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KMID : 0644020230360010079
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Journal Of Korean Medical Classics
2023 Volume.36 No. 1 p.79 ~ p.107
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A Study on Zhang Jiebin’s Discussion of Treating Insomnia
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Bak Gi-Ho
Bae Jeong-Woon
Lyu Jeong-Ah
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Abstract
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Objectives : This study aims to improve the diagnosis and treatment of contemporary insomnia by examining Zhang Jiebin's discussion on treating insomnia.
Methods : The classical texts from the 'Insomnia' chapter of the Jingyue Quanshu were examined threefold in terms of symptom, treatment, and prescription analysis, after which the treatment discussion part was examined within the historical context of discussions on insomnia in major medical texts starting from the Huangdineijing.
Results : According to Zhang, the cause of insomnia could be divided into two, after which criteria for diagnosis and treatment were set as excess pathogen and vital qi deficiency. He argued that insomnia could be naturally resolved through improvement of various pathogenic situations. Discussions on insomnia from various medical texts since the Huangdineijing suggest that pathology related to psychological function and emotions gradually increased and expanded over time.
Conclusions : Zhang's discussion on symptom, treatment and prescriptions of insomnia suggests a new framework that could improve treatment effects through a Korean Medical Mind-Body approach, rather than the contemporary classification of organic insomnia and non-organic insomnia.
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KEYWORD
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insomnia, Zhang Jiebin(張介賓), Jingyuequanshu(景岳全書), diagnosis and treatment based on overall analysis of symptoms and signs(辨證施治), deficiency of vital qi and excess pathogen(正虛邪實)
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