『医心方』の構成と養生思想

抄録

Ishimpo is a medical book edited by Tamba, Yasurori, in Heian Period of Japan.

It is different in construction from Chinese traditional medical books, which first describe diseases due to natural phenomena, second ones related to the viscera, and finally ones seen at various sites of the body.

In contrast, what becomes problematic in the construction of Ishimpo is that acupuncture and moxibustion are placed in the second volume, that stone drugs, a life nurturing skill of Taoism, is not included in the life nurturing volumes, and how to interpret a disease of “fatigue of deficiency type”. As we investigated the answers of the problems, we could understand that Ishimpo emphasized acupuncture and moxibustion and that the interpretation of “fatigue” was limited and also show the essential points of life nurturing ideas in Ishimpo.

In conclusion, Ishimpo considers diet therapy the most important in life nurturing. Therefore, in Ishimpo’s life nurturing ideas, recreating “five viscera” leads to reviving not only the body but also “spirit and vitality” and “Qi”, which is thought to be the very curing. Also, Ishimpo may suggest that they explored more realistic and Japanese-style life nurturing.