A study on Soeumin's disease symptom based on the diaphoretic therapy and the purgative therapy of Shanghanlun

상한론(傷寒論)중 한(汗), 하법(下法)을 중심(中心)으로 한 소음인(少陰人) 병증론(病症論) 고찰(考察)

The main purpose of this study is to lay the groundwork of mutual assistance between Shanghanlun and Sa-sang Constitutional Medicine by looking into their differences and similarities in the concept and the medical treatment in the diaphoretic therapy and the purgative therapy. The study compared Shanghan Jomun quoted in Soeumin. Dongyi-Soose-Bowon with Je-ma, Lee's Theory of Medicine. And its conclusion is the following: 1. Both Shanghanlun and Sa-sang Constitutional Medicine connote the concept of pathogenic factors in the Nae-Kyung Medicine as the medicinal substances. And both of them have the fundamental structure of exterior-to-interior movements in the symptoms of disease to appear when pathogenic factors penetrate into the bodies. 2. Sa-sang Constitutional Medicine has treated the causes and the mechanism of disease in the symptoms of disease differently from other therapies: focusing on the body's constitutional symptom of disease. namely Soeumin's lack of the Yang-Qi and the poor Ascending Yang, not an attack on pathogenic factors as a interior-exterior symptom. Therefore Ascending-yang Supplying Qi, which fills up the lacking parts of the body and keeps the balance of the body fitted in one's constitution, has been used rather than the diaphoretic and purgative therapy. 3. As Shanghanlun and Sa-sang Constitutional Medicine have the similarities in the interior-to-exterior structure, pathogenic factors. and the notion of diaphoresis and purgation, they do so in the principle of the medicinal substance and the therapy. However, there are actually differences of carrying out the diaphoretic and purgative therapy and other treatments between Shanghanlun and Sa-sang Constitutional Medicine by the reason of the dissimilarities in the mechanism of disease and focal points.

이제마는 사상의학의 생리, 병리를 설명함에 있어서 상한론을 많이 인용하였는데 치법에 있어서는 상한론의 것과 일치하지 않으며 특히 소음인편에서는 상한론의 한법이나 하법에 대해서 많은 비판을 가하고 있다. 이에 동의수세보원 소음인편에 나타난 상한론 인용문과 동무의 의론을 한법과 하법을 위주로 비교하여 본 결과 사상의학과 상한론은 공통적인 사기의 개념과 병증구성상의 표리구조를 가지고 있었으며, 한과 하의 개념에 있어서도 별다른 차이가 없었다. 그러나 치료법에 있어서 사상의학에서는 소음인에 대하여 승양이 안되는 체질상의 부족을 보충하는 승양익기법을 중요시하여 상한론과 차이가 남을 알 수 있었다.