본초방제학 (Chinese Herbology) 에관한확대된내용개요서 (2014 년 2 월 1 일자로적용시작됨 ) 응시자들에게알림 : 이문서는전국한의학인증위원회 (NCCAOM ) 자격요건을갖춘 응시자들의시험준비를도와주기위한안내서로제공된것입니다. 아래의설명은 본초방제학 (Chinese Herbology) 에관한내용개요서와능력평가서입니다. 영역 I: 안전및품질 ( 전체시험의 10%) A. 본초및방제 1. 주의및금기사항 ( 예 : 조건의존적, 상반 ) 본초및방제의주의및금기사항확인 ( 예 : 조건의존적, 상반 ) 2. 한약재와약물상호작용 잠재적인한약재 / 약물상호작용인지 한약재 / 약물상호작용피하기위한전략서술 3. 독성 본초와방제의잠재적인독성확인 본초와방제의독성을방지하기위한전략서술 4. 잠재적인부작용 본초와방제의잠재적인부작용확인 March 2017 1 CH Expanded Content Outline
본초와방제의부작용을방지하고해결 B. 한약재구입및조제 1. 생김새, 냄새, 맛으로약재확인 한약재의생김새인지 생김새, 냄새, 맛으로한약재의성질확인 2. 멸종위기의종, 동물성제품, 잠재적알레르기유발물질 ( 예 : 밀, 콩, 설파제 (sulfa)) 을함유하고있는제품확인 멸종위기의종, 동물성제품, 잠재적알레르기유발물질 ( 예 : 밀, 콩, 설파제 (sulfa)) 을함유하고있는본초, 방제, 한약제품인지 본초, 방제, 한약제품에대한잠재적인알레르기반응을방지하기위해환자의알레르기를확인 본초와방제에서각각의멸종위기의종, 동물성제품, 잠재적알레르기유발물질 ( 예 : 밀, 콩, 설파제 (sulfa)) 의대체품을적용 3. 저장된약재의잠재적오염에대한인지 저장된한약재와한약제품의오염징후확인 오염된한약재와한약제품의대체품확인 4. 의약품제조및품질관리기준 (Good Manufacturing Practice standards) 을준수하는제품 생산자확인 한약재와한약제품의유효기한관리 March 2017 2 CH Expanded Content Outline
강화된의약품제조및품질관리기준 (Current Good Manufacturing Practice (cgmp) standards) 에따른한약재와한약제품의질평가 영역 II: 치료계획 : 환자의증상과진단에근거한본초방제학 (Chinese Herbology) 의원리를 이용한종합적인치료계획수립 ( 전체시험의 60%) A. 평가에근거한각각의환자에게한약재추천 1. 한약치료방법 ( 예 : 하법 ( 下法 ), 화법 ( 和法 ), 한법 ( 汗法 )) 본초와방제의치료방법확인 본초와방제의치료방법에근거한본초및방제를적용 / 처방 2. 각각의약재 a.) 작용과적응증 각본초의작용과적응증확인 가공 ( 법제 ) 된약재의작용과적응증확인 [ 예 : 꿀로가공 ( 밀자법, 蜜炙法 ), 식초로가공 ( 초자법 ( 醋炙法 ), 볶는것 ( 초법 ( 炒法 ) 등 ] 나타난증후와증상에근거하여환자에게각각의약재를적용 / 처방 b.) 한약재배합 한약재배합의작용과적응증확인 나타난증후와증상에근거하여환자에게한약재배합적용 / 처방 March 2017 3 CH Expanded Content Outline
c.) 약미, 약성, 방향, 귀경 각각한약재의특성 ( 약미, 약성, 방향, 귀경 ) 확인 한약재의특성 ( 약미, 약성, 방향, 귀경 ) 에근거하여각각의환자에게약재적용 / 처방 3. 방제 ( 방제부록참조 ) a.) 작용과적응증 방제의작용과적응증확인 나타난증후와증상에근거하여각각의환자에게방제적용 / 처방 b.) 구성약재 방제의구성약재들확인 각환자에게방제적용 / 처방 방제의각구성약재들을대체할수있는약재확인 c.) 구성 ( 예 : 군 ( 君 ); 신 ( 臣 ); 좌 ( 佐 )) 방제의구성 [ 예 : 군 ( 君 ); 신 ( 臣 ); 좌 ( 佐 )] 을분석하고확인 방제의구성이론에근거하여약재적용 / 처방 d.) 변방 환자의나타난증후, 증상, 병력에근거하여방제를수정 March 2017 4 CH Expanded Content Outline
B. 한약에대한권고사항을구성하고실행 1. 투약형태 ( 예 : 탕제, 환제, 국소용 ) 한약재투약형태들구별 투약형태에근거하여각환자에게본초, 방제, 한약제품적용 / 처방 투약형태에근거하여본초, 방제, 한약제품의사용법에대해각환자에게조언 2. 본초와방제의준비 각각의본초와방제의준비방법을설명 각본초와방제의준비방법에대해환자에게조언 3. 본초와방제의복용량 각본초와방제의일반복용량에대해설명 환자의나타난증후, 증상, 병력에근거하여본초와방제의적절한복용량적용 / 처방 C. 한방식이요법 TCM( 전통중의학 ) 원리에근거한음식의특성, 작용, 적응증확인 TCM( 전통중의학 ) 원리에따른음식사용과식이요법에대해각환자에게조언 영역 III: 환자관리 : 환자교육및치료평가 ( 전체시험의 30%) A. 환자교육 각환자에게한약치료의이익과예상되는점에대해알림 각환자에게사전동의를포함한한약치료의부작용가능성과위험성에대해알림 March 2017 5 CH Expanded Content Outline
B. 치료평가및수정 각환자에대한한약치료의임상적결과를인지하고예상 나타난증후와증상을근거하여각환자의한약치료효과를평가 한약치료의효과에근거하여각환자의치료계획을수정 적절한의료의뢰및개입를위한환자의상태평가 March 2017 6 CH Expanded Content Outline
방제부록 : 기본방제들참고사항 ( 유의사항 : 부록에기재되지않은부가방제들이정답이아닌보기로써시험에출제될수있습니다.) 팔진탕 Ba Zhen Tang (Eight-Treasure Decoction) 팔정산 Ba Zheng San (Eight-Herb Powder for Rectification) 백합고금탕 Bai He Gu Jin Tang (Lily Bulb Decoction to Preserve the Metal) 백호탕 Bai Hu Tang (White Tiger Decoction) 백두옹탕 Bai Tou Weng Tang (Pulsatilla Decoction) 반하백출천마탕 Ban Xia Bai Zhu Tian Ma Tang (Pinellia, Atractylodis Macrocephalae, and Gastrodia Decoction) 반하후박탕 Ban Xia Hou Po Tang (Pinellia and Magnolia Bark Decoction) 반하사심탕 Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Epigastrium) 보화환 Bao He Wan (Preserve Harmony Pill) 패모과루산 Bei Mu Gua Lou San (Fritillaria and Trichosanthes Fruit Powder) 비해분청음 Bei Xie Fen Qing Yin (Dioscorea Hypoglauca Decoction to Separate the Clear) 보양환오탕 Bu Yang Huan Wu Tang (Tonify the Yang to Restore Five (Tenths) Decoction) 보중익기탕 Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) 창이자산 Cang Er Zi San (Xanthium Powder) 시갈해기탕 Chai Ge Jie Ji Tang (Bupleurum and Kudzu Decoction) 시호소간산 Chai Hu Shu Gan San (Bupleurum Powder to Spread the Liver) 천궁차조산 Chuan Xiong Cha Tiao San (Ligusticum Chuanxiong Powder to be Taken with Green Tea) March 2017 7 CH Expanded Content Outline
대보음환 Da Bu Yin Wan (Great Tonify the Yin Pill) 대시호탕 Da Chai Hu Tang (Major Bupleurum Decoction) 대승기탕 Da Cheng Qi Tang (Major Order the Qi Decoction) 대건중탕 Da Jian Zhong Tang (Major Construct the Middle Decoction) 단삼음 Dan Shen Yin (Salvia Drink) 당귀보혈탕 Dang Gui Bu Xue Tang (Tangkuei Decoction to Tonify the Blood) 당귀육황탕 Dang Gui Liu Huang Tang (Tangkuei and Six-Yellow Decoction) 도적산 Dao Chi San (Guide Out the Red Powder) 정천탕 Ding Chuan Tang (Arrest Wheezing Decoction) 정향시체탕 Ding Xiang Shi Di Tang (Clove and Persimmon Calyx Decoction) 독활기생탕 Du Huo Ji Sheng Tang (Angelica Pubescens and Sangjisheng Decoction) 도기환 Du Qi Wan (Capital Qi Pill) 이진탕 Er Chen Tang (Two-Cured Decoction) 이묘산 Er Miao San (Two-Marvel Powder) 이선탕 Er Xian Tang (Two-Immortal Decoction) 이지환 Er Zhi Wan (Two-Ultimate Pill) 복원활혈탕 Fu Yuan Huo Xue Tang (Revive Health by Invigorating the Blood Decoction) 감초사심탕 Gan Cao Xie Xin Tang (Licorice Decoction to Drain the Epigastrium) 감맥대조탕 Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction) 갈근황련황금탕 Ge Gen Huang Lian Huang Qin Tang (Kudzu, Coptis, and Scutellaria Decoction) 갈근탕 Ge Gen Tang (Kudzu Decoction) March 2017 8 CH Expanded Content Outline
격하축어탕 Ge Xia Zhu Yu Tang (Drive Out Blood Stasis Below the Diaphragm Decoction) 고경환 Gu Jing Wan (Stabilize the Menses Pill) 귀비탕 Gui Pi Tang (Restore the Spleen Decoction) 계지복령환 Gui Zhi Fu Ling Wan (Cinnamon Twig and Poria Pill) 계지작약지모탕 Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction) 계지탕 Gui Zhi Tang (Cinnamon Twig Decoction) 괴화산 Huai Hua San (Sophora Japonica Flower Powder) 황련아교탕 Huang Lian E Jiao Tang (Coptis and Ass-Hide Gelatin Decoction) 황련해독탕 Huang Lian Jie Du Tang (Coptis Decoction to Relieve Toxicity) 곽향정기산 Huo Xiang Zheng Qi San (Agastache Powder to Rectify the Qi) 제천전 Ji Chuan Jian (Benefit the River (Flow) Decoction) 가감위유탕 Jia Jian Wei Rui Tang (Modified Solomon s Seal Decoction) 교애탕 Jiao Ai Tang (Ass-Hide Gelatin and Mugwort Decoction) 금궤신기환 Jin Gui Shen Qi Wan (Kidney Qi Pill from the Golden Cabinet) 금령자산 Jin Ling Zi San (Melia Toosendan Powder) 금쇄고정환 Jin Suo Gu Jing Wan (Metal Lock Pill to Stabilize the Essence) 귤피죽여탕 Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction) 견비탕 Juan Bi Tang (Remove Painful Obstructions from Awakening of the Mind in Medical Studies) 이중환 Li Zhong Wan (Regulate the Middle Pill) 양부환 Liang Fu Wan (Galangal and Cyperus Pill) March 2017 9 CH Expanded Content Outline
양격산 Liang Ge San (Cool the Diaphragm Powder) 영계출감탕 Ling Gui Zhu Gan Tang (Poria, Cinnamon Twig, Atractylodis Macrocephalae and Licorice Decoction) 영각구등탕 Ling Jiao Gou Teng Tang (Antelope Horn and Uncaria Decoction) 육미지황환 Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) 육일산 Liu Yi San (Six-to-One Powder) 용담사간탕 Long Dan Xie Gan Tang (Gentiana Longdancao Decoction to Drain the Liver) 마황탕 Ma Huang Tang (Ephedra Decoction) 마행석감탕 Ma Xing Shi Gan Tang (Ephedra, Apricot Kernel, Gypsum and Licorice Decoction) 마자인환 Ma Zi Ren Wan (Hemp Seed Pill) 맥문동탕 Mai Men Dong Tang (Ophiopogonis Decoction) 모려산 Mu Li San (Oyster Shell Powder) 난간전 Nuan Gan Jian (Warm the Liver Decoction) 평위산 Ping Wei San (Calm the Stomach Powder) 보제소독음 Pu Ji Xiao Du Yin (Universal Benefit Decoction to Eliminate Toxin) 기국지황환 Qi Ju Di Huang Wan (Lycium Fruit, Chrysanthemum and Rehmannia Pill) 강활승습탕 Qiang Huo Sheng Shi Tang (Notopterygium Decoction to Overcome Dampness) 청위산 Qing Wei San (Clear the Stomach Powder) 청골산 Qing Gu San (Cool the Bones Powder) 청호별갑탕 Qing Hao Bie Jia Tang (Artemisia Annua and Soft-Shelled Turtle Shell Decoction) 청기화담환 Qing Qi Hua Tan Wan (Clear the Qi and Transform Phlegm Pill) March 2017 10 CH Expanded Content Outline
청온패독산 Qing Wen Bai Du San (Clear Epidemics and Overcome Toxicity Decoction) 청영탕 Qing Ying Tang (Clear the Nutritive Level Decoction) 청조구폐탕 Qing Zao Jiu Fei Tang (Eliminate Dryness and Rescue the Lungs Decoction) 인삼패독산 Ren Shen Bai Du San (Ginseng Powder to Overcome Pathogenic Influences) 윤장환 Run Chang Wan (Moisten the Intestines Pill from Master Shen s Book) 삼자양친탕 San Zi Yang Qin Tang (Three-Seed Decoction to Nourish One s Parents) 상국음 Sang Ju Yin (Mulberry Leaf and Chrysanthemum Decoction) 상표소산 Sang Piao Xiao San (Mantis Egg-Case Powder) 상행탕 Sang Xing Tang (Mulberry Leaf and Apricot Kernel Decoction) 소복축어탕 Shao Fu Zhu Yu Tang (Drive Out Blood Stasis in the Lower Abdomen Decoction) 작약감초탕 Shao Yao Gan Cao Tang (Peony and Licorice Decoction) 작약탕 Shao Yao Tang (Peony Decoction) 삼령백출산 Shen Ling Bai Zhu San (Ginseng, Poria and Atractylodes Macrocephala Powder) 신통축어탕 Shen Tong Zhu Yu Tang (Drive Out Blood Stasis from a Painful Body Decoction) 생화탕 Sheng Hua Tang (Generation and Transformation Decoction) 생강사심탕 Sheng Jiang Xie Xin Tang (Fresh Ginger Decoction to Drain the Epigastrium) 승마갈근탕 Sheng Ma Ge Gen Tang (Cimicifuga and Kudzu Decoction) 생맥산 Sheng Mai San (Generate the Pulse Powder) 십회산 Shi Hui San (Ten Partially-Charred Substance Powder) 실비음 Shi Pi Yin (Bolster the Spleen Decoction) 십전대보탕 Shi Quan Da Bu Tang (All Inclusive Great Tonifying Decoction) March 2017 11 CH Expanded Content Outline
실소산 Shi Xiao San (Sudden Smile Powder) 수태환 Shou Tai Wan (Fetus Longevity Pill) 사군자탕 Si Jun Zi Tang (Four-Gentlemen Decoction) 사역산 Si Ni San (Frigid Extremities Powder) 사역탕 Si Ni Tang (Frigid Extremities Decoction) 사신환 Si Shen Wan (Four-Miracle Pill) 사물탕 Si Wu Tang (Four-Substance Decoction) 소자강기탕 Su Zi Jiang Qi Tang (Perilla Fruit Decoction for Directing Qi Downward) 산조인탕 Suan Zao Ren Tang (Sour Jujube Decoction) 태산반석산 Tai Shan Pan Shi San (Powder that Gives the Stability of Mount Tai) 도핵승기탕 Tao He Cheng Qi Tang (Peach Pit Decoction to Order the Qi) 천마구등음 Tian Ma Gou Teng Yin (Gastrodia and Uncaria Decoction) 천태오약산 Tian Tai Wu Yao San (Top-quality Lindera Powder) 천왕보심단 Tian Wang Bu Xin Dan (Emperor of Heaven s Special Pill to Tonify the Heart) 조위승기탕 Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction) 통사요방 Tong Xie Yao Fang (Important Formula for Painful Diarrhea) 완대탕 Wan Dai Tang (End Discharge Decoction) 위경탕 Wei Jing Tang (Reed Decoction) 온담탕 Wen Dan Tang (Warm the Gallbladder Decoction) 온경탕 Wen Jing Tang (Warm the Menses Decoction) 오령산 Wu Ling San (Five-Ingredient Powder with Poria) March 2017 12 CH Expanded Content Outline
오피산 Wu Pi San (Five-Peel Powder) 오미소독음 Wu Wei Xiao Du Yin (Five-Ingredient Decoction to Eliminate Toxin) 오수유탕 Wu Zhu Yu Tang (Evodia Decoction) 서각지황탕 Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction) 향유산 Xiang Ru San (Elsholtzia Powder) 향소산 Xiang Su San (Cyperus and Perilla Leaf Powder) 소시호탕 Xiao Chai Hu Tang (Minor Bupleurum Decoction) 소승기탕 Xiao Cheng Qi Tang (Minor Order the Qi Decoction) 소풍산 Xiao Feng San (Eliminate Wind Powder from Orthodox Lineage) 소활락단 Xiao Huo Lou Dan (Minor Invigorate the Collaterals Special Pill) 소계음자 Xiao Ji Yin Zi (Cephalanoplos Decoction) 소건중탕 Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) 소청룡탕 Xiao Qing Long Tang (Minor Blue-Green Dragon Decoction) 소요산 Xiao Yao San (Rambling Powder) 사백산 Xie Bai San (Drain the White Powder) 사황산 Xie Huang San (Drain the Yellow Powder) 사심탕 Xie Xin Tang (Drain the Epigastrium Decoction) 향소산 Xing Su San (Apricot Kernel and Perilla Leaf Powder) 선복대자탕 Xuan Fu Dai Zhe Tang (Inula and Hematite Decoction) 혈부축어탕 Xue Fu Zhu Yu Tang (Drive Out Stasis in the Mansion of Blood Decoction) 양화탕 Yang He Tang (Yang-Heartening Decoction) March 2017 13 CH Expanded Content Outline
일관전 Yi Guan Jian (Linking Decoction) 인진호탕 Yin Chen Hao Tang (Artemisia Yinchenhao Decoction) 연교산 Yin Qiao San (Honeysuckle and Forsythia Powder) 우귀환 You Gui Wan (Restore the Right (Kidney) Pill) 우귀음 You Gui Yin (Restore the Right (Kidney) Decoction) 옥녀전 Yu Nu Jian (Jade Woman Decoction) 옥병풍산 Yu Ping Feng San (Jade Windscreen Powder) 월국환 Yue Ju Wan (Escape Restraint Pill) 진간식풍탕 Zhen Gan Xi Feng Tang (Sedate the Liver and Extinguish Wind Decoction) 진인양장탕 Zhen Ren Yang Zang Tang (True Man s Decoction to Nourish the Organs) 진무탕 Zhen Wu Tang (True Warrior Decoction) 지백지황환 Zhi Bai Di Huang Wan (Anemarrhena, Phellodendron and Rehmannia Pill) 자감초탕 Zhi Gan Cao Tang (Honey-Fried Licorice Decoction) 지수산 Zhi Sou San (Stop Coughing Powder) 저령탕 Zhu Ling Tang (Polyporus Decoction) 죽엽석고탕 Zhu Ye Shi Gao Tang (Lophatherus and Gypsum Decoction) 좌귀환 Zuo Gui Wan (Restore the Left (Kidney) Pill) 좌귀음 Zuo Gui Yin (Restore the Left (Kidney) Decoction) 좌금환 Zuo Jin Wan (Left Metal Pill) March 2017 14 CH Expanded Content Outline
본초방제학 (Chinese Herbology) 참고문헌위의내용개요서는시험을위한일차적범위입니다. 참고문헌은응시자들을위한시험준비에활용될추천자료일뿐입니다. 응시자들은내용개요서에해당하는다른자료들을자유롭게사용하시기바랍니다. NCCAOM 에서추천하는하나의특정한문헌은없습니다. 모든 NCCAOM 의영역과시험들은 최근직업분석결과를토대로결정된것으로미국에서의의료행위를반영합니다. 아래에제시된문헌들은 NCCAOM 문제출제위원회와출제위원들이자주참고하는 서적들입니다. 그러나자료들이아래의서적들로만제한된것은아닙니다. 또한, NCCAOM 은 다른특정한스터디가이드를지지하진않습니다. 1 차자료 Bensky, Dan, Steven Clavey, Erich Stoger, and Andrew Gamble. Chinese Herbal Medicine: Materia Medica. Third edition. Seattle, WA: Eastland Press, 2004. Chen, John K., and Tina T. Chen. Chinese Herbal Formulas and Applications. City of Industry, CA: Art of Medicine Press, Inc., 2008. ---. Chinese Medical Herbology and Pharmacology. City of Industry, CA: Art of Medicine Press, Inc., 2004. Scheid, Volker, Dan Bensky, Andrew Ellis, and Randall Barolet. Chinese Herbal Medicine: Formulas and Strategies. 2nd ed. Seattle, WA: Eastland Press, 2009. 2 차자료 Cheng, Xinnong, ed. Chinese Acupuncture and Moxibustion. 3rd ed. Fifteenth Printing 2014. Beijing: Foreign Languages Press, 2012. Fratkin, Jake Paul. Chinese Herbal Patent Medicines: The Clinical Desk Reference. Boulder, CO: Shya Publications, 2001. Lu, Henry C. Chinese System of Food Cures: Prevention & Remedies. New York: Sterling Publishing, 1986. Maciocia, Giovanni. Obstetrics & Gynecology in Chinese Medicine. 2nd.ed. New York: Churchill Livingstone, 2011. ---. The Foundations of Chinese Medicine: A Comprehensive Text for Acupuncturists and Herbalists. 3rd ed. Philadelphia: Elsevier Churchill Livingstone, 2015. March 2017 15 CH Expanded Content Outline
Wu, Yan, and Warren Fischer. Practical Therapeutics of Traditional Chinese Medicine. Ed. Jake P. Fratkin. Brookline, MA: Paradigm Publications, 1997. 웹사이트주소 Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) https://cites.org/eng/disc/species.php U. S. Food and Drug Administration [Current Good Manufacturing Practices (CGMP)] http://www.fda.gov/drugs/developmentapprovalprocess/manufacturing/ucm169105.htm March 2017 16 CH Expanded Content Outline