『傷寒論』 病症과 營氣의 관계에 대한 硏究 = A study on the relationship between the symptom of Shanghanlun(傷寒論) and the Nutritive-Gi(營氣)

다국어 초록 (Multilingual Abstract)

Objectives : The practices of Wei-qi and Nutritive-qi are generally divided into external Mai and internal Mai. However, they are closely interrelated and practiced together. While taking these aspects into consideration, this paper attempts to make interpretations in relation with Nutritive-qi the disease pathogens that appear in Shanghanlun’s disease symptoms.
Methods : Using the practice and function of Nutritive-qi described in Huangdineijing, the paper shall make interpretations for the patterns of Mawhangtang, patterns of Gaejitang, and the pathologies of pain, oedema, and nosebleed as described in Shanghanlun.
Results & Conclusions : The pain from the patterns of Gaejitang differ from that of the patterns of Mawhangtang. First, the pain from the the patterns of Gaejitang cannot be the main symptom. Even if there is a symptom of pain, it’s severity is not serious. Second, the pain from the patterns of Gaejiang takes the form of stiffness, and not general bodily pain. The reason for this stiffness is because of the emptiness of Wei-qi that leads to the congestion of Nutritive-qi which in turn causes the lack of qi and blood flow in muscula area such as abdomins. The symptom of oedema where one’s body becomes swollen comes from a number of pathogens. First, the flow of meridian becomes hindered due to external dampness, a character which tends to be adhesive when added with humidty, and this results in the blockage of water qi which then causes the coagulation of nutritive blood. Second, when toxic heat is repressed and blocked within the lesser-yang channel, lesser-yang meridian stops working, which causes nutritive blood to clog at the front and back of ears since lesser-yang channel flows through that portion of body. Third, although oedema is not specifically mentioned in the sentences, but there exists the patterns of Daechungyongtang where water lumps are formed due to the accumulation and blockage of watery dampness. The patterns of Daechungyongtang is cuased when meridian is hindered from externally discharging body fluid due to a problem with meridian that blocks the fumigated internal heat which turns into bodily fluid from being discharged externally.

참고문헌 (Reference)

• 1 류두저우, "劉渡舟傷寒論講義" 물고기 숲 2014
• 2 소용섭, "靈樞 營氣에 對한 硏究" 대한한의학원전학회 19 (19): 293-304, 2006
• 3 馬蒔, "黃帝內經素問注證發微" 人民衛生出版社 1998
• 4 孫洽熙, "黃元御醫學全書·傷寒懸解" 中國中醫藥出版社 1999
• 5 張介賓, "類經" 人民衛生出版社 1980
• 6 林慧光, "陳修園醫學全書·傷寒論淺注" 中國中醫藥出版社 2001
• 7 吳謙, "醫宗金鑑" 人民衛生出版社 2003
• 8 강동윤, "經脈과 絡脈의 循行 樣式과 營·衛氣의 運行 特徵의 相關性에 대한 考察" 대한한의학원전학회 19 (19): 30-45, 2006
• 9 백유상, "經絡의 循環과 精氣 生成의 관계에 대한 연구" 대한한의학원전학회 17 (17): 37-56, 2004
• 10 洪元植, "精校黃帝內經靈樞" 東洋醫學硏究院 出版部 1985
• 11 洪元植, "精校黃帝內經素問" 東洋醫學硏究院 出版部 1985
• 12 엄동명, "營衛에 對한 考察" 대한한의학원전학회 9 : 700-729, 1995
• 13 成無己, "注解傷寒論" 人民衛生出版社 1996
• 14 劉洋, "徐靈胎醫學全書·傷寒類方" 中國中醫藥出版社 2001
• 15 尤怡, "傷寒貫珠集" 中醫古籍出版社 1998
• 16 裵永淸, "傷寒論臨床應用五十論" 學苑出版社 2000
• 17 蔡仁植, "傷寒論譯詮" 高文社 1991
• 18 李培生, "傷寒論" 아울로스출판사 1994
• 19 방정균, "『傷寒論』 病症과 衛氣의 관계에 대한 硏究" 대한한의학원전학회 29 (29): 151-163, 2016
• 20 박상균, "『傷寒論』 大靑龍湯證에 대한 硏究" 한국의사학회 27 (27): 127-134, 2014
• 21 강경래, "<靈樞·五十營>에 대한 硏究" 대한한의학원전학회 20 (20): 39-48, 2007
• 22 방정균, "<傷寒論>의 “中風”과 “傷寒”에 대한 考察" 대한한의학원전학회 19 (19): 136-146, 2006