Case Series

『康平傷寒論』 '表'에 대한 고찰 : 麻黃湯으로 호전된 양극성 장애 2례를 바탕으로

A Conceptual Study of “Pyo (表)” in Gangpyeong-Shanghanlun Based on Two Cases of Bipolar Disorder Improved with Mahwang-tang

2021 Vol. 13 No. 1
최운용1 이성준2

경기 성남시 수정구 산성대로 207 성남한의원1

서울 강남구 압구정로46길 5-6 압구정정인한의원2*
Woon-yong Choi1, Sung-jun Lee2*

207, Sanseong-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Korea1

5-6, Apgujeong-ro 46-gil, Gangnam-gu, Seoul, Republic of Korea2*



Objective : We explored the meaning of “Pyo (表)” in Gangpyeong-Shanghanlun through two cases.

Methods : We analyzed the original form of 表 and its context in Shanghanlun. We also analyzed 2 clinical cases of bipolar disorder treated with Mahwang-tang (麻黃湯) according to the newly deduced definition of 表.

Results : 表 can be interpreted as “pursuing something high-class seen from the outside.” Both cases had various psychological symptoms including insomnia, mood swings, anxiety, and depression. We determined that the diseases in both cases occurred when 表 had not been achieved. We also found that 麻黃湯 can improve psychological status.

Conclusions : 表 is different from “surface,” which is the most widely used definition. After diagnosing these two patients with bipolar disorder using the Diagnostic and Statistical Manual of Mental Disorders (5th edition), we found that symptoms could be improved by administration of 麻黃湯 (46條). Although its potential for neuropsychiatric diagnosis has been suggested through etymological interpretation of 表 and analysis of two cases, more advanced clinical studies are needed in the future.

Key words : 表, 麻黃湯, DSM-5, bipolar Disease, Mahwang-tang, Shanghanlun