질환별 한방치료의 실제 > 임상

서양의학병명을 한방의학의「證」일부에 도입한 새로운 한방치료 저서가 畏友 坂東正造선생님의 집필로 간행되게 되었다.
坂東正造선생님과의 만남은 옛 은사인 야마모토 이와오(山本巖)선생님의 진료실에서였다. 17년 전, 坂東선생님이 도쿠시마(德島, 시코쿠)에서 매주 수요일에 오사카 쿄바시(大阪 京橋)에 있는 야마모토(山本) 내과에 한방의학연수를 하러 오셨을 때이다. 얼마 지나지 않아 선생님은 야마모토(山本)내과의 상근의사가 되셨다.

야마모토 이와오(山本巖)선생님은 자신의 저서『東醫雜錄』에서 다음과 같이 말씀하셨다.「개개 약물의 기능과 약물을 조합하면 어떻게 될까, 같이 복용하여 결과를 살펴보도록 하자.“우리들이야말로 현대의 神農(중국전설상의 제왕)이다”라고 하면서 명예나 의리를 위해서가 아니라, 자기를 알아주는 사람의 따뜻한 마음에 감동한 자는 오시라. 한방의학의 스승은 약물과 환자이다」고 하셨다.

坂東선생님은 이 말을 야마모토(山本)선생님과 함께 실천해 오셨다. 매일 환자에게 단미의 생약이나 엑기스제를 복용하도록 하면서 5분, 15분 간격으로 그 효과를 시험했다. 이런 방대한 시험 결과를 본서의「약능에 의한 분류」,「약물해설」항목에서 정리했다.

약물요법이라는 것은 환자의 병태에 가장 적합한 방제를 만들어 복용하도록 하는 것이다. 이를 위해서는 개개 약물작용(약능)을 아는 것, 약물을 조합하면 그 작용이 어떻게 되는가 하는 방제의 의미를 아는 것이 가장 기초적일 것이다.
저자는「한방은 그렇게 이해하기 어려운 것이 아니다… 한방은 병태와 약물작용(약능)과의 대응을 아는 것부터 시작해야 이해하기 쉽다… 한방 처방에 사용되는 기본적 약물의 조합(구조)과 그 작용(약능)을 이해하는 것에서 시작하는 것이 좋다」고 갈파하셨다. 본서의 총론인「약능에 의한 분류」에 관한 항목이 이 부분인데, 저자가 가장 심혈을 기울인 분야이다. 각론은 질병의 다채로운 병태에 대한 응용편이다.

고인은 적절한 방제를 선택하는 노하우를「證」으로서 이해하였다. 그러나「證」(병태)에 대한 파악이 望聞問切의 四診이라는 원시적인 진단법밖에 없으면 같은「證」이라고 진단하더라도 같은 병태가 아닌 경우가 많다. 병인(환자)의「證」은 옛날의 四診에 의해서만이 아니고, 현대 서양의학적 기술 등 모든 수법을 이용하여 얻어야 할 것이다. 이른바「證」의 배경에 있는 병태 파악이야말로 가장 중요한 것이다.

저자는 본서에서「證」의 파악에는 한방적 병태진단만이 아니라 서양의학적 병명과 병태생리를 받아들여「證」파악을 쉽게 하고 있으며, 이어서「證」을 정확하게 파악하기를 기대하였다. 각론에서는 서양의
학적 질병분류에 기초하여 개개 질병에 한방적 병태진단을 가미하여 병태 기간(병기), 병태, 병인(환자)의 체질(正氣 상태)을 진단하여「證」에 적합한 방제의 조합방법을 서술하고 있다. 왜 그「證」(병태)에 그 방제를 사용하는가, 개개 약물의 약능과 약물 조합에 의한 작용(저자가 말하는 기본구조)을 근거로 해설이 추가되어 있다. 거론된 질병도 아주 다양하며, 여기에 저자의 풍부한 임상경험을 논하고 있다.

또한 본서의 특징 중의 하나가 각론에서 다루는 驅瘀血劑의 사용법에 있다. 저자는 어혈이라는 것은 여러 가지 병태에 부속하는 것이고, 특히 난치성질환, 만성질환, 여성 질환은 어혈에 대한 고려가 필요하다고 제언하고 있다. 본서를 통하여 어혈과 관련된 질병이 얼마나 많은가, 驅瘀血劑의 병용이 얼마나 중요한가를 이해할 수 있을 것이다.
현재로서는 어혈은 임상적 가설이고 본태도 불분명하다. 어혈에 대한 본태의 해명은 한방의학에서 요구되는 커다란 과제이다. 驅瘀血劑가 유효한 서양의학적 질환의 병태에서 어혈의 본태를 파악하기 위해접근하는 것도 그 하나의 방법이 아닐까하고 생각한다.

본서에서 저자가 목표로 하는 서양병명별 한방치료 방법은 한방을 학문으로서 다루고자 하는 하나의 방법일 것이다. 한방의학은 기술이라고 하는 사람도 있지만, 학문과 기술은 수레의 두 바퀴처럼 불가결한 요소로 중요하다. 기술은 한 세대에 머무르지만 학문은 축적도, 개혁도 가능하다. 그리고 저자는 故 야마모토 이와오(山本巖)선생님과 함께 현대에 맞는 한방의학을 완성하기 위하여 진력을 다하셨다.

四診이라는 원시적인 진단방법으로 정리해 온 이른바「證」에만 기초한 한방치료는 이제는 졸업해야 할 것이다. 이른바「證」을 직시해서 보여주는 병태 파악에 기초한 한방치료야말로 오늘날 요구되는 본연의 모습일 것이다.

이런 의미에서 나는 본서를 지금부터 한방의학을 입문하려고 하는 젊은이들에게 추천하고 싶다. 또한 이른바「證」을 이해할 수 없어서 고민하고 계시는 분들에게도 추천하고 싶다.

2001년 11월
福富 稔明

총론|기초편
총설··························································································································································· 2
구조주의 한방의학··································································································································· 3
약능에 따른 분류··································································································································· 12
각론|응용편
개설························································································································································· 74
한방엑기스제를 효과적으로 사용하는 방법························································································· 76

내과 질환

<1> 호흡기질환·································································································································· 78
1. 호흡기감염증··································································································································· 78

   1) 감기증후군······································································································································ 78
2. 호흡기 염증성질환························································································································· 98
   1) 급성 염증································································································································· 98
   2) 결핵·········································································································································· 105
   3) 흉막염······································································································································ 106
   4) 폐화농증 기관지확장증··········································································································· 107
3. 폐색성폐질환································································································································ 107
   1) 기관지천식······························································································································· 107
   2) 만성기관지염···························································································································· 111
   3) 폐기종…일을 할 때 호흡곤란, 기침? 객담이 있을 때··························································· 113
4. 구속성 폐질환······························································································································· 114
   1) 폐섬유증··································································································································· 114

<2> 순환기질환······································································································································· 114
1. 심장질환········································································································································ 114
   1) 울혈성 심장질환······················································································································· 114
   2) 부정맥······································································································································ 120
   3) 허혈성 심장질환······················································································································ 120
   4) 심막염······································································································································ 122
   5) 심장성신경증··························································································································· 122
   6) 심장판막증 선천성심장질환···································································································· 123
2. 혈압이상········································································································································ 123
   1) 고혈압증··································································································································· 123
   2) 저혈압증(기립성조절장애)······································································································· 125
3. 동맥경화증···································································································································· 126
4. 맥관계 질환·································································································································· 128
   1) 폐색성동맥경화증(ASO) 폐색성혈전혈관염(Buerger병)························································ 128
   2) 레이노병·································································································································· 130
   3) 혈전성정맥염, 정맥류증후군·································································································· 130
   4) 냉증·········································································································································· 131

<3> 소화기질환······································································································································· 131
1. 구내염············································································································································ 131
   1) 아프타성 구내염(aphthous stomatitis)················································································· 131
   2) 궤양성 구내염 … 口舌에 궤양이 생길 때············································································· 132
   3) 위축성 구내염·························································································································· 132
2. 식도?위운동기능이상··················································································································· 133
   1) 인후두이상감증························································································································ 133
   2) 식도이완불능증(esophageal achalasia) 反芻症(역류성식도염)··········································· 134
3. 위염?식도염·································································································································· 135
   1) 급성위염 역류성식도염 표층성위염························································································ 135
   2) 만성위염··································································································································· 136
4. 위, 십이지장궤양·························································································································· 139
5. 딸꾹질············································································································································ 141
   1) 일반적······································································································································· 141
   2) 냉증이 원인인 경우················································································································· 141
   3) 수술 후···································································································································· 142
6. 급성장염········································································································································ 142
   1) 소장염(설사)····························································································································· 142
   2) 급성대장염(이질)····················································································································· 143
   3) 냉증으로 인한 설사(虛寒설사? 中寒설사)·············································································· 144
   4) 正氣虛 설사····························································································································· 146
7. 과민성 장증후군··························································································································· 147
   1) 변비형 or 변비와 설사의 교대형··························································································· 147
   2) 설사형······································································································································ 150
   3) 점액배출형······························································································································· 151
8. 복부통…疝痛(높낮이가 있는 복통)······························································································ 151
   1) 냉감으로 인한 경우(寒疝)······································································································· 152
   2) 열로 인한 경우(熱疝)·············································································································· 152
3) 정신적 스트레스로 인한 경우································································································ 153
9. 脾彎曲증후군································································································································ 153
10. 변비증·········································································································································· 153
11. 궤양성대장염 크론병··················································································································· 155
12. 충수염·········································································································································· 156
   1) 급성초기··································································································································· 156
   2) 만성염증··································································································································· 157

<4> 간?담?췌장질환······························································································································ 158
1. 간염··············································································································································· 158
   1) 급성간염··································································································································· 158
   2) 만성간염··································································································································· 158
2. 간경변··········································································································································· 160
   1) 代償期 … 문맥압항진형·········································································································· 160
   2) 非代償期 … 복수가 발견되는 시기······················································································· 160
3. 지방간············································································································································ 161
4. 간농양··········································································································································· 162
5. 담석증··········································································································································· 162
   1) 간헐적 발작기·························································································································· 162
   2) 발작 시 … 발열 오심 구토 복통 황달 등이 있을 때··························································· 163
6. 담낭염?담관염······························································································································ 164
   1) 급성기······································································································································ 164
   2) 만성기······································································································································ 164
7.「담도이상운동증(dyskinesia)」··································································································· 165
8. 췌장염··········································································································································· 166
   1) 급성췌장염······························································································································· 166
   2) 만성췌장염······························································································································· 166

<5> 신장질환·········································································································································· 167
1. 신염 신증후군······························································································································· 167
   1) 급성 사구체신염······················································································································ 167
   2) 신증후군··································································································································· 167
   3) 만성사구체신염 or 스테로이드제 부적응 신증후군······························································ 168
2. 신부전··········································································································································· 170
   1) 급성신부전······························································································································· 170
   2) 만성신부전······························································································································· 170

<6> 대사?내분비질환····························································································································· 171
1. 비만증············································································································································ 171
   1) 지방비만··································································································································· 171
   2) 비만형(살이 무르고 뚱뚱함) … 몸이 무겁고 땀을 많이 흘림·············································· 171
2. 고지혈증········································································································································ 173
3. 당뇨병··········································································································································· 173
   1) 경증 … 혈당치를 정상으로 유지하기 위하여········································································ 173
   2) 중간정도~중증························································································································ 174
4. 통풍··············································································································································· 175
   1) 발작 시 … 관절에 동통? 종창이 있을 때·············································································· 175
   2) 체질개선 … 고요산혈증개선·································································································· 176
5. 갑상선기능항진증························································································································· 176
   1) 바세도우병······························································································································· 176
6. 갑상선기능저하증(하시모토병)····································································································· 178
7. 특발성 부종·································································································································· 178
   1) 일반적으로 부종이 심할 때···································································································· 178
   2) 하지부종··································································································································· 178
   3) 상반신 부종····························································································································· 180
   4) 피로권태감이 심할 때············································································································· 180

<7> 혈액질환·········································································································································· 180
1. 빈혈증············································································································································ 180
2. 자반병(혈소판감소증)··················································································································· 182

<8> 뇌신경계질환··································································································································· 183
1. 뇌혈관장애(뇌경색 두개내출혈)··································································································· 183
2. 퇴행성 신경질환을 포함하는 질환······························································································ 185
   1) 파킨슨증후군 or 파킨슨병······································································································ 185
   2) 노년 인지증····························································································································· 186
3. 말초신경질환:신경통·················································································································· 187
   1) 삼차신경통······························································································································· 187
   2) 늑간신경통······························································································································· 188
   3) 좌골신경통······························································································································· 189
4. 자율신경질환 or 기능이상질환···································································································· 191
   1) 두통·········································································································································· 191
   2) 편두통······································································································································ 193
   3) 현기증······································································································································ 194
   4) 불면증······································································································································ 195
   5) 피로·········································································································································· 196

<9> 교원병(or 교원병 유사질환)··········································································································· 199
1. 만성관절류마티스(RA)·················································································································· 199
2. 진행성 전신성경화증(강피증: PSS), 국한성강피증···································································· 203
3. 전신성홍반성낭창(SLE)··············································································································· 203
4. 쇼그렌증후군································································································································ 204
5. 베체트병······································································································································· 205

<10> 악성종양 관련질환························································································································ 206
 

소아과 질환

<1> 질환별·············································································································································· 207
1. 호흡기염증성질환························································································································· 207
    1) 급성염증 … 감기 기관지염 페렴··························································································· 207
2. 기관지천식···································································································································· 208
3. 麻疹·············································································································································· 208
   1) 염증기······································································································································ 208
   2) 發疹期······································································································································ 208
4. 風疹 水痘····································································································································· 209
5. 유행성 이하선염··························································································································· 210
   1) 초기 … 발열 이하선종창········································································································ 210
   2) 아급성기 … 이하선종창이 단단하고 자발통, 압통이 사라지지 않을 때···························· 210
6. 소아 인후궤양성 수포증(Herpangina)························································································ 210
7. 백일해··········································································································································· 210
8. 류마티스열···································································································································· 211
   1) 급성기······································································································································· 211
   2) 재발예방··································································································································· 211
9. 신염(만성신염)······························································································································ 212
10. 신증후군······································································································································ 212
11. 야뇨증·········································································································································· 213
12. 기립성 조절장애························································································································· 214
13. 일사병 熱中症 탈수증················································································································ 214

<2> 증후별·············································································································································· 215
1. 발열··············································································································································· 215
2. 기침 천명······································································································································ 215
3. 구토··············································································································································· 216
   1) 아세톤혈성 구토증··················································································································· 216
   2) 감염증으로 발열과 구토증상이 있는 사람············································································· 217
3) 식중독에 걸렸을 때················································································································· 217
4) 혈색이 나쁘고, 사지권태감, 쉬 피로감을 느낄 때······························································· 217
5) 水逆구토 구갈 소변불리········································································································ 218
4. 설사··············································································································································· 218
   1) 일반적으로······························································································································· 218
   2) 말초순환장애를 수반할 때······································································································ 219
   3) 평소에도 위장기능이 약하고 설사를 자주 하는 사람··························································· 219
5. 변비증··········································································································································· 219
6. 복통··············································································································································· 219
7. 流涎·············································································································································· 220
8. 체질개선······································································································································· 220
   1) 허약체질·································································································································· 220
   2) 해독체질·································································································································· 220
   3) 경련성질환, 신경과민성질환을 잘 일으키는 체질································································ 221

외과 질환
1. 타박?염좌?외상···························································································································· 222
   1) 급성기······································································································································ 222
   2) 아급성기 이후························································································································· 223
2. 항문질환······································································································································· 224
   1) 치핵 ········································································································································ 224
   2) 脫肛 … 내치핵의 탈출 또는 탈항························································································· 226
3. 裂肛·············································································································································· 228
   1) 일반적으로······························································································································· 228
   2) 일반적 항문궤양······················································································································ 228
4. 항문주위염, 항문주위농양··········································································································· 229
   1) 초기·········································································································································· 229
   2) 화농기······································································································································ 230
   3) 화농기~배농기························································································································ 230
   4) 체질개선·································································································································· 231
    5) 痔瘻·········································································································································· 231
   6) 항문소양증······························································································································· 231

정형외과 질환
1. 어깨결림 오십견··························································································································· 233
   1) 일반적으로······························································································································· 233
   2) 어깨에 저림이나 운동마비가 있을 때(냉기로 인한 경우)···················································· 234
   3) 기울로 인한 위염이나 위궤양에 수반되는 어깨결림?背筋痛··············································· 235
2. 頸肩腕증후군································································································································ 235
3. 요통증··········································································································································· 236
   1) 냉기로 인한 경우···················································································································· 236
   2) 노화현상으로 인한 경우········································································································· 238
   3) 산후장애 or 갱년기장애로 인한 경우··················································································· 238
   4) 기울경향으로 장딴지에 쥐가 날 때······················································································· 239
4. 변형성슬관절증···························································································································· 239
5. 골다공증 척추관협착증················································································································ 241
6. 건초염 彈撥指······························································································································· 241

산부인과 질환

<1> 부인과질환······································································································································· 243
1. 월경이상 … 월경불순 무월경 등································································································ 243
2. 월경곤란증···································································································································· 245
3. 월경前期증후군···························································································································· 246
4. 갱년기장애(血道症)······················································································································ 247
5. 자궁내막증···································································································································· 250
6. 자궁근종······································································································································· 252
7. 자궁부속기염(난소염 난관염 난관주위염 자궁내막염)······························································ 252
   1) 초기 … 발열·오심·구토·하복부통·대하증가 등이 나타날 때······································· 252
   2) 만성화 또는 재발을 반복하는 경우······················································································· 253
   3) 난관염으로 농즙이 난관강에 고일 때··················································································· 253
8. 골반복막염 골반결합조직염········································································································· 254
   1) 초기 … 발열·오한·오심·구토·하복부통·요통 등이 있을 때····································· 254
   2) 만성화되었을 때······················································································································ 254
9. 자궁경관염 질염··························································································································· 254
   1) 초기 … 발적·종창·동통·소양감·대하증가 등의 증상이 있을 때································ 254
   2) 만성화 또는 재발을 반복하는 사람······················································································· 254
10. 질칸디다증 질트리코모나스증··································································································· 255
11. 대하············································································································································· 255
    1) 백색대하··································································································································· 255
   2) 황색대하·································································································································· 255
12. 음부소양증·································································································································· 256
13. 출혈성 자궁증(Haemorrhagic metropathy)············································································ 256
14. 자궁탈출······································································································································ 256
15. 불임증········································································································································· 256

<2> 산과질환·········································································································································· 257
1. 임신오저(입덧)······························································································································ 257
2. 安胎·············································································································································· 258
3. 절박유산······································································································································· 260
4. 임신 중 감기································································································································ 260
5. 분만이상질환································································································································ 261
6. 산후이상 제질환··························································································································· 263
   1) 산욕열… 발열?오한?하복부통?膿性대하 등이 있을 때······················································ 263
   2) 산후질환 … 기관지천식 만성관절류마티스 부종 등···························································· 263
   3) 분만 후 1년 이상 경과한 다음 발생한 제질환····································································· 265
7. 유즙분비부전································································································································ 266
8. 유선염··········································································································································· 266
   1) 초기 … 발열·오한, 유방의 발적, 종창·동통 증상이 있을 때········································· 266
   2) 농양형성기······························································································································· 266
9. 유선증 … 유선내에 경결?腫瘤가 있을 때················································································· 266

피부과 질환

<1> 습진 피부염····································································································································· 268
1. 심상성습진 접촉성피부염············································································································· 268
   1) 습진형······································································································································ 268
   2) 건조형······································································································································ 269
2. 아토피성 피부염··························································································································· 273
   1) 외인 … 습진· 피부염의 피진에 대해·················································································· 273
   2) 내인 … 체질개선을 한다.······································································································ 274
3. 지루성피부염································································································································ 275
4. 피지결핍성습진(노인성 건피증), 노인성피부소양증·································································· 276
5. 손 습진(주부습진 진행성손바닥각피증)······················································································ 277

<2> 담마진·············································································································································· 278
1. 일반형(風熱型)······························································································································ 278
2. 한냉 담마진(風寒型)···················································································································· 279
3. 식이성 담마진······························································································································ 279
4. 심인성 담마진 … 가려움증을 수반하는 일과성 적색 팽진······················································ 280
5. 약제성 담마진······························································································································ 280
6. 콜린형 담마진······························································································································· 281

<3> 痒疹群 피부소양증··························································································································· 281
1. 痒疹群············································································································································ 281
   1) 급성형 … 곤충刺咬症 소아스트로풀루스(strophulus infantum)······································· 281
   2) 만성형 … 尋常性痒疹 고정담마진(결절성양진)··································································· 282
2. 피부소양증···································································································································· 282
   1) 노인성 피부소양증·················································································································· 282
   2) 항문소양증 외음부소양증······································································································· 283
<4> 염증성각화증···························································································································· 283

<5> 유전성 각화증·························································································································· 284

<6> 교원병······································································································································ 284

<7> ?贅··········································································································································· 285

<8> 여드름······································································································································· 285

<9> 酒?··········································································································································· 287
1) 제1기 … 홍반과 지루가 생기고 모세혈관이 확장되는 경우················································ 288
2) 제2기~제3기··························································································································· 288

<10> 膿皮症(피부화농증)························································································································ 289
1) 초기·········································································································································· 289
2) 화농~배농기···························································································································· 290
3) 癤腫症(Furunculosis)············································································································· 291
4) 尋常性毛瘡······························································································································ 292
5) 汗腺膿瘍 전염성膿痂疹··········································································································· 292

<11> 대상포진········································································································································· 292
1) 초기·········································································································································· 292
2) 아급성기 이후························································································································· 293
3) 외용········································································································································· 294

<12> 기타 피부질환······························································································································· 294
1) 욕창·········································································································································· 294
2) 동창········································································································································· 295
3) 정맥류증후군··························································································································· 295
4) 다한증(액취증)························································································································ 296
5) 심상성백반 원형탈모증··········································································································· 296
6) 결절성홍반유사발진················································································································ 297

비뇨기과 질환

<1> 요로감염증······································································································································· 298
1. 신우신염········································································································································ 298
   1) 급성기······································································································································ 298
   2) 만성증······································································································································ 298
2. 방광염 요도염······························································································································ 299
   1) 급성기······································································································································ 299
   2) 만성증······································································································································ 300

<2> 배설장애·········································································································································· 303
1. 외상 … 요폐································································································································ 303
2. 요도협착······································································································································· 303
3. 전립선비대증 만성전립선염증후군······························································································ 303
4. 요로결석······································································································································· 304
   1) 동통 시 … 측복부통 胃部통·································································································· 304
   2) 체질개선·································································································································· 305

<3> 하부요로의 기능장애······················································································································ 306
1. 방광요관역류현상························································································································· 306
2. 신경원인성 방광··························································································································· 306
   1) 선천성······································································································································ 306
   2) 후천성······································································································································ 306
3. 무긴장 방광·································································································································· 307
   1) 척추진탕 직후 … 요폐 요실금······························································································· 307
   2) 수술 후, 척추마비 … 방광요관역류 잔뇨량증가 요실금 등················································ 307
   3) 뇌혈전? 뇌출혈 등 뇌졸중 후의 무억제 신경원인성방광······················································ 307
4. 방광기능장애································································································································ 308
   1) 긴장항진형(과민성방광 방광신경증)······················································································ 308
   2) 긴장저하형(방광 아토니)········································································································ 309

<4> 생식기질환······································································································································· 310
1. 정소염 정소상체염 정관정낭염 전립선염 전립선주위염···························································· 310
2. 전립성비대증································································································································· 311
3. 음낭수종(특발성)·························································································································· 311

이비인후과 질환

<1> 감염 및 염증성질환························································································································· 312
1. 편도염 편도주위염 인두염··········································································································· 312
   1) 급성기 … 발열 두통 인두통(편도? 인두의 발적이 나타날 때)············································· 312
   2) 만성인두염······························································································································· 313
   3) 만성 반복성 편도염················································································································ 314
2. 이하선염········································································································································ 314
3. 외이염··········································································································································· 314
4. 중이염··········································································································································· 315
   1) 급성기 … 발열, 고막의 발적, 耳痛, 농성귓물이 있을 때··················································· 315
   2) 만성기······································································································································ 315
   3) 삼출성 중이염·························································································································· 317
5. 비염··············································································································································· 319
   1) 급성 비염································································································································· 319
   2) 만성 비염································································································································· 319
   3) 알레르기성 비염····················································································································· 320
6. 만성부비동염································································································································ 321
   1) 축농형(鼻漏型)························································································································ 321
   2) 폴립형(鼻閉型)······················································································································· 322
   3) 체질개선·································································································································· 322

<2> 기타 이비인후과 질환···················································································································· 323
1. 코피··············································································································································· 323
   1) 급성기(특발성)························································································································· 323
   2) 재발하는 경우 … 소아의 반복성출혈 예방과 치료······························································ 325
   3) 월경시 代償출혈······················································································································ 325
2. 유아의 코막힘······························································································································ 325
3. 쉰목소리 失聲······························································································································ 326
4. 인후두이상감증(咽中炙?)··········································································································· 327
5. 현훈·············································································································································· 328
6. ?(코골이) 무호흡발작(기도폐색형)···························································································· 328

안과 질환
1. 감염성 안질환······························································································································· 330
   1) 맥립종······································································································································ 330
   2) 霰粒腫······································································································································ 331
   3) 眼瞼緣炎·································································································································· 331
   4) 결막염······································································································································ 332
2. 알레르기성 결막질환··················································································································· 336
   1) 알레르기성 결막염(봄철 염증)······························································································· 336
   2) 플릭텐성 결막염(phlyctenular keratitis)… 세균 알레르기로 인한 경우························· 336
   3) 결막부종·································································································································· 337
3. 翼狀片··········································································································································· 337
4. 淚囊炎··········································································································································· 337
   1) 초기 … 누낭부에 발적?종창? 동통이 있을 때······································································ 337
   2) 이급성~만성기························································································································ 338

5. 流淚症··········································································································································· 339
   1) 결막염 각막염 홍채모양체염 등으로 인한 경우···································································· 339
   2) 알레르기성 결막염으로 인한 경우························································································· 340
   3) 淚道의 통과장애로 인한 경우································································································ 340

6. 각막염··········································································································································· 340
   1) 표층성 각막염························································································································· 340
   2) 심층 각막염 … 포도막염이 병발할 때·················································································· 341
   3) 각막헤르페스 … 눈부심, 이물감, 눈물, 각막의 지각저하··················································· 341

7. 强膜炎 上强膜炎··························································································································· 341

8. 포도막염(홍채염 홍채모양체염 맥락막염)·················································································· 342

9. 녹내장··········································································································································· 342
10. 백내장(노인성 백내장)··············································································································· 343
11. 중심성 장액성 맥락망막증········································································································· 343
12. 망막박리····································································································································· 344
13. 안저출혈······································································································································ 345
    1) 급성기······································································································································ 345
    2) 아급성기 이후························································································································· 345
14. 당뇨병성 망막증························································································································· 346
15. 베체트병(눈 증상)······················································································································ 346
16. 쇼그렌증후군······························································································································ 347
17. 眼精피로 약시····························································································································· 348

신경정신과 질환
1. 신경증 심신증······························································································································· 349
2. 조울증 분열병······························································································································ 353
3. 인지증··········································································································································· 353
4. 간질·············································································································································· 354

치과 질환
1. 치아의 硬조직질환(염증성질환) … 치수염 치주염···································································· 355
1) 발병초기··································································································································· 355
2) 염증이 극렬한 시기················································································································ 355
2. 턱관절증······································································································································· 357

부록
약물(한약)해설 찾아보기·················································································································· 361
개별 약물 찾아보기·························································································································· 364
처방집················································································································································ 414
찾아보기············································································································································ 431
처방별 찾아보기··························································································································· 431
질환별 찾아보기··························································································································· 442