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KMID : 0877120210340020025
Journal of Korean Medical History
2021 Volume.34 No. 2 p.25 ~ p.43
A Study on the Absence of the Zhuniao decoction among the Four Directions Sishen decoction in ¡ºShanghan Lun¡»
Shin Chang-Yong

Abstract
Among the ancient ideas of East Asia, there is a myth about symbol of the Four Gods who commands all directions in the east, south, west, and north, and this is also reflected in the medical field. However, although there are contents about Qinglong Decoction(?×£÷·), Baihu Decoction(ÛÜûÛ÷·) and Xuanwu Decoction(úÜÙë÷·) in ¡ºShanghan Lun(ß¿ùÎÖå)¡», there is no content only about Zhuniao decoction(ñ¹ðè÷·). Considering the consistent perspective of ¡ºShanghan Lun¡», which recognizes the disease-syndrome and seeks prescriptions based on yin and yang thinking, this is very unusual. Therefore, in this study, it was revealed that the concept of ¡®Sishen Decoction(ÞÌãê÷·)¡¯ itself was a concept that emerged when the authors of ¡ºShanghan Lun¡» newly established the ¡®eight-principles syndrome differentiation(ø¢ËµÜ©ñû)¡¯ system in their recognition and response to diseases-syndromes. Based on this, I considered the following possibilities. In other words, they were able to present Qinglong decoction, Baihu Decoction and Xuanwu decoction, as appropriate prescriptions for ¡®exterior cold excess syndrome(øúùÎãùñû)¡¯, ¡®interior heat deficiency syndrome(×êæðúÈñû)¡¯, and ¡®interior cold deficiency syndrome(×êæðãùñû)¡¯. However, it is possible that the name of the prescription ¡®Zhuniao decoction¡¯ was not intentionally used, because it was not possible to provide an appropriate prescription for ¡®exterior cold excess syndrome(øúæðãùñû)¡¯.
KEYWORD
Shanghan Lun, Sishen decoction, Zhuniao decoction, Zhuque decoction, eight-principle pattern identification
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