Wisdom TerraMLMN / Clinical Reasoning for East Asian Medicine

OPEN RESEARCH PAPER / INITIAL MANUSCRIPT

The Intellectual-Historical Significance of the Systematization of Abdominal Diagnosis in the Japanese Koho School

An Integrated Description of Two Thousand Years of East Asian Medicine through Multi-Layer Meta Network (MLMN) Theory

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Research status: initial manuscript candidate / unreviewed / historical record of theory formation. This is not a peer-reviewed article, a final manuscript or the current canonical statement of MLMN. Words such as “complete,” “confirmed” and “first” belong to the manuscript's claims as written on 16 May 2026; this page does not reassert them as currently verified conclusions.

Publication details

Author: Koichi Ishihara

Affiliation stated in the manuscript: Myoshindo Acupuncture Clinic, Nakagyo-ku, Kyoto

Manuscript date:

Public full text: Japanese PDF, 11 pages

ORCID: 0009-0001-0021-3191

Version and integrity

The public PDF matches the locally retained PRINT version by SHA-256.

SHA-256: 173d3998ea0f169265abb0a20aa2218b98b15e97042027efeaaa2da41557bdcd

The PDF remains unchanged. Current qualifications and later revisions are presented on this page rather than written back into the historical manuscript.

Abstract

This paper argues for the central thesis that “the systematization of abdominal diagnosis in the Japanese Koho school can be understood as a convergence, across two thousand years, between the deductive structures of Chinese classical medicine and the inductive achievement of Japanese empiricism.” Its materials comprise 551 proposition groups drawn from Chinese classical texts—the Suwen, Lingshu, Nanjing, Shanghan Lun, Jingui Yaolue, the four masters of the Jin-Yuan period and the Wenbing Tiaobian—849 propositions from Utsuki Kontai's Fukan Netsubyo-ho Keihen, 731 propositions from his Ihen, and 13 propositions (ST-001–ST-013) extracted from Asada Sohaku's 1880 Senzetsuiwa. The analytical method used AI-assisted proposition extraction and mapping by MLMN layer.

Multi-Layer Meta Network (MLMN) Theory is presented in the manuscript as a formal framework that describes disease on a ten-layer coordinate system, from the former L1 congenital layer to the former L10 temporal layer. The manuscript claims to: (1) formalise Kontai's warp-and-weft structure as a three-dimensional prescription-decision coordinate combining the L6 Six Conformations, L7 Sanjiao and L4 qi-blood-fluid layers; (2) argue, at the level of numbered propositions, for eight convergence points (A–H) between Chinese classical propositions, Kontai's propositions and propositions from the Senzetsuiwa; and (3) define doku and Kampo medicine. It proposes that these results could serve as a theoretical basis for an AI-assisted East Asian medical diagnostic support system.

Translation note: This English abstract was prepared for this page from the abstract printed in the public Japanese PDF. It is not a separately peer-reviewed translation. The verbs “argues,” “claims” and “proposes” preserve the distinction between what the manuscript asserted and what the ongoing source review has established.

Keywords: Kampo medicine; abdominal diagnosis; Japanese Koho school; MLMN theory; Utsuki Kontai; Asada Sohaku; history of East Asian medicine; AI-assisted diagnostic support.

How this manuscript should be read now

Not a classical source

The paper is a modern research reconstruction. Classical text, later commentary, Koichi Ishihara's clinical interpretation and MLMN reconstruction must remain distinct.

Counts are provisional

Proposition counts reflect the extraction units used in May 2026. They may change as editions, work boundaries, OCR accuracy and page-image collation are reviewed.

Not the current MLMN canon

The manuscript's former L1–L10 numbering, independent ministerial-fire layer and strong claims are retained as historical evidence. Follow the MLMN page and research hub for current status.

Scope and limitations

The manuscript crosses several Chinese classical corpora with Utsuki Kontai's Fukan Netsubyo-ho Keihen and Ihen, and selected propositions from Asada Sohaku's Senzetsuiwa. Thirteen propositions from one anthology cannot establish a complete two-century history of the Japanese Koho school, its authors, original works, disputes and lines of transmission. Kontai's distinctive account likewise cannot stand for the whole Koho school without comparison.

Current work re-examines each book's formation, edition, page image, internal context, repeated text and later interpretation. A separate book-length paper on Utsuki Kontai's Igaku Keigo exists as a draft, but its pre-submission verification—including unresolved characters, independent accuracy, prior scholarship and submission requirements—is incomplete.

References reproduced from the PDF

The list below reproduces the bibliography in the initial Japanese PDF. Its bibliographic completeness, exact citations, image-level collation and consistency with the present research programme have not all been independently verified.

Read the historical text beside the current status

The PDF preserves the initial manuscript. The research hub records later qualifications, expert responses and ongoing reconstruction.

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Publication notes, source review and revisions to MLMN are recorded through the site and public channels.