Explanation of Dry Liver Dystemperament (sue-mizaj) Concept in Iranian Traditional Medicine (Persian Medicine): A Qualitative Study

Author(s): Fatemeh Hakimi*, Mina Movahhed, Farideh Yaghmaei, Abbas Alipour

Journal Name: Current Traditional Medicine

Volume 6 , Issue 3 , 2020

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Graphical Abstract:


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.

Keywords: Integrative medicine, complementary medicine, concept analysis, metabolic syndrome, liver dystemperament, Avicenna.

Mojahedi M, Naseri M, Majdzadeh R, et al. Reliability and validity assessment of mizaj questionnaire: A novel self-report scale in Iranian traditional medicine. Iran Red Crescent Med J 2014; 16(3)e15924
[http://dx.doi.org/10.5812/ircmj.15924] [PMID: 24829785]
Jafari S, Abdollahi M, Saeidnia S. Personalized medicine: A confluence of traditional and contemporary medicine. Altern Ther Health Med 2014; 20(5): 31-40.
[PMID: 25141369]
Ibn Sina. (Avicenna). H. Qanoon Fi Al-Tibb. The Canon of Medicine 2005.
Guan YS, He Q. A current update on the rule of alternative and complementary medicine in the treatment of liver diseases. Evid-based Complement Altern Med 2013; 2013: 1-10.
Erolin C, Shoja MM, Loukas M, et al. What did Avicenna (Ibn Sina, 980-1037A.D.) look like? Int J Cardiol 2013; 167(5): 1660-3.
[http://dx.doi.org/10.1016/j.ijcard.2012.09.178] [PMID: 23084546]
Movahhed M, Mosaddegh M, Farsani MG, Abolhasani MH. History of fatty liver in medieval Iranian medicine. Heal Med 2013; 7(3): 786-92.
World Health Organization. Traditional Medicine. Available at: Traditional Medicine http://www.who.int/topics/traditional_medicine/en/ WHO traditional medicine strategy: 2014-2023.
Baldwin MA. Concept analysis as a method of inquiry. Nurse Res 2008; 15(2): 49-58.
[http://dx.doi.org/10.7748/nr2008.] [PMID: 18283762]
Schwartz-Barcott D, Patterson BJ, Lusardi P, Farmer BC. From practice to theory: Tightening the link via three fieldwork strategies. J Adv Nurs 2002; 39(3): 281-9.
[http://dx.doi.org/10.1046/j.1365-2648.2000.02275.x] [PMID: 12121529]
Tabari A. Ferdows Al-Hekmah Fi Al-Tibb (Paradise of Wisdom on Medicine) 1928.
Razi(Razes) M The Kitab Al-MansuriLiber Al-Mansuri, a Concise Handbook of Medical Sciences. 2008.
Ahwazi AA. Kamel Al-Sanaah Al-Tibbiyah. The Perfect Art of the Medicine 1973.
Akhawayni A. Hedayat Al-Mota’allemin Fi Al-Tibb (An Educational Guide for Medical Students) 1992.
Jorjani I. Zakhireye Kharazmshahi 1976.
Kermani N. Sharh Al-Asbab va Alamat (samarghandi) (Description of Causes and Symptoms) 2008.
Aghili Khorasani Shirazi SMH. Moalejate Aghili 2009.
Arzani MA. Teb-e-Akbari [Akbari’s medicine]. Research Institute for Islamic and Complimentary Medicine, Tehran, Iran 2008.
Azam AK. Great Elixir. Lucknow, India: Monshi Nou 1869.
Ko MM, Park T-Y, Lee JA, Choi T-Y, Kang B-K, Lee MS. Interobserver reliability of pulse diagnosis using traditional Korean medicine for stroke patients. J Altern Complement Med 2013; 19(1): 29-34.
[http://dx.doi.org/10.1089/acm.2011.0612] [PMID: 22954463]
Zendehboodi Z. Association of glutathione S-transferase M1 and T1 polymorphisms and temperament. Mol Biol Res Commun 2017; 6(3): 95-100.
[http://dx.doi.org/10.22099/mbrc.2017.4074] [PMID: 29071278]
Rezadoost H, Karimi M, Jafari M. Proteomics of hot-wet and cold-dry temperaments proposed in Iranian traditional medicine: A network-based study. Sci Rep 2016; 6(130): 30133.
[http://dx.doi.org/10.1038/srep30133] [PMID: 27452083]
Nazem E, Ed. Aghili Khorasani Shirazi, M Kholassat Al-Hekmah (The Principals of Traditional Iranian Medicine) 2006
Li J, Bi L, Xia K, et al. Biological basis of “Depression with liver-qi stagnation and spleen deficiency syndrome”: A digital gene expression profiling study. J Tradit Chinese Med Sci 2015; 2(3): 150-8.
Heydarirad G, Choopani R. “Dry mouth” from the perspective of traditional Persian medicine and comparison with current management. J Evid Based Complementary Altern Med 2015; 20(2): 137-42.
[http://dx.doi.org/10.1177/2156587214558596] [PMID: 25488323]
Choopani R, Tansaz M, Movahhed M, Mokaberinejad M, Khodadoost M. Constipation due to Liver disorder in Iranian traditional medicine `S Viewpoint. International Congress of Updates on Pediatric Gastrointestinal and Liver Disease 2014; 2(1): 30.
Stein J, Connor S, Virgin G, Ong DEH, Pereyra L. Anemia and iron deficiency in gastrointestinal and liver conditions. World J Gastroenterol 2016; 22(35): 7908-25.
[http://dx.doi.org/10.3748/wjg.v22.i35.7908] [PMID: 27672287]
Feyzabadi Z, Jafari F, Feizabadi PS, Ashayeri H, Esfahani MM, Badiee AS. Insomnia in Iranian traditional medicine. Iran Red Crescent Med J 2014; 16(3)e15981
[http://dx.doi.org/10.5812/ircmj.15981] [PMID: 24829786]
Anushiravani M, Manteghi AA, Taghipur A, et al. Depression from the perspective of modern and Persian medicineElectron Phys 2018; 10(2): 6372-6
[http://dx.doi.org/10.19082/6372] [PMID: 29629061]
Baghbanan SH, Nazem E, Yarjoo S, Minaei B, Presentation C. Therapeutic effects of Iranian traditional medicine on a patient with cryptogenic cirrhosis. Iran Red Crescent Med J 2014; 16(7)e16548
[http://dx.doi.org/10.5812/ircmj.16548] [PMID: 25237567]
Vajro P, Paolella G, Fasano A. Microbiota and gut-liver axis: Their influences on obesity and obesity-related liver disease. J Pediatr Gastroenterol Nutr 2013; 56(5): 461-8.
[http://dx.doi.org/10.1097/MPG.0b013e318284abb5] [PMID: 23287807]
Choudhury BN, Jain A, Das Baruah U. Dermatological manifestations of chronic liver disease. Int J Res Dermatol 2018; 4(2): 224-9.
Iwasa M, Karino Y, Kawaguchi T, et al. Relationship of muscle cramps to quality of life and sleep disturbance in patients with chronic liver diseases: A nationwide study. Liver Int 2018; 38(12): 2309-16.
[http://dx.doi.org/10.1111/liv.13745] [PMID: 29582541]
Formentin C, Garrido M, Montagnese S. Assessment and management of sleep disturbance in cirrhosis. Curr Hepatol Rep 2018; 17(1): 52-69.
[http://dx.doi.org/10.1007/s11901-018-0390-1] [PMID: 29876197]
Youssef NA, Abdelmalek MF, Binks M, et al. Associations of depression, anxiety and antidepressants with histological severity of nonalcoholic fatty liver disease. Liver Int 2013; 33(7): 1062-70.
[http://dx.doi.org/10.1111/liv.12165] [PMID: 23560860]
Rao SSC. Treating constipation with bile: A new target. Lancet Gastroenterol Hepatol 2018; 3(8): 520-1.
[http://dx.doi.org/10.1016/S2468-1253(18)30166-3] [PMID: 29805117]

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Year: 2020
Page: [242 - 249]
Pages: 8
DOI: 10.2174/2215083806666191202145837
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