당뇨병에 관한 의사학적연구

Abstract

The author has made a review as to the improvement of the knowledge on Diabetes Mellitus based on the Korean classical literatures on medicine. Hyang·Yak-Ku-Kub-Bang(JOO~;J&f.2;1i), the oldest medical book published in 13th century (the reign of King Kojong of Koryu Dynasty), shows,as the symptoms of So-Kal(mm, thirsty sensation) polyuria and decrease of body weight. In Hyang-Yak-Chib-Sung-Bang(JllJl~~gl(;1i), published in 1433(the reign of King Sejong of Lee Dynasty) is added sweetness of urine to the above-mentioned symptoms of So-Kal, But. in Tong-Ui-Bo-KamOIHi.it), the most outstanding medical book in Korean classical medicine published in 1613(the reign of King Kwanghai of Lee Dynasty), the descriptions on the symptoms of So-Kal are far more close to those of Diabetes Mellitus of modern medicine, compared with the descriptions in Hyang-Yak-Ku-Kub-Bang and Hyang-Yak-Chib-SungBang. The author. for this reason, chose Tong-Ui-Bo-Kam to look into the knowledge on Diabetes Mellitus that bears Korean classical medicine and to make a critique on it in the view point of modern medicine. The conclusions thus obtained are as following. 1) The etiology of So-Kal that thirsty is attributed to heat and excess of positive spirit is but a very primitive one_ 3) So-Kal bears much resemblance in its symptoms Mellituswith those of Diabetes Mellitus. 3) The fact that they recognized sweet urine in So-Kal makes us feel if they used the urine test in the diagnosis. 4) It's remarkable that they indicated furuncle and loss of eyesight as the complications of So-Kat though these are but a part of the whole complications of Diabetes Mellitus confirmed in modern medicine. 5) There are. for the treatment of So-Kat many prescriptions enumerated. single or compound form. However. the author thinks that we have to expect for the further pharmacological researches on the medicinal plants included therein before we can tell their efficiency.