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Traditional Medicine in Asia

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<strong>Traditional</strong> <strong>Medic<strong>in</strong>e</strong> <strong>in</strong> <strong>Asia</strong><br />

delicate harmony and coord<strong>in</strong>ation among<br />

different parts of the human body.<br />

Therefore, it lays great emphasis on the<br />

careful readjustment and ma<strong>in</strong>tenance of<br />

this natural balance <strong>in</strong> the body. 5 It uses<br />

zang fu (visceral organs) and the meridians<br />

as its theoretical basis and y<strong>in</strong> yang and<br />

“five elements” as its theoretical tools.<br />

Accord<strong>in</strong>g to TCM, qi, ‘blood’ and ‘body<br />

fluid’ are the fundamental substances<br />

which make up the human body and<br />

ma<strong>in</strong>ta<strong>in</strong> its normal physiological<br />

function<strong>in</strong>g. 6 Health implies harmonious<br />

coord<strong>in</strong>ation among the various parts of<br />

the body and their adaptation to the<br />

physical environment.<br />

The fundamental mechanism of<br />

disease is the breakdown of the relative<br />

equilibrium with<strong>in</strong> the organism or between<br />

the organism and its environment. 7 In TCM<br />

terms, this is known as an imbalance<br />

between y<strong>in</strong> and yang. 8 In the diagnosis<br />

and treatment of diseases, the basic<br />

characteristic of TCM, which sets itself<br />

apart from modern Western medic<strong>in</strong>e, is<br />

that of ‘syndromes differentiation (9) or<br />

translated as diagnosis and treatment<br />

based on overall analysis of symptoms and<br />

signs’. Holism views not only the human<br />

body as an organic whole but also the unity<br />

of the human body and nature. On the<br />

one hand, nature constantly <strong>in</strong>fluences the<br />

18<br />

Every modality of <strong>in</strong>tervention is<br />

aimed at regulat<strong>in</strong>g and<br />

balanc<strong>in</strong>g y<strong>in</strong> and yang. As stated<br />

<strong>in</strong> The Yellow Emperor’s Classic<br />

of <strong>Medic<strong>in</strong>e</strong>, y<strong>in</strong> is even and well<br />

while yang is firm, hence a<br />

relative balance is ma<strong>in</strong>ta<strong>in</strong>ed<br />

and health is guaranteed<br />

human body and, on the other, the body<br />

adapts to the variations <strong>in</strong> the natural<br />

environment.<br />

The concept of y<strong>in</strong> and yang<br />

The concept of y<strong>in</strong> and yang is fundamental<br />

to the understand<strong>in</strong>g of Ch<strong>in</strong>ese medic<strong>in</strong>e.<br />

The earliest reference of y<strong>in</strong> and yang is<br />

probably the one <strong>in</strong> the book “Yi J<strong>in</strong>g” (Book<br />

of Change, 700 BC). Orig<strong>in</strong>ally, y<strong>in</strong> and<br />

yang were two topographic terms used to<br />

designate the shady and the sunny sides<br />

of a hill, or the north side and south side of<br />

a mounta<strong>in</strong>. The sunny side of mounta<strong>in</strong>,<br />

<strong>in</strong> the sunlight, represents warm, bright,<br />

and other active characteristics; and the<br />

shady side of the mounta<strong>in</strong> represents cold,<br />

dark, and other passive properties. By<br />

extension, the theory of y<strong>in</strong> and yang holds<br />

that the universe consists of two oppos<strong>in</strong>g<br />

but mutually dependent forces that<br />

complement and supplement each other,<br />

resonate harmoniously, and ma<strong>in</strong>ta<strong>in</strong> a<br />

constant balance. As man is considered<br />

as a microcosm <strong>in</strong> the universe, to achieve<br />

a healthy state a balance between the<br />

forces of y<strong>in</strong> and yang <strong>in</strong> the human body<br />

should be ma<strong>in</strong>ta<strong>in</strong>ed.<br />

With respect to medic<strong>in</strong>e, it could be<br />

said that the whole of the Ch<strong>in</strong>ese system<br />

of medic<strong>in</strong>e, its physiology, pathology,<br />

diagnosis, and treatment, can all be<br />

reduced to the basic and fundamental<br />

theory of y<strong>in</strong> and yang. Every physiological<br />

process and every pathological change<br />

can be analysed <strong>in</strong> the light of the y<strong>in</strong> yang<br />

theory. Ultimately, every modality of<br />

<strong>in</strong>tervention is aimed at regulat<strong>in</strong>g y<strong>in</strong> and<br />

yang, to balance y<strong>in</strong> and yang. As stated<br />

<strong>in</strong> The Yellow Emperor’s Classic of<br />

<strong>Medic<strong>in</strong>e</strong>, y<strong>in</strong> is even and well while yang<br />

is firm, hence a relative balance between<br />

y<strong>in</strong> and yang is ma<strong>in</strong>ta<strong>in</strong>ed and health is<br />

guaranteed.

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