『東醫壽世保元』에 나타난 少陰人藏結의 範疇에 대한 考察

Abstract

1. Objective This study aims to establish the concept and classification of the Janggyeol(藏結) pathology introduced in the Sasang Constitutional Medicine literature. 2. Methods Different editions of Dongui suse bowon, including the Gabo version and the Sinchuk version, were compared for differences and similarities in the concept, symptomology, pathology, and therapeutics concerning the Soeumin Janggyeol disease. 3. Results and Conclusion (1) In the Gabo edition, Janggyeol(藏結) is introduced in the "Soeumin Interior Stomach Disease" section and the "Soeumin Summaries" section. However, instead of being included in the interior-based pathology, it is proposed as an independent disease category that is similar to and yet separate from the Taeeumbyeong Simhabiman (epigastric congestion) variations of Sugyeolhyung and Hansilgyeolhyung. Further, passages from the "Soyangin Summaries" section outline the underlying pathology in detail to show that this symptomatic pattern can be included in the exterior-based pathology. (2) In the Sinchuk edition, Janggyeol(藏結) is introduced in the "Soeumin Cold-based Stomach Interior-Cold Disease" section. Similarly to the Gabo classification, it is proposed as an independent disease category not necessarily included in the interior-based pathology that can be compared to the Taeeumbyeong Simhabiman(太陰病 心下痞滿) category. The detailed pathological explanations in the "Soyangin Summaries" section suggest that this disease pattern is included in the exterior-based pathology. (3) Janggyeol(藏結) can be understood as a Taeyangbyeong Wigasil(太陽病胃家實) pathology in the Gabo edition and as a Taeyangbyeong Wigasil(太陽病胃家實) pathology in the Sinchuk edition.