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<p style="text-align: center;"><span data-ke-size="size18">27. 곽란(霍亂) 토사(吐瀉)</span></p><p><span data-ke-size="size18">소아(小兒)의 <span style="color: #ff0000;">곽란토사</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">霍亂吐瀉</span><span style="color: #ff0000;">)</span>는 반드시 <span style="color: #f200f2;">한량</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">寒凉</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">이 위</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">胃</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">를 상</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">傷</span><span style="color: #f200f2;">)</span>한 것이니, 혹 <span style="color: #f200f2;">시기</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">時氣</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">로 음습</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">陰濕</span><span style="color: #f200f2;">)</span>하거나 <span style="color: #f200f2;">음식</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">飮食</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">에 실의</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">失宜</span><span style="color: #f200f2;">)</span>하여 모두 이에 이른 것이다.</span></p><p><span data-ke-size="size18">그런데 이는 앞의 토사(吐瀉)의 병행(並行)과는 다소 부동(不同)한다. <span style="color: #ff0000;">곽란</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">霍亂</span><span style="color: #ff0000;">)</span>은 <span style="color: #0000ff;">폭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">暴</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 심</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">甚</span><span style="color: #0000ff;">)</span>하고 <span style="color: #ff0000;">토사</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">吐瀉</span><span style="color: #ff0000;">)</span>는 <span style="color: #0000ff;">서</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">徐</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 완</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緩</span><span style="color: #0000ff;">)</span>한다. <span style="color: #ff0000;">곽란</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">霍亂</span><span style="color: #ff0000;">)</span>은 <span style="color: #0000ff;">그 상</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">傷</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 일시</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">一時</span><span style="color: #0000ff;">)</span>에 있고 <span style="color: #ff0000;">토사</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">吐瀉</span><span style="color: #ff0000;">)</span>는 <span style="color: #0000ff;">그 상</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">傷</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 점진적</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">漸</span><span style="color: #0000ff;">)</span>이니 이것이 다른 점이다.</span></p><p><span data-ke-size="size18">만약 <span style="color: #0000ff;">폭질</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">暴疾</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">로 곽란</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">霍亂</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 위구</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">胃口</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">가 미청</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">未淸</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 흉복</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">胸腹</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 만</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">滿</span><span style="color: #0000ff;">)</span>하면 마땅히 먼저 <span style="color: #00cc00;">화위음</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">和胃飮</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">영출이진전</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">苓朮二陳煎</span><span style="color: #00cc00;">)</span><span style="color: #00cc00;">으로 하거나 대화중음</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">大和中飮</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">소화중음</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">小和中飮</span><span style="color: #00cc00;">)</span><span style="color: #00cc00;">이나 소분청음</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">小分淸飮</span><span style="color: #00cc00;">)</span><span style="color: #00cc00;">이나 신향산</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">神香散</span><span style="color: #00cc00;">)</span>의 종류(類)로 주(主)하여야 한다.</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">위구</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">胃口</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">가 다소 평</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">平</span><span style="color: #0000ff;">)</span>하면 곧 마땅히 <span style="color: #00cc00;">오미이공산</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">五味異功散</span><span style="color: #00cc00;">)</span><span style="color: #00cc00;">이나 온위음</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">溫胃飮</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">오령산</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">五苓散</span><span style="color: #00cc00;">)</span>의 종류(類)로 조보(調補)하여야 한다.</span></p><p><span data-ke-size="size18">만약 곽란(霍亂)의 초기(初起)에 바로 <span style="color: #0000ff;">신피</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">神疲</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">기권</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">氣倦</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">을 느끼면서 위구</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">胃口</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 별다른 창체</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脹滯</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">가 없으면</span> 이는 <span style="color: #f200f2;">위기</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">胃氣</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">가 이미 상</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">傷</span><span style="color: #f200f2;">)</span>한 것이다. 곧 마땅히 <span style="color: #00cc00;">온보</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">溫補</span><span style="color: #00cc00;">)</span>하여야 하니, <span style="color: #00cc00;">양중전</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">養中煎</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">온위음</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">溫胃飮</span><span style="color: #00cc00;">)</span>의 종류(類)로 하여야 한다. 일개(:槪)로 청리(淸利)만 행(行)하여서는 안 된다.</span></p><p style="text-align: center;"> </p><p style="text-align: center;"> </p>
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27. 곽란(霍亂) 토사(吐瀉)
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24.01.31 14:30
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