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1、overview of traditional chinese medicinedr. leon chen, l.ac.,o.m.d.origin of traditional chinese medicine recorded history over 4,000 years old earliest books on the foundation of tcm, originating as early as 1000 b.c. huang di nei jing or “yellow emperors classic of medicine”taoist philosophy tcm d

2、erived from taoist philosophy belief that human experience is affected by causative principles in the environment principles, correlate to fate as decreed by heaven baguadevelopment of traditional chinese medicine originally handed down only through personal apprenticeship now 25 major colleges of t

3、cm totaling about 20,000 students in each school at any given time courses range from undergraduate to the doctoral, in both western medicine and tcm international status of tcm asia - most countries use the tcm methods of acupuncture and moxibustion europe- used regularly u.s. - developing from the

4、 coasts inward, recently reaching into the midwest basic characteristics of chinese medicine zheng ti guan nian :theory of holism central idea in tcm bears directly on preventing and treating diseases emphasis on harmony two main components: 1. the human body is regarded as a single, integrated unit

5、 2. special attention paid to integration and interaction between human body and the environmenttcm: attention to body and nature the human body is an organic whole components complement one another, functionally and pathologically changes of nature constantly influence the human body for example: s

6、easonal variations of the pulse: pulse in spring is somewhat taut like a string; in summer, somewhat full; in autumn, somewhat floating or superficial; in winter, somewhat deep methods of treatmentacupunctureherbstui nahow does tcm work? vital energy called qi is the life force that drives all livin

7、g things. qi flows through meridians (also called channels) in the body similar to water flowing in a river. twelve primary meridians, each associated with an organ system disease occurs with imbalance, resulting in excess of deficient amounts of qi in the meridians. tcm works to alleviate this imba

8、lance and restore harmony how does acupuncture work? points are located throughout the body and act as gateways to influence, redirect, increase or decrease the vital “substance” of qi corrects imbalances that cause disease research programs have been conducted towards understanding the mechanism of

9、 acupuncture with impressive results. ancient acupuncture: nine needles about chinese herbs important component of tcm herbal formulas are as effective now as they were more then 4,000 years ago when they were first introduced formulas contain 2 - 18 different types of herbs used to treat a wide var

10、iety of symptoms while stimulating the bodys natural healing process not addictive, powerful nutritional agents chinese herb leaveswhat is tui na?relatively new to the western worldcombines the work of massage therapy, chiropractic and tcmestablishes a more harmonious flow of qi throughout the syste

11、m of channels and collaterals, allowing the body to naturally heal itself. tui na encompasses three techniques1. massage to treat the soft tissue (muscles and tendons of the body2. acupressure to affect the flow of the qi3. adjustments for realignment tui na hand positionstcm broad range of treatmen

12、tsasthmaallergiescold/flucough/bronchitisheadachestmjtinnitusarthritisosteoporosisback/neck achesciaticapain mgmtinfertilitydepressionstressaddictionsskin diseasesfibromyalgiapmsrhinitisvisionhemilplegiasexual dysfunctionhigh blood pressurestrokehigh cholesterolinjuriestraumachildrens diseasesfrozen

13、 shoulderbian zheng lun zhibian zheng : the way tcm recognizes and analyzes diseases lun zhi : the way tcm formulates a definitive therapeutic program proper therapeutic program. for example, at the early stage of a disease, the patient may experience fever and chills, no sweating, headache, general

14、 body aching, no thirst, thin whitish coating of the tongue, superficial and tense pulse, etc. “exterior syndrome of wind and cold” treatment: employ diaphoretics of a pungent and hot nature. main concept of tcm: yin yangtheory that everything in the universe contains the two aspects of yin and yang

15、, which are in opposition and also in unison.they are polar opposites inherent and discernable in everything, and are never absolute. yang qualities: dynamic, external, upward, ascending, brilliant, progressive, hyperactive, superficial, heat, light, open, energy yin qualities: static, internal, dow

16、nward, descending, dull, retrogressive, hypoactive, dark wet, cold, matter wu xing: five phases (elements)originally a philosophical theory in ancient china, later adapted to medical practice, becoming an important part of tcm theoryuniversal interdependence of all things and eventsused to explain a

17、nd expand a series of medical problems by comparing with and deducing from mutual relationships two examples of relationships between phases: xiang ke ( inter- inhibition, or control ) : wood inhibits earth, earth inhibits water, water inhibits fire, fire inhibits metal, and metal inhibits wood xian

18、g sheng ( inter-generation ): wood generates fire, fire generates earth, earth generates metal, metal generates water, and water generates wood passages through which qi ( energy ) and blood circulate connect the viscera with the limbs, connect the upper and lower parts with the interior and exterio

19、r of the body, and regulate the mechanisms of the various parts of the body include the jing-mai ( the channels or meridians ) and luo-mai ( the collateral channels ); it is specifically through these structures that the human body becomes an an organic whole no objective proof as to the actual exis

20、tence of jing and luo. however, the channels have long been confirmed through clinical usage, and they are also confirmable subjectively jing luo (channels or meridians) and their collaterals distribution of the 14 meridians of the hand and footzang fu viscera internal organs, viscera: in tcm emphas

21、is is laid on the physiological functions of an organ rather than on its anatomical structure. 1. wuzang ( the five parenchymatous organs) : heart, liver, spleen, lung and kidney. according to tcm, these terms may either refer to the actual organs, or chiefly to the external reflections of their fun

22、ctional activities and pathologic processes. hence, each of them has their own intrinsic characteristics. 2. liufu ( the six hollow organs ): gallbladder, stomach, large intestine, small intestine, urinary bladder and triple heater zang fu relationship with the vital substances of the body the zang

23、fu ensure the proper making of, maintenance, replenishment, movement, and transformation of the vital substances of the body. heart governs blood liver stores blood &regulates the movement of qi lungs govern qi & disperse & descend body fluids spleen transforms and transports gu (food) q

24、i, holds blood in the vessels, and influences body fluids kidneys store essence and influence body fluids zang fu relationships with tissues there are energetic/functional relationships between organs and their corresponding tissue, therefore the health of tissues can be seen through the health of t

25、he corresponding zang fu. heart controls blood vessels and shows its health on the facial complexion liver controls the sinews (tendons) and shows its health on the nails lungs control the skin and show their health on the body hair spleen controls the muscles and shows its health on the lips kidney

26、s control the bones and show their health on the hair on the head zang fu relationships to the sensory organs the health and wellness of sensory organs rely on the care and nourishment of its corresponding zang fu. heart controls the tongue and taste liver controls the eyes and sight lungs control t

27、he nose and smell spleen controls the mouth and taste kidneys control the ears and hearing zang fu relationships with the emotions qi, the basis for all physiological activities of the body is also responsible for the emotional processes utmost importance in tcm medical theory health of the zang fu

28、organs will effect the emotions, and the emotions will effect the health of the zang fu organs especially when they are excessive and occur for long periods of time treatment of organs therefore helps emotional health, and treatment of emotions can improve health of internal organs liver relates to

29、anger - heart relates to joy - liver relates to anger - lungs relate to sadness & worry - spleen relates to pensiveness, over thinking or obsessive ness, and worry - kidneys relate to fear zang fu relationships to climate and environment different climactic factors effect different zang fu organ

30、 functions. excessive weather conditions for prolonged periods of time can adversely effect internal organ processes. heart is effected by heat -liver is effected by wind - lungs are effected by dryness - spleen is effected by dampness - kidneys are effected by cold etiology and pathogenesis in tcm

31、there are 14 categories of etiological factors: liu yin: six excessive (or untimely) atmospheric influences. wind, cold, summer heat, dampness, dryness, and fire qi qing: seven emotions. overjoyed, anger, melancholy, anxiety, sorrow, fear and fright. the emotions are considered to be endogenous fact

32、ors causing diseases if in excess injury: which includes acute and chronic for example over joy makes qi makes heart sluggish ( e.g. unable to concentrate the mind ) anger impairs the liver: rage causes the qi of liver to flow adversely upward, causing a stuffy feeling in the chest, headache and red

33、ness of eyes may occur. anxiety impairs the spleen: anxiety makes the qi of spleen depressed, often resulting in indigestion. sorrow impairs the lung: sorrow consumes the qi of lung. fear impairs the kidney: fear causes the qi of the kidney to sink, and as a result, incontinence of urine and stool a

34、nd seminal discharge may occur. fright impairs the heart: fright make the qi of the heart disturbed, resulting in palpitation, restlessness, and even mania. methods of diagnosissi zhen1. smelling (olfaction)2. listening (auscultation ) 3. looking ( inspection )4. asking5. pulse taking6. palpation ba

35、 gang eight guiding principles, or eight parameters for diagnosis 1-2 yin and yang 3-4 exterior and interior5-6 cold and heat7-8 deficiency and excessivenessabout dr. chendegrees gansu college of traditional chinese medicine, o.m.d., 1985 in lanzhou, china current position director, east west healing center o.m.d., l.ac. licensed for acupuncture and bodywork in the united states previous positions july 2002 - full professor of traditional chinese medicine, hospital of gansu college of traditional chinese medicine in china 1998-2002 - associate professor of traditional

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