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정신과질환 4례를 통한 강평본(康平本) 상한론(傷寒論)의 태음병(太陰病) 진단 고찰

A Study on Greater yin Disease in Gangpyeong-Shanghanlun by Analyzing Four Mental Illness Cases

대한상한금궤의학회지 2020년 12권 1호 p.23 ~ 48
하현이, 윤효중, 이성준,
소속 상세정보
하현이 ( Ha Hyun-Yee ) - Saeng-Dong Korean Medical Clinic
윤효중 ( Yun Hyo-Joong ) - Kyung-Hee the best Korean Medical Clinic
이성준 ( Lee Sung-Jun ) - Jung-In Korean Medical Clinic

Abstract


Objectives :This study aimed to suggest distinct signs of Greater yin disease (taiy nbing, 太陰 病) by researching the etymology of three terms: zi-tong (自痛), jie-ying (結硬), and yin-er (因 爾), which are exclusive found only in Greater yin disease (太陰病) in Gangpyeong-shanghanlun, but not in other categories.

Methods :We studied the etymologies of the three terms that are unique in Greater yin disease, then found some pathological signs that are related with them through the four mental illness cases, which include somatization, obsessive-compulsive behavior, delusion, and panic disorder.

Results : Based on the definitions of each term, we diagnosed the four patients who had mental illnesses as having Greater yin disease, and we observed meaningful improvements after administering herbal medication. After Gyejigajakyak-tang administration, the Insomnia Severity Index (ISI) score decreased from 18 to 7 and the Beck’s Anxiety Index (BAI) score decreased from 36 to 18 in the first case, the ISI score decreased from 27 to 16 and the BAI score decreased from 50 to 33 in the second case, and the ISI score decreased from 23 to 4 and the BAI score decreased from 34 to 5 in the third case. In the last case, the ISI and BAI scores were 16 and 22, respectively, at the first visit, and it was found that the scores had changed to 6 and 22, respectively, at the last visit.

Conclusions : We found that the unique terms in Greater yin disease, including zi-tong (自痛), jie-ying (結硬), and yin-er (因爾), can be interpreted as groundless arbitrary assumption, resting strong tension, and psychological projection based on the etymological hypothesis. Therefore, we suggest these as specific signs of Greater yin disease.

키워드

Greater yin disease (太陰病); GangpyeongShanghanlun (康平傷寒論); Shanghanlun provisions; Etymology; somatization; panic disorder

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