東醫寶鑑에 나타난 心身關係

PSYCHOSOMATIC RELATIONSHIP MANIFESTED IN THE BOOK OF KOREAN MEDICINE： TONG Ul PO KAM

Tong Ui Po Kam, the Book of Korean Medicine reveals abundant explanations similar to the ideas of the Western psychosomatic medicine. The explanations concerning the relationship of 7 affects to the different organs were derived from this book in order to make a comparison between the Western and the Eastern view of mind-body concept. There were no organs which do not relate with the 7 affects: pleaure, rage, apprehension, worrying, sorrow, astonishment and fear, however, such organs as liver, heart, and lungs are more frequently mentioned in relation to emotional factors than other organs. There were few or no mentioning of affective influences in causation of disorders of stomach, intestine, kidneys, spleen, bladder and brain. Eyes were regarded as the mirror of organs, thus, related with 7 affects. By eye disease it is prohibited to have 7 affects. The deafness was attributed to the excessive rage. The precordial pain -heart pain- was attributed to 6 affects except pleasure which only can relieve pain. Much interests were shown in the skin diseases such as furuncle, carbuncle, abscess and tumors recommending to keep from rage and erotic desire. For beriberi shouting and aggressive outburst were prohibited. Amenorrhea and menorrhagia were attributed to excessive worrying, exhaustion and sexual longing. The Confucian ideal of behaviour which is characterized by the calmness and reserved expression of feeling probably had been contributed to such principles of treatment. The psychosomatic explanation of this book is though different according to references cited in the book based on the ancient Chinese yin yang and 5 emblems interwoven by chhi-hsueh (blood) theory. The central healing power is Tao in which all divergences of somatic and emotional phenomena come into an harmonious unity. The way of explanation of the Eastern medicine is characterized by non-causality putting parallels between corresponding phenomena as an changing entity. Therefore, mind-body relationship viewed from the Eastern medicine indicates rather the synchronicity phenomena according to C.G. Jung than the psychosomatic medicine for which the causality principle is inevitable. The basic concepts of life forces in the Eastern medicine: ching, chhi and shen which can be re arded as various aspects of energy and archetypal forces are remained as an object of future investigation.