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<p style="text-align: center;"><span data-ke-size="size18">15. 뇨혈(溺血)의 치(治)를 논(論)하다</span></p><p><span data-ke-size="size18"><span style="color: #ff0000;">뇨혈</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">溺血</span><span style="color: #ff0000;">)</span>의 증(證)은 그 출(出)하는 이유(由)가 <span style="color: #f200f2;">세 가지</span>가 있다.</span></p><p><span data-ke-size="size18"><span style="color: #f200f2;">뇨공</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">溺孔</span><span style="color: #f200f2;">)</span>으로 나오는 것에 두 가지가 있고, <span style="color: #f200f2;">정공</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">精孔</span><span style="color: #f200f2;">)</span>으로 나오는 것에 한 가지가 있다.</span></p><p> </p><p><span data-ke-size="size18">一. <span style="color: #ff0000;">뇨공</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">溺孔</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 혈</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">血</span><span style="color: #ff0000;">)</span>에서 그 래(來)가 <span style="color: #f200f2;">근</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">近</span><span style="color: #f200f2;">)</span>하면 <span style="color: #f200f2;">방광</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">膀胱</span><span style="color: #f200f2;">)</span>으로부터 출(出)하는 것이다.</span></p><p><span data-ke-size="size18">그 증(證)은 <span style="color: #0000ff;">뇨</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">溺</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">할 시</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">時</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 반드시 공도</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">孔道</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">가 삽통</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">澁痛</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하고 소수</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">小水</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">가 홍적</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">紅赤</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하며 불리</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">不利</span><span style="color: #0000ff;">)</span>한다.</span></p><p><span data-ke-size="size18">이는 대부분 <span style="color: #f200f2;">주색</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">酒色</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">이나 욕념</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">慾念</span><span style="color: #f200f2;">)</span>으로 <span style="color: #f200f2;">하초</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">下焦</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">의 화</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">火</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">가 동</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">動</span><span style="color: #f200f2;">)</span>하여 그러한 것이다. 보통 <span style="color: #f200f2;">상화</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">相火</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">가 망동</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">妄動</span><span style="color: #f200f2;">)</span>하여 역(逆)하고 불통(不通)하므로 나타나는데, <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;">하면 임탁</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">淋濁</span><span style="color: #0000ff;">)</span>하고 <span style="color: #0000ff;">심</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">甚</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하면 혈</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">血</span><span style="color: #0000ff;">)</span>이 보이는 것이다. 경(經)에 이르기를 "포(胞)가 방광(膀胱)으로 이열(移熱)하면 융(癃)하고 뇨혈(溺血)한다."는 것이 곧 이 증(證)이다.</span></p><p><span data-ke-size="size18">그 치료(治)는 마땅히 <span style="color: #00cc00;">방광</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">膀胱</span><span style="color: #00cc00;">)</span><span style="color: #00cc00;">의 화</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">火</span><span style="color: #00cc00;">)</span><span style="color: #00cc00;">를 청리</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">淸利</span><span style="color: #00cc00;">)</span>하여야 하니, <span style="color: #00cc00;">생지</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">生地</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">작약</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">芍藥</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">우슬</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">牛膝</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">산치</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">山梔</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">황백</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">黃栢</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">지모</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">知母</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">용담초</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">龍膽草</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">구맥</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">瞿麥</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">목통</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">木通</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">택사</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">澤瀉</span><span style="color: #00cc00;">) </span>등의 제(劑)로 하거나 <span style="color: #00cc00;">칠정산</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">七正散</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">대분청음</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">大分淸飮</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">오림산</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">五淋散</span><span style="color: #00cc00;">)</span>의 속(屬)으로 하여야 하니 모두 마땅한 것들이다.</span></p><p><span data-ke-size="size18">一. <span style="color: #ff0000;">뇨공</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">溺孔</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 혈</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">血</span><span style="color: #ff0000;">)</span>에서 그 래(來)가 <span style="color: #f200f2;">원</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">遠</span><span style="color: #f200f2;">)</span>하면 <span style="color: #f200f2;">소장</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">小腸</span><span style="color: #f200f2;">)</span>으로부터 나오는 것이다.</span></p><p><span data-ke-size="size18">그 증(證)은 <span style="color: #0000ff;">뇨공</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">溺孔</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 통</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">痛</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하지 않으면서 혈</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">血</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 뇨</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">溺</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">를 따라 나오고 혹 통</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">痛</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 제복</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">臍腹</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 은은</span><span style="color: #0000ff;">(:</span><span style="color: #0000ff;">隱</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하게 있거나 열</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">熱</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 장부</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">臟腑</span><span style="color: #0000ff;">)</span>에 나타난다.</span></p><p><span data-ke-size="size18">소장(小腸)과 심(心)은 표리(表裏)이니, 이는 병화(丙火) 기화(氣化)의 근원(源)이며, 청탁(淸濁)이 이로부터 분리(分)된다. 따라서 초심(焦心) 노력(勞力)하거나 후미(厚味) 주장(酒漿)을 막론(:無論)하고, <span style="color: #f200f2;">상</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">上</span><span style="color: #f200f2;">) </span><span style="color: #f200f2;">중</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">中</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">의 이초</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">二焦</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">에 오지</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">五志</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">와 구복</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">口腹</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">의 화</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">火</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">가 청도</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">淸道</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">로 강</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">降</span><span style="color: #f200f2;">)</span>하게 되면 반드시 모두 소장(小腸)에서 방광(膀胱)에 달(達)하게 된다.</span></p><p><span data-ke-size="size18">그 치료(治)는 반드시 증(證)을 따라 그 원인(因)을 살펴서 장부(臟腑)에 화(火)가 이르게 된 <span style="color: #00cc00;">근원</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">源</span><span style="color: #00cc00;">)</span><span style="color: #00cc00;">을 청</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">淸</span><span style="color: #00cc00;">)</span>하여야 하니, 마땅히 한진(寒陣) 중에서 방(方)을 선택(擇)하여 사용하여야 한다.</span></p><p> </p><p><span data-ke-size="size18">一. <span style="color: #ff0000;">정도</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">精道</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 혈</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">血</span><span style="color: #ff0000;">)</span>은 반드시 <span style="color: #f200f2;">정궁</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">精宮</span><span style="color: #f200f2;">) </span><span style="color: #f200f2;">혈해</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">血海</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">에서 명문</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">命門</span><span style="color: #f200f2;">)</span>으로 나온다. <span style="color: #ff0000;">신</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">腎</span><span style="color: #ff0000;">)</span>은 수(水)를 주(主)하고 오장육부(五臟六腑)의 정(精)을 받아 장(藏)한다. 따라서 <span style="color: #f200f2;">노</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">勞</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">로 오장</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">五臟</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">을 상</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">傷</span><span style="color: #f200f2;">)</span>하거나 <span style="color: #f200f2;">오지</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">五志</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">의 화</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">火</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">로 충임</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">衝任</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">의 혈</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">血</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">을 동</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">動</span><span style="color: #f200f2;">)</span>하게 되면 대부분 정도(精道)로 나오게 된다.</span></p><p><span data-ke-size="size18">그런데 무엇으로 변(辨)하는가?</span></p><p><span data-ke-size="size18">단지 병(病)이 <span style="color: #f200f2;">소장</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">小腸</span><span style="color: #f200f2;">)</span>에 있으면 반드시 <span style="color: #ff0000;">뇨</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">溺</span><span style="color: #ff0000;">)</span>로 나오고, 병(病)이 <span style="color: #f200f2;">명문</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">命門</span><span style="color: #f200f2;">)</span>에 있으면 반드시 <span style="color: #ff0000;">정</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">精</span><span style="color: #ff0000;">)</span>으로 나오는 것이다.</span></p><p> </p><p><span data-ke-size="size18"><span style="color: #0000ff;">소복</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">小腹</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">의 하</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">下</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">에 정</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">精</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 설</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">泄</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">하는 곳에 산통</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">痠痛</span><span style="color: #0000ff;">)</span>을 느끼면서 나오면 곧 이는 <span style="color: #f200f2;">명문</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">命門</span><span style="color: #f200f2;">)</span>의 병(病)이니, 치료(治)하는 법(法) 또한 수도(水道)와는 부동(不同)한다.</span></p><p><span data-ke-size="size18"><span style="color: #ff0000;">수도</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">水道</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 혈</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">血</span><span style="color: #ff0000;">)</span>은 <span style="color: #00cc00;">이</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">利</span><span style="color: #00cc00;">)</span>가 마땅하고, <span style="color: #ff0000;">정도</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">精道</span><span style="color: #ff0000;">)</span><span style="color: #ff0000;">의 혈</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">血</span><span style="color: #ff0000;">)</span>은 <span style="color: #00cc00;">이</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">利</span><span style="color: #00cc00;">)</span><span style="color: #00cc00;">가 마땅하지 않다</span><span style="color: #00cc00;">.</span></span></p><p><span data-ke-size="size18"><span style="color: #0000ff;">삽통</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">澁痛</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">으로 불통</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">不通</span><span style="color: #0000ff;">)</span>하면 또한 <span style="color: #00cc00;">이</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">利</span><span style="color: #00cc00;">)</span>가 마땅하고, <span style="color: #0000ff;">혈</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">血</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 활</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">滑</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;">하지 않으면</span> <span style="color: #00cc00;">이</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">利</span><span style="color: #00cc00;">)</span><span style="color: #00cc00;">가 마땅하지 않다</span><span style="color: #00cc00;">.</span></span></p><p> </p><p><span data-ke-size="size18">만약 <span style="color: #f200f2;">삼초</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">三焦</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">에 화</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">火</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">가 성</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">盛</span><span style="color: #f200f2;">)</span>하면 마땅히 <span style="color: #00cc00;">청화</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">淸火</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">양혈</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">凉血</span><span style="color: #00cc00;">)</span>을 위주로 하여야 하니, <span style="color: #00cc00;">생지</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">生地</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">작약</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">芍藥</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">단피</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">丹皮</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">지골피</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">地骨皮</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">천근</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">茜根</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">치자</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">梔子</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">괴화</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">槐花</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">및 황금</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">黃芩</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">황연</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">黃連</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">지모</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">知母</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">황백</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">黃栢</span><span style="color: #00cc00;">)</span>의 종류(類)로 주(主)하여야 한다. 혹 <span style="color: #00cc00;">약음환</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">約陰丸</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">약영전</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">約營煎</span><span style="color: #00cc00;">)</span>을 모두 쓸 수 있다.</span></p><p><span data-ke-size="size18">만약 <span style="color: #f200f2;">신음</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">腎陰</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">이 부족</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">不足</span><span style="color: #f200f2;">)</span>하여 <span style="color: #f200f2;">정혈</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">精血</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">이 불고</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">不固</span><span style="color: #f200f2;">)</span>하면 마땅히 <span style="color: #00cc00;">양음</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">養陰</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">양혈</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">養血</span><span style="color: #00cc00;">)</span>을 위주로 하여야 한다. <span style="color: #00cc00;">좌귀음</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">左歸飮</span><span style="color: #00cc00;">)</span><span style="color: #00cc00;">이나 인삼고본환</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">人蔘固本九</span><span style="color: #00cc00;">)</span>의 종류(類)로 주(主)하여야 한다.</span></p><p><span data-ke-size="size18">만약 <span style="color: #f200f2;">신허</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">腎虛</span><span style="color: #f200f2;">)</span>로 불금(不禁)하거나 병(病)이 오래 되어 <span style="color: #f200f2;">정혈</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">精血</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">이 활설</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">滑泄</span><span style="color: #f200f2;">)</span>하면 마땅히 <span style="color: #00cc00;">고삽</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">固澁</span><span style="color: #00cc00;">)</span>을 위주로 하여야 하니, <span style="color: #00cc00;">비원전</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">秘元煎</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">영출토사환</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">苓朮菟絲丸</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">금앵고</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">金櫻膏</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">옥쇄단</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">玉鎖丹</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">금쇄사선단</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">金鎖思仙丹</span><span style="color: #00cc00;">)</span>의 종류(類)로 주(主)하여야 한다. 혹 <span style="color: #00cc00;">속단</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">續斷</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">오매</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">烏梅</span><span style="color: #00cc00;">)</span>의 속(屬)도 또한 마땅히 써야 할 바이다.</span></p><p><span data-ke-size="size18">만약 <span style="color: #f200f2;">심기</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">心氣</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">가 부정</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">不定</span><span style="color: #f200f2;">)</span>하여 정신(精神)이 외치(外馳)하므로 <span style="color: #f200f2;">수화</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">水火</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">가 상잔</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">相殘</span><span style="color: #f200f2;">)</span>하고 <span style="color: #f200f2;">정혈</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">精血</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">이 실수</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">失守</span><span style="color: #f200f2;">)</span>하면 마땅히 <span style="color: #00cc00;">양심</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">養心</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">안신</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">安神</span><span style="color: #00cc00;">)</span>을 위주로 하여야 한다. <span style="color: #00cc00;">인삼환</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">人蔘丸</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">천왕보심단</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">天王補心丹</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">왕형공묘향산</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">王荊公妙香散</span><span style="color: #00cc00;">)</span>의 종류(類)로 주(主)하여야 한다.</span></p><p><span data-ke-size="size18">만약 <span style="color: #f200f2;">비폐</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">脾肺</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">의 기허</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">氣虛</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">로 하함</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">下陷</span><span style="color: #f200f2;">)</span>하여 섭혈(攝血)하지 못하여 하(下)하면 마땅히 <span style="color: #00cc00;">귀비탕</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">歸脾湯</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">인삼양영탕</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">人蔘養營湯</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">보중익기탕</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">補中益氣湯</span><span style="color: #00cc00;">) </span><span style="color: #00cc00;">거원전</span><span style="color: #00cc00;">(</span><span style="color: #00cc00;">擧元煎</span><span style="color: #00cc00;">)</span>의 종류(類)로 주(主)하여야 한다.</span></p><p> </p><p><span data-ke-size="size18">一. <span style="color: #0000ff;">혈</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">血</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">이 정도</span><span style="color: #0000ff;">(</span><span style="color: #0000ff;">精道</span><span style="color: #0000ff;">)</span><span style="color: #0000ff;">로 나오면</span> 이는 곧 <span style="color: #ff0000;">혈림</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">血淋</span><span style="color: #ff0000;">)</span>의 속(屬)이다. 대부분 <span style="color: #f200f2;">방노</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">房勞</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">로 인하여 음허</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">陰虛</span><span style="color: #f200f2;">) </span><span style="color: #f200f2;">화동</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">火動</span><span style="color: #f200f2;">)</span>하여 <span style="color: #f200f2;">영혈</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">營血</span><span style="color: #f200f2;">)</span><span style="color: #f200f2;">이 망행</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">妄行</span><span style="color: #f200f2;">)</span>하므로 그러한 것이다.</span></p><p><span data-ke-size="size18">혈(血)이 명문(命門)에서 출(出)하면서 삽통(澁痛)하면 <span style="color: #ff0000;">혈림</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">血淋</span><span style="color: #ff0000;">)</span>이고, 불통(不痛)하면 <span style="color: #ff0000;">뇨혈</span><span style="color: #ff0000;">(</span><span style="color: #ff0000;">溺血</span><span style="color: #ff0000;">)</span>이다. 호색(好色)하면 반드시 <span style="color: #f200f2;">허</span><span style="color: #f200f2;">(</span><span style="color: #f200f2;">虛</span><span style="color: #f200f2;">)</span>에 속(屬)한다.</span></p><p style="text-align: center;"> </p>
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잡증모07 (28-30)
15. 뇨혈(溺血)의 치(治)를 논(論)하다
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