏究))

  • Kim, Ilwhan;Kim, kyungyo
    • Journal of Sasang Constitutional Medicine
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    • v.8 no.2
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    • pp.69-94
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    • 1996
  • The main purpose of this work is comparing the difference between Soumin Bojungyikgitang of constitutional medicine and Li Dongyuan's Bojungyikgitang Bojungyikgitang, the prescription originated from the Pi-Wei theory(脾胃論) of Li Dongyuan who was a medical man in the Jin Yuan dynasty, had been used widely for many kinds of disease caused by the singking of the qi of middle energizer due to the weakness of the spleen and stomach. But in the singking of the qi of middle energizer due to the weakness of the spleen and stomach. But in the end of Choseon dynasty Li Je Ma, the creator of the constitutional medicine, modified the Bojungyikgitang and applied to Soumin's disease. In this paper, the difference between the two prescription were investigated from the viewpoint of chinese herb pharmacology and purpose of prescription. Additionally the problems which could be brought out by applying Bojungyikgitang to the Soyangin and the Taeumin were studied. And the conclusion could be summarized as follows: 1. The prescription of the Li Dongyuan's Bojungyikgitang is based on the deficiency of vital energy due to internal damage and the Soumin Bojungyikgitang is useful to only a certain stage of progressing disease on the basis of Shanghanlun(傷寒論). 2. In the Li Dongyuan's Bojungyikgitang, Cimicifugae Rhizoma and Bupleuri Radix were used for emphasizing the ascending action and have the antipyretic action and the effect of elavating of yangqi as they are bitter in taste and cold in nature. 3. In the Soumin Bojungyikgitang, Pogostemonis Herba and Perillae Folium have the ascending-descending action and strengthen the stomach with the effect of mild sweating by pungent taste and warm nature. 4. The effect of elavating of yangqi in the Li Dongyuan's Bojungyikgitang offers the pathway where vital qi go up by eleminating the pathogenic fire with the action of Cimicifugae Rhizoma and Bupleuri Radix in the triple energizer and yangming muscular striae. On the other hand, the Soumin Bojungyikgitang depends on the effect of reinforcing qi and elavating yangqi by Astrgalli Radix entirely and supply vital qi by reinforcing yangqi with Ginseng Rsdix. 5. The exahausion of yin(亡陰證) in the Soyangin exterior syndrome and cold limbs(寒厥證) in Taeumin exterior syndrome are similar to the indication of Li Dongyuan's Bojungyikgitang. As the causes of the disease are fundamentally different in the view of constitutional medicine, the diseases could be aggravated by applying Li's Bojungyikgitang. These results suggest that Li Dongyuan's Bojungyikgitang is proper to the exterior syndrome of Soumin and Soumin Bojungyikgitang seems to be appropriate to the Soumin's disease.

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The Medical Study on the Development of Pediatrics in Myeong(明) Dynasty (명대(明代)의 소아과학(小兒科學)에 관(關)한 연구(硏究))

  • Park, Hyun-Kuk;Kim, Ki-Wook;Yi, Yeong-Seok
    • Journal of Korean Medical classics
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    • v.21 no.3
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    • pp.1-25
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    • 2008
  • Myeong(明) Dynasty Period put together clinically various medical theory in Song(宋) Dynasty and Geum-Won(金元) age, organized medical system. They have been developed in theory, which thought of Byeonjeungronchi(辨證論治) more important, and clinical part which included diagnosis, therapy, prevention. In that age reactional medical thought was in fashion because of affect of Ihak(理學), therefore pediatrics have been affected from them. Especially, looking at the symptom of Byeonjeungronchi doctors, Manjeon(萬全), Nobaeksa(魯伯嗣), Wangdaeryun(王大綸), Wanggeungdang(王肯堂), Nuyeong(樓英) had succeed to Jeoneul(錢乙)' the five viscera Byeonjeung(辨證) system. Manjeon advocated Samyuyeosabujokron(三有餘四不足論) about Jangbu(臟腑) and organized the curative principle about Ojangheosil(五臟虛實). Gupyeong(寇平), commented on diagnosis of five viscera and classification of disease of five viscera. Wangdaeryun in the close of Myeong Dynasty Age explained main pulse, pulse of illness in detail according to weakness or strength of five viscera, pathological or physiological features of five viscera and Saenggeuk(生克) relation of Ohaeng(五行) in the book of "Yeongdongryuchwe(嬰童類萃)". Wanggeungdang and Nuyeong had organized system of argument which classified disease as a result of symptom of five viscera. "Yugwajeungchijunseung(幼科證治準繩)" and "Uihakgangmok(醫學綱目) Soabu(小兒部)" had been written by this principle. Nobaeksa had arranged the principle of cure about five viscera and explained method of common use about each organ's disease. Besides, Seolgi(薛己), Janggyeong-ak(張景岳), insisted about Myeongmun(命門) because he thought of Bisin(脾腎) of children and vigor by nature importance. Seolgi had applied and used very well Bojung-ikgitang(補中益氣湯) based on Idongwon(李東垣)'s Biwiseol(脾胃說) and controled and helped spleen and stomach. At the same time, he took a serious view about supplementing children's Sin-gi(腎氣) according to so many spleen and stomach disease was fallen because they couldn't make warm the spirit of Jungju(中州), result of weakening Hwa(火) of Myeongmun. Also Janggyeong-ak took a serious view strengthen of Bisin, so he assorted and used Insam(人蔘) and Buja(附子) to supplement children's weaken energy in kidney Jeonggi(精氣).

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A study in Mack-Gyung(脈經) on taking pulse of relative weight to five Viscera attachment system in Nan-Gyung(難經) (난경(難經)에서 안맥(按脈)의 경중(輕重)에 따른 오장배속방법(五臟配屬方法)에 대(對)한 맥경(脈經)과의 비교(比較) 연구(硏究))

  • Nam, Doo-Yeul;Kim, Tae-Hee
    • The Journal of Internal Korean Medicine
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    • v.13 no.1
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    • pp.61-69
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    • 1992
  • In Nan-Gyung, showed that could know the lung condition taking pulse with the weight of three beans, the heart condition taking pulse with the weight of six beans, the spleen condition taking pulse with the weight of nine beans, the liver condition taking pulse with the weight of twelve beans, the kidney condition pressing to bone(骨). This theory is first suggested in Nan-Gyung(難經). In those case, the weight of three, six, nine, twelve beans and pressing to bone don't mean not the real weight but the relative weight(輕重) of taking pulse(按脈). In other words, those represent Boo Jung Chin(浮中沈), which are the conception of the upper, the meddle, the lower part(上中下). So, we could take pulse of the heart and the lung condition in Boo(浮), the spleen condition in Jung(中), and the liver and the kidney condition in Chim(沈). The heart and the lung pulse showed in the Boo(float level) must be seen with Boo-Mack(부맥 : float pulse), the liver and the kidney pulse showed in Chim (sinklevel) must be seen also with Chin-Mack(沈脈 : sink pulse). The result of the method of taking pulse of viscera with relative weight focused on the as pect of mornal pulse(平脈) and disease pulse(病脈) of five viscera in Mack-Gyung publeshed later than Nan-Gyung and special works which made a comprehensive survey the result is as follow. 1. In normal pulse of five viscera, the heart and the lunk pulse were shown with Boo-Mack(浮脈:float pulse) as the central figure, the liver's and the kidney's pulse were shown centering around Chim-Mack(沈脈: sink pulse) and the spleen's pulse was shown with Wan-Mack(緩脈) which is vital force of stomach(胃氣) and seen in only middle part. 2. In disease pulse of five viscera, frequently, the heart and the lung pulse was shown as Chim-Mack(sink pulse), the liver and the kidney pulse was seen as Boo-Mack (float pulse). 3. In the case of normal pulse. the method of taking pulse with relative weight in Nan-Gyung agree with the normal pulse of five viscera in Mack-Gyung. But in the case of disease pulse, they didn't correspond with the other. 4. So the method of taking pulse with relative weight in Nan-Gyung is not the exam pulse which ca be used in the clinical diagnosis but one of the feeling pulse way to bring in the conception of location of the visceras. 5. From now on, the method of taking pulse rdlated to relative weight need to be looked into minutely compared with later physician's theory than Mack-Gyung.

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A Review on Reporting Quality of Acupuncture Intervention for Visceral Pain: Assessment with STRICTA (내장 통증에 사용된 침 중재 분석 및 보고의 질 평가)

  • Lee, In-Seon;Cheon, Soyeon;Park, Ji-Yeun
    • Korean Journal of Acupuncture
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    • v.36 no.1
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    • pp.19-35
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    • 2019
  • Objectives : The purpose of this study is to review which acupoints and meridians are selected to treat visceral pain in articles published in international journals and to investigate quality of reporting acupuncture intervention according to the STRICTA guidelines. Methods : Electrical and hand search were conducted in PubMed, EMBASE, MEDLINE, and Cochrane Library for acupuncture studies on visceral pain in human and animals. Reporting quality of intervention was evaluated using the revised STRICTA guidelines. Results : We included 51 articles (7 clinical studies and 44 animal studies) in this study. The most frequently adopted meridians and acupoints were Stomach meridian, Spleen meridian, Conception Vessel meridian, and ST36, CV4, SP6, LI4, PC6, SP9, ST25, ST37 in clinical studies. In animal studies, Stomach meridian, Conception Vessel meridian, Pericardium meridian and ST36, ST37, CV12, PC6 were most frequently used. Animal studies showed significantly lower quality of reporting compared to clinical studies. According to the analysis on the effect of year of publication of articles, announcement of STRICTA guidelines did not improve the quality of reporting for studies on visceral pain. Conclusions : These results suggest that both proximal and distal acupoints based on meridian theory were used to study the underlying mechanisms of visceral pain both in human and animal studies. Guidelines of acupuncture intervention reporting for animal study is necessary to improve the quality of evidence, and it will also allow us the integrative understanding of the mechanisms and clinical effects of acupuncture treatment in human and animal.

The Medical Study about Pediatrics for Geum(金) and Won(元) Dynasty (금원대(金元代)의 소아과학(小兒科學)에 관한 연구)

  • Park, Hyun-Kuk;Kim, Ki-Wook;Kim, Jung-Ho
    • Journal of Korean Medical classics
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    • v.21 no.1
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    • pp.13-26
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    • 2008
  • Pediatrics in Geumwon(金元) age had fanned peculiar children's etiology, Byeonggihak(病機學) and Byeonjeungnon(辦證論) curative system grounded on medical theory in Geumwonsadaega(金元四大家). Yuwanso(劉完素), who was front-running man in that age, used so many times 'Yanggyeoksan(凉隔散)' or 'Bangpungtongseongsan(防風通聖散)' which have Hanryang(寒凉) disposition for curing children's disease in view of pathology in Yeoldahanso(熱多寒少), which is his special academic thought, after then Judangye(朱丹溪) succeed Yuwanso(劉完素)'s this view of pathology, Yang-eumjahyeol(養陰滋血) developed the one and made it a standing rule to cure children. Also Idongwon(李東垣) grasped that the main cause of disease is starvation because of war. As a result of it, he insisted on theory, internal cause's outbreak of person's illness, Naesangbiwi(內傷脾胃), Baekbyeong-yusaeng(百病由牛). In this view of this principle, he assorted and used following medicine 'Seungma(升麻), Siho(柴胡), Hwanggi' as 'Seungbalyanggi(升發陽氣)' method to cure children, and concentrated on children's spleen and stomach cure with this way. Jangjongjeong(張從政) applied 'Purgation therapy[攻下法]', Hantoha(汗吐下) centered on the theory of exogenous factors[外因說] , which explains that children's disease is Sagichimseup(邪氣侵襲), too. Like this, in Geumwon(金元) age, they had studied very seriously about main cause of children' s disease in two part, an internal cause and an external cause. Also, in pathological part they had approached academically 'Hwayeolchibyeong(火熱致病)' and 'Gigiseunggangsiljo(氣機乘降失調)' from diverse angles.

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The study of Eastern-Western medicine on the cerebrovascular attack of drinking (음주(飮酒)가 뇌졸중(腦卒中)에 미치는 영향(影響)에 관(關)한 동서의학적(東西醫學的) 연구(硏究))

  • Kang, Hwa-Jeong;Moon, Byung-Soon
    • The Journal of Internal Korean Medicine
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    • v.18 no.2
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    • pp.131-150
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    • 1997
  • As to the effects of drinking on the cerebrovascular system, the result of studies by Eastern-Western medicine indicate the following conclusions: 1. Oriental medical studies show drinking causes 'Dam-em', 'Dam-tak', and 'Seub-yul' and is, thus related to hypertension and hyperlipidemia. 2. Oriental medical studies also show that hypertension and hyperlipidemia, which includes apoplexy, a dizziness, headaches and 'Gan-yang', are caused by 'Dam-em', 'Dam-tak' and 'Heul-uh'. In most cases of obesity. which is piled 'Seub-dam' in the spleen and stomach, is caused by alcohol consumption. 3. Large amounts of alcohol consumption is a dangerous factor in many kinds of cerebrovascular attacks but under the middle grade of drinking it is not harmful. And it is a predominant theory that a small quantity of alcohol consumption is good for preventing cerebrovascular attacks. 4. Taking a brain computed tomography after alcohol has been introduced into the system reveals strange symptoms like ventricle dilatation, cerebral atrophy, and pathologic histological degeneration. 5. Alcohol is related to hypertension, hyperlipidemia, obesity which are dangerous factors in cerebrovascular attacks. This is especially true with hypertension and obesity. 6. Western medicine says, because of the close relations between hypertension, hyperlipidemia, and the grade of obesity, drinking increases the chances of cerebrovascular attacks. Our findings show that reducing alcohol intake, an environmental factor, will help prevent cerebrovascular attacks.

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A study of the exterior and interior relation's consitutional principle on three yin three yang (삼음삼양(三陰三陽) 표리(表裏) 관계(關係)의 구성원리(構成原理)에 대한 연구(硏究))

  • Kim, Jin-Ki;Choi, Dal-Yeong
    • The Journal of Korean Medicine
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    • v.16 no.1 s.29
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    • pp.437-450
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    • 1995
  • In order to clear the basic concept about oriental medical physiology and pathology, We studied the theory of three yin, three yang, and it is based on the principle that yang goes forward and yin goes back. The result were summarized as follows. 1. It showed how to originate about the concept of three yin three yang. 2. It showed the logical basis concerning that the TAIYANG channels are open, the YANGMING channels are shut, the SHAOYANG channels are pivots, the TAIYIN open, SHAOYIN shut, JUEYIN pivots. 3. According to the opening, closing, pivoting principle, It explained the exterior and interior relation such as TAIYANG and SHAOYIN, YANGMING and TAIYIN, SHAOYANG and JUEYIN. 4. According to the opening, closing, pivoting principle, It showed that arteries of the twelve channels rotated in lung channel of hand-TAIYIN, the large intestine channel of hand-YANGMING, the stomach channel of foot-YANGMING, the spleen channel of foot-TAIYIN, the heart channel of hand-SHAOYIN, the small intestine channel of hand-SHAOYANG, the urinary bladder channel of foot-TAIYANG, the kidney channel of foot-SHAOYIN, the pericardium channel of hand-JUEYIN, the sanjiao(三焦) channel of hand-SHAOYANG, the gall bladder channel of foot-SHAOYANG, the liver channel of foot-JUEYIN. 5. As arteries of the twelve channels was based on the cycle, the logical criticism about Napgibup(納氣法) was shown.

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Reference research for the cause of facial nerve paralysis (구안괘사의 원인(原因)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Yu, Han Chol;Kim, Han Sung
    • Journal of Haehwa Medicine
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    • v.9 no.1
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    • pp.243-258
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    • 2000
  • From the reference research, the results obtained were as follows. 1. Until the "Song" dynasty, the predominant cause of facial nerve paralysis was the attack of Pathogenic Wind to "the Stomach Channel of Foot Yangming, (St.C.); and "the Small Intestine Channel of Hand Taiyang, (S.I.C.). They recognized the facial paralysis as an aspect of palsy. 2. In the period of Jin-Yuan(金元), the predominant cause was described as "Xuexu"(the deficiency of blood) and phlegm. They recognized that the facial palsy was a palsy. However, they also acceded to the possibility that there could be other explanations. 3. In the period of "Ming & Qing", there were numerous kinds of causes. For example, the following were identified as attacking the Meridian: the Pathogenic Cold; Pathogenic Heat; "Xinxu"(the deficiency in the heart); Fire and Heat combined as a pathogenic factor; "Pixu"(the deficiency in the spleen); and, "Xinxu"(the deficiency of blood). 4. In the past, Koreans have explained the facial paralysis according to the Chinese theories mentioned. However, recently there has been an emergence of another Chinese theory; whereby, facial paralysis is classified into causes and symptoms, and then medical treatment is applied accordingly. 5. From the occident medical perspective, the facial paralysis is categorized into two causes. The first is called central facial nerve paralysis and the second is called peripheral facial nerve paralysis. The latter is mainly caused by Bell's palsy, Herpez zoster oticus, and trauma.

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『三指禪』卷一을 通한 周學霆의 醫學思想에 關한 硏究

  • Kim, Gi-Uk;Park, Hyeon-Guk
    • Journal of Korean Medical classics
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    • v.13 no.2 s.17
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    • pp.85-85
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    • 2000
  • Following is the result through translating. studying, and analyzing 『San Zhi Shan(三指禪)』, the book worked by Zhou Xue Ting(周學霆). 1. The chapter of 『Mai Xue Yuan Liu(脈學源流)』 explains thc Xiang Shu Xue(象數學) viewpoint, the part that pulse is based on Lu guan(律管). 2. The chapter of 『Liu Bu Mai Jie(六部脈解)』 explains that emphasizing Shen(神) through understanding the shape of pulse(脈象) is more important than the locating the area of thc shape of pulse(脈象). 3. The chapter of 『Zuo Xin Tan Zhong Can Dan Shen Xiao Chang You Fei Xiang Zhong Pi Wei Ming Da Chang Bian($좌심단중간담신소장{\cdot}우폐흉중비위명대장판$)』exhibits the different view about the position of pulse from Li Shi Zhen(李時珍)'s. the chapter in which Zhou(周) arranges Heart{\cdot}Small\;Intestine{\cdot}Liver{\cdot}Gall\;Bladder{\cdot}Kidneys{\cdot}and$ Bladcler($心{\cdot}小腸{\cdot}肝{\cdot}膽{\cdot}腎{\cdot}膀胱$) in left hand and $Lungs{\cdot}Large{\cdot}Intestine{\cdot}Spleen{\cdot}Stomach{\cdot}Kidney{\cdot}and$ The gate of Vitality($肺{\cdot}大腸{\cdot}脾{\cdot}胃{\cdot}腎{\cdot}命門$) in right hand. From the above results, I'm sure that 『San Zhi Shan(三指禪)』which has headed down to descendants as the special book about the study of pulse has developed the theory of pulse. Therefore I expect that the more profound study about this will be going on.

A literatural study on acupoints and herbs for treating obesity by herbal acupuncture (비만(肥滿) 치료(治療)를 위한 경혈(經穴) 및 약물(藥物)에 관한 고찰(考察))

  • Joo Jun-Sung;Chae Woo-Seok;Shin Mi-Sook;Na Chang-Su
    • Korean Journal of Acupuncture
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    • v.20 no.3
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    • pp.147-162
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    • 2003
  • Objectives : This study was designed to investigate possibilities of herbal acupuncture for obesity. Methods : We researched into 23 kinds of literature and considered acupoints and herbs of herbal acupuncture for obesity. Results : Prescriptions for obesity include Erchentang(二陳湯), Liujunzitang(六君子湯) for phlegm-retention syndrome(痰飮), Wulingsan(五?散), Qianghuoshengshitang(羌活勝濕湯), Shenshitang(渗濕湯), Lingguishugantang(?桂朮甘湯) for Dampness syndrome(濕證) and Pingweisan(平胃散) for activating spleen and stomach(運化脾胃). And Rhizoma atractylodis(蒼朮), Tuber pinelliae(半夏), Rhizoma atractylodis macrocephalae(白朮), Fructus ponciri(枳殼), Fructus immaturus ponciri(枳實), Poria(茯?), Semen coicis(薏苡仁), Rhizoma alismatis(澤瀉) Fructus amomi(砂仁), Polyporus umbellatus(猪?), Medulla tetrapanacis(通草) can be used for both herbal medication and herbal acupuncture. And also there are some important acupoints for treating obesity, which are Sanyinjiao(三陰交), Pishu(脾兪), Gongsun(公孫), Fenglong(豊隆), Yinlingquan(陰陵泉), Zusanli(足三里), Qihai(氣海), Sanjiaoshu(三焦兪), Zhongwan(中脘), Neiguan(內關), Weishu(胃兪), Shenshu(腎兪) and Shangjuxu(上巨虛). Conclusions : We recommend that herbal acupuncture can be used for obesity. This method is a kind of injection using herbal extract, which can apply pharmacognosy theory and meridian system at the same time.

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