Original Article

사례분석을 통한『傷寒論』辨病診斷體系의 서사의학적 가치의 탐색

Shanghanlun Diagnostic System : Exploring Value as Narrative Medicine by Analyzing Cases

2014 Vol. 6 No. 1
김진아* 이성준#
경기도 부천시 원미구 상2동 565-6 노영범 부천한의원*, 서울시 강남구 신사동 638-2번지 정인한의원#
Jin-A Kim* Sung-Jun Lee#
Rho-Young-Bum Bucheon Korean medicine clinic, 565-6, Sang 2-dong, Wonmi-gu, Bucheon, Korea*
Jung-In Korean Medical Clinic, 638-2nd Street, Sinsa-dong, Gangnam-gu, Korea#


Objective : The purpose of this study is exploring value of Shanghanlun six diagnostic system as Narrative Medicine by analyzing cases.

Methods : In the article, we examined the theory of narrative medicine and current studies. And then key elements of narrative medicine was defined. On the basis of these, two medical cases were analyzed by reordering in accordance with time sequences and causality for confirming narrative factors.

Results : The narrative approach to analyzing cases shows us that different diseases could be the result of same pathological patterns based on Shanghanlun. This tells us following four aspects. [1] Shanghanlun is the causes-oriented records and the text includes narrative factors. [2] Shanghanlun six diagnostic system is a process of constructing plot of medical case history through the clinical interpretation of contextual meaning of patient's life. [3] In the process of diagnosis, Schemata and script are engaged in assuming and confirming six patterns diseases. [4] The subjective factors of an individual can be applied universally through the provision of Shanghanlun.

Conclusions : Narrative factors of Shanghanlun six diagnostic system suggest the possibility and value of Shanghan Medicine as Narrative Medicine in terms of Medical Humanities, essence of medical diagnosis and therapeutic action.

KeyWords : Shanghanlun, Shanghan Medicine, Diagnostic system, Narrative Medicine, Medical case history, Schemata, Illness Script.