錢乙의 醫學思想에 關한 硏究

• 영문명: A Study on Qian Yi (錢乙)’s Medical Though
• 발행기관: 한국의사학회
• 저자명: 吳晙煥(Oh Jun Hwan) 金基郁(Kim Ki Wook) 朴炫局(Park Hyun Kook)
• 간행물 정보: 『한국의사학회지』제14권 제2호, 109~152쪽, 전체 44쪽
• 주제분류: 의약학 > 한의학
• 파일형태: PDF
• 발행일자: 2001.12.30

영문 초록

Throughout this paper, I adjusted the study of ‘Qian Yi’(錢乙)’s Medical Thought, and the following is the summary. 1. ‘Qian Yi’ wrote ‘Xiao Er Yao Zheng Zhi Jue’(『小兒藥證直訣』, edited by 誾季忠), and there were ‘Shang Han Lun Zhi Wei’(『傷寒論指微』), ‘Ying Ru Lun’(『嬰乳論』), however those are loss of the record. 2. Qian Yi’s ‘Zhi Jue’(『直訣』) was influenced by ‘Lu Xin J ing’(『顱顖經』), yet if we compare the quality of ‘Sheng Li、 Byeng Li、 Bang J ae’(生理、 病理、 方劑), ‘Lu Xin Jing’ cannot be the foundation of ‘Zhi Jue’. He took over ‘Nei Jing、 Shang Han Lun、 Jin Gui Yao Lue、 Shen Long Ben Cao Jing、 Tai Ping Sheng Hui Fang’(『內經』、 『傷寒論』、 『金匱要略』、 『神膿本草經』、 『太平聖惠方』) and put them together to the direct clinical experiences of pediatrics. 3. There is no reference regarding the difficulties of pediatric diagnosis and diseases in ‘Huang Di Nei J ing’(黃帝內經) Before ‘Bei Song’(北宋), regardless of the lack of data related to pediatric diseases, ‘Qian Yi’ established the pediatric system in ‘Xiao Er Yao Zheng Zhi Jue’ for the first time. 4. In his diagnosis of the pediatric diseases, he ‘Si Zhen He Can’(四診合參), also considered in the eye exam seriously. In addition, he closely combined ‘Wu Zang Bian Zheng’(五臟辨證), and diagnosis the pediatric diseases. 5. ‘Wu Zang Bian Zheng’, what Qian established method was based on ‘Zheng Ti Guan’(整體觀) in ‘Huang Di Nei Jing’. It was based on clinical experiences and established the perspectives of ‘Tian Ren Xiang Ying’(天人相應). First of all, he pinpointed ‘Zhu Zheng’(主證) clearly. Secondly, he pinpointed the relationships to symptoms and then, he distinguished a generic character of ‘Xu、 Shi、 Ha n、 Re’(虛、 實、 寒、 熱). Finally, he made an induction from genealogical pediatric physiology. 6. ‘Qian Yi’ took a serious view of ‘Ban Zhen’(斑疹), the inadequate field in those days. At that time, he criticized on the habituation of the misuse of medication. He treated separately which ‘Ji Jing’(急驚) as ‘Liang Xie’(凉瀉) and ‘Man Jing’(慢驚) as ‘Wen Bu’(溫補). He proposed ‘Cong Gan Zhu Feng, Xin Zhu Jing’(從肝主風, 心主驚) theory and formulated ‘Jing Feng’(驚風) theory as well. 7. As an opponent of a tendency to misusage of medicine, ‘Qian Yi’ made out a prescription with pliant medicine. He emphasized on the treatment to ‘Gong Bu Shang Zheng、 Bu Bu Zhi Xie、 Xiao Bu Jian Shi’(攻不傷正、 補不滯邪、 消補兼施) because he had so lucid demonstration to ‘Xu Shi Han Re’(虛實寒熱) of the five viscera in the field of ‘Bang Yak’(方藥). 8. There were no pediatrics schools at that time, however, the pediatrics was being made up gradually by ‘Jin Yuan Si Da J ia’(金元四大家) who was influenced by ‘Qian Yi’. He raised an objection to medical treatment using pliant medicine. ‘Qian Yi’ applied ‘Qu Xia’(驅下) treatment using ‘Han Liang’(寒凉) medicine. ‘Han Liang Pai’(寒凉派) is greatly influenced by Qian. ‘Chen Wen Zhong’(陳文中) had a great impact on ‘Han Liang Pai’ who used a ‘Zao Shu Wen Bu’(燥熟溫補) medicine for treatment. Since ‘Song Jin’(宋金), he had a tremendous influence on pediatrics treating patients in both ‘Han Wen’(寒溫) ways. 9. ‘Qian Yi’ had an influence on his medical thoughts on future generations, especially to ‘Wan Quan’(萬全) of ‘Ming Dai’, ‘Wu Tang’(吳塘) of ‘Qing Dai’(淸代) and ‘Yun Shu Jie’(惲樹珏) of ‘Min Guo’(民國). ‘Wan Quan’ is an advocate of ‘You Yu、 Bu Zu Zhi Shuo’(有餘、 不足之說)of ‘Xiao Er Wu Zang’(小兒五臟) that he revealed Qian’s ‘Wu Zang Bian Zheng’(五臟辨證).

목차

Ⅰ. 緖論

Ⅱ. 本論

Ⅲ. 結論

Ⅳ. 參考文獻