Opening the Donguibogam library...
Opening the Donguibogam library...

This content is a carefully translated version of traditional Korean medical records (Donguibogam) and its modern interpretations. While prepared by specialized medical translators, it is provided for informational purposes only. Please consult a qualified healthcare professional before making any health decisions.
Why are we experiencing this pain?
"No matter how much you prepare, does your heart thump and your mind go blank the moment it counts, keeping you from demonstrating your ability or even feeling like yourself? If you want to put an end to restless nights before presentations and trembling hands unable to touch the test paper, please listen closely to today’s story."

The extreme tension and anxiety we experience during crucial moments are not simple psychological issues, but a phenomenon where intricate neurological and endocrinological responses in our body intertwine. Modern medicine refers to this as 'performance anxiety', viewing specific brain regions and stress hormones as deeply involved. The central hub is the amygdala of the brain. When detecting a threat or fear, the amygdala immediately sounds an emergency alarm, functioning as our emotional center that sends danger signals throughout the body. In response, the hypothalamic-pituitary-adrenal axis causes stress hormones such as cortisol and adrenaline to surge. These hormones trigger the fight-or-flight response, quickening heart rate, raising blood pressure, tensing muscles, and shortening breath. Just as Donguibogam noted that the gallbladder governs decisions, modern neurology views the frontal lobe as responsible for rational judgment, decision-making, and emotional regulation. However, under extreme stress, stress hormones impair frontal lobe function, leading to brain freeze or going blank where normal clear thinking and judgment become disabled. Neurotransmitter imbalances also contribute. The activity of gamma-aminobutyric acid, which eases anxiety, and serotonin, which promotes well-being, drops, while excessive secretion of norepinephrine, which induces arousal, amplifies anxiety. Additionally, an imbalance in the vagus nerve connecting our digestive organs and the brain can manifest as physical symptoms like nausea or abdominal pain. As such, performance anxiety is a complex set of symptoms revealing how our body’s delicate systems react to tension and stress, beyond just psychological factors.

2 steps you can take right now
When nervous, our body takes shallow, rapid breaths. Consciously practice abdominal breathing at this time. Inhale deeply through your nose, expanding your lower abdomen like a balloon, and slowly exhale through your mouth as your belly flattens. Repeating this process for just 5 minutes stimulates the vagus nerve, activates the parasympathetic nervous system, and helps you feel body and mind calm down. Be sure to try this, even in a restroom right before a critical moment.
Starting several days before a presentation or exam, and on the day itself, vividly imagine yourself succeeding. Picture finishing the presentation flawlessly to applause, or breezing through the test questions and marking correct answers, engaging all five senses in detail. It is important to feel the pleasant emotions of that moment as well. Because the brain does not distinguish well between actual experience and imagination, positive visualization can be a powerful tool to boost confidence and lower anxiety.

膽者 中正之官 決斷出焉
The gallbladder is the official of neutrality; decisions come from here.
We analyze Heo Jun's 'Donguibogam', a UNESCO Memory of the World, using modern data science and AI. Our goal is to reinterpret the wisdom of traditional medicine hidden in ancient texts to suit the lifestyles of busy modern people and deliver it in an easy-to-understand way.
Caution (Disclaimer): This content is for providing health information based on historical literature and cannot replace medical diagnosis and treatment. If you have any health problems, please consult a specialist (doctor/oriental medical doctor).