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전을(錢乙) 사백산(瀉白散)의 방의(方義)에 대한 소고(小考) - 오국통(吳鞠通)의 비판을 중심으로 -
백유상 ( Baik Yousang ) 대한한의학원전학회(구 대한원전의사학회) 2019 대한한의학원전학회지 Vol.32 No.1
Objectives : Focusing on Wujutong's critiques for Xiebaisan misuse, this study investigates how Xiebaisan and its constituent drugs have historically been used by medical doctors and analyzes the disputes in the controversial context with a summary. Methods : The contents of Xiebaisan prescription were collected and examined from the past literature and medical database, and the issues related to the debate were examined by analyzing the contents. Results : In the results of exploring the opinions of medical doctors, in general, Xiebaisan and Sangbaipi, a major medicinal drug, were seen to play a role in the work of reinforcing and reducing. In particular, Ye Tianshi was used with cold and pungent medicine to Xiebaisan as a method of releasing heat with pungent medicine for acute fever in spring, and at the same time, care was taken to avoid depletion of secretion in the stomach. Conclusions : Wujutong's critique is that in early symptoms of viral infection, the misuse of Xiebaisan seems to emphasize the adverse effects of the illness. It is hoped that further research on Xiebaisan incremental medication will be conducted in the future to help clinical applications of Xiebaisan system medication.
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溫病學 辛開苦降法과 『脾胃論』 脾胃病 치료 기전에 대한 고찰
안진희(Ahn Jinhee),김도훈(Kim Do-hoon) 대한한의학원전학회 2020 대한한의학원전학회지 Vol.33 No.3
목적 : 이 논문의 목적은 辛開苦降法의 脾胃病 치료 기전과 『脾胃論』의 脾胃病 치료 기전을 서로 비교하는 것이다. 방법 : 溫病學 문헌, 辛開苦降法 관련 논문, 『脾胃論』을 살펴 두 방면의 脾胃病 치료 기전을 이론적·임상적 측면에서 비교하였다. 결과 : 辛開苦降法의 脾胃病 치료는 脾胃分治하고, 辛苦幷用하여 一升一降함으로써 相反된 운동이 中焦 濕熱의 阻滯를 흔들어 升降氣機의 失常을 회복하며, 서로 상반되는 성질의 약물을 써서 상대방의 치우친 성질을 제어하는 성격이 있으며, 濕을 조장할 염려가 있는 人參, 大棗, 甘草 등의 약물이 없고, 苦味와 辛味를 지닌 약물이 주로 君藥에 속한다. 한편 『脾胃論』의 脾胃病 치료는 脾胃合治하고, 人參, 黃芪, 甘草 등의 甘溫之劑에 風藥을 써서 升陽益氣함으로써 升發에 중점이 있고, 辛苦味가 들어가는 風藥이 포함되기는 하지만 君藥이 아니라 佐使藥의 개념이며, 君藥은 補中益氣升陽할 수 있는 甘溫劑이다. 결론 : 근현대 학자들이 辛開苦降法의 개념을 확대시켰으므로 확대된 개념의 辛開苦降法으로 『脾胃論』에 나타난 脾胃病을 치료할 가능성이 생기는데, 辛開苦降法이나 『脾胃論』의 脾胃病 치료의 공통점은 方義가 火熱을 내리는 동시에 氣機를 소통시켜 氣機 운행을 돕는 것이므로 동일한 方義 속에서 溫病學의 범주에 포함된 脾胃病이나 『脾胃論』에서 설명한 脾胃病을 치료할 때에 상황에 따라 약물을 적절하게 加減하여 치료할 수 있다. Objectives : The aim of this paper is to compare the mechanisms of the OP/LB method and the SSD treatment in 『Piweilun』. Methods : Wenbing texts, articles on the OP/LB method, and the 『Piweilun』 was examined for comparison of treatment mechanisms of SSD. Results : The mechanism of the OP/LB method in treating SSD was to treat the Spleen and Stomach separately, to restore the ascending/descending pattern of qi through simultaneous use of pungent and bitter flavors which raises and lowers, respectively. Moreover, the use of medicinals with contrary properties regulate the other s biased nature, and none of the medicinals create dampness. The pungent and bitter flavors play central roles, where the pungent flavor opens and communicates and the bitter flavor clears and lowers. The treatment method of SSD in the 『Piweilun』 treat the Spleen and Stomach together, with a focus on raising and dispersing through upraising yang and reinforcing qi by means of Wind medicinals with pungent and bitter flavors added to sweet and warm medicinals. Conclusions : Owing to the expansion of the OP/LB method concept by modern-contemporary scholars, the potential for treating SSD as can be seen in the 『Piweilun』 with the OP/LB method has emerged. The similarity between the OP/LB method and treatment of SSD in the 『Piweilun』 is that the objective of the formulas is to lower fire heat and communicate qi to help qi movement. This common objective allows for treatment of SSD within Wenbing and those in 『Piweilun』 with the said formulas through appropriate modification fit for each situation.
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