『臟腑標本虛實寒熱用藥式』의 標本病 구분에 대한 考察

Abstract

Zhang Yuan-Su(張元素) was a doctor of the Jin(金) period, who was followed by LiDong-Yuan(李東垣) and Wang Hao-Gu(王好古), creating the Yishui School(易水學派). The mostnotable aspect of his theory is the internal organs(臟腑)-based diagnostic system. He organizedprevious methods based on the internal organs and applied the same methodology in treatmentas well. The Zangfu-biaoben-xushi-hanre-yongyaoshi(臟腑標本虛實寒熱用藥式) is one of his majorpublications in which diagnostic and treatment methods are organized in a simple manner. In thisbook, the diseases of the organs are divided into the tip and root(標本). This paper investigatesthe standards of categorizing tip and root diseases through analysis of all symptoms of both tipand root diseases of the five internal organs. Then the results of the analysis were used ingrasping the similarities and tendencies of the root disease and tip disease. Conclusively, rootdiseases indicate disorder in the internal organs themselves. Tip diseases indicate disorder inthe channels and collaterals, diseases caused by exterior pathogens or symptoms that manifestin the exteriors of the body. Such categorization is thought to have been established toeliminate diagnostic error that could occur from using the same expressive means in describingsymptoms with different causes, in the process of forming an uncomplicated diagnostic system.