• Journal of Korean Medical classics
• /
• v.28 no.4
• /
• pp.99-119
• /
• 2015

Objectives : This study aims to compare and analyze the contents and logic of Lee Jema's chest bind theory of the Soyang pattern with that of the traditional perspective since Shanghanlun, and to further investigate its underlying meaning and evaluate its value. Methods : Study chest bind related arguments of Lee through historical, demonstrative and positive investigation. First, contrast related texts starting from Shanghanlun, followed by reasoning based on general medical logic. Finally review clinical case studies from texts and papers for verification. Results : According to Lee, the key to diagnosis and treatment in preventing major chest bind which is a severe condition in the exterior cold pattern of the Soyang constitution, is to disperse fluid bind using GanSui(甘遂) in the water counterflow and vomiting(水逆嘔吐) stage prior to the major chest bind symptoms of stiffness and pain in the lower chest(心下硬痛), and reducing phlegm-rheum using DoJeokGangGiTang(導赤降氣湯) in the beginning stages of chest bind. HyeongBangDoJeokSan(荊防導赤散) is the main formula in treating phlegm-rheum, a causal factor to chest bind, modified according to the 'treat the three burners separately(三焦分治)' theory of the DaoChiSan(導赤散) section in WanBingHuiChun (萬病回春) to accomodate the Soyang constitution. Conclusions : If we follow Lee's diagnosis and treatment system on chest bind, it will allow us to diagnose chest bind in the earlier stages and secure safe treatment.

• Journal of Korean Medical classics
• /
• v.30 no.3
• /
• pp.109-131
• /
• 2017

Objectives : The purpose of this paper is to study the origin, mechanism, category of Chest bind with static blood(血結胸), the relation to the syndrome of Heat entering the blood chamber(熱入血室證), and the comparison with Chest bind(結胸). Methods : Sikuquanshu(四庫全書), a comprehensive range of medical books, and Shanghanlun(傷寒論) annotation books were searched by 'Chest bind with static blood' keyword and analyzed. Results & Conclusions : 1. The syndrome of Chest bind with static blood is first brought up by ZhuGong(朱肱) and it can be derived from the syndrome of Heat entering the blood chamber or can be shown in upper middle lower energizer Stagnated Blood Syndrome(上中下焦蓄血證, SBC). Ever since the publication of Shanghanquanshengji(傷寒全生集), its category was expanded and prescriptions for the SBC were used. 2. In comparison, the cause of Chest bind with static blood is associated with blood heat(血熱), largely connected with blood, mental illness appeared, lesions are usually chest and sides, and the cause of Chest bind is associated with intermingled water heat (水熱) or phlegm heat(痰熱), not connected with blood, mental illness not appeared, lesions are from the beneath the heart to lower abdomen. 3. The syndrome of Chest bind with static blood derived from the syndrome of Heat entering the blood chamber can appear along side with the Liver Meridian associated with blood chamber or appear in chest, the syndrome appeared in upper energizer SBC can be shown in the chest due to gravity, the one appeared in middle energizer SBC can be shown in the chest due to the same level, the one appeared in lower energizer SBC can be shown in the chest due to the constitutional predisposition of YangQi(陽氣) uprise.

• 대한상한금궤의학회지
• /
• v.10 no.1
• /
• pp.1-13
• /
• 2018

Objectives : Purpose of this study is to suggest a diagnostic definition of Chest bind(結胸) in GangpyeongShnghanlun 15 letters provision. Methods : Using The Etymology Dictionary of Chinese Characters, we interpreted the meaning of Chest bind(結胸) and symptoms on 134th provision of Shanghanlun. Results : The meaning of Chest bind is endurance of worries. Symptoms on 134th provision can be interpreted as follows. Worrywart person whose behavior is dilatory, who suffer from an inferiority complex, feel pressure on chest, feel heavy with worries, unstable, talkative, suffer from a feeling of anger, think himself as fallen into a trap, feel always nervous and is stubborn can be in a situation of Chest bind. Conclusions : Chest bind is one of the Names of disease in Shanghanlun. The Name of disease has its own meaning that can be used as diagnostic evidence. Further studies are needed to verify a hypothesis of diagnostic definition of Chest bind.

• Journal of Physiology & Pathology in Korean Medicine
• /
• v.22 no.4
• /
• pp.733-739
• /
• 2008

It was said that the epigastric region was the outbreak region of chest bind on Shanghanlon. But successive medical men annotated the epigastric region as the chest, which caused the misunderstanding that chest bind was a chest trouble. However Youzaijing, a medical man in Qing dynasty, presented that the epigastric region meant stomach and the middle of stomach did intestines, comparing Dachengqi-tang with Daxianxiong-tang. This view agreed with Huatuo's six-region-transmutation theory. Taojiean and Zhangjingyue also criticized on the six-meridian-transmutation theory, proposing that the change of cold damage didn't go by the fixed rules. This reflected the oriental medical pathologic view that pathogen invaded and advanced to the weak region by the relations between healthy qi and pathogen, and it criticized on the doctrinarian interpretation of Shanghanlon as Neijing. Huatuo insisted that stomach was the final stage of cold damage by presenting that theory. And this theory became a philological basis on Youzaijing's pathologic view.

• Journal of Sasang Constitutional Medicine
• /
• v.34 no.2
• /
• pp.65-74
• /
• 2022

Objective In this study, we report significant improvement of edema patient who was diagnosed with Soyang person chest bind syndrome/pattern based on Sasang Constitutional Medicine. Methods The patient was identified as Soyang person chest bind syndrome/pattern and treated with Hyeongbangjihwang-tang-ga-moktong and Euphorbiae Kansui. Radix(Gam-sui). To evaluate the results of this treatment, the patient assessed edema by using the Numeral Rating Scale(NRS). Result and Conclusion After treatment with Hyeongbangjihwang-tang-ga-moktong and Euphorbiae Kansui. Radix(Gam-sui), patient's symptms were improved. This study shows that Sasang Constituitional medicine can be effective treatment for edema.

• 대한상한금궤의학회지
• /
• v.13 no.1
• /
• pp.121-132
• /
• 2021

Objective: This study aimed to report the improvement in a patient with allergic contact dermatitis treated with Sihogyeji-tang based on the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: According to the Shanghanlun DPIDS, the patient with allergic contact dermatitis was diagnosed with greater yang disease chest bind (Shanghanlun provision 146), and was administered Sihogyeji-tang for 90 days. The results were evaluated using the Dermatological Life Quality Index (DLQI) and a visual analog scale (VAS). Results: After taking Sihogyeji-tang for 90 days, the DLQI decreased from 28 points to 8 points and the VAS decreased from 10 points to 3 points. Conclusions: This case shows the potential of treatment through herbal medicine for allergic contact dermatitis using the Shanghanlun DPIDS.

• Journal of Physiology & Pathology in Korean Medicine
• /
• v.26 no.2
• /
• pp.141-146
• /
• 2012

Researches of Sasang Consitutional Medicine(SCM) have been conducted in many ways, especially for objective diagnosis methods of SCM. Despite of these efforts, relationship between SCM and abdominal examination is rarely known. Therefore 7 books related to abdominal examination and arranged specific abdominal examination descriptions in each books based on Experienced prescriptions(經驗方) of Donguisusebowon(東醫壽世保元) or Longevity and Life Preservation in Eastern Medicine were collected. In result, So-eumin and So-yangin show opposite descriptions to each others in abdominal examination. So-eumin has stuffiness and rigidity below heart, lower abdominal fullness and cramp. In contrast, So-yangin has fullness in the chest and hypochondrium, chest bind, lower abdominal numbness and lower tension. Strong abdominal surface tension could be palpated in Taeum-in's abdominal examination. Advantages of Abdominal Examination are notified recently, thanks to easiness of performing, objectiveness and well-adaptation to Theory of Traditional Eastern Medicine. These advantages could contribute to researching diagnosis of SCM with theory consensus of SCM specialists and practical trials.

• Herbal Formula Science
• /
• v.24 no.1
• /
• pp.45-52
• /
• 2016

objective The purpose of this case report is to review the possibility of utilizing Jeokseokji-uyeoryang-tang as a therapy of seborrheic dermatitis, and to consider clinical using possibility of Shanghanlun.method Patient's Diagnosis and progress of seborrheic dermatitis was evaluated based on the patient's chart and picture. And diagnosis based on Shanghanlun was organized by table.results When analyzing the patient's history and symptoms, it can be found in article No. 159 in Shanghanlun. The area and intentsiy of erythema were reduced when viewed photos findings, so diagnosis and therapies used in this case showed valid results in seborrheic dermatitis.conclusion Jeokseokji-uyeoryang-tang is efficient to patient of this case report as a treatment.

• 대한상한금궤의학회지
• /
• v.13 no.1
• /
• pp.111-119
• /
• 2021

Objectives: This case study aimed to report the effect of Sihogyejigungang-tang (SGGT) on headache with dyspepsia based on the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions. Methods: According to the DPIDS based on the Shanghanlun provisions, the patient was diagnosed with Greater Yang Disease Chest Bind and treated with SGGT. The results of treatment were evaluated by a numerical rating scale (NRS), the Korean Headache Impact Test (KHIT-6), and change in clinical symptoms. Results: After administering SGGT for 160 days, the NRS improved from 9 to 1 and the KHIT-6 improved from 70 to 44. No serious treatment-related adverse events were reported. Conclusions: This study shows the effective treatment of headache with dyspepsia using SGGT based on the DPIDS based on the Shanghanlun provisions.

• Journal of Sasang Constitutional Medicine
• /
• v.30 no.3
• /
• pp.104-115
• /
• 2018

Introduction The aim of this study was to report significant improvement of Dyshidrosis(Pompholyx) patient who was diagnosed with 'Soyangin chest-bind symptomatic pattern' based on Sasang Constitutonal medicine. Methods The patient was treated with herbal medicine, acupuncture, as well as western medicine. To evaluate the results of this treatment, the patient assessed discomfort of dyshidrosis by using Numeral Rating Scale(NRS), percentage(%) and we assessed severity of dyshidrosis by using Dyshidrotic Eczema Area and Severity Index(DASI). Results At the time of admission, the degree of discomfort in the dyshidrosis symptoms was NRS 8 and the severity of dyshidrosis was DASI 16(moderate). After the treatment, her symptoms was improved(NRS 0, DASI 0). Sleep, digestion and defecation condition were also improved. Discussion The patient who had frequent recurrence showed a significant improvement of dyshidrosis and accessory symptoms without any side effects, who was treated with Hyeongbangdojeok-san, acupuncture and western medicine.