30 1 (2009 1 ) J Korean Oriental Med 2009;30(1):26-39 Original Article 김달래 김선형 경희대학교동서신의학병원사상체질과 A Study on the Correlation between Pulse Energy and Sasang Constitutional Syndromes Dal-Rae Kim Sun-Hyung Kim Dept of Sasang constitutional medicine East-west neo medical center Kyung Hee University Objectives: Pulse energy values recorded with an add-pressure-type pulse apparatus were correlated with Sasang constitutional syndromes in order to match pulse energy values with Sasang prescriptions Methods: The pulse energy values were measured with Daeyo Pulse Apparatus at the Gwan pulse point of both wrists Prescriptions were divided into two major categories of interior syndromes or exterior syndromes and categorized according to major component herbs specific to each of the four Sasang constitutions and the relationship between the pulse energy and each groups divided by their prescription was studied Results: About 10% of all people had normal pulse energy values 10% had values over normal range and 70~80% had lower values than normal The normal range of pulse energy was regarded as being between 450 and 700 Conclusions: 1 For patients of the Soeum constitution prescriptions without Panax ginseng is suitable for patients with high pulse energy and prescriptions containing Panax ginseng are suitable for patients who have lower pulse energy 2 All prescriptions for the Soyang constitution containing Rehmannia radix preparata or Cornus officinalis are suitable for patients who have lower pulse energy and prescriptions containing Rehmannia radix or Gypsum fibrosum are applicable to patients with pulse energy values higher than normal 3 Most prescriptions for the Taeum constitution containing Semen coicis or Semen castaneae are suitable for patients with lower pulse energy and prescriptions containing Radix puerariae or Radix et rhizoma rhei can be prescribed for patients who have lower pulse energy levels 4 The Taeyang constitutional prescription Ogapijangcuck-tang is suitable for patients who have higher pulse energy levels and Mihudeungsikjang-tang is better for patients with lower than normal pulse values As described above the pulse energy level of each patient can be matched with a specific Sasang constitutional prescription If this relationship is taken into consideration with other conventional symptoms it can be helpful in diagnosis improving efficacy of treatment and be used as objective evidence Key Words : Pulse energy SCM prescriptions Sasang constitutional medicine 서론 접수 :2008년 7월 18일 수정 :2009년 1월 8일 채택 :2009년 1월 12일 교신저자 : 김선형 (Sun-Hyung Kim) (134-727) 서울시강동구상일동 149번지경희대학교동서신의학병원사상체질과 Tel:+82-2-440-6252 Fax:+82-2-440-7143 E-mail:peaceful-sea@hanmailnet 26
1 : Energy (27) 3) 1) 4) 5) 25 5 5 Energy 25 2) Energy 연구방법 2) Energy Fig 1 27
(28) 30 1 (2009 1 ) Fig1 본론 1 체질구분단계 4 2 표병과이병구분단계 6) 8 7) 28
1 : Energy (29) 9) 10) ( ) 3) ( 4 구체적처방단계 4 ( ) ) 3) 3 순증과역증구분단계 2 1) 1) 25 5 ( ) 5 25 2) ( ) 2) 25 1~5 25 29
(30) 30 1 (2009 1 ) Table1~5 Table 1 木形之人 比於上角 : 似於蒼帝 其爲人蒼色 小頭 長面 足厥陰 然 음성분류병증군 치료경락 성격특성 大角之人 左足少陽之上 遺遺然 ( 유유히물러가다 ) 角之人 右足少陽之上 推推然 ( 나아가다 ) 左角之人 右足少陽之下 隨隨然 ( 순종하다 ) 判角之人 左足少陽之下 括括然 ( 단정하다 ) Table 2 火形之人 比於上徵 : 其爲人赤色 廣 脫面小頭 好肩背 腹 手少陰核核然 음성분류병증군 치료경락 성격특성 質徵之人 左手太陽之上 肌肌然 ( 떳떳하고정당하다 ) 少徵之人 右手太陽之下 然 ( 의심이많다 ) 判徵之人 左手太陽之下 支支 然 ( 낙천적이고스스로만족 ) 右徵之人 右手太陽之上 鮫鮫然 ( 활기있다 ) Table 3 土形之人 比於上宮 : 似於上古黃帝 其爲人黃色 圓面 美肩背 大腹 足太陰敦敦然 음성분류병증군 치료경락 성격특성 大宮之人 左足陽明之上 婉婉然 ( 유순하다 ) 少宮之人 右足陽明之上 樞樞然 ( 원만하다 ) 左宮之人 右足陽明之下 兀兀然 ( 확고하여흔들림이없다 ) 加宮之人 左足陽明之下 坎坎然 ( 쾌활하다 ) Table 4 金形之人 比於上商 : 似於白帝 其爲人 方面 白色 小頭 手太陰敦敦然 음성분류병증군 치료경락 성격특성 商之人 左手陽明之上 廉廉然 ( 청렴결백하다 ) 少商之人 右手陽明之下 嚴嚴然 ( 위엄이있다 ) 左商之人 右手陽明之上 監監然 ( 시비를잘가린다 ) 右商之人 左手陽明之下 脫脫然 ( 소탈하고거리낌이없다 ) Table 5 水形之人 比於上羽 : 似於黑帝 其爲人 黑色 面不平 廉 小肩 足少陰汗汗然 음성분류병증군 치료경락 성격특성 大羽之人 右足太陽之上 頰頰然 ( 뽑낸다 ) 少羽之人 左足太陽之下 紆紆然 ( 구부러진다 ) 衆羽之人 右足太陽之下 然 ( 청정하다 ) 桎羽之人 左足太陽之上 安安然 ( 안정하다 ) 30
1 : Energy (31) Table 6 표리병 순증과역증 세분화된처방구분 표병 울광증천궁계지탕궁귀향소산팔물군자탕망양증황기계지탕보중익기탕승양익기탕승양익기부자탕인삼계지부자탕 이병 태음병곽향정기산소합향원거풍산관중탕향사육군자탕향사양위탕이중탕부자이중탕소음병오수유부자이중탕독삼부자이중탕관계부자부자이중탕 Table 7 표리병 순증과역증 세분화된처방구분 소양상풍증 형방패독산형방도적산형방사백산 표병신열두통설사 : 형방사백산저령차전자탕망음증신한복통설사 : 형방지황탕활석고삼탕 이병 흉격열증양격산황탕형방사백산양독백호탕지황백호탕음허증독활지황탕십이미지황탕숙지황고삼탕 Table 8 표리병 순증과역증 세분화된처방구분 표병 배추표병마황발표탕한다열소탕위완한증태음조위탕조위승청탕마황정통탕마황정천탕 이병 조열증청심연자탕열다한소탕청폐사간탕갈근해기탕음혈모갈증녹용대보탕공진흑원단 Table 9 표리병 순증과역증 세분화된처방구분 표병 이병 오가피장척탕 미후등식장탕 31
(32) 30 1 (2009 1 ) 에너지 (Energy) 에너지 800 700 600 500 400 300 200 100 0 0 70 140 210 280 가압력 (g) 좌 (Left) 우 (Right) 에너지차 : 48 Fig 2 2) Energy Energy 3 (450~700) 70~80% (450~700) 10 % 450~700 10% 3) 에너지 (Energy) 에너지 800 700 600 500 400 300 200 100 0 0 70 140 210 280 가압력 (g) 좌 (Left) 우 (Right) 에너지차 : 54 Fig 3 32
1 : Energy (33) 에너지 (Energy) 에너지 1300 1200 1100 1000 900 800 700 600 500 400 300 200 100 0 0 60 120 180 240 가압력 (g) 좌 (Left) 우 (Right) 에너지차 : 598 Fig 4 Table 10 표리병 순증과역증 세분화된처방구분 맥에너지 표병 울광증천궁계지탕궁귀향소산높은경우팔물군자탕낮은경우망양증황기계지탕높은경우보중익기탕승양익기탕승양익기부자탕인삼계지부자탕낮은경우 곽향정기산소합향원거풍산관중탕높은경우태음병이병향사육군자탕향사양위탕이중탕부자이중탕낮은경우 소음병 오수유부자이중탕독삼부자이중탕관계부자부자이중탕 낮은경우 Table 11 표리병 순증과역증 세분화된처방구분 맥에너지 소양상풍증 형방패독산형방도적산형방사백산 높은경우 표병신열두통설사 : 형방사백산저령차전자탕높은경우망음증신한복통설사 : 형방지황탕활석고삼탕낮은경우 이병 흉격열증양격산황탕형방사백산양독백호탕지황백호탕높은경우음허증독활지황탕십이미지황탕숙지황고삼탕낮은경우 33
(34) 30 1 (2009 1 ) Table 12 표리병 순증과역증 세분화된처방구분 맥에너지 마황발표탕높은경우배추표병표병한다열소탕낮은경우 위완한증 태음조위탕조위승청탕마황정통탕마황정천탕 낮은경우 이병 조열증청심연자탕열다한소탕청폐사간탕갈근해기탕높은경우음혈모갈증녹용대보탕공진흑원단낮은경우 Table 13 표리병 순증과역증 세분화된처방구분 맥에너지 표병 오가피장척탕 높은경우 이병 미후등식장탕 낮은경우 고찰 4 34
1 : Energy (35) 2 25 35
(36) 30 1 (2009 1 ) 2) Energy 3 ( - ) h1( ) h1 3 ( 120/80mmHg 40 ) h1 4) 10% 450~700 6 (102 /m) 52~101 /m 10% (450~700) 70~80% 400~500 (450~700) 10 % 1000 3) 1 (16~17/m) 4~5 (56~85 /m) 3 (51 /m) (450~700) 36
1 : Energy (37) 100% (450~700) 100% 37
(38) 30 1 (2009 1 ) 4 5 결론 Energy Energy 1 10% 10% 70~80% 감사의글 450~700 2 ( :B080011) 참고문헌 1 Lee Je-Ma Dongyisusebowonsinchukbon Sum- mary of Soumin's Disease 8 Seoul: DaeSungm- unhwasa 1998 3 2 Kim DH Kim JH Huangdi's Internal Classic Miraculous Pivot 1 Seoul: es-dang 2002: 1111-41 3 Heo Joon Dongeuibogam 1 Seoul:DaeSung- chulpansa 1984: 421 38
1 : Energy (39) 4 Lee Je-Ma Dongyisusebowonsinchukbon Euiwonron 8 Seoul: DaeSung-munhwasa 1998 5 Kim DJKim JRKim DR A Bibliographical Research of the Correlation Among Sasang Constitutional Disease and the Pulse Diagnosis Journal of Korean Institute of Herbal Acupuncture 2003;6:23-37 6 Lee Je-Ma Dongyisusebowonsinchukbon Soumin's Interior Disease 8 Seoul: DaeSung-munhwasa 1998 7 Lee Je-Ma Dongyisusebowonsinchukbon Summary of Soyangin's Disease 8 Seoul: DaeSung-munhwasa 1998 8 Lee Je-Ma Dongyisusebowonsinchukbon Taeumin's Interior Disease 8 Seoul: DaeSung-munhwasa 1998 9 Lee Je-Ma Dongyisusebowonsinchukbon Taeyangin's Exterior Disease 8 Seoul: DaeSung-munhwasa 1998 10 Lee Je-Ma Dongyisusebowonsinchukbon Taeyangin's Interior Disease 8 Seoul: DaeSung-munhwasa 1998 39