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≪증치심전(證治心傳)≫의 의학사상 고찰 - 온병이론(溫病理論)을 중심으로 - (Study on the medical philosophy of Zheng Zhi Xin Chuan(證治心傳) - based on the theory of acute febrile disease -)

  • 정창현
    • 대한한의학원전학회지
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    • 제28권4호
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    • pp.139-154
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    • 2015
  • Objectives : Zheng Zhi Xin Chuan(證治心傳) is a compact compilation of 14 discussions on medicine, written by Yuan Ban(袁班) in the late Ming-early Qing period. Methods : To survey the scholarly position of Yuan Ban(袁班) in the history of Wenbing by systematically analyzing and organizing Wenbing related theories in Zheng Zhi Xin Chuan (證治心傳). Results & Conclusions : In his book, YB suggests concepts such as 'mainly attack upper heater(多犯上焦)', 'transmission to the nutrient phase(轉入營分)', 'sequential transmission(順傳)', 'abnormal transmission(逆傳)', 'dryness invasion of human body in autumn(秋傷於燥)'. In the history of Wenbing, it has been widely acknowledged that the concept of weiqiyingxiebianzheng(衛氣營血辨證) and abnormal transmission to the pericardium(逆傳心包) were originally suggested by Ye Tianshi(葉天士). However, according to the findings of this study, these concepts are traced back to the contents of YB's publication, nearly a century before Ye's time. In addition, YB's discussion on '秋燥' was highly advanced than any other scholar of his time, hinting his influence on medicine thereafter.

갈색세포종 환자 1례의 임상증례(臨床證例) 보고 (A Clinical Case Report On The Patient With Pheochromocytoma)

  • 김국범;한종현;한인선;김은곤;이정희;강병철;성경화;최영규;심윤섭
    • 대한한방내과학회지
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    • 제26권1호
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    • pp.281-289
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    • 2005
  • Objective : Pheochromocytoma may arise within the adrenal medulla, or in other locations, where symptheic ganglia or chromaffin tissues are known to exist. Approximately 0.1 % of hypertensive patients have Pheochromocytoma, This study is to report the clinical effects of ShiHo-GuiZhiTang on pateints who have suffered from such symptoms of Pheochromocytoma as sweating, hypertention, Indigestion, anxiety neurosis, nausea, headache, and epigastric discomfort. Method : ShiHo-GuiZhiTang was used for a patient who had suffered from symptoms of Pheochromocytoma which was diagnosed as Banpeubanri-jueng of soyang disease in Sanghan-Ron. Result : In treating the patient with symptoms of Pheochromocytoma with ShiHo-GuiZhiTang, results were good. Conclusion : The results of this study suggest that ShiHo-GuiZhiTang is effective for such symptoms of Pheochromocytoma as sweating, hypertention, Indigestion, anxiety neurosis, nausea, headache, and epigastric discomfort.

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온고지신 프로그램의 중학교 적용 연구 (A Study on Application of wen-gu-zhi-xin(溫故知新) Program to Middle School)

  • 윤영돈;한성구
    • 한국철학논집
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    • 제59호
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    • pp.455-480
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    • 2018
  • 우리 시대에 직면한 다양한 문제를 해결하는 데 온고지신의 정신을 살려 전통을 재해석하고 재구성하되, 학교급별 학생의 발달 수준에 맞게 프로그램을 기획하고 현장에 적용하려는 노력이 요구된다. 본 연구는 회복탄력성 함양 및 유덕한 시민으로서 공동체 역량 제고를 위한 온고지신 프로그램을 개발하고, 현장에 적용함으로써 그 효과성을 검토하는 데 목적이 있다. 논의순서는 다음과 같다. 오늘날 인성교육의 유의미한 주제로 정신건강, 특히 회복탄력성 증진이 중요한 교육목표가 될 수 있다는 점을 먼저 논구하고, 회복탄력성 증진을 위한 온고지신 프로그램 개발방향을 제시하며, 동 프로그램의 구성과 실행계획 및 현장적용(중학교)을 통한 그 효과성을 검토하였다. 그 결과 학생들의 자기조절능력과 대인관계능력 향상에 유의미한 영향을 미쳤다는 것을 알게 되었다. 또한 교육 프로그램개발 과정을 계획(plan)-실행(do)-평가(see)로 볼 때, 본 연구는 온고지신 프로그램의 개발과 실행과 현장적용과 평가 과정의 환류를 통해 개선된 프로그램이 유덕한 시민으로서 공동체 역량을 제고할 뿐만 아니라 회복탄력성 증진에 일정 부분 기여할 수 있다는 점을 확인할 수 있었다. 물론 이 연구가 더 큰 의미를 갖기 위해서는 프로그램 시연 대상과 설문 대상의 폭이 넓어져야 할 것이다. 비록 제한적인 상황 하에서 진행된 프로그램시연이었지만 전통 교육 내용과 방법, 덕목이 현대 교육에도 여전히 의미가 있고 유용하다는 것을 알 수 있었다.

오음의 사상의학적 음성분석과 고찰 (A study about five-sounds(Gong, Sang, jiao, zhi, yu) of Sasang constitutional sound analysis)

  • 김달래
    • 사상체질의학회지
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    • 제15권1호
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    • pp.50-59
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    • 2003
  • Purpose Five animals sounds which are come under five sounds(Gong, Sang, jiao, zhi, yu) which are compared with the musical scale. It is looking for similarity between five animals' sounds and the musical scale. Methods 녹음 record 1 ig machine 1. Five animals (cattle, horse, pheasant, pig, sheep) sounds has been recording on tape. 2. That was transfer to CSL(computerized speech lab) 3. That was analysed to pitch, formant 1,2,3. energy pitch 4. That analysed result (Pitch, formant 1,2,3. energy ratio) of five animals are calculated and compared with the five musical scale(five sounds) Result The ratio of five animals sounds is not consistent with the musical scale in any five item (pitch, formant 1,2,3. energy). Conclusion 1.The five musical scale has no similarity with the five animals sounds 2.The five sound is supposed to oriented form theoretical back ground of five-going not have no relative with the five animals sounds

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주단계(朱丹溪) 의학사상(醫學思想)의 배경(背景)에 관한 연구(硏究) -"격치여론(格致餘論)"을 중심(中心)으로- (A research on the background of ZhuDanXi(朱丹溪)‘s medical theory -Based on ${\ulcorner}$GeZhiYuLun(格致餘論)${\lrcorner}$-)

  • 박현국;김기욱
    • 대한한의학원전학회지
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    • 제18권4호통권31호
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    • pp.1-14
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    • 2005
  • Zhu Dan Xi's name is ZhenHeng(震亨) and was also called by the title of YanXiu(彦修). Early in his life, he started to study JuZiYe(擧子業), and went on to study DaoDeXingMingXue(道德性命學) under the teachings of XueQian(許謙), who as one of fourth generation disciple of ZhuZi(朱子) was teaching in BaHuaShan(八華山). His well-known literary works are ${\ulcorner}$JuFangFaHui(局方發揮)${\lrcorner}$, ${\ulcorner}$GeZhiYuLun${\lrcorner}$, ${\ulcorner}$ShangHanBianYi(傷寒辨疑)${\lrcorner}$, ${\ulcorner}$BenCaoYanYiBuYi(本草衍義補遺)${\lrcorner}$, ${\ulcorner}$WaiKeJingYaoXinLun(外科精要新論)${\lrcorner}$. Zhu Dan Xi learnt the studies of Liu(劉), Zhang(張), Li(李) from LouZhiTi(羅知悌) and adopted the advantages and abolished disadvantages from it. The southern district being low and damp, which also leads to a geographical condition with a lot of ShiReXiangHuo(濕熱相火) disease and with the social background of people exhausting their QingYu(情欲) and damaging QLXie(氣血), he came out with the theory of 'YangYouYuYinBuZu(陽有餘陰不足)', 'XiangHuo(相火)' and became a well renowned expert in diagnosis and treatment of QiXieTanYuHuo(氣血痰鬱火). As a result, the writer has performed a research based on Liu's works and related theories, GuWuZhiZhi theory, the understanding of TaiJiZhiLi(太極之理), the inner meaning of YinYang and YouYuBuZu(redundancy-and-deficit), YinYangDongJingGuan, physiology and pathology, the medical reason of lust damaging QingYuYangYin and YangSheng(養生)(preservation of health), which are the main medical theory of ZhuDanXi, comments of later generations and is reporting the outcome.

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『의학입문(醫學入門)·상한편(傷寒篇)』 편제(編制) 중 정상한(正傷寒)의 명칭, 병명분류의 기원과 그 후 변화 (The Origin and Changes of True-cold Damage(正傷寒) in Introduction to Medicine(醫學入門))

  • 조학준
    • 대한한의학원전학회지
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    • 제29권2호
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    • pp.55-78
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    • 2016
  • Objectives : The goal of this paper is to research what the name and concept of true-cold damage in Introduction to Medicine were originated from, and to trace the origin and changes of categorization of it after the book. Methods : Books concerned with true-cold damage were collected as many as possible, besides ones that Introduction to Medicine referred to, before the name, concept and categorization of it were searched and analysed. Results : The concept of true-cold damage in Introduction to Medicine, which had come from Lei Zheong Huo Ren Shu(類證活人書) in Song dynasty, was more similar to one of cold damage in a broad sense. The name that Li Chan appreciated, was derived from not Shang Han Zhi Ge(傷寒直格), but Shang Han Zheng Zhi Ming Tiao(傷寒證治明條) in Song dynasty. On the other hand, since Tao Hua(陶華) began to go into the details of cold damage in a narrow sense, most books had followed it. Whereas 11 diseases among 24 diseases of true-cold damage in Introduction to Medicine indirectly came from Lei Zheong Huo Ren Shu(12 diseases), 14 diseases among them were directly derived from Shang Han Zheng Zhi Ming Tiao(16 diseases) and 10 diseases were added containing syndromes of retained fluid and jaundice. The categorization in Introduction to Medicine scarcely adopted except Donguibogam(東醫寶鑑) and Uimunbogam(醫門寶鑑), while the categorization of true-cold damage in a narrow sense was mostly composed of 2 diseases, that is cold damage(傷寒) and wind damage(傷風). Conclusions : Li Chan had fulfilled the total conditions in which the concept, cause, symptoms, prescriptions and prognosis of 24 diseases in true-cold damage were equipped, in order to build up the system and categorization of it. To our regret, his scientific outcome had been hardly referred after his book.

전을(錢乙)의 의학사상(醫學思想)에 관(關)한 연구(硏究) (A Study on Qian Yi(錢乙)'s Medical Though)

  • 오준환;김기욱;박현국
    • 한국의사학회지
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    • 제14권2호
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    • pp.109-152
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    • 2001
  • Throughout this paper, I adjusted the study of 'Qian Yi'(錢乙)'s Medical Thought, and the following is the summary. 1. 'Qian Yi' wrote 'Xiao Er Yao Zheng Zhi Jue'("小兒藥證直訣", edited by 誾季忠), and there were 'Shang Han Lun Zhi Wei'("傷寒論指微"), 'Ying Ru Lun', however those are loss of the record. 2. Qian Yi's 'Zhi Jue'("直訣") was influenced by 'Lu Xin Jing', yet if we compare the quality of 'Sheng Li, Byeng Li, Bang Jae'(生理, 病理, 方劑), 'Lu Xin Jing' cannot be the foundation of 'Zhi Jue'. He took over 'Nei Jing, Shang Han Lun, Jin Gui Yao Lue, Shen Long Ben Cao Jing, Tai Ping Sheng Hui Fang'("內經", "傷寒論", "金?要略", "神膿本草經", "太平聖惠方") and put them together to the direct clinical experiences of pediatrics. 3. There is no reference regarding the difficulties of pediatric diagnosis and diseases in 'Huang Di Nei Jing'("黃帝內經") Before 'Bei Song'(北宋), regardless of the lack of data related to pediatric diseases, 'Qian Yi' established the pediatric system in 'Xiao Er Yao Zheng Zhi Jue' for the first time. 4. In his diagnosis of the pediatric diseases, he 'Si Zhen He Can'(四診合參), also considered in the eye exam seriously. In addition, he closely combined 'Wu Zang Bian Zheng'(五臟辨證), and diagnosis the pediatric diseases. 5. 'Wu Zang Bian Zheng', what Qian established method was based on 'Zheng Ti Guan'(整體觀) in 'Huang Di Nei Jing'. It was based on clinical experiences and established the perspectives of 'Tian Ren Xiang Ying'(天人相應). First of all, he pinpointed 'Zhu Zheng'(主證) clearly. Secondly, he pinpointed the relationships to symptoms and then, he distinguished a generic character of 'Xu, Shi, Han, Re'(虛, 實, 寒, 熱). Finally, he made an induction from genealogical pediatric physiology. 6. 'Qian Yi' took a serious view of 'Ban Zhen'(斑疹), the inadequate field in those days. At that time, he criticized on the habituation of the misuse of medication. He treated separately which 'Ji Jing'(急驚) as 'Liang Xie'(凉瀉) and 'Man Jing'(慢驚) as 'Wen Bu'(溫補). He proposed 'Cong Gan Zhu Feng, Xin Zhu Jing'(從肝主風, 心主驚) theory and formulated 'Jing Feng'(驚風) theory as well. 7. As an opponent of a tendency to misusage of medicine, 'Qian Yi' made out a prescription with pliant medicine. He emphasized on the treatment to 'Gong Bu Shang Zheng, Bu Bu Zhi Xie, Xiao Bu Jian Shi'(攻不傷正, 補不滯邪, 消補兼施) because he had so lucid demonstration to 'Xu Shi Han Re'(虛實寒熱) of the five viscera in the field of 'Bang Yak'(方藥). 8. There were no pediatrics schools at that time, however, the pediatrics was being made up gradually by 'Jin Yuan Si Da Jia'(金元四大家) who was influenced by 'Qian Yi'. He raised an objection to medical treatment using pliant medicine. 'Qian Yi' applied 'Qu Xia'(驅下) treatment using 'Han Liang'(寒凉) medicine. 'Han Liang Pai'(寒凉派) is greatly influenced by Qian. 'Chen Wen Zhong'(陳文中) had a great impact on 'Han Liang Pai' who used a 'Zao Shu Wen Bu'(燥熟溫補) medicine for treatment. Since 'Song Jin'(宋金), he had a tremendous influence on pediatrics treating patients in both 'Han Wen'(寒溫) ways. 9. 'Qian Yi' had an influence on his medical thoughts on future generations, especially to 'Wan Quan'(萬全) of 'Ming Dai', 'Wu Tang'(吳塘) of 'Qing Dai'(淸代) and 'Yun Shu Jie'(?樹珏) of 'Min Guo'(民國). 'Wan Quan' is an advocate of 'You Yu, Bu Zu Zhi Shuo'(有餘, 不足之說)of 'Xiao Er Wu Zang'(小兒五臟) that he revealed Qian's 'Wu Zang Bian Zheng'(五臟辨證). 'Wu Tang' disclosed Qian's 'Xiao Er Ti Zhi Shuo'(小兒體質說) and 'Xiao Er Ke'(小兒科)'s 'Yong Yao Lun'(用藥論), therefore, he uncovered pediatric physiological characteristics through the advocate of Qian's 'Zang Fu Rou Ruo, Ji Gu Nen Qie, Yi Xu Yi Shi, Yi Han Yi Re' (臟腑柔弱, 肌骨嫩怯, 易虛易實, 易寒易熱). 'Yun Shu Jie' developed intrinsic relationships among time, symptom and 'Tian Ren Xiang Ying Guan'(天人相應觀), What 'Qian Yi' stated about them. And also, he developed Qian's 'Di Huang Wan'(地黃丸), 'Xie Qing Wan'(瀉靑丸), 'Yi Huang San'(益黃散) clinical usages as well. 10. Regarding Qian's 'Wu Zang Xu Shi'(五臟虛實), it has an influence on 'Zhang Yuan Su'(張元素)'s 'Zang Fu Bing Ji Bian Zheng'(臟腑病機辨證). 'Di Huang Wan', 'Xie Qing Wan', 'Xie Xin Tang'(瀉心湯), 'Yi Huang San', 'Xie Huang San'(瀉黃散) are the standard prescription of 'Wu Zang Bu Xie'(五臟補瀉). It is under the influence of Qian's treatment. Besides, 'Qian Yi' took a serious view of 'Xiao Er'(小兒)'s 'Pi Wei'(脾胃). 'Qian Yi' had an impact on 'Li Dong Yuan'(李東垣) one of the member of 'Bu Tu Pai'(補土派). 'Di Huang Wan', which placed great importance on 'Bu Yi Shen Yin'(補益腎陰), had a great impact on 'Da Bu Yin Wan'(大補陰丸) and 'Jin Yuan Si Da Jia' as well. 11. In a theory of Qian's 'Wu Zang Bian Zheng', though it had been stated clearly in 'Wu Zang Bian Zheng', but he neglected in 'Liu Fu Bian Zheng'(六腑辨證). In prescription field, The problem with the medicine is that it is either toxic or mineral, therefore, we are not able to use those medicine in a clinical testing at the present time.

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고전콘텐츠에 나타난 공(公)개념의 재해석 (Reinterpretation of the Concept "Publicity" in Ancient Classics of Asia)

  • 박성준
    • 한국콘텐츠학회논문지
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    • 제9권8호
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    • pp.367-375
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    • 2009
  • 본 논문은 동양 고전에서 담고 있는 '공(公)'개념을 분석 정리하는 것을 목표로 하고 있다 고전 콘텐츠인 '시경(詩經)', '맹자(孟子)', '윤언(論語)', 晦菴集(회암집)', '日知錄(일지록)' 등을 통해 '공(公)'개념을 접근했다. 본 논문은 '시경(詩經)'에서는 통치영역으로서 '공(公)', 공자익 '윤언(論語)'를 통해서는 종법적 질서로서 '공(公)', '공자(孟子)'에서는 군주의 권위로서 공(公), 주자의 '회암집(晦菴集)'에서는 정치적 지배영역으로서 공(公),고염무의 '일지록(日知錄)'은 공사(公私)의 일원성으로서 공(公)으로 각각 나누고 '공(公)'개념을 재해석하고자 했다.