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?
"Have you ever collapsed into bed exhausted after work and cried out, 'Oh, my legs don’t feel like my own'? If heavily swollen and throbbing calves even keep you awake at night, it might not be mere fatigue. Could this be an SOS signal sent by your legs?"

Symptoms of swollen, numb, and throbbing legs every night are pains experienced by many modern individuals. They appear especially commonly in people who work standing up or office workers who sit for prolonged periods. The spleen problem described in Donguibogam can be explained in modern medicine as circulatory diseases such as varicose veins or chronic venous insufficiency. These diseases arise from problems in the leg veins, occurring because blood cannot properly return to the heart. Important veins that return blood to the heart are distributed throughout our legs. Inside these veins, there are small doors called valves that prevent blood from refluxing downward as it moves upward against gravity. However, what happens if these valves become damaged or their function weakens due to various reasons? Just like the floodgates of a broken dam, blood cannot travel upward properly and begins to stagnate in the lower legs. Blood stagnating in this manner dilates the veins and, over time, can cause varicose veins that protrude tortuously. In the early stages, the legs merely feel swollen and heavy, but gradually pain, numbness, convulsions, pruritus, and in severe cases, skin discoloration or ulcers can appear. In particular, many people have their deep sleep disrupted at bedtime due to a crawling sensation or throbbing pain. Chronic venous insufficiency is a broader concept than varicose veins, referring to all conditions in which chronic blood pooling occurs in the legs due to valve dysfunction. As a result, the supply of oxygen and nutrients to leg tissues becomes impaired, and waste accumulation worsens, repeating a vicious cycle that further aggravates edema and pain. Symptoms worsen as prolonged sitting or standing allows gravity to draw blood downward for extended periods, and pain can feel even greater at night due to the pressure and inflammatory reactions accumulated during the day, even while lying down. Ultimately, the waterway stagnation caused by spleen hypofunction in Donguibogam is explained in modern medicine through the specific mechanism of blood circulation disorder and inflammation caused by venous valve insufficiency. Please remember that this is not swelling simply from being tired, but a very important signal sent by the blood vessels in our body. Leaving it unaddressed can cause it to gradually worsen, so taking an early interest and managing it is truly important.

2 steps you can take right now
When sitting or standing for long periods, elevate your legs onto a chair periodically to keep them higher than your heart, or perform simple calf pump exercises by raising and lowering your heels. The contraction and relaxation of the calf muscles aid blood circulation and are of great help in reducing edema. Resting for a while with your legs leaned against a wall after work is also beneficial.
Before going to bed, gently massage your calves in an upward sweeping motion from the bottom to the top while showering with warm water. This will aid blood circulation, relax muscles, and help promote restful sleep. Additionally, wearing medical compression stockings during daytime activities to reduce the pressure applied to the veins can also be a good method.

水腫者,水氣之盛也。水氣之病,先從足起者,皆脾病也。
Edema means that water qi is flourishing. When a disease caused by water qi begins first in the feet, it is entirely a disease of the spleen.
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).