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KMID : 0877120190320010033
Journal of Korean Medical History
2019 Volume.32 No. 1 p.33 ~ p.42
Understanding the Phenomenon of ¡°Clear Qi Below, Turbid Qi Above¡± with Reference to Symptom Patterns of the Sanghallon (Treatise on Cold Damage ß¿ùÎÖå)
Park Sang-Kyun

Bang Jung-Kyun
Abstract
Objective : Describe the phenomenon of ¡°clear qi below, turbid qi above¡± as found in the Somun?Eumyangeungsangdaelon (Major Essay on Yinyang Resonances and Appearances áÈÙý?ëäåÕëëßÚÓÞÖå) and compare this pattern with water-grain dysentery and flatulence symptom patterns in the Sanghallon (Treatise on Cold Damage).

Method : Study the annotation of the Hwangjenaegyeong (Yellow Emperor¡¯s Internal Classic üÜð¨Ò®Ìè) and compare the results with the Sanghallon¡¯s water-grain dysentery and flatulence.

Conclusions and Results : The causes of water-grain dysentery and flatulence are associated with the ascending and descending properties of Yin and Yang. Additionally, these symptoms can also be caused by pathogenic heat, turbid pathogenic factors, and interruption of the movement of clear and turbid qi. Aspects of water-grain dysentery resemble several patterns found in the Sanghallon. If caused by a weakness of yang qi, it resembles Sayeoktang (ÞÌæ½÷·) syndrome. Weakness of spleen qi resembles Ijungtang (ìµñé÷·) syndrome. Flatulence is similar to fullness in the chest syndrome, which in the Sanghallon is caused by an obstruction of cold qi. If there is excessive cold, water-grain dysentery is similar to the syndrome of Gyeolhyung (Ì¿ýØ). If the qi is not scattered, deficiency syndrome is similar to Gyejigejagyaktang (Ìýò«ËÛíËå·÷·) syndrome and excess syndrome is similar to Mahwangtang (Ø«üÜ÷·) syndrome. When flatulence is caused by fever in chest, it is similar to Chijasitang (ö¼í­?÷·) syndrome. When caused by heat and phlegm build up in chest, it is similar to Sipjotang (ä¨ðÊ÷·) syndrome.
KEYWORD
¡ºHwangjenaegyeong(üÜð¨Ò®Ìè)¡», ¡ºSanghallon(ß¿ùÎÖå)¡», Water-grain dysentery(?àÜ), flatulence(?óì), fullness in the chest(ýØØ»)
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