『東醫寶鑑·寒門』 葛根解肌湯의 機轉에 대한 考察 - 風藥의 구성을 중심으로 - (A Study on the Mechanism of Gegenjieji-tang in the Han(寒) Chapter of the Donguibogam - Focusing on the Composition of Wind Medicinals(風藥) -)

서지정보

· 발행기관 : 대한한의학원전학회
· 수록지 정보 : 대한한의학원전학회지 / 35권 / 4호 / 127 ~ 141페이지
· 저자명 : 이상빈, 안진희, 김종현, 정창현, 장우창, 백유상

초록

Objectives : 『<東醫寶鑑·寒門> 葛根解肌湯의 원류를 찾고, 관련 醫書들의 葛根解肌湯 機轉 설명을 정리하였다. 또한 구성 약물 중 風藥이 포함되었음을 집중하여 분석함으로써 추가적인 葛根解肌湯의 機轉을 밝히고자 하였다.
Methods : 『中醫方劑大辭典』을 통해 葛根解肌湯의 원류가 되는 醫書를 찾았다. 葛根解肌湯의 원류인 『<傷寒六書>』와, 『<東醫寶鑑>』 등에 나온 葛根解肌湯의 機轉을 살펴보았다. 『<脾胃論>』 등의 醫書를 살펴서 葛根解肌湯 구성 약물 중 風藥이 포함되었음을 분석함을 통해 葛根解肌湯의 機轉에 대해 고찰하였다.
Conclusion : 『<東醫寶鑑>』 葛根解肌湯은 『<傷寒六書>』의 柴葛解肌湯이 연원이 되는 처방으로, 足陽明胃經과 肌肉에 邪氣가 있는 것을 解肌하는 처방이다. 구성 약물을 보면 李東垣이 제시한 風藥(葛根, 柴胡, 羌活, 升麻)이 많이 활용되었음을 볼 수 있다. 그 風藥들이 氣機를 升發시킴으로써 火鬱을 해소하는 작용이 있음을 미루어보았을 때, 葛根解肌湯은 氣機鬱滯를 풀어줌으로써 解肌의 결과를 이끌어내는 추가적인 機轉이 있는 것으로 보인다.

영어초록

Objectives : The mechanism of Gegenjieji-tang from the Han chapter of Donguibogam was studied. Focus was on the wind medicinals which constituted a large part of the formula.
Methods : Medical texts from which Gegenjieji-tang originated were searched in the Zhongyifangjidacidian with which application, composition, and treatment mechanism of the Gegenjieji-tang as written in medical texts such as the Donguibogam were compared. Based on related research and medical texts, it could be determined that many ingredients of the formula were wind medicinals as suggested by Li Dongyuan. The meaning of such composition was analyzed through texts such as the Piweilun, after which mechanism of the Gegenjieji-tang was examined.
Results : Based on the Zhongyifangjidacidian, Gegenjieji-tang of the Donguibogam seems to have originated from the Chaigejiejitang of the Shanghanliushu, as medicinal composition and medical application written in texts such as the Donguibogam and Shanghanliushu, along with treatment mechanism, are found to be similar to each other. Gegenjieji-tang is applied to relieve the flesh and the Stomach Channel of pathogenic Qi. The formula includes gegen, chaihu, qianghu, and shengma, which are wind medicinals according to Li Dongyuan. Wind medicinals generally have the property of uplifting and dispersing Qi. The four aforementioned herbs relieve fire stagnation and relieve heat in the flesh and muscles.
Conclusions : Based on the composition of the formula which includes the four herbs that uplifts and disperses Qi, and relieves fire stagnation, it could be understood that the Gegenjieji-tang has the effect of easing the flesh through loosening Qi stagnation. Gegenjieji-tang is not simply used to purge pathogenic Qi, but to communicate the bodily Qi ultimately easing the flesh.

참고자료

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