매핵기(梅核氣)의 형상의학적(形象醫學的) 고찰(考察)

Review on the Globus Hystericus in View of Hyungsang Medicine

  • 정흥식 (정흥식한의원) ;
  • 이용태 (동의대학교 한의과대학 생리학교실, 한의학연구소)
  • 발행 : 2006.06.25

초록

The following conclusions are drawn from Hyungsang medicinal review on th globs hystericus through Donguibogam and other literatures. The globs hystericus appears in the throat and the epigastric region. It is a subjective sensation as if a plum pit is stick in the throat and is compressed, usually ac companied by stuffiness in chest, depression, nausea, and hiccup. But the throat is not marked with redness and swelling. Because Gi stagnation due to seven emotions is the main cause, the globs hystericus is usually followed by Seven Gi injuries, Pain and depressive syndrome due to disorder of Gi, palpitation due to fright, continuous violent palpitation, Gi phlegm, precordial pain with palpitation, epigastric pain due to seven emotions, cough and dyspnea due to disorder of Gi, and six kinds of stagnations. When head and body or chest and abdomen is compared to heaven and earth, the blockage of Gi between heaven and earth is common to the persons with the following charcteristics in Hyungsang; Dam type rather than Bankwang type, Gi type and Shin type rather than deer type and fish type, Taeum and Yangmyeong meridian types out of six meridian types, manly women, womanly man, too long or short neck, and signs of stagnation between the eyebrows. The globus hystericus needs, distinguishing from aphonia, acute tonsilitis, goiter, and pectorial pain with stuffiness. The affected area of aphonia and acute tonsilitis is the throat but they are not cause by the disturbance of seven emotions. Goiter can be distinguished by the changes in the appearance of neck. Even though the symptoms are similar, globus hystericus is caused by the stagnation of Gi, but the pectorial pain with stuffiness, by the insufficiency of the Heart blood. The general prescriptions are Chilgitang, Sachiltang, Gamisachiltang, Gamiijintang, and Sinihwan.

키워드

참고문헌

  1. 배병철. 今釋黃帝內徑素問. 서울, 성보사, 1994
  2. 東醫寶鑑國譯委員會. 對譯東醫寶鑑. 서울, 법인문화사, 1999
  3. 공신. 고금의감. 북경, 중국중의약출판사, 1999
  4. 장석순. 의학충중참서록. 하북성, 하북과학기술출판사, 1985
  5. 왕미미, 이림, 당용천. 의학전서. 북경, 중국중의약출판사, 2002
  6. 양사영. 인제직지방. 상해, 문서루서국, 1978
  7. 김정범. 금궤요략변석(하). 서울, 한의문화사, 2002
  8. 제병원후론교석(하). 서울, 도서출판정담
  9. 大韓形象醫學會. 芝山形象醫案. 서울, 芝山出版社, 2003
  10. 大韓傳統韓醫學會. 芝山先生臨床學特講 I III IV V. 서울, 芝山出版社
  11. 韓醫學 大辭典. 서울, 도서출판 정담, 1998
  12. 김상호. 東醫神經精神科學. 서울, 杏林出版社, 1980
  13. 중국 중의 연구원(광안의원). 實用中醫腦病學. 북경, 학원출판사, 1993
  14. 오충환. 胸痛의 形象醫學的 治療. 大韓形象醫學會 學術大會論文集, 서울, 2002
  15. 김인진. 鬱症의 形象醫學的 考察. 대한형상의학회지, 서울, 2003