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KMID : 1146420210130010081
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Korean Medical Association of Clinical Sanghan-Geumgwe
2021 Volume.13 No. 1 p.81 ~ p.98
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A Conceptual Study of ¡°Pyo (øú)¡± in Gangpyeong-Shanghanlun Based on Two Cases of Bipolar Disorder Improved with Mahwang-tang
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Choi Woon-Yong
Lee Sung-Jun
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Abstract
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Objective : We explored the meaning of ¡°Pyo (øú)¡± in Gangpyeong-Shanghanlun through two cases.
Methods : We analyzed the original form of øú and its context in Shanghanlun. We also analyzed 2 clinical cases of bipolar disorder treated with Mahwang-tang (Ø«üÜ÷·) according to the newly deduced definition of øú.
Results : øú can be interpreted as ¡°pursuing something high-class seen from the outside.¡± Both cases had various psychological symptoms including insomnia, mood swings, anxiety, and depression. We determined that the diseases in both cases occurred when øú had not been achieved. We also found that Ø«üÜ÷· can improve psychological status.
Conclusions : øú is different from ¡°surface,¡± which is the most widely used definition. After diagnosing these two patients with bipolar disorder using the Diagnostic and Statistical Manual of Mental Disorders (5th edition), we found that symptoms could be improved by administration of Ø«üÜ÷· (46ðÉ). Although its potential for neuropsychiatric diagnosis has been suggested through etymological interpretation of øú and analysis of two cases, more advanced clinical studies are needed in the future.
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KEYWORD
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øú, Ø«üÜ÷·, DSM-5, bipolar Disease, Mahwang-tang, Shanghanlun
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