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A Study on Zhu dan Xi's "Theory on the Sufficiency of Yang and the Deficiency of Yin" (주단계(朱丹溪)의 "양유여음불족론(陽有餘陰不足論)"에 관한 연구(硏究))

  • Yang, Kwang-Yeol;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.20 no.2
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    • pp.147-174
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    • 2007
  • "Theory on the Sufficiency of Yang and the Deficiency of Yin(陽有餘陰不足論)" mainly instituted as follows: The 'Yang Qi(陽氣)' of the heaven(天) has changed to 'Qi(氣)', and the 'Yin Qi(陰氣)' of the earth(地) has changed to 'Xue(血)', 'Qi(氣)' is always sufficient and 'Xue(血)' is always deficient. 'The Always Sufficient Qi(氣常有餘)' means 'the fire always exists(常有火)', and 'the fire(火)' is 'the premier fire(相火)'. 'The premier fire(相火)' is always in men's body and causes 'activities(動)' which is the core characteristic in men's life, and in other side it always has opportunities to be made symptoms by 'the abnormal activities of the premier fire(相火妄動)'. In 'the always deficient Xue(血常不足)' , 'Xue(血)' is the 'Yin Qi(陰氣)' of liver and kidneys[肝腎] which is attached by 'the premier fire(相火)', as it means 'Xue(血)' and 'Jing(精)'. He suggested that 'the premier fire(相火)' is the power of human life, but if 'the premier fire(相火)' is not based on 'Yin Qi(陰氣)', it can not fulfill its function. So he thought that the maintenance and fulfillment of 'Yin Qi(陰氣)' is very important. In conclusion, "Theory on the Sufficiency of Yang and the Deficiency of Yin(陽有餘陰不足論)" explains the basic character of men's life which 'Dong Duo Jing Shao(動多靜少)', so 'the premier fire(相火)' which control 'the activities(動)' is always being and 'Jing Xue(精血)' which control 'Jing(靜)' is always scare.

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A Study on the concept of hidden Yin in summer by Zhu Danxi (주단계(朱丹溪)의 하월복음재내론(夏月伏陰在內論)에 대한 고찰)

  • Eun, Seokmi
    • Journal of Korean Medical classics
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    • v.30 no.3
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    • pp.95-108
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    • 2017
  • Objectives : The concept of hidden Yin in summer by Zhu Danxi deals with the relationship between summer heat disease and hidden yin inside of human body. This paper attempts to ponder upon the clinical issues around which the discussions regarding the topic unfolded, and upon the texts on which the doctors of the discussions based their opinions. Methods : First, Danxi's argument as discussed in $G{\acute{e}}zh{\grave{i}}y{\acute{u}}l{\grave{u}}n$ is analyzed to find out his understandings of clinical issues and his textual sources on which he based his new perspective. Moreover, the prescriptions that Danxi thought was problematic and the concept of hidden yin as it existed before the time of Danxi are reviewed, and these findings are used understand Zhangjingyue's ground of criticism against Danxi. Lastly, this paper contemplates how these opposing opinions may be helpful to the general principles of medical theories. Results & Conclusions : There was a trend before the time of Danxi of abusing drugs as prescription based on warm-heat, understanding that a human body has yin-cold during summer. However, Danxi brought forth a new concept of yin deficiency in order to correct people's misunderstanding. Despite his effort, Zhangjingyue and other doctors contemporary to Danxi emphasized on one hand that human body is placed on a state of external heat inside the cold, and on the another, criticized Danxi of failing to fully understand the principle of "Abandon the time and follow the symptoms", a principle which asserts that the cold and warm of medicine should be decided by the symptom itself and not by the season. The value of these contradicting assertions seems to hold true even to this day because it helps us understand that the principles of "Counting Season as a Treatment Factor" and "Abandon the time and follow the symptoms" could be applied with balance in conjunction with each other.

Study on Portions and Layers of the Skin - based on "Naejing(內經)" - (피(皮)의 분(分)과 부(部)에 대한 연구 - "황제내경(黃帝內經)"을 중심으로 -)

  • Kang, Jung-Soo
    • Journal of Haehwa Medicine
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    • v.20 no.1
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    • pp.1-10
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    • 2011
  • By studying the portions and layers(分部), left and right, superior and inferior, location of yin and yang, and beginning and end of diseases of skin, which is the core point of the theory of cutaneous region(皮部論) in "Naejing(內經)", in the physiological and pathological perspective, based on opinion of historic memorial doctors, arrived to the conclusion as below. Cutaneous region means not only the distribution of three yin and three yang(三陰三陽) of the surface, but also inside and outside, shallowness and depth, and it is the system which unites meridians, networks, and vessels. It is divided into portions and layers. The origin and beginning of diseases and the rule of favorable pattern and unfavorable pattern can be known through it. The portion of skin is not only the area that meridian vessels belongs to skin, but also the area that activation of twelve meridian vessels are expressed in the surface. The layer of skin is consisted in order of skin-tertiary collateral vessel-collateral vessel-meridian vessel-bone. In "Naejing", there are two preconditions to divide three yin and three yang into yin and yang. The first is standing while looking the south, and second is the quotation "outside is side of yang(外者爲陽 內者爲陰)." According to this preconditions, yang of outside of yang brightness, lesser yang, and greater yang is the whole body, except inside of hand and foot which yin of lesser yin, pericardium, and greater yin. Superior and inferior of the portions and the layers is designated as hand and foot, theological basis of which superior and inferior work in same diagnostic method can be found in the root and the basis(標本) and the origin and the insertion(根結). In conclusion, cutaneous region not only manages layer of the skin, but also it is divided into layers and portions, so it has close relations between meridian vessels and collateral vessels. The in-depth study of cutaneous region and meridians should be progress, in order to practice of diagnosis and acupuncture and moxibustion more.

The Study on the Formative Process of Soyangin Pharmacology -Focused on ${\ulcorner}Gabobon{\lrcorner}$ and ${\ulcorner}Sinchukbon{\lrcorner}$- (소양인(少陽人) 약이(藥理)의 형성과정(形成過程)에 관한 연구(硏究) - "갑오본(甲午本)"과 "신축본(辛丑本)"을 중심으로-)

  • Han, Kyung-Suk;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
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    • v.18 no.3
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    • pp.38-48
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    • 2006
  • 1. Objects This paper was written in order to understand the formative process of Soyangin pharmacology. 2. Methods We analysis Soyangin pharmacology through pathology and new prescription in ${\ulcorner}$Gabobon(甲午本)${\lrcorner}$ and ${\ulcorner}$Sinchukbon(辛丑本)${\lrcorner}$ of ${\ulcorner}$Dongyi Suse Bowon${\lrcorner}$. 3. Results and Conclusions New prescription of Soyangin in ${\ulcorner}$Gabobon${\lrcorner}$ is same or similar to that in ${\ulcorner}$Chobonkwon${\lrcorner}$. So we can recognize that almost Soyangin pharmacology of ${\ulcorner}$Gabobon${\lrcorner}$ is made when Dongmu write ${\ulcorner}$Chobonkwon${\lrcorner}$. And the maintenance of Yin-Qi is key point of Soyangin's pharmacology New prescription of Soyangin is made by regular rules in ${\ulcorner}$Sinchukbon${\lrcorner}$. Dongmu say that Hyungkae(荊芥) Bangpung(防風) Kanghwal(羌活) Dokhwal(獨活) is herbs for descending-Yin, and Sukjihwang(熟地黃) Sansuyoo(山茱萸) Bokryung Taeksa(澤瀉) or Saengjihwang(生池黃) Sukgo(石膏) Jimo(知母) is herbs for ascending-Yang And all new prescription except Sukjihwangkosam-tang(熟地黃苦蔘湯) is composed of asneding-Yang and descending-Yin's herbs. New prescription of the exterior disease contained all descending-Yin's herbs and that of the interior disease contained all ascending-Yang's herbs completly. Namely when ${\ulcorner}$Gabobon${\lrcorner}$ was written Soyangin pharmacology is the maintenance of Yin-Qi by selecting prescription of cold character. And when ${\ulcorner}$Sinchukbon${\lrcorner}$ was written, base sprit of Soyangin pharmacology was not changed. Pharmacology was added ascending-Yang and descending-Yin at a time.

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Clinical Observation on Heart Rate Variability and Peripheral Blood Flow by Doppler Ultrasound in Healthy Subjects Stimulated by Cold Stress (정상인의 한냉자극에 대한 심박변이도 및 도플러 초음파 혈류계를 이용한 말초 혈류관찰)

  • Lim, Sung-Keun;Lee, Sang-Hoon;Bae, Young-Min
    • The Journal of Korean Medicine
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    • v.31 no.2
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    • pp.114-123
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    • 2010
  • Objectives: This study was performed to investigate the effect of cold stress on heart rate variability and peripheral blood flow by Doppler ultrasound in healthy subjects. Methods: We classified the subjects by their Yin or Yang tendency using a Yin-Yang questionnaire. Cold stress was taken on the left hand of subjects for 10 seconds. Heart rate variability and peripheral blood flow were measured on the right radial artery before and after cold stress. Results: The Yang tendency group showed a significant decrease of heart rate after cold stress which was not seen in the Yin tendency group. The Yang tendency group showed a decrease of LF, total power, and increase of HF after cold stress, while the Yin tendency group showed the opposite. However, there were no statistically significant differences of heart rate variability analysis between the results of the two groups before and after cold stress. Recovery time of blood flow velocity by ultrasound Doppler was significantly different between the Yin and Yang tendency groups after cold stress. Conclusion: These results suggest that people with Yin or Yang tendency may show different responses in the autonomic nervous system. Further modified studies may include the responses to various manipulation techniques in acupuncture treatment and the individual responses according to pattern identification in traditional Korean medicine.

An Analysis of Clinical Characteristics of Patients with Cough by Food-accumulation and Yin-Deficiency (식적(食積) 및 음허(陰虛)로 인한 해수 환자의 임상적 특성 분석)

  • Lee, Jung-Wook;Park, Sang-Moo;Kang, Baek-Gyu;Han, Deok-Jin;Na, Ran-Hee;Bang, Chang-Ho;Jang, Seak-Oh;Son, Ji-Woo;Lee, Si-Hyeong
    • The Journal of Internal Korean Medicine
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    • v.30 no.1
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    • pp.85-93
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    • 2009
  • Cough is a common clinical problem to which various etiologies are attributable. In Korean medicine there are differentiations in etiology such as food-accumulation and Yin-deficiency. This study was aimed to analyze the relations between the time of cough and Korean syndrome differentiations and to compare the symptoms of Korean syndrome differentiations (food-accumulation and Yin-deficiency). Sixty-two cough patients were analyzed and classified into one of two syndrome differentiations by etiology. We compared the time of coughing and symptomatic characteristics of two: such as symptom differences and change of severity after treatment. Patients with food-accumulation were more prevalent than patients with Yin-deficiency. Among symptoms, anorexia, dyspepsia, nausea and nasal discharge were more prevalent in food-accumulation while pruritus of throat was prevalent in Yin-deficiency. Coughing at night was prevalent in Yin-deficiency and coughing at rising hour was prevalent in food-accumulation.

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Study on the Relationship between Yin-Yang, Exterior-Interior in Eight Principle Pattern Identification and the Sasang Constitution - 500 Women with Menstrual Pain and Women Without Menstrual Pain as a Target - (팔강변증의 음양표리와 사상체질과의 관련성 연구 - 월경통이 있는 여성과 없는 여성 500명을 대상으로 -)

  • Kim, Jong Won;Jeon, Soo Hyung;Lee, In Seon;Chi, Gyoo Yong;Kang, Chang Wan
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.34 no.6
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    • pp.362-371
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    • 2020
  • In order to find out the relationship between the Eight Principle Pattern Identification of Yin-Yang, Exterior-Interior and the Sasang constitution, we analyzed the clinical data from 500 women with menstrual pain and women without menstrual pain. In the previous study, the subject's information of Typology Complexion Pulse and Symptom was collected, and Eight Principle Pattern Identification was executed based on this. Later, The relationship between the Sasang constitution and the Eight Principle Pattern Identification was statistically analyzed. The obvious difference between the experimental group and the control group in the patterns of Yin-Yang and Exterior-Interior is that patients who complain of menstrual pain do not maintain harmony with the yin-yang ratio, it can be said that the patterns of Yin-Yang and Exterior-Interior can be a identification standard that significantly obscures the condition of the disease. There was a significant difference between the Sasang constitution and the Eight Principle Pattern Identification of Yin-Yang. There was no significant difference between the Sasang constitution and the Eight Principle Pattern Identification of Exterior-Interior. It is assumed that the relationship between the Eight Principle Pattern Identification and the Sasang constitution has changed depending on the difference a view of emotional Qi and pathogenic Qi.

Study of the Specific Indicators Calculation of Fire-Heat Pattern Identification and Yin Deficiency Pattern Identification in Stroke (중풍 화열 변증과 음허 변증을 구분하는 특정 지표 산출에 대한 연구)

  • Kang, Baek-Gyu;Kang, Byeong-Kab;Lee, Jung-Sup;Han, Deok-Jin;Nam, Sang-Kyu;Shin, Sun-Ho;Moon, Byung-Soon;Lee, In
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.6
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    • pp.1368-1373
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    • 2008
  • This study was done to calculate the specific indicators of Fire-Heat Pattern Identification and Yin Deficiency Pattern Identification settled by tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke. The subjects were 764 hospitalized patients with stroke, and a list of registry was made for each of them. Frequency and Correlations among Fire-Heat and Yin Deficiency indicators were studied. Fire-Heat pattern group included 175 patients out of 764, Yin Deficiency pattern group included 103 patients out of 764. Among the indicators of Fire-Heat pattern, those, in order of highest frequency, were 'heat vexation and aversion to heat', 'reddened complexion', 'thirst'. Among the indicators of Yin Deficiency pattern, those, in order of highest frequency, were 'dry mouth', 'red tongue', 'fine and rapid pulse'. Among the Fire-Heat pattern indicators, 'yellow fur' and 'thirst', 'heat vexation in the chest' and 'vexation and insomnia' showed most significant correlation. Among the Yin Deficiency pattern indicators, 'aphtha or tongue sore' and 'heat in the palms and soles', 'red tongue' and 'dry fur' showed most significant correlation. 'Reddened complexion', 'dry eyes', 'surging and parid pulse', 'heat vexation and aversion to heat' are classify between Fire-Heat pattern and Yin Deficiency pattern. 'Surging and parid pulse', 'Reddened complexion' are mostly representative of Fire-Heat pattern and 'fine and rapid pulse' are mostly representative of Yin Deficiency pattern.

Development of Yin-Deficiency Questionnaire and Examine the Reliability and Validity (음허증 측정도구의 개발 및 신뢰도 타당도 검정)

  • Lee Sang Jae;Park Jong Bae;Lee Song Shil;Kim Kwang Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.2
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    • pp.376-380
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    • 2004
  • The purpose of this study is the develop a questionnaire for measuring Yin-Deficiency and examine the reliability and validity for its' value as a barometer for evaluating Yin-Deficiency. Questionnaire was developed according to the symptoms of Yin-Deficiency suggested in the 'Standardization of diagnostic terms and requirements of Korean Medicine', With and as a reference, each symptom has been worked on to be put on the questionnaire. Visual analogue scales(VAS) was used as a barometer for measuring frequency of manifestation of symptoms. A study was performed to measure validity and reliability of the final questionnaire for analysis. reliability of YinDQ was measured by Cronbach's alpha coefficient and test-retest method. This study utilized factor analysis and clinical validity for evaluation of validity. For the purpose of decreasing the amount of data-the number of factors, and at the same time minimize the loss of information factor analysis was performed Component factors were extracted using Principal Component Analysis. This study evaluated the clinical validity for examination of difference between the normal group and the patient group. Evaluation on the's internal consistency showed strong internal consistency with value of 0.8615. reliability from test-rest with three-week interval, followed by comparisons of the correlation coefficient and mean values of each item between the two. The Spearman correlation coefficient was 0.54-0.79. By factor analyse two factors with Eigen value of greater than 2.2 were selected. Factor 1 consists of items of 'irritable fever on the five Hearts', 'flushing of the zygomatic region in the afternoon', 'tidal fever', 'night sweats', and 'dryness on the mouth or the throat'. Factor two consists of items of 'emaciation', 'dizziness', 'insomnia', 'decreased amount of urine with yellowish color', and 'constipation'. The comparison between the patient group and the normal group showed significant differences for every ten questions. The results implies that YinDQ is a barometer with sufficient reliability and validity. The questionnaire for Yin-Deficiency may not be enough to replace the specific differential diagnosis by a doctor of Oriental medicine. Nevertheless, it can be effectively utilized as an assisting method in consultation or a method of measuring the degree of Yin-Deficiency in a group.

A Study on the Method of Health Promotion in Korean Medicine: Correlation between Night-shift Work and Yin-deficiency (건강증진을 위한 한의학적 방법론 연구 -야간근로와 음허증의 상관관계를 중심으로-)

  • Lee Sang Jae;Park Jong Bae;Lee Sun Dong;Kim Kwang Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.2
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    • pp.344-348
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    • 2004
  • This study regarded irregular life styles such as nigh-shifts as contrary to the norm advised in the rules of Yang-saeng to analyze the problems brought about in relation to the concept of 'Yin-deficiency syndrome'. Yin-deficiency survey was given to sales workers on a big shopping mall in Seoul to compare the measurements of daytime workers to those of nigh-shift workers. The measurement of complaining symptoms related to Yin-deficiency of daytime workers and night-shift workers were compared, In comparison of the daytime workers and the night-shift workers, night-shift workers showed higher measurements than the daytime workers in the item of irritable fever on the five Hearts, flushing of the zygomatic region in the afternoon, tidal fever, dizziness, insomnia, yellow and scanty urination, and constipation. Especially tidal fever, insomnia, and constipation showed statistically significant difference. The total of ten items consisting of Yin-deficiency-related symptoms showed statistically significant high score in night-shift workers than the daytime workers. 'Factors for deficiency-type Heat' consisting of irritable fever on the five Hearts, flushing of the zygomatic region in the afternoon, tidal fever, and dried mouth and throat showed statistically significant high score in night-shift workers than the daytime workers. 'Accompanying factors' consisting of night sweats, emaciation, dizziness, insomnia, yellowish and scanty urination, and constipation also showed statistically and significantly high score in night-shift workers than the daytime workers. From the above results that night-shift workers show high degree of Yin-deficiency than daytime workers, and those overworking irregularly also show high degree of Yin-deficiency than those who work for adequate amount of time regularly implies that sitting up at night for work and sleeping at daytime, excessive work, and irregular life styles all function as high-risk factor for Yin-deficiency.