Research Article

Biochemical Approach to the Hotness and Coldness of Mizaj in Persian Medicine: A Cross-Sectional Survey in the Healthy Population

Abstract

An individualized viewpoint in Persian Medicine is introduced with the concept of Mizaj (temperament). Accordingly, every individual is placed in a unique point among a spectrum ranging from extreme hotness to extreme coldness. The whole-body Mizaj is mainly determined by three organs of heart, brain, and liver. This study investigates the relationship between whole-body and three main organ Mizajes with some hormonal and biochemical factors. In 324 healthy volunteers between the ages of 20 and 40, whole-body Mizaj and Mizajes of heart, brain, and liver were determined in two sessions with an expert panel method. Any disagreement between experts and the moderate diagnosis was excluded. Finally, 72 healthy volunteers (including 40 hot Mizaj individuals and 32 cold Mizaj) entered the second phase. In this phase, some hormonal and biochemical factors were evaluated. In whole-body Mizaj, FBS, Hgb, Hct, MCHC, WBC, and Monocytes, were higher in people with hot Mizaj than cold Mizaj. Besides, relating to the Mizaj of the liver, FBS, cortisol, TG, Hgb, Hct, MCH, MCHC in hot Mizaj were higher than cold Mizaj. Also, in the heart, MCV and MCH were higher in hot individuals and in the brain FBS, Hgb, Hct, MCV, MCH, lymphocytes were significantly higher in hot Mizaj. It seems that FBS and Hgb as the factors involved in metabolism have the most important role in the whole-body Mizaj. Also, the association between cortisol with the hotness of the liver can be suggested by increasing sympathetic activity as one of the hotness/coldness theories.

Organization WH. WHO global report on traditional and complementary medicine 2019, World Health Organization, 2019.

Mahmoudpour Z, Shirafkan H, Mojahedi M, Gorji N, Mozaffarpur SA. Digesters in traditional Persian medicine. Caspian J Intern Med 2018;9:1-6.

Behmanesh E, Delavar MA, Kamalinejad M, Khafri S, Shirafkan H, et al. Effect of eryngo (Eryngium caucasicum Trautv) on primary dysmenorrhea: A randomized, double-blind, placebo-controlled study. Taiwan J Obstet Gynecol 2019;58(2):227-33.

Kolangi F, Shafi H, Memariani Z, Kamalinejad M, Bioos S, et al. Effect of Alpinia officinarum Hance rhizome extract on spermatogram factors in men with idiopathic infertility: A prospective double‐blinded randomised clinical trial. Andrologia. 2019;51:e13172.

Farahi O, Mozaffarpur S, Saghebi R, Mojahedi M. The significance of tongue in traditional Persian medicine. J Babol Univ Med Sci 2016;18:73-79.

Zhang GG, Lee W, Bausell B, Lao L, Handwerger B, et al. Variability in the traditional Chinese medicine (TCM) diagnoses and herbal prescriptions provided by three TCM practitioners for 40 patients with rheumatoid arthritis. J Altern Complement Med 2005;11:415-421.

Zhang GG, Lao L, Bausell B, Berman B, Handwrger B, et al. The variability of TCM pattern diagnosis and herbal prescription on rheumatoid arthritis patients. Altern Ther Health Med 2004;10:58-63.

Ryu H, Lee H, Kim H, Kim J. Reliability and validity of a cold–heat pattern questionnaire for traditional Chinese medicine. J Altern Complement Med 2010;16:663-667.

Okitsu R, Iwasaki K, Monma Y, Takayama S, Kaneko S, et al. Development of a questionnaire for the diagnosis of Qi stagnation. Complement Ther Med 2012;20:207-217.

Mozaffarpur SA, Naseri M, Kamalinejad M, Shams MA, Memariani Z, et al. Nine steps to discover new medicines from traditional sources: the example of Persian medicine. J Altern Complement Med 2020;26:365-368.

Mojahedi M, Naseri M, Majdzadeh R, Keshavarz M, Ebadiani M, et al. A review on identification mizaj (temperament) indices in Iranian traditional medicine (ITM). Med Hist 2012;4.

Ansari AH, Zulkifle M, Ali M. An analytical study of concordance between Mizaj and diseases in adult patients of NIUM hospital, Bangalore. Anc Sci Life 2010;30:7-11.

Vahedi A, Zamani M, Mojahedi M, Mozaffarpur S, Saghebi R, et al. Role of anthropometric dimensions of human body in identifying temperament in traditional Persian medicine. J Babol Univ Med Sci 2016;18:24-33.

Mojahedi M, Alipour A, Saghebi R, Mozaffarpur SA. The relationship between mizaj and Its indices in persian medicine. Iranian Red Crescent Med J 2018;20:e57820.

Salmannejad H, Mojahedi M, Mozaffarpur S, Saghebi R. The review of indices of Mizaj-e-Damagh (temperament of brain) identification in persian medicine. J Babol Univ Med Sci 2016;18:71-79.

Salmannezhad H, Mojahedi M, Ebadi A, Mozaffarpur SA, Alipoor A, et al. Design and validation of mizaj identification questionnaire in persian medicine. Iran Red Crescent Med J 2018;20:e66709.

Dar FA, Zaidi IH, Sherani F. Physiological variation of serum alkaline phosphatase level in damawi and balghami males in a sample population. Indian J Tradit Knowl 2011;10:741-744.

Rothbart MK. Biological processes in temperament. In: Temperament in childhood. G. A. Kohnstamm, Ed, JE Bates, MK Rothbart. John Wiley & Sons, 1989; pp 77-110

Carden CP, Judson IR. Humors of tumors: potential for interaction between cancer type and treating oncologist's personality? J Clin Oncol 2008;26:1566-1567.

Bhikha R. Tibb and the concept of temperament. J Nat Med 2005;22:1-4.

Ali SM, Alam M. A scientific correlation between blood groups and temperaments in Unani medicine. 2007.

Furukawa T. A study of temperament and blood-groups. J Soc Psychol 1930;1:494-509.

Salmannezhad H, Mojahedi M, Ebadi A, Montazeri A, Mozaffarpur SA, et al. An assessment of the correlation between happiness and Mizaj (temperament) of university students in Persian medicine. Iran Red Crescent Med J 2017;19:e55627.

Shahabi S, Zuhair MH, Mahdavi M, Dezfouli M, Torabi Rahvar M, et al. Evaluation of the Neuroendocrine System and the cytokine pattern in warm and cold nature persons. Physiol Pharmacol 2007;11:51-59.

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IssueVol 7, No 3, 2022 QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/tim.v7i3.10766
Keywords
Temperament Precision medicine Medicine Traditional Complementary therapies

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How to Cite
1.
Mozaffarpur SA, Azizi M, Parsian H, Mojahedi M, Shirafkan H. Biochemical Approach to the Hotness and Coldness of Mizaj in Persian Medicine: A Cross-Sectional Survey in the Healthy Population. Trad Integr Med. 2022;7(3):268-274.