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少陰人 太陰病 心下痞證의 病證藥理 고찰

A Study on the Pathology and Therapeutics of Epigastric Discomfort in the Soeumin Taeeum Symptomatology

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초록

1. Objective Gastric Stuffiness(心下痞證) in the Soeumin Taeeum symptomatology(少陰人 太陰病) in Sasang Constitutional Medicine shows an interesting evolutionary process. Originally found in the texts of Sanghanlun (傷寒論), the perspectives regarding the symptoms of Gastric Stuffiness were expanded by many medical scholars and Lee Jema. To comprehend the Jema's concept of Taeeum symptomatology and utilize his prescription clinically, it deserves to study on the Gastric Stuffiness in Donguisuseowon (東醫壽世保元). 2. Methods Many texts including Sanghanlun (傷寒論) and Dongeuibogam (東醫寶鑑) were reviewed in order to track the evolutionary process concerning the symptoms of Gastric Stuffiness. Also, Lee Jema's works including the different versions of Donguisuseowon (東醫壽世保元) were reviewed to examine the development of Lee's concepts regarding the Gastric Stuffiness in the Soeumin Taeeum symptomatology. 3. Results and Conclusions 1) Most of the previous concepts on Gastric Stuffiness were generally similar to those found in Sanghanlun, especially in that they addressed Yang deficiency of the middle triple energizeer as the central pathogenic process. 2) Lee Jema's views on the epigastric discomfort in the Soeumin Taeeum symptomatology evoloved over time and culminated in the finalized pathology and therapeutics appearing in his last work, the Shinchuk version of Donguisuseowon (東醫壽世保元). 3) 4 kinds of prescription which invented by Lee Jema to treat the Gastric Stuffiness in the Soeumin Taeeum symptomatology can be matched to the prescription of Sanghanlun respectively. However through evolutionary process of Jema‘s prescriptions, the indication of them expanded: not only to treat Gastric Stuffiness but to diverse symptoms of Soeumin.

Abstract

1. Objective Gastric Stuffiness(心下痞證) in the Soeumin Taeeum symptomatology(少陰人 太陰病) in Sasang Constitutional Medicine shows an interesting evolutionary process. Originally found in the texts of Sanghanlun (傷寒論), the perspectives regarding the symptoms of Gastric Stuffiness were expanded by many medical scholars and Lee Jema. To comprehend the Jema's concept of Taeeum symptomatology and utilize his prescription clinically, it deserves to study on the Gastric Stuffiness in Donguisuseowon (東醫壽世保元). 2. Methods Many texts including Sanghanlun (傷寒論) and Dongeuibogam (東醫寶鑑) were reviewed in order to track the evolutionary process concerning the symptoms of Gastric Stuffiness. Also, Lee Jema's works including the different versions of Donguisuseowon (東醫壽世保元) were reviewed to examine the development of Lee's concepts regarding the Gastric Stuffiness in the Soeumin Taeeum symptomatology. 3. Results and Conclusions 1) Most of the previous concepts on Gastric Stuffiness were generally similar to those found in Sanghanlun, especially in that they addressed Yang deficiency of the middle triple energizeer as the central pathogenic process. 2) Lee Jema's views on the epigastric discomfort in the Soeumin Taeeum symptomatology evoloved over time and culminated in the finalized pathology and therapeutics appearing in his last work, the Shinchuk version of Donguisuseowon (東醫壽世保元). 3) 4 kinds of prescription which invented by Lee Jema to treat the Gastric Stuffiness in the Soeumin Taeeum symptomatology can be matched to the prescription of Sanghanlun respectively. However through evolutionary process of Jema‘s prescriptions, the indication of them expanded: not only to treat Gastric Stuffiness but to diverse symptoms of Soeumin.

참고문헌 (8)

  1. Lee JM, "Donguisusebowon(8th edition)" (1998), Daesung Publication
  2. Kim DH, "Modern Sanghanlun" (2005), Hanuimunhwasa
  3. Heo-Joon, "Donguibogam" (2002), Bubinbooks
  4. The National University Union of Sasang Constitutional Medicine Department, "Sasang Constitutional Medicine Revised Edition", pp.224~234 (2004), Jipmoondang
  5. 한경석, "少陰人 藥理의 形成過程 관한 硏究- 甲午本과 辛丑本을 중심으로 -", 사상체질의학회지, 18(2), pp.15~24 (2006), 사상체질의학회
  6. Lee SK, "The Study about The discourse on the Constitutional Symptoms and Diseases of Sasangin on the Dongyi Suse Bowon", J Sasang Constitut Med, 11(2), pp.195~203 (1999)
  7. Bae HS, "The Study on the formative process of Soeumin Prescription", J Sasang Constitut Med, 14(1), pp.10~25 (2001)
  8. 석재화, "少陰人 藿亂 病證에 대한 考察-(東武遺稿, 東醫壽世保元 草本卷, 甲午本, 辛丑本을 중심으로)", 사상체질의학회지, 17(2), pp.92~98 (2005), 사상체질의학회

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