Sponsored by China Now - ming-ai.org.ukming-ai.org.uk/images/stories/projects/workshop 1.1 handout.pdf · 2 This is the first of the 9-Series Traditonal Chinese Medicine Workshop

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Sponsored by China Now

Jointly hosted by: - Ming-Ai (London) Institute- The Association of Traditional Chinese Medicine in the UK- The Good Earth Group

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This is the first of the 9-Series Traditonal Chinese Medicine Workshop which is sponsored by "China Now 時代中國“.

The workshop content was prepared by the speaker who hold its ownership and copyright.

Ming-Ai (London) Institute accepts no liability for any damages or losses arising from the use of this document or its contents.

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Introduction to Traditional Chinese Medicine: Principle and PracticeBy Ms Dan JiangDoctor TCM, MMedSci, FATCM, MBAcC

淺談中醫藥：原理與實踐江丹醫師

Tuesday, 13 May 2008

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Principle of TCM

Source and history: TCM is abbreviated as Traditional Chinese

Medicine. It is a medical system which has been serving to human being for thousand years.

How many of thousands of history in TCM?

Tuesday, 13 May 2008 Ming-Ai (London) Institute

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“Emperor classic of internal medicine” (黃帝內經) was written around 200AD---at the later Han dynasty in China which still are able to be read by us now. It is classified to two volumes:

“Simple Question (素問)”：the theory of preserving health, perspective of body, diagnostic and treating principles are explained in it;

“Spirit Axis (靈樞)”：meridians and acu-points are explained in it.


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“Treatise of febrile diseases caused by cold (傷寒論) ”：was also written in 200AD by Zhang Zhongjing. It established the clinical medicine in TCM. The disease is treated by a formula which is consisted by a few of herbs, according to a theoretic principle of TCM. It contains 113 formulae which some of them have still been used in the clinic now.


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Perspective to human body:

Qi (Vital energy) and Meridians:Qi, or Vital energy should be fully filled and move

smooth in the meridians which there are 12 regular and 2 extra-ordinary ones, leaking organs respectively to form another system throughout whole body.

Qi should be substance and functional in our body.

Qi will be proved by modern science:------dispersing structure and bio-electric magnetic

wave.


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Qi which is produced from the Vitality gate (命門) as an original Qi, mixed with stomach Qi from food and Clear Qifrom breathing in, follows the route of meridians and organs to circulate throughout whole body.


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Pulse and Tongue diagnosis:

Palpate the pulse for recognizing and evaluating the Qi’s condition to fill and move in the meridians;

Inspect the tongue also to knowledge the condition of Qi and blood, and function of organs, special stomach and spleen.


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Upright Qi and Pathogenic factors:

There are two aspects to cause a disease in TCM:

Upright Qi, or Real Qi is the resistant power to the disease in our body. So said:

“If existence of Upright Qi inside of your body is strongenough; no any pathogenic factor is able to invade in.” but,

“If you have been invaded by a pathogenic factor, you mustbe having some deficiency of your Qi.”


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Pathogenic factors(邪氣)：External one: ------Wind, Cold, Summon heat,

Dampness, Dry & Heat Internal one: ------ Abnormal emotion, diet,

genetic state etc.

The disease occurs or not, according to which stronger in Upright Qi and Pathogenic factors.


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Diagnostic style of TCM----differentiation of syndromes (辯證論治):

Four diagnostic methods: which are looking, smelling, asking and palpating are used to collect information from the patient.

The practitioner of TCM will make a diagnostic syndrome of this patient which should be involved his/her diseased position, nature, balance conditions of Upright Qi and pathogenic factor; Qi and blood, Yin and Yang; then will make a treating principle and relevant therapies, following this diagnostic syndrome.


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Herbal medicine and Acupuncture:

Herbal medicine:there are thousands kinds of herbal medicines in TCM which are used in various forms:

1) Dry herbs should be prescribed into a formula with a few of herbs to the particular condition of an individual person, according to his /her syndrome, which is diagnosed by TCM practitioner. You need to boil them to be a juice to take.

2) Concentrated herbal powders are also prescribed like dry herbs, but you only need to mix your powder with some boiled water to take.

3) Patent herbs: they may be pill, capsule, tablet, tincture or external forms, like lotion, cream and so on which is made from an experienced formula in a modern technical. So, Chinese herbal medicines should be more strong effect and less side-effect in general.


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Acupuncture:

There are 12 regular meridians and 365 common points in our body, under guiding of a main TCM theory which a man should correspond to the day.

We also need a prescription which is consisted by relevant points, according to treating principle, like herbs. Then we will put the needles to particular points of this prescription to release the pain and treat diseases.


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The practice of TCM：1) Preserving health and Prevention of diseases

(養生與保健):Qi gong, or Taiji are exercises to manage Qi which let it move in a proper route and smoothly; if you keep doing Qigong, or Taiji in a right method to correct small disorder by yourselves;

All of tea, fruit/ vegetable, or food has its nature and efficacy. We managed a health diet to able to correct small disorder and maintain a health.


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2) Evaluating and regulating the Pre-clinic conditions（亞健康）:

TCM (Herbal medicine and Acupuncture) is the best therapyto regulate the Pre-clinic condition.

Pre-clinic condition means that some clinical symptoms manifest out, but are not qualified enough to diagnose a disease in conventional medicine. More and more people start to concern their health in this stage now.

Most of pre-clinical conditions are able to treat, and be easily cured. Acupuncture and herbal medicine are suitable to be selected, due to their characteristics of functional regulation and natural materials.


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3) Treating diseases:

When you have really suffered from a disease, you will also able to elect TCM, but you should know TCM’s position in whole approach of your treating plan.

You should know advantages, characteristic, even disadvantage of TCM to your diseases.


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If you have these diseases, or clinical conditions as below, you should look for a practitioner of TCM:1) A chronic disease, or clinical condition：Such as: post

infective, allergic diseases; Eczema, ME, ChronicBronchitis, Asthma etc.

2) A disease at the early stage, or gentle degree: such asHay fever, Sinus, IBS some of infertility etc.

3) A disease which haven’t been diagnosed, or can’t begiven a proper treatment from CWM (Conventionalwestern medicine).


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4) A person suffers from many kinds of diseases,dysfunctions which has made a complex condition, evenover-reaction to the regular treatment from CWM.

5) A person takes a mind which is priority to TCM.

We must be clear on this point that TCM has a limitedpower of its treatment; it can’t cure all ofdiseases.


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Case 1: Unexplained infertilityMs C A, 27 years old, who is a physiotherapist. No pregnancy for five years after her marriage. Gynaecological consultant has done all sorts of the examinations which are all negative. Therefore, unexplained infertility was diagnosed and she was referred to me for TCM treatment.Present symptoms: stress, restlessness, feeling weepy and nervous, worse in the week prior to her period, minor dysmenorrhoea, and constipation. Following five months of regular menstrual cycle supported by acupuncture and patent herbal medicine, she was naturally conceived and delivered a healthy boy in a full term.

Case Studies on Natural pregnancy supported by acupuncture and herbal medicine

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Case 2: Infertility caused by the early failure of ovaries

Mrs. J W, 29 years old, who is a researcher in PHD degree, has irregular menstruation for all of her life. She has to take oestrogen pills to give her regular periods. After her marriage, she wanted to become pregnant, but she has not had her period for more than two years after she stops her oestrogen pill.

Her oestrogen level: < 50. So she was diagnosed as an early failure of ovaries. Present symptoms: depression, insomnia, nervous, restlessness etc. As a medical researcher, she initially did not have much confidence in TCM. After trying acupuncture weekly at first, then patent herbs being added for three months, she found that her oestrogen level increased to 65.

Therefore, she wanted to continue TCM treatment. I changed her treatment from patent herbal form to dry herbal prescription and continued her weekly acupuncture. Her oestrogen level had increased to 165 after three months and she had her period every other month. Until being pregnant, she had been using TCM for eleven months. She delivered a health baby boy on term and gave eight months of breast-feeding. She started her regular period, and then she had another pregnancy the natural way 18 months after her first child.

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Case 3: Infertility caused by Polycystic Ovary:

Ms H W, 32 years old, who is a medical researcher, had an irregular menstruation for five to six years. Amenorrhea occurred sometimes, which always lasts 2 – 3 months. She was diagnosed with polycystic ovary syndrome. She was given regular acupuncture and patent herbs until her period became regular. Then she conceived and delivered a health baby boy. After two years, she had another pregnancy with similar TCM support.

Case 4: Infertility caused by endometriosis, with IVF failed.

Mrs. C W, 29 years old, who is a clerk, suffered from endometriosis, which caused dysmenorrhoea. After failing IVF twice, she was seeking the help from TCM. Regular acupuncture and patent herbal medicines were given to help her completely recover from IVF and release her dysmenorrhoea. Then she successfully conceived and delivered a baby girl.

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Case 5: Habitual miscarriages caused by excessive prolactin.

Mrs. C F, 35 years old, who is a secretary, has had three miscarriages during last three years. She had a high prolactin level. The gynaecological consultant believed that the excessive prolactin may be related to stress. She was not fit to accept hormonal treatment, so she was referred to try alternative and complementary treatment.

Present symptoms: During the first two to three days after her last miscarriage, she felt stressed, depressed, weepy, had insomnia and abdominal pain. Another ultrasound examination found multiple cysts on both of her ovaries, which were removed with a laparoscope. I used acupuncture and herbal medicine to help her recover and support pregnancy. She has conceived in a half year and continues to accept treatment for foetal protection. She had a baby girl when she arrived full term.

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Case 1: After three times of failed IVF, a successful pregnancy with triplets with support by TCM.

Mrs. T F, 27 years old, who is a trainer, had had no result when she tried to become pregnant for more than five years. She was diagnosed with a blockage on her left fallopian tube and cysts on her left ovary. Her husband was found having some antibodies in his sperm, which cannot fertilize his wife’s egg. A laparoscopy has been done to take the cysts away, but she was told both of her fallopian tubes being blocked,.The couple both received TCM treatments. The husband took some patent herbs for improving his sperm condition; the wife used regular acupuncture and concentrated herbal powders for making a regular menstrual cycle. After two years of treatment, she had her fourth IVF with a successful multiple pregnancies and had a caesarean to have two girls and one boy, all in healthy conditions.

Case Studies on TCM supported IVF

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Case 2: A woman who is near menopause has been supported by TCM to have a boy through IVF.

Mrs. S M, 49 years old, is a teacher. She was pregnant when she was 23 years old, but had a miscarriage in 40 days. She had never been conceived again since then. After she was 40 years old, she started to worry about her reproductive function and sought diagnosis and treatment. She had blockage on both of her fallopian tubes and failed two times with IVF. She visited me when she was 49 years old after missing her menstruation for two months.

She also had exhaustion, hot flashes, depression, tinnitus, insomnia, and other symptoms. After a half year of TCM treatment, with tonification of kidney and spleen to regulate her hormones, she restarted her period and all the symptoms disappeared. Then she had a healthy son with a successful IVF.

Documents

Sponsored by China Now - ming-ai.org.ukming-ai.org.uk/images/stories/projects/workshop 1.1 handout.pdf · 2 This is the first of the 9-Series Traditonal Chinese Medicine Workshop