『東醫壽世保元』「病證論」의 ‘素證(素病)’에 대한 고찰

Abstract

Hamsansachon Dongyi Suse Bowon Gabogubon』, discovered in 2000, can give very precious information in order to study the formation and development process of 『Dongyi Suse Bowon』「The Discourse on the Constitutional Symptoms and Disease」. I examined, by comparison, changes in understanding pathology explained in 『Dongyi Suse Bowon』「The Discourse on the Constitutional Symptoms and Disease」of Gabobon and Sinchukbon, and consequently tried to define the concept of Dispositional Symptom(Dispositional disease) as below, in a point of view that ‘Dispositional Symptom(Dispositional disease)’ should be the key word in explaining the changes in understanding of pathology. Dispositional Symptom(dispositional disease) is a new concept that was first troduced in the Kyongjabon, not found in the Gabobon, and that played a key role in editing 『Dongyi Suse Bowon』「The Discourse on the Constitutional Symptom and Disease」. Dispositional Symptom(dispositional disease) means an innate temperament or a pathological tendency, which is already constructed in the system of an individual, prior to expression of specific diseases and symptoms, and can be a primary basis to tell the susceptibility and developing pattern of a certain disease, to decide how to treat and forecast the prognosis. Sinchukbon inductively categorized symptoms of the dispositional symptom (dispositional disease) into the concept of “Eight principles”, or eight standards of diagnosis, such as superficies-interior, cold-heat, and weakness-strength.