본문 바로가기
KERD
논문KCI 등재

울증(鬱證)의 개념 정립에 관한 문헌고찰

A Review on the Concept Establishment of Stagnation Syndrome

정인철|양창섭|김상현|이미영|최유진
대한한방신경정신과학회 (The Korean Society Of Oriental Neuropsychiatry)|2020.06|동의신경정신과학회지 (The Korean Society of Oriental Neuropsychiatry)|제31권 제2호|pp. 121-133|DOI 10.7231/jon.2020.31.2.121

1

조회

0

다운로드

3

인용

0

참고문헌

키워드

Korean medicineDepressive disorderStagnation syndromePsychosomatic disorderSomatic disorder
주제분류한의학

초록

Objectives: The purpose of this study was to identify the meanings and characteristic of the stagnation syndrome, a distinctive clinical syndrome in traditional Korean medicine (KM).Methods: The major ancient Oriental medicine literature, including Huangdi neijing (黃帝內經), Danxixinfa (丹溪心法), and Jingyuequanshu (景岳全書) were examined to identify the semantic change of the stagnation syndrome (鬱證). Also, recently published articles about the stagnation syn-drome were searched from databases including MEDLINE, CENTRAL, KMBASE, KISS, NDSL, and OASIS.Results: The term of stagnation was originally used to describe not flowing and clogged situations, and the stagnation syndrome appeared as an independent syndrome in Danxixinfa. As the etiology became more sophisticated over time, emotional factors were mentioned for one of the causes of the stagna-tion syndrome. However, the major causes and symptoms of the stagnation syndrome were somatic factors. Various articles about stagnation were searched, and most of them used “stagnation” as the KM syndrome subtype of disease, some of them referred to the “stagnation syndrome” as an in-dependent syndrome. The recently defined stagnation syndrome commonly shows distinctive symp-toms of chest stuffiness, and an obstructing sensation in the throat.Conclusions: The semantic changes and characteristics of the stagnation syndrome were examined through searching ancient and modern literature. The meaning of the stagnation syndrome has evolved over time, and at its center, there are somatic and mental symptoms characterized by stagna-tion, distinguished from the depressive disorder.

Abstract

Objectives: The purpose of this study was to identify the meanings and characteristic of the stagnation syndrome, a distinctive clinical syndrome in traditional Korean medicine (KM).Methods: The major ancient Oriental medicine literature, including Huangdi neijing (黃帝內經), Danxixinfa (丹溪心法), and Jingyuequanshu (景岳全書) were examined to identify the semantic change of the stagnation syndrome (鬱證). Also, recently published articles about the stagnation syn-drome were searched from databases including MEDLINE, CENTRAL, KMBASE, KISS, NDSL, and OASIS.Results: The term of stagnation was originally used to describe not flowing and clogged situations, and the stagnation syndrome appeared as an independent syndrome in Danxixinfa. As the etiology became more sophisticated over time, emotional factors were mentioned for one of the causes of the stagna-tion syndrome. However, the major causes and symptoms of the stagnation syndrome were somatic factors. Various articles about stagnation were searched, and most of them used “stagnation” as the KM syndrome subtype of disease, some of them referred to the “stagnation syndrome” as an in-dependent syndrome. The recently defined stagnation syndrome commonly shows distinctive symp-toms of chest stuffiness, and an obstructing sensation in the throat.Conclusions: The semantic changes and characteristics of the stagnation syndrome were examined through searching ancient and modern literature. The meaning of the stagnation syndrome has evolved over time, and at its center, there are somatic and mental symptoms characterized by stagna-tion, distinguished from the depressive disorder.

참고문헌 (57)

  1. Kim YO, "How to do the oriental studies", pp.212~213 (2016), Tongnamu
  2. Committee for Compilation of Encyclopedia of Oriental Medicine, "Encyclopedia of Oriental Medicine", pp.476~477 (1999), Kyunghee Univ Press
  3. Ng SM, "Stagnation as a distinct clinical syndrome: comparing ‘Yu’(stagnation) in traditional Chinese medicine with depression", British Journal of Social Work, 36(3), pp.467~484 (2006)
  4. Ng SM, "A Brief Body-Mind-Spirit Group Therapy for Chinese Medicine Stagnation Syndrome : A Randomized Controlled Trial", Evidence-based complementary and alternative medicine : eCAM, 2018, pp.8153637~ (2018)
  5. Park YM, "Textbook of Depressive disorder", pp.6~15 (2018), Sigma Press
  6. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders (DSM-5Ⓡ)" (2013), American Psychiatric Pub
  7. "2019", 51(10)
  8. World Health Organization, "WHO international standard terminologies on traditional medicine in the western pacific region", ~ (2007)
  9. S X, "Shuowenjiezizhu", pp.271~ (1988), Shanghaiguji Press
  10. H ZZ, "Danxixinfa", pp.172~173 (2013), Shanxikexuejishu Press
  11. T Y, "Yixuezhengzhuan", pp.85~ (1981), Renmin-weisheng Press
  12. Y C, "Sanyinjiyibingzhengfanglun", pp.19~ (1983), Renmin-weisheng Press
  13. L WY, "Shiyidexiaofang", pp.4~ (1996), Zhongguo-zhongyiyao Press
  14. Y LT, "Weishengbaojian", pp.14~ (1987), Renmin-weisheng Press
  15. B ZJ, "Jingyuequanshu", pp.441~442 (1991), Renmin-weisheng Press
  16. Yeung WF, "Prescription of Chinese Herbal Medicine in Pattern-Based Traditional Chinese Medicine Treatment for Depression: A Systematic Review", Evidence-based complementary and alternative medicine: eCAM, 2015, pp.160189~ (2015)
  17. Macpherson H, "Acupuncture for Depression : Patterns of Diagnosis and Treatment within a Randomised Controlled Trial", Evidence-based complementary and alternative medicine : eCAM, 2013, pp.286048~ (2013)
  18. Yu Y, "Efficacy and safety of oral traditional Chinese patent medicine in treatment of liver stagnation and spleen deficiency of depression : A protocol for systematic review", Medicine, 99(7), pp.e19142~ (2020)
  19. Poon MM, "Classification of insomnia using the traditional chinese medicine system : a systematic review", Evidence-based complementary and alternative medicine : eCAM, 2012, pp.735078~ (2012)
  20. Li LH, "Application on combination of traditional Chinese medicine foot bath and foot acupoint massage in the treatment of insomnia patients with stagnation of liver fire type", Chinese modern medicine, 23(27), pp.140~142 (2016)
  21. Zhao JN, "Efficacy and safety of Xinnaoning capsule in treating chronic stable angina(qi stagnation and blood stasis syndrome) : Study protocol for a multicenter, randomized, double-blind, placebo-controlled trial", Medicine, 98(31), pp.e16539~ (2019)
  22. Jia ZH, "Application of entropy-based complex systems partition method in research on quantizing TCM syndrome diagnostic criteria of angina pectoris", Chinese journal of integrated traditional and Western medicine, 27(9), pp.804~806 (2007)
  23. Huang Z, "Quantifying Liver Stagnation Spleen Deficiency Pattern for Diarrhea Predominate Irritable Bowel Syndromes Using Multidimensional Analysis Methods", Evidence-based complementary and alternative medicine : eCAM, 2018, pp.6467135~ (2018)
  24. Stuardi T, "Acupuncture for irritable bowel syndrome: diagnosis and treatment of patients in a pragmatic trial", Journal of alternative and complementary medicine, 18(11), pp.1021~1027 (2012)
  25. Wang JX, "The clinical research of tiaofei shugan jianpi treats irritable bowel syndrome(D-IBS)of Liver Stagnation and Spleen Deficiency Type Patient", master, pp.2009
  26. Ren P, "Effect of modified xiaoyao powder on electrogastrographic picture and pharmacokinetic characteristics of ferulic acid in patients with functional dyspepsia of gan-qi stagnation with pi-deficiency syndrome type", Chinese journal of integrated traditional and Western medicine, 26(5), pp.398~402 (2006)
  27. Hou ZK, "Clinical experience and academic thoughts of Professor LIU Feng-bin on case series of gastroesophageal reflux disease based on data mining", China journal of Chinese materia medica, 43(6), pp.1261~1267 (2018)
  28. Yang J, "iTRAQ-Based Proteomics Identification of Serum Biomarkers of Two Chronic Hepatitis B Subtypes Diagnosed by Traditional Chinese Medicine", BioMed research international, 2016, pp.3290260~ (2016)
  29. Chen ZQ, "Plasma L-ENK, AVP, ANP and serum gastrin in patients with syndrome of Liver-Qi-stagnation", World journal of gastroenterology, 5(1), pp.61~63 (1999)
  30. Ng SM, "Confirmatory factor analysis of the stagnation scale--a traditional Chinese medicine construct operationalized for mental health practice", International journal of behavioral medicine, 19(2), pp.228~233 (2012)
  31. Okitsu R, "Development of a questionnaire for the diagnosis of Qi stagnation", Complementary therapies in medicine, 20(4), pp.207~217 (2012)
  32. Qi W, "Classification and diagnosis basis of nine basic constitutions in Chinese medicine", Beijing university of traditional chinese medicine, 28(4), pp.1~ (2005)
  33. Zhang Y, "Study on early type 2 diabetic cardiomyopathy in TCM constitution identification", Chinese journal of ethnomedicine and ethnopharmacy, 25(24), pp.82~84 (2016)
  34. Xu LZ, "Analysis of TCM constitution characteristics in patients with chronic pharyngitis", Acta chinese medicine, 31(2), pp.285~288 (2016)
  35. Liu M, "The Role of Rumination and Stressful Life Events in the Relationship between the Qi Stagnation Constitution and Depression in Women: A Moderated Mediation Model", Evidencebased complementary and alternative medicine : eCAM, 2017, pp.7605893~ (2017)
  36. Wong W, "Validation of the constitution in Chinese medicine questionnaire : does the traditional Chinese medicine concept of body constitution exist", Evidence-Based Complementary and Alternative Medicine (2013)
  37. 최석영, "六鬱湯加味方과 外治法을 병용한 鬱症으로 변증된 여성 여드름 환자 치험 2례", 대한한방부인과학회지, 28(2), pp.133~142 (2015), 대한한방부인과학회[DOI]
  38. 이상언, "鬱證환자에게 용서프로그램을 활용한 五志相勝療法을 시행하여 호전된 1례", 동의신경정신과학회지, 21(2), pp.201~214 (2010), 대한한방신경정신과학회
  39. 곡경내, "자율훈련법을 시행한 고3수험생 鬱證환자 치험1례", 동의신경정신과학회지, 19(3), pp.245~254 (2008), 대한한방신경정신과학회
  40. 임정화, "독서요법과 뉴로피드백을 시행한 心脾兩虛型 鬱證환자 治驗 1例", 동의신경정신과학회지, 17(2), pp.187~198 (2006), 대한한방신경정신과학회
  41. 최강욱, "移精變氣요법을 시행한 鬱證 환자 1例에 대한 임상고찰", 동의신경정신과학회지, 16(2), pp.233~242 (2005), 대한한방신경정신과학회
  42. Kim BY, "Heart Rate Variability in Kiwooljeung with the Age Group between Twenties and Thirties", Journal of Oriental Neuropsychiatry, 14(2), pp.135~143 (2003)
  43. 김미림, "加味歸脾湯이 經行後期인 여대생들의 기울과 소화장애에 미치는 영향에 관한 연구", 대한한방부인과학회지, 26(2), pp.104~119 (2013), 대한한방부인과학회
  44. 강경, "구강작열감증후군 환자에서 기울과 전중(CV_17)압통의 상관성 - Algometer를 이용한 전중압통의 정량화 측면에서 -", 대한한방내과학회지, 33(4), pp.498~510 (2012), 대한한방내과학회
  45. 한가진, "구취환자의 구강건조감과 스트레스, 기울의 상관성 분석", 대한한방내과학회지, 31(3), pp.488~499 (2010), 대한한방내과학회
  46. 김소연, "구취환자의 구강건조와 기허？기울 변증의 상관성 분석", 대한한방내과학회지, 28(1), pp.97~105 (2007), 대한한방내과학회
  47. 이희영, "불임 환자의 스트레스와 氣鬱에 대한 연구", 대한한방부인과학회지, 18(4), pp.165~182 (2005), 대한한방부인과학회
  48. Professors of Internal Medicine of Liver System in Korean Medicine University, "Internal medicine of liver system", ~ (2001)
  49. 김수진, "한국판 중의체질 설문지 개발을 위한 기초연구", 한국산학기술학회논문지, 17(3), pp.652~660 (2016), 한국산학기술학회[DOI]
  50. Leng LL, "Stagnation Syndrome: Relevance of the Multilayers of Illness Experiences in Chinese Medicine to the Understanding of Functional Somatic Syndrome", Psychosomatic medicine, 80(2), pp.238~239 (2018)
  51. The Korean Society of Oriental Neuropsychiatry, "Neuropsychiatry of Korean Medicine" (2010), Jipmoondang
  52. Qiao MQ, "Epidemiological survey on etiology of Gan-qi inversion syndrome and Gan-qi stagnation syndrome and study on the evocative mode of emotional diseases", Chinese journal of integrated traditional and Western medicine, 27(2), pp.117~119 (2007)
  53. Ng SM, "Major Depression in Chinese Medicine Outpatients with Stagnation Syndrome : Prevalence and the Impairments in Well-Being", Evidence-based complementary and alternative medicine : eCAM, 2018, pp.7234101~ (2018)
  54. 제윤모, "加味逍遙散으로 호전된 여성 울증 환자 치험 2례", 한의학연구소 논문집, 19(2), pp.187~194 (2011), 한의학연구소
  55. 고은상, "스트레스에의한 여성 鬱證 환자의 加味逍遙散 치험 3례", 대한한방내과학회지, 25(3), pp.615~624 (2004), 대한한방내과학회
  56. 고재철, "淸肝逍遙散加味方으로 好轉시킨 鬱症 환자 치험 3례", 대한한방내과학회지, 23(1), pp.133~140 (2002), 대한한방내과학회
  57. Lee JH, "The clinical report about the stagnation syndrome of qi treated with gyogam-dan plus ganggi-tang", Journal of Korean Medicine, 22(4), pp.171~176 (2001)

관련 논문AI추천

鬱證에 대한 문헌적 고찰- 肝氣鬱結을 중심으로 -남걸, 백유상, 안진희, 장우창, 정창현대한한의학원전학회 · 대한한의학원전학회지2024 · 제37권 제1호‘鬱’ 개념에 대한 역대의가들의 인식에 대한 고찰 - 張子和의 논의를 중심으로은석민대한한의학원전학회 · 대한한의학원전학회지2011 · 제24권 제1호『金匱要略·驚悸吐衄下血胸滿瘀血病脈證幷治』의 瘀血證에 대한 小考백유상대한한의학원전학회 · 대한한의학원전학회지2011 · 제24권 제6호화병(火病) 유사 병증의 한의학적 치료에 대한 임상연구 동향분석 - CNKI를 중심으로김종우, 서효원, 정선용, 최은지대한한방신경정신과학회 · 동의신경정신과학회지2017 · 제28권 제4호血結胸에 대한 考察안진희, 정창현대한한의학원전학회 · 대한한의학원전학회지2017 · 제30권 제3호동의보감(東醫寶鑑)에 나타난 칠정(七情)의 대한 연구-병기(病機)를 중심으로강형원, 류영수, 이고은대한한방신경정신과학회 · 동의신경정신과학회지2014 · 제25권 제1호

이 간행물의 다른 논문 (5건)

우울장애 한약치료에 대한 전향적 관찰연구정인철, 김환, 양창섭, 이미영, 이지윤, 정진형, 김주연pp. 63-76폐경 전후 여성의 핵심감정척도 단축형을 활용한 정서적 특성 연구이가원, 류영수, 강형원, 이나현pp. 77-88인지 장애 진단ㆍ평가ㆍ분석을 위한 생체신호 장비 개발에 대한 수요조사: 한방신경정신과학회 회원들을 대상으로김가혜, 김지혜, 김재욱, 최유진pp. 89-99사상체질에 따른 S-HTP 검사의 반응 특성에 대한 초보적 고찰이예빈, 정서윤, 김경옥, 정현우pp. 101-108노년기 건강에 있어 미병(未病) 관리의 의의: 한의학과 심리학의 연관성을 중심으로박미소, 백영화, 김기연, 이시우, 유호룡, 배수현pp. 109-119
원문 보기