담적(痰積)의 개념 정립을 위한 문헌적 고찰

다국어 초록 (Multilingual Abstract)

ABSTRACT

A Study on the Literature Basis for Establishing the Concept of 'Phlegm Accumulation(痰積)'

Wookki Hong
Department of Clinical Korean Medicine
Graduate School of Korean Medicine, Kyung Hee University
Directed by Prof. Jinsung Kim, K.M.D., Ph.D.

OBJECTIVES
Since the publication of Choi's book on the ‘Phlegm Accumulation(痰積)’ in 2009, the term Phlegm Accumulation(痰積) become widespread among the Korean medicine doctors and general public. Choi suggested that Phlegm Accumulation is the stiffening of the outer wall of the stomach.
The Phlegm Accumulation is a term that had been used in classical Oriental medicine books, but there are no researches on the concept of 'Phlegm Accumulation'. This study aims to analyze the meaning of the term Phlegm Accumulation in classical Oriental medicine books and contemporary studies to establish the concept of Phlegm Accumulation.


METHODS
The Phlegm Accumulation(痰積) was searched in the MEDICLASSICS of the Korean Institute of Oriental Medicine. It was confirmed that Phlegm Accumulation was quoted 173 times in a total of 35 classical Oriental medicine books. Among them, 80 articles were analyzed in a total of 12 classical Oriental medicine books, excluding duplicated phrases. Modern studies that quoted Phlegm Accumulation(痰積) was searched in Korean Medical Database(KMbase), Korean Studies Information Service System(KISS), Oriental Medicine Advanced Searching Integrated System(OASIS), China National Knowledge Infrastructure Database(CNKI). Within each articles, the basis for interpretation of the meaning of Phlegm Accumulation was analyzed, and the symptoms of Phlegm Accumulation were classified.

RESULTS
Phlegm Accumulation was quoted as the meaning of pathological substances in the gastrointestinal tract 62 times, the largest portion of 46.6 percent, and as the general broad meaning of phlegm 35 times, as 26.3 percent second largest number. The meaning of Abdominal Mass(積聚) was quoted 22 times and the meaning of clumps of respiratory airway secretions was quoted 14 times.
Among symptoms related to Phlegm Accumulation, digestive diseases accounted for the largest portion with 40 cases, 30.1 percent of the total. Respiratory and infectious diseases accounted for 27 cases, 20.3 percent of the total. Neurological disorders accounted for 7 cases, 5.3 percent, and urinary and reproductive diseases for 11 cases, 8.3 percent. In addition, it was confirmed that various diseases such as musculoskeletal disorders, Abdominal Mass(積聚) and skin diseases were cited in connection with Phlegm Accumulation.

CONCLUSIONS
Phlegm Accumulation is a type of Abdominal Mass(積聚) that is characterized by the stiff lumps in abdomen. And also Phlegm Accumulation has the meaning of accumulation of Phlegm-fluid Retention(痰飮) that occurs throughout the entire body. Therefore it can evoke various symptoms in each part of the body. Although the meaning of Food Retention(食積) only related to ingested food, Phlegm Accumulation can be interpreted as containing various pathological substances in the gastrointestinal tract as well as ingested food.
The opinion that Phlegm Accumulation is the stiffening of the outer wall of the stomach is not well founded in the literature and requires further research for convincing evidence.

Key Words : Phlegm Accumulation(痰積), Abdominal Mass(積聚), Phlegm Mass, Phlegm-fluid Retention(痰飮), Stiffening of the stomach

목차 (Table of Contents)

• I. 서론 1
• II. 방법 2
• 1. 검색원의 선정 및 연구자료의 검색 2
• 2. 연구자료의 분석 6
• III. 결과 7
• 1. 고전 한의서에 인용된 담적의 의미 분석 7
• 1) 『태평성혜방(太平聖惠方)』 7
• 2) 『의학강목(醫學綱目)』 8
• 3) 『세의득효방(世醫得效方)』 24
• 4) 『향약집성방(鄕藥集成方)』 25
• 5) 『본초강목(本草綱目)』 26
• 6) 『신간의가필용(新刊醫家必用)』 31
• 7) 『여과경륜(女科經綸)』 33
• 8) 『경악전서(景岳全書)』 35
• 9) 『침구경험방(鍼灸經驗方)』 40
• 10) 『동의보감(東醫寶鑑)』 41
• 11) 『태산심법(胎産心法)』 48
• 12) 『의휘(宜彙)』 49
• 2. 기존 논문에 인용된 담적의 의미 분석 52
• 1) 중의학의 가증(瘕症) 진료에 대한 이해 52
• 2) 소법(消法) 53
• 3) 기능성소화불량 변증시치의 이해 54
• 4) 지방간 진료 연구 55
• 5) 반지민 교수의 적증치료 학술경험 56
• 6) 소아는 “적(積)이 항상 있다” 상태를 시험적으로 논하다 57
• 7) 울론(鬱論)에 따른 위식도 역류질환 분석 58
• 8) 요통 병증에 관한 고대 문헌 연구 59
• 9) 율금천 교수의 치매 치료 경험 60
• 10) 중의학은 5가지 인체 “오물”을 단번에 제거하라고 가르친다 61
• 11) 주단계가 비(脾)를 근본으로 삼아 설사를 치료한 특색의 예 62
• 12) 그 외 논문 요약 63
• 3. 담적의 의미 분석 결과 65
• IV. 고찰 69
• 1. ‘적취(積聚)의 일종’으로서 담적 69
• 2. ‘담음(痰飮)이 쌓인 것’으로서 담적 71
• 3. 식적(食積)과 담적 72
• 4. 심하비경(心下痞硬)과 담적, 그리고 위장 외벽의 굳어짐 73
• V. 결론 75
• 참고문헌 76
• ABSTRACT 80