1. Objective This study is aimed to present the effective classification of Soeumin symptomatology and the standardized signs for classification which can be applied for KCD, ICD and the insurance codification system. 2. Methods 1) Differentiate Soeumin symptomatology based on exterior-interior patt...
1. Objective This study is aimed to present the effective classification of Soeumin symptomatology and the standardized signs for classification which can be applied for KCD, ICD and the insurance codification system. 2. Methods 1) Differentiate Soeumin symptomatology based on exterior-interior patterns, favorable-unfavorable patterns, and mild-severe-dangerous-urgent patterns. 2) Investigate the standard signs and symptoms to claasify Soeumin symptomatology based on exterior-interior patterns, favorable-unfavorable patterns, and mild-severe-dangerous-urgent patterns. 3. Results and Conclusions 1) The diagnosis criteria for Soeumin exterior-interior disease is based upon signs & symptoms of cold/heat, condition of stool, state of digestive system(such as digestion and appetite)among others. 2) The diagnosis criteria for Soeumin favorable-unfavorable disease is generally based upon whether the vital force of the spleen is damaged or not. More specifically, for the exterior disease, whether or not sweating is present. For the interior disease, whether or not dry mouth, body ache(a main symptom of the exterior state), and anxiousness are present. 3) For the Soeumin Wool-gwang disease, the diagnosis criteria of mild-severe disease is whether or not chills is present and the degree of body fever. 4) For Soeumin Mang-yang disease, the diagnosis criteria of dangerous-urgent disease is whether or not chills is, the degree of sweating and urine condition. 5) For the Soeumin Greater-Yin disease, Abdominal-pain bowel irritability pattern and Epigastric discomfort pattern are early state signs, Jaundice pattern is mild-state sign, edema & Greater-Yang disease Yin-toxin pattern are terminal state signs. 6) For the Soeumin interior disease, Abdominal-pain bowel irritability pattern and Epigastric discomfort pattern are of the dangerous state pattern, Jang-gual and Exuberant-Yin-repelling-Yang pattern are of the urgent state patterns.
1. Objective This study is aimed to present the effective classification of Soeumin symptomatology and the standardized signs for classification which can be applied for KCD, ICD and the insurance codification system. 2. Methods 1) Differentiate Soeumin symptomatology based on exterior-interior patterns, favorable-unfavorable patterns, and mild-severe-dangerous-urgent patterns. 2) Investigate the standard signs and symptoms to claasify Soeumin symptomatology based on exterior-interior patterns, favorable-unfavorable patterns, and mild-severe-dangerous-urgent patterns. 3. Results and Conclusions 1) The diagnosis criteria for Soeumin exterior-interior disease is based upon signs & symptoms of cold/heat, condition of stool, state of digestive system(such as digestion and appetite)among others. 2) The diagnosis criteria for Soeumin favorable-unfavorable disease is generally based upon whether the vital force of the spleen is damaged or not. More specifically, for the exterior disease, whether or not sweating is present. For the interior disease, whether or not dry mouth, body ache(a main symptom of the exterior state), and anxiousness are present. 3) For the Soeumin Wool-gwang disease, the diagnosis criteria of mild-severe disease is whether or not chills is present and the degree of body fever. 4) For Soeumin Mang-yang disease, the diagnosis criteria of dangerous-urgent disease is whether or not chills is, the degree of sweating and urine condition. 5) For the Soeumin Greater-Yin disease, Abdominal-pain bowel irritability pattern and Epigastric discomfort pattern are early state signs, Jaundice pattern is mild-state sign, edema & Greater-Yang disease Yin-toxin pattern are terminal state signs. 6) For the Soeumin interior disease, Abdominal-pain bowel irritability pattern and Epigastric discomfort pattern are of the dangerous state pattern, Jang-gual and Exuberant-Yin-repelling-Yang pattern are of the urgent state patterns.
少陰人 病證은 크게 腎受熱表熱病과 胃受寒裏寒病으로 분류된다. 表裏病의 病證 모델과 病理에 대해서 살펴보면 아래와 같다.
少陰人 表病의 대표적인 病理은 어디서 찾아볼 수 있는가?
少陰人 表病의 대표적인 病理는 太陽病 下焦蓄血證에 대해 설명하는 부분에서 찾아볼 수 있다. "張仲景所論 下焦血證 卽少陰人 脾局陽氣 爲寒邪所掩抑而 腎局陽氣 爲邪所拒 不能直升 連接於脾局 鬱縮膀胱之證也" 라 하여 太陽病 下焦蓄血證의 病理는 腎局의 陽氣가 寒邪에 밀려나가서 膀胱에 鬱縮되는 것으로 설명 된다.
裏病의 病理를 제시하는 두 가지 부분은 무엇인가?
裏病의 病理를 제시하는 부분은 크게 두 가지가 있다. 첫 번째는 "張仲景所論 太陰病 少陰病 俱是少陰人 胃氣虛弱泄瀉之證"이라고 하여 裏病 泄瀉에 대한 病理로 胃氣虛弱을 제시한 부분이다. 두 번째는 心下痞를 동반하는 張仲景 瀉心湯證, 厚朴半夏湯證(汗解後 心下痞硬赤石脂禹餘粮湯證(傷寒 下利 心下痞硬을 病證 모델로 하여 病發於胃弱2)이라는 病理를 제시한 부분이다. 이 때 胃氣虛弱 心胃弱은 少陰人 裏病에 대한 대표적 病理를 제시한 『辛丑本』7-30조3)를 근거로 하여 胃中溫氣가 大腸寒氣를 충분히 제어하고 있지 못하는 것을 의미하는 것으로 볼 수 있다.
참고문헌 (3)
Dep. of Sasang Constutional Medicine of Kyung Hee University. The manual of Dep. of Sasang Constitutional Medicine(subtitle : reference book of sasang constitutional Medicine). Seoul: Hanmibook. 2010. (Korea).
Shin SE, Lee EJ, Koh BH, Lee JH. Study on the development of diagnosis algorithm of Soemin Symptomology. J Sasang Constitut Med. 2011;23(1): 33-43.(Korean).
Ham TI, Hwang MW, Kim SB, Lee SK, Song IB, Koh BH. A study on the Change of Conception about Soeumin Hwangdal(jaundice, 黃疸) between Dongyi Soose Bowon 'GaboBon' and 'SinchukBon', J Sasang Constitut Med. 2005;17(2):85-91.(Korean)
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