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<p style="text-align: center;"><span data-ke-size="size18">04. 맥(脈)을 논(論)하다</span></p><p style="text-align: center;"> </p><p><span data-ke-size="size18"><span style="color: #0000ff;">상한</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">傷寒</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">의 사기</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">邪</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">는 사실 정</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">定</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">해진 실체</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">體</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">가 없다</span><span style="color: #0000ff;">.</span></span></p><p><span data-ke-size="size18">양경(陽經)의 기분(氣分)으로 들어가면 <span style="color: #f200f2;">태양</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">太陽</span><span style="color: #f200f2;">)</span>이 그 시작(:首)이 되고,</span></p><p><span data-ke-size="size18">음경(陰經)의 정분(精分)으로 들어가면 <span style="color: #f200f2;">소음</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">少陰</span><span style="color: #f200f2;">)</span>이 그 시작(:先)이 된다.</span></p><p> </p><p><span data-ke-size="size18">맥(脈)이 <span style="color: #1919ff;">부긴</span><span style="color: #1919ff;">(</span><span style="color: #1919ff;">浮緊</span><span style="color: #1919ff;">)</span>하면 유력(有力) 무력(無力)으로 <span style="color: #f200f2;">표</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">表</span><span style="color: #f200f2;">)</span>의 허실(虛實)을 알 수 있고,</span></p><p><span data-ke-size="size18">맥이 <span style="color: #1919ff;">침긴</span><span style="color: #1919ff;">(</span><span style="color: #1919ff;">沈緊</span><span style="color: #1919ff;">)</span>하면 유력(有力) 무력(無力)으로 <span style="color: #f200f2;">리</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">裏</span><span style="color: #f200f2;">)</span>의 허실(虛實)을 알 수 있다.</span></p><p><span data-ke-size="size18">중(中)의 유력(有力) 무력(無力)으로 음양(陰陽)의 길흉(吉凶)을 알 수 있다.</span></p><p><span data-ke-size="size18">진단(診)하는 법(法)은 마땅히 <span style="color: #0000ff;">그 증</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">證</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">을 물어 </span><span style="color: #ff19ff;">겉</span><span style="color: #ff19ff;">(:</span><span style="color: #ff19ff;">外</span><span style="color: #ff19ff;">)</span><span style="color: #0000ff;">을 알고</span> 그 <span style="color: #0000ff;">맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">을 살펴 </span><span style="color: #ff19ff;">속</span><span style="color: #ff19ff;">(:</span><span style="color: #ff19ff;">內</span><span style="color: #ff19ff;">)</span><span style="color: #0000ff;">을 아는 것</span></span></p><p> </p><p><span data-ke-size="size18">먼저(:先) 병(病)하는 것은 <span style="color: #ff0000;">본</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">本</span><span style="color: #ff0000;">)</span>이고,</span></p><p><span data-ke-size="size18">나중에(:後) 병(病)하는 것은 <span style="color: #ff0000;">표</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">標</span><span style="color: #ff0000;">)</span>이다.</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">과 증</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">證</span><span style="color: #0000ff;">)</span>을 참합(參合: 참고하여 합치다)하고 <span style="color: #0000ff;">완급</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緩急</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">과 선후</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">先後</span><span style="color: #0000ff;">)</span>를 알 수 있으면 곧 상공(上工)이다.</span></p><p> </p><p><span data-ke-size="size18">一. 진법(診法)에 ①"<span style="color: #0000ff;">부맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮脈</span><span style="color: #0000ff;">)</span>은 <span style="color: #ff19ff;">표</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">表</span><span style="color: #ff19ff;">)</span>에 있는 것이다."고 하였다.</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 부긴</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮緊</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">數</span><span style="color: #0000ff;">)</span>하게 나타나면 이는 곧 표(表)의 사기(邪)</span></p><p><span data-ke-size="size18">여기에 다시 <span style="color: #0000ff;">두항통</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">頭項痛</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">요척강</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">腰脊强</span><span style="color: #0000ff;">) </span>등의 증(證)이 더하여지면 이는 곧 <span style="color: #ff0000;">태양</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">太陽</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 경</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">經</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 병</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">病</span><span style="color: #ff0000;">)</span>. 마땅히 본경(本經)의 경중(輕重)을 구(求)하여 해산(解散)</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 홍장</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">洪長</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 유력</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">有力</span><span style="color: #0000ff;">)</span>하게 나타나면서 겉(:外)으로 <span style="color: #0000ff;">양명증</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">陽明證</span><span style="color: #0000ff;">)</span>을 겸(兼)하면 이는 곧 <span style="color: #ff0000;">양명</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陽明</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 경</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">經</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">에 있는 사기</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">邪</span><span style="color: #ff0000;">)</span>. 마땅히 본경(本經)의 한열(寒熱)을 구(求)하여 산(散)</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 현삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">弦數</span><span style="color: #0000ff;">)</span>하게 나타나면서 <span style="color: #0000ff;">소양증</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">少陽證</span><span style="color: #0000ff;">)</span>을 겸(兼)하면 이는 곧 <span style="color: #ff0000;">소양경</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">少陽經</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 반표반리</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">半表半裏</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 병</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">病</span><span style="color: #ff0000;">)</span>. 화해(和解)하여 산(散)</span></p><p> </p><p><span data-ke-size="size18">一. ②"<span style="color: #0000ff;">침맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">沈脈</span><span style="color: #0000ff;">)</span>은 <span style="color: #ff19ff;">리</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">裏</span><span style="color: #ff19ff;">)</span>에 있는 것이니, 그 병(病)은 <span style="color: #ff19ff;">삼음</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">三陰</span><span style="color: #ff19ff;">)</span>에 속(屬)한다." 하였다.</span></p><p><span data-ke-size="size18">상세한 것은 뒤의 (7조) 육경증(<六經證>)의 변별(辨)에 나온다.</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">침삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">沈數</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 유력</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">有力</span><span style="color: #0000ff;">)</span>하면 이는 곧 <span style="color: #f200f2;">열사</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">熱邪</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">가 리</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">裏</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">로 전</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">傳</span><span style="color: #f200f2;">)</span>하여진 것</span></p><p><span data-ke-size="size18">표증(表證)이 깊이 들어가 <span style="color: #0000ff;">속</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">內</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 대만</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">大滿</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">대실</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">大實</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">한 양사</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">陽邪</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">의 열결</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">熱結</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">등의 증</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">證</span><span style="color: #0000ff;">)</span>이 나타나면 그 치료(治)는 마땅히 <span style="color: #00cc00;">하</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">下</span><span style="color: #00cc00;">)</span></span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">침긴</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">沈緊</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 무력</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">無力</span><span style="color: #0000ff;">)</span>하면서 <span style="color: #0000ff;">겉</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">外</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 대열</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">大熱</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 없고 속</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">內</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 번갈</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">煩渴</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하는 등의 병</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">病</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 없으면</span> 이는 곧 <span style="color: #ff0000;">음증</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陰證</span><span style="color: #ff0000;">)</span></span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">외한</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">畏寒</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">궐냉</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">厥冷</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하거나 및 구토</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">嘔吐</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">복통</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">腹痛</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">사리</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">瀉痢</span><span style="color: #0000ff;">)</span>에 이르면 이는 곧 <span style="color: #ff0000;">음한</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陰寒</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">이 직중</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">直中</span><span style="color: #ff0000;">)</span>한 것, 그 치료(治)는 마땅히 <span style="color: #00cc00;">온중</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">溫中</span><span style="color: #00cc00;">)</span></span></p><p> </p><p><span data-ke-size="size18">一. ③"<span style="color: #0000ff;">대맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">大脈</span><span style="color: #0000ff;">)</span>은 병(病)이 진(進)하는 것이다."고 하였다.</span></p><p><span data-ke-size="size18">대(大)는 사기(邪氣)가 승(勝)하므로 인하여 <span style="color: #ff0000;">병</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">病</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">이 날로 심</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">甚</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">해지는 것</span></span></p><p><span data-ke-size="size18">맥(脈)이 점차 ④<span style="color: #0000ff;">완</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緩</span><span style="color: #0000ff;">)</span>하게 되면 <span style="color: #ff0000;">사기</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">邪</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">가 물러가는</span><span style="color: #ff0000;">(:</span><span style="color: #ff0000;">退</span><span style="color: #ff0000;">) </span><span style="color: #ff0000;">것</span><span style="color: #ff0000;">. </span>완(緩)은 위기(胃氣)가 이르러 병(病)이 나으려는 것</span></p><p> </p><p><span data-ke-size="size18">그런데 대(大)가 마땅한 경우도 있고 대(大)가 마땅하지 않는 경우도 있다.</span></p><p><span data-ke-size="size18">맥체(脈體)가 <span style="color: #0000ff;">본래 대</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">大</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">한데 다시 홍삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">洪數</span><span style="color: #0000ff;">)</span>이 더하여지면 이는 <span style="color: #ff0000;">병</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">病</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">이 진</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">進</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">하는 맥</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">脈</span><span style="color: #ff0000;">)</span></span></p><p><span data-ke-size="size18">맥체(脈體)가 <span style="color: #0000ff;">본래 소</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">小</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">한데</span> 약(藥)을 복용(服)하므로 인하여 <span style="color: #0000ff;">나중에 점차 활대</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">滑大</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 유력</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">有力</span><span style="color: #0000ff;">)</span>하게 나타나면 이는 <span style="color: #ff19ff;">음</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陰</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">에서 양</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陽</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">으로 전</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">轉</span>: 옮기다)하는 것으로, 반드시 <span style="color: #ff0000;">한</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">汗</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">으로 풀리려는 것</span>이므로 곧 <span style="color: #ff0000;">길</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">吉</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">한 징조</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">兆</span><span style="color: #ff0000;">)</span></span></p><p><span data-ke-size="size18">맥(脈)이 이르러도 <span style="color: #0000ff;">고</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">鼓</span><span style="color: #0000ff;">: </span><span style="color: #0000ff;">힘차게 두드리다</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하지 않으면</span> 이는 <span style="color: #f200f2;">기</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">氣</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">가 허</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">虛</span><span style="color: #f200f2;">)</span>하므로 말미암아 그런 것, 양(陽)이 없는데 어찌 한(汗)을 낼(:作) 수 있겠는가?</span></p><p><span data-ke-size="size18">(14조) 논한(<論汗>)의 조(條)에 나의 생각들(:按)이 나와 있다.</span></p><p> </p><p><span data-ke-size="size18">상한론([傷寒論])에 "맥(脈)에는 음(陰)과 양(陽)이 있다고 하는데, 무엇을 말하는 것인가?"</span></p><p><span data-ke-size="size18">"맥(脈)이 <span style="color: #0000ff;">부</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">대</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">大</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">數</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">동</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">動</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">활</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">滑</span><span style="color: #0000ff;">)</span>하면 모두 <span style="color: #ff0000;">양</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陽</span><span style="color: #ff0000;">)</span>이고,</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">침</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">沈</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">삽</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">澁</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">약</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">弱</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">현</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">弦</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">미</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">微</span><span style="color: #0000ff;">)</span>하면 모두 <span style="color: #ff0000;">음</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陰</span><span style="color: #ff0000;">)</span>이다.</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 부삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮數</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 발열</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">發熱</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">오한</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">惡寒</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 신통</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">身痛</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">불욕음식</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">不欲飮食</span>: 음식을 먹으려고 하지 않는다)하면 <span style="color: #ff0000;">상한</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">傷寒</span><span style="color: #ff0000;">)</span>이다.</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">오싹오싹</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">灑淅</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">오한</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">惡寒</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 음식</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">飮食</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 여상</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">如常</span><span style="color: #0000ff;">: </span><span style="color: #0000ff;">평상시처럼 잘 먹는다</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 통</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">痛</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 한 곳</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">一處</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 치우쳐 나타나면</span> 반드시 혈기(血氣)가 옹알(壅遏)되어 통(通)하지 못하는 것이므로 이는 <span style="color: #ff0000;">옹농</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">癰膿</span><span style="color: #ff0000;">)</span>이 되는 것</span></p><p><span data-ke-size="size18">촌구맥(寸口脈)이 <span style="color: #0000ff;">부</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮</span><span style="color: #0000ff;">)</span>하면 <span style="color: #f200f2;">표</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">表</span><span style="color: #f200f2;">)</span>에 있는 것이고, <span style="color: #0000ff;">침</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">沈</span><span style="color: #0000ff;">)</span>하면 <span style="color: #f200f2;">리</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">裏</span><span style="color: #f200f2;">)</span>에 있는 것이며,</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">數</span><span style="color: #0000ff;">)</span>하면 <span style="color: #f200f2;">부</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">腑</span><span style="color: #f200f2;">)</span>에 있는 것이고, <span style="color: #0000ff;">지</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">遲</span><span style="color: #0000ff;">)</span>하면 <span style="color: #f200f2;">장</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">臟</span><span style="color: #f200f2;">)</span>에 있는 것이다.</span></p><p><span data-ke-size="size18">촌관척(寸關尺) 삼부(三部)에 <span style="color: #0000ff;">부침</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮沈</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">대소</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">大小</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">지삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">遲數</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 동등</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">同等</span><span style="color: #0000ff;">)</span>하면 비록 한열(寒熱)이 풀리지 않아도 이는 맥(脈)의 <span style="color: #f200f2;">음양</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">陰陽</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">이 화평</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">和平</span><span style="color: #f200f2;">)</span>한 것, 극(劇)하여도 반드시 낫게 된다.</span></p><p><span data-ke-size="size18">맥(脈)이 <span style="color: #0000ff;">부</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 땀</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">汗</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 구슬</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">珠</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 구르듯이</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">流</span><span style="color: #0000ff;">) </span>나면 <span style="color: #ff19ff;">양기</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陽氣</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">가 쇠</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">衰</span><span style="color: #ff19ff;">)</span>한 것</span></p><p><span data-ke-size="size18">맥(脈)이 <span style="color: #0000ff;">국</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">羹</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">위에 </span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">떠다니는</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">지방</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">肥</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">처럼 언뜻 언뜻</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">瞥瞥 </span><span style="color: #0000ff;">별별</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">보이면</span> <span style="color: #ff19ff;">양기</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陽氣</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">가 미</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">微</span><span style="color: #ff19ff;">)</span>한 것</span></p><p><span data-ke-size="size18">맥(脈)이 <span style="color: #0000ff;">거미</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">蜘蛛</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">의 줄</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">絲</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">처럼 </span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">얼키설키</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">얽혀 있는</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">縈縈</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">듯 </span>하면 <span style="color: #ff19ff;">양기</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陽氣</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">가 쇠</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">衰</span><span style="color: #ff19ff;">)</span>한 것</span></p><p><span data-ke-size="size18">맥(脈)에 <span style="color: #0000ff;">옻</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">漆</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">을 부으면</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">瀉</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">끊어지는</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">絶</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">것 같이 </span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">띄엄띄엄</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">이어지면</span>(:綿綿) <span style="color: #ff19ff;">혈</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">血</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">이 망</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">亡</span><span style="color: #ff19ff;">)</span>한 것</span></p><p><span data-ke-size="size18">맥(脈)이 <span style="color: #0000ff;">침</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">沈</span><span style="color: #0000ff;">)</span>하면 <span style="color: #ff19ff;">영기</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">榮氣</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">가 미</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">微</span><span style="color: #ff19ff;">)</span>한 것</span></p><p><span data-ke-size="size18">맥(脈)이 <span style="color: #0000ff;">부대</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮大</span><span style="color: #0000ff;">)</span>하면 <span style="color: #ff19ff;">기실</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">氣實</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">하고 혈허</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">血虛</span><span style="color: #ff19ff;">)</span>한 것</span></p><p><span data-ke-size="size18">맥(脈)이 <span style="color: #0000ff;">약간 완</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緩</span><span style="color: #0000ff;">)</span>하면 <span style="color: #ee2323;">나으려는 것</span></span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">양맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">陽脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">은 부</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮</span><span style="color: #0000ff;">)</span>하고 <span style="color: #0000ff;">음맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">陰脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">은 약</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">弱</span><span style="color: #0000ff;">)</span>하면 <span style="color: #ff19ff;">혈허</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">血虛</span><span style="color: #ff19ff;">)</span>이니, 혈(血)이 허(虛)하면 근(筋)이 급(急)</span></p><p><span data-ke-size="size18">맥(脈)이 <span style="color: #0000ff;">미약</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">微弱</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 오한</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">惡寒</span><span style="color: #0000ff;">)</span>하면 이는 <span style="color: #ff19ff;">음양</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陰陽</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">이 모두 허</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">虛</span><span style="color: #ff19ff;">)</span>한 것, 다시 발한(發汗)하거나 토(吐)하거나 하(下)할 수 없다.</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">음증</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">陰證</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 없으면</span> 이를 <span style="color: #00cc00;">온</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">溫</span><span style="color: #00cc00;">)</span>, 맥(脈)이 약간 <span style="color: #0000ff;">연속</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">續</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">되면</span> <span style="color: #ee2323;">살아나고</span>, <span style="color: #0000ff;">갑자기 나오면</span> <span style="color: #ee2323;">죽게 된다.</span></span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">음병</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">陰病</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 양맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">陽脈</span><span style="color: #0000ff;">)</span>이 보이면 <span style="color: #ee2323;">살아나고</span>, <span style="color: #0000ff;">양병</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">陽病</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 음맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">陰脈</span><span style="color: #0000ff;">)</span>이 보이면 <span style="color: #ee2323;">죽게 된다.</span>"</span></p><p> </p><p><span data-ke-size="size18">상한론([傷寒論])에 "<span style="color: #0000ff;">촌맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">寸脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 미</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">微</span><span style="color: #0000ff;">)</span>하면 <span style="color: #ff19ff;">양</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陽</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">의 부족</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">不足</span><span style="color: #ff19ff;">)</span>이라 명(名)하니, 음기(陰氣)가 위로 양(陽)의 속으로 들어가면서 <span style="color: #0000ff;">오싹오싹</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">灑淅</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">오한</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">惡寒</span><span style="color: #0000ff;">)</span>한다.</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">척맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">尺脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 미</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">微</span><span style="color: #0000ff;">)</span>하면 <span style="color: #ff19ff;">음</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陰</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">의 부족</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">不足</span><span style="color: #ff19ff;">)</span>이라 명(名)하니, 양기(陽氣)가 아래로 음(陰) 속으로 꺼져 들어가면서(:陷入) <span style="color: #0000ff;">발열</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">發熱</span><span style="color: #0000ff;">)</span>한다.</span></p><p><span data-ke-size="size18">촌구맥(寸口脈)이 <span style="color: #0000ff;">미</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">微</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 삽</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">澁</span><span style="color: #0000ff;">)</span>할 때, <span style="color: #0000ff;">미</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">微</span><span style="color: #0000ff;">)</span>는 <span style="color: #f200f2;">위기</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">衛氣</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">의 불행</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">不行</span><span style="color: #f200f2;">)</span>이고 <span style="color: #0000ff;">삽</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">澁</span><span style="color: #0000ff;">)</span>은 <span style="color: #f200f2;">영기</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">榮氣</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">의 부족</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">不足</span><span style="color: #f200f2;">)</span>이니, 위기(衛氣)가 쇠(衰)하면 <span style="color: #0000ff;">면색</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">面色</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 황</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">黃</span><span style="color: #0000ff;">)</span>하고, 영기(榮氣)가 부족(不足)하면 <span style="color: #0000ff;">면색</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">面色</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 청</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">靑</span><span style="color: #0000ff;">)</span>하게 된다.</span></p><p><span data-ke-size="size18">영(榮)은 뿌리(:根)이고 위(衛)는 잎(:葉)이니, 영위(榮衛)가 모두 미약(微)하면 뿌리와 잎(:根葉)이 마르면서(:枯槁) <span style="color: #0000ff;">한율</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">寒慄</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 해역</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">咳逆</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하며</span><span style="color: #0000ff;">, </span><span style="color: #0000ff;">타성</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">唾腥</span><span style="color: #0000ff;">: </span><span style="color: #0000ff;">비린내 나다</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고</span><span style="color: #0000ff;">, </span><span style="color: #0000ff;">토연말</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">吐涎沫</span><span style="color: #0000ff;">:</span> 침이나 거품을 게워내다)한다."</span></p><p> </p><p><span data-ke-size="size18">상한론([傷寒論])에 "<span style="color: #0000ff;">긴맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊脈</span><span style="color: #0000ff;">)</span>은 어째서 오는 것인가?"</span></p><p><span data-ke-size="size18">"가령 망한(亡汗)하거나 토(吐)하면 폐(肺)의 리(裏)가 한(寒)하게 되므로 맥(脈)이 긴(緊)하게 된다.</span></p><p><span data-ke-size="size18">가령 해(咳)하는데 앉아서(:坐) 냉수(冷水)만 음(飮)하면 따라서 맥(脈)이 긴(緊)하게 된다.</span></p><p><span data-ke-size="size18">가령 하리(下利)하면 위중(胃中)이 허랭(虛冷)하므로 <span style="color: #0000ff;">맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 긴</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊</span><span style="color: #0000ff;">)</span>하게 된다."</span></p><p> </p><p><span data-ke-size="size18">여기서 말하는 긴(緊)을 생각하건대, 곧 <span style="color: #0000ff;">현</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">弦</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하게 부딪히면서</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">搏</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">연</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">軟</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하지 않는 것</span></span></p><p><span data-ke-size="size18">이는 그것이 긴(緊)하다는 것만 단순(單)히 말한 것이지, <span style="color: #0000ff;">활삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">滑數</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하다는 의미</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">意</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">는 없다</span><span style="color: #0000ff;">.</span></span></p><p><span data-ke-size="size18">이는 곧 양명(陽明)의 위기(胃氣)가 상(傷)을 입은 맥(脈)이므로 <span style="color: #ff19ff;">음한</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陰寒</span><span style="color: #ff19ff;">)</span>의 증(證)을 주(主)</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">긴</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">數</span><span style="color: #0000ff;">)</span>을 겸(兼)한다면 이는 반드시 <span style="color: #ff19ff;">외사</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">外邪</span><span style="color: #ff19ff;">)</span>로 인한 소치</span></p><p> </p><p><span data-ke-size="size18">생각하건대, "부(浮)는 표(表)에 있고, 침(沈)은 리(裏)에 있다."는 것은 고금(古今)으로 서로 전(傳)하는 법(法)</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">침맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">沈脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에도 표증</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">表證</span><span style="color: #0000ff;">)</span>이 있으니, 이는 <span style="color: #ff0000;">음실</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陰實</span><span style="color: #ff0000;">) </span><span style="color: #ff0000;">양허</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陽虛</span><span style="color: #ff0000;">)</span>로 <span style="color: #ff19ff;">한</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">寒</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">이 승</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">勝</span><span style="color: #ff19ff;">)</span>하여 그런 것</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">부맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에도 이증</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">裏證</span><span style="color: #0000ff;">)</span>이 있으니, 이는 <span style="color: #ff0000;">양실</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陽實</span><span style="color: #ff0000;">) </span><span style="color: #ff0000;">음허</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陰虛</span><span style="color: #ff0000;">)</span>로 <span style="color: #ff19ff;">수</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">水</span><span style="color: #ff19ff;">)</span><span style="color: #ff19ff;">가 휴</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">虧</span><span style="color: #ff19ff;">)</span>하여 그런 것</span></p><p> </p><p><span data-ke-size="size18">표사(表邪)를 살피려면 단순하게 <span style="color: #0000ff;">부침</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮沈</span><span style="color: #0000ff;">)</span>에만 의거(據)하면 마땅하지 않으니, 오직 마땅히 <span style="color: #0000ff;">긴삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊數</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">한지의 여부</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">與否</span><span style="color: #0000ff;">)</span>로 변별(辨)하여야 비로소 정확(:的)</span></p><p><span data-ke-size="size18">한사(寒邪)가 <span style="color: #ff19ff;">표</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">表</span><span style="color: #ff19ff;">)</span>에 있으면 <span style="color: #0000ff;">맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">은 모두 긴삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊數</span><span style="color: #0000ff;">)</span>한데, <span style="color: #0000ff;">긴삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊數</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 심</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">甚</span><span style="color: #0000ff;">)</span>하면 사기(邪)가 또한 심(甚)하고, <span style="color: #0000ff;">긴삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊數</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 미약</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">微</span><span style="color: #0000ff;">)</span>하면 사기(邪)가 또한 미약(微)한 것</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">긴삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊數</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 부홍</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮洪</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 유력</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">有力</span><span style="color: #0000ff;">)</span>하면 사기(邪)가 <span style="color: #ff19ff;">양분</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陽分</span><span style="color: #ff19ff;">)</span>에 있으니 곧 <span style="color: #ff0000;">양증</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陽證</span><span style="color: #ff0000;">)</span></span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">긴삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊數</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면서 부침</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮沈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 무력</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">無力</span><span style="color: #0000ff;">)</span>하면 사기(邪)가 <span style="color: #ff19ff;">음분</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">陰分</span><span style="color: #ff19ff;">)</span>에 있으니 곧 <span style="color: #ff0000;">음증</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">陰證</span><span style="color: #ff0000;">)</span></span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">긴삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊數</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">의 맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 표증</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">表證</span><span style="color: #0000ff;">)</span>이 겸하여 나타나면 이는 곧 <span style="color: #f200f2;">외감</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">外感</span><span style="color: #f200f2;">)</span>이라는 것을 의심(疑)할 수 없으니, 마땅히 그 치료(治)는 <span style="color: #00cc00;">해산</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">解散</span><span style="color: #00cc00;">)</span></span></p><p> </p><p><span data-ke-size="size18"><span style="color: #f200f2;">내상</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">內傷</span><span style="color: #f200f2;">)</span>의 맥(脈)에도 <span style="color: #0000ff;">긴삭</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊數</span><span style="color: #0000ff;">)</span>한 경우가 있다.</span></p><p><span data-ke-size="size18"><span style="color: #ff19ff;">내상</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">內傷</span><span style="color: #ff19ff;">)</span><span style="color: #0000ff;">의 긴</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">은 점차적으로</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">漸</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">오고</span><span style="color: #0000ff;">, </span><span style="color: #ff19ff;">외감</span><span style="color: #ff19ff;">(</span><span style="color: #ff19ff;">外感</span><span style="color: #ff19ff;">)</span><span style="color: #0000ff;">의 긴</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">은 갑자기</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">陡然</span><span style="color: #0000ff;">) </span><span style="color: #0000ff;">발</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">發</span><span style="color: #0000ff;">)</span>하는 것</span></p><p><span data-ke-size="size18">이것으로 변별(辨)하는 것이 가장 적절(:切當)</span></p><p> </p><p><span data-ke-size="size18">긴(緊)한 것 같지만(:似) 긴(緊)이 아니고(:非), 다만 평소(:平昔)와 비교(較)하여 <span style="color: #0000ff;">조금 더 활질</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">滑疾</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하게 나타면서도 심</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">甚</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하지 않으면</span> 이 또한 <span style="color: #f200f2;">외감</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">外感</span><span style="color: #f200f2;">)</span>의 증(證)이 있다는 것</span></p><p><span data-ke-size="size18">이처럼 <span style="color: #0000ff;">사기</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">邪</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">가 경</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">輕</span><span style="color: #0000ff;">)</span>하거나 혹 <span style="color: #0000ff;">초기</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">初</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 감</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">感</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하여 심</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">甚</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하지 않은 경우</span>에도 이러한 맥(脈)이 많이 나타난다.</span></p><p> </p><p><span data-ke-size="size18"><span style="color: #0000ff;">화완</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">和緩</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하여 전적</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">全</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">으로 긴질</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">緊疾</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">한 기미</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">意</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">는 없다면</span> 맥(脈)이 비록 <span style="color: #0000ff;">부대</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮大</span><span style="color: #0000ff;">)</span>하여도 이는 <span style="color: #ff0000;">외사</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">外邪</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 증</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">證</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">이 아니다</span><span style="color: #ff0000;">. </span></span></p><p> </p><p><span data-ke-size="size18">도절암(陶節菴)이 "맥(脈)이 부(浮)하면 마땅히 발한(汗)하여야 하고, 맥(脈)이 침(沈)하면 마땅히 사하(下)하여야 하니, 이는 진실로 마땅한 바이다.</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 비록 부</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하여도 하</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">下</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">할 수 있는 경우</span>가 있으니, 사열(邪熱)이 부(腑)에 들어가 <span style="color: #0000ff;">대변</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">大便</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 난</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">難</span><span style="color: #0000ff;">)</span>한 경우. 만약 대변(大便)이 난(難)하지 않으면 어찌 감히 하(下)할 수 있겠는가?</span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">맥</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">脈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 비록 침</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">沈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하여도 한</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">汗</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">할 수 있는 경우</span>가 있으니, 소음병(少陰病)으로 <span style="color: #0000ff;">신열</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">身熱</span><span style="color: #0000ff;">)</span>이 있는 경우. 만약 신(身)에 발열(發熱)이 없으면 어찌 감히 발한(汗)할 수 있겠는가?"</span></p><p><span data-ke-size="size18">이 설(說)로 보아 <span style="color: #0000ff;">침</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">沈</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에도 표</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">表</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">가 있고 부</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">浮</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에도 리</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">裏</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">가 있다</span>는 것을 알 수 있다.</span></p><p> </p>
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카페 게시글
상한전 (07-09)
04. 맥(脈)을 논(論)하다
코코람보
추천 0
조회 27
23.08.07 03:58
댓글 3
다음검색
첫댓글 상한(傷寒)의 사기(邪)는 사실 정(定)해진 실체(體)가 없다.
진단(診)하는 법(法)은 그 증(證)을 물어 겉(:外)을 알고 그 맥(脈)을 살펴 속(:內)을 아는 것
맥(脈)과 증(證)을 참합(參合: 참고하여 합치다)하고 완급(緩急)과 선후(先後)를 알 수 있으면 곧 상공(上工)
부맥(浮脈) 침맥(沈脈) 대맥(大脈) 완맥(緩脈)
부(浮) 대(大) 삭(數) 동(動) 활(滑)하면 모두 양(陽)
침(沈) 삽(澁) 약(弱) 현(弦) 미(微)하면 모두 음(陰)
부(浮)하면 표(表)에 있는 것
침(沈)하면 리(裏)에 있는 것
삭(數)하면 부(腑)에 있는 것
지(遲)하면 장(臟)에 있는 것
촌맥(寸脈)이 미(微)하면 양(陽)의 부족(不足)
척맥(尺脈)이 미(微)하면 음(陰)의 부족(不足)
침맥(沈脈)에도 표증(表證)이 있으니, 이는 음실(陰實) 양허(陽虛)로 한(寒)이 승(勝)하여 그런 것
부맥(浮脈)에도 이증(裏證)이 있으니, 이는 양실(陽實) 음허(陰虛)로 수(水)가 휴(虧)하여 그런 것
긴삭(緊數)하면서 부홍(浮洪)하고 유력(有力)하면 사기(邪)가 양분(陽分)에 있으니 곧 양증(陽證)
긴삭(緊數)하면서 부침(浮沈)하고 무력(無力)하면 사기(邪)가 음분(陰分)에 있으니 곧 음증(陰證)
침(沈)에도 표(表)가 있고 부(浮)에도 리(裏)가 있다
◆ 맥과 증을 같이 잘 살펴야 한다.
유력 무력을 통해 허실을 파악하고
부침 지삭을 통해 표리를 파악한다.