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백유상,서준호 대한한의학원전학회 2019 대한한의학원전학회지 Vol.32 No.4
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. Objective: 본 연구에서는 『황제내경』에 나오는 痺證과 積의 관계에 대하여 살펴보았다. 주로 痺證이 어떻게 발생하여 有形의 병변으로 전화되는지에 대하여 고찰해 보았다. Method: 『황제내경』에 나오는 痺와 積의 관련 내용들 가운데 주로 비가 어떻게 생성되어 변화하며, 적으로 전환되는 과정이 어떠한가에 대하여 주로 검토하였다. Result: 痺證이 비록 風寒濕 三氣에 의하여 발병하나 주로 陰의 성질을 가지고 있어서 氣血이 막히고 血과 津液이 뭉쳐서 유형의 積으로 발전할 가능성이 높으며, 감각 이상의 증상들은 그러한 전변의 과정에서 드러나는 표현일 뿐이다. 痺證이 五臟으로 전해지면서 疝瘕, 蠱, 瘛 등의 병증으로 발전된다고 설명한 것도 痺證이 積으로 傳化하는 것과 관련이 있다. 『黃帝內經』에 나오는 五臟 痺證의 경우는 臟腑의 痺證이 단순히 치료를 위한 辨證 체계가 아니라 실제 五臟六腑에 구체적인 병변이 자리 잡아서 생긴 것이다. 즉, 痺證의 초기에 감각 이상과 기타 증상들을 유발시키는 어떠한 凝結이 먼저 생기고, 이후에 이러한 凝結은 分肉 속에서 일정한 공간을 차지하게 되며, 만약 凝結이 없어지지 않고 계속 머물면 안으로 五臟六腑까지 들어와 臟腑의 痺證을 일으키는 것이다. Conclusion: 痺證은 단순히 감각 이상의 병증으로 보지 않고 積聚로 발전할 수 있는 전조 증상으로 인식하게 되면 염증 반응을 거쳐 종양으로 이어지는 일련의 과정을 미리 파악하여 치료할 수 있는 가능성이 높아질 것으로 기대된다.
백유상 대한한의학원전학회 2004 대한한의학원전학회지 Vol.17 No.4
In the Circular flow of Meridians〔經脈〕, the circulation of Nutrient Gi〔營氣〕 is that the essence Gi〔精氣〕 of food starts from Middle Cho〔中焦〕, via heart and lung into the ring-type round of 12 Meridians〔十二經脈〕 in turn of hand Meridians〔手經〕 and foot Meridians〔足經〕, Yang Meridians〔陽經〕 and Eum Meridians〔陰經〕. The circulation of Defensive Gi〔衛氣〕 is that if going out from Eum part〔陰分〕 into Yang part〔陽分〕, is rounding on the Yang Meridians, if going out from Yang part into Eum part, is rounding on the five Jang〔五臟〕 in order of Kidney〔腎〕-Heart〔心〕-Lung〔肺〕-Liver〔肝〕-Spleen〔脾〕. Because the process of accumulating the essence Gi has a property of One-way flow, it flows from terminal to the direction of body trunk, has no distinct channel with its immaterial nature, and is concentrated on the lower part to that the five Jang belong.
論文(론문) : 熱入血室證(열입혈실증)에 대한 小考(소고)
백유상 ( You Sang Baik ) 대한한의학원전학회(구 대한원전의사학회) 2013 대한한의학원전학회지 Vol.26 No.4
Objective: One of the unique syndromes in Asian traditional medicine named ``heat entering the blood chamber(熱入血室, HEBC)`` first appeared in Shanghanlun(傷寒論) and Jinguiyaolue(金櫃要略) written by Zhangzhongjing(張仲景) who is the most famous doctor in ancient China. Method: Through comparison between Huangdineijing(黃帝內經), Shanghanlun(傷寒論), Jinguiyaolue(金 櫃要略) and other medical texts, the correct meaning, causes and mechanisms of HEBC can be analysed and organized to suggest new view of HEBC in modern society. Result: This syndrome is usually occurred in women during catching cold and menstruation, accompanying alternation of chillness and fever, pseudo-malaria, delirium, raveled chest(結胸), uterine hemorrhage, etc. The main sign of this syndrome, delirium belongs to the category of liver disease and fever in Huangdineijing(黃帝內經) which is a document more early published than Shanghanlun. Although there are still many other comprehensions about what blood chamber is, it could be the same as uterus according to Huangdineijing, it is relevant to the control of menstruation and emotions, and the function of liver and thoroughfare vessel(衝脈). Conclusion: HEBC is a syndrome exclusive to women, caused by their unique physical and psychological characteristics. It`s beginning can be found in Huangdineijing, and by Shanghanlun and Jinguiyaolue, its concept as a single disease pattern becomes established. In other words, HEBC is a complex disease related to menstruation and its related hormonal dysfunctions, closely related to PMS, menopausal syndrome of today. Physical symptoms accompanied by psychological anxiety and fear is characteristic of this condition. Therefore gynecological approaches as well as socio-cultural issues related to women in modern society must be adopted when dealing with HEBC.
역학(易學)의 의학적(醫學的) 적용(適用)에 대한 소고(小考) -괘상(卦象)에서 명문학설(命門學說)까지-
백유상 ( You Sang Baik ) 대한한의학원전학회(구 대한원전의사학회) 2014 대한한의학원전학회지 Vol.27 No.3
Objectives : In this article, an analysis of some documents about medical thought of change in medical history explains how the concept of it has been established and expanded, and through that, we can find the fusion of tradition between medicine and the study of IChing. Methods : Through investigation and analyses of the texts about medical thought of change in important medical books, the contexts of the history will be drawn. Results : Although the study of IChing and medicine have been developed separately in the early period of medical history, it has been started to fuse explanations for symptoms and mechanisms of diseases using trigram images. Yin-yang and wuxing changes(陰陽五行) of human body have been explained with 12 changing trigram(消息卦) and eight trigram(八卦). In the Ming dynasty, the establishment of Myeongmun(命門) theory was influenced largely from IChing, but it was followed by a scathing criticism of some doctors in the Qing dynasty. Conclusions : Developing of the study about Iching and medicine, thought of change has been an important foundation of new theories in traditional medicine like as the issue of Myeongmun theory, as a result, it has contributed to the development of clinical medicine.