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小兒藥證直訣의 醫案에 나타난 錢乙의 의학사상에 관한 연구

A Study on the Medical Records and Qian Yi(錢乙)‘s Medical Thought in ≪Xiao Er Yao Zheng Zhi Jue≫

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Objectives The Medical record consist of symptoms, the cause of a disease, diagnostic studies, medical treatment, prescription, and so on. Doctors can use medical records as data for diagnosis, treatment, and education. Therefore, medical records are beneficial. Methods Translating ≪Xiao Er Yao Zheng Zhi Jue≫ into modern Korean, and studying the medical records of Qian Yi(錢乙)’s Medical concept in ≪Xiao Er Yao Zheng Zhi Jue≫ were examined. Results Regarding the diagnosis of the pediatric diseases, Si Zhen He Can(四診合參), consider in the eye exam closely. In addition, he closely combined the concept of Wu Zang Bian Zheng(五臟辨證), and diagnosis the pediatric diseases. Wu Zang Bian Zheng(五臟辨證), what Qian-Yi(錢乙) established method was based on Zheng Ti Guan(整體觀) in Huang Di Nei Jing(黃帝內經). Qian Yi(錢乙) took a close look on Chuang Zhen(瘡疹) which had been an inadequate field in those days. He criticized on the habitual misuse of medications. He treated Ji Jing(急驚) and Man Jing(慢驚) separately; Ji Jing(急驚) as Liang Xie(凉瀉) and Man Jing(慢驚) as Wen Bu(溫補). He proposed Zong Gan Zhu Feng and Xin Zhu Jing(縱肝主風, 心主驚) theory and formulated Jing Feng(驚風) theory as well. He emphasized the treatment to Gong Bu Shang Zheng, Bu Bu Zhi Xie, Xiao Bu Jian Shi(攻不傷正, 補不滯邪, 消補兼施) because he had a clear demonstration to Han Re Xu Shi (寒熱虛實) of the five viscera in the field of Fang yao(方藥). Conclusions Understanding ≪Xiao Er Yao Zheng Zhi Jue≫ and its medical records of Qian Yi(錢乙)’s medical concept had quintessential meaning to both modern pediatrician and oriental medical doctors of all medical fields in treating children.

Abstract

Objectives The Medical record consist of symptoms, the cause of a disease, diagnostic studies, medical treatment, prescription, and so on. Doctors can use medical records as data for diagnosis, treatment, and education. Therefore, medical records are beneficial. Methods Translating ≪Xiao Er Yao Zheng Zhi Jue≫ into modern Korean, and studying the medical records of Qian Yi(錢乙)’s Medical concept in ≪Xiao Er Yao Zheng Zhi Jue≫ were examined. Results Regarding the diagnosis of the pediatric diseases, Si Zhen He Can(四診合參), consider in the eye exam closely. In addition, he closely combined the concept of Wu Zang Bian Zheng(五臟辨證), and diagnosis the pediatric diseases. Wu Zang Bian Zheng(五臟辨證), what Qian-Yi(錢乙) established method was based on Zheng Ti Guan(整體觀) in Huang Di Nei Jing(黃帝內經). Qian Yi(錢乙) took a close look on Chuang Zhen(瘡疹) which had been an inadequate field in those days. He criticized on the habitual misuse of medications. He treated Ji Jing(急驚) and Man Jing(慢驚) separately; Ji Jing(急驚) as Liang Xie(凉瀉) and Man Jing(慢驚) as Wen Bu(溫補). He proposed Zong Gan Zhu Feng and Xin Zhu Jing(縱肝主風, 心主驚) theory and formulated Jing Feng(驚風) theory as well. He emphasized the treatment to Gong Bu Shang Zheng, Bu Bu Zhi Xie, Xiao Bu Jian Shi(攻不傷正, 補不滯邪, 消補兼施) because he had a clear demonstration to Han Re Xu Shi (寒熱虛實) of the five viscera in the field of Fang yao(方藥). Conclusions Understanding ≪Xiao Er Yao Zheng Zhi Jue≫ and its medical records of Qian Yi(錢乙)’s medical concept had quintessential meaning to both modern pediatrician and oriental medical doctors of all medical fields in treating children.

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