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?
"Does your lower back feel sore and achy? If your lower abdomen in particular feels unusually cold, do not overlook this symptom. Cold qi around the navel, the center of our body, may be the hidden cause of your low back pain."

How can the cold qi in the lower abdomen mentioned in Donguibogam be explained in modern medicine? Beyond a simple feeling of coldness, let us look at the scientific reactions taking place inside our bodies. First is the issue of blood circulation. Feeling cold qi around the lower abdomen and pelvis can be a signal that local blood vessels have undergone vasoconstriction, impeding smooth blood circulation. Blood supplies oxygen and nutrients and removes waste products; when circulation is obstructed, the supply of oxygen and nutrients to the muscles, ligaments, and spinal discs around the lower back decreases. This readily induces muscle stiffness and inflammation, slowing the recovery of damaged tissue and potentially leading to chronic low back pain. Much like parched land cracks in a drought, lower back tissues lacking sufficient blood supply are prone to weakening. Second is the increased sensitivity of the nervous system. The autonomic nervous system in our body is responsible for thermoregulation, and the stimulus of a cold lower abdomen can activate the sympathetic nerve. Excessive sympathetic activation not only causes vasoconstriction, but also increases muscle tension and makes pain sensation more sensitive. Furthermore, visceral pain and somatic pain tend to converge in the spinal cord, a phenomenon known as viscero-somatic convergence. In other words, visceral stimuli such as chilliness or discomfort in the lower abdomen can be perceived as somatic pain like low back pain. When nerves become sensitized, they react strongly even to minor stimuli. Third is muscular reflex action and the inflammatory response. Chilliness around the lower abdomen and pelvis can reflexively tense or trigger convulsions in not only the abdominal muscles but also the deep muscles around the lower back. This muscular tension places strain on the spine and exacerbates pain. In addition, cold syndrome can become a factor that aggravates local inflammatory reactions or renders them chronic. When body temperature drops, the activity of immune cells declines, raising the likelihood that inflammatory substances are not cleared effectively and accumulate. Fourth is the connection to hormonal imbalance. Particularly in women, lower abdominal cold syndrome can influence female hormonal balance. Estrogen plays an important role in pain modulation and anti-inflammatory activity; hormonal imbalance weakens these protective mechanisms, potentially increasing vulnerability to low back pain. The worsening of low back pain associated with the menstrual cycle is also driven by these combined factors. In conclusion, the cold qi in the lower abdomen emphasized in Donguibogam suggests that, in modern medical terms, it can trigger or aggravate low back pain through various physiological mechanisms such as reduced blood circulation, hypersensitivity reactions of the nervous system, muscle tension and worsening inflammation, and hormonal imbalance. Our body is organically connected in this way.

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The navel and lower abdomen suddenly ache, pulling painfully into the lower back and spinal column.
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).