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산증(疝症)의 개념변화(槪念變化)에 대(對)한 연구(硏究) III (청대(淸代) 이후(以後))
이용태,오수석,강경화,Lee, Yong-Tae,Oh, Soo-Suk,Kang, Kyung-Hwa 대한동의생리학회 2006 동의생리병리학회지 Vol.20 No.4
The korean oriental medicine dose not actively apply San syndrome(that is, colic syndrome) to the clinic because its concept is not established concretely even though it has definitely existed as a disease of human being from the time of Naegyeong to these days. Thus the author writes this thesis to establish the concept of San syndrome by the research of literature for the purpose of promoting clinical application. Study on the concept of San syndrome through the statements written by medical practitioners of each period comes to the following conclusions. The concept of San syndrome stated by various medical practitioners does not deviate from that in Hwangjenaegyeong. Most of them simply modify and supplement it. San syndrome refers to the case when the contents of abdominal cavity protrude to outside and when swelling and pain around the genital organs, or fierce pain in abdomen comes with constipation and dysuria. There are three methods of classifications of 7 San syndromes in large. The first one is the classification in Hwangjenaegyeong, the second one is that of So WonDang, and the third one is that of Jang Jahwa. Among them ,Jang Jahwa's classification has occupied the most influential position since Hwangjenaegyegng, in which, there are seven Sans; Han-San, Su-San, Geun-San, Hyul-San, Gi-San, Ho-San, and Toe-San. On the basis of his classification, the concept of San syndrome is established by posterity. The causes of San syndrome are claimed in three ways. In Hwangjenaegyeong , Cold and Ki are described. Ju Dangye asserted Damp-Heat. Heo Jun maintained Cold, Ki and Damp-Heat. Ju Dangye made enlargement and progress on the etiology in Hwangjenaegyeong from Cold and Ki to Damp-Heat. Heo Jun reasonably combined Cold, Gi, and Damp-Heat as the pathogen of San syndrome. There are two meridians closely related to San syndrome. In Hwangjenaegyeong, the Conception meridian is designated, Ju Dangye insisted on the Liver meridian of Foot Gyuleum. His theory that the Liver meridian entirely governs San syndrome is accepted by posterity. Ru Young in Myeong dynasty complementarily combined the concept In Hwangje -naegyeong, classifications of Jang Jahwa, and Ju Dangye's theory. He was followed by Gong Jeonghyeon, Lee Cheon, and Heo Jun, and finally related to Jisan in present time. Heo Jun has completed the standard of San syndrome by combining opinions of anterior medical practitioners. He complied with Naegyeong and Yang Sayoung's view in symptoms, and classified into seven categories according to Jang Jahwa's advocation. In the pathogenesis, he followed up Naegyeong in which Cold and Ki were designated as a cause and Ju Dangye's theory that San syndrome was caused by Damp-Heat, congested fluids, retention of undigested food, and stagnated blood. For meridians, he agreed with Ju Dangye's assertion that the Liver meridian entirely governs San syndrome. About Hyungsang of face, Lee Cheon indicated that if the part behind ear was sunken, the person had his kidney hanged below, and if the person had his kidney hanged below, he was susceptible to lumbosacral pain and Ho-San syndromes. Afterwards, Jisan pointed out that persons with the following characteristics in Hyungsang should be considered to have San syndromes; droopy ears, asymmetric wings of nose, unbalanced eyes, curved nose, asymmetric testicles, turned up nose for man, and long nose for woman. By recognizing the concrete features of Hyungsang, Jisan founded Hyungsang medicine, the horizon of oriental medicine.
이용태,조장수,Lee, Yong-Tae,Cho, Jang-Soo 대한동의생리학회 2005 동의생리병리학회지 Vol.19 No.3
Seeing through the reference of literatures ${\ll}$Internal Classic${\gg}$, ${\ll}$Donguibogam${\gg}$ and Master Jisan's theory about Ki-Hyul and Hyul-Ki, the writer came to conclusions as follows. In ${\ll}$Internal Classic${\gg}$ Ki-Hyul is expressed into being orderly and ordinate, but Hyul-Ki is described differently into making Hyul-Ki or operating Hyul-Ki. In ${\ll}$Donguibogam${\gg}$ Ki-Hyul and Hyul-Ki are not distinguished between two things, but Ki-Hyul is mentioned as harmony of Ki-Hyul and Hyul-Ki, and Hyul-Ki as ascending and descending or as deficiency and excess. In Hyungsang medicine the special characters of Ki-Hyul is seized the essence of the meanings from the deflection between left and right, changes of skin, flesh, meridian, muscle and bones. And the distinctive marks of Hyul-Ki is got hold from changes of complexion, many or few hairs, ascending or descending spirits of ears, eyes, mouth and nose. Also Ki-Hyul is recognized by laying stress on rise and fall, after birth, breast, upper limbs, eight extra meridians. And Hyul-Ki is recognized by laying stress on going up and down, the inborn constitution, abdomen, lower limbs, and twelve meridians. Jisan distinguished Ki-Hyul from Hyul-Ki theoretically and he applied the theory to clinical examination proved the facts that the theory and the examination are in accord with each other. This attempts was for the first time in Oriental medicine history and the theory was set up. It is thought that the defects of the theory about Ki-Hyul and Hyul-Ki which Jisan insisted on need much more study from now on.