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Traditional Medicine in Asia

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and <strong>in</strong>terior, cold and heat, deficiency and<br />

excessiveness. Differentiation of pathological<br />

conditions <strong>in</strong> accordance with the<br />

eight pr<strong>in</strong>cipal syndromes is the foundation<br />

for all the other methods of syndrome<br />

differentiation. It signifies the location and<br />

nature of disease, the confrontation<br />

between the pathogenic factor and body<br />

resistance, as well as establishes the<br />

pr<strong>in</strong>ciple of treatment.<br />

Differentiation syndromes accord<strong>in</strong>g to<br />

the pathological changes of zang fu organs<br />

are based on the symptoms and signs<br />

obta<strong>in</strong>ed by four diagnostic methods when<br />

qi and the blood of the <strong>in</strong>ternal organs are<br />

out of balance. This method of syndrome<br />

differentiation is applied to identify the<br />

particular disharmony of a specific <strong>in</strong>ternal<br />

organ.<br />

Intervention <strong>in</strong> TCM<br />

Ch<strong>in</strong>ese medication<br />

Ch<strong>in</strong>ese medication is the primary<br />

component of TCM and is used commonly<br />

<strong>in</strong> Ch<strong>in</strong>a. Ch<strong>in</strong>ese medication <strong>in</strong>volves the<br />

use of herbal medic<strong>in</strong>e, animal parts and<br />

m<strong>in</strong>erals. The term “herb” used <strong>in</strong> Ch<strong>in</strong>ese<br />

medic<strong>in</strong>e often goes beyond the traditional<br />

concept of “plant”, s<strong>in</strong>ce the 6000– 8000<br />

substances used <strong>in</strong>clude, <strong>in</strong> addition to<br />

numerous plants, substance from animals<br />

and m<strong>in</strong>erals.<br />

Accord<strong>in</strong>g to Ch<strong>in</strong>ese history, Ch<strong>in</strong>ese<br />

medic<strong>in</strong>e arose from mythical medic<strong>in</strong>e to<br />

become a system of herbal medic<strong>in</strong>e. Shen<br />

Nong Ben Cao J<strong>in</strong>g (Div<strong>in</strong>e Husbandman‘s<br />

Classic of Materia Medica; or Shen Nong‘s<br />

Herbal) is the first work (25–220 AD)<br />

which prescribed the therapeutic effect of<br />

herbs and other materials. It conta<strong>in</strong>s 365<br />

entries. These are botanical (252 entries),<br />

zoological (67 entries), and m<strong>in</strong>eral (46<br />

entries) substances. Beg<strong>in</strong>n<strong>in</strong>g with Shen<br />

Nong Ben Cao J<strong>in</strong>g, the literature of<br />

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

Ch<strong>in</strong>ese materia medica developed<br />

cont<strong>in</strong>uously by the addition of new herbs,<br />

together with a re-evaluation and addition<br />

of new uses for exist<strong>in</strong>g herbs. Among<br />

these, two pieces of work need to be noted:<br />

X<strong>in</strong> Xiu Ben Cao (Newly Revised Materia<br />

Medica, 659 AD) was considered to be the<br />

first official pharmacopoeia <strong>in</strong> Ch<strong>in</strong>a,<br />

compiled and issued by the Government.<br />

Ben Cao Gang Mu (Compendium of<br />

Materia Medica, 1596) is considered as a<br />

world-renowned classic, written by Li Shizhen<br />

(1518–1593 AD).<br />

The concept of Ch<strong>in</strong>ese medic<strong>in</strong>e<br />

differs from that of the synthesized drugs<br />

<strong>in</strong> the ways their properties are determ<strong>in</strong>ed.<br />

Ch<strong>in</strong>ese medic<strong>in</strong>es are determ<strong>in</strong>ed ma<strong>in</strong>ly<br />

by the outcomes of their cl<strong>in</strong>ically observed<br />

<strong>in</strong>teraction with<strong>in</strong> the human body.<br />

The term<strong>in</strong>ology used <strong>in</strong> describ<strong>in</strong>g the<br />

pharmacology of Ch<strong>in</strong>ese medic<strong>in</strong>e<br />

<strong>in</strong>cludes: property; taste or flavour; action<br />

of ascend<strong>in</strong>g, descend<strong>in</strong>g, float<strong>in</strong>g and<br />

s<strong>in</strong>k<strong>in</strong>g; attributive of meridians, and toxicity.<br />

Properties or four properties of herbs:<br />

Based on their therapeutic effects, there are<br />

four ways of describ<strong>in</strong>g property: cold, hot,<br />

warm, cool. For example, herbs effective<br />

for the treatment of heat syndromes are<br />

endowed with cold or cool properties,<br />

while those effective for cold syndromes are<br />

herbs with warm or hot properties.<br />

Taste: Sour, bitter, sweet, pungent, and<br />

salty taste of herbs. They are the expression<br />

of the feature of the herb’s actions; thus<br />

the taste does not necessarily mean the real<br />

taste of the herb.<br />

Action of ascend<strong>in</strong>g, descend<strong>in</strong>g,<br />

float<strong>in</strong>g and s<strong>in</strong>k<strong>in</strong>g: Direction of a herb’s<br />

action. The ascend<strong>in</strong>g and float<strong>in</strong>g herbs<br />

have an upward and outward effect, while<br />

descend<strong>in</strong>g and s<strong>in</strong>k<strong>in</strong>g herbs have a<br />

downward and <strong>in</strong>ward effect. The action<br />

of a herb can be changed by process<strong>in</strong>g<br />

or by comb<strong>in</strong>ed use with other herbs.<br />

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