1、Unit 6 Medical System and Medical CareTraditional Chinese Medicine What do you know about Traditional Chinese Medicine?Have you ever tried Chinese herbal medicine?How does it taste?(Why?)Does Chinese Herbal Medicine have side effects?Can children take Chinese Herbal Medicine?How long does it take to
2、 see results with Chinese Herbal Medicine?What is Traditional Chinese MedicinewTCM is a well of medical knowledge gained from over 4,000 years of observation,investigation and clinical experience.wTCM is an empirical science wits theories and treatments have been repeatedly in use and refined over t
3、his long period of time.1.Compendium of Materia Medica 本草纲目2.The Yellow Emperors Classic of Internal Medicine黄帝内经 3.On Typhoid and other diseases伤寒杂病论4.Herbal Canon of Shen Nong 神农本草经Development of Traditional Chinese Medicine w25 major colleges of TCMwtotaling about 20,000 students in each school a
4、t any given timewcourses range from undergraduate to the doctoral,in both Western medicine and TCM wInternational Status of TCM wAsia-most countries use the TCM methods of acupuncture and moxibustion(Japan,South Korea,Malaysia,Singapore)wEurope-used regularly(France,Germany,and England)wU.S.-develop
5、ing from the coasts inward,recently reaching into the Midwest moxibustion,mksibstn n.艾灸Central Concept of TCM Theory of Holism 整体观念wIt is a central idea in TCMwIt bears directly on preventing and treating diseaseswemphasis on harmonywTwo main components:1.the human body is regarded as a single,integ
6、rated unit 2.integration and interaction between human body and the environmentwBody and Naturew The human body is an organic wholew changes of nature constantly influence the human body For Example:Seasonal variations of the pulse:pulse in spring is somewhat taut like a string;in summer,somewhat fu
7、ll;in autumn,somewhat floating or superficial;in winter,somewhat deep The Basic Principles Behind TCMYin and YangwTaoist Philosophywhuman experience is affected the environment wYin:cold,stillness,passive,dark,interior,belowYang:warmth,activity,light,exterior,aboveTCM views the body in terms of Yin
8、and Yang aspects.whealthy=balance wunhealthy=imbalance wYin and Yang in dynamic equilibrium-ideal balance state of health.Phenomenon?Celestial bodiesmoonsunGendermalefemaleLocationoutsideinsideTemperaturecoldhotDirectiondownwardupwardDegree of humiditydrydampThe Basic Principles Behind TCMFive Eleme
9、nts 1.Water:wet,cool,descending,flowing,yielding2.Fire:dry,hot,ascending,moving3.Wood:growing,flexible,rooted,strong4.Metal:cutting,hard,conducting5.Earth:productive,fertile,potential for growth What is Wu Xing?Originally,it is a philosophical theory in ancient China,later adapted to medical practic
10、e,becoming an important part of TCM theoryuniversal interdependence of all things and eventsused to explain medical problemswRelationships Between Phases:Xiang Ke(inter-inhibition,or control):wood inhibits earth,earth inhibits water,water inhibits fire,fire inhibits metal,and metal inhibits wood Xia
11、ng Sheng(inter-generation):wood generates fire,fire generates earth,earth generates metal,metal generates water,and water generates woodwthe fundamental substance constituting the universe wall phenomena were the results of the changes and movement of qi.wAccording to TCM,qi is the most essential su
12、bstance that forms the human body and maintains the normal life activity.The Vital Substances:QiwQi:How does TCM work?wVital energy called Qi is the life force that drives all living things.wQi flows through meridians(also called channels)in the body similar to water flowing in a river.w Twelve prim
13、ary meridians,each associated with an organ system wDisease occurs with imbalance,resulting in excess of deficient amounts of Qi in the meridians.wTCM works to alleviate this imbalance and restore harmony The Causes of illnesswInternal Causeswhich are illnesses caused by emotions.wanger,wsadness,wwo
14、rry,wfear,wjoy,wgrief,wpensiveness wshock External Causeswhich are causes of disharmony that relate to climatic conditions.wind,cold,damp,fire heat,drynesswOther Causesinclude work,exercise,diet and physical trauma.wTCM thinks that these factors can have a profound influence on our bodies.Diagnosis:
15、Four Examinations Lookingskin,eyes,tongue,nails,hairHearing and Smellingsound of voice and breath,odor of breathQuestioningcurrent condition,health history,family health history,patterns of sleep,appetite,digestion,bowel movement,sweat,pain,emotional features,lifestyle featuresTouchingcheck the body
16、 temperature,body moisture,pain;and feel the patients pulseTreatmentAcupunctureHerbsTui Nacupping glassscraping therapyMoxibustionwHave you ever tried Acupuncture?Does acupuncture hurt?1.AcupuncturewHow does Acupuncture work?wpoints are located throughout the body and act as gateways to influence,re
17、direct,increase or decrease the vital“substance”of Qiwcorrects imbalances that cause disease Chinese herbal medicine wRestore a balance of energy,body,and spirit to maintain healthwmore than 4,000 yearswFormulaswTo stimulate the bodys natural healing processwBe made from the roots,stems,bark,leaves,
18、seeds or flowers of many plants,as well as some mineral and animal parts.The herbs are usually decocted into a soup.wTo make up a prescription,the TCM doctor carefully blends together a number of herbs which have specific functions.TuinawTuina is Chinese massage.wIt establishes a more harmonious flo
19、w of Qi throughout the system of channels,allowing the body to naturally heal itself.wjoint problemswcreate relaxationwdisorderQigongwQi=energy or vital energywGong=practice.wQiGong:practice concerned with exercising of Qi.wThe use of Qigong to improve and maintain health was first mentioned in the
20、Yellow Emperors Classic of Internal Medicine,written in about 200 BC.Chinese food therapy When one is diseased(unbalanced),certain foods and herbs are prescribed to restore balance to the body.discussionwDo you think Chinese medicine should be abandoned?wWhats the difference between Chinese and West
21、ern medicines?Traditional Chinese Medicineempirical scienceAcupunctureChinese herbal medicineside effectsobservationinvestigationclinical experiencetreatmentCompendium of Materia Medicarange frommoxibustionPreventing and treating diseasesintegrationinteractionconstantly influencetautsuperficialTaois
22、t Philosophy StillnessPassiveInteriorActivityExteriorCelestial bodies Humiditydamp/moistdescendingflexibleconductingfertilepotentialadapted touniversal interdependenceinhibitgeneratephenomenaessential substanceVital energyMeridiansAlleviaterestore harmonygriefpensivedisharmonyphysical traumaprofound influence onappetitedigestionmoisturepulsestimulatebodys natural healing processdecocted into a soupblendmassagerelaxationprescribewSee you!