"동의수세보원(東醫壽世保元)" 소음인(少陰人) 표병(表病)의 병기(病機) 및 치법(治法)에 대한 고찰(考察) - 익기(益氣)와 승양(升陽)을 중심으로 - A Study on The Disease Mechanism and Treatment of The So-eumin Exterior Disease of "Dong-uisusebowon(東醫壽世保元)" -On Ikgi(益氣) and Seung-yang(升陽)-원문보기
This paper studies the main treatment methods, Ikgi(益氣) and Seung-yang(升陽) applied frequently by Lee Jema(李濟馬) on the exterior disease of So-eumin(少陰人), one of the four constitutions. The methodology of this paper is to understand the pharmacology of "Dong-uisusebowon(東醫壽世保元)" by examining the formu...
This paper studies the main treatment methods, Ikgi(益氣) and Seung-yang(升陽) applied frequently by Lee Jema(李濟馬) on the exterior disease of So-eumin(少陰人), one of the four constitutions. The methodology of this paper is to understand the pharmacology of "Dong-uisusebowon(東醫壽世保元)" by examining the formulas applied by Lee Jema. I have examined the organization of formulas in "Dong-uisusebowon(東醫壽世保元)" beforehand to categorize the formulas applicable in this study according to an objective standard. I have analyzed the prescriptions applied to So-eumin exterior disease. As a result, I could see that in the case of Ulgwang(鬱狂) syndrome, Ikgi(益氣) and Seung-yang(升陽) methods were mainly applied, but as the disease progressed, Seung-yang(升陽) was withdrawn while Ikgi(益氣) was stressed. Likewise, in the case of Mang-yang(亡陽), both methods were mainly adopted, but as the patients got worse, the level of Seung-yang(升陽) was maintained and that of Ikgi(益氣) was elevated with the addition of Buja(附子). Through this process, we could verify the overall action of Ikgi(益氣), Seung-yang(升陽) and Buja(附子). Originally, the two methods of Ikgi(益氣) and Seung-yang(升陽) are intimately related, but by analyzing the overall functions of the two methods, we could see that Seung-yang(升陽) and Buja(附子) support the Yang gi of the interior of So-eumin, while Ikgi(益氣) resolves inner stagnation of Yang gi and emits the cold pathogen of the exterior. Also, in the course of treatment, Ikgi(益氣) could only be realized after securing Seung-yang(升陽).
This paper studies the main treatment methods, Ikgi(益氣) and Seung-yang(升陽) applied frequently by Lee Jema(李濟馬) on the exterior disease of So-eumin(少陰人), one of the four constitutions. The methodology of this paper is to understand the pharmacology of "Dong-uisusebowon(東醫壽世保元)" by examining the formulas applied by Lee Jema. I have examined the organization of formulas in "Dong-uisusebowon(東醫壽世保元)" beforehand to categorize the formulas applicable in this study according to an objective standard. I have analyzed the prescriptions applied to So-eumin exterior disease. As a result, I could see that in the case of Ulgwang(鬱狂) syndrome, Ikgi(益氣) and Seung-yang(升陽) methods were mainly applied, but as the disease progressed, Seung-yang(升陽) was withdrawn while Ikgi(益氣) was stressed. Likewise, in the case of Mang-yang(亡陽), both methods were mainly adopted, but as the patients got worse, the level of Seung-yang(升陽) was maintained and that of Ikgi(益氣) was elevated with the addition of Buja(附子). Through this process, we could verify the overall action of Ikgi(益氣), Seung-yang(升陽) and Buja(附子). Originally, the two methods of Ikgi(益氣) and Seung-yang(升陽) are intimately related, but by analyzing the overall functions of the two methods, we could see that Seung-yang(升陽) and Buja(附子) support the Yang gi of the interior of So-eumin, while Ikgi(益氣) resolves inner stagnation of Yang gi and emits the cold pathogen of the exterior. Also, in the course of treatment, Ikgi(益氣) could only be realized after securing Seung-yang(升陽).
하지만 李濟馬는 鬱狂證에 대해서만 그 病機를 명확히 논술하였으며2), 亡陽證에 대해서는 구체적인 病機를 밝히지 않았다. 또한 그 治法에 대해서도 鬱狂證의 경우에만 ‘升補’, ‘和解’와 ‘益氣而升陽’의 관점을 제시하였을 뿐 亡陽證에 대해서는 구체적인 治法을 밝히지 않았다. 그럼에도 불구하고 다수의 論文에서 亡陽證의 病機 및 치법에 대해 확정적으로 언급하고 있는 것을 확인할 수 있다.
生理 機轉에 대한 불변의 기준이 있어도 病證에 대한 정확한 이해가 수반이 病機를 정확하게 분석하는데 필요한 이유는 어떤 과정으로 병기를 분석하기 때문인가?
일반적으로 특정 病證의 病機를 올바로 분석해내기 위해서는 먼저 病證에 대한 정확한 이해가 필수적이다. 그리고 이를 바탕으로 인체의 生理 機轉 안에 病證에 대한 이해를 적용시킴으로써 정확한 病機를 분석해낼 수 있게 된다. 따라서 아무리 生理 機轉에 대한 불변의 기준이 있다 하더라도, 病機를 정확하게 분석해내기 위해서는 무엇보다도 病證에 대한 정확한 이해가 수반되어야 한다.
鬱狂 初證에는 양기가 무엇과 능히 싸울 정도로 힘이 있는가?
鬱狂 初證은 陽氣가 表寒과 능히 싸울 수 있을 정도의 힘이 있다. 또한 自汗이 나지 않는데,157) 이것은 아직 胃가 表寒을 振發할 수 있는 힘이 있는 것으로 胃에 表寒을 振發할 陽氣를 공급해주는 脾가 강한 상태는 아니지만 그렇다고 弱한 상태 또한 아님을 의미한다.
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