Introduction of HyungSang (形象: shape and image?) Medicine (HSM)


Introduction of HyungSang (形象: shape and image?) Medicine (HSM)



HSM diagnoses disease according to shape, color, pulse, and pattern (形色脈證) in korean (oriental(O


Shape () refers to essence, qi, spirit, and blood (精氣神血).

Image () refers to five viscera and six bowels.

Pulse () refers to outward appearance (外形)

Pattern () refers to miscellaneous signs (disease)


In the middle of them, shape () is very important. Pattern should be checked in relation with shape.


# Shape and image (形象) can be divided according to point of view. For example, there is male and female (男女), the constitution of gall bladder and bladder, the shape and image of essence, qi, spirit, and blood (精氣神血의 形象), the type of fish, bird, animal which runs well, animal which has developed back such as turtle (魚鳥走甲類), the type of six channels, and so on.


# male vs female


in [周易 說卦傳], it is said that the Way of Qian () consists of male and the Way of Kun () constists of female. (乾道成男, 坤道成女)


Here, men and women are not identified only by their reproductive organs, but also by ‘the characteristics of male and female’ the following table.


The characteristics of male and femal


male

female

形象

Shape and image

Shape (mainly)

Image (mainly)

耳目鼻口

The ears, eyes, nose, and mouth

The ears and nose

The eyes and mouth

八象

Eight images

The upper, left, posterior

And exterior

The lower, right, anterior, and interior

肥瘦

The fat and thin

fat

Thin

黑白

Black and white

black

White

剛柔

Hardness and softness

Hard

Soft

長短

Long and short

long

Short

性命의 根本

The root of life

The kidney

The breats (stomach)

天垂地積 1)


天垂

Falling from the head

地積

Piling up from the earth

頭軀

The head and body trunk

Large head and small trunk

Large trunk and small head

肩臀廣狹

The wideness and narrowness of the shoulder and buttock

Wide shoulder and narrow buttock

Wide buttock and narrow shoulder

燥濕

Dryness and dampness

dry

Damp

筋骨肌肉

The sinew, bone, and flesh

Sinew and bone type

Flesh type

胸腹背臀

The chest, abdomen, back,

And buttock

The abdomen and back

The chest and buttock

寒熱

Cold and heat

Presence of sweating

cold (water)

Absence of sweating

Warm (fire)

軀肢

The body trunk and limbs

 The body trunk

The limbs

氣勢

Qi force

The image of winter and fall

(cold)

The image of spring and summer (heat)

五官集散

The collecting and distributing of the five offices

dissipating

Collecting

五臟六腑

The five viscera and bowels

The five viscera

The six bowels

孔竅

The orifices

Nine orifices

Ten orifices

病理

The pathology

The vacuity of essence and qi, yang disease (breathing),

physical illness, and sexual taxation

Blood vacuity, qi depression, yin disease (food and drink)

mental illness, and the disease of menstruation, vaginal discharge, and childbirth

1) as it is said the above, male has the Way of (qian, heaven), male is concerned with the image of that something piled up in the heaven the heaven (upper part) falls downward so that has the figure of an inverted triangle (wide shoulder and narrow buttock). And female has the Way of the (kun, earth), female is concerned with the image of something piled up in the earth (lower part) goes upward so that has the figure of a regular triangle (wide buttock and narrow shoulder).


In general, men have wide shoulder and narrow buttock, women have wide buttock and narrow shoulder. This is favorable image. But, if woman has wide shoulder, this belongs to disease.

For example, there was a woman who is tall, has wide shoulder, a sharp nose, and black complexion.   

It was hard for her to conceive. She has the figure of a man, how can she be pregnant? In 東醫寶鑑, 婦人門, it is said that if the qi of a woman is more exuberant than blood, she fails to conceive. Even if she is pregnant, miscarriage occurs easily. In case of this, the medicine which drains qi or supplements blood should be used.
 
If a woman looks like a man or a man like a woman, this is considered as the shape and sign of phlegm (痰飮). The signs and shape of the phlegm appear.
                                           (  these infomation is from 東醫寶鑑形象解說 and 강의록 형상의학 2009)