勞瘵란 무엇일까? (What is Nochae(勞瘵)?)

서지정보

· 발행기관 : 대한한방안이비인후피부과학회
· 수록지 정보 : 한방안이비인후피부과학회지 / 35권 / 4호 / 47 ~ 62페이지
· 저자명 : 송창은, 장정환, 서형식

초록

Objectives : To analyze and understand the clear meaning of Nochae(勞瘵), which is used in the same meaning as tuberculosis in Korean medicine.
Methods : Nochae was mainly investigated using the Korean medicine classic DB(https://mediclassics.kr).
Records that clearly revealed the visual observation of Nochaechung(勞瘵蟲), the cause of Nochae, and those that do not were arranged in chronological order. It was also analyzed what modern diseases are similar to Nochae.
Results : Records that Nochaechung can be observed visually through feces or vomiting suggested the possibility of ascariasis. Nochaechung, which has a shape similar to silkworms and causes symptoms such as coughing and hemoptysis similar to those of tuberculosis while parasitic on human, suggested the possibility of paragonimus westermani. Based on the record that it showed symptoms of coughing and hemoptysis along with chills, fever, and weight loss, Nochae might have been a disease such as pneumonia and lung cancer as well as tuberculosis. Records of women's bloating, weight loss, anorexia, and jaundice suggested that Nochae might have been a liver cirrhosis.
Conclusions : Records that clearly reveal the visual observations of Nochaechung, suggested that Nochae was a parasitic disease such as ascariasis or paragonimiasis. Records that visual observation of Nochaechung was not clearly revealed, suggested that Nochae might have been diseases such as pneumonia, lung cancer, and liver cirrhosis in addition to tuberculosis.

영어초록

Objectives : To analyze and understand the clear meaning of Nochae(勞瘵), which is used in the same meaning as tuberculosis in Korean medicine.
Methods : Nochae was mainly investigated using the Korean medicine classic DB(https://mediclassics.kr).
Records that clearly revealed the visual observation of Nochaechung(勞瘵蟲), the cause of Nochae, and those that do not were arranged in chronological order. It was also analyzed what modern diseases are similar to Nochae.
Results : Records that Nochaechung can be observed visually through feces or vomiting suggested the possibility of ascariasis. Nochaechung, which has a shape similar to silkworms and causes symptoms such as coughing and hemoptysis similar to those of tuberculosis while parasitic on human, suggested the possibility of paragonimus westermani. Based on the record that it showed symptoms of coughing and hemoptysis along with chills, fever, and weight loss, Nochae might have been a disease such as pneumonia and lung cancer as well as tuberculosis. Records of women's bloating, weight loss, anorexia, and jaundice suggested that Nochae might have been a liver cirrhosis.
Conclusions : Records that clearly reveal the visual observations of Nochaechung, suggested that Nochae was a parasitic disease such as ascariasis or paragonimiasis. Records that visual observation of Nochaechung was not clearly revealed, suggested that Nochae might have been diseases such as pneumonia, lung cancer, and liver cirrhosis in addition to tuberculosis.

참고자료

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