논문(論文) : 『상한론(傷寒論)』의 자법(刺法)에 관한 고찰(考察)

김종현 ( Jong Hyun Kim ),정창현 ( Chang Hyun Jeong ),장우창 ( Woo Chang Jang ),백유상 ( You Sang Baik ) 대한한의학원전학회(구 대한원전의사학회) 2015 대한한의학원전학회지 Vol.28 No.1

Objectives : Through the comparative study on cases of acupuncture therapy in Sanhanlun(傷寒論), it would be expected to comprehend the theory of acupuncture for external contraction(外感). Method : It has been done to analyse provisions of Sanghanlun, Hwangdineijing(黃帝內經), Nanjing(難經) related with acupuncture, and to compare the symptoms reported in Hwangdimingtangjing(黃帝明堂經) to Shanghanlun. Result : Most symptoms of the acupuncture points in Shanghanlun correspond with those in Hwangdimingtangjing. Visceral manifestation theory could explain the reason why some acupuncture points in Shanghanlun were selected, but Meridian theory could in 1 case only. Some provisions show that acupuncture was treated to increase the effect of medicines and the others to replace medicines. Conclusion : The main principle to select acupuncture in Shanghanlun were the effectiveness of each point and visceral manifestation. Acupuncture was tried to increase or replace the effect of medicines.

傷寒論 第28條에 대한 文獻的 考察

金俊錡 대한동의병리학회 1998 동의생리병리학회지 Vol.12 No.1

傷寒論 第 28條는 病機의 分析과 主治처방의 構成에 대해서 歷代 傷寒論 注釋家와 現代 中醫學者間에 많은 논란이 있는 條文이다. 本 論文은 28條에 대하여 表邪의 有無와 主治處方의 錯簡說 등에 대한 歷代 注釋을 檢討하였다. 論者는 이러한 論難을 咳嗽하기 위한 方法으로 有關 處方에 대한 方後注文과 傷寒論의 條文 配列 順序의 意味에 根據하여 本條가 水飮內停證에 속하며 계지거계가복령백출탕이 本證의 主治處方임을 論證하였다. Many arguments on the interpretation of the 28th articles of Shanghanlun(傷寒論) which deals with the analysis of pathogenesis and the constitution of the chief prescription, have been made between the previous interpretators and moderm chinese medical scholars. In this paper I have examined the previous comments on the 28th article by focusing on the existence of Biaoxie(表邪) and the misunderstanding of the chief prescription Based upon the meanings of the annotated explanation about the related prescription and the article arrangement of Shanghanlun(傷寒論), my analysis shows that the 28th article belongs to the symptoms of Shuiyinneitingzheng(水飮內停證) and therefore Guizhiquguijiafulingbaizhutang(계지거계가복령백출탕) should be chief prescription for the symptoms.

方有執의 『傷寒論條辨』 條文 구성에 대한 考察

安鎭熹(Ahn Jin hee),金惠一(Kim Hye il),丁彰炫(Jeong Chang hyun),張祐彰(Jang Woo chang),白裕相(Baik You sang) 대한한의학원전학회 2016 대한한의학원전학회지 Vol.29 No.1

Objectives : The purpose of this study is to investigate the method of setting up logic and estimate Fang Youzhi’s work through Shanghanluntiaobian. Methods : Wang Shuhe’s old edition Shanghanlun and Fang Youzhi’s Shanghanluntiaobian were compared and several essential provisions were analyzed and addressed the positive and negative aspects of Fang Youzhi’s revising old edition Shanghanlun mixed bamboo tablets. Results : Fang Youzhi’s changing Bianmaifa(「辨脈法」) and Pingmaifa(「平脈法」) and placement Bianchishiyemaizhengbingzhi chapter after Liujingbingmaizhengbingzhi for discriminating convulsion·dampness·summer heat stroke from febrile diseases is appropriate. Fang Youzhi’s deletion Shanghanli(「傷寒例」) chapter that has a guiding characteristics shows his editorial policy. Fang Youzhi’s addition Bianwenbingfengwenzabingmaizhengbingzhi chapter is for discriminating febrile disease from epidemic febrile disease·wind warmth syndrome·miscellaneous disease and it indicates Shanghanlun is a book of treatment after differentiation of syndromes containing epidemic febrile disease and miscellaneous disease. Through Fang Youzhi’s revising method I can see several positive aspects. First he tried to refine the logic of the content of Shanghanlun and accord with an actual situation. Second he shows Shanghanlun is a book of treatment after differentiation of syndromes containing epidemic febrile disease and miscellaneous disease and tried to see Shanghanlun clearly. A criticism of the Preserving Old Edition Shanghanlun group could interrupt flexibility and creative thinking reading Shanghanlun and a criticism to the Sangangdingli Principles of the several exegetists is a productive criticism because medicine treats human being so it cannot be completed by a logic. Conclusions : All of these processes are Fang Youzhi’s endeavour for strengthening the system and logicality of the old edition Shanghanlun and it is meaningful to show a method to read Shanghanlun to beginners.

‘宋本·傷寒論’과 ‘康平·傷寒論’의 구조적 차이에 대한 연구

박종현 ( Jonghyun Park ) 대구한의대학교 제한동의학술원 2023 東西醫學 Vol.48 No.1

Objectives : This study is writtem to investigate structual difference between ‘Songben-Shanghanlun(宋本傷寒論)’ and ‘Gangpyeong-Shanghanlun(康平傷寒論)’. Methods : At first, We divided the sentence of each provision by styles. Then, count numbers of provions that include certain style and combinations of the styles. Results and Conclusions : Each provion of 'Gangpyeong-Shanghanlun’ is writtern in one style or 2~3 combinations out of five styles. Those numbers and proportions were different depend on chapters of ‘Shanghanlun’.

논문(論文) : 『강평상한론(康平傷寒論)』내 "상한(傷寒)" 개념의 다양성에 대한 고찰

이숭인 ( Soong In Lee ),정종길 ( Jong Kil Jeong ) 대한한의학원전학회(구 대한원전의사학회) 2015 대한한의학원전학회지 Vol.28 No.1

Objectives : Usually medical terminology of oriental mecidine has a multiple meaning. But concept of Shanghan(傷寒) should be simple, because Shanghanlun(傷寒論) is a clinical guideline book. So I researched to suggest many concept of Shanghan, which are suitable for each chapter of Shanghanlun. Methods : I enumerated provisions including Shnaghan from the original texts of Gangpyeong-Shanghanlun(康平傷寒論). And I translated and reviewed them. Results : 1. Shanghan of Preface(序文) means a disease of high fatality. 2. Shanghan of Shanghanrye(傷寒例) means diseases due to physical damage of cold weather. 3. Shanghan of Diagnosis of Daeyang Disease(辨大陽病) - Neck stiffness(痙), Dampness(濕), Sun stroke(□) means certain disease names accompanying fever, chill. 4. Shanghan used in Diagnosis of Diseases is a premise of many provisions of Shanghanlun. And Shanghan is made up of finished fever, expected fever, chill, body pain, loss of appetite, image of tension. Conclusions : We can use a appropriate translation on Shanghan of each chapter of Gangpyeong-Sanghanlun. Especially Shanghan used in 「Diagnosis of Diseases」should have more accurate meaning.

唐宗海의 六經 氣化學說에 대한 硏究 - 『傷寒論淺注補正』을 중심으로 -

이상협 대한한의학원전학회 2019 대한한의학원전학회지 Vol.32 No.4

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. Objective: 본 연구는 唐宗海가 서양의학의 ‘解剖學’과 한의학의 ‘氣化學說’을 상호 결합하여 張仲景의 『傷寒論』을 해석한 『傷寒論淺注補正』을 통하여 그가 주장한 六經의 氣化學說에 대해서 정리함으로써 임상적으로 활용하는데 도움이 되도록 하는 것에 목적이 있다. Method: 『傷寒論淺注補正』에 나오는 六經病의 내용을 중심으로 하면서, 唐宗海의 『中西匯通醫經精義』에 나오는 臟腑의 機能, 關闔樞, 臟腑相通, 十二經脈 등의 이론과 서로 연결시켜 六經病의 氣化學說이 어떠한 방식으로 설명되고 있는지를 구체적으로 고찰하였다. Result: 1. 太陽經의 氣化作用은 小腸과 膀胱이 交通하여 “膀胱者, 氣化則能出.”하는 것과 관계있다. 2. 陽明經의 氣化作用은 “陽明不從標本, 從乎中.”의 氣化를 통하여 燥濕의 조절과 관계있다. 3. 少陽經의 氣化作用은 “少陽屬腎”이라는 것을 통하여 三焦-膽-心包의 生火作用과 관계있다. 4. 太陰經의 氣化作用은 血管을 통하여 膏油를 만드는 것으로 心火가 脾土를 生하는 뜻이다. 5. 少陰經의 氣化作用은 ‘心主血脈, 腎主元氣’하여 營氣와 衛氣를 조절하는 것과 관계있다. 6. 厥陰經의 氣化作用은 ‘陰盡陽生’하면서 생기는 和風이 水冷과 火熱의 조화와 균형을 조절하는 것과 관계있다. Conclusion: 唐宗海의 六經 氣化學說은 결국 『傷寒論』의 六經病을 氣化의 관점에서 설명하는 핵심적인 이론으로, 韓醫學의 기본이론인 臟象學說, 關闔樞, 臟腑相通, 十二經脈 등의 이론과 밀접하게 연관되어 있음을 확인할 수 있었다.

조선전기 상한 관련 문헌의 도입과 활용 연구 – 간행, 인용, 강서 활용을 중심으로

박훈평 대한의사학회 2019 醫史學 Vol.28 No.3

The status or role of Shanghanlun(Treatise on Cold Damage) in Joseon is quite different compared to neighboring China and Japan. This is a unique aspect that distinguishes Joseon's medicine from other East Asian countries at that time. Prior studies were conducted on the literature non-professional books of Shanghanlun, so this study aimed to analyze the transmission and utilization of professional books of Shanghanlun. In the citations of medical books in the first half of Joseon period, the domestic introduction of professional books of Shanghanlun used in the day were usually from the mid-13th century to the first half of the 15th century. In particular, the version of professional books of Shanghanlun quoted in Euibangyoochui(Classified Collection of Medical Prescriptions) were centered on the Yuan edition. In other words, the acceptance of the theory of Cold Damage was based on the Yuan's medicine. Professional books of Shanghanlun, which is published separately during the compilation or publication of Euibangyoochui, were the books of intentional choice. It is important to identify their character. First of all, Shanghanleishu(Classified Book of Cold Damage) was used as a textbook of Cold Damage in the first half of Joseon Dynasty because this book of author, Yang Shizhen's medicine acted as the basic text. The nature of Shanghanleishu, which pursued the fusion of "several symptoms of Internal medicine" and "Cold Damage" instead of pursuing independent medicine of Cold Damage with different internal medicines, may have had some influence in forming the uniqueness of Joseon's medicine of Cold Damage in the future. Shanghanfu(Prose poems of Cold Damage) is a primer for easy access to formal Cold Damage‘s content. Shanghanfu is presumed to be a medical book made out of prose poems, the core of Shanghanzhizhangtu. Non-professional books of Shanghanlun have also been cited in the first half of Joseon period’s medical texts in relation to Cold Damage. However, these books were not used as textbooks in medical bureaucracy's education. The exclusion of major Cold Damage related texts from the medical bureaucracy‘s education may have hampered the development of Cold Damage's medicine of Joseon. 조선에서의 상한론의 지위나 역할은 이웃 중국과 일본에 비교하면 사뭇 다르다. 이 점은 당시대 다른 동아시아 국가의 의학과 조선의학을 구분 지을 수 있는 독특한 모습이다. 선행연구는 상한 전문서가 아닌 문헌을 중심으로 이루어졌기에 본 연구는 상한전문서의 전래와 전승, 활용도 함께 분석하고자 하였다. 조선전기 의서의 인용문헌을 살펴보면 당시에 활용된 상한전문서의 국내 도입 시기는 대개 13세기 중반에서 15세기 전반 사이이다. 특히 의방유취에 인용된 상한 전문서의 판본은 원대간본 중심이다. 즉 조선전기 상한 이론의 수용은 원대의학을 기반으로 이루어졌다. 의방유취의 편찬 내지 간행 과정 중에 별도로 간행된 상한전문서들은 의도적으로 선택되어진 책들로서 이들의 성격을 규명하는 것은 중요하다. 먼저 상한유서가 조선전기에 상한의 강학교재로 사용된 까닭은 저자 양사영의 의학이 조선 전기에 기본 텍스트로서 작용했기 때문이다. 상한유서의 성격이 다른 내과학과 분화 독립된 상한학을 추구하지 않고 내과잡증과 상한의 융합을 추구하였다는 점은 후대에 조선 상학학의 독특성을 형성하는 데에도 일정 부분 영향을 주었을 것이다. 상한부는 형식 상 상한 관련 내용을 쉽게 접근하기 위한 입문서이다. 상한부는 상한지장도의 핵심 내용인 가괄만을 뽑아 만들어진 의서로 추정된다. 상한전문서가 아닌 문헌도 상한 관련하여 조선 전기 의학서에 많이 인용되었다. 그러나 이들 책은 의학 관료 양성 과정에서 교과서로서 활용되지 못했다. 주요 상한 관련 텍스트들이 의학 관료 양성 과정에서 제외되었던 일은 이후 조선의 상한학이 독자적으로 발전해 가는 데 지장을 주었을 것이다.

傷寒論 條文中 脈證에 관한 硏究

金鍾洙,朴元煥 동국대학교 한의학연구소 2000 東國韓醫學硏究所論文集 Vol.9 No.-

傷寒論은 理·法·方·藥의 合致에 重點을 두었고, 選錄한 方劑 또한 대부분 實用的이고 有效하므로 높은 臨床的 實用價値가 있을 뿐만 아니라, 後世 臨床醫學의 發展에도 深遠한 영향을 미쳤다. 특히 傷寒論은 脈과 證을 모두 重視하는 原則으로 보다 有機的인 診斷方法을 만들어내어 診斷學의 發展에 있어서도 기여한 바가 크다. 이에 傷寒論의 脈證을 調査한 結果, 첫째 陰脈과 陽脈, 二十七脈, 兩綱脈, 六要脈으로 分類할 수 있으며, 後代의 脈診 分類와도 相應하여 脈과 證을 辯證의 主要한 根據로 삼아 辨證論治의 原則을 確立하였다. 둘째 全體 398條文中에서 脈證과 關聯지을 수 있는 條文이 38%에 이르며, 脈證이 傷寒 各 段階의 傳燮, 病症의 機轉, 病邪의 進退와 用藥의 根據가 됨을 알 수 있다. 셋째 各各의 脈證中에서 浮脈이 가장 많이 나타났으며, 그 외 微脈, 緊脈, 沈脈 等의 陰脈의 頻度도 많았다. Shanghanlun principally dealt with the differentiation of 'The six channels'(Taiyang, Yangming, Shaoyang. Tayin, Shaoyin, Jueyin), summing up such rich experiences as diagnoses and remedies about an acute fever before the Han dynasty, and establishing the basis of the differentiation of symptoms and signs based on prescriptions. And making it a principle to think of both pulse and symptoms important, it made a more organic method of diagnoses which compounded a reason, ncle, prescriptions and drugs, and considerably contributed to the development of Diagnostics. Therefore, as a result of classifying the contents concerned with the differentiation of Shanghanlun through the pulse symptoms, which is a n.ay of research about the field of pulse feeling, it provided us with somewhat knowledge. 1. The pulse symptoms corresponds with the latter classification on the pulse symptoms. That is why, it seems, the traditional concept, which regarded the pulse and the symptoms as the basis of the differentiation and established the principle of the differentiation of symptoms and signs based on prescriptions, largely has an effect on the establishment of the latter pulse science. 2. The contents concerned with the pulse symptoms, including general principles and dicoction symptoms of each chapter, mounted up to 38%, and so the pulse symptoms informed that the pulse symptoms was the grounds of transformation and development, mechanism of differentiation of syndromes, advance or retreat of pathologic factors and application of drugs of each course of Shanghanlun. 3. Of pulse syndromes, there appeared Floating pulse most, and in addition there were also the high frequency of Yin pulse like Indistinctive pulse, Tense pulse, Deep pulse, and so on. 4. Any regularity between the pulse syndrome and the abdominal syndrome cannot be found.

傷寒論중 汗, 下法을 중심으로 한 少陰人 病證論 考察

李炳盧,金俊錡,崔達永 동국대학교 한의학연구소 2000 東國韓醫學硏究所論文集 Vol.9 No.-

이제마는 사상의학의 생리, 병리를 설명함에 있어서 상한론을 많이 인용하였는데 치법에 있어서는 상한론의 것과 일치하지 않으며 특히 소음임편에서는 상한론의 한법이나 하법에 대해서 많은 비판을 가하고 있다. 이에 동의수세보원 소음인편에 나타난 상한론 인용문과 동무의 의론을 한법과 하법을 위주로 비교하여 본 결과 사상의학과 상한론은 공통적인 사기의 개념과 병증구성상의 표리구조를 가지고 있었으며, 한과 하의 개념에 있어서도 별다른 차이가 없었다. 그러나 치료법에 있어서 사상의학에서는 소음인에 대하여 승양이 안되는 체질상의 부족을 보충하는 승양익기법을 중요시하여 상한론과 차이가 남을 알 수 있었다. The main purpose of this study is to lay the groundwork of mutual assistance between Shnngknlun and Sa-sang Constitutional Medicine by looking into their differences and similarities in the concept and the medical treatment in the diaphoretic therapy and the purgative therapp. The study compared Shanghan Jomun quoted in Soeumin, Dongy-Soose-Boum m:ith Je-ma, Lee s Theory of Medicine. And its conclusion is the following: 1. Both Shanghlun and Sa-sang Constitutional Medicine connote the concept of pathogenic factors in the Nae-Kyung hfedicine as the medicinal substances. And both of them have the fundamental structure of exterior-to-interior movements in the symptoms of disease to appear when pathogenic factors penetrate into the bodies. 2. Sa-sang Constitutional Medicine has treated the causes and the mechanism of disease in the symptoms of disease differently from other therapies: focusing on the body's constitutional symptom of disease, namely Soeumin's lack of the Yang-Qi and the poor Ascending Yang, not an attack on pathogenic factors as a interior-exterior symptom. Therefore Ascending-yang Suppiling Qi. which fills up the lacking parts of the body and keeps the balance of the body fitted in one's constitution, has been used rather than the diaphoretic and purgative therapy. 3. As Shanghlun and Sa-sang Constitutional Medicine have the similarities in the interior-to-exterior structure, pathogenic factors, and the notion of diaphoresis and purgation, they do so in the principle of the medicinal substance and the therapy. However, there are actually differences of carrying out the diaphoretic and purgative therapy and other treatments between Shangtnnlun and Sa-sang Constitutional Medicine by the reason of the dissimilarities in the mechanism of disease and focal points.

傷寒論 條文中 常見腹證에 관한 硏究

신상습,박원환 동국대학교 한의학연구소 1999 東國韓醫學硏究所論文集 Vol.7 No.2

傷寒論은 腹證에 관한 내용이 전체의 1/4에 달할 정도로 重히 다루고 있으며 方證辨證이 중심이 되어 腹證을 통한 변증이 매우 발달되어 있어서 診斷學의 발전에 크게 기여 하였다. 이후 診斷學의 發展은 診脈, 診舌을 위주로 했으며, 腹診의 運用에 대해서는 역사적으로 사회적인 특수한 배경으로 인하여 계속 발전되지 못하였다. 최근 韓醫學的밭 診斷方法과 治療方法이 매우 강조되어 활발한 연구가 계속 진행되면서 腹證辨證에 관한 관심이 매우 집중되고 있기에, 腹部診斷에 관한 硏究의 한 方法으로써 傷寒論 ??文에 실려있는 常見腹證에 관련된 內容을 정리한 結果 약간의 知見을 얻었다. The subject of Abdominal syndrome in the field of Shanghanlun takes a quarter of the whole research quantity, and has greatly contributed to the development of diagnoses due to the well-growth of syndrome differentiation through 'the differentiation of symtoms and signs based on prescription'-centered abdominal syndrome. Since then, while the diagnostic has been developed mainly in the field of pulse feeling and the inspection of the tongue, application of the abdominal diagnostic has not been continuously improved because of special historical and social environments. Recently, since interest in the differentiation of symtoms and signs based on abdominal syndrome has been raised by emphasis of Oriental diagnostic methods and medical treatment which have led to the study of Abdominal Syndrome in Shanghanlun. The following is the results of the study. 1. Shanghanlun abdominal syndrome is categorized into all abdominal symptoms Epigastric symptoms, Hypochondrium symptoms, and Lower abdomen symptoms. 2. Subjective symptoms and Objective symptoms have been found in Abdominal syndrome, and Subjective symptoms have been more often than Objective symptoms. Both of the symptoms have been found more to co-exist in abdominal syndromes. 3. more cases of fullness of abdomen symptoms in All abdominal symptoms, a smaller number of cases in Taiyang disease, Yangming disease, disease, disease involving all three yang, Tayin disease and Jueyin disease have been found, but there have not been found in shaoyin disease. 4. More cases of Epigastric fullness and rigidity in Epigastric symptoms, Epigastirc throbs in Palpitation symptoms, and sense of fullness-in-chest in Abdominal syndrome of chest and hypochondriurn have been recognized. 5. Any regularity caused by abdominal symptoms has not been identified. 6. Diagnosis of the abdomen caused by abdominal symptoms has been identified in Epigastric fullness, Epigastric pain, Epigastric procrastination, Epigastric throb, fullness of abdomen and distension of lower abdomen.