Five Elements For Medical Science

Monday, 20 October 2008 11:22 by yike

        In ancient Greece, there was a theory of four elements. The four elements include fire, water, earth and air. A Greek philosopher Anaximander developed this theory, and he thought that a kind of original substance formed the four elements. At the same time, in ancient China, there was a theory of five elements. The five elements include wood, fire, earth, metal and water. They were formed by a kind of original substance which was called Qi. In the Warring-States Period, Zou Yan, a thinker of Qi State, developed the theory of the five elements. He connected the theory of the five elements with the theory of Yin and Yang, and founded the doctrine of the Yin-Yang and Five Elements. Zou Yan gave a forced interpretation to this doctrine and used it to explain the events of the society and prophesy the future. Qin First-Emperor accepted this doctrine, because he needed it to justify his imperial reign. Except political use and philosophical use, the theory of the five elements was also used widely by the traditional Chinese medical science.

        Five elements are correlative. The relations of the five elements include promotion and restraint. The wood promotes the fire, the fire promotes the earth, the earth promotes the metal, and the metal promotes the water. Why? The wood can be burning and become the fire, and the ash formed the earth. In the earth, there are mineral resources of the metal. The metal can melt and become liquid as the water.

        As for the relations of restraint, the wood restrains the earth, the fire restrains the metal, the earth restrains the water, the metal restrains the wood, and the water restrains the fire. Why? A sprout breaks through the earth and becomes a big tree. A hoe or a spade has a wooden handle. The fire can melt the metal. The earth can be used for embanking rivers against floods. An ax or a saw has a metal blade. The water can extinguish the fire.

        Five elements are abstracted to five attributes of many things such as seasons, climate, directions, colors, internal organs and taste so on. Spring, wind, east, green, liver and sour belong to wood. Summer, hotness, south, red, heart and bitter belong to fire. Autumn, dryness, west, white, lung and piquancy belong to metal. Winter, coldness, north, black, kidney and salt taste belong to water. Center, wetness, yellow, spleen and sweet belong to earth. The sixth month of the Chinese Lunar Calendar belongs to earth. In the Pre-Qin Period, heart belonged to earth. However, in the Han Dynasty, heart started to belong to fire because of political need. Since the Han Dynasty, the theory of five elements had been steady.

        The theory of five elements is used for diagnosis, therapy and pharmacy of the traditional Chinese medical science. For example, the face of a patient who has a nephropathy is a little black. Recent years, an herb Guanmutong (Caulis Aristolochiae Manshuriensis) has been forbidden, because the excessive dose of this herb is nephrotoxic and even induces acute renal failure. The faces of the patients whose kidneys are damaged by Guanmutong are a bit dark.

        The theory of five elements is very deep, and this article only can show some basic contents of it. In ancient times, the theory of five elements was used too widely. If a person couldn’t explain a thing or a phenomenon, he would easily attribute it to the movement of five elements. This kind of attitude seriously hampered the development of ancient Chinese science. Since the early days of the 20th century, many scholars started to be against the theory of five elements. Nowadays, the theory of five elements is only used by the traditional Chinese medical science, because leastways it is helpful and effectual in the traditional Chinese medical science. So we should treat it rightly.

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The Theory of Yin and Yang

Monday, 20 October 2008 11:21 by yike

        Yin and Yang are two of the basic terms of the traditional Chinese philosophy. The two terms are also used in the theory of the traditional Chinese medical science. Ancient Chinese often explained many things and phenomena in the world by the concepts of Yin and Yang.

        Yin and Yang can show abstract attributes, and they also can denote material things. So they include materialist dialectics, and they surpass materialist dialectics which is full of abstract concepts.

        About abstract attributes, Yin and Yang are contrary as negative and positive. In the traditional Chinese philosophy, all things which are related can be defined to Yin or Yang in the world. For example, the sun belongs to Yang, and the moon belongs to Yin; the water belongs to Yin, and the fire belongs to Yang; the women belong to Yin, and the men belong to Yang. So we can summarize the method of defining Yin and Yang. The things which are cold, dull, down, declining, inhibiting or condensed belong to Yin. The things which are warm, bright, up, rising, stimulant or evaporating belong to Yang. The north of a mountain and the south of a river belong to Yin. The south of a mountain and the north of a river belong to Yang. If we pay attention to a fish pond in a sunny day of winter, we can see fishes gathered in the north of the pond. Why? They can enjoy the sunshine.

        When Yin and Yang denote material things, they belong to Qi. Qi is a kind of extremely small substance, and it forms all things of the world. In ancient Greece, the atomism of Democritus said that the basic components of the entire universe were simple, minute, indivisible, and indestructible particles. The theory of Qi is similar to the atomism, but Qi has rich connotations. Qi includes Yang-Qi and Yin-Qi. Yang-Qi and Yin-Qi are often called Yang and Yin for short. A body has Yang-Qi and Yin-Qi. If the two matters are unbalanced, the person feels sick. If Yang-Qi is excessive, the person is hyperpyretic, his tongue fur is yellow, his urine is yellow, and his feces are dry. If Yin-Qi is deficient, the person has low fever and night sweat, and his tongue fur is less. If Yin-Qi is excessive, the person feels cold, his tongue fur is white and thick, his feces are watery, and his abdomen has cold pain but he refuses to press it. If Yang-Qi is deficient, the person feels cold, he is languid and lethargic, he is willing to press his abdomen, and his urine is more and colorless. The basic principle of cure is to strengthen the deficient and weaken the excessive. The principle of strengthening the deficient is to reinforce Yang-Qi or Yin-Qi, and the principle of weakening the excessive is to use the medicine of cold attribute to clear heat away or use the medicine of hot attribute to warm up.

        The attributes of Yin and Yang are not absolute. We can say Qi belongs to Yang, and blood belongs to Yin, and we can say Yang-Qi and Yin-Blood. Why? Qi and blood are two different kinds of substances, but they can’t be said to be opposite. However, Qi is evaporating and blood is condensed, so we can say Yang-Qi and Yin-Blood.

        Yin and Yang move all the while. For example, the Qi of nature includes Yang-Qi and Yin-Qi. In the daytime, Yang-Qi is dominant. In the nighttime, Yin-Qi is dominant. In the noon, Yang-Qi is the strongest, but after the noon Yang-Qi declines gradually, and Yin-Qi rises gradually. In the midnight, Yin-Qi is the strongest, but after the midnight, Yin-Qi declines gradually, and Yang-Qi rises gradually. Why do persons who are critically ill always die at late-night time? It is because at that time Yang-Qi which can strengthen and promote the vitality of a human is very weak.

        The contents of the theory of Yin and Yang are very rich, and this article only refers to some basic contents, but it is helpful for a Westerner to understand Yin and Yang which belong to the important thoughts of Oriental people.

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Five Elements For Medical Science

Monday, 20 October 2008 11:01 by yike

        In ancient Greece, there was a theory of four elements. The four elements include fire, water, earth and air. A Greek philosopher Anaximander developed this theory, and he thought that a kind of original substance formed the four elements. At the same time, in ancient China, there was a theory of five elements. The five elements include wood, fire, earth, metal and water. They were formed by a kind of original substance which was called Qi. In the Warring-States Period, Zou Yan, a thinker of Qi State, developed the theory of the five elements. He connected the theory of the five elements with the theory of Yin and Yang, and founded the doctrine of the Yin-Yang and Five Elements. Zou Yan gave a forced interpretation to this doctrine and used it to explain the events of the society and prophesy the future. Qin First-Emperor accepted this doctrine, because he needed it to justify his imperial reign. Except political use and philosophical use, the theory of the five elements was also used widely by the traditional Chinese medical science.

        Five elements are correlative. The relations of the five elements include promotion and restraint. The wood promotes the fire, the fire promotes the earth, the earth promotes the metal, and the metal promotes the water. Why? The wood can be burning and become the fire, and the ash formed the earth. In the earth, there are mineral resources of the metal. The metal can melt and become liquid as the water.

        As for the relations of restraint, the wood restrains the earth, the fire restrains the metal, the earth restrains the water, the metal restrains the wood, and the water restrains the fire. Why? A sprout breaks through the earth and becomes a big tree. A hoe or a spade has a wooden handle. The fire can melt the metal. The earth can be used for embanking rivers against floods. An ax or a saw has a metal blade. The water can extinguish the fire.

        Five elements are abstracted to five attributes of many things such as seasons, climate, directions, colors, internal organs and taste so on. Spring, wind, east, green, liver and sour belong to wood. Summer, hotness, south, red, heart and bitter belong to fire. Autumn, dryness, west, white, lung and piquancy belong to metal. Winter, coldness, north, black, kidney and salt taste belong to water. Center, wetness, yellow, spleen and sweet belong to earth. The sixth month of the Chinese Lunar Calendar belongs to earth. In the Pre-Qin Period, heart belonged to earth. However, in the Han Dynasty, heart started to belong to fire because of political need. Since the Han Dynasty, the theory of five elements had been steady.

        The theory of five elements is used for diagnosis, therapy and pharmacy of the traditional Chinese medical science. For example, the face of a patient who has a nephropathy is a little black. Recent years, an herb Guanmutong (Caulis Aristolochiae Manshuriensis) has been forbidden, because the excessive dose of this herb is nephrotoxic and even induces acute renal failure. The faces of the patients whose kidneys are damaged by Guanmutong are a bit dark.

        The theory of five elements is very deep, and this article only can show some basic contents of it. In ancient times, the theory of five elements was used too widely. If a person couldn’t explain a thing or a phenomenon, he would easily attribute it to the movement of five elements. This kind of attitude seriously hampered the development of ancient Chinese science. Since the early days of the 20th century, many scholars started to be against the theory of five elements. Nowadays, the theory of five elements is only used by the traditional Chinese medical science, because leastways it is helpful and effectual in the traditional Chinese medical science. So we should treat it rightly.

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A Brief Introduction about the Traditional Chinese Medical Science

Monday, 20 October 2008 02:21 by Yike

  The Traditional Chinese Medical Science, also called Chinese Medicine for short, is the traditional medical science of the Han(漢) nation which is the main people of China. So, in Korea and Japan, Chinese Medicine is known as “Han Medicine”(漢醫).

  Chinese Medicine had a long history of several thousand years. Legend has it that the origin of Chinese Medicine was related to Yan-Di(炎帝) and Huang-Di(黃帝), two great tribal leaders of the Huaxia nation (“Huaxia”[華夏] is the original name of the Han nation). In myths, Yan-Di, also called Shennong(神農), tasted large numbers of plants by himself for distinguishing herbs, while Huang-Di and his ministers discussed physiological, pathological and therapeutic theories. Of course, the myths are not reliable. In fact, Chinese Medicine originated from the accumulation of generations’ experience against diseases. In the Western Han(西漢) Dynasty (from 206 B.C. to A.D. 8), many doctors gathered together the experience of their predecessors and organized theories. Many works on medical theories appeared at that time. But in the later days, almost all of them were lost in wars.

  Two works, “Su Wen”(素問) and “Ling Shu”(靈樞), were said to be the two parts of “the Orthodox Classic of Huang-Di”(黃帝内經), a book written in the Western Han Dynasty. The two works systematically elaborate the basic philosophy and clinical theories of Chinese Medicine. About therapeutics, they summarize the principles of treatment, and attaches importance to acupuncture. After the Western Han Dynasty, since other works on medical theories had been lost and the two books were deemed to be the only surviving ones, they were held in very high esteem by later doctors. The two books, or customarily called “the Orthodox Classic of Huang-Di”, determined the developing way of Chinese Medicine. The later development of Chinese Medicine had never been beyond the rules of the two works.

  In the Eastern Han(東漢) Dynasty (from A.D. 25 to 220), a famous pharmacological book named “the Herbal Classic of Shennong”(神農本草經) appeared. It collects 365 medicinal materials and elaborates their effects. Moreover, the book summarizes the principles for the combined usage of different medicinal materials. With the development of medical science, more and more medicinal materials were found and used clinically. The top achievement of traditional Chinese pharmacology is the great work “the Compendium of Materia Medica”(本草綱目) written by Li Shizhen(李時珍) in the Ming(明) Dynasty (from 1368 to 1662). The illustrious book collects 1892 medicinal materials and their references. But in fact, only hundreds of medicinal materials are often used clinically.

  Since “the Orthodox Classic of Huang-Di” and “the Herbal Classic of Shennong” weren’t written by Huang-Di and Shennong, why do the two works have such names? It was because many authors in the Han Dynasty often owed their achievements to ancient famous men for raising the value of their works and attracting readers. They were more willing to see that their works become well-known instead of their names. For example, another famous medical work, “Eighty-One Problems”(八十一難) or called “the Classic of Problems”(難經), was said to be written by Qin Yueren(秦越人), a famous doctor in the Warring-States(戰國) Period (from the fifth century B.C. to 221 B.C.), who was also called “Bianque” (扁鵲, a mythological bird which could cure diseases). But in fact the problems in this book were designed for explaining many contents of “Su Wen” and “Ling Shu”, so the book was written obviously later than “Su Wen” and “Ling Shu”, and the author was not Qin Yueren.

  In the beginning of the third century A.D., a doctor named Zhang Zhongjing(張仲景) wrote a great clinical work, “the Treatise on Cold-Induced Diseases and Other Diseases”(傷寒雜病論). Zhang Zhongjing had rich experience in the treatment of diseases. His book records the symptoms of many diseases, and discusses their pathological mechanism and how to treat the diseases. The extant parts of the book collect 269 medical prescriptions which are very effective clinically. The book incarnates complete principles of diagnosis, analysis and treatment on diseases, so it greatly promoted the development of the clinical medicine of ancient China. Accordingly, Zhang Zhongjing was acclaimed as “the Medical Sage”(醫聖) by later people. But in the later years of social unrest, his book was broken asunder. Later doctors collected the remaining texts of the book and reorganized them into two books. The two books are known as “the Treatise on Cold-Induced Diseases”(傷寒論) and “the Prescriptions Kept in A Golden Box”(金匱要略). The former is the part about cold-induced diseases, while the latter is the part about other diseases. The prescriptions in the two books are reputed as “Classic Prescriptions”(經方). The Han Medicine in modern Japan is mainly based on these prescriptions. Japanese doctors think that the prescribed dosage of every medicinal material in the two books can’t be changed, and they have gained many achievements for the modern research and commercialization of the “Classic Prescriptions”.

  The books “Su Wen”, “Ling Shu”, “Eighty-One Problems”, “the Herbal Classic of Shennong”, “the Treatise on Cold-Induced Diseases” and “the Prescriptions Kept in A Golden Box” are the most important classical works of Chinese Medicine. These works form a unique medical system combined with perfect basic theories and clinical principles. Though they were written between the second century B.C. and the third century A.D., they still enlighten and direct the clinical practice of Chinese Medicine in modern times. Age-old medical theories and principles are still effective to treat modern diseases. It is really a great miracle.

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