問診에 대한 서지학적 고찰

Abstract

Objectives : The treatment starts with physical examination. The four examinations(四診) is a method to examine the disease. The books on history of diagnostics about it contained substantial contents about inspection(望診) and palpation including pulse taking(切診), while they contained little contents about auscultation(聞診) and interrogation or questioning(問診) relatively. For this reason, this study was conducted as on interrogation first of all. Methods : I looked into the contents related to interrogation that were scattered in plenty of books. There were chapters of specialty in interrogation since the Ming dynasty, so I looked into these chapters in chronological order. Results & Conclusions : The level of the contents of interrogation prior to the Ming dynasty were rudimentary and recapitulative. However, there was a turning point by three kinds of books appeared in the Ming dynasty. Yixuerumen·Wenzheng dealt with detailed contents. Yixuezhunshengliuyao·Wenbingbixiang extended the range of contents. Jingyuequanshu·Shiwenpian systematized Eight Principle Pattern Identification(八綱辨證) with increase of contents. Since then, books of the Qing Dynasty were mostly based on three kinds of books ahead. Among these, Yimenfalu·Yimingwenbingzhifa(醫門法律·一明問病之法) and Xingsewaizhenjianma·wenfa(形色外診簡摩·問法) mentioned the importance of a succinct interrogation that hit the mark and Yibian·Yiwenzheng dealt with another detailed contents unlike the previous books based on substantial contents.