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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.
장우창 ( Jang Woo-chang ) 대한한의학원전학회(구 대한원전의사학회) 2019 대한한의학원전학회지 Vol.32 No.1
Objectives : By studying the contents of Zhang Yuansu’s "Zhenmairushijie", which are introductory remarks of "Chandobangronmaekkyulgipseong", this study attempts to clarify the academic meaning expressed in it and consider his real significance. Methods : First, based on previous studies on Zhang Yuansu and "Wangshuhemaijue", this study divides the contents of "Zhenmairushijie" into 4 chapters and read out the original text. Next, based on Zhang Yuansu's notes and other writings on the original text, this study examines contents in detail. Finally, based on the discussion, this study examines the current significance of academic thoughts expressed in Zhang Yuansu’s "Zhenmairushijie". Results & Conclusions : "Zhenmairushijie" emphasizes the combination of nervation and Byeonggi in the process of feeling the pulse for diagnosis, the combination of Byeonggi and Yongyak to declare that the feeling of the pulse for diagnosis is the principle of differential diagnosis. The combination principle of nervation-Byeonggi can be found in comprehensive pulse methods of "Nanjing", and the combination of Byeonggi-Yongyak should follow Ohaeng's Bubuheoshilsajeongbosa principle. Pulse methods of "Wangshuhemaijue" integrated Byeonggi expressed in Uigyeong and Byeonggi in Gyeongbang in the process of the feeling of the pulse for diagnosis to present the principle of diagnosis to perform Byeongjeungronchi. Therefore, "feeling the pulse for diagnosis ipsik" is not only an introductory remark of feeling the pulse for diagnosis, but an comprehensive remark of whole diagnosis as well. It is an introductory remark of the entire medical field due to the nature of oriental medicine which emphasizes diagnosis.
論文(논문) : 「동의수세보원(東醫壽世保元)」의 결흉(結胸) 해석 -소양인 결흉을 중심으로-
장우창 ( Woo Chang Jang ) 대한한의학원전학회(구 대한원전의사학회) 2015 대한한의학원전학회지 Vol.28 No.4
Objectives : This study aims to compare and analyze the contents and logic of Lee Jema``s chest bind theory of the Soyang pattern with that of the traditional perspective since Shanghanlun, and to further investigate its underlying meaning and evaluate its value. Methods : Study chest bind related arguments of Lee through historical, demonstrative and positive investigation. First, contrast related texts starting from Shanghanlun, followed by reasoning based on general medical logic. Finally review clinical case studies from texts and papers for verification. Results : According to Lee, the key to diagnosis and treatment in preventing major chest bind which is a severe condition in the exterior cold pattern of the Soyang constitution, is to disperse fluid bind using GanSui(甘遂) in the water counterflow and vomiting(水逆嘔吐) stage prior to the major chest bind symptoms of stiffness and pain in the lower chest(心 下硬痛), and reducing phlegm-rheum using DoJeokGangGiTang(導赤降氣湯) in the beginning stages of chest bind. HyeongBangDoJeokSan(荊防導赤散) is the main formula in treating phlegm-rheum, a causal factor to chest bind, modified according to the ``treat the three burners separately(三焦分治)`` theory of the DaoChiSan(導赤散) section in WanBingHuiChun (萬病回春) to accomodate the Soyang constitution. Conclusions : If we follow Lee``s diagnosis and treatment system on chest bind, it will allow us to diagnose chest bind in the earlier stages and secure safe treatment.
금(今),고문상서(古文尙書) 오항배장(五行配藏) 논쟁(論爭)에 대한 고찰(考察)
장우창 ( Woo Chang Jang ) 대한한의학원전학회 ( 구 대한원전의사학회 ) 2009 대한한의학원전학회지 Vol.22 No.1
The five viscera[五藏], one of the key concepts from Traditional Oriental Medicine in understanding the nature of human body, endows the characteristic of five phases[五行] on the five representative organs, based on the five phases theory[五行論]. Although the theory from 『Geummun-Sangseo(今文尙書)』which states the order of `liver-mok[肝木] heart-hwa[心火] pancreas-to[脾土] lung-geum[肺金] kidney-su[腎水]` is now widely approved by present-day academics concerning arrangement of five changes and the five viscera, there are some other less-known theories of arrangement. 『Gomun-Sangseo[古文尙書]』 had suggested the order of `pancreas-mok[脾木] lung-hwa[肺火] heart-to[心土] liver-geum[肝金] kidney-su[腎水]`, which was never practiced, and 『Dong-uisusebowon(東醫壽世保元)』 of Ijema(李濟馬) expressed the theory of `lung-mok[肺木] pancreas-hwa[脾火] heart-to[心土] liver-geum[肝金] kidney-su[腎水]`.
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.