『청강의감』과 『동의보감』의 대변 질환 치료의 특징 비교

A Comparison of Bowel Disorder Treatments in the Cheong-gang-ui-gam and the Dong-ui-bo-gam

Objectives : This study aimed to compare the characteristics of the prescriptions for treating abnormal bowel movement disorders in the Cheongganguigam and the Donguibogam. Methods : Prescriptions used to treat symptoms related to abnormal bowel movements were identified in both texts. Next, the frequency of key medicinal herbs used in these prescriptions was calculated. Conclusions : In this study, data on prescriptions used for symptoms related to abnormal bowel movement in the Cheongganguigam and the Donguibogam were extracted. The frequency of key medicinal herbs in these prescriptions was comparatively analyzed, which resulted in the following. 1. In comparing the frequency of therapeutic actions of chief herbs(君藥) used to treat diarrhea(泄瀉), the Cheongganguigam often included herbs that soothe the Liver and strengthen the Spleen(疏肝健脾) for Liver-Spleen disharmony(肝脾不和), whereas the Donguibogam frequently included herbs that tonify the Spleen(補脾), promote urination(利水) or clear dampness(利濕) for cold-dampness(寒濕) and Spleen deficiency(脾虛). 2. Regarding constipation(便秘), the Cheongganguigam often used herbs that clear heat and detoxify(淸熱解毒), and those that soothe the liver and relieve depression(疏肝開鬱) for conditions like Stomach and intestinal heat(胃腸實熱) and Liver-Spleen Qi stagnation(肝脾氣滯). In contrast, the Donguibogam frequently used herbs that clear accumulation(消積), eliminate blood stagnation and invigorate Blood circulation(祛瘀活血), moisten dryness(潤燥), and lubricate the intestines(滑腸) for Qi stagnation of the Liver and Spleen, or Blood and Yin deficiency(血虛陰虛). 3. For tenesmus(裏急後重), the Cheongganguigam mainly included herbs that eliminate dampness(去濕), tonify the Spleen(補脾), and promote Qi movement(利氣) for conditions like damp-heat(濕熱), Qi deficiency(氣虛), and Qi stagnation(氣滯). Meanwhile, the Donguibogam mainly utilized herbs that clear heat and detoxify(淸熱解毒) for damp-heat(濕熱) conditions. 4. Concerning hematochezia(血便), the Cheongganguigam frequently used herbs that eliminate dampness(去濕) for toxic damp-heat accumulation in the Large Intestine(大腸濕熱蘊毒). On the other hand, the Donguibogam employed herbs that clear heat and detoxify(淸熱解毒), eliminate dampness(去濕), nourish Blood and astringe Yin(補血斂陰), and moisten the intestines to stimulate bowel movement(潤腸通便) for conditions such as wind-heat and damp-heat in the Large Intestine(大腸風熱, 大腸濕熱蘊毒), and Liver-Kidney Yin deficiency(肝腎陰虛).