2001년에 첫 출판된『한방 진료의 Lesson』은 졸역임에도 불구하고 한의학계에서
꾸준한 호응이 있어 오늘날까지 스테디셀러로 자리 잡아, 번역자의 한사람으로서
나름대로 자부심을 가지게 되었다. 그러나 번역 상 사소한 오류와 표현상 조악함이 눈에
띄고, 출판사 역시 간결하면서도 포인트를 강조하는 최신 경향에 다소 뒤떨어진다는 판
단으로, 1년 전에 재번역 및 재편집 계획이 세워졌다. 마침 원서도 표지를 새롭게 단장
하면서, 특히 한약의 부작용면을 수정 보완하는 모습으로 바뀌어 이번에 선보이는 재
번역과 편집 작업은 이래저래 독자들에게 신세를 갚는 계기가 되었다.
7년 정도 지난 이 시점에서 다시 원서를 차근히 들여다보면서 느낀 점은 일본 한방
의학은 어디까지나 ‘사실’에 근거한다는 것이고, 우리나라는 ‘사실’보다는 자기 ‘의견’
을 강조한다는 차이이다. 일본 한방의학의 사실 중심주의는 어제 오늘 생긴 것이 아니
고, 15세기경 중국의학을 수입하여 일본 한방의학이 구축되기 시작한 때부터 형성된
학풍이다. 지금도 그 당시의 증례기록지를 방금 환자를 대하듯이 읽을 수 있다는 것은
복이라고 할 수 있으며, 아울러 중국의학의 일본 독자적 해석은 나름대로 ‘품격’을 느
낄 수 있게 해준다. 이와 같이 수백 년에 걸친 자기화 과정에는 서양의 동양에 대한
몰이해와 폄훼를 바탕으로 하는 orientalism과 동양의 가치를 무시하고 서양의 콘텐
츠로 채우려는 occidentalism이 모두 배제될 수 있다.
작년에 출간된 나의 졸저 『일본 한방의학을 말하다』에서 자세히 언급하였지만,
『한방 진료 Lesson』의 저자인 하나와 토시히코 선생은 현대 일본한방의 주맥을 잇
고 있는 분으로, 와다 케이주로, 유모토 큐신, 오츠카 케이세츠로 이어지는 고방파 의
학과 일관당의학의 맥을 잇는 야카즈 도메이의 후세방의학을 다 함께 섭렵한 임상의
대가이다. 일반적으로 일본 한방의학은 고방파에 치우친 편협함으로 비난 받는 경우가
많지만, 1970년대 초 일본 토쿄의 한복판에 세워진 키타사토 동양의학 종합 연구소는
오츠카케이세츠의 고방파와 야카즈 도메이의 후세방파가 나란히 함께하는 시스템으로
진용을 갖추었고, 이 양대 학파의 모습을 곁에서 지켜본 하나와 토시히코 선생은 본
저서에서 그 동안의 경험을 가감 없이 쏟아내고 있다. 본서에는 오츠카 케이세츠
→ 야카즈 도메이 → 오츠카 야스오에 이어, 40대의 나이에 키타사토 동양의학 종합
연구소의 소장 직을 넘겨받은 저자가 선배들의 업적에 누가 되지 않도록 최선을 다하
는 모습이 고스란히 담겨져 있다. 새삼 학문에 대한 그의 충복에 국경을 초월한 존경
의 뜻을 표하지 않을 수 없다.
이참에 일본 한방의학을 한국에 소개하는 이유 중에 하나는 우리나라 양방 의사들
의 한방에 대한 왜곡이 조금이라도 불식되었으면 하는 바람이다. 현시점에서 일본의학
이 한국의학보다 앞선다는 전제에서, 그 앞선 일본의학자들의 한방이야기에 조금이라
도 귀를 기울여 한국 한의학을 바라보는 안목이 달라졌으면 하는 희망이며, 이로 인하
여 배타성을 띠는 ‘면허license’와 장벽이 없는 ‘학문science’을 혼동하지 않는
지적 풍토가 뿌리 내리길 소망한다.
2009년 새해 元旦 역자를 대표하여 조 기호 쓰다
목차
LESSON 1 한방엑기스제제를 쉽게 사용하는 방법 ·······························1~5
-첫째-
LESSON 2 한방엑기스제제를 쉽게 사용하는 방법 ·····························7~20
-둘째-
1. 우선 전신상태 개선을 목적으로 다음 4처방을 사용해 본다. ········9
2. 감기 증상에서 다음 처방을 사용해 본다 ································11
3. 소화기증상의 개선 ·································································12
4. 중장년의 순환기 질환 ····························································13
5. 동통성 질환 ···········································································14
6. 부인과 질환 ···········································································15
7. 소아의 체질개선 ·····································································16
8. 자율신경 질환 ········································································18
LESSON 3 한방엑기스제제를 쉽게 사용하는 방법 ···························21~33
-셋째, 腹症으로 처방을 결정한다-
【보충 1】胸脇苦滿과 柴胡劑·····················································28
【보충 2】一貫堂醫學·································································31
LESSON 4 한방진료에서 여러 가지 주의할 점 ································35~51
1. 주의해야 할 한약 ․처방 ··························································35
- xvii -
2. 경과를 관찰하는 방법 ····························································41
3. 한방추출물제제의 병용 ․금기 ··················································45
4. 양약과의 병용 ········································································49
LESSON 5 일상진료에서 자주 보는 질환의 치료 포인트 ·············53~276
Section 1. 호흡기질환의 한방치료 ································································53
1. 감기의 한방치료 ·····································································53
2. 감기와 만성 피로증후군 ·························································59
3. 기관지 천식의 한방치료 ·························································65
4. 고령자의 천식 ········································································71
Section 2. 순환기질환의 한방치료 ································································78
1. 고혈압 ···················································································78
2. 부정맥 ···················································································83
3. 관상동맥질환 심부전 ······························································85
4. 말초순환부전 ··········································································88
5. 저혈압 기립성 조절장애 ·························································88
6. 뇌혈관장애 ·············································································89
Section 3. 소화기질환의 한방치료(I) ····························································93
1. 구내염 ···················································································93
2. 구강건조증 구강불쾌 ······························································93
3. 인후두염 식도염 ·····································································94
4. 만성 위장염 ···········································································95
5. 대변이상 ················································································95
6. 치질 ·····················································································104
7. 복 통 ···················································································105
8. IBS(과민성 장증후군) ··························································107
9. 위 ․십이지장궤양 ··································································109
10. 궤양성 대장염 ····································································110
11. 클론병 ···············································································112
12. 숙 취 ·················································································112
- xviii -
Section 4. 소화기질환의 한방치료(II) ·························································116
- 간장 ․담낭 ․췌장 -
1. 급성 간염 ············································································116
2. 만성 간염 ············································································116
3. 간경화 ·················································································118
4. 원발성 담즙성 간경화 ··························································119
5. 담도계 질환 ·········································································121
6. 췌장염 ·················································································123
7. 만성 간염에 대한 한방치료의 실제 ·······································124
Section 5. 대사 ․내분비 ․면역질환의 한방치료 ·············································138
1. 당뇨병 ·················································································138
2. 비 만 ···················································································140
3. 고콜레스테롤 혈증 고지혈증 ·················································141
4. 통 풍 ···················································································142
5. 脚氣(Vitamin B1 결핍증) ····················································143
6. 갑상선질환 ···········································································143
7. 자가면역질환 ········································································144
Section 6. 腎․비뇨기질환의 한방치료 ························································155
1. 급성 腎炎············································································155
2. 만성 腎炎 nephrosis ··························································157
3. 신부전 ·················································································158
4. 투석중 관리를 위한 한방처방 시도 ·······································160
5. 비뇨기과 질환 ······································································171
Section 7. 동통성 질환의 한방치료 ····························································177
1. 두통 ·····················································································178
2. 안면신경통 삼차신경통 ·························································179
3. 頸部痛 頸肩腕증후군 ····························································179
4. 胸背部痛 肋間神經痛···························································180
5. 요 통 ···················································································180
6. 운동기통 ··············································································181
7. 대상포진 ··············································································182
8. 동통에 유효한 한약의 약리 ··················································185
- xix -
Section 8. 정신신경과 영역의 한방치료 ······················································192
1. 불면증 ·················································································192
2. 우울증 신경증 자율신경 실조증 ············································195
3. 정신분열병 ···········································································197
4. 전간 ·····················································································198
5. Tics ····················································································199
6. 치매 ·····················································································199
7. Parkinson병 ·······································································200
8. 신경성 식도이상증 ································································202
9. 정신과 질환과 大黃․柴胡····················································202
10. 정신요법 ············································································204
Section 9. 피부질환의 한방치료 ·································································206
1. 아토피피부염 ········································································208
2. 심상성 좌창 ·········································································211
3. 심상성 건선 ·········································································211
4. 원형 탈모증 ·········································································212
5. 담마진 ·················································································212
Section 10. 耳鼻과 ․안과 영역의 한방치료 ·················································221
1. 현기증 耳鳴·········································································221
2. 코 알레르기 ·········································································225
3. 만성 부비동염 ······································································226
4. 만성 중이염 ·········································································229
5. 후각이상 ··············································································229
6. 인후두 이상감 ······································································229
7. 안과질환 ··············································································230
Section 11. 소아과 영역의 한방치료 ··························································235
1. 허약체질 ··············································································238
2. 감기 증후군 ·········································································239
3. 기관지 천식 ·········································································241
4. 아토피피부염 ········································································242
5. 자율신경증상(경련 전간 야제 야뇨증) ···································242
6. 기립성 조절장애 ···································································243
7. 腎炎 Nephrosis ··································································243
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8. 심신증 ·················································································244
9. 실제 복약지도 ······································································246
Section 12. 산부인과 질환과 한방 ·····························································247
1. 월경이상 월경곤란증 월경전긴장증 ·······································248
2. 냉증 ·····················································································250
3. 불임 ·····················································································251
4. 자궁근종 ··············································································252
5. 갱년기장애 ···········································································253
6. 노화에 동반하는 증상 ··························································254
Section 13. 노화 ․암과 한방치료 ································································262
1. 노화와 한방 ·········································································262
2. 암치료와 한방 ······································································266
LESSON 6 한방진료의 진찰방법 ·····················································277~295
-한방의 四診에 관해서-
1. 望診····················································································277
2. 聞診····················································································280
3. 問診····················································································280
4. 切診····················································································283
LESSON 7 한방진료의 마음가짐 ·····················································297~313
-대응하기 어려운 환자를 대하는 방법-
1. 入室····················································································297
2. 問診 ― 환자자신이 직접 하는 말에 귀를 기울인다 ― ·····················299
3. 진찰 ·····················································································301
4. 경과를 관찰하는 방법 ··························································303
5. 환자에게 설명 ······································································307
LESSON 8 한방의학의 기초지식 ·····················································315~359
1. 한약을 이용한 치료 ······························································315
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2. 한약의 분류 ·········································································318
3. 한약 약효의 다면성 ······························································321
4. 한약을 브랜드화 한다. ·························································323
5. 우수한 처방을 「ム명명」�한다. ··················································325
6. 方意를 이해한다. ·································································326
7. 한약의 특성 ·········································································329
8. 한약의 분류 ·········································································330
9. 補劑와 瀉劑·········································································331
10. 한약 劑型의 차이와 용량 ․용법에 관해서 ····························333
11. 證······················································································336
12. 한약의 부작용 ····································································336
13. 양약과의 상호작용 ······························································339
14. 暝眩··················································································340
15. 한방이 효과가 있는 질환 ···················································341
【보충】 한약의 부작용 ························································344
LESSON 9 한방의학의 기본언어 ·····················································361~402
1. 陰陽․虛實···········································································365
2. 陰陽五行說··········································································377
3. 氣․血․水············································································386
4. 證························································································397
LESSON 10치료가 순조롭지 않을 때 ·············································403~438
-한방진료의 실제-
1. 脾胃를 조정한다 ··································································405
2. 輕劑를 능숙하게 사용한다 ····················································411
3. 혈액순환을 좋게 한다 ··························································420
4. 抗病반응의 근원을 강화한다 ·················································422
5. 補劑와 瀉劑를 적절하게 사용한다 ········································425
6. 證이 출현하는 배경인자에 주의한다 ·····································427
7. 발상의 전환을 한다 ······························································431
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【부 록】빈용처방 개설 ···················································································439
【부 록1】국민건강보험 적용 한방약 처방집 ····································486
【부 록2】문진표와 신체소견 ···························································493
일반색인 ··········································································································501
처방색인 ··········································································································516
칼럼
처방의 Image ·················································································· 19
재채기 선생의 군침 ··········································································· 33
그림자(蔭, shade)가 있는 약 ··························································· 51
Steroid와 한방 ··············································································· 153
신은 인간의 통증을 고쳐주시는가? ·················································· 191
오다이 요도 �類聚方廣義頭註에 보이는 안과질환의 치료 ············· 234
當歸芍藥散의 證············································································· 261
추리하는 의학 ················································································· 275
한방의 四診···················································································· 293
궁지로 내몰지 않는 의학 ································································ 294
와다 토카쿠(和田東郭) 선생이 환자를 야단치다 ······························· 311
어린이의 아픔 ················································································· 313
한약의 이미지 ················································································· 358
매크로코스모스(대우주)와 마이크로코스모스(소우주)의 조화 ············· 401
옛 사람의 지팡이에 의지하여 ·························································· 436
한방처방 히트 퍼레이드 - 자주 쓰이는 처방 - ································ 438
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