□ 처방을 통해 이해하는 사상의학

□ 처방을 통해 이해하는 사상의학 사상의학을 창안하신 분은 동무 이제마선생으로 사람은 태어날 때부터 장부의 이치가 달라 체질이 나뉘며 각 체질에 따라 치료법이 다르다고 말씀하셨습니다. 즉, 모든 인간은 오장육부를 중심으로 경락을 통하여 여러 조직과 기관이 유기적으로 연결되어 완전체인데 같은 원인이 加해지더라도 오장의 상태가 다르므로 치료법이 다르다는 것입니다. 따라서 각 체질에 따라 생리와 병리가 다르며 그에 따른 한약과 처방이 다릅니다. 겉으로 드러나는 증상을 같을지라도 원인과 과정이 다르므로 치료법 또한 다릅니다. 체질에 따라 사용되는 처방이 완전히 다릅니다. 「상한론(傷寒論)」이후 수많은 처방이 발명되었지만 사상의학 관점에서 보면 크게 네가지 흐름이 있다는 것입니다. 사상의학을 알면 대표적인 처방을 알 수 있으며 임상적으로 중요한 위치를 차지하고 있는 처방을 알 수 있습니다. 역으로 체질별 대표 처방을 알면 체질의 생리와 병리현상 또한 쉽게 이해할 수 있습니다. 일상생활에서 사용할 수 있는 대표 한약을 알 수 있으며, 대표 처방을 알 수 있습니다. 한의약학을 인간의 질병을 치료하는 의학이므로 쉬워야 하며, 이해가 빨라야 합니다. 소음인의 대표처방 ① 평소 소화력이 좋으면서 땀이 잘 나지 않은 소음인 <table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); width: 84.05pt; height: 14.8pt;">천궁계지탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 38.37pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 83.81pt; height: 14.8pt;">팔물군자탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 38.37pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 83.81pt; height: 14.8pt;">독삼팔물탕</td></tr><tr><td valign="center" style="border-width: 0.28pt medium; border-style: solid none; border-color: rgb(0, 0, 0) currentColor; width: 84.05pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 38.37pt; height: 14.8pt;"></td><td valign="center" style="border-width: 0.28pt medium; border-style: solid none; border-color: rgb(0, 0, 0) currentColor; width: 83.81pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 38.37pt; height: 14.8pt;"></td><td valign="center" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 83.81pt; height: 14.8pt;"></td></tr><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt 1.7pt; border-style: solid; border-color: rgb(0, 0, 0); width: 84.05pt; height: 14.8pt;">궁귀향소산</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 38.37pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 83.81pt; height: 14.8pt;">향부자팔물탕</td><td valign="center" style="border-width: medium medium medium 0.28pt; border-style: none none none solid; border-color: currentColor currentColor currentColor rgb(0, 0, 0); width: 38.37pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 83.81pt; height: 14.8pt;"></td></tr></tbody></table> ② 평소 소화력이 좋으면서 땀이 잘 나는 소음인<table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(0, 0, 0); width: 67.07pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 21.39pt; height: 14.8pt;"></td><td valign="center" style="border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(0, 0, 0); width: 66.83pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 21.39pt; height: 14.8pt;"></td><td valign="center" style="border-width: medium medium 0.28pt; border-style: none none solid; border-color: currentColor currentColor rgb(0, 0, 0); width: 66.83pt; height: 14.8pt;"></td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(0, 0, 0) currentColor currentColor; width: 27.05pt; height: 14.8pt;"></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 72.49pt; height: 14.8pt;">황기계지부자탕</td></tr><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.28pt 0.25pt; border-style: solid; border-color: rgb(0, 0, 0); width: 67.07pt; height: 14.8pt;">황기계지탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 21.39pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.83pt; height: 14.8pt;">보중익기탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 21.39pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 66.83pt; height: 14.8pt;">승양익기탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 27.05pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 72.49pt; height: 14.8pt;">승양익기부자탕</td></tr><tr><td valign="center" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 67.07pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 21.39pt; height: 14.8pt;"></td><td valign="center" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 66.83pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 21.39pt; height: 14.8pt;"></td><td valign="center" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 66.83pt; height: 14.8pt;"></td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(0, 0, 0) currentColor currentColor; width: 27.05pt; height: 14.8pt;"></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 72.49pt; height: 14.8pt;">인삼계지부자탕</td></tr></tbody></table> ③ 평소 소화력이 약한 소음인<table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 43.45pt; height: 14.8pt;">곽향정기산</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 15.67pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 41.55pt; height: 14.8pt;">향사양위탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 15.7pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 44.19pt; height: 14.8pt;">백하오이중탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 18.51pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 64pt; height: 14.8pt;">백하오부자이중탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 15.68pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 58.34pt; height: 14.8pt;">관계부자이중탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 18.51pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 86.64pt; height: 14.8pt;">궁귀총소이중탕</td></tr><tr><td valign="center" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 43.45pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 15.67pt; height: 14.8pt;"></td><td valign="center" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 41.55pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 15.7pt; height: 14.8pt;"></td><td valign="center" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 44.19pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 18.51pt; height: 14.8pt;"></td><td valign="center" style="border-width: 0.28pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 64pt; height: 14.8pt;"></td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(0, 0, 0) currentColor currentColor; width: 15.68pt; height: 14.8pt;"></td><td valign="center" style="border-width: 0.28pt 0.25pt 0.25pt 0.28pt; border-style: solid; border-color: rgb(0, 0, 0); width: 58.34pt; height: 34pt;" rowspan="3">오수유부자이중탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 18.51pt; height: 14.8pt;"></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 86.64pt; height: 17.63pt;" rowspan="2">계부곽진이중탕</td></tr><tr><td valign="center" style="border: currentColor; width: 43.45pt; height: 19.2pt;" rowspan="2"></td><td valign="center" style="border: currentColor; width: 15.67pt; height: 19.2pt;" rowspan="2"></td><td valign="center" style="border: currentColor; width: 41.55pt; height: 19.2pt;" rowspan="2"></td><td valign="center" style="border: currentColor; width: 15.7pt; height: 19.2pt;" rowspan="2"></td><td valign="center" style="border: currentColor; width: 44.19pt; height: 19.2pt;" rowspan="2"></td><td valign="center" style="border: currentColor; width: 18.51pt; height: 19.2pt;" rowspan="2"></td><td valign="center" style="border: currentColor; width: 64pt; height: 19.2pt;" rowspan="2"></td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(0, 0, 0) currentColor currentColor; width: 15.68pt; height: 19.2pt;" rowspan="2"></td><td valign="center" style="border-width: medium 0.28pt medium 0.25pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 18.51pt; height: 19.2pt;" rowspan="2"></td></tr><tr><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 86.64pt; height: 16.37pt;">인삼진피탕</td></tr><tr><td valign="center" style="border: currentColor; width: 43.45pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 15.67pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 41.55pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 15.7pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 44.19pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 18.51pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 64pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 15.68pt; height: 14.8pt;"></td><td valign="center" style="border-width: 0.25pt medium medium; border-style: solid none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 58.34pt; height: 14.8pt;"></td><td valign="center" style="border-width: medium 0.28pt medium medium; border-style: none solid none none; border-color: currentColor rgb(0, 0, 0) currentColor currentColor; width: 18.51pt; height: 14.8pt;"></td><td valign="center" style="border: 0.28pt solid rgb(0, 0, 0); width: 86.64pt; height: 14.8pt;">인삼오수유탕</td></tr></tbody></table> 소양인의 대표처방 ① 비장에 열이 많은 소양인<table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.25pt 1.98pt; border-style: solid; border-color: rgb(0, 0, 0); width: 77.48pt; height: 2.8pt;">형방사백산</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 15.71pt; height: 2.8pt;">⇨</td><td valign="center" style="border-width: 0.28pt 0.28pt 0.25pt; border-style: solid; border-color: rgb(0, 0, 0); width: 80.31pt; height: 2.8pt;">양격산화탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 15.71pt; height: 2.8pt;">⇨</td><td valign="center" style="border-width: 0.28pt 0.28pt 0.25pt; border-style: solid; border-color: rgb(0, 0, 0); width: 80.31pt; height: 2.8pt;">지황백호탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 15.71pt; height: 2.8pt;">⇨</td><td valign="center" style="border-width: 0.28pt 0.28pt 0.25pt; border-style: solid; border-color: rgb(0, 0, 0); width: 80.31pt; height: 2.8pt;">양독백호탕</td></tr></tbody></table> ② 신장이 약한 소양인 <table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border-width: 0.28pt 0.28pt 0.25pt 1.98pt; border-style: solid; border-color: rgb(0, 0, 0); width: 80.31pt; height: 2.8pt;">십이미지황탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 15.71pt; height: 2.8pt;">⇨</td><td valign="center" style="border-width: 0.28pt 0.28pt 0.25pt; border-style: solid; border-color: rgb(0, 0, 0); width: 80.31pt; height: 2.8pt;">형방지황탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 15.71pt; height: 2.8pt;">⇨</td><td valign="center" style="border-width: 0.28pt 0.28pt 0.25pt; border-style: solid; border-color: rgb(0, 0, 0); width: 80.31pt; height: 2.8pt;">독활지황탕</td><td valign="center" style="border-width: medium 0.28pt; border-style: none solid; border-color: currentColor rgb(0, 0, 0); width: 15.71pt; height: 2.8pt;">⇨</td><td valign="center" style="border-width: 0.28pt 0.28pt 0.25pt; border-style: solid; border-color: rgb(0, 0, 0); width: 80.31pt; height: 2.8pt;">육미지황탕</td></tr></tbody></table> 태음인의 대표처방 ① 간에 열이 많은 태음인<table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 83.29pt; height: 18.7pt;">갈근해기탕</td><td valign="center" style="border-width: medium 1.98pt; border-style: none double; border-color: currentColor rgb(0, 0, 0); width: 29.95pt; height: 18.7pt;">⇨</td><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 112.55pt; height: 18.7pt;">열다한소탕</td><td valign="center" style="border-width: medium 1.98pt; border-style: none double; border-color: currentColor rgb(0, 0, 0); width: 29.95pt; height: 18.7pt;">⇨</td><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 112.31pt; height: 18.7pt;">청폐사간탕</td></tr></tbody></table> ② 폐기능이 약한 태음인<table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 68.93pt; height: 14.8pt;">마황발표탕</td><td valign="center" style="border-width: medium 1.98pt; border-style: none double; border-color: currentColor rgb(0, 0, 0); width: 20.61pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 69.89pt; height: 14.8pt;">태음조위탕</td><td valign="center" style="border-width: medium 1.98pt; border-style: none double; border-color: currentColor rgb(0, 0, 0); width: 18.58pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 69.65pt; height: 14.8pt;">한다열소탕</td></tr><tr><td valign="center" style="border-width: 1.98pt medium medium; border-style: double none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 68.93pt; height: 14.8pt;"></td><td valign="center" style="border: currentColor; width: 20.61pt; height: 14.8pt;"></td><td valign="center" style="border-width: 1.98pt medium medium; border-style: double none none; border-color: rgb(0, 0, 0) currentColor currentColor; width: 69.89pt; height: 14.8pt;"></td><td valign="center" style="border-width: medium 1.98pt medium medium; border-style: none double none none; border-color: currentColor rgb(0, 0, 0) currentColor currentColor; width: 18.58pt; height: 14.8pt;"></td><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 69.65pt; height: 14.8pt;">조위승청탕</td></tr></tbody></table><table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 68.93pt; height: 14.8pt;">보폐원탕</td><td valign="center" style="border-width: medium 1.98pt; border-style: none double; border-color: currentColor rgb(0, 0, 0); width: 20.61pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 69.89pt; height: 14.8pt;">산약보폐원탕</td><td valign="center" style="border-width: medium 1.98pt; border-style: none double; border-color: currentColor rgb(0, 0, 0); width: 18.58pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 69.65pt; height: 14.8pt;">조리폐원탕</td><td valign="center" style="border-width: medium 1.98pt; border-style: none double; border-color: currentColor rgb(0, 0, 0); width: 21.41pt; height: 14.8pt;">⇨</td><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 103.61pt; height: 14.8pt;">가미조리폐원탕</td></tr></tbody></table> ③ 심장에 열이 많은 태음인<table style="border: 0.28pt solid rgb(0, 0, 0); border-collapse: collapse;"><tbody><tr><td valign="center" style="border: 1.98pt double rgb(0, 0, 0); width: 139.88pt; height: 17.63pt;">청심연자탕</td></tr></tbody></table> 태양인의 대표처방 열격반위증 : 미후등식장탕(獼猴藤植腸湯) 해역병 : 오가피장척탕(五加皮壯脊湯)