화병 火病

Where they diverge

Traditional concepts do not map one-to-one onto modern diagnoses. Read the divergence note first.

The traditional concept is broader: some patients diagnosed with hwabyung meet no modern diagnostic category at all — 5.6% of 89 patients had no DSM-IV diagnosis in one study (Psychiatry Investig 2009;6(1):7-12). In the other direction, the traditional criteria carry no duration, severity or course axis for a depressive episode and no suicide item — yet in the same study half of the patients (50.6%) met DSM-IV criteria for major depressive disorder, and hwabyung symptoms have been reported to associate independently with suicidal ideation even in people without a mood-disorder history. Confidence here is comparatively high: hwabyung is one of the few entities with structured-interview studies comparing it against modern diagnoses.

• Research confidence: high. The full assessment, in Korean, is in docs/PATTERN_RESEARCH_KCD_DISEASES.md.
• The modern correspondences come from literature research, not from an official KCD or KTKP mapping, so the highest mapping confidence is not assigned.
• Full evidence and citations are in docs/PATTERN_RESEARCH_KCD_DISEASES.md.
• KCD does not carry the Donguibogam volume, so it is left blank here. It needs checking against the original text.
• 7 question(s) the research could not settle — see the research document.