{"_buckets": {"deposit": "4cbed0ea-8b5d-4519-a288-0c82dbafcff9"}, "_deposit": {"id": "37014", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "37014"}, "status": "published"}, "_oai": {"id": "oai:repository.dl.itc.u-tokyo.ac.jp:00037014"}, "item_4_alternative_title_1": {"attribute_name": "\u305d\u306e\u4ed6\u306e\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_alternative_title": "End-of-life Care in Ancient \u0100yurvedic Medicine"}]}, "item_4_biblio_info_7": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2008-03-31", "bibliographicIssueDateType": "Issued"}, "bibliographicPageEnd": "70", "bibliographicPageStart": "57", "bibliographicVolumeNumber": "15", "bibliographic_titles": [{"bibliographic_title": "\u30a4\u30f3\u30c9\u54f2\u5b66\u4ecf\u6559\u5b66\u7814\u7a76"}]}]}, "item_4_description_5": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "End-of-life care often requires aggressive treatment of a patient\u0027s symptoms because a cure might not be possible. This is in order to provide the greatest quality of life for as long as possible. Good end-of-life care is very individual, based upon the patient\u0027s philosophy of life, and their goals. In order to carry out holistic care, we must attend to the three indivisible facets of the human condition -- mind, body and spirit. In Japan many advances have been made in the physical treatment of terminal patients, but psychosocial care is left behind. On the other hand, ancient \u0100yurvedic medicine is based on the belief that health depends on wholeness and balance between mind, body and spirit. This research was carried out by analyzing care of patients with incurable diseases in ancient \u0100yurvedic literature, such as Carakasa\u1e43hit\u0101, Su\u015brutasa\u1e43hit\u0101, A\u1e63\u1e6d\u0101\u1e45gah\u1e5bdayasa\u1e43hit\u0101. \u0100yurveda has classified the prognosis of diseases under two categories, s\u0101dhya (curable) and as\u0101dhya (incurable). These two are further subdivided into two categories each, s\u0101dhya into sus\u0101dhya (easily curable) and k\u1e5bcchras\u0101dhya (curable with difficulty); as\u0101dhya into y\u0101pya (diseases which remain throughout the life, and can be mitigated by appropriate treatment) and anupakrama or praty\u0101khyeya (diseases which are not effected by any treatment). Incurable diseases were v\u0101tavy\u0101dhi, epilepsy, leprosy, edema, abdominal diseases, gulma, diabetes, phthisis etc. in ancient India. According to ancient \u0100yurvedic texts, the physician should not treat such a patient with ari\u1e63\u1e6da (signs foretelling death), because the physician, treating an incurable disease certainly suffers from the loss of wealth, learning and reputation, and from censure or unpopularity. The treatment was generally continued by pure br\u0101hma\u1e47as devoted to ras\u0101yana, penance or recitation of mantra till the end of the patient\u0027s life. The physician needed to decide whether he should accept the patient for treatment or not. In other words he needed to recognize when it is time to transition from \"diagnose and treat\" to \"palliate\". It was important for the physician to be aware of significant fatal signs, and they helped him to decide whether to treat or palliate. A lot of scientific and superstitious fatal signs are described in ancient \u0100yurvedic texts. The physician should not disclose to a patient or his relatives that he has observed the signs of imminent death without having been requested to do so; he should withhold this information even on request if it is liable to become grief-stricken. Conclusions: This study showed an attitude toward care of patients with terminal illnesses in ancient India, and might provide new perspectives to end-of-life care in Japan.", "subitem_description_type": "Abstract"}]}, "item_4_full_name_3": {"attribute_name": "\u8457\u8005\u5225\u540d", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "87839", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Yoshitsugu, Michiyasu"}]}]}, "item_4_identifier_registration": {"attribute_name": "ID\u767b\u9332", "attribute_value_mlt": [{"subitem_identifier_reg_text": "10.15083/00037005", "subitem_identifier_reg_type": "JaLC"}]}, "item_4_publisher_20": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "\u6771\u4eac\u5927\u5b66\u5927\u5b66\u9662\u4eba\u6587\u793e\u4f1a\u7cfb\u7814\u7a76\u79d1\u30fb\u6587\u5b66\u90e8\u30a4\u30f3\u30c9\u54f2\u5b66\u4ecf\u6559\u5b66\u7814\u7a76\u5ba4"}]}, "item_4_source_id_10": {"attribute_name": "\u66f8\u8a8c\u30ec\u30b3\u30fc\u30c9ID", "attribute_value_mlt": [{"subitem_source_identifier": "AN10419736", "subitem_source_identifier_type": "NCID"}]}, "item_4_source_id_8": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "09197907", "subitem_source_identifier_type": "ISSN"}]}, "item_4_subject_15": {"attribute_name": "\u65e5\u672c\u5341\u9032\u5206\u985e\u6cd5", "attribute_value_mlt": [{"subitem_subject": "126", "subitem_subject_scheme": "NDC"}]}, "item_4_text_21": {"attribute_name": "\u51fa\u7248\u8005\u5225\u540d", "attribute_value_mlt": [{"subitem_text_value": "Department of Indian Philosophy and Buddhist Studies, Graduate School of Humanities and Sociology, University of Tokyo"}]}, "item_4_text_34": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"subitem_text_value": "Departmental Bulletin Paper"}]}, "item_4_text_4": {"attribute_name": "\u8457\u8005\u6240\u5c5e", "attribute_value_mlt": [{"subitem_text_value": "\u6771\u4eac\u5927\u5b66\u5927\u5b66\u9662"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "\u5409\u6b21, \u901a\u6cf0"}], "nameIdentifiers": [{"nameIdentifier": "87838", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2017-06-13"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "ib015003.pdf", "filesize": [{"value": "1.1 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1100000.0, "url": {"label": "ib015003.pdf", "url": "https://repository.dl.itc.u-tokyo.ac.jp/record/37014/files/ib015003.pdf"}, "version_id": "bcace743-ede2-402c-9a8d-e64267d9ce7b"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "\u53e4\u4ee3\u30a2\u30fc\u30e6\u30eb\u30f4\u30a7\u30fc\u30c0\u306e\u7d42\u672b\u671f\u533b\u7642", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "\u53e4\u4ee3\u30a2\u30fc\u30e6\u30eb\u30f4\u30a7\u30fc\u30c0\u306e\u7d42\u672b\u671f\u533b\u7642"}]}, "item_type_id": "4", "owner": "1", "path": ["9/504/5734/5749", "23/195/5732/5748"], "permalink_uri": "https://doi.org/10.15083/00037005", "pubdate": {"attribute_name": "\u516c\u958b\u65e5", "attribute_value": "2011-06-30"}, "publish_date": "2011-06-30", "publish_status": "0", "recid": "37014", "relation": {}, "relation_version_is_last": true, "title": ["\u53e4\u4ee3\u30a2\u30fc\u30e6\u30eb\u30f4\u30a7\u30fc\u30c0\u306e\u7d42\u672b\u671f\u533b\u7642"], "weko_shared_id": null}