Case Series

『傷寒論』 辨病診斷體系에 근거하여 太陰病으로 진단하고 치료한 신경정신과 질환 증례 5례

『傷寒論』 辨病診斷體系에 근거하여 太陰病으로 진단하고 치료한 신경정신과 질환 증례 5례

2023 Vol. 15 No. 1
조성환1* · 정재원2 · 김민환3 · 허주4

  1. 경희서울한의원1*

  2. 해빛한방병원2

  3. 알면한의원3

  4. 경희열린한의원4

Seong-hwan Cho1* · Jae-won Jeong2 · Min-hwan Kim3 · Joo Heo4

  1. Kyunghee-Seoul Korean Medical Clinic1*

  2. Habit Korean Medical Hospital2

  3. Alimmune Korean Medical Clinic3

  4. Kyunghee-Yeolrin Korean Medical Clinic4


Objective : The purpose of this study is to explore the therapeutic potential of Shanghanlun for neuropsychiatric disorders through a comparative review of five neuropsychiatric disorder cases diagnosed with Greater yin disease pattern/syndrome (太陰病).

Methods : We collected and compared five neuropsychiatric cases diagnosed and treated with Greater yin disease pattern/syndrome (太陰病) from four korean medicine clinics. Clinical symptoms common to the five cases were analyzed by connecting them with Shanghanlun provision 273 and 279.

Results : In all five cases, the improvement of chief complaints and decrease in general anxiety were observed after administration of Gyejigajakyak-tang (桂枝加芍薬湯) and Gyejigadaehwang-tang (圭支加大黃湯). In addition, neuropsychiatric symptoms and physical symptoms that are mentioned in Shanghanlun provision 273 and 279 were confirmed in all five cases.

Conclusions : We not only reconfirmed that the core features of Greater yin disease pattern/syndrome(太陰病) proposed in previous studies; zi-tong (自痛), yin-er (因爾), jie-ying (結硬), but also that the physical symptoms associated with fu-man (腹満), tu (吐) and zi-li (自利) were common in the presenting symptoms and past histories of the five patients.

Key words : Shanghanlun, Greater yin disease pattern/syndrome (太陰病), Gyejigajakyak-tang, Gyejigadaehwang-tang, Somatic symptom disorder (SSD), Schizophrenia, Panic disorder, Generalized anxiety disorder (GAD)