상한잡병론 계림고본 대소변 관련 리(利)의 분류와 고찰 - 자리(自利)의 소변 가능성을 중심으로

• 영문명: Classification and Study of Li(利) Related to Defecation in the Guilin Old Edition of the Shanghanzabinglun : With a Focus on Possibility for Urination of Zili(自利)
• 발행기관: 대한한의학원전학회
• 저자명: 장은수(Eunsu Jang) 한우진(Woojin Han) 허원영(Wonyoung Heo)
• 간행물 정보: 『대한한의학원전학회지』38권 3호, 97~110쪽, 전체 14쪽
• 주제분류: 의약학 > 한의학
• 파일형태: PDF
• 발행일자: 2025.08.31

국문 초록

Objectives : The purpose of this study was to classify Li(利) in the Guilin old edition of the Shanghanzabinglun, used in symtoms related to defecation. The focus was on identifying the possibility for urination of Zili(自利) to suggest its potential application as a diagnostic index for the Three-Yin-Three-Yang illness patterns. Methods : In this study, the Li(利) terminology was surveyed in the Guilin old edition of the Shanghanzabinglun published by Jung-Gyeong Publishing Co. in 2017. Results : Li(利) was expressed in various terminology in relation to defecation, such as ‘小便自利’, ‘小便利’, ‘小便不利’, ‘大便利’, ‘自利’, ‘不利’, ‘下利’, ‘不下利’, ‘得利’, ‘不得利’, ‘利’, ‘利下’, ‘自下利’, ‘自便利’, ‘滑利’, ‘協熱(而)利’, ‘熱利’, ‘厥利’, ‘氣利’, ‘疫利’, ‘吐利’, etc. The term ‘小便自利’ was used in the text, but ‘大便自利’ was not. ‘利’ was used in combination with shuigu[水穀, fluid and grains]. When combined with gu(穀), referring to the state of excrement, especially stool, it was expressed as Xiali(下利). When combined with shui(水), referring to the state excrement, expecially urine, it was expressed as Zili(自利). Other verses matched such findings, indicating that in the Shanghanlun, ‘自利’ and ‘下利’ refer to the state of urine and stool, respectively. Zili(自利), together with the presence or absence of thirst(渴) was used as a diagnostic index for distinguishing between Taiyin and Shaoyin patterns. Conclusions : While there is still some controversy, it can be assumed that ‘自利’ refers to the state of urine and ‘下利’ refers to the state of stool. Further study is required.

목차

Ⅰ. 서론

Ⅱ. 연구 방법

Ⅲ. 연구 결과

Ⅳ. 고 찰

Ⅴ. 결 론

References

키워드

Shanghanlun(傷寒論) Guilin Old Edition(桂林古本) urine stool Zili(自利)