Journal of Sasang Constitutional Medicine (사상체질의학회지)

The Society Of Sasang Constitutional Medicine (사상체질의학회)
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The influence of accumulated clinical experience with Soyang-type patients on the conceptualization of the Soyang pathology

소양인(少陽人) 치험례(治驗例)가 소양인(少陽人) 병리관(病理觀) 형성과정에 미친 영향에 대한 고찰

  • Kang, Mi-Jeong (Kyung Hee University) ;
  • Lee, Ji-Won (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Lee, Jun-Hee (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Koh, Byung-Hee (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Lee, Eui-Ju (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Kyung Hee University)
  • 강미정 (경희대학교 대학원 임상한의학과 체질의학) ;
  • 이지원 (경희대학교 한의과대학 사상체질과) ;
  • 이준희 (경희대학교 한의과대학 사상체질과) ;
  • 고병희 (경희대학교 한의과대학 사상체질과) ;
  • 이의주 (경희대학교 한의과대학 사상체질과)
  • Received : 2011.06.15
  • Accepted : 2011.09.05
  • Published : 2011.09.30
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Abstract

1. Objective: This literary review investigates Lee Jema's clinical experiences with Soyang-type patients and their influence on his conceptualization of the Soyang physiology and pathology. 2. Methods: 1) The case reports in "Soyang constitutional type: Spleen Cold-based Exterior-Cold disease" were compared before and after the Sinchuk revision to explore the temporal change in the Sasang medical concepts. 2) The texts in Donguisusebowon (Gabo edition) and Donguisusebowon (Sasangchobongwon) were analyzed to investigate the pathological concepts appearing before the completion of the Donguisusebowon (Gabo edition). 3) The texts in Donguisusebowon (Sinchuk edition) was analyzed to investigate the pathological concepts formed between the Gabo and Sinchuk editions of Donguisusebowon. 3. Results and Conclusions: 1) Gabo edition : The Gabo edition divided the External-origin Exterior disease into Cold-dominant (Heat-moderate) and Heat-dominant (Cold-moderate) patterns and differentiated the severity of Exterior-based Exterior disease and Interior-based Interior disease into mild, moderate, severe, and critical conditions. Cold-damage Delirium disease pattern was categorized as an Interior-based Interior disease, and the treatment protocol using Baekho-tang (Baihu-tang) was established. The stool condition and bowel movement reflecting the patient's defecation habits, the prime indicator of health in the Soyang constitutional type, were emphasized on their importance. 2) Sinchuk edition: The Delirium disease pattern was moved into the Exterior-cold disease, and the treatment protocol applying Jihwangbaekho-tang (Dihuangbaihu-tang) and Hyeongbangsabaek-san (Jingfangxiebai-san), with variational usage of Gypsum, was newly established. The Seong-Jeong and basal disease patterns were suggested as important factors in treating the patients. Also, it was proposed that the symptoms and signs reflecting the condition of the life-preserving energy be assessed to understand the patient's current condition. The importance of post-acute rehabilitation and aftercare as well as the most appropriate acute-stage treatment were emphasized.

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References

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