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KMID : 0352319870100000415
Journal of KyungHee Oriental Medicine College
1987 Volume.10 No. 0 p.415 ~ p.466
A Study of epidemics in thee diagnosis and treatment
崔三燮/Choi, Sam Sup
朴贊?/洪元植/Park,Chan Gook/Hong, Won Sik
Abstract
I have felt seriously a desire to study and analyse the origins and developments of the doctrines on epidemics, when I thought that, in the field of the epidemics, of the oriental medcine, diagnosis, treatment and researches on it were considered quite insufficiant.
Therefore in chapter II, I inquired into the origin and historical development of warm illness theory.
In chaptor III, inquired into the theory of the cause of warm illnesses, which can be classified into Shin-gam (! ) and Bok-ki O):. ).
In chaptor N, inquired into the creation of new diagnostic methods which is based upon the pathological conceptions of warm illnesses.
In chaptor V, inquired into the historical developments and changes of the diagnosis and treatment of warm illnesses.
In chapter VI, inquired into what kind of herbs and prescriptions had been used in each era.
From this study, I reached at following conclusions.
1. Before Ha-Gan (MR) lived in the Geum-Won dynasty, the cause and pathological conception on the warm illnesses had been comprized in that of the injury of the cold (T# ), so the diagnosis, treatments, and prescriptions on it had been inevitably quite poor. However, after Ha-Gan (´raJ nil) maintained that all of the six climates can be transformed to creat the fire 00, the warm illness found the wa out of the limits of the injury of the cold. And it was in the era of Myung-Chung (B, l) dynasty that detailed diagnosis, treatment, and prescriptions came out concretely to contribute to the perfection of doctrines.
2. According to the "Nei-ching" and "Theory on the Injury of the cold (fa)", fever illnesses prevailing throughout in spring and summer were expected to be caused by Bok-Ki (tk,), a modification of wind and cold which had invaded into the body while one had not being kept the true essence of the body during the winter. But Ha-Gan´s assertion laying emphasis on fire (k), invariably changed greatly the conception on the cause of warm illnesses. That is to say, it was gradually firmed that the fever disease result from the abnormal climates of four seasons rather than Bok-Ki (k) appearing in spring, which, accordingly, made the theory of new infection (VS#t) to come into existance. However, as deeper studies went on, the fact was found out that Bok-Ki (k,) as well as new infection (r) can be regarded as a cause of warm illnesses. That is, many physicians insisting new infection theory () in Chung dynasty was willing to accept Bok-ki theory, the characteristic of which lies in emphasizing true essence (EX). In d e course, it was accepted that the difference between Bok-ki and new infection (VS) was about to disappear, and naturally both theories of Bok-ki and new infection (VS) were admitted.
3. The cold evil of the injury of the cold is easy to injure Yang force, while the warm evil of the warm illnesses have a tendency of injuring Yin force pathologically. It means that by measuring the degree of injuring Yin force, we can be informed on the transformation and prediction of the warm illnesses. From this standpoint of view, Seub Gae (Ail), saying that the tongue, tooth, and skin is the very part reflecting the existence and quality of stomach and kidney fluids ( established new methods of diagnosis, such as diagnosis of tongue, tooth, spot, and
Bag-Bae (k~ VI). with which, he maintained, he could survey where and how severely the evil existed at the time, and how it would undergo a change afterwards.
4. As pathological conceptions of warm illnesses formed gradually, the thought of diagnosis and treatments were forced to be established thoroughly. That is to say, in regard to influences that atmospheric fever illnesses have on vicera and bowels, the author of "Nei-Ching" insisted that various symtoms resulting from mother-son relationship of vicera and bowels, and leg-arm relationship of channels can be divided to two conditions; mild and slight one in the early state of infection, and severe one in which good and evil force is fighting each other. Jang-Gi ( ) insisted that the cold evil which transforms itself slowly from outer to inner, must be classified into six conditions pertaining to six Channels. Seub-Gae (4) insisted that warm evil which is very speedy both in transformation and in the injury of Yin fluids, must be classified into "Wi-Ki-Young-Hyul" conditions, adding that, by having a good grasp of these conditions, he could easily acknowledge the emptiness and fullness of the Air (j ,) and Bloodang OM) insisted that humid-warm evil which invades through mouth and nose and tranforms itself from upper to middle and lower burning spaces (Gp T ), must be classified into three burning spaces conditions (=CT). In this way appropriate methods of diagnosis was made out ac-cording to the charateristics of each evil force.
5. Due to developed thoughts on pathology, diagnosis and treatment, new treatment methods and prescriptions appeared unavoidably. Based upon following herbs and curative principles, good prescriptions more than one hundred and thirty were made out newly. Representative curative principles are; pungent-cool-evaporatingy (g) inner and outer-double-evap-rating (A}#) heat-cooling and poison-counteracting (WNW* ) evil-eliminating and heatremoving (giii}iM) Air-Bloodyoung ( }cooling (7 Ill) Yin-reenforcing and fluids-adding (Wst *7´i):) And representative herbs are; (used for the above-mentioned principles) Gypsum Fibrosum (E) Rehmania glutinosa ( iit A) Talcum (e.´) Rhinoceros unicornis
( firl ) Coptis chinensis (Vi.) Scutellaria baicalensis ( 1) Anemarrhena asphodeloides (p) Areca catecha () Glycine max Merrill (Q-A) Rheum undulatum ()cs) Scrophularia buergeriana ( 4 F) Lonicera japonica (ft) Morus bombycis ( X31.) Phyllostachys nigra (´ ) Paeonia Moutan (PI-f ) Forsythia Koreana (;) Platicodon glaucum (fit) Paeonia albiflora pallas (´) Geoclemys reveesii (~`s ) Liriope muscari (* rl ) Bos tausus (Fuliig) And representative prescriptions
are; Pyorissang-hae-san ( > t) Ryang-gyuk-san (Mgt() Dal-won-eum (i I *) Sam-So-eum (=7 t) Sang-guk-eum (44;) Eun-gyo-san (itit
Jeung-aek-tang (IV ) Hwa-ban-tang (Tl JAI ik) Jeun-heup-dae-saeng-go(g# *)0-jeup-eum (Hfl-t) Sol-lijang (SMM) Cheong-on-pae-dog-eum (i A~Jt )(This is a unification of Baek-Ho-tang (Ei Dtt ), Hwang-yun-hae-dok tang (VA*) and Seou-gak-ji-whang-tang ( firg J´´tV* ). These prescriptions does not have run short, even in these days, in curing heatic epidemics, such as influenza, epidemic hemorrhagic fever, toxic pneumonitis, B-form eencephalitis, intestinal tuberculosis, disentery, typhoid fever, cholera, epidemic hepatitis, septicemia, epidemic cerebrospinal meningitis.
6. When I think over historical surroundings, the reason why the warm illness theory has not made a progress in Korea was that Koreans were attacked by Chung´s forces during the King Yin-Joe´s regime by two times, and were consequently quite reluctant to import the culture of Chung, so the introduction of the Chung culture was delayed. From that time up to this day, the spread and advancement of the warm illness theory in Korea have lain in an unsatisfactory state, and therefore I propose that we should import the warm illness theory with boldness and study it deeply.
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