消渴에 관한 醫史學的 硏究 : (The) medical history of Sogal

다국어 초록 (Multilingual Abstract)

The patients who have suffered from Diabetes are going to find the way through the east asian traditional medicine, in order to overcome the limits of the conservative medicine.
‘SoGal’ of the east asian traditional medicine is similar to Diabetes of the conservative medicine. ‘SoGal’ had been found in the east asian traditional medicine long time ago. There has been changes of the disease concepts, pathological theories and treatments etc. To use the way of traditional medicine, it is necessary to understand changes of medical theories and their meaning. So I study theories and treatments of ‘Sogal’ through analysing historically and conclude followings.
First, ‘SoGal’ meant thirst in the early days. From 7th century ‘Sogal’ had become disease out of the symptoms having the concepts of etiology, pathology, prognosis etc.
Second, From 7th to 11th century, the main cause of ‘SoGal’ had been the abuse of mineral drugs. But from 12th century the inappropriateness of the food had been regarded as main cause.
Third, there had been changes in the pathologigal teories of ‘Sogal’. In 7th century, the main theory was that SoGal came from the decline of Kidney function(腎虛論). From 10th century, the development of Sogal classification started to apply to pathological theory. From 12th to 16th century, the theory that Sogal came from the Dryness and Heat(燥熱論) was started by YuHaGan(劉河澗) and the theory that Sogal came from the lack of Water and Blood(津液·血不足論) was developed and succeeded. In 17th century, the theory that Sogal came from the lack of Kidney's Yang(腎陽虛論)appeared again. In 19th century, the necessity that the Sogal patients should be devided by Four Physical Constitution(四象體質) was presented.
Fourth, the most important sign for diagnosing Sogal is thirst and abnormalities of urine. Besides, there are another signs that eating too much food, palpitation, anxiety, pain in muscle and joints, necrosis, abdominal dropsy, swelling, Stroke etc.
Fifth, the Sogal classification way by three type(三消) become the standard of differentiate signs.
Sixth, the basic medical herbs had been already formed in 7-8th century and applied to treatments expandedly in 10-12th century. From 12th century medical herbs had been used by each pathological theory. BuJa(附子) had become controversial herb. Before 12th century BuJa had been used many times, but from 12th to 16th century it had been limited to use for the dryness and heat, next 17th century it had started to be used again but with Omija(五味子) to remove side effects.
Seventh, it is easy to find formulae to care many signs concerned with Diabetes complications. Those formula quoted many times are regarded to be tested the efficacy for a long time. So those formulae should be treated to care Diabetes complications.
Eighth, the principles of medical treatment had become increased or criticized. those were about the way of cold drugs, devision by eating or not, supplement of blood, usage of three type classification, the way of hot drugs like BuJa(附子), considering Four Physical Constitution(四象體質) and prevention of complications.
I can find the course of making medical theories and the changes of treatments. In east asian traditional medicine, the many ways to care symptoms concerned with Diabetes complications had been tested clinically for a long time. So the use of Sogal treatments are helpful to nowadays Diabetic patients.

목차 (Table of Contents)

• Ⅰ. 序論 = 1
• 1. 연구목적 = 1
• 2. 연구 방법 = 4
• 1) 질병사 연구 방법과 서술 = 4
• 2) 연구내용 = 5
• Ⅱ. 本論 = 9
• 1. 질병 인식의 과정 = 9
• 1) ‘消渴’ 용어의 등장 = 9
• 2) 증상에서 질병으로의 위상 변화 = 12
• 3) 질병으로서의 인식 심화 = 15
• 4) 消渴 의미의 확대 = 18
• 5) 소갈병 범주의 차이 = 19
• 3. 원인에 관한 인식 = 20
• 1) 飮食 = 20
• 2) 성생활(房事) = 23
• 3) 外感 = 25
• 4) 광물성 약물 = 27
• 4. 질병 발생과 진행 기전의 이론 = 30
• 1) 이론의 시작 = 30
• 2) 腎虛論의 적용과 확대 = 40
• 3) 기존 이론의 비판적 계승과 새로운 이론의 등장 = 48
• 4) 津液·血不足論의 계승과 보완 = 54
• 5) 腎陽虛論 = 58
• 5. 진단 과정 = 61
• 1) 주요 증상의 인식 = 61
• 2) 脈診 = 77
• 6. 삼소 분류법의 확립 과정 = 79
• 1) 三消 용어의 시작 = 79
• 2) 갈증과 소변양상을 기준으로 삼소 분류 = 81
• 3) 三消의 臟腑 배속 = 82
• 4) 三消와 三焦의 관련 = 84
• 5) 삼소 분류법의 정착 = 85
• 6) 三消別 수반증상의 구체화 = 87
• 7) 三消 사이의 예후 관계 기술 = 89
• 7. 본초 지식 축적과정 = 90
• 1) 기본 본초의 발견 = 90
• 2) 본초 적용의 확대 = 92
• 3) 새로운 본초의 추가 = 95
• 4) 논쟁이 된 본초 = 96
• 8. 처방 운용의 변천 과정 = 97
• 1) 삼소별 처방 운용 = 98
• 2) 소갈병 수반 증상 및 傳變症 치료 처방의 변천 = 102
• 3) 주요 처방의 변천 = 125
• 9. 치료원칙의 수립과정 = 137
• 1) 찬약으로 腎水를 길러 心火제어하기 = 137
• 2) 能食者와 不能食者의 구분 치료 = 141
• 3) 養肺、降火、生血爲主，分上中下治 = 142
• 4) 삼소 분류를 이용한 치료 = 144
• 5) 氣分과 血分의 구분 = 146
• 6) 附子로 대표되는 熱藥의 이용 = 148
• 7) 체질을 고려한 치료 = 150
• 8) 합병증의 예방을 위한 치료 = 151
• Ⅲ. 結論 = 153
• 참고문헌 = 157
• Abstract = 161