『溫病條辨』에서 『臨證指南醫案』의 온병관련 의안을 변형하고 첨삭한 방법

Abstract

The Wenbing tiaobian(溫病條辨) is the first systematic disease monograph on warm factor disease(溫病), written by Wu Jutong(吳鞠通). It was most influenced by the Linzheng zhinan yian(臨證指南醫案), which was a book of gathering medical case records of Ye tianshi(葉天士). Therefore, there are plenty of quotations from this book in the Wenbing tiaobian. This study investigates the quotations from Linzheng zhinan yian, especially focusing on the way of transformation and correction of the original medical case records on the warm factor disease. The results are as follows: About 104 of 265 provisions in the Wenbing tiaobian were directly quoted from the Linzheng zhinan yian. The provisions quoted from Ye's case records were rearranged according to the categories of the triple burners pattern differentiation(三焦辨證) and the causes of warm factor disease. And every case record was transformed into more general descriptive form in order to put it into the book. For example, the specific figures, and some patients' peculiar symptoms, causes, sex and disease names were omitted. On the other hand, the tongue moss, pulse shape and some symptoms, which were necessary for differentiating patterns, were added. In the case of the formula, some formulas originated from Ye's case records were named newly. And the dose of each herb consisting a formula was determined, and therapeutic principle, taking method and detailed explanation was added to every formula.