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?
"When sudden tears well up or your entire body is drenched in sweat, have you ever felt your heart sink, wondering if you are going through the climacteric? Although people say it is just a natural part of aging, many find it overwhelming and difficult, feeling as though their body and mind are caught in a raging storm."

What the Donguibogam describes as the depletion of tiangui and yin deficiency with effulgent fire is precisely explained in modern medicine as a decline in estrogen levels and the resulting physical and psychological changes. The climacteric is not simply the cessation of menstruation; it is a complex physiological transition affecting a woman's entire systemic health. The central change is a sharp drop in estrogen secretion caused by ovarian hypofunction. Estrogen is not merely a reproductive hormone; it plays an extensive role in regulating brain function, cardiovascular health, bone mineral density, skin elasticity, and mood. Estrogen also influences the synthesis and activity of neurotransmitters in the brain, such as serotonin and dopamine. When these hormones become deficient, mood swings like depression, anxiety, and irritability intensify, and sleep quality deteriorates. What the Donguibogam describes as the weakening of the conception vessel and thoroughfare vessel corresponds in modern medicine to vasomotor symptoms arising from a disrupted autonomic nervous system balance, manifesting as facial flushing, sweating, and night sweats. Because estrogen influences the thermoregulatory center, unstable hormone levels cause the hypothalamus to misread body temperature, triggering sudden heat surges and sweating. Warning signs also appear in bone health. Estrogen suppresses the activity of cells that break down bone and activates those that build it. As this hormone declines, bone mineral density decreases rapidly, increasing the risk of osteoporosis. Joint pain and muscle weakness frequently follow. The risk of cardiovascular disease also climbs because estrogen previously helped protect blood vessels and regulate cholesterol levels. As vascular elasticity diminishes and low-density lipoprotein (LDL) cholesterol rises, the incidence of hypertension and arteriosclerosis can increase. Psychologically, the drop in estrogen makes the stress response system more sensitive and increases amygdala activity in the brain, leaving one vulnerable to anxiety and depression. Emotional distress during this period can be significant enough to warrant an independent diagnosis of menopausal depression. It is vital to understand that this is not a simple dip in mood, but an actual functional brain change caused by biochemical shifts, requiring proper support and treatment. Dear patients, none of these changes happen because you are weak; they stem from a massive shift in your body's hormonal balance, so please do not blame yourself.

2 steps you can take right now
Decreased estrogen affects serotonin secretion, making it easy for depressive feelings to emerge. Just taking a light 20-minute walk in the morning sunlight can stimulate the release of serotonin, often called the happiness hormone, and regulate melatonin secretion to encourage deep sleep at night. Consider taking a walk around your neighborhood and spending some quiet time for yourself in nature.
When hot flashes and anxiety flare up, sit comfortably, drink a cup of warm herbal tea, such as rosemary or lavender, and practice deep breathing meditation. Focus on your inhalations and exhalations, imagining that your stress is leaving along with the heat. Much like nourishing yin in the Donguibogam, this will help relax bodily tension and calm the mind.

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When a woman reaches seven times seven years (age 49), the conception vessel becomes deficient, the thoroughfare vessel declines, and tiangui, the substance essential for reproductive function, is depleted so that the uterus becomes obstructed; thus, the body declines and she can no longer bear children.
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).