醫學心悟로 살펴본 傷寒 陽明病의 分析과 두 가지 獨創的 主張에 대한 고찰 : (程氏)葛根湯 創方과 胃腑出入 發明을 中心으로
Classification of Shanghan Yangming Disease (傷寒 陽明病) and Two Unique Inventions Analyzed in the ≪Yixuexinwu (醫學心悟)≫
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Objective: Yixuexinwu (醫學心悟), authored by Cheng Guopeng (程國彭) in 1732, is a comprehensive medical compendium integrating historical medical theories and clinical experience. This study analyzed Yixuexinwu to examine Cheng's classification of Yangming disease (陽明病), one of the six categories of Shanghan disease (傷寒病), and identified an original prescription and a theoretical innovation. Results and Conclusions: 1. Cheng classified Yangming disease (傷寒 陽明病) into Yangming Meridian disease (傷寒 陽明 經病) and Yangming bowel disease (傷寒 陽明 腑病). 2. For Yangming Meridian disease (傷寒 陽明經病), he applied classical prescriptions-Galgeun Tang (Radix Puerariae Decoction, 仲景 葛根湯) and Seungma Galgeun Tang (Decoction of Rhizoma Cimicifugae and Radix Puerariae, 升麻葛根湯)-and further developed a new prescription, Cheng's Galgeun Tang ((程氏) 葛根湯), by adding herbs introduced after Shanghan Lun (傷寒論) to target this condition specifically 3. Regarding Yangming bowel disease (傷寒 陽明腑病), Cheng argued that, although pathogenic mechanisms (entrance pathways) may vary, the therapeutic mechanism (exit pathway) is solely purgative therapy (下法)
Abstract
Objective: Yixuexinwu (醫學心悟), authored by Cheng Guopeng (程國彭) in 1732, is a comprehensive medical compendium integrating historical medical theories and clinical experience. This study analyzed Yixuexinwu to examine Cheng's classification of Yangming disease (陽明病), one of the six categories of Shanghan disease (傷寒病), and identified an original prescription and a theoretical innovation. Results and Conclusions: 1. Cheng classified Yangming disease (傷寒 陽明病) into Yangming Meridian disease (傷寒 陽明 經病) and Yangming bowel disease (傷寒 陽明 腑病). 2. For Yangming Meridian disease (傷寒 陽明經病), he applied classical prescriptions-Galgeun Tang (Radix Puerariae Decoction, 仲景 葛根湯) and Seungma Galgeun Tang (Decoction of Rhizoma Cimicifugae and Radix Puerariae, 升麻葛根湯)-and further developed a new prescription, Cheng's Galgeun Tang ((程氏) 葛根湯), by adding herbs introduced after Shanghan Lun (傷寒論) to target this condition specifically 3. Regarding Yangming bowel disease (傷寒 陽明腑病), Cheng argued that, although pathogenic mechanisms (entrance pathways) may vary, the therapeutic mechanism (exit pathway) is solely purgative therapy (下法)