태음인 처방의 본초 조합 용례 분석 - 중요 고문헌을 중심으로 - (Analysis of the prescription for persons of Taiyin constitution (太陰人 Tae-eum) in the herbal formulas and cases found in classic texts)

서지정보

· 발행기관 : 한국의사학회
· 수록지 정보 : 한국의사학회지 / 33권 / 1호 / 31 ~ 41페이지
· 저자명 : 김성원, 이병욱, 김기욱

초록

목적: 『동의수세보원』 辛丑本 「新定太陰人病應用要藥二十四方」에 기재된 처방과 중요 고문헌에 기재된 처방의 본초 구성을 비교한다. 태음인 처방 본초 구성 패턴 포함 여부를 확인하였다.
방법: 신축본 태음인 처방과 『景岳全書』、『廣濟秘笈』、『東醫寶鑑』、『方藥合編』、『壽世保元』、『醫學入門』、『濟衆新編』、『鄕藥集成方』 처방의 본초 구성을 DB에 입력하고, 본초의 有無로 태음인 처방의 본초 조합 패턴을 포함하는 처방을 찾았다.
결과: 辛丑本 태음인 처방(가감 포함, 단미제 제외 24首) 중 葛根解肌湯、調胃升淸湯、淸心蓮子湯、麻黃定喘湯、熱多寒少湯、葛根承氣湯、葛根大承氣湯、葛根小承氣湯、麻黃發表湯、補肺元湯、鹿茸大補湯、拱辰黑元丹、皂角大黃湯、葛根浮萍湯、石菖蒲遠志散、麥門冬遠志散、牛黃淸心元의 17가지 처방은 중요 고문헌에 비슷한 용례가 있었고, 乾栗蠐螬湯、乾栗樗根皮湯은 東武公이 독창적으로 설정한 조합이다.
결론: 辛丑本 태음인 처방의 70.8%는 조선시대(명청시기) 문헌에서 용례를 찾을 수 있었기에, ‘태음인 처방을 송‧원‧명의 의가들이 더욱 연구하여 절반쯤 상세하게 밝혔다’라는 동무공의 견해에 부합된다.

영어초록

Purpose : This study compares prescriptions in the 1901 edition of the Donguisusebowon (東醫壽世保元) and the 1901 edition of 24 Revised Tae-eum constitution prescriptions (新定太陰人病應用要藥二十四方) (1901PCDT) with medical herbs found in classical texts. This study also examines whether to include patterns which compose medical herbs for the person of Tae-eum constitution (太陰人).
Method : The prescriptions for Tae-eum-in in the Shinchukbon and the ingredients of medical herbs of the prescriptions of the Complete Works of Zhang Jingyue (景岳全書), Secret Works of Universal Benefit (廣濟秘笈), Treasured Mirror of Eastern Medicine (東醫寶鑑), Comprised Edition for Formulas (方藥合編), Protecting Essence for Longevity (壽世保元), Introduction to Medicine (醫學入門), New Book for Saving People (濟衆新編 ENGLISH), and Compendium of Local Medicinals and Formulas (鄕藥集成方) were input into a database. The prescriptions were examined and combinations of medical herbs used to treat the person of Tae-eum constitution were noted.
Result : Among the prescriptions for the person of Tae-eum constitution, similar examples of the 17 prescriptions of Kudzu Decoction to Relieve the Muscles (葛根解肌湯), Regulate the Stomach and Coordinate the Purity Decoction (調胃升淸湯), Clear the Heart and Lotus Pip Decoction (淸心蓮子湯), Decoction for Stabilizing Asthma with Ephedra (麻黃定喘湯), Profuse Heat and Sparse Cold Decoction (熱多寒少湯), Decoction for Coordinating Qi with Kudzu (葛根承氣湯), Major Decoction for Coordinating Qi with Kudzu (葛根大承氣湯), Minor Decoction for Coordinating Qi with Kudzu (葛根小承氣湯), Decoction for Dispersing the Exterior with Ephedra (麻黃發表湯), Boost the Lung Essence Decoction (補肺元湯), Major Supplementing Decoction with Deer Antler Velvet (鹿茸大補湯), Boosting Black Essence Pill (拱辰黑元丹), Honeylocust Fruit and Rhubarb Decoction (皂角大黃湯), Kudza and Duckweed Decoction (葛根浮萍湯), Sweet Flag and Polygala Powder (石菖蒲遠志散), Liriopis and Polygala Decoction Powder (麥門冬遠志散), and Cattle Gallstone Formula to Clear the Heart (牛黃淸心元) were found in important ancient literature and Dried Chestnut and Holotrichia Decoction (乾栗蠐螬湯) and Dried Chestnut and Tree of Heaven Root Bark Decoction (乾栗樗根皮湯) are the combination originally set by Lee Jema.
Conclusion : Because 70.8% of the prescriptions in 1901PCDT could be found in literature which were pervasive in the period of the Joseon Dynasty (the period of Ming and Qing), it corresponds with Lee Jema’s view that medical men in the Song, Yuan, and Ming Dynasties disclosed half of the prescriptions for Tae-eum person by studying these texts more.

참고자료

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