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『東醫寶鑑』에서 熟地黃, 川芎, 當歸, 白芍藥이 군약으로 사용된 방제의 주치병증 비교
금유정(Keum Yujeong),송시훈(Song Shihoon),이병욱(Lee Byungwook),송지청(Song Jichung) 한국의사학회 2021 한국의사학회지 Vol.34 No.2
This research aims to find a way to utilize the literature to select the herbs to be added or subtarcted according to the condition of the patient after determining the basic prescription to be used for the patient. It is based on the data inputting the compositional herb and application of the prescription a described in Donguibogam. The composition of the herb was expressed as a weight ratio, the standard deviation of the weight ratio was calculated for each prescription, and the case where the herb weight ratio was greater than the base value (highest weight ratio – standard deviation) was designated as a principal herb. The various expressions of applications were changed to representative terms by the researcher and used to calculate the frequency. Of the 4,373 prescriptions for Donguibogam, 3,307 were able to be expressed as weight ratio, and 640 prescriptions using Rehmannia glutinosa, Cnidium officinale, Angelica gigas and Paeonia lactiflora as principle herb. Of the 640 prescriptions, 508 prescriptions included applicated information. Rehmannia glutinosa can also be used for symptoms such as fetal leakage(胎漏), short ingestion(食少), fever(發熱), and dazzling(眼花). Cnidium officinale can also be used for symptoms such as migraine(偏頭痛), stroke(中風癱瘓), and tetanus(破傷風). Angelica gigas can also be used for symptoms such as forgetfulness(健忘), incontinence of urination(小便不通), and mal-palpitations(驚悸). Paeonia lactiflora can also be used for symptoms such as heart pain and abdominal pain(心腹痛), and cough(咳嗽).
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조선후기 소아전염병 痘疹과 麻疹에 대한 인식 변화 : 4종 종합의서를 바탕으로
엄동명(Eom Dongmyung),이병욱(Lee Byungwook),금유정(Keum Yujeong),송시훈(Song shihoon),송지청(Song Jichung) 대한한의학원전학회 2022 대한한의학원전학회지 Vol.35 No.1
특정시기 특정질환에 대한 전문의서의 등장은 그 이전에 발발한 질환이 사회문제화되었다는 것을 전제한다. 본고에서는 『東醫寶鑑』, 『濟衆新編』, 『樂山堂新集醫方錦囊至寶』, 『醫宗損益』 등 4개의 의서를 중심으로 소아전염병인 痘瘡과 麻疹에 대한 인식의 변화를 살펴보았다. 麻疹이 대유행하기 전에 저술된 『東醫寶鑑』에는 麻疹에 대한 서술이 간략하다. 조선에 麻疹이 대유행했던 시기를 거쳤음에도 『濟衆新編』에는 麻疹에 대한 인식이 부족하다. 19세기초 출간된 『樂山堂新集醫方錦囊至寶』에는 개인의 경험을 담아 痘瘡과 麻疹 치료에 대한 서술이 풍부하다. 또한 『醫宗損益』에서도 痘瘡과 麻疹 치료에 다양한 방법을 제시하고 있다. 이는 이미 紅疫의 대유행시기가 지난 시점에서 개인이 저술한 의서들이 시대를 거듭하고 질병의 罹患 경험과 治療 경험이 많아지면서 그 이전 미진했던 紅疹에 대한 의학적 성과를 드러낸 것으로 紅疹이 그만큼 소아과 질환에 있어서 중요한 질환 중 하나로 바뀌어 있었다는 점과 이에 대한 인식에 변화가 있었다는 것을 알 수 있다. Objectives : The publication of a specialized medical text on a specific disease at a specific time means that the disease which had broken out previously has become a problem throughout society. In this paper, changes in perception of the pediatric infectious diseases Douchuang(痘瘡, smallpox) and Mazhen(麻疹) were examined in the medical texts, the Donguibogam, Jejungsinpyeon, Yaksandang Sinjip Uibang Geumnangjibo, and the Uijongboik. Methods : Entries on Mazhen are brief within the Donguibogam which was published before its pandemic, while in the Jejungsinpyeon, which was published after Joseon had experienced the pandemic, understanding of the disease is rather insufficient. In the text Yaksandang Sinjip Uibang Geumnangjibo, which was published in the early 19th century, there is an abundance of personal accounts on the treatment of Douchuang and Mazhen. In the Uijongboik, various treatment methods of Douchuang and Mazhen could be found. Results & Conclusions : These findings could be interpreted as reflecting a development in medical knowledge of Hongzhen(紅疹) after years of experience dealing with the disease, which had been insufficient in the past as could be found in private medical texts written after the great Hongyi(紅疫, measles) pandemic had already passed. In that time Hongzhen(紅疹) had become one of the most important pediatric diseases, and peoples’ perspectives had also changed accordingly.
ScienceON
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