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대한한의학원전학회지 update

Journal of Oriental Medical Classics

  • : 대한한의학원전학회(구 대한원전의사학회)
  • : 의약학분야  >  기초한의학
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  • : 1229-8328
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  • : 대한원전의사학회지(~1999)→대한한의학원전학회지(2000~)

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수록범위 : 1권1호(1987)~32권4호(2019) |수록논문 수 : 1,168
대한한의학원전학회지
32권4호(2019년 11월) 수록논문
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1방후주문(方後注文)의 해석을 통한 『상한론(傷寒論)』 연구(硏究)

저자 : 방정균 ( Bang Jung-kyun )

발행기관 : 대한한의학원전학회(구 대한원전의사학회) 간행물 : 대한한의학원전학회지 32권 4호 발행 연도 : 2019 페이지 : pp. 1-15 (15 pages)

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Objectives : To broaden understanding of 『Shanghanlun』, this paper analyzes and interprets its Post-formula instructions(方後注文).
Methods : From the contents of Post-formula instructions that follow formulas in 『 Shanghanlun』, the effects, administration instructions, decocting methods are examined specifically. Based on annotators's interpretations, the author provides his understanding.
Conclusions & Results : The treatment principle of sweat inducive formulas is 'to induce subtle sweating(微似汗)'. Meanwhile, in the case of Inner water and fluid retention(水飮內停), 'sweating(汗出)' is expressive of healing. Among the emetic formulas in the 『Shanghanlun』, the meaning of 'vomiting(得吐者)' in the descriptions of Zhizichitang (梔子豉湯), is that the stagnated heat in the chest area has been relieved, letting the Qi communicate upwards. In terms of formula administration, besides the usual 2~3 times a day method, there is '頓服法' for immediate effects; three times within six hours application method in cases where the exterior symptoms are extremely severe or the stagnation of exterior pathogen is severe; 6 times a day or continuous application day and night regardless of frequency. In terms of decocting methods, there is '再煎法' to have the formula's effects not be biased or too strong; the decocting method of Dahuanghuanglianxiexintang where the formula is brewed momentarily in order to cool the immaterial pathogenic heat. Moreover, when there is disease in the chest, Dahuang is brewed first to soften its effects. When there is disease in the abdomen area, Dahuang is added later to quicken its effects. In the case of Guizhirenshentang, to maximize the effect of Guizhi, it was suggested that Guizhi is added later.

KCI등재

2“동부장정(冬不藏精), 춘필병온(春必病溫)”의 개념 및 임상활용에 대한 고찰

저자 : 殷晳玟 ( Eun Seok-min )

발행기관 : 대한한의학원전학회(구 대한원전의사학회) 간행물 : 대한한의학원전학회지 32권 4호 발행 연도 : 2019 페이지 : pp. 17-33 (17 pages)

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Objectives : The verse, “冬不藏精, 春必病溫”, which had much influence, has been falsely referenced as contents of 『Neijing』. This study aims to examine this process, while looking at its theoretical meaning within clinical practice.
Methods : The origins of the concept “冬不藏精, 春必病溫” are explained through annotations of 『Neijing』 and Li Dong Yuan(李東垣)'s interpretation of Shanghan(傷寒), while its clinical meaning is examined through theories of doctors's who applied the concept in their practices.
Results : The beginning of “冬不藏精, 春必病溫” could be traced back to Li's annotation of the verse “冬傷于寒, 春必病溫” from the 『Neijing』, where he based his understanding on the concept “少陰不藏.” Since then, the discourse on “冬傷于寒, 春必病溫” has been replaced by “冬不藏精, 春必病溫” as a new concept to explain the pathology of Wenbing(溫病). These discussions followed the line of thought that by failure to store Jing(精) during the winter, Cold pathogen would infiltrate, hiding itself in Shaoyin(少陰). Various arguments on how the Cold pathogen would develop into Wenbing and its treatment followed.
Conclusions : “冬不藏精, 春必病溫” can be understood as the result of a new interpretation of “冬傷 于寒, 春必病溫” through the perspective of Cold pathogen infiltration based on “少陰不藏”.

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3인영촌구비교맥진(人迎寸口比較脈診)에 관한 연구

저자 : 尹暢烈 ( Yun Chang-yeol )

발행기관 : 대한한의학원전학회(구 대한원전의사학회) 간행물 : 대한한의학원전학회지 32권 4호 발행 연도 : 2019 페이지 : pp. 35-46 (12 pages)

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Objectives : While Comparative Pulse Diagnosis of Renying pulse(人迎脈) and Cunkou pulse(寸口脈) is one of the three major pulse diagnostic methods in 『Huangdineijing』 along with Three Positions and Nine Indicators Pulse Diagnosis(三部九候脈診法) and Cunkou Pulse Diagnosis(寸口脈診法), it has died out in later periods. This study aims to examine this lost method.
Methods : Annotations of 『Huangdineijing』 were examined along with descriptions of the author's own experience.
Results & Conclusions : Renying is the Renying(人迎) point from the Stomach Channel(ST), while Cunkou is the Taiyuan(太淵) point from the Lung Channel(LU). These two points are compared in order to determine the deficiency and excess of the Zangfu(臟腑). Normal pulses(平脈) are Soft(軟脈) or Moderate(緩脈), while Stirred pulses(躁脈) are Stringy(弦脈), Tight(緊脈), Slippery(滑脈) or Long(長脈). If the Renying is once active where Shaoyang pulse is active, purge the Gallbladder and supplement the Liver. If there is Stirred pulse, purge the Triple Burner and supplement the Pericardium. If the Renying is twice active where Taiyang pulse is active, purge the Bladder and supplement the Kidney. If there is Stirred pulse, purge the Small Intestine and supplement the Heart. If the Renying is three times active, where Yangming pulse is active, purge the Stomach and supplement the Spleen. If there is Stirred pulse, purge the Large Intestine and supplement the Lung. If the Cunkou is once active where the Jueyin pulse is active, purge the Liver and supplement the Gallbladder. If there is Stirred pulse, purge the Pericardium and supplement the Triple Energizer. If the Cunkou is twice active where the Shaoyin pulse is active, purge the Kidney and supplement the Bladder. If there is stirred pulse, purge the Heart and supplement the Small Intestine. If the Cunkou is three times active where the Taiyin pulse is active, purge the Stomach and supplement the Spleen. If there is Stirred pulse, purge the Lung and supplement the Large Intestine.

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4인영기구맥진법(人迎氣口脈診法)과 충맥(衝脈)의 관계(關係)에 대한 고찰(考察)

저자 : 곽범희 ( Kwak Bumhee ) , 윤종화 ( Yoon Jonghwa )

발행기관 : 대한한의학원전학회(구 대한원전의사학회) 간행물 : 대한한의학원전학회지 32권 4호 발행 연도 : 2019 페이지 : pp. 47-55 (9 pages)

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Objectives : The purpose of this study is to research the relations between the Renying pulse and Qikou pulse diagnosis(人迎氣口脈診法) and the Chong vessel(衝脈) based on Yin and Yang(陰陽).
Methods : We set up locations of the Renying pulse and the Qikou pulse as ST9(Renying pulse) and LU9(Qikou pulse) respectively. Several medical texts and papers were examined from the ancient to modern periods, in which the relations between the Renying and Qikou pulse diagnosis(人迎氣口脈診法) and the Chong vessel(衝脈) were analyzed based on Yin and Yang(陰陽).
Results & Conclusions : The Chong vessel(衝脈) goes around the whole body and its dysfuction can be determined at pulsating sites. Also the Chong vessel(衝脈) supplies Source Qi(原氣) to the Stomach where it generates Nutrient Qi(營氣) and Defense Qi (衛氣). Due to the Lung's function that balances Nutrient Qi(營氣) and Defense Qi(衛氣), the balance between Yin and Yang is accomplished. This Yin-Yang balance can be confirmed through pulse diagnosis of the Renying pulse and Qikou pulse(人迎氣口脈診法).

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5맥경(脈經) 권5의 문헌적 고찰

저자 : 鄭勝瀚 ( Jung Seunghan ) , 金基旺 ( Kim Kiwang )

발행기관 : 대한한의학원전학회(구 대한원전의사학회) 간행물 : 대한한의학원전학회지 32권 4호 발행 연도 : 2019 페이지 : pp. 57-66 (10 pages)

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Objectives : This paper seeks to contribute to restoring ancient literature related to Bianque through literature analysis of the fifth volume of 『Maijing(脈經)』.
Methods : Literature referenced in the fifth volume of 『Maijing(脈經)』 which are 『 Huangdineijing(黃帝內經)』, 『Nanjing(難經)』 among others were examined.
Results & Conclusions : The fifth volume of 『Maijing(脈經)』 cites 『Huangdineijing(黃帝內經)』, 『 Nanjing(難經)』, 『Bixi Zhenfa(敝昔診法)』, 『Ni Shun Wu Se Mai Zang Yan Jing Shen(逆順 五色脈藏驗精神)』 etc. Based on the question and answer format of the text, it seems the fifth volume of 『Maijing(脈經)』 is a collective of three different lines of medical texts. It shows traces of Bianque's Zangfu theory where the Stomach is considered as one of the Five Zangs instead of the Spleen. It also contains the diagnostic method of symptom expression time based on distance between sites of pathological expression. Moreover, description of the number of pulses during one cycle of breathing (inhale/exhale) indicates that the early theories of the Bianque School has been preserved.

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Objectives : This study aims to summarize Tang Zong-hai's Qi transformation theory of the Six meridians through his book『Shanghanlun Qianzhubuzheng傷寒論淺注補正』where he integrated Western anatomy with the Qi transformation theory of East Asian Medicine to interpret Zhang Zhong Jing's 『Shanghanlun(傷寒論)』. The objective is to assist clinical application.
Methods : Focusing on the contents of disease of the six meridians in the『傷寒論淺注補正』, Tang's theories on the function of Zangfu(臟腑), Opening-Closing-Pivot(關闔樞), Inter-communication of Zangfu(臟腑相通) , the Twelve Meridians(十二經脈) from his other publication 『中西匯通醫經精義』 were examined and related to in the process of explaining Qi transformation theory in detail.
Results : 1. The Qi transformation function of the Taiyang meridian is related to “膀胱者, 氣化則能出” where the Small Intestine and Bladder inter-communicate. 2. The Qi transformation function of the Yangming meridian is related to the control of dryness and dampness through the Qi transformation of “陽明不從標本, 從乎中.” 3. The Qi transformation function of the Shaoyang meridian is related to the Life-Fire function of the Triple Energizer-Gallbladder-Pericardium coalition through “少陽屬腎.” 4. The Qi transformation function of the Taiyang meridian refers to the Heart Fire nurturing the Spleen Earth by creating 膏油 through veins. 5. The Qi transformation function of the Shaoyin meridian is related to the controlling of the Nutrient Qi(營氣) and Defense Qi(衛氣) through '心主血脈, 腎主元氣.' 6. The Qi transformation function of the Jueyin meridian is related to the ability of 和風 which results from '陰盡陽生' to harmonize and control the balance of Water Coldness(水冷) and Fire Heat(火熱).
Conclusions : Tang's Qi Transformation Theory of the Six Meridians is his key theory explained from the perspective of Qi transformation of disease in the six meridians of 『Shanghanlun』, closely related to basic theories such as theory of Zang form(臟象學說), Opening-Closing-Pivot(關闔樞), Inter-communication of Zangfu(臟腑相通) , the Twelve Meridians(十二經脈) of East Asian Medicine.

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7『소문(素問)·위론(痿論)』의 독취양명(獨取陽明)에 대한 고찰

저자 : 安鎭熹 ( Ahn Jin-hee ) , 徐準晧 ( Suh Jun-ho )

발행기관 : 대한한의학원전학회(구 대한원전의사학회) 간행물 : 대한한의학원전학회지 32권 4호 발행 연도 : 2019 페이지 : pp. 91-107 (17 pages)

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Objectives : The purpose of this paper is to study how medical experts understood 'Specially Selecting Yangming' for clinical application. Methods : After collecting medical texts related to 'Specially Selecting Yangming', its meaning and clinical application were examined thoroughly.
Results : 1. The meaning of 'Specially Selecting Yangming' was identified in different ways according to the meaning of 'Yangming.' It was perceived as Stomach, Yangming meridian, Stomach meridian of Foot Yangming, Spleen and Stomach, Intestine and Stomach by medical experts.
2. Chen Wu-ze and Liu Wan-su understood Wei disease as a form of consumption, and regarded 'Specially Selecting Yangming' as tonifying Yangming while Zhang Zi-he put emphasis on Communicating Stomach Qi(胃氣) through vomiting or purgation. Sun Yi-kui insisted on applying it as a precaution.
3. Li Dong-yuan emphasized the cause of Wei disease to be Damp-Heat in the Summer and suggested Qingshuyiqitang and Qingzaotang as remedy.
4. Zhu Zhen-heng's Purging the South and Reinforcing the North is a more fundamental way of treating Wei disease by stimulating the Water-Fire Axis.
Conclusions : Through a diachronic study of 'Specially Selecting Yangming' and its remedy, most medical experts regarded 'Specially Selecting Yangming' as tonifying Yangming, but tonifying Liver and Kidney was thought to be a more fundamental treatment.

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8『황제내경(黃帝內經)』의 비(痺)와 적(積)의 관계에 대한 고찰(考察)

저자 : 白裕相 ( Yousang Baik ) , 徐準晧 ( Junho Suh )

발행기관 : 대한한의학원전학회(구 대한원전의사학회) 간행물 : 대한한의학원전학회지 32권 4호 발행 연도 : 2019 페이지 : pp. 109-118 (10 pages)

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Objectives : In this study, the relationship between Tingling disease(痺證) and Accumulation (積) was examined focusing on the occurrence of Tingling disease and its development into tangible lesion.
Methods : Based on related contents in the 『Huangdineijing』, the process of creation and development of Tingling and its transformation to Accumulation was mainly examined.
Results : While Tingling disease is usually caused by the three Qis of Wind-Cold-Dampness, due to its Yin nature there is high tendency of Qi and blood to be blocked and Blood and Fluid-Humor agglomerating into Accumulation. Symptoms of dysaesthesia are merely expressions manifesting in this process. Development into colic accumulation [疝瘕], Gu(蠱), or convulsion[瘛] after Tingling has traveled to the five zang is also related to its transformation into Accumulation. In the case of Tingling disease of the five zang in the 『Huangdineijing』, it is not a diagnostic category for treatment but actual lesions in the five zang six fu. In other words, in the beginning stages of Tingling disease, some sort of solidification that causes abnormal senses among other symptoms happens, and this solidification starts taking up space within the flesh. If it is not eliminated and persists, it enters into the inner organs and develops Tingling disease of the zangfu.
Conclusions : Understanding Tingling disease(痺證) as a presymptom to developing Accumulation, rather than abnormality of sense will enable people to have higher chances in treating tumor.

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