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KMID : 1141020100100010035
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Journal of Applied Oriental Medicine
2010 Volume.10 No. 1 p.35 ~ p.42
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Hyeongok`s Sasimtang 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 three kinds of formulas for purging the heart to cure its sthenic syndrome based on the types of preparation formulas: Sasimtang, Sasimhwan and Sasimsan. There are 24 kinds of Sasimtang, 1 kind of Sasimhwan, and 6 kinds of Sasimsan. Combination of herbal medicines, carried out in formulas for purging the heart, 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 Sasimtang for curing the sthenic syndrome of heart through analyzing the component medicines and combination principles of Hyeongok`s Sasimtang, and furthermore, maximizing the clinical use of Sasimtang.
Methods: This study analyzed the component medicines and combination principles of Hyeongok`s Sasimtang 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 Sasimtang is an odd prescription, composed of 7 kinds of ingredients; No.1 Radix Rehmanniae (2don; 7.5g), No.2 Folium Phyllostachydis Bambusoidis (1don; 3.75g), No.3 Rhizoma Coptidis (1don), No.4 Fructus Gardeniae (1don), No.5 Medulla Junci (1don), No.6 Semen Plantaginis (1don), and No.7 Radix Glycyrrhizae (1don) Results: There are three methods for curing the sthenic syndrome of heart according to the five elements doctrine; purging the heart, purging the spleen and invigorating the kidney. First, if you suffer from the sthenic syndrome of the heart, you need to purge your heart. 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 sweet taste and the cold property purge the heart. In the case of taste purgation, two herbal medicines with sweet taste, Radix Rehmanniae and Folium Phyllostachydis Bambusoidis, are combined into the principal and assistant herbal medicine, respectively. For property purgation, two herbal medicines with the cold property, Medulla Junci and Semen Plantaginis, are combined into adjuvant herbal medicines. Secondly, if you suffer from the sthenic syndrome of the heart, you need to purge your spleen which is child in the mother-child relationship in inter-promotion among the five elements. There are two methods to purge the spleen, including taste and property purgation according to the theory for properties and tastes of herbal medicines. They each mean the bitter taste and the cool property purge the spleen. Therefore, it is important to use bitter herbal medicines for taste purgation and cool ones for property purgation. Both bitter and cool herbal medicines, Rhizoma Coptidis and Fructus Gardeniae, are combined into adjuvant herbal medicines. Lastly, if you suffer from the sthenic syndrome of the heart, you need to invigorate your kidney which is an element 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 kidney, which include taste and property invigoration according to the theory for properties and tastes of herbal medicines. Taste invigoration means to invigorate the kidney with bitter taste and property invigoration to invigorate the kidney with cold property. Therefore, it is important to use bitter herbal medicines for taste invigoration and cold ones for property invigoration. Both bitter and cold herbal medicines, Radix Rehmanniae and Folium Phyllostachydis Bambusoidis, were combined to invigorate the kidney and purge the heart. 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 heart, the methods of purging the heart and the spleen, and invigorating the kidney 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 Sasimtang 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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Sasimtang, the theory for properties and tastes of herbal medicines, the sthenic syndrome of the heart, Radix Rehmanniae, Folium Phyllostachydis Bambusoidis, the five elements doctrine
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