Objectives : This study focuses on the condition Yinynagjiao, which was first mentioned in 『Huangdineijing』, on the cause, mechanism and reason for it being described as fatal. Later doctors's understanding and treatment of this condition were examined subsequently. Methods : Verses re...
Objectives : This study focuses on the condition Yinynagjiao, which was first mentioned in 『Huangdineijing』, on the cause, mechanism and reason for it being described as fatal. Later doctors's understanding and treatment of this condition were examined subsequently. Methods : Verses related to Yinyangjiao from texts such as 『Huangdineijing』, 『Jinkuiyuhanjing』, 『Maijing』 were cross-examined focusing on their context and difference in expression with reference to annotations and later texts that mention Yinyangjiao. Based on the findings, its mechanism and treatment methods as found in Wenbing texts were compared with descriptions from previous texts. Results & Conclusions : According to 『Huangdineijing』, heat disease belongs to the Shanghan category, treated through promoting perspiration. In the confrontational position between JingQi and XieQi, perspiration could be understood as the result of JingQi's victory that lead to the discharge of XieQi in the form of sweat. Yinyangjiao is the opposite situation where Jing is discharged while heat toxin sinks into the body, thus being fatal, and treatment aimed for perspiration not adequately addressing the main problem which was ultimately expected to resolve through means of solid Yin Jing that would stabilize the pulse in due time. On the other hand, Wenbing scholars saw the pathogen as heat, shifting previous perspectives entirely. As a result, instead of applying pungent/warm medicinals to promote sweating, they suggested the use of cool, sweet/moist medicinals to cool the heat and nourish Yin as means of treating the condition.
Objectives : This study focuses on the condition Yinynagjiao, which was first mentioned in 『Huangdineijing』, on the cause, mechanism and reason for it being described as fatal. Later doctors's understanding and treatment of this condition were examined subsequently. Methods : Verses related to Yinyangjiao from texts such as 『Huangdineijing』, 『Jinkuiyuhanjing』, 『Maijing』 were cross-examined focusing on their context and difference in expression with reference to annotations and later texts that mention Yinyangjiao. Based on the findings, its mechanism and treatment methods as found in Wenbing texts were compared with descriptions from previous texts. Results & Conclusions : According to 『Huangdineijing』, heat disease belongs to the Shanghan category, treated through promoting perspiration. In the confrontational position between JingQi and XieQi, perspiration could be understood as the result of JingQi's victory that lead to the discharge of XieQi in the form of sweat. Yinyangjiao is the opposite situation where Jing is discharged while heat toxin sinks into the body, thus being fatal, and treatment aimed for perspiration not adequately addressing the main problem which was ultimately expected to resolve through means of solid Yin Jing that would stabilize the pulse in due time. On the other hand, Wenbing scholars saw the pathogen as heat, shifting previous perspectives entirely. As a result, instead of applying pungent/warm medicinals to promote sweating, they suggested the use of cool, sweet/moist medicinals to cool the heat and nourish Yin as means of treating the condition.
陰陽交는 ｢素問·評熱病論｣에서 처음 설명되었는데 그 내용이 소략할 뿐 아니라 병기 해석이 난해하며, 注家들의 견해도 일치하지 않는 부분이 많다. 때문에 병의 원인, 발생 기전, 死證으로 진단한 이유 등이 불분명하며, 후대 문헌들에서도 ｢評熱病論｣ 의 문장 외에 증상을 추가적으로 서술하거나 치법을 제시한 경우가 거의 없어 병의 전모를 파악하기 어려운 점이 있다.
陰陽交란 무엇인가?
陰陽交는 熱病의 진행과정에서 이미 汗出했음에도 불구하고 열이 풀리지 않고 脈이 躁疾하며, 이후 不能食과 狂言이 나타나면서 사망에 이르는 병을 말한다. 陰陽交는 ｢素問·評熱病論｣에서 처음 설명되었는데 그 내용이 소략할 뿐 아니라 병기 해석이 난해하며, 注家들의 견해도 일치하지 않는 부분이 많다.
陰陽交에 관한 선행연구로는 어떤 것들이 있는가?
陰陽交에 관한 선행연구로는 鞠寶兆1), 王志新2), 胡靜娟3), 許士驃4), 王小平5), 黨思捷6) 등의 논문을 확인할 수 있는데, 주로 ｢評熱病論｣의 주석들을 정리하거나 淸代 溫病學 문헌을 근거로 病機를 설명하고자 하였다. 또한 周小明7), 穀孝芝8) 등은 陰陽交와 유사한 양상을 보이는 병의 치료 경험 보고하였으며 文熙奭9), 千相默10)과 같이 ｢評熱病論｣ 연구의 일부로서 陰陽交를 설명한 경우도 있다.
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