Case Report

『康平傷寒論』38條의 ‘厥逆’에 대한 임상적 해석 : ​大靑龍湯으로 호전된 섭식장애 2례를 통하여

A Conceptual Study of ‘Gwolyeok(厥逆)’ in 『Gangpyeong-Shanghanlun』 : Based on 2 cases of eating disorder improved with Daecheongryong-tang

2023 Vol. 15 No. 1
최운용1 두인선2 이성준3*

  1. 경기 성남시 수정구 산성대로 207 성남한의원

  2. 서울 용산구 한강대로 40가길 24 용산원한의원

  3. 대한상한금궤의학회

Woon-yong Choi1, In-sun Doo2, Sung-jun Lee3*

  1. 207, Sanseong-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Korea

  2. 24, Hangang-daero 40ga-gil, Yongsan-gu, Seoul, Republic of Korea

  3. Korean Medical Association of Clinical Sanghan-Geumgwe, 14, Sejong-daero, Jung-gu, Seoul, Republic of Korea


Objective : We Explored the meaning of the 厥逆 in Gangpyeong-Shanghanlun through two cases.

Methods : We analyzed the original form of 厥逆 and the contexts in Shanghanlun. At the same time, we analyzed 2 clinical cases treated with 大靑龍湯 (Daecheongryong-tang) according to the newly deduced definition of 厥逆.

Results : 厥逆 can be interpreted as 'Being indulged and indigestive'. We analyzed the cases and found that both cases were related to eating disorder even though their chief complaints were different. We also found that 大靑龍湯 was effective for both bulimia nervosa and anorexia nervosa.

Conclusions : 厥逆 is symptoms of reflux in human body such as, gastroesophageal reflux disease, as a result of concentration or indulgence. We analyzed the two cases with DSM-5 and found that the two cases also can be diagnosed with eating disorder along with the provision (38條, 大靑龍湯). We found out the possibility of correlation between eating disorder and 38條, however, more advanced clinical studies are needed in the future.

Key words : 厥逆, 大靑龍湯, DSM-5, Eating disorder, Daecheongryong-tang, Shanghanlun.