『黃帝內經』의 腦髓消爍에 대한 小考
A Study on Naosuixiaoshuo in Huangdineijing
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Objectives : 『黃帝內經』에 나타난 腦髓消爍과 관련된 내용들을 살펴보고 그 원인, 기전, 예후, 증상표현들을 고찰해 보았다. Methods : 『黃帝內經』 가운데 腦髓消爍과 관련된 조문들을 찾고 해당 내용에 대한 여러 주가들의 주석을 참고로 하여 腦髓消爍의 의미와 특징들을 규명해보았으며, 현대의학의 관련 병증들과 비교하여 상호 유사성을 살펴보았다. Results : 腦髓消爍은 腦의 實質이 줄어드는 병변으로 죽음에까지 이를 수 있는 위중한 병증이다. 精과 液의 부족으로 인한 陰虛가 주요 원인이며 외부로부터 邪氣가 침입하거나 자극이 들어올 경우에 촉발된다. 또한 현대의학의 뇌위축 또는 뇌척수액 이상의 질환들과 일부 유사성이 보인다. Conclusions : 腦髓消爍은 補陰을 위주로 津液 생성에 관여하는 脾와 藏精을 담당하는 腎을 다스리는 치료를 시행해야 하며, 외부의 邪氣나 자극 등이 骨髓를 손상시키지 못하도록 예방하는 것이 중요하다.
Abstract
Objectives : The paper reviews the texts related to Naosuxiaoshuo in Huangdineijing, and investigates its cause, mechanism, prognosis and symptom expressions. Methods : The paper searches for the texts within Huangdineijing that deal with Naosuxiaoshuo, and tries to clarify the significance and the characteristics of Naosuxiaoshuo using the annotators comments regarding this issue. Moreover, the paper tries to search for similarities between the symptoms of Naosuxiaoshuo and the relevant diseases in modern medicine. Results : Naosuxiaoshuo is a serious disease where the diminishing of the brain's parenchyma can even lead to death. The cause is yin-deficiency based on the lack of vital essence and body fluid, and it also can be caused by the external pathogen or other stimulations. Moreover, it shows some similarities with brain atrophy and cerebrospinal fluid diseases. Conclusions : Naosuxiaoshuo should be treated with a focus on yin-tonifying dealing with spleen related to production of body fluid and the kidney related to storage of vital essence. It is also important to prevent external pathogens or stimulations damaging the bone marrow.
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