산증(疝症)의 개념변화(槪念變化)에 대(對)한 연구(硏究) III (청대(淸代) 이후(以後)) = Study on the Concept of San Syndrome(after Chung Dynasty)

다국어 초록 (Multilingual Abstract)

The korean oriental medicine dose not actively apply San syndrome(that is, colic syndrome) to the clinic because its concept is not established concretely even though it has definitely existed as a disease of human being from the time of Naegyeong to these days. Thus the author writes this thesis to establish the concept of San syndrome by the research of literature for the purpose of promoting clinical application. Study on the concept of San syndrome through the statements written by medical practitioners of each period comes to the following conclusions. The concept of San syndrome stated by various medical practitioners does not deviate from that in Hwangjenaegyeong. Most of them simply modify and supplement it. San syndrome refers to the case when the contents of abdominal cavity protrude to outside and when swelling and pain around the genital organs, or fierce pain in abdomen comes with constipation and dysuria. There are three methods of classifications of 7 San syndromes in large. The first one is the classification in Hwangjenaegyeong, the second one is that of So WonDang, and the third one is that of Jang Jahwa. Among them ,Jang Jahwa's classification has occupied the most influential position since Hwangjenaegyegng, in which, there are seven Sans; Han-San, Su-San, Geun-San, Hyul-San, Gi-San, Ho-San, and Toe-San. On the basis of his classification, the concept of San syndrome is established by posterity. The causes of San syndrome are claimed in three ways. In Hwangjenaegyeong , Cold and Ki are described. Ju Dangye asserted Damp-Heat. Heo Jun maintained Cold, Ki and Damp-Heat. Ju Dangye made enlargement and progress on the etiology in Hwangjenaegyeong from Cold and Ki to Damp-Heat. Heo Jun reasonably combined Cold, Gi, and Damp-Heat as the pathogen of San syndrome. There are two meridians closely related to San syndrome. In Hwangjenaegyeong, the Conception meridian is designated, Ju Dangye insisted on the Liver meridian of Foot Gyuleum. His theory that the Liver meridian entirely governs San syndrome is accepted by posterity. Ru Young in Myeong dynasty complementarily combined the concept In Hwangje -naegyeong, classifications of Jang Jahwa, and Ju Dangye's theory. He was followed by Gong Jeonghyeon, Lee Cheon, and Heo Jun, and finally related to Jisan in present time. Heo Jun has completed the standard of San syndrome by combining opinions of anterior medical practitioners. He complied with Naegyeong and Yang Sayoung's view in symptoms, and classified into seven categories according to Jang Jahwa's advocation. In the pathogenesis, he followed up Naegyeong in which Cold and Ki were designated as a cause and Ju Dangye's theory that San syndrome was caused by Damp-Heat, congested fluids, retention of undigested food, and stagnated blood. For meridians, he agreed with Ju Dangye's assertion that the Liver meridian entirely governs San syndrome. About Hyungsang of face, Lee Cheon indicated that if the part behind ear was sunken, the person had his kidney hanged below, and if the person had his kidney hanged below, he was susceptible to lumbosacral pain and Ho-San syndromes. Afterwards, Jisan pointed out that persons with the following characteristics in Hyungsang should be considered to have San syndromes; droopy ears, asymmetric wings of nose, unbalanced eyes, curved nose, asymmetric testicles, turned up nose for man, and long nose for woman. By recognizing the concrete features of Hyungsang, Jisan founded Hyungsang medicine, the horizon of oriental medicine.