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KMID : 0878220100220030029
Journal of Sasang Constitutional Medicine
2010 Volume.22 No. 3 p.29 ~ p.42
A Study on the Pathology and Therapeutics of Epigastric Discomfort in the Soeumin Taeeum Symptomatology
Seo Young-Kwang

Lee Ji-Won
Lee Jun-Hee
Choi Won-Chul
Lee Eui-Ju
Koh Byung-Hee
Abstract
Objectives: Gastric Stuffiness (ãýù»?ñû) in the Soeumin Taeeum symptomatology (á´ëäìÑ ÷¼ëäÜ») in Sasang Constitutional Medicine shows an interesting evolutionary process. Originally found in the texts of Sanghanlun (ß¿ùÎÖå), the perspectives regarding the symptoms of Gastric Stuffiness were expanded by many medical scholars and Lee Jema. To comprehend the Jema¡¯s concept of Taeeum symptomatology and utilize his prescription clinically, it deserves to study on the Gastric Stuffiness in Donguisuseowon (ÔÔì¢áøá¦ÜÁêª).

Methods: Many texts including Sanghanlun (ß¿ùÎÖå) and Dongeuibogam (ÔÔì¢ÜÄÊü) were reviewed in order to track the evolutionary process concerning the symptoms of Gastric Stuffiness. Also, Lee Jema¡¯s works including the different versions of Donguisuseowon (ÔÔì¢áøá¦ÜÁêª) were reviewed to examine the development of Lee¡¯s concepts regarding the Gastric Stuffiness in the Soeumin Taeeum symptomatology.

Results and Conclusions : 1) Most of the previous concepts on Gastric Stuffiness were generally similar to those found in Sanghanlun, especially in that they addressed Yang deficiency of the middle triple energizeer as the central pathogenic process. 2) Lee Jema¡¯s views on the epigastric discomfort in the Soeumin Taeeum symptomatology evoloved over time and culminated in the finalized pathology and therapeutics appearing in his last work, the Shinchuk version of Donguisuseowon (ÔÔì¢áøá¦ÜÁêª). 3) 4 kinds of prescription which invented by Lee Jema to treat the Gastric Stuffiness in the Soeumin Taeeum symptomatology can be matched to the prescription of Sanghanlun respectively. However through evolutionary process of Jema¡¯s prescriptions, the indication of them expanded: not only to treat Gastric Stuffiness but to diverse symptoms of Soeumin.
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