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論文 : 학질(?疾)의 종류(種類)와 병인(病因)ㆍ병기(病機)에 대한 고찰(考察)
강효진 ( Hyo Jin Kang ),정창현 ( Chang Hyung Jeong ),장우창 ( Woo Chang Jang ),류정아 ( Jeong Ah Lyu ),백유상 ( You Sang Baik ) 대한한의학원전학회(구 대한원전의사학회) 2013 대한한의학원전학회지 Vol.26 No.2
Objective : Malaria(?疾) is a disease that`s main symptom is paroxysm - a cyclical occurrence of sudden coldness followed by rigor and then fever. Since the introduction of the cause and mechanism of malaria(?疾) in the ?Suwen(素問)?, including Cold malaria(寒?), Warm malaria(溫?), Heat malaria(??) and Wind malaria(風?), there has been over 20 different kinds of malaria, each of which are introduced in multiple medical texts. Method : Through comparison between ?Suwen(素問)? and other medical texts, the categories, causes and mechanisms of malaria can be analysed and organized to overview the whole feature of it. Results & Conclusion : External pathogens of malaria(?疾) are wind(風), cold(寒), summerheat (暑), dampness(濕), miasmic toxin(?), pestilence(疫), ghost(鬼). Internal pathogens of malaria(?疾) are dietary irregularities(飮食不節), overexertion and fatigue(勞倦), phlegm(痰), seven emotion(七情). Malaria can be categorized into four groups according to the pathological mechanism that leads to paroxysm. They are latency of disease(伏 氣), external contraction(外感), internal damage(內傷), and combination of disease(合病). Malaria-Paroxysm(?疾發作) occurs when the three following factors collide strongly : defense qi(衛氣), latent qi(伏邪) and external pathogen(新邪). When collision of the three factors takes place in the interior(裏), the body experiences chills. When it takes place in the exterior(表), the body experiences fever. The cyclical occurrence of Malaria-Paroxysm follows the circulation of defense qi.