東醫壽世保元 新定 太陰人病 應用要約 二十四方과 구성 약재 44종을 北韓 保健省 東武遺稿, 草本卷, 甲午本, 辛丑本의 네 가지 사상의학 문헌을 근거로 분석하여 다음의 결과를 얻었다.
1. 태음인 병리는 胃脘寒, 寒證肺燥, 肝熱, 熱證肺燥로 구분할 수 있다.
2. 麻黃發表湯, 麻黃定喘湯, 寒多熱少湯, 熊膽散의 4개 처방은 胃脘寒, 太陰調胃湯, 調胃升淸湯, 麻黃定痛湯, 調理肺元湯, 補肺元湯, 鹿茸大補湯, 乾栗??湯, 乾栗樗根皮湯, 瓜?散의 9개 처방은 胃脘寒 및 寒證肺燥, 葛根解肌湯, 葛根承氣湯, ?角大黃湯, 麝香散, 石菖蒲遠志散, 麥門冬遠志散, 牛黃淸心元의 7개 처방은 肝熱, 熱多寒少湯, 淸心蓮子湯, 拱辰黑元丹, 葛根浮萍湯의 4개 처방은 肝熱 및 熱證肺燥을 치료하는 처방이다.
3. 麻黃, 薏苡仁, 乾栗, 熊膽, 桑白皮, 白果, 款冬花의 7개 약재는 胃脘寒, 瓜?, 樗根白皮, 使君子의 3개 약재는 寒證肺燥, 大黃, 藁本, 葛根, 升麻, 白芷, 麝香, ?角, 烏梅, 金箔, 大豆黃卷, 白?, 犀角, 羚羊角, 龍腦, 牛黃, 蒲黃의 16개 약재는 肝熱, 甘菊, 蓮子肉, 浮萍의 3개 약재는 熱證肺燥, 柏子仁, 酸棗仁, 龍眼肉, 天門冬, 鹿茸, ??, 遠志, 石菖蒲, 山藥, 五味子, 蘿?子, 桔梗, 麥門冬, 黃芩, 杏仁의 15개 약재는 中性肺燥 약재로 분류할 수 있다.
이상의 결과에 의하면 태음인 처방과 약재는 胃脘寒, 寒證肺燥, 肝熱, 熱證肺燥의 상황을 교정하여 태음인의 氣液之氣 病證을 해결한다는 결론을 얻었다.
Backgrounds and Objectives : This study was designed to define the efficacy of prescriptions and medicinal herbs of Taeeumin in Sasang constitutional medicine.
Methods : The prescriptions and medicinal herbs registered in Donguisusebowon Sinchuk edition written by Je-ma Lee in 1901 are the targets of this paper. The number of the prescriptions is twenty four and that of the medicinal herbs is forty four. We searched and analyzed original text such as Donguisusebowon Sinchuk edition written in 1901, Donguisusebowon Gabo edition written in 1894, Donguisusebowon Sansang Chobongwon, and posthumous manuscripts left by Je-ma Lee published by the Ministry of Health of North Korea.
Results : The pathology of the Taeeumin is classified into four mechanisms those are Esophagus-Cold (Wiwanhan), Cold Lung-Dry (HanpaeJo), Liver-Heat (Ganyeol), and Heat Lung-Dry (YeolpaeJo). The prescriptions and herbs of Taeeumin regulate four mechanisms. Seven herbs such as Ephedrae Herba, Coicis Semen, Castaneae Semen, Fel Ursi, Mori Cortex Radicis, Ginkgonis Semen, and Farfarae Flos regulate the mechanism of Esophagus-Cold (Wiwanhan). Three herbs such as Melonis Pedicellus, Ailanthi Radicis Cortex, and Quisqualis Fructus regulate the mechanism of Cold Lung-Dry (HanpaeJo). Sixteen herbs such as Rhei Rhizoma, Angelicae Tenuissimae Radix, Puerariae Radix, Cimicifugae Rhizoma, Angelicae Dahuricae Radix, Moschus, Gleditsiae Spina, Mume Fructus, Aurum, Glycine Semen Germinatum, Ampelopsis Radix, Cornu rhinocerotis, Antelopis Cornu, Bomeolum, Bezoar Bovis, and Typhae Pollen regulate the mechanism of Liver-Heat (Ganyeol). Three herbs such as Chrysanthemi Indici Flos, Nelumbinis Semen, and Spirodelae Herba regulate the mechanism of Heat Lung-Dry (YeolpaeJo). Fifteen herbs such as Thujae Semen, Zizyphi Semen, Longanae Arillus, Asparagi Tuber, Cervi Parvum Cornu, Holotrichia, Polygalae Radix, Acori Gramineri Rhizoma, Dioscoreae Rhizoma, Schisandrae Fructus, Raphani Semen, Platycodi Radix, Liriopis Tuber, Scutellariae Radix, and Armeniacae Semen regulate the mechanisms of Heat and Cold Lung-Dry (Hanpaejo and YeolpaeJo).
Conclusion : Twenty four prescriptions and forty four herbs of Taeeumin regulate the mechanisms of Esophagus-Cold (Wiwanhan), Cold Lung-Dry (HanpaeJo), Liver-Heat (Ganyeol), Heat Lung-Dry (YeolpaeJo) and correct the energy-fluid pathology of Taeeumin.