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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 />

body element could be responsible for a<br />

fever. Humans should adjust themselves to<br />

the diseases which occur <strong>in</strong> the different<br />

seasons. These are given below:<br />

� Summer - Diseases of fire<br />

element;<br />

� Ra<strong>in</strong>y season - Diseases of w<strong>in</strong>d<br />

element;<br />

� W<strong>in</strong>ter - Diseases of water<br />

element.<br />

Age variation<br />

Age can be related to the propensity of a<br />

particular disease to occur <strong>in</strong> a particular<br />

person. Different age-groups are correlated<br />

with the diseases of a particular<br />

element. This relationship is shown below:<br />

� Primary age (0–16 years)<br />

Water element diseases;<br />

� Middle age (17–32 years)<br />

Fire element diseases;<br />

� Old age (over 32 years)<br />

W<strong>in</strong>d element diseases.<br />

Place variation<br />

The environment has a relationship with the<br />

occurrence of a particular disease. Illness<br />

can be caused by a different geographical<br />

location, extremes of temperature or a<br />

new water supply. It is suggested that such<br />

an <strong>in</strong>fluence could be mediated through<br />

the immune system. Information as regards<br />

the birthplace of the patient or the actual<br />

place of residence may give the physician<br />

clues as regards the diseases which are<br />

likely to afflict the patient. The correlation<br />

between geography and diseases is given<br />

below:<br />

� High mounta<strong>in</strong>s are associated with<br />

diseases of the fire element;<br />

� Ra<strong>in</strong>, water and mud are associated<br />

with diseases of the w<strong>in</strong>d element;<br />

� Ra<strong>in</strong>water, soil and groundwater are<br />

related to diseases of the water<br />

element;<br />

302<br />

� Salt water, mud and the beach are<br />

related to diseases of the earth element.<br />

Time variation<br />

The time of the day or night has an<br />

<strong>in</strong>fluence on the different body elements or<br />

Dhatus. These are described below:<br />

� 06.00–10.00 a.m. and<br />

� 18.00–22.00 p.m.<br />

Nasal secretion problems or<br />

<strong>in</strong>digestion;<br />

� 10.00 a.m.–14.00 p.m. and<br />

� 22.00 p.m.–02.00 a.m.<br />

Fever caused by the fire element,<br />

stomach ache or hunger pa<strong>in</strong>s;<br />

� 14.00 p.m.–18.00 p.m. and<br />

� 02.00 a.m.–06.00 a.m.<br />

The w<strong>in</strong>d element causes gidd<strong>in</strong>ess,<br />

feel<strong>in</strong>g of be<strong>in</strong>g worn out, exhaustion<br />

and fa<strong>in</strong>t<strong>in</strong>g <strong>in</strong> the afternoon.<br />

Behavioural variation<br />

Certa<strong>in</strong> behavioural patterns are associated<br />

with disease. Some of these are:<br />

� Hav<strong>in</strong>g too much or too little food and<br />

eat<strong>in</strong>g spoilt food; imbalance <strong>in</strong><br />

activities such as stand<strong>in</strong>g, sitt<strong>in</strong>g,<br />

walk<strong>in</strong>g or ly<strong>in</strong>g down;<br />

� Exposure to hot or cold weather;<br />

� Go<strong>in</strong>g without food, water and sleep;<br />

� Delayed defecation or ur<strong>in</strong>ation;<br />

� Overwork;<br />

� Excessive sorrow;<br />

� Excessive anger.<br />

Diagnosis<br />

A correct diagnosis is extremely important<br />

as a wrong diagnosis would lead to<br />

<strong>in</strong>appropriate treatment, which could be<br />

fatal. The method of arriv<strong>in</strong>g at the correct<br />

diagnosis <strong>in</strong> Thai traditional medic<strong>in</strong>e<br />

consists of two factors – history-tak<strong>in</strong>g and<br />

physical exam<strong>in</strong>ation.

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