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Chinese Medicine

Background

Shang Dynasty vessel Chinese Medicine, a complete medical system that includes herbal medicine, acupuncture, diet and exercise (Tai Qi and Qi Gong), had its beginnings more that 4,000 years ago. This has been substantiated by the discovery of stone implements used by primitive Chinese society for incising boils and abscesses, bloodletting, and circulating Qi. About 3,000 years ago in the Shang Dynasty, bronze casting techniques developed which led to the
appearance of medical needles and hieroglyphic writings on bones and tortoise shells describing medical problems. Between 206 BC and 220 AD the various concepts which laid the basic foundations of Chinese Medical theory were firmly in place. These concepts included the Yin/Yang theory, needling methods, five-element theory, concepts about Qi and Blood, emotional factors, external pathogenic influences and using herbal remedies for medicinal purposes.

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Philosophy

Vitruvian Man art

The basic philosophy of Chinese Medicine is to consider all factors surrounding the patient: lifestyle, emotional factors, signs and symptoms manifested, and events in one’s life. All of these phenomena are intertwined and form patterns which have meaning to the Chinese practitioner. No individual is considered static. One is always in transition. In Western

medicine, events are viewed in a linear fashion. We view events as progressing from A to B to C to D, etc…dissecting things until a causal link shines through. Disease is primarily due to causes that can be killed, cut out, or contained. In Chinese Medicine, the individual is viewed as a whole person who is always changing. The focus is placed upon discerning the relationships between bodily events. The primary intent is to harmonize and balance the body. It is often difficult for western individuals to accept and understand Chinese Medicine because the focus is not on the structure of the individual but how the energy centers function. Chinese Medicine views the individual as a microcosm which reflects the macrocosm surrounding them. People manifest the same patterns as are seen in the universe. The seasons are a metaphor to understand the phase of energy in nature and in the individual. One person projects the heat and fire of summer, another the coldness of winter, another the dryness of autumn, another the winds of spring or any combination thereof.

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Yin/Yang

Yin/Yang symbol

The Yin/Yang theory is one of the most important and basic theories of Chinese Medicine. The Yin/Yang symbol signifies duality in the universe—two polar complements. These complementary opposites coil around, fade into and penetrate each other. Both are necessary for the whole to exist. Yin and Yang are the expression of duality in time. Every

phenomenon in the universe alternates through a cyclical movement of peaks and bases—day to night, summer into winter, growth into decay, left to right, and vice versa. Each phenomenon may belong to a Yang or Yin stage but always contains the seed for the opposite stage within itself. Eg: person who is very robust, loud and outgoing would be considered Yang but  is Ying compared to someone who exhibits manic, high-strung behavior.
Disharmony in the body arises when these opposites are out of sync and not controlling and interacting with each other. Distinguishing between the Yin and Yang qualities of a person’s constitution or the character of one’s illness is an important step in the diagnostic process for the practitioner of Chinese Medicine. Ying and Yang provide broad parameters within which all other observations and conceptualizations are gathered.

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Vital Substances

pink star

The highly developed constructs of chemistry, biochemistry, anatomy and physiology which form the groundwork for Western Medicine are of little importance to the practitioner of Chinese Medicine. It is the whole that is more important . The portrait of the bodily landscape is what draws the attention of the practitioner.

The workings of this landscape are contingent upon the interaction of certain vital substances. These substances together constitute the body, mind and spirit. The body, mind, and spirit are not seen as a mechanism but as a vortex of energy and vital substances interacting with each other to form an organism. These substances are Qi, blood, essence, and body fluids.

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Qi
moving water

Qi is a difficult word to define because the Chinese character is untranslatable. It signifies a tendency or a movement, something on the order of energy. Qi is a matter without form that is diseased when certain symptoms appear. Qi is defined by its function (by what it does rather than what it is).

Functions of Qi

It is the source of all movement and accompanies all movement—physical (exercise) and mental activities (concentration, discernment, school work), growth and development, and all the processes of life.

  • It is in constant motion.

  • It protects the body against pathological factors—wind, cold, heat, dryness, fire.

  • It is the source of transformation in the body—digestation of food into useable substances such as blood, Qi tears, urine, sweat.

  • It holds the organs is place, the blood in its vessels, prevents excessive sweating and salivation.

  • It warms the body by maintaining the heat in the whole body.

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Blood

blood vessels

Blood is a very dense and material form of Qi. Part of its meaning in Chinese Medicine  correlates with Western Medicine, but it is also regarded as a force, a level of activity that moves through the blood vessels and acupuncture channels. The function of Blood is to nourish, maintain, circulate and moisten the body.

Blood is the mechanism within people that allows them to experience life emotionally, to process these experiences. On the other hand, Qi is the capacity to change things in life. It is the motion, the driving force.

Eg: Qi stagnation versus blood stagnation with respect to pain

Qi stagnation: Pain migrates or moves from one place to another and is not continuous, it comes and goes

Blood stagnation: Fixed stabbing pain could be relieved by massage and heat

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Essence

essense painting

Essence is the aspect of the body which is the basis for all growth, development, and sexuality. Two types of essence exist—congenital essence which is inherited from one’s parents and determines growth patterns and postnatal essence which is derived from the ingestion of food and supplements. The congenital essence cannot be

replaced if depleted. One’s constitutional and conceptual essence can only be preserved through good intestinal and lifestyle habits. Essence is considered more fluid-like, whereas Qi is considered more energy-like but it is lighter than blood and is a highly revered substance to be guarded and cherished.
Body Fluids eg: Sweat, saliva, gastric juices, and urine. Fluids moisten and nourish the hair, skin, membranes, muscles, inner organs, bones, brain, joints.

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Meridians
meridians of the body

Meridians are three dimensional passageways that transverse the body, interconnecting the external with the internal. They are roadmaps of life; energetic terrains that carry Qi and Blood, allowing communication between our internal and external environments (including people). It is this connection which affects the meridians positively or

negatively. The channels must flow. Movement is key to health. There are 12 main meridians which are accessed via acupuncture points located on their pathways. Each channel occurs on each side of the body, are extensions of organ centers or stations, where energy comes into from each of the channels. Each channel and energy station has its own energy frequency which is fine tuned via acupuncture, herbs, diet, exercise. Each channel moves Qi and Blood, moistens the tendons and bones, and regulates Yin and Yang. Both Acupuncture and Chinese Herbal Medicine work on these channels.

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Lotus Center
Designed by Lorali Deming ldeming@ramapo.edu
07/31/2007