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許浚 <二十七脈>에 대한 고찰- 立論 원칙과 七表脈 분석을 중심으로 -
장우창,윤은경,남걸,김진욱,김현기 대한한의학원전학회 2023 대한한의학원전학회지 Vol.36 No.4
Objectives : 허준 東醫寶鑑·外形篇·脈門 가운데 「二十七脈」에 나타난 脈象 立論의 원칙과 원리를 파악하고, 이를 바탕으로 二十七脈 각각의 體狀과 主病 및 양자의 관계를 고찰함으로써 허준 立論의 본질적 의의와 七表脈 體狀의 구체적인 특징을 이해한다. Methods : 外的으로 許浚의 「二十七脈」과 李梴의 「診脈門」을 대조하고, 內的으로 『纂圖脈訣』과 『脈經』을 비교하여 허준 脈象 會通의 문헌적 근거를 탐색한다. 주요 인용서들의 자료를 토대로 體狀과 主病과의 상관 관계에 대해 조사한다. 아울러 허준 이십칠맥의 體狀-主病 정의가 『東醫寶鑑·雜病篇』「脈法」에 구체적으로 활용된 사례들을 검토한다. Results & conclusion : 허준은 「二十七脈」에서 『纂圖脈訣』에 나타난 각 맥상에 있어 太過 유형과 不及 유형의 감별 및 體狀과 主病의 일치라는 문제의식에 기초하여 脈象을 회통하는 작업을 진행하였다. 구체적인 방법에 있어 주요 脈學 문헌의 언어 표현을 정리·통합하였으며 미비한 부분은 직접 개입하여 설명하기도 하였다. 이상 二十七脈이 脈象 회통에 있어 체계적이며, 원리적이며, 독창적인 의미를 지니는 것임을 알 수 있다. Objectives : To understand the theoretical principle of the pulse patterns listed in the 27 Pulses chapter in the Donguibogam, to further examine the relationship between the pattern and according disease of each pulse. Based on these findings, the fundamental meaning of Heo's theories and specific characteristics of the seven exterior pulses were understood. Methods : First, the 27 Pulses chapter of Heo Jun and Zhenmaimun chapter of Lichan were compared. Next, the Chandomaekgyeol and the Maijing were compared to determine bibliographical evidence of Heo's integration of pulse patterns. Based on the main references, the relationship between pattern and disease were studied, along with cases where the principles of the 27 pulses were applied in the Maekbeob chapter of the Donguibogam. Results & Conclusions : In the 27 Pulses chapter, Heo undertook the task of integrating the pulse patterns based on the differentiation of the excessive type and deficient type, along with the awareness of the issue of pulse pattern and disease matching. In specific, he organized and integrated the linguistic expressions of pulses in major pulse texts, directly intervening in places that he felt needed additional explanation. In conclusion, we found that the 27 pulses are systematic, rational, and unique in terms of pulse integration.
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張祐彰(Woochang Jang),南杰(Nan Jie) 대한한의학원전학회 2021 대한한의학원전학회지 Vol.34 No.3
Objectives : To examine the six positions correlation[六部定位] principle that is the basis of the wrist pulse diagnosis in the Neijing. Methods : The basis for argument was established by correcting an interpretation error of the theory of chi(尺) skin diagnosis. In order to accomplish this, the annotations of Yang Shangshan and Wangbing were investigated first, after which the specific meaning and methodology of the chi diagnostic method as written in many chapters of the Neijing were examined. The evidence and reasoning for the six positions correlation[六部定位] was looked into, in relation to Wangbing’s annotation of the chapter, Maiyaojingweilun. The theoretical basis of the six positions correlation was searched throughout the entire Neijing, based on the correlation between Liuhe and the six positions, the five elements inter-supporting theory embedded in the six positions correlation as a diagnosis model that integrates zhangfu and meridians/channels, and the meaning of the spacial concepts used when describing the tactile technique within the chapter. Lastly, contents related to the five zhang channels within the Neijing were reviewed, to determine whether the six positions correlation was applied in wrist pulse taking. Results & conclusion : Some interpretations of the verse on matching the positions in the Maiyaojingweilun chapter of the Neijing are erroneous, while the argument that the three positions[cun-guan-chi] cannot be found in the Neijing is false as well. The wrist pulse taking in the Neijing is precisely based on the three positions correlation that divides the cun-guan-chi positions into three, and the correlation verse in the Maiyaojingweilun chapter clearly suggests the principle of matching the zhangfu and meridian/channels to the six positions of the cun-guan-chi of both left and right.
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安鎭熹(Ahn Jinhee),尹基領(Yun Ki-ryoung),南杰(Nan Jie) 대한한의학원전학회 2021 대한한의학원전학회지 Vol.34 No.4
Objectives : This paper examined the Buddhist contents within the text, Bencaoshengyabanji(本草乘雅半偈). Methods : Medicinals that were searched through Buddhist vocabulary were examined. Results & Conclusions : Medicinals that quoted the Lengyanjing were related to the Water-Fire interaction, food and medicine, and karma, while those that quoted the Shidian were related to 無上道, 去惡殺蟲, 樞機滑利, and 生生之氣. Those related to the Great Earth of the Four Elements corrected the body’s form based on Metal Qi, while those related to the Great Water were connected to the circulation of water dampness. Those related to the Great Fire were deeply related to Yang Qi, and those related to the Great Wind were connected to Wind control. Of the Four Origins, medicinals that were viviparous lowered Qi, while those that were oviparous were related to communicating Shen, treating diseases of the Conception Vessel, and the closing and opening of day and night. Medicinals originating from dampness were related to urination and fluid management, while those of metamorphosis were related to the process of Qi. Those related to emptiness were related to the communication of the Qi system, while those related to 六根六塵 were connected to calming the Shen and strengthening the will, and smoothing the nine orifices. Medicinals related to 圓通 were used for improving eyesight and hearing and controlling the closing and opening. Lu Zhi-yi’s analysis of medicinals through the Lengyanjing is original in that it suggested a new perspective other than previous theories on pharmacology which were based on the Yin-Yang and Five Phases and Rising/Lowering/Floating/ Sinking theories, but also pedantic and exaggerated. The Bencaoshengyabanji is a unique text on medicinals which analyzed each medicinal under Buddhist influence. However, it also followed the contexts of other previous texts on medicinals, and influenced Zou shu.
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