CAJ | 학술논문

明代以前医家对胁痛的认识和治疗,以宋代为界限可划分为2个阶段:宋代以前,胁痛一直被视为疾病的伴发症状,医家多从寒论治,用药常选肉桂、附子等温热之品,这与重视阳气的传统阴阳观念有关；自宋代开始,尤其是金元时期,胁痛日渐被视为独立的病证,医家对胁痛病因病机的认识渐趋丰富,治法逐渐从注重散寒向注重行气转变,并最终形成了胁痛的辨证治疗思路.这些转变反映了宋金元时期的医学革新精神对具体疾病认识的影响.
명대이전의가대협통적인식화치료,이송대위계한가화분위2개계단:송대이전,협통일직피시위질병적반발증상,의가다종한론치,용약상선육계、부자등온열지품,저여중시양기적전통음양관념유관；자송대개시,우기시금원시기,협통일점피시위독립적병증,의가대협통병인병궤적인식점추봉부,치법축점종주중산한향주중행기전변,병최종형성료협통적변증치료사로.저사전변반영료송금원시기적의학혁신정신대구체질병인식적영향.
There were two phases for the recognition and treatment of hypochondriac pain before the Ming Dynasty,and the Song Dynasty being their demarcation line.Before the Song Dynasty,hypochondriac pain was regarded generally as a concomitant symptom,generally attributed to pathogen of coldness,and the materia medica with the warm nature were always used for the treatment.This recognition was related with the traditional idea paying attention predominantly to the yang of the yin-yang theory.Since the Song Dynasty,especially the Jin-Yuan Period,the hypochondriac pain was regarded gradually as an independent symptom.Physicians got more and more recognition about its causes and pathogenesis.The treatment was changed from dispelling cold to activating qi,and the idea of treatment based on syndrome differentiation on hypochondriac pain was finally established,reflecting the influence of spirit of medical innovation during the Jin-Yuan Period on the recognition of disease.