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虐疾의 症狀과 機轉에 대한 文獻的 考察 : 淸代까지 中國醫書를 中心으로
류정아,朴贊國 대한한의학원전학회 1999 대한한의학원전학회지 Vol.12 No.1
The hakgil is the important disease in the oriental medicine historically. In the preseant time also this disease continually appear all over the world. So purpose of this study is that consider the symptoms and pathogenesis of hakgil(학질) with the points of view of oriental medicine. And in this study, the results are summarized as the followings. 1. The symptos of hakgil(학질) 1) Rigor and heat spasm : The main symptoms of hakgil is the severe and periodical rigor and heat spasm. Generally, the figor first appear and later the heat spasm appear. According to the first and last, severe and weak, the hakgil is classified to hanhak(한학), onhak(온학), danhak(단학), binhak(빈학). 2) The regulation of the time of spasm : The spasm occour in the same time daily or one time in two days, three days or several days. And the spasm time is regulary in day or night. 3) The term between the spasm and next one become later or faster. It can be decided that the becoming worse and better in the disease with the signs. 4) The seasonal property : Generally the hakgil appear in summer and early autumn. 5) The other kind of hakgil : there are firve-organ hakgil(오장학), six-kyung hakgil(육경학), janghak(장학), kuihak(귀학), six-gi hakgil(육기학), damhak(담학), sikhak(식학), and so on. 6) The pulse condition of the hakgil is chiefly hyun(弦). 2. The pathogenesis of the hakgil 1) The cause of the hakgil The causes of the hakgil first are the seo(署) or heat〔熱〕 that make the problem in the cycle of five phases〔五行〕. In the consequence, it open the hole of skin so that the pathogenic factors easily invade the humanbody and at the same time the pathogenic factor in the inside easily come out, that make the spasm. In the second time the pathogenic factor of yin(陰) -wind〔風〕, cold〔寒〕, water〔水〕 invade through the opened skin to combine with the factor in the inside. Such condition make the hakgil and the accessory spasm. 2) The pathogenesis of hakgil〔학질〕 (1) The rigor and heat spasm of hakgil(학질) appear because in summer the human body don't accomplish a task of summer because of hot weather or heat, so in autumn the ki(氣) of human body separate into yin(陰) and yang(陽), and the skin of human body is weaken so the saki(邪氣: pathogenic factors) is easily come into the human body. At this time the circulation of ki(氣) is obstructed, so the jungki(精氣: vital substance) apply to straighten the circulation of ki(氣), if the jungki(精氣: vital substance) help the yin(陰) the rigor spasm appear in the opposit direction the jungki(精氣: vital substance) help the yang(陽) the heat spasm appear. (2) The period of circulation of ki(氣) and jungki(精氣: vital substance) is one day, so the general period of spasm of hakgil(학질) is one day. But if the saki(邪氣: pathogenic factors) come into the human body deeply, the jungki(精氣: vital substance) cannot apply to straighten the circulation of ki(氣) every day so the period of spasm become longer.
『영추(靈樞),영위생회(榮衛生會)』누설(漏泄) 및 『소문(素問),풍론(風論)』누풍(漏風), 설풍(泄風)에 대(對)한 연구(硏究)
류정아,정창현 대한한의학원전학회 ( 구 대한원전의사학회 ) 2009 대한한의학원전학회지 Vol.22 No.1
不久前硏討『素問·風論』時討論到有關漏風和泄風的內容. 說明漏風症狀之內容中所看見的`食則汗出`, 此一句與『靈樞·榮衛生會』所談到的`人有熱, 飮食下胃, 其氣未定, 汗則出`內容之間, 想到互相應有關係. 而且以`漏風`及`泄風`爲名的病, 與『靈樞·榮衛生會』所見的以`漏泄`爲名的病, 此兩種病名之間覺得該有類似的關係. 所以在本文將會把如下的兩種病之間的關係, 作爲新的課題更深入比較硏究, 就是『素問·風論』所見的漏風和泄風, 與『靈樞·榮衛生會』所見的漏泄兩種病. 剛好還有關聯到屬於`漏風證`的病人臨床病例, 使得病人也能治療同時對於其治法與病之本質也能구有考察, 想進行更深一步的硏究. 經如此的探索之後本文獲得如下的結論. 此兩種病之間有흔密接的關係, 且都是外感風邪留在體表使得人體熱化, 因此肌肉的주理開合會失常, 所以津液和元氣由出汗時근著汗排泄出來的病. 其症狀, 則汗流得多, 衣服濕透, 非常口渴, 沒力氣無法做事, 尤其是會有帶惡風, 身體痛及惡寒. 其中惡風是與其他自汗證區分的特徵, 因爲裏熱進入於筋肉之血分而筋肉흔緊張也松弛. 因此其治法, 則補充津液和元氣, 之外使得裏熱放凉, 驅逐紮入於筋肉之熱邪, 而恢復被損傷的肌肉주理. 漏泄·漏風·泄風是陽明病自汗·惡風證, 若應用於産後風而治療, 則會虧得一定有흔大的幇助.