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Taiwaner永康堂【 Y.C.T 】
SPECIFIC AND PROFOUND TCM :
TCM, one of China's splendid cultural heritages, is the science
dealing with human physiology, pathology, diagnosis, treatment
and prevention of diseases. TCM summed up the experience of
the Chinese people in their long struggle against diseases and,
under the influence of ancient naive materialism and dialectics,
evolved into a unique, integral system of medical theory through
long clinical practice. During several thousand years it has made
great contributions to the promotion of health, the proliferation
and prosperity of the Chinese nation, and the enrichment and
development of world medicine as well. The formation of the
theoretical system of TCM was greatly influenced by ancient
Chinese materialism and dialectics. The theoretical system takes
the physiology and pathology of zang-fu organs and meridians
as its basis, and TDS as its diagnostic and therapeutic features.
3. 3
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Taiwaner永康堂【 Y.C.T 】
SPECIFIC AND PROFOUND TCM :
TCM has its own specific understanding both in the
physiological functions and pathological changes of
the human body and in the diagnosis and treatment of
disease. TCM regards the human body itself as an
organic whole interconnected by zang-fu organs,
meridians and collaterals.And TCM also holds that the
human body is closely related to the outside world. In
regard to the onset and development of a disease,
TCM attaches great importance to the endogenous
pathogenic factors, namely the seven emotion, but it
by no means excludes the exogenous pathogenic
factors, namely the six pathogens.
4. 4
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Taiwaner永康堂【 Y.C.T 】
SPECIFIC AND PROFOUND TCM :
In diagnosis, TCM takes the four diagnostic methods
( inspection, auscultation ant olfaction,inquiry, pulse-taking and
palpation as its principal tcchniques, eight principal syndromes
as its general guideline, and differentiation of syndrome
according to the zang-fu theory, differentiation of syndromes
according to the six-meridian theory, and differentiation of
syndromes according to the theory of wei, qi, ying and xue as its
basic theories of the differentiation of syndromes. It also stresses
the prevention and preventive treatment of disease, and puts
forward such therapeutic principles as "treatment aiding at the
root cause of disease". "strengthening vital qi and dispelling
pathogens, regulating yin and yang and treating diseases in
accordance with three conditions" (i. e. the climatic and seasonal
conditiont, geographic localities and the patient's
constitution).
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Taiwaner永康堂【 Y.C.T 】
SPECIFIC AND PROFOUND TCM :
These characteristicts, however, can be
generalized as the holistic concept and
treatment by differentiation of syndromes
(TDS)
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Taiwaner永康堂【 Y.C.T 】
l. The Holistic Concept :
By "the holistic concept" is meant a general idea of, on the one
hand, the unity ) and integrity within the human body and, on
the other, its close relationship with the outer world. The human
body is composed of various organs and tissues, each having its
own distinct function, which is a component part of the life
activities of the whole body. And in TCM the human body is
regarded as an organic whole in which its constituent parts are
inseparable in structure, interrelated and interdependent in
physiology, and mutually influential in pathology. Meanwhile,
man lives in nature, and nature provides the conditions
indispensible to man's survival. So it follows that the human
body is bound to be affected directly or indirectly by the changes
of nature, to which the human body, in turn, makes
corresponding responses. TCM says: "Physicians have to know
the law of nature and geographical conditions when diagnosing
and treating diseases." That's why TCM not only stresses the
unity of the human body itself but also attaches great
importance to the interrelationship between the body and nature
in diagnosing and treating diseases.
7. 7
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Taiwaner永康堂【 Y.C.T 】
2. Treatment by Differentiation of
Syndromes :
TCM, on the other hand, is characterized by TDS.
Differentiation means comprehensive analysis, while
syndrome refere to symptoms and signs. So
differentiation of syndromes implies that the patient's
symptoms and signs collected by the four diagnostic
methods are analyzed and summarized so as to
identify the etiology, nature and location of a disease,
and the relation between vital qi and pathogens,
thereby determining what syndrome the disease
belongs to. By treatment is meant selecting the
corresponding therapy according to the outcome of
differentiating syndromes. Taken as a whole, TDS
means diagnosis and treatment based on overall
analysis of symptoms and signs.
8. 8
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Taiwaner永康堂【 Y.C.T 】
2. Treatment by Differentiation of
Syndromes :
As concerns the relationship between "disease" and "treatment",
TCM takes two different clinical ways on the basis of TDS. One is
"treating the same disease with different therapies", by which is
meant that the same disease may manifest itself in different
syndromes at different stages or under different conditions.
Therefore, the therapies of the same diease should be adopted
towards different therapies according to the patient's
constitution, the geographical environment, the climatic and
seasonal changes. Take flu for example, it may be caused by
wind-cold , wind-heat, summer-heat and dampness or other
pathogens. So is advisable to adopt dispersing wind-cold,
eliminating wind-heat, clearing away summer-heat and
dampness respectively. The other is called "treating different
diseases with the same therapy", by which is meant that different
diseases manifesting themselves in the same syndrome may be
treated with the same therapy.
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Taiwaner永康堂【 Y.C.T 】
2. Treatment by Differentiation of
Syndromes :
For example prolapse of the rectum due to protracted
diarrhea and hysteroptosis are two different diseases.
However, if they are both marked by themselves in
the same syndrome of qi of sinking of the middle
energizer, they can be treated in the same therapy by
lifting qi of the middie energizer. From the above it
becomes obvious that TCM does not focus its
attention on similarities or dissimilarities between
diseases but on the differences between the
syndromes. Generally speaking, the same syndromes
are treated with basically same therapies, while
different syndromes with different ones.
10. 10
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Taiwaner永康堂【 Y.C.T 】
To sum up, the principle that different
contradictions in essence are handled by
different methods in the course of
development of a disease is the core of TDS.