TCM
has many characteristics both in the understanding of the
human body's physiology and pathology and in the diagnosis
and treatment of diseases. These characteristics, however,
can be summarized in the following two aspects:
1.
The Concept of the Organism as a Whole
By
"organic whole" we mean entirety and unity. TCM attaches great
importance to the unity of the human body itself and its relationship
with nature, and holds that the human body itself is a organic
whole and has very close and inseparable relations with the
external surroundings. The concept of emphasizing the unity
within the body and the unified relations between the body
and the outside world is known as that of an organic whole.
2.
Diagnosis and Treatment Based on an Overall Analysis of Sighs
and Symptoms
By
"Bian Zheng" we mean analyzing the relevant information, signs
and symptoms collected through the four methods of diagnosis
(observation, listening and smelling, inquiring , pulse feeling
and palpation) in the light of the theory of TCM, having a
good idea of the cause, nature and location of a disease,
and the relationship between pathogenic factors and the vital
energy, and summarizing them into "Zheng" of a certain nature
(syndrome). BY "Shi Zhi" we mean determining the corresponding
therapeutic method according to the conclusion of an overall
differentiation of symptoms, sighs and others.
In
clinical treatment, TCM physicians do not focus their main
attention on the similarities and dissimilarities between
diseases but on the differences between the syndromes they
have. Generally speaking, the same syndromes are treated in
similar ways, while different syndromes are treated in different
ways. Take cold for example, if it manifests itself in more
severe chilliness, slight fever, a tongue with thin and white
fur then it belongs to the exterior syndrome cause by wind
and clod, and should be treated with strong sudorific drugs
pungent in taste and warm in property, to dispel the wind
and cold; if its manifestations are more severe fever, milder
chilliness, a tongue with thin and yellow fur, then it belongs
to the exterior syndrome caused by wind and heat, and should
be treated with mild diaphoretic pungent in taste and cool
in property, to dispel the wind and heat. This is called "
treating the same diseases with different methods". Sometimes,
different diseases have same syndromes in nature, so their
treatments are basically the same. If clinical analysis and
differentiation show that persistent dysentery, prolapse of
the rectum, uterus and others belong to the syndrome of "
sinking?of the qi " (functional activities of the middle warmer,
the middle portion of the body cavity housing the spleen and
stomach), then their treating method should be the same one,
lifting the qi of the middle warmer. This is called " treating
different diseases with the same method ".
In
China, quite a number of colleges of medicine and pharmacy
and scientific research institutes are undertaking the researches
on the essence of "Zheng" (syndrome) in TCM. For example,
Chongqing Medical College holds that "Zheng" is the comprehensive
manifestation of the disorderly relations, resulting from
the pathogen and pathogenic condition between the whole body
and its reactive characteristics on one side and its surroundings
(including nature and society) on the other, between viscera,
bowels, channels and collaterals, between cells themselves
and between cells and body fluid; that "Zheng" is a reaction
of life substances characterized by time-phase and essentiality
in the course of a disease; and that "Zheng" is a whole-finalized
pattern of reaction which mainly manifests itself in the clinical
functional changes. Other scholars believe, from the point
of vague mathematics, that "Zheng" is a vague collectivity
made up of such materials as symptoms, signs and characteristics.
-------- Source Basic Theory of Traditional Chinese Medicine
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