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KMID : 0877120010140020109
Journal of Korean Medical History
2001 Volume.14 No. 2 p.109 ~ p.152
A Study on Qian Yi(ï±ëà)'s Medical Though
Oh June-Hwan

Kim Ki-Wook
Park Hyun-Kuk
Abstract
Throughout this paper, I adjusted the study of 'Qian Yi'(ï±ëà)'s Medical Thought, and the following is the summary. 1. 'Qian Yi' wrote 'Xiao Er Yao Zheng Zhi Jue'("á³ä®å·ñûòÁÌÁ", edited by ëÝÌùõ÷), and there were 'Shang Han Lun Zhi Wei'("ß¿ùÎÒÕò¦Ú°"), 'Ying Ru Lun', however those are loss of the record. 2. Qian Yi's 'Zhi Jue'("òÁÌÁ") was influenced by 'Lu Xin Jing', yet if we compare the quality of 'Sheng Li, Byeng Li, Bang Jae'(ßæ×â, Ü»×â, Û°ð¥), 'Lu Xin Jing' cannot be the foundation of 'Zhi Jue'. He took over 'Nei Jing, Shang Han Lun, Jin Gui Yao Lue, Shen Long Ben Cao Jing, Tai Ping Sheng Hui Fang'("Ò®Ìè", "ß¿ùÎÖå", "ÑÑ?é©ÕÔ", "ãêÒÛÜâõ®Ìè", "÷¼øÁá¡û³Û°") and put them together to the direct clinical experiences of pediatrics. 3. There is no reference regarding the difficulties of pediatric diagnosis and diseases in 'Huang Di Nei Jing'("üÜð¨Ò®Ìè") Before 'Bei Song'(ÝÁáä), regardless of the lack of data related to pediatric diseases, 'Qian Yi' established the pediatric system in 'Xiao Er Yao Zheng Zhi Jue' for the first time. 4. In his diagnosis of the pediatric diseases, he 'Si Zhen He Can'(ÞÌòàùêóÑ), also considered in the eye exam seriously. In addition, he closely combined 'Wu Zang Bian Zheng'(çéíôÜ©ñû), and diagnosis the pediatric diseases. 5. 'Wu Zang Bian Zheng', what Qian established method was based on 'Zheng Ti Guan'(ïÚô÷κ) in 'Huang Di Nei Jing'. It was based on clinical experiences and established the perspectives of 'Tian Ren Xiang Ying'(ô¸ìÑßÓëë). First of all, he pinpointed 'Zhu Zheng'(ñ«ñû) clearly. Secondly, he pinpointed the relationships to symptoms and then, he distinguished a generic character of 'Xu, Shi, Han, Re'(úÈ, ãù, ùÎ, æð). Finally, he made an induction from genealogical pediatric physiology. 6. 'Qian Yi' took a serious view of 'Ban Zhen'(ÚèòÖ), the inadequate field in those days. At that time, he criticized on the habituation of the misuse of medication. He treated separately which 'Ji Jing'(ÐáÌó) as 'Liang Xie'(ÕØÞá) and 'Man Jing'(Ø·Ìó) as 'Wen Bu'(è®ÜÍ). He proposed 'Cong Gan Zhu Feng, Xin Zhu Jing'(ðôÊÜñ«ù¦, ãýñ«Ìó) theory and formulated 'Jing Feng'(Ìóù¦) theory as well. 7. As an opponent of a tendency to misusage of medicine, 'Qian Yi' made out a prescription with pliant medicine. He emphasized on the treatment to 'Gong Bu Shang Zheng, Bu Bu Zhi Xie, Xiao Bu Jian Shi'(ÍôÝÕß¿ïá, ÜÍÝÕôòÞ÷, á¼ÜÍÌÂã¿) because he had so lucid demonstration to 'Xu Shi Han Re'(úÈãùùÎæð) of the five viscera in the field of 'Bang Yak'(Û°å·). 8. There were no pediatrics schools at that time, however, the pediatrics was being made up gradually by 'Jin Yuan Si Da Jia'(ÐÝêªÞÌÓÞÊ«) who was influenced by 'Qian Yi'. He raised an objection to medical treatment using pliant medicine. 'Qian Yi' applied 'Qu Xia'(ÏÌù») treatment using 'Han Liang'(ùÎÕØ) medicine. 'Han Liang Pai'(ùÎÕØ÷ï) is greatly influenced by Qian. 'Chen Wen Zhong'(òçÙþñé) had a great impact on 'Han Liang Pai' who used a 'Zao Shu Wen Bu'(ðÏâÙè®ÜÍ) medicine for treatment. Since 'Song Jin'(áäÐÝ), he had a tremendous influence on pediatrics treating patients in both 'Han Wen'(ùÎè®) ways. 9. 'Qian Yi' had an influence on his medical thoughts on future generations, especially to 'Wan Quan'(Ø¿îï) of 'Ming Dai', 'Wu Tang'(çïÓÒ) of 'Qing Dai'(ôèÓÛ) and 'Yun Shu Jie'(?â§ÊÄ) of 'Min Guo'(ÚÅÏÐ). 'Wan Quan' is an advocate of 'You Yu, Bu Zu Zhi Shuo'(êóæ®, Üôðëñýàã)of 'Xiao Er Wu Zang'(á³ä®çéíô) that he revealed Qian's 'Wu Zang Bian Zheng'(çéíôÜ©ñû). 'Wu Tang' disclosed Qian's 'Xiao Er Ti Zhi Shuo'(á³ä®ô÷òõá­) and 'Xiao Er Ke'(á³ä®Î¡)'s 'Yong Yao Lun'(éÄå·Öå), therefore, he uncovered pediatric physiological characteristics through the advocate of Qian's 'Zang Fu Rou Ruo, Ji Gu Nen Qie, Yi Xu Yi Shi, Yi Han Yi Re' (íôÝ°êõå°, Ñ¿ÍéÒìÌ¥, ì¯úÈì¯ãù, ì¯ùÎì¯æð). 'Yun Shu Jie' developed intrinsic relationships among time, symptom and 'Tian Ren Xiang Ying Guan'(ô¸ìÑßÓëëκ), What 'Qian Yi' stated about them. And also, he developed Qian's 'Di Huang Wan'(ò¢üÜü¯), 'Xie Qing Wan'(Þáôìü¯), 'Yi Huang San'(ìÌüÜߤ) clinical usages as well. 10. Regarding Qian's 'Wu Zang Xu Shi'(çéíôúÈãù), it has an influence on 'Zhang Yuan Su'(íåêªáÈ)'s 'Zang Fu Bing Ji Bian Zheng'(íôݰܻѦܩñû). 'Di Huang Wan', 'Xie Qing Wan', 'Xie Xin Tang'(Þáãý÷·), 'Yi Huang San', 'Xie Huang San'(ÞáüÜߤ) are the standard prescription of 'Wu Zang Bu Xie'(çéíôÜÍÞá). It is under the influence of Qian's treatment. Besides, 'Qian Yi' took a serious view of 'Xiao Er'(á³ä®)'s 'Pi Wei'(Þ¡êÖ). 'Qian Yi' had an impact on 'Li Dong Yuan'(ì°ÔÔê¯) one of the member of 'Bu Tu Pai'(ÜÍ÷Ï÷ï). 'Di Huang Wan', which placed great importance on 'Bu Yi Shen Yin'(ÜÍìÌãìëä), had a great impact on 'Da Bu Yin Wan'(ÓÞÜÍëäü¯) and 'Jin Yuan Si Da Jia' as well. 11. In a theory of Qian's 'Wu Zang Bian Zheng', though it had been stated clearly in 'Wu Zang Bian Zheng', but he neglected in 'Liu Fu Bian Zheng'(ë»Ý°Ü©ñû). In prescription field, The problem with the medicine is that it is either toxic or mineral, therefore, we are not able to use those medicine in a clinical testing at the present time.
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