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A Study on the Kinds(種類), Causes(病因) and Mechanisms(病機) of Malaria(瘧疾)

  • The Journal Of Korean Medical Classics
  • Abbr : JKMC
  • 2013, 26(2), pp.133~174
  • Publisher : 대한한의학원전학회
  • Research Area : Medicine and Pharmacy > Korean Medicine

강효진 1 Chang Hyun Jeong 1 Jang Woo Chang 1 Lyu Jeong-ah 1 Yousang Baik 1

1경희대학교

Accredited

ABSTRACT

Objective : Malaria(瘧疾) is a disease that's main symptom is paroxysm - a cyclical occurrence ofsudden coldness followed by rigor and then fever. Since the introduction of the causeand mechanism of malaria(瘧疾) in the Suwen(素問), including Cold malaria(寒瘧), Warmmalaria(溫瘧), Heat malaria(癉瘧) and Wind malaria(風瘧), there has been over 20different kinds of malaria, each of which are introduced in multiple medical texts. Method : Through comparison between Suwen(素問) and other medical texts, the categories,causes and mechanisms of malaria can be analysed and organized to overview thewhole feature of it. Results & Conclusion : External pathogens of malaria(瘧疾) are wind(風), cold(寒), summerheat(暑), dampness(濕), miasmic toxin(瘴), pestilence(疫), ghost(鬼). Internal pathogens ofmalaria(瘧疾) are dietary irregularities(飮食不節), overexertion and fatigue(勞倦),phlegm(痰), seven emotion(七情). Malaria can be categorized into four groups accordingto the pathological mechanism that leads to paroxysm. They are latency of disease(伏氣), external contraction(外感), internal damage(內傷), and combination of disease(合病). Malaria-Paroxysm(瘧疾發作) occurs when the three following factors collide strongly :defense qi(衛氣), latent qi(伏邪) and external pathogen(新邪). When collision of thethree factors takes place in the interior(裏), the body experiences chills. When it takesplace in the exterior(表), the body experiences fever. The cyclical occurrence ofMalaria-Paroxysm follows the circulation of defense qi.

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