瘧疾의 種類와 病因‧病機에 대한 考察
A Study on the Kinds(種類), Causes(病因) and Mechanisms(病機) of Malaria(瘧疾)
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Objective : Malaria(瘧疾) is a disease that's main symptom is paroxysm - a cyclical occurrence ofsudden coldness followed by rigor and then fever. Since the introduction of the causeand mechanism of malaria(瘧疾) in the Suwen(素問), including Cold malaria(寒瘧), Warmmalaria(溫瘧), Heat malaria(癉瘧) and Wind malaria(風瘧), there has been over 20different kinds of malaria, each of which are introduced in multiple medical texts. Method : Through comparison between Suwen(素問) and other medical texts, the categories,causes and mechanisms of malaria can be analysed and organized to overview thewhole feature of it. Results & Conclusion : External pathogens of malaria(瘧疾) are wind(風), cold(寒), summerheat(暑), dampness(濕), miasmic toxin(瘴), pestilence(疫), ghost(鬼). Internal pathogens ofmalaria(瘧疾) are dietary irregularities(飮食不節), overexertion and fatigue(勞倦),phlegm(痰), seven emotion(七情). Malaria can be categorized into four groups accordingto the pathological mechanism that leads to paroxysm. They are latency of disease(伏氣), external contraction(外感), internal damage(內傷), and combination of disease(合病). Malaria-Paroxysm(瘧疾發作) occurs when the three following factors collide strongly :defense qi(衛氣), latent qi(伏邪) and external pathogen(新邪). When collision of thethree factors takes place in the interior(裏), the body experiences chills. When it takesplace in the exterior(表), the body experiences fever. The cyclical occurrence ofMalaria-Paroxysm follows the circulation of defense qi.
Abstract
Objective : Malaria(瘧疾) is a disease that's main symptom is paroxysm - a cyclical occurrence ofsudden coldness followed by rigor and then fever. Since the introduction of the causeand mechanism of malaria(瘧疾) in the Suwen(素問), including Cold malaria(寒瘧), Warmmalaria(溫瘧), Heat malaria(癉瘧) and Wind malaria(風瘧), there has been over 20different kinds of malaria, each of which are introduced in multiple medical texts. Method : Through comparison between Suwen(素問) and other medical texts, the categories,causes and mechanisms of malaria can be analysed and organized to overview thewhole feature of it. Results & Conclusion : External pathogens of malaria(瘧疾) are wind(風), cold(寒), summerheat(暑), dampness(濕), miasmic toxin(瘴), pestilence(疫), ghost(鬼). Internal pathogens ofmalaria(瘧疾) are dietary irregularities(飮食不節), overexertion and fatigue(勞倦),phlegm(痰), seven emotion(七情). Malaria can be categorized into four groups accordingto the pathological mechanism that leads to paroxysm. They are latency of disease(伏氣), external contraction(外感), internal damage(內傷), and combination of disease(合病). Malaria-Paroxysm(瘧疾發作) occurs when the three following factors collide strongly :defense qi(衛氣), latent qi(伏邪) and external pathogen(新邪). When collision of thethree factors takes place in the interior(裏), the body experiences chills. When it takesplace in the exterior(表), the body experiences fever. The cyclical occurrence ofMalaria-Paroxysm follows the circulation of defense qi.
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