<b>Original Meaning of Concurrent Exogenous and Endogenous </b><b>Factor Disease Pathology in Oriental Medicine </b> / 日本東洋医学雑誌

ABSTRACT

In oriental medicine, when an exopathogen enters the body, the inner spirits (内精) and the exopathogen conflict with each other. Disease occurs in this deficient condition of inner spirits. In most classical formulary, such as the <i>Shanghanlun</i> (傷寒論), the cause of disease is regarded as the external circumstance, such as the cold, the wind or warmth. Here, the authors surveyed the significance of exopathogens and endogenous factors in medical books such as the <i>Shanghanlun</i>, as well as the <i>Jinkuiyaolue</i> (金匱要略), the <i>Suwen</i> (素問), the <i>Lingsue</i> (霊枢) and the others, to obtain the results herein. In the original pathology of a disease concurrent with both an exogenous and an endogenous factor, there is conflict between well-regulated seasonal <i>Qi</i> (四時正気) and unregulated inner spirits. Previous to the development of internal mechanisms for disease causes,this concurrent pathology thinking is concerned significantly with the external world and <i>Shenxien</i> (神仙) thought. Furthermore ambiguities arise from various relationships between exogenous factors and endogenous factors.