陳士鐸 임상 이론의 특징에 관한 연구

정경호; 김기욱; 박현국

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자료유형: 학술저널

저자정보: 정경호 김기욱 박현국

저널정보: 대한한의학원전학회 대한한의학원전학회지 대한한의학원전학회지 제22권 제3호

발행연도: 2009.1

수록면: 31 - 52 (22page)

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The characteristics of Jin's ideas on clinic theory can be arranged as follows. 1. Jin emphasized warming and tonifying[溫補] in treatment and the part that shows this the best is the taking care of[調理] the Vital gate[命門], kidney, liver, and spleen. His ideas were based on his understanding of a human life's origin, and was influenced by Seolgi(薛己), Joheon-ga(趙獻可) and Janggaebin(張介賓)'s Vital gate and source Gi theory(元氣說) so scholastically, he has that in common with them but was later criticized by later doctors such as Oksamjon(玉三尊) as an ‘literary doctor(文字醫)’ who followed the ideas of 『Uigwan(醫貫)』. 2. The warming and tonifying school[溫補學派], who were influenced by Taoism, said in their theory of disease outbreak[發病學說] that since one must not hurt one's Yin essence and Yang fire[陰精陽火] there is more deficiency than excess, so that was why they used tonifying methods. Jin was also like them and this point of view is universal in internal medicine, gynecology, pediatric medicine and surgery and so on. 3. Jin, who saw the negative form of pulse diagnosis[診脈] emphasized following symptoms over pulse diagnosis using the spirit of ‘finding truth based on truth[實事求是]’ in 『Maekgyeolcheonmi(脈訣闡微)』, but emphasized ‘the combination of pulse and symptoms[脈證合參]’. He understood pulse diagnosis as a defining tool for symptoms, and in 『Seoksilbirok(石室秘錄)』 simplified pulse diagnosis into 10 methods : floating/sunken(浮沉), slow/fast(遲數), large/fine(大小), vacuous/replete(虛實) and slippery/rough(滑澀). 4. Jin used ‘large formulas(大方)’ a lot that usually featured a large dose, and in 『Bonchosinpyeon(本草新編)』 he thought of the seven formulas(七方) and ten preparations(十劑) as the standard when using medicine. He did away with old customs and presented a ‘new(新)’ and ‘extra(奇)’ point of view. He especially used a lot of Insam(人蔘) when tonifying Gi and Geumeunhwa(金銀花) when treating sores and ulcers. 5. In the area of surgery Jin gave priority to the early finding and treatment of disease with internal treatment[內治] and was against the overuse of acupuncture. However records of surgical measures in a special situation like lung abscesses(肺癰) and liver abscesses(肝癰), and anesthetic measures using ‘Manghyeongju(忘形酒)’ and ‘Singoiyak(神膏異藥)’ and opening the abdomen or skull, and organ transplants using a dog's tongue are important data. 6. Jin stated the diseases of Gi and blood broadly. Especially in the principles of treating blood, blood diseases had to be forwarded[順] and Gi regulation[理氣] was the number one priority and stated the following two treatments. First, in ｢Jeonggiinhyeolpyeon(精氣引血篇)｣ of volume 6 of 『Oegyeongmieon(外經微言)』, for the rules for treating blood he stated the pattern identification of finding Gi in blood and blood in Gi. Second, he emphasized Gi regulation(理氣) in blood diseases and stated that the Gi must be tonifyed after finding the source of the loss of blood.

The characteristics of Jin's ideas on clinic theory can be arranged as follows. 1. Jin emphasized warming and tonifying[溫補] in treatment and the part that shows this the best is the taking care of[調理] the Vital gate[命門], kidney, liver, and spleen. His ideas were based on his understanding of a human life's origin, and was influenced by Seolgi(薛己), Joheon-ga(趙獻可) and Janggaebin(張介賓)'s Vital gate and source Gi theory(元氣說) so scholastically, he has that in common with them but was later criticized by later doctors such as Oksamjon(玉三尊) as an ‘literary doctor(文字醫)’ who followed the ideas of 『Uigwan(醫貫)』. 2. The warming and tonifying school[溫補學派], who were influenced by Taoism, said in their theory of disease outbreak[發病學說] that since one must not hurt one's Yin essence and Yang fire[陰精陽火] there is more deficiency than excess, so that was why they used tonifying methods. Jin was also like them and this point of view is universal in internal medicine, gynecology, pediatric medicine and surgery and so on. 3. Jin, who saw the negative form of pulse diagnosis[診脈] emphasized following symptoms over pulse diagnosis using the spirit of ‘finding truth based on truth[實事求是]’ in 『Maekgyeolcheonmi(脈訣闡微)』, but emphasized ‘the combination of pulse and symptoms[脈證合參]’. He understood pulse diagnosis as a defining tool for symptoms, and in 『Seoksilbirok(石室秘錄)』 simplified pulse diagnosis into 10 methods : floating/sunken(浮沉), slow/fast(遲數), large/fine(大小), vacuous/replete(虛實) and slippery/rough(滑澀). 4. Jin used ‘large formulas(大方)’ a lot that usually featured a large dose, and in 『Bonchosinpyeon(本草新編)』 he thought of the seven formulas(七方) and ten preparations(十劑) as the standard when using medicine. He did away with old customs and presented a ‘new(新)’ and ‘extra(奇)’ point of view. He especially used a lot of Insam(人蔘) when tonifying Gi and Geumeunhwa(金銀花) when treating sores and ulcers. 5. In the area of surgery Jin gave priority to the early finding and treatment of disease with internal treatment[內治] and was against the overuse of acupuncture. However records of surgical measures in a special situation like lung abscesses(肺癰) and liver abscesses(肝癰), and anesthetic measures using ‘Manghyeongju(忘形酒)’ and ‘Singoiyak(神膏異藥)’ and opening the abdomen or skull, and organ transplants using a dog's tongue are important data. 6. Jin stated the diseases of Gi and blood broadly. Especially in the principles of treating blood, blood diseases had to be forwarded[順] and Gi regulation[理氣] was the number one priority and stated the following two treatments. First, in ｢Jeonggiinhyeolpyeon(精氣引血篇)｣ of volume 6 of 『Oegyeongmieon(外經微言)』, for the rules for treating blood he stated the pattern identification of finding Gi in blood and blood in Gi. Second, he emphasized Gi regulation(理氣) in blood diseases and stated that the Gi must be tonifyed after finding the source of the loss of blood.

#Taoism

참고문헌 (17)

참고문헌 신청

劉祖貽 / 2001 / 中國歷代名醫名述 / 中醫古籍出版社 : 951 ~

張介賓 / 1982 / 張氏類經 / 成輔出版社 : 450 ~ 451

朴基兌 / 2004 / 陳士鐸의 生涯와 著述에 關한 硏究 / 大韓韓醫學原典學會誌 17 (2) : 87 ~ 98

朴基兌 / 2005 / 陳士鐸의 現存醫書八種序文에 關한 硏究 / 大韓韓醫學原典學會誌 18 (1) : 94 ~ 120

李時珍 / 1999 / 瀕湖脈學李時珍醫學全書 / 中國中醫藥出版社 : 1647 ~

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