• Journal of Korean Medical classics
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• v.37 no.3
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• pp.11-20
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• 2024

Objectives : This study aims to examine the cause, symptoms, and treatment of Shiji in Korean Medicine, to establish foundation for applied research in the future. Methods : Contents on Shiji in the Donguibogam were selected and categorized according to cause, symptom and treatment. Medical significance and its relationship with contemporary diagnosis were examined. Results : Shiji is caused by weakness in the Spleen and Stomach, overeating, consumption of raw or cold food, external contraction, emotional damage, etc., while gastrointestinal symptoms such as stomach pain and diarrhea and other symptoms such as cold damage, phlegm, cough, back pain, flank pain are triggered. For treatment of gastrointestinal symptoms, Pingweisan is applied as basis, while for other symptoms, Erchentang supplemented with digestion stimulating medicinals such as Shanzhazhi, Shenqu, Maiya, etc., is applied. Conclusions : Shiji is related to conditions such as IBS, gastroesophageal reflux, functional indigestion, food-related skin allergies, polyps, etc. Shiji not only refers to stagnated food within the body, but should be understood as a broad term that includes reactive dysfunction of the nervous system caused by poor food hygiene and gastrointestinal hypofunction.