Case Series

『傷寒論』 ‘發作’과 뇌전증의 연관성 : 다수증례보고

The correlation between 『Shanghanlun』 ‘seizure’ and epilepsy : Case series

2022 Vol. 14 No. 1
이성준1, 김민환2, 윤용갑3, 임규상4, 이숭인5

  1. 서울특별시 압구정정인한의원 원장

  2. 서울특별시 알면한의원 원장

  3. 원광대학교 한의과대학 방제학교실 명예교수

  4. 원광대학교 한의학전문대학원 한약자원개발학과 교수

  5. 동신대학교 한의과대학 방제학교실 교수

Sung Jun Lee1, Min hwan Kim2, Young Gap Yun3, Kyu Sang Lim4, Soong-in Lee5

  1. Director, Jung-In Korean Medical Clinic, Seoul

  2. Director, Al-meyon Korean Medical Clinic, Seoul

  3. Professor emeritus, Department of Herbal Formula Science, College of Korean Medicine, Wonkwang University

  4. Professor, Department of Korean Medicine Resources Development, Graduate School of Korean Medicine, Wonkwang University

  5. Associate Professor, Department of Herbal Formula Science, College of Korean Medicine, Dong-Shin University,


Objectives: We aimed to confirm the safety and effectiveness of the decoction type of Sibjo-tang, which is a named powder type purgative. In addition, we objected to check whether the '發作' of 『Shanghanlun』 can be interpreted as the same meaning as the 'seizure' in English. By confirming these, we intended to lead the progress in the application of the Sibjo-tang, and to expand the clinical application fields of the 152th provision and Sibjo-tang.

Methods: We analyzed the medical records of the patients who have visited Apgujeongjeongin Oriental Clinic and Almyeon Oriental Clinic for seizure. And we confirmed the side effects of patients who took Sibjo-tang for a long period of time. Sibjo-tang was prepared as a hot water extracts by using 5g each of Euphorbiae Pekinensis Radix, Eurphobiae Kansui Radix, Genkwae Flos, and and 15g of Zizyphi Fructus. The “seizure” recorded in the 152th provision was interpreted through the analysis of the shape of Oracle bone scripts. The seizure frequency of patients diagnosed with epilepsy after taking Sibjo-tang was compared, and other symptoms and psychosocial conditions associated with seizures at the first episode were analyzed.

Results: No side effects were found in 7 patients who took Sibjo-tang for 16.57 ± 14.10 months. Seizures were eliminated in 6 cases while taking Sibjo-tang and significantly decreased in 1 case. In 7 cases, frequent indigestion (in 7 cases), easy exhaustion (in 5 cases), and inferiority complex (in 5 cases) were found as accompanying pathogenic conditions. The “seizure” in 152th provision was interpreted as ‘a state of being stabbed by a sharp substance in clothes’, confirming a deep connection with seizures of epilepsy.

Conclusions: The results suggest that the decoction type application of Sibjo-tang has safety and efficacy. In addition, it was confirmed the necessity of conducting an advanced study on epileptic seizures accompanied by frequent indigestion using Sibjo-tang.

Keywords : Shanghanlun, 發作, seizure, epilepsy, Sibjo-tang, a disease pattern identification diagnostic system