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KMID : 0387420200310020121
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Korean Society of Oriental Neuropsychiatry
2020 Volume.31 No. 2 p.121 ~ p.133
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A Review on the Concept Establishment of Stagnation Syndrome
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Kim Sang-Hyun
Choi Yu-Jin
Jung In-Chul
Lee Mi-Young
Yang Chang-Sop
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Abstract
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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 syn-drome 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 stagna-tion 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 in-dependent syndrome. The recently defined stagnation syndrome commonly shows distinctive symp-toms 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 stagna-tion, distinguished from the depressive disorder.
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KEYWORD
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Stagnation syndrome, Korean medicine, Psychosomatic disorder, Somatic disorder, Depressive disorder
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