팔강변증

팔강변증(八綱辨證)에 대한 비교 연구 -장개빈(張介賓), 정국팽(程國彭), 강함돈(江涵暾)을 중심으로- - 의약학 > 기초한의학

영문초록

Medicine. There are several ways for Syndrome differentiation. However, Eight Principle Pattern Identification(八綱辨證) is the base of other Syndrome differentiations. Of the physicians focused on Eight Principle Patterns(八綱), I have researched for Eight Principle Pattern Identification concerning with Zhang Jie-Bin(張介賓), Cheng Guo-Peng (程國彭), and Jiang Han-Tun(江涵暾) in Ming(明) and Qing(淸.) Method : Applying to Eight Principle Pattern Identification, I have researched comparatively for 3 kinds for. First, Zhang Jie-Bin`s Jingyuequanshu(景岳全書) that involves Yinyangpian(陰陽篇), Liubianbian(六變辨), Biaozhengpian(表證篇), Lizhengpian(裏證篇), Xushipian(虛實篇), and Hanrepian (寒熱篇), secondly, Cheng Guo-Peng`s Yixuexinwu(醫學心悟)·Hanrexushibiaoliyinyangbian(寒熱虛實 表裏陰陽辨), at lastly Jiang Han-Tun`s Bihuayijing(筆花醫鏡)·Biaolixushihanreyinyangbian(表裏虛實 寒熱辨). Results : All of sick cases can be explained totally by Eight Principle Patterns. Of Eight Principle Patterns, Yin(陰) and Yang(陽) include last Six Principle Patterns(六綱 : 表裏, 寒熱, 虛實). Six Principle Patterns can be divided normally by 6 pulses(六脈 : 浮沈·遲數·虛實). In all of pain cases, feeling comfortable(可按) or discomfortable(拒按) to palpation can be important foundation for distinguishing Xu(虛) from Shi(實). Physical constitution(體質) for Hanre·Xushi(寒熱·虛實) and tongue-diagnosis(舌診) for Biaoli·Hanre(表裏·寒熱) are used effectively. Related with tongue-diagnosis, tongue-coating(舌苔) for Biaoli and tongue status(舌質) for Hanre are used effectively. Symptoms should be divided following this sequence, Biaoli → Hanre → Xushi and lastly should be summarized of Yinyang. Diagnosing with Eight Principle Patterns, digestive function, urine, and feces should be checked at first. In addition, the pulse, tongue, physical constitution, and good or bad from palpation(觸診), these should be checked and give a result. And then the result can be an important evidence of syndrome differentiation. As a result, it would be the best to diagnosis that discriminating the sequence as Biaoli·Hanre·Xushi and summarizing with Yinyang.