온병조변의 병리학적 고찰

• Published in: 동의생리병리학회지, 31(1) pp. 8 - 19
• Main Authors: 박미선, 김영목
• Format: Journal Article
• Language: Korean
• Published: 한의병리학회 01.02.2017
• Subjects: 한의학
• ISSN: 1738-7698; 2288-2529
• DOI: 10.15188/kjopp.2017.02.31.1.8

This study on 『Wenbingtiaobian』 covers identifying pattern of prescription, understanding system of multiple syndrome differentiations, characteristics of treatment and medicinal substances. The source books are 『Korean translation of Wenbingtiaobian』, 『Modern Shanghanlun』, 『Jinkuiyaolueyishi』, 『Chinese Medicine Formulas』. 『Wenbingtiaobian』 has system of multiple patterns including three energizer syndrome differentiation, classification of disease, six meridian syndrome differentiation and wei-qi-ying-xue syndrome differentiation. That describes cause, location, nature, power and transmutation of disease. Wei-qi-ying-xue pattern is meaningful to warm-heat disease and three energizer pattern is relevant to dampness-heat disease. The warm disease shows mostly yang brightness bowel syndrome and patterns of three yin viscera. In aspect of the heat disease, qi aspect pattern makes up the largest number of syndrome differentiation and have sometimes with bowel excess or fluid deficiency. And treatment for wei aspect pattern is primarily ‘outthrust the pathogen with pungent-cool’. Deficiency cold pattern and cold pattern with dampness occupy most of cold patterns. And many dampness patterns are dampness-heat pattern in middle energizer and ‘inhibited lung qi transforming’ is major mechanism. Patterns with fluid deficiency in qi aspect syndrome appear mostly in upper or middle energizer and in xue aspect syndrome appear mostly in lower energizer and they form 20% of all syndrome differentiations. The treatment of clearing heat uses pungent-cool(cold) for upper energizer, sweet-cold for middle energizer, sweet(salty)-cold for lower energizer. The treatment of tonifying yin uses mostly salty-cold for middle or lower energizer. The treatment of outthrusting pathogen is applied to all the wei-qi-ying-xue aspect combined with other treatments by using pungent-cool(cold) and light herbs. Understanding diseases in the respect of syndrome differentiation can enhance understanding of modern diseases from a perspective of Korean Traditional Medicinal(KTM) and can make clinical application of KTM treatments easy. Data from this study are expected to be basic for standardization and systemization of KTM. KCI Citation Count: 2