원서 : 病名漢方治療の實際

 

서양의학병명을 한방의학의「證」일부에 도입한 새로운 한방치료 저서가 畏友 坂東正造선생님의 집필로 간행되게 되었다.
坂東正造선생님과의 만남은 옛 은사인 야마모토 이와오(山本巖)선생님의 진료실에서였다. 17년 전, 坂東선생님이 도쿠시마(德島, 시코쿠)에서 매주 수요일에 오사카 쿄바시(大阪 京橋)에 있는 야마모토(山本) 내과에 한방의학연수를 하러 오셨을 때이다. 얼마 지나지 않아 선생님은 야마모토(山本)내과의 상근의사가 되셨다.

야마모토 이와오(山本巖)선생님은 자신의 저서『東醫雜錄』에서 다음과 같이 말씀하셨다.「개개 약물의 기능과 약물을 조합하면 어떻게 될까, 같이 복용하여 결과를 살펴보도록 하자.“우리들이야말로 현대의 神農(중국전설상의 제왕)이다”라고 하면서 명예나 의리를 위해서가 아니라, 자기를 알아주는 사람의 따뜻한 마음에 감동한 자는 오시라. 한방의학의 스승은 약물과 환자이다」고 하셨다.

坂東선생님은 이 말을 야마모토(山本)선생님과 함께 실천해 오셨다. 매일 환자에게 단미의 생약이나 엑기스제를 복용하도록 하면서 5분, 15분 간격으로 그 효과를 시험했다. 이런 방대한 시험 결과를 본서의「약능에 의한 분류」,「약물해설」항목에서 정리했다.

약물요법이라는 것은 환자의 병태에 가장 적합한 방제를 만들어 복용하도록 하는 것이다. 이를 위해서는 개개 약물작용(약능)을 아는 것, 약물을 조합하면 그 작용이 어떻게 되는가 하는 방제의 의미를 아는 것이 가장 기초적일 것이다.
저자는「한방은 그렇게 이해하기 어려운 것이 아니다… 한방은 병태와 약물작용(약능)과의 대응을 아는 것부터 시작해야 이해하기 쉽다… 한방 처방에 사용되는 기본적 약물의 조합(구조)과 그 작용(약능)을 이해하는 것에서 시작하는 것이 좋다」고 갈파하셨다. 본서의 총론인「약능에 의한 분류」에 관한 항목이 이 부분인데, 저자가 가장 심혈을 기울인 분야이다. 각론은 질병의 다채로운 병태에 대한 응용편이다.

고인은 적절한 방제를 선택하는 노하우를「證」으로서 이해하였다. 그러나「證」(병태)에 대한 파악이 望聞問切의 四診이라는 원시적인 진단법밖에 없으면 같은「證」이라고 진단하더라도 같은 병태가 아닌 경우가 많다. 병인(환자)의「證」은 옛날의 四診에 의해서만이 아니고, 현대 서양의학적 기술 등 모든 수법을 이용하여 얻어야 할 것이다. 이른바「證」의 배경에 있는 병태 파악이야말로 가장 중요한 것이다.

 

저자는 본서에서「證」의 파악에는 한방적 병태진단만이 아니라 서양의학적 병명과 병태생리를 받아들여「證」파악을 쉽게 하고 있으며, 이어서「證」을 정확하게 파악하기를 기대하였다. 각론에서는 서양의
학적 질병분류에 기초하여 개개 질병에 한방적 병태진단을 가미하여 병태 기간(병기), 병태, 병인(환자)의 체질(正氣 상태)을 진단하여「證」에 적합한 방제의 조합방법을 서술하고 있다. 왜 그「證」(병태)에 그 방제를 사용하는가, 개개 약물의 약능과 약물 조합에 의한 작용(저자가 말하는 기본구조)을 근거로 해설이 추가되어 있다. 거론된 질병도 아주 다양하며, 여기에 저자의 풍부한 임상경험을 논하고 있다.

또한 본서의 특징 중의 하나가 각론에서 다루는 驅瘀血劑의 사용법에 있다. 저자는 어혈이라는 것은 여러 가지 병태에 부속하는 것이고, 특히 난치성질환, 만성질환, 여성 질환은 어혈에 대한 고려가 필요하다고 제언하고 있다. 본서를 통하여 어혈과 관련된 질병이 얼마나 많은가, 驅瘀血劑의 병용이 얼마나 중요한가를 이해할 수 있을 것이다.
현재로서는 어혈은 임상적 가설이고 본태도 불분명하다. 어혈에 대한 본태의 해명은 한방의학에서 요구되는 커다란 과제이다. 驅瘀血劑가 유효한 서양의학적 질환의 병태에서 어혈의 본태를 파악하기 위해접근하는 것도 그 하나의 방법이 아닐까하고 생각한다.

본서에서 저자가 목표로 하는 서양병명별 한방치료 방법은 한방을 학문으로서 다루고자 하는 하나의 방법일 것이다. 한방의학은 기술이라고 하는 사람도 있지만, 학문과 기술은 수레의 두 바퀴처럼 불가결한 요소로 중요하다. 기술은 한 세대에 머무르지만 학문은 축적도, 개혁도 가능하다. 그리고 저자는 故 야마모토 이와오(山本巖)선생님과 함께 현대에 맞는 한방의학을 완성하기 위하여 진력을 다하셨다.

四診이라는 원시적인 진단방법으로 정리해 온 이른바「證」에만 기초한 한방치료는 이제는 졸업해야 할 것이다. 이른바「證」을 직시해서 보여주는 병태 파악에 기초한 한방치료야말로 오늘날 요구되는 본연의 모습일 것이다.

이런 의미에서 나는 본서를 지금부터 한방의학을 입문하려고 하는 젊은이들에게 추천하고 싶다. 또한 이른바「證」을 이해할 수 없어서 고민하고 계시는 분들에게도 추천하고 싶다.

 

2001년 11월
福富 稔明

총론|기초편
총설··························································································································································· 2
구조주의 한방의학··································································································································· 3
약능에 따른 분류··································································································································· 12
각론|응용편
개설························································································································································· 74
한방엑기스제를 효과적으로 사용하는 방법························································································· 76


내과 질환
<1> 호흡기질환·································································································································· 78
1. 호흡기감염증··································································································································· 78

1) 감기증후군······································································································································ 78
2. 호흡기 염증성질환························································································································· 98
1) 급성 염증································································································································· 98
2) 결핵·········································································································································· 105
3) 흉막염······································································································································ 106
4) 폐화농증 기관지확장증··········································································································· 107
3. 폐색성폐질환································································································································ 107
1) 기관지천식······························································································································· 107
2) 만성기관지염···························································································································· 111
3) 폐기종…일을 할 때 호흡곤란, 기침? 객담이 있을 때··························································· 113
4. 구속성 폐질환······························································································································· 114
1) 폐섬유증··································································································································· 114


<2> 순환기질환······································································································································· 114
1. 심장질환········································································································································ 114
1) 울혈성 심장질환······················································································································· 114
2) 부정맥······································································································································ 120
3) 허혈성 심장질환······················································································································ 120
4) 심막염······································································································································ 122
5) 심장성신경증··························································································································· 122
6) 심장판막증 선천성심장질환···································································································· 123
2. 혈압이상········································································································································ 123
1) 고혈압증··································································································································· 123
2) 저혈압증(기립성조절장애)······································································································· 125
3. 동맥경화증···································································································································· 126
4. 맥관계 질환·································································································································· 128
1) 폐색성동맥경화증(ASO) 폐색성혈전혈관염(Buerger병)························································ 128
2) 레이노병·································································································································· 130
3) 혈전성정맥염, 정맥류증후군·································································································· 130
4) 냉증·········································································································································· 131


<3> 소화기질환······································································································································· 131
1. 구내염············································································································································ 131
1) 아프타성 구내염(aphthous stomatitis)················································································· 131
2) 궤양성 구내염 … 口舌에 궤양이 생길 때············································································· 132
3) 위축성 구내염·························································································································· 132
2. 식도?위운동기능이상··················································································································· 133
1) 인후두이상감증························································································································ 133
2) 식도이완불능증(esophageal achalasia) 反芻症(역류성식도염)··········································· 134
3. 위염?식도염·································································································································· 135
1) 급성위염 역류성식도염 표층성위염························································································ 135
2) 만성위염··································································································································· 136
4. 위, 십이지장궤양·························································································································· 139
5. 딸꾹질············································································································································ 141
1) 일반적······································································································································· 141
2) 냉증이 원인인 경우················································································································· 141
3) 수술 후···································································································································· 142
6. 급성장염········································································································································ 142
1) 소장염(설사)····························································································································· 142
2) 급성대장염(이질)····················································································································· 143
3) 냉증으로 인한 설사(虛寒설사? 中寒설사)·············································································· 144
4) 正氣虛 설사····························································································································· 146
7. 과민성 장증후군··························································································································· 147
1) 변비형 or 변비와 설사의 교대형··························································································· 147
2) 설사형······································································································································ 150
3) 점액배출형······························································································································· 151
8. 복부통…疝痛(높낮이가 있는 복통)······························································································ 151
1) 냉감으로 인한 경우(寒疝)······································································································· 152
2) 열로 인한 경우(熱疝)·············································································································· 152
3) 정신적 스트레스로 인한 경우································································································ 153
9. 脾彎曲증후군································································································································ 153
10. 변비증·········································································································································· 153
11. 궤양성대장염 크론병··················································································································· 155
12. 충수염·········································································································································· 156
1) 급성초기··································································································································· 156
2) 만성염증··································································································································· 157


<4> 간?담?췌장질환······························································································································ 158
1. 간염··············································································································································· 158
1) 급성간염··································································································································· 158
2) 만성간염··································································································································· 158
2. 간경변··········································································································································· 160
1) 代償期 … 문맥압항진형·········································································································· 160
2) 非代償期 … 복수가 발견되는 시기······················································································· 160
3. 지방간············································································································································ 161
4. 간농양··········································································································································· 162
5. 담석증··········································································································································· 162
1) 간헐적 발작기·························································································································· 162
2) 발작 시 … 발열 오심 구토 복통 황달 등이 있을 때··························································· 163
6. 담낭염?담관염······························································································································ 164
1) 급성기······································································································································ 164
2) 만성기······································································································································ 164
7.「담도이상운동증(dyskinesia)」··································································································· 165
8. 췌장염··········································································································································· 166
1) 급성췌장염······························································································································· 166
2) 만성췌장염······························································································································· 166


<5> 신장질환·········································································································································· 167
1. 신염 신증후군······························································································································· 167
1) 급성 사구체신염······················································································································ 167
2) 신증후군··································································································································· 167
3) 만성사구체신염 or 스테로이드제 부적응 신증후군······························································ 168
2. 신부전··········································································································································· 170
1) 급성신부전······························································································································· 170
2) 만성신부전······························································································································· 170


<6> 대사?내분비질환····························································································································· 171
1. 비만증············································································································································ 171
1) 지방비만··································································································································· 171
2) 비만형(살이 무르고 뚱뚱함) … 몸이 무겁고 땀을 많이 흘림·············································· 171
2. 고지혈증········································································································································ 173
3. 당뇨병··········································································································································· 173
1) 경증 … 혈당치를 정상으로 유지하기 위하여········································································ 173
2) 중간정도~중증························································································································ 174
4. 통풍··············································································································································· 175
1) 발작 시 … 관절에 동통? 종창이 있을 때·············································································· 175
2) 체질개선 … 고요산혈증개선·································································································· 176
5. 갑상선기능항진증························································································································· 176
1) 바세도우병······························································································································· 176
6. 갑상선기능저하증(하시모토병)····································································································· 178
7. 특발성 부종·································································································································· 178
1) 일반적으로 부종이 심할 때···································································································· 178
2) 하지부종··································································································································· 178
3) 상반신 부종····························································································································· 180
4) 피로권태감이 심할 때············································································································· 180


<7> 혈액질환·········································································································································· 180
1. 빈혈증············································································································································ 180
2. 자반병(혈소판감소증)··················································································································· 182


<8> 뇌신경계질환··································································································································· 183
1. 뇌혈관장애(뇌경색 두개내출혈)··································································································· 183
2. 퇴행성 신경질환을 포함하는 질환······························································································ 185
1) 파킨슨증후군 or 파킨슨병······································································································ 185
2) 노년 인지증····························································································································· 186
3. 말초신경질환:신경통·················································································································· 187
1) 삼차신경통······························································································································· 187
2) 늑간신경통······························································································································· 188
3) 좌골신경통······························································································································· 189
4. 자율신경질환 or 기능이상질환···································································································· 191
1) 두통·········································································································································· 191
2) 편두통······································································································································ 193
3) 현기증······································································································································ 194
4) 불면증······································································································································ 195
5) 피로·········································································································································· 196


<9> 교원병(or 교원병 유사질환)··········································································································· 199
1. 만성관절류마티스(RA)·················································································································· 199
2. 진행성 전신성경화증(강피증: PSS), 국한성강피증···································································· 203
3. 전신성홍반성낭창(SLE)··············································································································· 203
4. 쇼그렌증후군································································································································ 204
5. 베체트병······································································································································· 205


<10> 악성종양 관련질환························································································································ 206


소아과 질환

<1> 질환별·············································································································································· 207
1. 호흡기염증성질환························································································································· 207
1) 급성염증 … 감기 기관지염 페렴··························································································· 207
2. 기관지천식···································································································································· 208
3. 麻疹·············································································································································· 208
1) 염증기······································································································································ 208
2) 發疹期······································································································································ 208
4. 風疹 水痘····································································································································· 209
5. 유행성 이하선염··························································································································· 210
1) 초기 … 발열 이하선종창········································································································ 210
2) 아급성기 … 이하선종창이 단단하고 자발통, 압통이 사라지지 않을 때···························· 210
6. 소아 인후궤양성 수포증(Herpangina)························································································ 210
7. 백일해··········································································································································· 210
8. 류마티스열···································································································································· 211
1) 급성기······································································································································· 211
2) 재발예방··································································································································· 211
9. 신염(만성신염)······························································································································ 212
10. 신증후군······································································································································ 212
11. 야뇨증·········································································································································· 213
12. 기립성 조절장애························································································································· 214
13. 일사병 熱中症 탈수증················································································································ 214


<2> 증후별·············································································································································· 215
1. 발열··············································································································································· 215
2. 기침 천명······································································································································ 215
3. 구토··············································································································································· 216
1) 아세톤혈성 구토증··················································································································· 216
2) 감염증으로 발열과 구토증상이 있는 사람············································································· 217
3) 식중독에 걸렸을 때················································································································· 217
4) 혈색이 나쁘고, 사지권태감, 쉬 피로감을 느낄 때······························································· 217
5) 水逆구토 구갈 소변불리········································································································ 218
4. 설사··············································································································································· 218
1) 일반적으로······························································································································· 218
2) 말초순환장애를 수반할 때······································································································ 219
3) 평소에도 위장기능이 약하고 설사를 자주 하는 사람··························································· 219
5. 변비증··········································································································································· 219
6. 복통··············································································································································· 219
7. 流涎·············································································································································· 220
8. 체질개선······································································································································· 220
1) 허약체질·································································································································· 220
2) 해독체질·································································································································· 220
3) 경련성질환, 신경과민성질환을 잘 일으키는 체질································································ 221


외과 질환
1. 타박?염좌?외상···························································································································· 222
1) 급성기······································································································································ 222
2) 아급성기 이후························································································································· 223
2. 항문질환······································································································································· 224
1) 치핵 ········································································································································ 224
2) 脫肛 … 내치핵의 탈출 또는 탈항························································································· 226
3. 裂肛·············································································································································· 228
1) 일반적으로······························································································································· 228
2) 일반적 항문궤양······················································································································ 228
4. 항문주위염, 항문주위농양··········································································································· 229
1) 초기·········································································································································· 229
2) 화농기······································································································································ 230
3) 화농기~배농기························································································································ 230
4) 체질개선·································································································································· 231
5) 痔瘻·········································································································································· 231
6) 항문소양증······························································································································· 231


정형외과 질환
1. 어깨결림 오십견··························································································································· 233
1) 일반적으로······························································································································· 233
2) 어깨에 저림이나 운동마비가 있을 때(냉기로 인한 경우)···················································· 234
3) 기울로 인한 위염이나 위궤양에 수반되는 어깨결림?背筋痛··············································· 235
2. 頸肩腕증후군································································································································ 235
3. 요통증··········································································································································· 236
1) 냉기로 인한 경우···················································································································· 236
2) 노화현상으로 인한 경우········································································································· 238
3) 산후장애 or 갱년기장애로 인한 경우··················································································· 238
4) 기울경향으로 장딴지에 쥐가 날 때······················································································· 239
4. 변형성슬관절증···························································································································· 239
5. 골다공증 척추관협착증················································································································ 241
6. 건초염 彈撥指······························································································································· 241


산부인과 질환


<1> 부인과질환······································································································································· 243
1. 월경이상 … 월경불순 무월경 등································································································ 243
2. 월경곤란증···································································································································· 245
3. 월경前期증후군···························································································································· 246
4. 갱년기장애(血道症)······················································································································ 247
5. 자궁내막증···································································································································· 250
6. 자궁근종······································································································································· 252
7. 자궁부속기염(난소염 난관염 난관주위염 자궁내막염)······························································ 252
1) 초기 … 발열·오심·구토·하복부통·대하증가 등이 나타날 때······································· 252
2) 만성화 또는 재발을 반복하는 경우······················································································· 253
3) 난관염으로 농즙이 난관강에 고일 때·····································································

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No	제목	글쓴이	등록일	상태
1	품절 도서 구매문의	김만제	2018.08.23	답변완료
Q품절 도서 구매문의2018.08.23 품절된 도서로 나와있는데 혹시 다른루트로라도 구매 가능한가요? A [군자출판사]2018.08.23 <P>안녕하세요</P> <P> </P> <P>해당도서는 재고 없는 도서이며,</P> <P> </P> <P>군자출판사와 계약기간이 종료되어 판매를 따로 하고 있지 않습니다.</P> <P> </P> <P> </P> <P>참고 부탁드립니다.</P> <P> </P> <P>감사합니다.</P>