tcm tuina qigong workshop 2007

8/13/2019 TCM TuiNa Qigong Workshop 2007

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Traditional Chinese Medicine

andAyurveda


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Key Texts and Figures

(Pre 1000 B.C.) Yi Jing Book of Changes

Laws of transformationability to predict

(~1000 - 200 B.C.) Bas ic Medical Theo ry

Huang Di Nei JingYellow Emperors Interior Classic

anatomy, physiology, etiology, diagnosis, and treatment.

(~200 B.C.) Materia Medica

Shen Nong Ben Cao JingDivine Husbandmans Classic of the

Materia Medica - 365 Entries

(~250 A .D.) Anesthesia, and su rgery - Hua Tuo


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Key Texts and Figures

(~250 A.D.)Huang Fum i

Earliest known text on acupuncture

Zhen Jiu J ia Yi Jing- A-B Classic of Acupuncture and

Moxibustion

(~300 A.D.)Zhang Zhong Jing

Earliest known text on herbal prescriptions

Shang Han Lun - Treatise on Febrile Diseaseexterior

pathogens

Jin Gui Yao Lu- Synopsis of Prescriptions of the Golden

Chamberinternal medicine


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Key Texts, Figures, and Events

(610 A .D.) Medical Specialti es

internal medicine, surgery, gynecology, pediatrics,

five sense organs, and parasitology.

(1026 A .D.) Imperial Medical Bureau NIH

Extensive curriculum, and bronze statue for

acupuncture, editing bureau of medical texts.


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Key Texts, Figures, and Events

(1518-1593) L i Sh i Zhen

Ben Cao Gang Mu - Compendium of Materia

Medica: 1,892 entries and 10,000 prescriptions

(11th century ) - First vaccinat ion fo r smal lpo x.

(17-19th centu ry ) - First ideas o f epidem ic

pathogens: Entry via nose and mouth

20-21st centu ry - Inf lu ence of western medicine,

Combination of the two medicines.


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Central Concept of TCM

Balance

YinYang/ Wu Xing (Five Phases)

Homeostasis

Overal l analys is to reach diagnosis

Treatment p r inc ip les

Finding the root cause


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Yin Yang

Yi JingBook of Changes

Character meaning

YinRadical is about mound or hill, root describe

the side facing away from the sun and mist. Yang- Radical is about mound or hill, root

describe the side facing toward the sun.


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Yin Yang

Yin cold, weak, restricted, dark,

visible, heavy, turbid, downward,inward.

Yanghot, excited, moving, strong,

bright, invisible, light, clear, upward,

outward.


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Yin Yang

Opposi t ion and Interdependence

Relative: Back / Chest

Concept o f heal th plant analogy

Rise and Decl ine

Transformation - Extreme decrease in Yin leads to

a Yang condition and vice versa

Insomnia


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Wu Xing - Five Phases (Elements)

Fire, Earth , Metal, Water, Wood.

Catego rizing too l

Separate according to innate qualities.

Related to Yin and Yang.

More concrete categorization.

Synthesize and summary with observation of nature.

Xing = Phases

Denotes movement of energies


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FIRE

EARTH

METALWATER

WOOD

Wu Xing

Five Phases Cycle


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Five Phases and Human Body

Viscera Bowels Sense

Organs

Seasons Emot ions

Wood Liver Gall Bladder Eyes Spring Anger

Fire Heart Small

Intestine

Tongue Summer Joy

Earth Spleen Stomach Mouth Long

Summer

Concern

Metal Lung Large

Intestine

Nose Autumn Grief

Water Kidney Urinary

Bladder

Ear Winter Fear


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Zang Fu

(Organ Systems)

To Summarize

Categor izes and un if ies d if ferent parts o f the

body

Spans different systems in Western anatomy

Need clarification during interpretation &translation

Example: Liver Qi stagnation


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Qi

Qi Energy

Different types with different functionsDerive

from two major sources:

Food (Gu) and Fresh Air (Qing) Nutrient & oxygen metabolism

Functions: Promote movements, warmth,

immunity, consolidation, control, metabolism,

and transformation.

Example: Peristalsis


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Blood

Body Fluids

Blood Xue

Formation from food essence, and essence

transformation through bone marrow.

Main function: Nourish

Body Flu ids Jin Ye

Function also to nourish and moisten. It isconsidered a component of blood.


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Meridians

J ing Luo Main Route and Net (Netwo rk )


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What is Acupuncture?

Many studies in animals and hum ans have demons trated that

acupuncture can cause multiple biological responses mediatedmainly by s ensory neurons to many structures with in the centralnervous system. This can lead to act ivat ion o f pathways af fect ingvar ious phy sio logica l systems in the brain as wel l as in theper iphery. .. Cons iderable evidence sup po rts the claim that opioidpept ides are released du r ing acupunc ture and th at the analgesiceffects of acupunctu re are at least part ial ly explained b y th eir

act ions . That opio id antagon ists s uch as naloxon e reverse theanalgesic ef fects of acupunc ture fur ther st rengthens th ishypothesis.

St imu lat ion by acupun cture may also act ivate the hypothalamu sand the pi tu i tary gland, resul t ing in a broad spectrum of sys temiceffects.

Alteration in the secret ion of neurot ransmit ters and neurohorm onesand changes in the regulat ion of b lood f low, both centra lly andper ipheral ly, have been doc umented.

There is also evidence of al terat ions in immune func t ions pro duc edby acup unc ture. Which o f these and other phys io logica l changesmediate cl in ic al effects is at present un clear.

Acupuncture. NIH Consensus Statement Online 1997 Nov 3-5; month, day]; 15(5):1-34.


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What are Meridians?

Despi te con siderable effor ts to und erstand the anatomy andphy sio logy o f the " acupun cture points," the def in i t ion andcharacter izat ion of these poin ts remain controv ersial. Even moreelusive is the scient i fic b asis of s ome of the key tradi t ionalEastern medical concepts and other related theories, which are

di f f icu l t to recon ci le wi th contempo rary biom edical informat ionbut c ont inu e to play an impo r tant ro le in the evaluat ion of p atientsand the form ulat ion of t reatment in acupun cture.

The acup unc ture points or b io logica l act ive points (BAP), alsoknown as low-resistance spots or g ood elect ro-permeable poin ts,have relat ive low er electr ic resistance than the surro un din gtissues This preliminary study presented here shows thereexists a bi lateral symmetry of the skin resistance of thecorrespond ing BAPs from the lef t and the r ight hands o f al lch osen sub jects over a range of measur ing p ressure. .

Acupuncture. NIH Consensus Statement Online 1997 Nov 3-5; month, day]; 15(5):1-34.

Conf Proc IEEE Eng Med Biol Soc. 2004;4:2995-8


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Questions & Discussion

Next

Causes of Il lness


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Theories and Causes of Disease

Imbalance

Yuan Qi def ic iency

Yuan: primary, original, core

Pathogenic facto rs invasion

Combinat ion of internal and external

causes


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Pathogenic Factors - 6 Evils

Wind

Cold

Heat

Dampness

Dryness

Fire

External and Internal, related to seasons

May be relate to epidemic pathogenic factors


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Five Element and Human Body

Viscera Bowels Sense

Organs

Seasons Emot ions

Wood Liver Gall Bladder Eyes Spring Anger

Fire Heart Small Intestine Tongue Summer Joy

Earth Spleen Stomach Mouth Long

Summer

Concern

Metal Lung Large Intestine Nose Autumn Grief

Water Kidney Urinary Bladder Ear Winter Fear


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Diagnosis - 4 Steps

SOAP

Viewing

Smelling / ListeningQuestioning

Palpating (pulse)9 posi t ion on each hand

Rate and Qual i ty


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Treatment Principles

SOAP

RESTORE BALANCE Expel pathogenic factors or parasites -

external

Fortify Yuan Qi - internal

Treat according to symptoms which reflectcurrent imbalance (status) of the patient.


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Treatment Methods

Acupunc tu re

Regulate Qi and Blood

Balance autonomic nervous system

neuroendocrine

Call attention to diseased areas or systems

and invoke healing response


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Treatment Methods

Herbs

1-3 herbs for each imbalance

Cooking methods very important

Pre-add, post add, different forms

Toxic effects of herbsadd other herbs

to moderate

Licorice (Gan Cao)

Ginger (Sheng Jiang)

long cooking


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Treatment Methods

Chinese Phys io-Massage / Manipulat ion

(Tu i Na)

External force to move Qi and Blood

Unblock stasis


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Qi

Qi Energy Different types with different functionsDerive

from two major sources:

Food (Gu) and Fresh Air (Qing) Nutrient & oxygen metabolism

Functions: Promote movements, warmth,

immunity, consolidation, control, metabolism,

and transformation.

Example: Peristalsis


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Ayurved

aCarl i Hil l


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Objectives

In t roduct ion to Ayurveda

Tridosha theory

Repo rted benef i ts

Reasons for caut ion

Curren t Research

Conc lus ions

Introduction to


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Introduction toAyurveda Comprehensive system that places

equal emphasis on the body , m ind and

sp ir i t, and i t str ives to resto re theinnate harmony of the ind iv idual

Ayurveda is the combinat ion of two

Sansk r i t words ayu meaning long life

ved meaning knowledge

Knowledge or science of life


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Pract iced in India fo r over 5000 years

Covers al l med ical f ields

Diagnos is done by observat ion, touch,and quest ioning

Four components to

disease management

Physician, Drug, Patient,

Attendant (such as

a nurse)


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Clinical exam includes

Pulse diagnosis

Urine examination

Stool examination

Tongue examination

Examination of bodysounds

Eye examination

Skin examination

Assessment of total body appearance


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Treatment has four main parts

Shodancleansing

Shamanpalliation

Rasayanrejuvenation

Satwajayamental nurturing and spiritual healing


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Imbalance in the doshas is the main cause of

disease or poor heal th

eporte


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Benefits Slowing the aging process Promot ing heal th of al l the organs of the

body

Reducing fat igue and stress

Nurtur ing the body w i th p roper diet

Heal ing disorders o f the nervous system


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A biostatistical approach to Ayurveda:

quantifying the Tr idosha. Joshi R. J Altern

Comp Med. 2004;10;5;879-889.

Object ivecreate an equation toquant i fy the three doshas

Methods 280 subjectsAdd worth-coefficients to dosha

characteristics

Individual doshas predicted using equation Predictions compared to qualitative

diagnosis

Resul tsequat ion p redic ted co rrect

tcm tuina qigong workshop 2007

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