“脾爲生痰之源, 肺爲貯痰之器.”의 의미에 대한 고찰
A Study on the Meaning of “Pi(脾) is the source of the phlegm and lung is the container of the phlegm.”
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
연구목적 : “脾爲生痰之源, 肺爲貯痰之器.”는 痰의 생성과 저장에 있어서 장부의 생리, 병리를 기반으로 인식한 문장으로 널리 알려져 있다. 하지만 지금까지 이 문장이 구체적으로 어떤 기전을 가리키고 있는지 설명하는 연구가 부족하다고 생각되어 이 문장의 의미를 살펴보고자 하였다. 연구방법 : 의서DB 등을 검색하여 역대 의서의 관련 내용을 검토하고, 이 문장의 의미를 찾아보고자 하였다. 먼저 “脾爲生痰之源, 肺爲貯痰之器.”의 원 출전에서 나타난 의미를 살펴보았고, 두 문장을 각각의 구절을 나누어서 살펴본 후에 두 구절의 관련성을 연구하여 이 문장의 정확한 의미를 파악하고자 하였다. 연구결과 : 이 문장의 원 출전은 『本草綱目』인데 脾, 肺의 이상으로 담이 있는 해수가 나타남을 말한 것이다. 이후 이 문장을 바탕으로 脾爲生痰之源과 肺爲貯痰之器에 대한 이견이 나타났는데, 生痰之源은 腎, 貯痰之器는 胃로 보는 주장이 있었다. 脾의 운화기능 이상이 나타나는 脾虛는 腎虛에 근본하므로 腎은 生痰之本이라고 볼 수 있다. 痰이 전신에 퍼지는 것으로 볼 때 胃를 貯痰之器라고 보기는 어렵다. 연구결론 : 痰의 생성과 저장에 대한 기전은 腎氣가 허하여 脾의 運化기능이 실조하면 수액이 체내에 정체하여 濕, 痰, 飮 등의 병리산물이 생성된다. 이것을 腎爲生痰之本, 脾爲生痰之源이라고 표현할 수 있다. 이때 脾가 肺로 散精하는 과정에서 痰이 肺에 들어가거나 혹은 脾가 肺에 영향을 미치면서 肺에서 氣機가 불리해지면서 痰이 만들어지고 저장된다. 이것을 ‘肺爲貯痰之器’라고 하는 것이다.
Abstract
Objectives : The teaching which states, "Pi is the source of the phlegm and lung is the container of the phlegm" is a sentence that is regarded to have been based on the understanding of the production and container of phlegm based on physiology and pathology of viscera and bowels. However, the author's suspicion that this sentence has not received enough research as to truly understand its meaning has led to further study into this sentence. Methods : Medical book database was searched and historic medical books were reviewed in order to understanding the true meaning of this sentence. First, the meaning of the sentence was pondered upon based on how it was introduced in the original text, and each of the two parts of the sentence were closely analyzed for its relations in order to get a clear meaning of the sentence. Results : The source of this sentence is Bencaogangmu, and it describes the phenomenon of cough in the phlegm appearing more than that from pi and lungs. Later, some disagreements on this sentence developed, claiming that kidney is the source of phlegm whereas stomach is the container. Pi deficiency derives from abnormality in the transportation and transformation of pi, and it originates from kidney deficiency. Thus, kidney can be understood as the origin of phlegm. When phlegm is dispersed all around the body, it's difficult to see the stomach as a container of the phlegm. Conclusions : The pathology of the production and container of phlegm is that deficiency in kidney qi leads to the malfunction of transportation and transformation of pi, and this creates the bodily fluid to become stagnant, making pathological products such as dampness, phlegm, and retained fluid. This can be expressed as "Kidney is the origin of the phlegm, and pi is the source of the phlegm." Here, phlegm is created and stored either when phlegm enters the lungs in the process of pi dissipating into the lungs, or when pi affects the lungs which inhibits the pi movement in the lungs. This is the true meaning of "lung is the container of the phelgm."
참고문헌 (42)
- Chen NZ, "Yixuecongzhonglu" (1996), Zhongguozhongyiyao Press
- Chen Y, "Yujiayanyixuequanshu Yimenfalu, Yuyicao" (2003), Zhongguozhongyiyao Press
- Dai YL, "Michuanzhengzhiyaojuejileifang" (2006), People's Medical Publishing House
- Gu TL, "Xuxiusikuquanshu v.1029. Taidingyangshengzhulun" (2002), Shanghaigujichubanshe
- He QH, "Zhonghuayishujicheng Diershiqice. Zhengzhihuibu" (1999), Zhongyigujichubanshe
- Hong WS, "Jeonggyohwangjenaegyeong Somun" (1985), Publisher of Institute of Oriental Medicine
- Huang DL, "Shifanggekuo" (1984), Fujian Science and Technology Publishing House
- Jeong CH, "Jeungchisimjeonyeokjoo" (2016), Kyunghee University Communication and Press
- Kim JB, "Gumgueyolyakbyeonseok" (2003), Hanimunhwasa
- Kou ZS, "Bencaoyanyi" (1990), People's Medical Publishing House
- Korean medical pathology textbook compilation committee, "Korean medical pathology" (2012), Hanimunhwasa
- Lei F, "Shibinglun" (1986), People's Medical Publishing House
- Li C, "Singyopyeojueuihakipmun" (1996), Daeseongmunhwasa
- Li SB, "Zhongyitanbingxue" (2004), Xueyuanchubanshe
- Li ZY, "Zhangjingyueyixuequanshu Jingyuequanshu" (1999), Zhongguozhongyiyao Press
- Li ZZ, "Yizongbidu" (2005), Zhongguozhongyiyao Press
- Liu WS, "Suwenbingjiqiyibaomingji" (1998), Zhongyigujichubanshe
- Liu ZH, "Lishizhenyixuequanshu Bencaogangmu" (1999), Zhongguozhongyiyao Press
- Na CS, "Hanihakconggang" (2013), Euiseongdang
- Nanjingzhongyixueyuan, "Zhubingyuanhoulunjiaoshi" (2009), People's Medical Publishing House
- Qiu JS, "Zhengbuzhenbenyishujicheng Diershisance Zazhulei(shang) Yideji, Diershiyice Yi'anlei(zhong) Wangxugaolinzhengyi'an" (1976), Hanseongsa
- Sheng WZ, "Xuelizhaiyixuequanshu. Neikezhaiyao" (1999), Zhongguozhongyiyao Press
- Tao HJ, "Mingyibielu(Jijiaoben)" (1986), People's Medical Publishing House
- Wang L, "Mingyizazhu" (1995), People's Medical Publishing House
- Wang Q, "Zhongyicangshangxue" (1997), People's Medical Publishing House
- Wu C, "Bujuji" (2002), People's Medical Publishing House
- Zhao J, "Shengjizonglu shangce" (1992), People's Medical Publishing House
- Zhou XH, "Beijing" (1997), Zhongguozhongyiyao Press
- Zhao XK, "Yiguan" (1982), People's Medical Publishing House
- Zhang YQ, "Wuxizhangyuqingxiangshengyi'an" (1935), Shanghaicuiyingshuju
- Zhou ZH, "Danxixinfa" (2006), People's Medical Publishing House
- Chen M, "Lun"ganyiweishengtanzhiyuan"", Journal of Gansu College of Traditional Chinese Medicine, 22(5) (2005)
- Jiang ZD, "Feiweizhutanzhiqichuyi", Liaoning Journal of Traditional Chinese Medicine, 30(10) (2003)
- 김진호, "溫補學派 5人의 痰飮 인식에 대한 연구", 동의생리병리학회지, 26(6), pp.864~868 (2012), 한의병리학회
- Li GS, ""Feiweizhutanzhiqi"bian", Zhejiang Journal of Traditional Chinese Medicine, 43(7) (2008)
- Li XQ, "Shengtanzhiyuanfeidupiye", Henan Traditional Chinese Medicine, 26(6) (2006)
- Lin JH, "Qiantan"Wuzangzhibingjuneng shengtan"", Guangxi Journal of Traditional Chinese Medicine, 10(4) (1987)
- Wang LW, "The Establishion of Rats Model with Phlegm Retention in the Lung Based on "Spleen is the Source of Phlegm, and Lung is the Storage of Phlegm"", Masters, pp.2010
- Wang Y, "The Research on the Theory of Correlation between Spleen and Lung Within TCM Theory", Masters, pp.2009
- Zhang ZM, "Chuyi"Weiweizhutanzhiqi"", Chinese Journal of Basic Medicine in Traditional Chinese Medicine, 16(7) (2010)
- "Daoyiwang <Caorenboyi'anlun>"[URL]
- "The SAT Daizokyo Text Database"[URL]