명당장부도(明堂臟腑圖)에서 기원한 간장도(肝臟圖) 29종의 비교

Abstract

Objectives : The goal of this paper is to research what affected diagrams of liver originated from Mingtangzangfutu while they were changed. Methods : Diagrams of liver in Traditional Chinese and Japanese medical books had been gathered as many as possible. After they were divided into ones which were originated from Mingtangzangfutu and the others, diagrams originated from Mingtangzangfutu, were again classified into 4 filiations according to Huang Longxiang(黃龍祥)'s standard. Apart from his classification, they were analysed by 4 form factors, e.g. shape, number, veins and petiole of leafs. Results : Reliability of this methods had been confirmed by the correspondence with Huang's 14 standard books, before 29 diagrams of liver were derived from 33 books including 13 books that Huang had already suggested. The lobes of liver in most of diagrams resembled 7 lanceolate or long oval leafs, or a maple leaf with 6 indentations, 4 left lobes and right 3 ones. In most of diagrams, veins of leafs were described variously, and petioles of leafs were drawn more shortly or longer. Analysing 29 diagrams by 4 form factors proved that Huang's classification had crossing features among 4 filiations. This phenomenon implied the painters or doctors drawing diagrams might not convince if the shape of liver was correct or not. Although veins and petiole of leafs in diagrams of liver could be compared with tissues in liver in modern human anatomy, diagrams were not been affected by dissection from Yuan(元) to middle Qing(淸) dynasty. Conclusions : Lingshu(靈樞), Nanjing(難經) and Wang Bing would had constantly acted on 29 diagrams of liver, since diagram of liver originated from Mingtangzangfutu, appeared first in Zhenjiujuying(鍼灸聚英). But they did not come from dissection during same periods.