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KMID : 1141020090090010067
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Journal of Applied Oriental Medicine
2009 Volume.9 No. 1 p.67 ~ p.75
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Hyeongok`s Sapyeotang was combined according to the theory for properties and tastes of herbal medicines
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Shin Soon-Shik
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Abstract
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Background and Objectives : There are four kinds of formulas for purging the lung to cure its sthenic syndrome based on the types of preparation formulas : Sapyeotang, Sapyeohwan, Sapyeosan and Sapyeoeum. There are 19 kinds of Sapyeotang, 2 kinds of Sapyeohwan, 8 kinds of Sapyeosan and l kind of Sapyeoeum. Combination of herbal medicines, carried out in formulas for purging the lung, consists of various kinds depending on medical scientists` personal experience in medical treatment without any general principles, which makes it difficult to apply it to clinical use. The objectives of this study lie in theoretical establishment of Sapyeotang for curing the sthenic syndrome of lung through analyzing the component medicines and combination principles of Hyeongok`s Sapyeotang, and furthermore, maximizing the clinical use of Sapyeotang.
Methods : This study analyzed the component medicines and combination principles of Hyeongok`s Sapyeotang based on the theory for properties and tastes of herbal medicines from the 『Yellow Emperor`s Canon of Internal Medicine』, the theory for principal herbal medicine, assistant herbal medicine, adjuvant herbal medicine, dispatcher herbal medicine, and the five elements doctrine. Hyeongok`s Sapyeotang is an odd prescription, composed of 7 kinds of ingredients : No.1 Gypsum Fibrosum (3don;11.25g), No.2 Ramulus Cinnamomi (ldon;3.75g), No.3 Rhizoma Alismatis (ldon), No.4 Poria (ldon), No.5 Herba Ephedrae (ldon), No.6 Semen Armeniacae Amarum (ldon), and No.7 Radix Glycyrrhizae (ldon).
Results : There are three methods for curing the sthenic syndrome of lung according to the five elements doctrine : purging the lung, purging the kidney and invigorating the heart. First, if you suffer from the sthenic syndrome of the lung, you need to purge your lung. There are two available methods, including taste and property purgation according to the theory for properties and tastes of herbal medicines. They each imply the pungent taste and the warm property purge the lung. In the case of taste purgation, two herbal medicines with pungent taste, Gypsum Fibrosum and Ramulus Cinnamomi, are combined into the principal and assistant herbal medicine, respectively. For property purgation, two herbal medicines with the warm property, Herba Ephedrae and Semen Armeniacae Amarum, are combined into adjuvant herbal medicines. Secondly, if you suffer from the sthenic syndrome of the lung, you need to purge your kidney which is child in the mother-child relationship in inter-promotion among the five elements. There are two methods to purge the kidney, including taste and property purgation according to the theory for properties and tastes of herbal medicines. They each mean the salty taste and the hot property purge the kidney. Therefore, it is important to use salty herbal medicines for taste purgation and hot ones for property purgation. Salty herbal medicines, Rhizoma Alismatis and Poria, and hot herbal medicines, Ramulus Cinnamomi and Herba Ephedrae, are combined into adjuvant herbal medicines. Lastly, if you suffer from the sthenic syndrome of the lung, you need to invigorate your heart which is an element being surpassed in the relationship between the elements surpassed and ones not surpassed in inter-restraint among the five elements. There are two methods to invigorate the heart, which include taste and property invigoration according to the theory for properties and tastes of herbal medicines. Taste invigoration means to invigorate the heart with salty taste and property invigoration to invigorate the heart with hot property. Therefore, it is important to use salty herbal medicines for taste invigoration and hot ones for property invigoration. Salty herbal medicines, Rhizoma Alismatis and Poria, and hot herbal medicines, Romulus Cinnamomi and Herba Ephedrae, were combined to invigorate the heart and purge the kidney. In addition, Radix Glycyrrhizae are combined as dispatcher herbal medicine, harmonizing all the herbal medicines composing the formula.
Conclusions : First, to cure the sthenic syndrome of the lung, the methods of purging the lung and the kidney, and invigorating the heart should be used according to the five elements doctrine. Secondly, herbal medicines appropriate for those treatment methods should be chosen according to the theory for properties and tastes of herbal medicine and thirdly, the combination of those herbal medicines should be carried out according to the theory for principal herbal medicine, assistant herbal medicine, adjuvant herbal medicine, dispatcher herbal medicine. As a good example, Hyeongok`s Sapyeotang is combined according to the above theories. In conclusion, this formula was created by applying to the theory for properties and tastes of herbal medicines.
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KEYWORD
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Sapyeotang, the theory for properties and tastes of herbal medicines, the sthenic syndrome of the Lung, Gypsum Fibrosum and Ramulus Cinnamomi, the five elements doctrine
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