Background: Temperament (mizaj), prakruti and zheng are equivalent basic concepts
in different traditional medical schools. In Iranian Traditional Medicine (ITM), Liver
distemperament is one of the liver diseases not yet objectively defined.
Objectives: The present study aims to explain the concept of dry liver dystemperament in
Iranian Traditional Medicine.
Methods: This study is a qualitative research based on a hybrid model of concept analysis.
In literature review, 11 major academic textbooks of PhD students of ITM as well as, recent
investigations were reviewed. In addition, 16 ITM experts were interviewed to collect empirical
data. The data were analyzed using MAXQDA10 software and categorized based on
conventional content analysis.
Result: Here, dry dystemperament of the liver was classified into three main themes of systemic,
local, and Para-clinical symptoms and 10 categories. Phenotypic features, skin color,
dryness or stiffness in mucus, skin and subcutaneous tissue touch, general or gastrointestinal
dysfunction; especially thirst and systemic impressibility speed were the most important
clinical diagnostic criteria.
Conclusion: In this study, a new definition was presented for dry liver dystemperament.
Based on the results, there were some scattered symptoms in textbooks, which were of the
same importance. However, in empirical phase, the experts of traditional medicine stated
that in clinical diagnosis, some signs or symptoms are more important for them. The concept
of dry liver dystemperament was classified into 10 categories which were the same as dysfunction
in 10 categories that mentioned for general temperament.