Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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A Review on the Concept Establishment of Stagnation Syndrome

울증(鬱證)의 개념 정립에 관한 문헌고찰

  • Kim, Sanghyun (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Choi, Yujin (Clinical Medicine Division, Korea Institute of Oriental Medicine) ;
  • Jung, In Chul (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University) ;
  • Lee, Mi Young (Clinical Medicine Division, Korea Institute of Oriental Medicine) ;
  • Yang, Changsop (Clinical Medicine Division, Korea Institute of Oriental Medicine)
  • 김상현 (한국한의학연구원 미래의학부) ;
  • 최유진 (한국한의학연구원 임상의학부) ;
  • 정인철 (대전대학교 한의과대학 한방신경정신과학교실) ;
  • 이미영 (한국한의학연구원 임상의학부) ;
  • 양창섭 (한국한의학연구원 임상의학부)
  • Received : 2020.05.28
  • Accepted : 2020.06.18
  • Published : 2020.06.30
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Abstract

Objectives: The purpose of this study was to identify the meanings and characteristic of the stagnation syndrome, a distinctive clinical syndrome in traditional Korean medicine (KM). Methods: The major ancient Oriental medicine literature, including Huangdi neijing (黃帝內經), Danxixinfa (丹溪心法), and Jingyuequanshu (景岳全書) were examined to identify the semantic change of the stagnation syndrome (鬱證). Also, recently published articles about the stagnation syndrome were searched from databases including MEDLINE, CENTRAL, KMBASE, KISS, NDSL, and OASIS. Results: The term of stagnation was originally used to describe not flowing and clogged situations, and the stagnation syndrome appeared as an independent syndrome in Danxixinfa. As the etiology became more sophisticated over time, emotional factors were mentioned for one of the causes of the stagnation syndrome. However, the major causes and symptoms of the stagnation syndrome were somatic factors. Various articles about stagnation were searched, and most of them used "stagnation" as the KM syndrome subtype of disease, some of them referred to the "stagnation syndrome" as an independent syndrome. The recently defined stagnation syndrome commonly shows distinctive symptoms of chest stuffiness, and an obstructing sensation in the throat. Conclusions: The semantic changes and characteristics of the stagnation syndrome were examined through searching ancient and modern literature. The meaning of the stagnation syndrome has evolved over time, and at its center, there are somatic and mental symptoms characterized by stagnation, distinguished from the depressive disorder.

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