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KMID : 0644020150280040099
Journal Of Korean Medical Classics
2015 Volume.28 No. 4 p.99 ~ p.119
Interpretation of chest bind(Ì¿ýØ) in Donguisusebowon(ÔÔì¢áøá¦ÜÁêª) based on the chest bind disease of the Soyang pattern
Jang Woo-Chang

Abstract
Objectives : This study aims to compare and analyze the contents and logic of Lee Jema's chest bind theory of the Soyang pattern with that of the traditional perspective since Shanghanlun, and to further investigate its underlying meaning and evaluate its value.

Methods : Study chest bind related arguments of Lee through historical, demonstrative and positive investigation. First, contrast related texts starting from Shanghanlun, followed by reasoning based on general medical logic. Finally review clinical case studies from texts and papers for verification.

Results : According to Lee, the key to diagnosis and treatment in preventing major chest bind which is a severe condition in the exterior cold pattern of the Soyang constitution, is to disperse fluid bind using GanSui(ÊöâÄ) in the water counterflow and vomiting(â©æ½Ï¥÷Î) stage prior to the major chest bind symptoms of stiffness and pain in the lower chest(ãýù»Ìã÷Ô), and reducing phlegm-rheum using DoJeokGangGiTang(Óôîå˽Ѩ÷·) in the beginning stages of chest bind. HyeongBangDoJeokSan(ûªÛÁÓôîåߤ) is the main formula in treating phlegm-rheum, a causal factor to chest bind, modified according to the 'treat the three burners separately(ß²õ¥ÝÂö½)' theory of the DaoChiSan(Óôîåߤ) section in WanBingHuiChun (Ø¿Ü»üÞõð) to accomodate the Soyang constitution.

Conclusions : If we follow Lee's diagnosis and treatment system on chest bind, it will allow us to diagnose chest bind in the earlier stages and secure safe treatment.
KEYWORD
chest bind, phlegm-rheum, Soyang Exterior Cold Pattern, HyeongBangDoJeokSan, Shanghanlun
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