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Tests Look at Items Separately; Symptoms Speak of What Lies Between

Dr. Dr. Heo Ji-young, Director of Kyunghee Meerae Korean Medicine Clinic, Gwangjin
Written by Dr. Heo Ji-young Representative Director · KMD

The short answer

Tests examine organs one at a time. Yet much of what troubles the body comes not from a single organ but from the coordination between them — every part sound, and the ensemble out of step.

Tests Look at Items Separately; Symptoms Speak of What Lies Between

Some people arrive having been round several departments. The heart was checked by the heart people, the stomach by the stomach people, the thyroid as well. Nowhere was anything much found. And still there is palpitation, discomfort in the stomach, and shallow sleep.

The question that remains is "then where is the problem?" I find that the answer is often not any one place.

Tests Are Built to Look at Things Separately

Tests are made of items. The heart is examined by the method for hearts, the stomach by the method for stomachs. That is what makes them accurate. To look deeply at one place, the rest has to be set aside for a moment.

This dividing is something medicine earned. It is why we can know, in concrete terms, whether a heart valve leaks or the stomach lining is eroded.

What follows is that what lies between falls outside the items. Neither the test for the heart nor the test for the stomach was built to measure the signals the two send each other.

The Body Does Not Work in Divisions

In the body, organs do not move separately. Take one breath and the pressures in the chest and abdomen both change, the volume of blood returning to the heart changes, and that change registers again in the spacing of the beats. When tension rises the stomach slows and the intestine hurries. When the gut is not at ease, word of it travels up and touches sleep and mood.

This exchange also has timing. Which side switches on first and which follows, and how quickly each stops, all differ. Every item can sit inside its normal range while the order and the timing are out of step — and the body is plainly uncomfortable.

Every part sound, and the ensemble out of step — that is the place this part looks at.

So Nothing Gets a Name on the Report

Here is what makes this part difficult.

Coordination faltering does not mean any item's value has crossed a line. So there is no name to write on the report. In each department "nothing wrong on our side" is the accurate answer, and when several such answers gather, what the patient hears is "nothing is wrong anywhere, and I am unwell."

I do not see a contradiction there. All the separately examined results being normal, and things between them fitting well, are different matters.

So I Ask About What Lies Between

In the consulting room I try not to hear one symptom on its own. When the palpitation comes, how the stomach was then, how far the breath went in, how sleep went afterward — I listen to those together. Taken apart, each is a common complaint; laid out in order, it sometimes becomes visible which side moved first.

The place where herbal medicine works touches this too. It moves several places a little rather than pressing hard on one, so it does its share in a body whose coordination has faltered. The chapters that follow look, one at a time, at what actually passes between.

That said, if chest pain comes as a tightening, if you become suddenly short of breath, or if there has been any loss of awareness — that is not the story of coordination. Having that examined comes first.


Looking at the body in divisions is something medicine earned. Because of it we can see one place very accurately.

But all the divided items being normal does not go so far as to say that the fit between them is good. If you have been round several places without an answer, what the body is speaking of may not be any one part, but the state of what lies between them.

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Written by Dr. Heo Ji-young (PhD in Korean Medicine Pathology, Kyung Hee University · former Research Professor of Herbology, Kyung Hee University)

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Dr. Dr. Heo Ji-young, Director of Kyunghee Meerae Korean Medicine Clinic, Gwangjin

Dr. Heo Ji-young Representative Director · KMD

Kyunghee Meerae Korean Medicine Clinic — Jayang-dong, Gwangjin-gu, Seoul (Guui Stn. Exit 4)

Full profile

A graduate of the College of Korean Medicine at Kyung Hee University, with master's and doctoral degrees in pathology — the mechanisms of disease — from its graduate school. Later served as a research professor in the university's Herbology department, studying medicinal substances. Studying both disease and medicine from both sides is the foundation of this practice: explaining "why a given medicine works for a given illness" in the language of both pathology and pharmacology.

Explains autonomic, chronic, and intractable conditions — and structural problems of the body — in the language of modern science, and proposes treatment matched to the cause. Has taught prescribing and clinical practice to Korean medicine doctors for over ten years, and is a co-author of "Korean Medicine, Explained by Korean Medicine Doctors," selected for the 2018 Sejong Books list (general category).