血結胸에 대한 考察

Abstract

Objectives : The purpose of this paper is to study the origin, mechanism, category of Chest bind with static blood(血結胸), the relation to the syndrome of Heat entering the blood chamber(熱入血室證), and the comparison with Chest bind(結胸). Methods : Sikuquanshu(四庫全書), a comprehensive range of medical books, and Shanghanlun(傷寒論) annotation books were searched by ‘Chest bind with static blood’ keyword and analyzed. Results & Conclusions : 1. The syndrome of Chest bind with static blood is first brought up by ZhuGong(朱肱) and it can be derived from the syndrome of Heat entering the blood chamber or can be shown in upper middle lower energizer Stagnated Blood Syndrome(上中下焦蓄血證, SBC). Ever since the publication of Shanghanquanshengji(傷寒全生集), its category was expanded and prescriptions for the SBC were used. 2. In comparison, the cause of Chest bind with static blood is associated with blood heat(血熱), largely connected with blood, mental illness appeared, lesions are usually chest and sides, and the cause of Chest bind is associated with intermingled water heat(水熱) or phlegm heat(痰熱), not connected with blood, mental illness not appeared, lesions are from the beneath the heart to lower abdomen. 3. The syndrome of Chest bind with static blood derived from the syndrome of Heat entering the blood chamber can appear along side with the Liver Meridian associated with blood chamber or appear in chest, the syndrome appeared in upper energizer SBC can be shown in the chest due to gravity, the one appeared in middle energizer SBC can be shown in the chest due to the same level, the one appeared in lower energizer SBC can be shown in the chest due to the constitutional predisposition of YangQi(陽氣) uprise.