청강 진료기록을 통해 살펴본 가미보정산의 기원 및 명칭 변화

김동율(Dongryul Kim) 한국의사학회 2020 한국의사학회지 Vol.33 No.1

청강 진료기록 데이터베이스에 나타난 가미보정산에 대한 정보를 분석하면서 가미보정산의 기원과 명칭 변화에 대해 살펴보았다. 가미보정산은 역대 의학서적에 그 기원 처방을 찾아볼 수 없는 처방이다. 본 연구에서는 가미보정산의 기원 처방명이 향갈정기음임을 알 수 있었으며, 향갈정기음이 불환금정기산 및 향갈음과 깊은 관련이 있음을 알 수 있었다. 또한 가미보정산은 오랜 기간에 걸쳐 여러 이름으로 불리었는데, 시대 흐름에 따라 보구정기산에서 시작하여 가미보정산이라는 명칭까지 변화하였다. 특히 본 연구를 통해 ‘가미’라는 명칭이 처방의 구성 변화가 아니라 처방명의 변화라는 측면에서 접근해야 함을 알 수 있었다. This paper analyzes information on Augmented Widen the Core Powder (加味普正散) (AWCP) in the Dr. Kim Young Hoon’s medical record database, Cheongang Medical Records. AWCP is a prescription that is not found in the existing medical texts, yet is referred to in Dr. Kim Young Hoon’s medical record database. By examining these records, this study shows that the original prescription for AWCP was Decoction for Rectifying the Qi with Cyperus and Kudzu (香葛正氣飮) and that this prescription was deeply related to Rectify the Qi Powder Worth More Than Gold (不換金正氣散) as well as Cyperus and Kudzu Decoction (香葛飮). In addition, AWCP had several names over a long period of time, and its name changed from the Powder of Relieving Lives and Rectifying the Qi (普救正氣散) to AWCP. In particular, this study shows that the term ‘gami’ (加味 augmented) indicates a change in prescription name, not a change in the composition of the prescription.

청강 김영훈 진료기록에 나타난 病因 七情에 관한 연구

우종원(Jongwon Woo),김동율(Dongryul Kim) 한국의사학회 2020 한국의사학회지 Vol.33 No.2

본고에서는 청강 진료기록DB를 활용하여 김영훈이 칠정과 관련된 질환을 어떻게 접근하고 치료하였는지를 분석하였다. 김영훈은 칠정과 기, 담, 화 및 이들의 울증을 병인으로서 병기하는 경우가 많았으며, 병명은 탈영과 함께 기재하는 경우가 많았다. 칠정 관련 병인이 1950년대에 특히 많이 기재되어 있었는데, 이는 한국전쟁의 영향을 받은 것으로 보인다. 김영훈이 칠정 관련 병인을 치료하기 위해 사용한 상위 빈도 처방은 대개 육울탕의 변방으로 소개되어 있었다. 그가 실제로 사용한 약재를 분석한 결과, 김영훈은 주로 二陳湯과 香附子를 준용하여 化痰理氣를 칠정 치료의 대원칙으로 삼았음을 추정할 수 있었으며, 利濕藥, 消導藥, 淸熱藥, 四物湯의 류를 때에 따라 가감한 것을 확인하였다. The purpose of this study is to consider how Kim Young-hun approached and treated diseases caused by seven emotions using Cheonggang medical records database. Kim Young-hun often related seven emotions with qi, phlegm, fire and depressions of these three and with the loss of dignity (脫營). Records of seven emotions were especially concentrated in the 1950s, and it seems to have been influenced by the Korean war. The prescriptions which Kim used frequently were introduced as modified 六鬱湯. Analyzing the medicinal herbs Kim used, it was estimated that Kim would have applied “allevating phlegm and regulating qi” as the principle of the treatment of the seven emotions using 二陳湯 and Cyperus(香附子) with some adjustment of 利濕藥, 疏導藥, 淸熱藥, and 四物湯.

論文(논문) : 숙종(肅宗)의 중완혈(中脘穴) 수구사(受灸事) 연구 -「승정원일기」 약방기록을 중심으로-

김동율 ( Dongryul Kim ),고대원 ( Daewon Ko ),김현경 ( Hyunkyung Kim ),차웅석 ( Wungseok Cha ),안상우 ( Sangwoo Ahn ) 대한한의학원전학회(구 대한원전의사학회) 2015 대한한의학원전학회지 Vol.28 No.4

Objectives : To investigate the progress, characteristics, and reasons of CV12 moxibustion that King Sukjong of Joseon Dynasty had experienced 31 years since 1684. Methods : This study mainly extracted the records and related records about CV12 moxibustion of King Sukjong and relevant records from Seungjeongwon Ilgi, and analyzed them. Aside from that, medical books wrote at that time and relevant records were additionally investigated. Results : King Sukjong cauterized CV12 or other CV12 related acupoints with moxa 21 years out of his 31 years from 1684 to 1714. The cautery period was usually between late January and mid February. He had 100 pieces of moxa for cautery. On the last day of his moxibustion, he cauterized ST36 with moxa. The moxibustion process consisted of the following steps: suggestion or requirement of moxibustion, decision of date and time, and moxa cautery. In 1684, the reason why King Sukjong cauterized CV12 with moxa was to treat his joint pain and nauseous symptoms. The effect can be found in Donguibogam, many other Korean medical books, and other general books at that time. In 1685, he began to cauterize CV12 with moxa to prevent diseases. Since then, most moxa cautery on CV12 had been performed in the same context. Conclusions : For 21 years, King Sukjong repeatedly cauterized CV12 with moxa. The moxa therapy was conducted to prevent diseases mostly. And King Sukjong had a lot of interest in the therapy. For the reasons, the therapy had repeatedly been performed so long.

청강 김영훈의 월경 관련 질환 처방에 관한 연구 -病因 血中氣滯를 중심으로

우종원(Jongwon Woo),김동율(Dongryul Kim) 한국의사학회 2019 한국의사학회지 Vol.32 No.2

Thepurposeofthisstudyisanalyzinghow Kim Young-hun treatedmenstrualdiseases-byutilizingtheCheonggangmedicalrecordsDB. Theterm “Hyeoljunggiche(血中氣滯)”hasbeenusedasanetiologicalfactorofmenstrualdiseases.Hyeoljunggichemostlydescribedmenstrual diseasesoffemalesinthereproductiveages.FourofthemostpopularprescriptionwereJeungsonojeok-san(增損五積散),Hyeonbuigyeong-tang (玄附理經湯),Hyeonbuiyeong-jeon(玄附理營煎),andHyeonbuohwa-eum (玄附五和飮).Bywritingamedicinalherbnetworkofthefourprescriptions, ItwasfoundthatKim Young-hunpreferredtousethreeclustersofregulatingqiandmovebloodmedicinal(理氣行血藥),sānwù-tāng(三物湯), andpíngchén-tāng(平陳湯)withsomeadjustmentofheat-clearingmedicinal(淸熱藥)andcold-dispellingmedicinal(溫裏藥).

조선 왕실에서의 우황고 활용 양상 연구 : 『승정원일기』를 중심으로

김성민(Sungmin Kim),정희련(Huiryeon Jeong),김동율(Dongryul Kim) 한국의사학회 2020 한국의사학회지 Vol.33 No.2

본 연구는 왕실의 진료 기록이 상세히 남아 있는 『승정원일기』를 통해 조선 왕실에서의 우황고 활용 양상에 대해 살펴본 연구이다. 연구 결과 우황고는 조선 왕실에서 주로 煩熱, 熏熱, 夜間發熱, 천연두나 수두, 홍역 등으로 인한 熱證 등 주로 熱과 관련된 질환에 활용되었음을 확인하였다. 또한 우황고는 여러 차 종류와 함께 복용하는 방식, 액상형으로 만들어 복용하는 방식, 외용제로 활용하여 熱性 피부질환에 응용하는 방식 등 『승정원일기』 내에서 다양한 방식으로 활용되었음을 확인하였다. 추가적으로 확인된 내용들을 의서와 비교하며 『승정원일기』에서 나타나는 우황고의 복용상 특징에 대해 고찰하였고, 연구 과정에서 살펴볼 수 있었던 영조의 의학적 인식에 대해서도 고찰하였다. This study studied the use of Woohwanggo in the Joseon royal family through The daily records of Royal secretariat of Joseon Dynasty, which contains detailed records of royal medical treatment. The study found that Woohwanggo was mainly used for diseases related to vexing heat (煩熱), fumigating heat (薰熱), night fever (夜間發熱), and heat syndrome (熱證) from smallpox, and measles in the royal family of Joseon. This study also confirmed that Woohwango was used in various ways within the Daily records of Royal secretariat of Joseon Dynasty, including the way it was taken with various types of tea, the way it was made into liquid form, and the way it was used as an external agent for skin diseases. Further findings were compared to the medical books, and the dosage characteristics of Woohwango in the daily records of Royal secretariat of Joseon Dynasty were discussed. and the medical perception of King Yeongjo (英祖), which was examined during the study, was also discussed.

조선의 주요 국가간행의학서의 편제구성과 질병분류인식에 대한 개설적 연구

차웅석(CHA Wungseok),김동율(KIM Dongryul) 한국의사학회 2019 한국의사학회지 Vol.32 No.2

InmanyperiodsofKoreanhistory,state-sponsoredmedicalbooksplayedacrucialroleintermsofdistributingmedicalknowledgeaswell as systemizing medicalinformation.This studyuses comparative analysisto examine the tables on contents ofstate-sponsored medical publicationsinKorea.Thesetablesofcontentsrevealtheplacementandcategorizationofmedicalknowledge,whichimplicatesthewaysin whichdiseaseswereclassified.Historically,KoreanmedicinehasbeeninfluencedbyChinesemedicine,andatthesametime,ithasmade steady efforts to localize Chinese medicine.This paperarguesthatKorean medicine adopted the Chinese styles ofcategorizing medical knowledgeinthemiddleof15thcenturyforthefirsttimeandshowsthetendencytoKoreanizemedicalknowledgethroughtheearly17th century.Inthe18thcenturytheCompleteRecordsofMedicine(醫部全錄)showsthetraceofreferringthestyleofKoreanmedicalbook,the TreasuredMirrorofEasternMedicine(東醫寶鑑)intermsofcategorizingmedicalknowledge.

동의보감사전 편찬을 위한 표제어 추출에 관한 연구

정지훈(JiHun Jung),김도훈(DoHoon Kim),김동율(DongRyul Kim) 한국의사학회 2016 한국의사학회지 Vol.29 No.1

This article attempts to extract headwords for complication of ｢Donguibogam Dictionary｣ with Corpus-based Analysis. The computerized original text of Donguibogam is changed into a text file by a program ‘EM Editor’. Chinese characters of high frequency of exposure among Chinese characters of Donguibogam are extracted by a Corpus-based analytical program ‘AntConc’. Two-syllable, three-syllable, four-syllable, and five-syllable words including each Chinese characters of high frequency are extracted through n-cluster, one of functions of AntConc. Lastly, The output that is meaningful as a word is sorted. As a result, words that often appear in Donguibogam can be sorted in this article, and the names of books, medical herbs, disease symptoms, and prescriptions often appear especially. This way to extract headwords by this Corpus-based Analysis can suggest better headwords list for ｢Donguibogam Dictionary｣in the future.