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Traditional Medicine in Asia

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The five zang organs: these are<br />

substantial <strong>in</strong> morphology, and function to<br />

store the “essence of life”. They <strong>in</strong>clude “liver,<br />

heart, spleen, lung, kidney”.<br />

The six fu organs: these are hollow <strong>in</strong><br />

morphology, and their function is to<br />

transport and transform foodstuff. They<br />

consist of the “small <strong>in</strong>test<strong>in</strong>e, large<br />

<strong>in</strong>test<strong>in</strong>e, gall bladder, stomach, bladder<br />

and sanjiao (triple energizer: a collective<br />

term for the three portions of the body<br />

cavity)”<br />

“Extraord<strong>in</strong>ary organs”: these are<br />

hollow <strong>in</strong> morphology, and their function<br />

is to store the “essence of life”. They are<br />

the “bra<strong>in</strong>, marrow, bone, vessels, gall<br />

bladder and uterus”.<br />

Each of the zang organs is l<strong>in</strong>ked to a<br />

fu organ. The function of one organ <strong>in</strong> TCM<br />

may <strong>in</strong>clude the functional activities of<br />

several anatomically def<strong>in</strong>ed organs <strong>in</strong><br />

Western medic<strong>in</strong>e. For example, the<br />

“kidney” <strong>in</strong> Ch<strong>in</strong>ese medic<strong>in</strong>e is not just the<br />

organ that excretes ur<strong>in</strong>e; it stores the<br />

“essence of life”, controls reproduction,<br />

growth and development and is closely<br />

related to the “bra<strong>in</strong>, marrow and bones”.<br />

Thus, <strong>in</strong> TCM the concept of “kidney”<br />

<strong>in</strong>cludes most of the functions of the ur<strong>in</strong>ary<br />

system, some functions of the endocr<strong>in</strong>e<br />

system, and someth<strong>in</strong>g similar to those of<br />

the pituitary-adenocortical-gonadal axis. 10<br />

Material basis of the vital<br />

activities of the human body<br />

Qi: The major premise of TCM is that all<br />

liv<strong>in</strong>g th<strong>in</strong>gs, <strong>in</strong>clud<strong>in</strong>g human be<strong>in</strong>gs, have<br />

a life force with<strong>in</strong> them. This essential vital<br />

biological energy, which is <strong>in</strong>visible, is<br />

known <strong>in</strong> Ch<strong>in</strong>ese philosophy as qi<br />

(pronounced: chee; often also written as<br />

‘chi’). Qi circulates regularly along the<br />

meridians <strong>in</strong> the body. Disruption <strong>in</strong> this<br />

flow is believed to be responsible for<br />

diseases. When qi gathers, the physical<br />

An overview of traditional Ch<strong>in</strong>ese medic<strong>in</strong>e<br />

body is formed; when qi dissipates, the<br />

body “dies”. 11 Qi has variously been<br />

translated as “energy”, “vital energy”, or<br />

“life force”; however, it is almost impossible<br />

to capture the exact concept fully <strong>in</strong> one<br />

English word or phrase; therefore we have<br />

decided to use its orig<strong>in</strong>al Ch<strong>in</strong>ese word:<br />

Qi.<br />

The sources of qi can be divided <strong>in</strong>to<br />

the <strong>in</strong>born and the acquired. The <strong>in</strong>born qi<br />

is the <strong>in</strong>nate vital essence stored <strong>in</strong> the<br />

“kidney” which was <strong>in</strong>herited from the<br />

parents at the moment of conception, and<br />

augmented postnatally which is a<br />

comb<strong>in</strong>ation of the essence absorbed by<br />

the “spleen” from food and fresh air which<br />

is <strong>in</strong>haled by the “lung”. The two sources<br />

of qi are gathered <strong>in</strong> the chest and form<br />

zhengqi (genu<strong>in</strong>e qi), which circulates<br />

through the body’s organs and tissues.<br />

S<strong>in</strong>ce qi is <strong>in</strong>visible, it can only be perceived<br />

through its actions. For <strong>in</strong>stance, the<br />

deficiency of the “kidney qi” means the<br />

deficiency of energy required for the<br />

function<strong>in</strong>g of the “kidney” (namely, the<br />

hypofunction of the “kidney”). Generally<br />

speak<strong>in</strong>g, qi has five functions: it i) Serves<br />

as the energy source of body activities, ii)<br />

Warms and nourishes the body,<br />

iii) Defends the body surface aga<strong>in</strong>st<br />

<strong>in</strong>vasion by any pathogenic factor, iv)Is the<br />

vehicle of transportation <strong>in</strong>side the body,<br />

and v) Ma<strong>in</strong>ta<strong>in</strong>s the normal positions of<br />

body organs. 12, 13 Blood: The concept of<br />

blood <strong>in</strong> TCM is not the same as it is <strong>in</strong><br />

Western medic<strong>in</strong>e. In TCM, the blood is a<br />

vital nutrient substance <strong>in</strong> the body. It is<br />

formed from the comb<strong>in</strong>ation of essence<br />

of food, which is derived via digestion and<br />

absorption by the spleen and the stomach,<br />

and fluids conta<strong>in</strong><strong>in</strong>g nutrients. The kidney<br />

also contributes to the formation of blood<br />

as it is the kidney-stored essence that<br />

produces bone marrow. After be<strong>in</strong>g<br />

formed, blood circulates <strong>in</strong> the vessels<br />

21

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