Meditation-related difficulties have been systematically documented in contemporary contemplative science, yet the prescriptive resources preserved in the ancient Buddhist commentarial literature remain underutilized in comparative research. This study analyzes the case of five hundred monks in the Paramatthajotikā I’s commentary on the Karaṇīya-metta-sutta. During intensive practice, these monks experienced complex psychosomatic symptoms—perceptual disturbances, fear, somatic distress, and cognitive impairment—and received from the Buddha an integrated prescription of five protective practices (pañca rakkhā). Through Pāli textual and comparative analysis with Lindahl et al.’s taxonomy of meditation-related difficulties, this study demonstrates that the monks’ symptoms correspond systematically to the perceptual, affective, somatic, and cognitive domains of the modern taxonomy, with the critical difference residing in interpretive frameworks rather than in the phenomena themselves. The five practices—loving-kindness meditation, protective chant recitation, contemplation of impurity, mindfulness of death, and the arousal of religious urgency—constitute a sequentially structured system progressing from the emotional reframing of fear to the deconstruction of bodily and existential attachment, culminating in the restoration of soteriological motivation. This study argues that Paramatthajotikā I’s prescriptive system provides a historically grounded, soteriologically oriented complement to contemporary contemplative science, particularly in bridging the gap between phenomenological classification and meaning-centered intervention.
Byoungjai Lee (Fri,) studied this question.