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KMID : 0877120100230010023
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Journal of Korean Medical History
2010 Volume.23 No. 1 p.23 ~ p.41
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A study on post-formula instruction of Kyejitang(Ìýò«÷·)
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Kim Kang
Maeng Woong-Jae
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Abstract
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Greater yang disease(÷¼åÕÜ») is a syndrome induced by peripheral obstruction. One of them is "wind stroke(ñéù¦)" with the obstruction in lymphatic system. The other obstruction appearing on circulatory system is called "cold damage(ß¿ùÎ)." Kyejitang(Ìýò«÷·) is the formula prescribed for greater yang wind stroke pattern(÷¼åÕñéù¦ñû) which is caused by peripheral lymphatic duct obstruction. Ramulus Cinamoni acts as a vasodilator and Radix Paeoniae relieves the abdominal tension. They make blood move to the internal organ and this can remove the retention of peripheral lymphatic system. Covering the patient with a blanket and getting him/her to have hot and thin rice gruel causes slight Diaphoresis, contributing to relieving the retention of lymphatic system. Disharmony between nutrient and defense(ç½êÛÜôûú) means that pressure becomes different between lymphatic system and vascular system. Kyejitang(Ìýò«÷·) is called releasing muscles formula(ú°Ñ¿ð¥) because it can resolve such pressure difference. Diaphoresis is not a means to eliminate pathogenic qi(Þ÷Ѩ) from the body. That is the syndrome proving that the body fluid has moved around when disordered fluid distribution is corrected. Therefore, diaphoresis should be induced weakly all the time. If diaphoresis is induced excessively, body fluid will move more than desired and then illness cannot be cured. In Sanghanlun(ß¿ùÎÖå), dispersing drugs aim at addressing the retention in the exterior field, but it actually applies to the entire exterior and interior to make body fluid move. Therefore, diaphoresis does not just act on exterior field, and freeing the stool does not only apply to interior field. Distribution of body fluid changed by pathogenic qi(Þ÷Ѩ) influences the whole body because the human body has a closed circulatory system. Sanghanlun(ß¿ùÎÖå) has included treatments for pathogenic disease. However, its value should not be limited to pathogenic disease. It is because controlling blood flow by sending body fluid to the place a doctor wants is certainly worth using for treatment of non-exogenous disease or chronic illnesses.
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KEYWORD
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Kyejitang, post-formula instruction, lymphatic duct obstruction, diaphoresis
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