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  <front>
    <journal-meta><journal-title-group><journal-title>Baekrokdam Research Commons</journal-title></journal-title-group></journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">BRC-2026-P001</article-id>
      
      <title-group>
        <article-title>Allostasis and Korean Medicine Revisited: A Protocol for Mapping Concepts, Measurement, and Translational Hypotheses</article-title>
        <trans-title-group xml:lang="ko"><trans-title>알로스테시스와 한의학 재검토: 개념·측정·번역 가설을 위한 근거지도 프로토콜</trans-title></trans-title-group>
      </title-group>
      <contrib-group>
      <contrib contrib-type="author">
        <name><surname>Yeonseung Choe</surname></name>
        <xref ref-type="aff" rid="aff1"/>
      </contrib>
      <contrib contrib-type="author">
        <name><surname>Baekrokdam Research Commons (BRC)</surname></name>
        <xref ref-type="aff" rid="aff1"/>
      </contrib>
      </contrib-group>
      <aff id="aff1">Baekrokdam Research Commons (BRC), Republic of Korea</aff>
      <pub-date date-type="pub" publication-format="electronic"><year>2026</year></pub-date>
      <article-version article-version-type="status">protocol</article-version>
      <permissions><license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>Creative Commons Attribution 4.0 International</license-p></license></permissions>
      <abstract><p>This protocol re-examines claims advanced in the 2012 series “Allostasis and Korean Medicine” using contemporary conceptual scholarship, biomedical literature, classical Korean-medicine sources, and counter-evidence. It does not equate Korean-medicine concepts with allostasis; instead, it distinguishes analogy, operational correspondence, mechanistic bridges, and testable translational hypotheses. Only public literature is used, and no treatment recommendation or patient-level conclusion is produced.</p></abstract>
      <kwd-group><kwd>allostasis</kwd><kwd>allostatic load</kwd><kwd>Korean medicine</kwd><kwd>evidence map</kwd><kwd>translational research</kwd><kwd>psychoneuroimmunology</kwd></kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="background">
      <title>Background</title>
      <p>The 2012 series asked whether psychoneuroimmunology, systems biology, and complexity science could generate researchable connections with Korean-medicine theories of disease, pattern identification, and intervention. This project is neither commemorative nor defensive. It is a reappraisal designed to determine which propositions remain supportable, which require qualification, and which should be abandoned.</p>
      
    </sec>
    <sec id="questions">
      <title>Research questions</title>
      
      <list list-type="bullet"><list-item><p>How have the definitions and measurements of allostasis and allostatic load changed since 2012?</p></list-item><list-item><p>Which 2012 claims are supported, qualified, or contradicted by current evidence?</p></list-item><list-item><p>At what relational level do proposed connections with Korean-medicine concepts belong, and do they generate new predictions?</p></list-item><list-item><p>Can these connections add measurement or predictive value beyond existing clinical indicators?</p></list-item></list>
    </sec>
    <sec id="methods">
      <title>Methods</title>
      <p>Concept genealogy, modern biomedical retrieval, classical-source retrieval, domain evidence mapping, and counter-hypothesis searches will be conducted as independent lanes. Every substantive claim will be linked to persistent source and passage records, with support, contradiction, qualification, and context represented separately.</p>
      <p>Relations between classical and modern concepts will be graded as analogy, operational correspondence, mechanistic bridge, or translational hypothesis. Lexical similarity and isolated passages will not be treated as evidence of mechanistic identity.</p>
      
    </sec>
    <sec id="safeguards">
      <title>Safeguards and stopping rules</title>
      <p>The original authors’ propositions receive no preferential treatment. Counter-evidence receives an equivalent search budget. Searching ends only after each core question has foundational sources, a contemporary evidence corpus, at least one critical or qualifying source, verified passages, and two saturation checks that do not materially change the conclusion.</p>
      
    </sec>
    <sec id="outputs">
      <title>Planned outputs</title>
      
      <list list-type="bullet"><list-item><p>A Claim Ledger and citation network for the 2012 series</p></list-item><list-item><p>An evidence map of allostasis concepts and measurement</p></list-item><list-item><p>A Korean-medicine correspondence paper without claims of equivalence</p></list-item><list-item><p>Domain reviews of sleep, metabolism, immunity, reproductive health, and licorice safety</p></list-item><list-item><p>A counter-perspective paper and a future observational-study protocol</p></list-item></list>
    </sec>
  </body>
  <back>
    <sec sec-type="data-availability"><title>Data availability</title><p>This protocol uses public literature only. Search records and the Claim Ledger are intended for release with the resulting papers.</p></sec>
    <ref-list><title>References</title>
      <ref id="R1"><mixed-citation>Sterling P. Allostasis: a model of predictive regulation. Physiology &amp; Behavior. 2012;106(1):5–15.</mixed-citation></ref>
      <ref id="R2"><mixed-citation>Ramsay DS, Woods SC. Clarifying the roles of homeostasis and allostasis in physiological regulation. Psychological Review. 2014;121(2):225–247.</mixed-citation></ref>
      <ref id="R3"><mixed-citation>Carbone JT, Clift J, Alexander N. Measuring allostatic load: approaches and limitations to algorithm creation. Journal of Psychosomatic Research. 2022;163:111050.</mixed-citation></ref>
      <ref id="R4"><mixed-citation>McCrory C, et al. Towards a consensus definition of allostatic load: a multi-cohort, multi-system, multi-biomarker individual participant data meta-analysis. Psychoneuroendocrinology. 2023;153:106117.</mixed-citation></ref>
      <ref id="R5"><mixed-citation>최연승. 알로스테시스와 한의학(1): 알로스테시스란 무엇인가? 민족의학신문. 2012년 3월 29일.</mixed-citation></ref>
    </ref-list>
  </back>
</article>
