Traditional Chinese Medicine Tang Yong Chong Qing Orthopaedics - PowerPoint PPT Presentation

Traditional Chinese Medicine Tang Yong Chong Qing Orthopaedics Hospital of TCM, China

contents n Philosophy of Chinese medicine n Therapy methods: n acupuncture n moxibustion n Tui na……

Philosophy of Chinese medicine q It is based on the world view of Taoism q Terms originated from Taoism are used in Chinese medicine. q Qi (Chi) q yin and yang q the five elements

QI q Qi? ( original qi, qi of channels, qi of heart…….) q Basic meaning is “air” → invisible and important thing q In Taoism: QI universe Taoism lao tzu “ 道生仪 (original qi,) ，仪生二， 二生三，三生万物。” q Substance, invisible, crucial in nature

Qi in TCM n substance which is invisible and has high energy n Qi of channels n Original qi (like genetic material ) n Function of certain substances n Heart qi

Yin and Yang(methodology) n primary meaning n Yang-the place where the sun shines n Yin- the place where sun can not shine n abstractive meaning n Yang-bright, warm, daytime, movement, qi(steam), upward…… n Yin-dark, cold, stillness, night, water( liquid), downward ……

philosophy concept of yin and yang n Things in the universe had the contradict yin side and yang side. Yin and yang in TCM n The relationship of them is opposite and mutually restrained ; interdependent ; in a wane-wax balance ; transform to other side

Tui na symptoms A human herbs manipulates yang yang qi, spirit, fever, flushed Warm, Fast, surface, skin,fast pulse acrid heavy yin Yin qi, body, Cold, dark Cool, Slow, inside skin, slow bitter soft pulse diagnose treatment Yin and yang state of the body - Healthy balance imbalance - Disease :yang excessive, yang deficiency ……

the five elements n The five elements refer to the wood, fire, earth, metal, water n originally- the basic living condition of human being n Later -- philosophy term , the attribute of the material word

wood metal water The five element of the world earth fire Wood fire earth metal water Season spring summer late summur autumn winter Climate wind heat dampness dryness cold Color blue red yellow white black Taste sour bitter sweet pungent salty Zang liver heart spleen lung kidney Orifice eye tongue mouth nose ears Tissue tendons blood vessels muscles skin bones Emotion anger joy pensiveness grief fear

wood eye The five elements in TCM tendon water fire gallbladder ear tongue bone liver Blood vessels bladder small intestine kidney heart body lung spleen stomach large intestine earth metal muscles skin mouth nose

System of wood n Liver is the master of this system. n The taste of sour, the color of blue , the emotion of anger, the eyes, the sinews, and the nails, belonged to this system. Gall eye nail bladder liver sour blue anger sinew

Treatment method of TCM n Tui na n accupuncture n moxibustion Exo-therapy n Cupping therapy manipulates on the acupoints or n scraping the routes of the channels n Chinese herbal therapy n Food therapy Inner-therapy

cupping therapy get rid of damp and cold in the channels and get qi and blood flow used to treat common cold, headache, the pain of side chest, back, waist and legs, etc.

scraping Can regulate the yin and yang in balance, get blood and qi flow fleuntly in the channels , and get rid of wind , cold and heat in the channels Often used to treat common cold, sunstroke, pain of the shoulder, back, legs, and used at the beginning of infectious diseases. Little articles with smooth fringe

accupuncture n Channels n how it is used in treatment

The channels pathways that carry qi, blood, and fluids around the body Twelve regular channels Major channels Eight irregular channels (Ren, Do…) channel Connecting system channels The fourteen channels Inside:viscera Connect to outside

Twelve regular channels q Have fixed routs q Deeper part is associated with an organ q There are acupoints on the superfacial part q Acupoints: qi of organ communicate with the surface of the body The heart channel

History n more than 3000 years n Initially, crude needles, made from sharpened stones, animal bones, or bamboo, were used n About 200B.C. <the yellow empiror ’ s internal classic>, the part of <spirital axis>, described acupuncture systematicaly n around 600 A.D. ,introduced to Kereo, Japan, and south east Asia n around the beginning of 17 th century, n introduced to Europe

n According to WHO, the following disease could be useful : n Pain (chronic, surgical, arthritic, malignant, headache, backache). n Organic Lesions (cardiovascular, respiratory, genitourinary system, skin,). n Neurological (peripheral & central). n Substance abuse (drugs, nicotine, food & alcohol). n Gynecological disorders n Psychiatric (depression & anxiety)

Caution v the patient has a hemophilic condition. v the patient is pregnant v the patient has a severe psychotic condition or has recently taken drugs or alcohol. v at the point where the skin has infection, ulcer, or scar, it is unfit to have acupuncture.

Types n common acupuncture n Combined with cupping therapy and moxibustion n Electric acupuncture n auricular acupuncture

In treatment n First, distinguish the pattern of the disease n To know disease is on the surface or in the organs, is deficiency or excessive, is cold or warm n To choose proper acupoints and manipulations

n Needles. n Angle of inserting n De qi n a special feeling of sour, numb, swell and tight, but not pain

Manipulates n to make de qi occure or to get certain treatment effects( such as reinforce deficient or decanta excessiveness) n raising and thrusting n twirling n Rotation n plucking n Scraping n trembling

Moxibustion n often used to relieve pain, to stop hiccup, to improve the founction of immune system, to help the recovery from operation, stroke, etc. n In health care

Types n over moxibustion n burning moxibustion n indirect moxibustion

The dose of moxibustion n the skin of the acupoin became red n or until the lip become red

Choice of over moxibustion and burning moxibustion n Over moxibostion n non-invasive n patient feel very comfortable n effect is modarate n burning moxibustion n convenient and time saving n has a long lasting effect n hurt to skin

n Example: (from li guan rong, a professor of medical college of Sichuan university) n Professor li used moxi-stick to stimulate the point of Dazhu( BL11) to treat patients with cervical spondylopathy. There are 124 cases, with the efficiency rate of 91.95%. it was observed that, when the patient have a warmth feeling passing on from the shoulder, to the elbow and wrist soon after the moxibustion was applied, there would be a good therapy effect. n A case:

n Mrs.xu, female, 53 year ’ s old. She suffered repeated attack of shoulder-neck pains for four years. X-ray examination showed a cervical spondylopathy. The condition did not improved after western medicine, herbal therapy, and other physical therapy. Apply over moxibustion on the point of Dazhu. After 15 min , a warmth felt passing on from shoulder to elbow, and the pain relieved. After another twice moxibustion therapy, the pains disappeared. In a 12 year ’ s follow up, the disease did not reoccure.

Moxibustion used in healthcare n Over moxibustion is often used in healthcare. This method is non-invasive, simple and have a good effect. It has been a main healthcare method since Tang dynasty.

some important healthcare acupoints n Zhusanli : the most important acupoint of healthcare n Moxibustion on this point can reinforce the founction of spleen and stomach, enrich the qi of our body and warm kidney to make our body healthy n can promote the activities of immune system n can regulate the level of suger in blood and the blood pressure to normal …

n Guanyuan: (3 Cun under the bellybutton) n the point of “ original qi ” , where male hide essence and female hide blood. n can warm and smooth the channels, enrich yang and kidney, get yin and yang in balance. n Modern science showed, it can regulate the function of hypothalamus-pituitary-gonadal axis ， promote cellular immune function, and can cut down fat in the blood ， prevent artherosclerosis.

Tuina n a kind of massage which was directed by the theory of TCM. n to stimulate the points and channels so as to correct the imbalance of yin and yang n “ where there is stuck, there is pain ” , get qi and blood flow fluently in the channels. n used in internal medicine, orthopaesics, health care, rehabilitation, etc. n safe, no side effects, effective and cheap. patient will not get nervous.

basic manipulatons in tuina n For the manipulations of tuina, there are four requirments , they are: “ softness ” , “ steadiness ” , “ persistence ” ， “ deepness ” .