2017년 6월 28일 수요일


문재인 집권 한 달...57가 노무현 정부 사람, 노무현 정권 2
 
시민단체 출신 전성시대사법 개혁, 경제 개혁의 키 참여연대가 쥐어
 
최우석(월간조선 기자)
많은 국민이 문재인 정부가 노무현 2가 아니라 그것을 뛰어넘는 정부가 돼주기를 원하고 있지만
114명 중 66명이 노무현 정부 청와대 및 정부 각 산하기관에서 활동
문재인 대통령 부부를 가까이서 보좌하는 3인방(윤건영, 송인배, 유송화) 모두 노무현 정부 청와대에서 근무
장차관, 노무현 정부 때 청와대 파견 경력 인사 다수
외교·안보 라인 노무현 정부 출신이 점령
() 사정 라인도 노무현 정부 출신
문재인 대통령, 노무현 전 대통령 추도식서 국민 모두의 정부 되겠다고 통합 강조했지만 문 정부는 노무현 2라는 비판에서 자유롭지 못할듯
 
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2014년 한국을 거쳐 지난해 미국으로 망명한 리정호(59) 씨는 27일(현지 시각) 미국의 소리(VOA)와의 인터뷰를 갖고, 2014년 장성택 처형 때의 살벌한 분위기, 남한의 햇볕정책에 대한 북측의 생각 등을 전했다. 그는 “지금 한국 일부 언론과 전문가들이 핵에 대해 안일하게 생각하고 있다”며 “북한 지도부가 제재 압박을 더 이상 버틸 수 없을 때는 최후의 선택으로 핵을 가지고 남한을 공격해서 통일하려고 시도할 수도 있을 것”이라고 말했다.

출처 : http://news.chosun.com/site/data/html_dir/2017/06/28/2017062802239.html
 
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찻집의 고독 - 나훈아
 
 
 당시 트로트 시대에, 가사와 리듬이 세련되었다.
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 건강황금황련인삼탕
 
乾薑黃芩黃連人參湯
製法用量
乾薑6(3) 黃芩6(3) 黃連6(3) 人參6(3)
上藥四味以水900毫升(六升)煮取300毫升(二升)去滓分二次溫服
 
主治
 
上熱下寒寒熱格拒食入則吐
 
------------------------------------------

     중기(中氣, 비위)가 허하고 또 차가우면 곡기(穀氣)를 싫어하고, 음식이 들어가면 즉시 토하고 만다. 이 방제는 건강의 매운 맛으로 차가운 기운을 쫓고, 인삼의 감온(甘溫)으로 허를 보하고, 황금과 황련으로 한격(寒格)을 통한다.   

 

鄭某45

 

 
素體弱多病或失眠或腰痛口不離葯今年盛夏之際突然嘔吐自以為暑濕為患服藿香正氣膠囊不見好轉兩日內水谷不入入則即吐
 
 
觀其面色萎黃少華形體瘦削神氣疲憊不堪舌紅少津苔薄而微黃切其脈滑數無力診其腹腹壁薄弱腹肌攣急心下臍周俱無壓痛
 
 
素問, 至真要大論:「諸逆衝上皆屬於火」,「諸嘔吐酸皆屬於熱。」本案脈症相參顯非暑濕所致
 
 
詢知口苦思冷小便短赤大便干秘且舌紅苔黃脈象滑數一派胃火熾盛癥狀躍然眼前此中虛而胃熱也
 
 
治宜苦寒直折清降胃火然吐勢如此之盛須防服藥格拒不納先賢有熱見熱親之對策若衣偽裝混入敵營者為瞞天過海之計也
 
 
擬乾薑黃芩黃連人蔘湯乾薑4.5g黃芩6g黃連6g党參10g
 
囑令頻頻飲之僅進一劑嘔吐便止。(閆雲科醫案
 
王冰云:「食入即吐是有火也。」今口苦思冷溲赤便干舌紅苔黃脈象滑數皆屬胃熱沖逆之證故而飲食藥品難以下咽本方清熱止嘔對中虛熱甚或寒熱相雜熱甚於寒者甚為相宜黃連理中湯為治虛寒性嘔吐服溫熱葯格拒不納之方適宜於寒熱夾雜寒甚於熱者可相參而體會之
 
 
原文複習
 
 
傷寒論359傷寒本自寒下醫復吐下之寒格更逆吐下若食入口即吐者乾薑黃連黃芩人蔘湯主之
 
 
各家論述
 
註解傷寒論》:食入口即吐謂之寒格更復吐下則重虛而死是更逆吐下與乾薑黃芩黃連人蔘湯以通寒格辛以散之甘以緩之乾薑人蔘之甘辛以補正氣苦以泄之黃連黃芩之苦以通寒格
 
醫方考》:中氣既虛且寒便惡谷氣故食入口即吐入口即吐者猶未下咽之謂也用乾薑之辛熱可以散寒用人蔘之甘溫可以補虛復用芩連之苦寒者所以假之從寒而通格也
   
 
傷寒本旨》:食入口即吐者阻在上脘陰陽不相交通故以乾薑連寒熱並用通其陰陽辛苦開泄以降濁人蔘補正而升清則中宮和而吐利可止矣
 
傷寒論今釋》:本方證胃雖熱而腸則寒故芩連與乾薑並用以其上熱下寒故入厥陰篇
 
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乾薑黃芩黃連人蔘湯

출처: 용캉탕 장라오시
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갈근황금황련탕, 또는 갈근금련탕
葛根黃芩黃連湯
 
製法用量
葛根15(半斤) 黃芩9(3) 黃連9(3) 甘草6(2)
上藥四味以水800毫升先煮葛根減至600毫升納入諸藥煮取200毫升去滓分溫再服
 
功效
 
表裡兩解清熱止利
 
主治
 
外感表證未解熱邪入裡身熱下利臭穢肛門有灼熱感心下痞胸脘煩熱喘而汗出口乾而渴苔黃脈數
 
熱邪가 들어가 몸에 열이 나고, 악취가 심한 설사를 하며, 항문에 작열감이 있다. 심하(心下)가 답답하고, 가슴에는 번열이 있으며,기침을 하고 땀을 흘리며, 갈증이 있고, 설태는 누렇다. 여기서 熱邪란 병균으로 해석해도 된다.
 
..........................................
 
 

 
葛根芩連湯
 
作者張步桃
出處
 
傷寒論太陽病上篇35:「太陽病桂枝證醫反下之利遂不止脈促者表未解也喘而汗出者葛根芩連湯主之。」
 
組成
 
葛根半斤黃芩三兩黃連三兩甘草二兩
 
 
概說
 
本方出自太陽病上篇35原條j:「太陽病桂枝證醫反下之痢遂不止脈促者表未解也喘而汗出者葛根芩連湯主之。」桂枝湯證理應以解肌發汗法治療但醫者卻誤下」,即以攻下瀉下法所以造成下痢不止而桂枝湯證出現的是緩脈但出現脈促是因為用攻下法造成心臟跳動加快產生代償性的反應。「表未解也就是表證仍在。「喘而汗出是因為誤下脈搏跳動快造成喘又出汗表示邪熱已進入陽明所以縱使仍有桂枝表證也應用葛根芩連湯治療以攻下瀉下法就會導致治療錯誤的情形
 
本方在傷寒論只出現一次在本方前有桂枝人參湯即理中湯的變方:「太陽病外澄未除而數下之遂協熱而利利下不止心下痞鞭表裡不解者桂枝人參湯主之。」這種表裡不解就用桂枝解表用人參湯解裡所以我們從葛根芩連湯與桂枝人參湯兩個方劑對比就可以提供臨床上辨證的依據如果表未解而脈緩無力即使有下利而喘的裡證就以桂枝人參湯以治利或以桂枝杏子厚朴湯以治喘但是誤下造成下利不止脈促有力汗出而喘表證未解又不惡寒是熱陷陽明即使有桂枝之表證也應從葛根芩連湯治療
 
本方用葛根為君藥黃芩黃連甘草為臣藥用在解陽明肌表兼清胃中裡熱吳謙先生特別加按語:「協熱利二證以脈之陰陽分虛主治固當矣。」也就是以陰脈陽脈辨別病的虛實是非常恰當的方法但他接著說:「然不可不辨其下痢之黏穢鴨溏小便或白或赤脈之有力無力。」即黏穢的大便臭不住可聞像鴨子大便軟軟地就不臭鴨子的溏便是因邊吃邊拉在腸管停留時間短小便亦同通常小便前段不臭後段沉澱的味重桂枝湯證的小便通常是清白葛根芩連湯的小便是紅赤另外脈有力用葛根芩連湯緩而無力用桂枝人參湯有人治療幾個月幾年未好就是辨證不清本方也告訴我們若誤下會造成脈促現象為何會脈促除誤下之外食物消化不良積囤於腸胃也會造成促脈在臨床上還有另一原因就是心臟瓣膜閉鎖不全二尖瓣脫垂所致所以辨證要謹慎
 
傷寒論是熱佳傳染病專書告訴我們疾病的發展過程例如桂枝湯症處理不當會演變成葛根湯症葛根湯症處理不當會演變成葛根芩連湯症再處理不當就變成承氣湯症
 
 
 
主治病症
 
.急性腸胃炎或傳染性腸胃病症
급성위장염과 전염성위장병. 즉 세균 감염에 의한 설사 따위의 위장병에 적용.
 
有一位學員的公子是台大化學系畢業服兵役休假返家飲水不當上吐下瀉送三總急診打點滴因當日是星期假日我休診學員來電找到我我要他當晚九點半來診所配藥拿回三總服後上吐下瀉止只剩腹痛症狀緩解很快
 
病蓋頭的是有細菌病毒感染所致臨床見證為口渴腹痛尿赤短少大便臭穢黏滯發熱等等如阿米巴菌感染痢疾桿菌感染金黃葡萄桿菌感染等屬之至於沒有病蓋頭的」,是由於本身腸胃功能虛弱所致臨床見證為口淡唇白腹微痛小便清長大便稀溏手腳冰冷很容易辨證
 
.腸病毒
 
一位蘇姓中醫同道小孩腸病毒也用本方很快就緩解但是方中黃芩黃連都是大苦大寒的藥難以入口所以如何改良方劑口感可能有待專家研究也
 
.目赤眼睛紅腫
눈의 충혈과 홍종紅腫, 서구의학의 각막염을 치료하다. 하지만 그 전에 갈근금련탕의 증상이 있어야 한다.
 
通常西醫會診斷為角膜炎板橋海山國中楊姓同學眼角膜炎病發三個月就診眼科未瘉我們給本方服用後很快痊癒回眼科複診眼科醫師納悶為什麼三個月沒好又突然痊癒這位小朋友更感好奇說:「中醫竟然也可以治眼睛的疾病!」我告知早在內經時代就已對眼睛有了相當認知。《靈樞經大惑論就提到:「五藏六府之精皆上注於目而且到了唐朝有位孫思邈先生就已經寫了一本眼科專書叫做銀海精微》。這表示我們中醫宣傳或推廣不力但治療目赤的前提是要有腸胃系統造成的症狀才可以陽明經痛就有目痛症狀而目痛就曾伴有目赤
 
.口腔糜爛吞嚥困難頭痛
 
因為睡眠障礙排便困難造成穢氣上逆而口腔潰破西醫通常會給維他命服用但沒效果用本方合甘露飲加連翹遠志竹茹搭配外用藥如冰硼散效果很好
 
.酒糟鼻
 
一位國中楊老師酒糟鼻鼻端皮下血管膨脹所以鼻子顯得紅紅的我以陽明經上升頭面」,尤以大腸經走到鼻子的迎香穴經絡辨證方法用本方冶療很快就痊癒多年來累積治癒這種病案數字可觀
 
.失眠
 
陽明經病身熱煩渴目痛鼻乾不得眠不惡寒反惡熱者陽明經病也。」黃帝內經胃不和則臥不安」。通常胃是處於亢奮狀態用本方加安神藥也有相當療效
 
.呼吸神經系統疾病
 
本方徂成其實就是消炎抗生素有因腹痛嘔吐吞酸進而頭痛是因陽明經上升頭面用本方可緩解陽明經病另有神經炎腦炎腦膜炎精神病等症狀也可使用但因本方黃芩黃連味苦很多小孩或大人不願接受如果改善劑型如用膠囊再濃縮倍數減少吞服苦感相信更能讓大眾接受這種構想有賴學者專家研發
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갈근금련탕
 
【方證要點】


1、表證不解,熱陷陽明證:以項背尚強急,心下痞,下利,胸有熱感為辨證要點。主要症狀為發熱,口乾而渴,惡寒或不惡寒;舌苔黃厚,寸脈多浮滑。
2、常用於溫熱病、口瘡、口舌腫痛糜爛、唇裂、赤眼鼻痛、肩凝、急性腸炎、細菌性痢疾、流感腸傷寒、胃腸型感冒、胃腸炎、小兒夏季腹瀉、脫肛等屬於表證不解,熱陷陽明者。

3、體質要求:大多體格比較壯實,肌肉相對發達厚實,肥胖傾向,唇舌暗紅,滿面油膩,大便不成形或腹瀉,全身困重,尤其以項背強痛不舒為特徵。體檢多見血糖高、血壓高。應酬多、工作壓力大的中年男性多見。

체질: 대부분 건장하고 살집이 있으며, 입술은 검붉고, 얼굴에는 기름기가 흐르고, 대변이 무르며, 몸이 무겁다. 목과 어깨가 뻐근하고, 혈압과 혈당이 높다.

【類似方證鑑別】
1、葛根黃芩黃連湯與白頭翁湯:都可以治療濕熱下利。葛根黃芩黃連湯證是表里俱熱,喘而汗出;而白頭翁湯證則純屬里熱,無表證。

2、葛根黃芩黃連湯與葛根湯:都可以治療下利不止,葛根黃芩黃連湯證是表病入里,故而利不止但喘汗;而葛根湯證是表未解,利雖不止但必不汗出,脈促。

3、葛根黃芩黃連湯與麻杏石甘湯:都可以治療汗出而喘。葛根芩連湯證之汗出而喘,為表證不解,熱陷陽明所致,有暴注下迫,肛熱氣穢等腸胃症狀;而麻杏石甘湯證之汗出而喘,為熱邪郁肺,清肅失調所致,有痰濁黃稠,口渴,舌燥等肺熱症狀。
4、葛根黃芩黃連湯與白虎湯:都可以治療發熱汗出。葛根芩連湯證之熱伴有濕,以暴注下迫,肛熱氣穢,舌苔黃膩為主;白虎湯證之熱伴有燥,以口乾渴為主。


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葛根黃芩黃連湯主治外感表證未解熱邪入裡身熱下利臭穢肛門有灼熱感心下痞胸脘煩熱喘而汗出口幹而渴苔黃脈數
 
葛根黃芩黃連湯功效如何?臨床應用顯示
 
1.痢疾應用葛根黃芩黃連湯治療急性細菌性痢疾40其中發病1日內者23(57.5%)糞培養痢疾桿菌陽性者26(其中福氏18施氏5宋內氏3);陰性者14採用本方水煎劑治療後平均退熱時間為27.76小時;腹痛消失平均4.57裡急後重消失平均3.47食欲恢復正常平均2.5便次恢復正常平均2.83糞檢轉陰平均4大便培養轉陰平均3陰轉率69.3%總有效率達72.5%
 
2.小兒夏季腹瀉使用葛根芩連湯和五苓散合方(葛根6g川連3g黃芩6g甘草2g茯苓6g桂枝2g白術6g澤瀉6g豬苓6g)治療小兒夏季腹瀉60
結果痊癒48好轉11無效1
 
3.小兒麻痹症按溫病小兒中風例採取清熱解毒熄風通絡等法用加味葛根芩連湯(葛根黃芩黃連甘草生石膏銀花白芍全蠍蜈蚣)隨症加減治療小兒麻痹症129結果患肢呈深度完全麻痹失去自主運動功能的重型患者52例中痊癒17好轉35;尚能自主活動但不能走路不能站立的中型患者67痊癒33好轉34;能自主活動能站立行走但肢體軟弱無力的輕型患者10例全部治癒一般中型及輕型病例多在1個月左右痊癒最快的1例僅1周而愈
 

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 인간의 의식에 대한 소고(小考)
    
 
 
 
Wanting to Want What We Want
Russ Roberts
 
Or perhaps there is an asymptote to our knowledge or our ability to apply it. I am drawn to the Venetian proverb that Nassim Taleb quotes — the farther from shore, the deeper the ocean. I remain agnostic about what even in the physical world is within the grasp of our reason and the possibility that some or perhaps much will remain beyond it.
 
The Piasetzner Rebbe — Rabbi Kalonymus Kalman Shapira — writing in early 20th century Poland and collected in the book To Heal the Soulsays that if you only respond to your physical urges, seeking pleasure and avoiding pain, you are no different from a plant or an animal.
 
 
For plants and animals, there is no distinction between the individual plant or animal and its species. Each responds to its environment like any other driven by its biological imperatives. If we respond only to our physical urges and even to the norms and social pressure of the culture around us, then we are no different from plants and animals. We have forsaken our human-ness which is to be whatever is distinctive about each of us. The Piasetzner Rebbe urges us to rise above the merely physical and to be mindful — to take the opportunity to be aware of the choices we face and make those choices as a willful, mindful human being created in the image of God who is exhorted to walk in God’s ways.
 
This view of the Piasetzner Rebbe is at the heart of the Jewish tradition and other religions. It is strongest on Yom Kippur but it runs through all of Jewish theology — we can choose. We can decide who we want to be. It just requires paying attention — mindfulness, and the will to change. But you don’t have to be Jewish or a religious believer of any theistic flavor to embrace this basic mindset. Amazon is filled with self-help books that promise mindfulness and happiness without religion. It appears to be just a question of technique and will. You can be who you want to be. But is it true?
 
Mark Twain captured the skeptical viewpoint when he observed that it is easy to stop smoking — he’d done it a score of times. And yet, some people do stop smoking, or become religious, or leave religion behind, or get fatter or thinner. Kingsley Amis wrote (in One Fat Englishman, I think) that inside every fat person is a fatter person waiting to get out. It is hard to know who is the real me.
 
The whole idea of mindfulness (and of Adam Smith’s impartial spectator) is to step outside oneself and become aware of the physical processes that push and pull our behavior. While stepping outside oneself would seem by definition to be literally impossible, we all have had the sensation of observing ourselves as we respond to our emotions and the challenges that arise in day-to-day living. We also know the sensation of being swept along by our emotions and physical desires and acting impulsively in ways that feel thoughtless. The very word “thoughtless” means that we are without thought — that we sometimes act like animals or machines, merely following our instincts, our algorithms. Do we have control over these moments? The practice of mindfulness certainly gives us the feeling that we do. Or perhaps this is only an illusion.
 
These different ideas came together for me after a conversation with psychologist Angela Duckworth over the question of character and whether we can change our character. In the course of that conversation, she mentioned the 1971 paper by philosopher Harry Frankfurt, “Freedom of Will and the Concept of a Person.” Frankfurt echoes the Piasetzner Rebbe and argues that what distinguishes us from animals is that we can have desires about our desires. (It is a very dense articlethis excellent post by Amitabha Palmer helped me understand it.)
 
Animals desire food, sex, shelter, survival. We humans have such desires along with a much longer list including respect, honor, power, fame, wealth and so on. Frankfurt argues that while, like animals, we have desires, we have something the animals do not have. We can have desires about our desires. I might crave ice cream and I might decide to satisfy that craving. But I can also desire not to crave ice cream. I still might end up eating ice cream but I can have regret. I can decide to try to curb my desire the next time I face a dessert choice. An animal, claims Franfurt, cannot do that.
 
When I shared Frankfurt’s article with a teacher of mine, Rabbi James Jacobson-Maisels who is deeply knowledgeable about the Piasetzner’s teachings and who I thought might enjoy seeing an early 20th century Polish rabbi echoed by a late 20th century philosopher, he responded that not only might Frankfurt’s claim be a useful one for understanding the differences between humans and animals but that it also might be the standard for judging the difference between human intelligence and artificial intelligence.
 
That seems right to me. A human child might grow up to be a cruel and arrogant adult. Perhaps at some point, such an adult might realize that he had lived life poorly. That he had made poor choices. That it was not too late to change and that change was possible.
 
Such epiphanies are the stuff of Dickens and Hollywood. But could Robby the Robot have such feelings? Could an artificially intelligent creature wish that its algorithms had been different? Could a smart vacuum cleaner feel sadness at not having a chance at being a driverless car?
   (발췌)
 
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Edmund Burke: 영국 보수주의 정치가
 
“Because half a dozen grasshoppers under a fern make the field ring with their importunate chink, whilst thousands of great cattle, reposed beneath the shadow of the British oak, chew the cud and are silent, pray do not imagine that those who make the noise are the only inhabitants of the field.”
 
떡갈나무 아래 수 천 마리의 소들이 풀을 뜯으며 조용히 있을 때, 대여섯 마리 여치가 고사리 아래에서 들판이 떠나갈 듯이 울어댄다고, 이들 시끄러운 여치들이 들판의 유일한 거주자라고 착각해서는 절대 안 된다.
 
시끄럽게 떠드는 몇 마리 여치들 --->  한국의 좌파 시민단체. 벌써 수 백년 전에 영국에도 좌파 선구자들이 있었던 모양이다
 
 
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I’m Glad the Dyke March Banned Jewish Stars

Daniel Hannan
 
We ran a deficit through the boom years.
Then we ran a deficit through the downturn.
Now we're running a deficit through the recovery.
 
호황기에 우리는 적자를 냈다.
다음에 불황기에 우리는 또 적자를 기록했다.
현재 회복기에 우리는 다시 적자를 보고 있다.
 
 
 
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