1- MSc Student in History of Medical Sciences, Department of Traditional Medicine, School of Persian Medicine, Shahed University, Tehran, Iran
2- Assistant Professor, Department of Traditional Medicine, School of Persian Medicine, Shahed University, Tehran, Iran , s.talebi@shahed.ac.ir
Abstract: (19 Views)
Introduction: Although major depressive disorder is among the most prevalent psychiatric conditions, its manifestations have been described across various categories of diseases in Persian medicine. The present study aimed to conduct a conceptual mapping and semantic analysis of terms related to depressive symptoms in the works of Seyed Esmail Jorjani.
Materials and Methods: This qualitative content analysis examined terminology in Jorjani’s medical texts that parallels the diagnostic criteria of depression in modern psychiatry. Terms with the highest semantic correspondence were coded using MAXQDA-20 software, and conceptual maps were subsequently developed to illustrate the relationship between identified terms and disease entities.
Results: Analysis of Jorjani’s writings revealed several key terms with strong conceptual overlap with depressive symptoms, including sadness, sorrow, dysphoria, insomnia or hypersomnia, fear, obsession, distress, weight loss or gain, fatigue, negligence and pessimistic thinking. These manifestations were associated with multiple pathological entities, including melancholia, general soda sue-mizaj (dyscrasia), hot-dry brain dyscrasia, soda or cold-wet brain sue-mizaj, soda sue-mizaj of the heart, soda sue-mizaj of the liver, spleen swelling, hot-dry dyscrasia of the liver and weakness of the spleen. Among these, melancholia, soda sue-mizaj of the brain, general soda sue-mizaj and hot-dry brain dyscrasia demonstrated the closest semantic alignment with depressive symptoms.
Conclusion: While most previous studies have linked depressive presentations to cold or melancholic temperaments, the findings of this study highlight that hot-dry dyscrasia may also underlie depressive-like manifestations. These insights underscore the importance of individualized medicine in Persian medical thought, urging physicians to tailor diagnosis and treatment to each patient’s unique temperament and clinical presentation. Such a personalized approach has the potential to enhance treatment precision and improve long-term mental health outcomes.