太陰人 病證 分類에 관한 硏究

Abstract

1. Objectives We aimed to propose a sub-classification system for the Taeeumin symptomatology by examining the Taeeumin pathology and symptomatology descriptions appearing in 『Donguisusebowon』. 2. Methods The Gabo Edition and the Sinchuk Edition (the upgraded and revised edition) of 『Donguisusebowon』 were reviewed and examined for relevant information on the Taeeum pathology and symptomatology. 3. Results and Conclusions 1) In the Taeeumin symptomatology, the Exterior disease develops from the basic pathology of Esophagus-Cold and the Interior disease from that of Liver-Heat, eventually progressing to damage of the expirational and dispersive energy of the Lung Sector, the Prime Core Organ or the excessively small organ of the Taeeum constitutional type. The resulting pathology can be broadly defined as the “Lung-Dryness symptomatology”. 2) The case reports introduced in the Exterior disease section, including the Zhang Zhongjing Mahuang-tang treatment,Prolonged-affliction disease treatment, and Exterior disease Pestilential disease treatment, share several points in common. They all arise from the pathology of “weakness in the Lung sector and deficiency in the Exterior sector”, and they can all be assigned to the same symptomatological division that presents with systemic heat and cold intolerance; this symptomatology can be defined as the “Esophagus-Cold symptomatology”, the milder subdivision of the exterior symptomatology. 3) The body of text appearing in the last part of the Interior disease section commonly referred to as the “Taeeumin Conspectus”is in fact not a conspectus when its contents are actually examined. Instead, it can be understood from its pathological and symptomatological descriptions that the passage is explaining the more severe subdivision of the exterior symptomatology that has progressed from Esophagus-Cold to a pathology characterized by damaged expirational and dipersive energy of the Lung Sector. 4) The relocation of the “dry-related pathology” indicates a change in perspective regarding the “Dry-related symptomatology”,which caused the rearrangement of the Interior disease into divisions of Liver-Heat symptomatology that is characterized by fulminant heat pathology and Dry-Heat symptomatology that is also accompanied by Lung-Dryness. 5) The Interior disease Yin-Blood Consumptive symptomatology should be included in the Dry-Heat symptomatology in the pathological scheme. 6) Based on the above, the subdivisions of the Taeeumin symptomatology should be arranged as “Esophagus-Cold symptomatology”and “Lung-Dry-Cold symptomatology” in the Exterior disease and “Liver-Heat symptomatology” and “Dry-Heat symptomatology” in the Interior disease.