TCM 1_ Intro to TCM (Printed) Lecture Notes PDF

NMT100: TRADITIONAL CHINESE MEDICINE – LECTURE 1 INTRODUCTION TO TRADITIONAL CHINESE MEDICINE Author: Dr. Romi Fung, ND, M.Sc, Ph.D (cand.) IN THIS COURSE • Examine the historical and cultural context of naturopathic therapeutics, as well as their underlying theories and principles. • Learn, und...

NMT100: TRADITIONAL CHINESE MEDICINE – LECTURE 1 INTRODUCTION TO TRADITIONAL CHINESE MEDICINE Author: Dr. Romi Fung, ND, M.Sc, Ph.D (cand.) IN THIS COURSE • Examine the historical and cultural context of naturopathic therapeutics, as well as their underlying theories and principles. • Learn, understand and apply TCM theories in clinical practice as naturopathic physicians INTRODUCTION • Modern Acupuncture in China: https://youtu.be/IkRFIcwG7hU WHAT IS TCM? • Traditional Chinese Medicine (TCM) is an ancient and natural form of healing that recognizes the inseparable relationship of body, mind and Spirit and Nature. - Traditional Chinese Medicine World Foundation WHAT IS TCM? • Concepts of harmony and dynamic balance from observing nature HISTORY OF TCM • Acupuncture and Chinese herbal remedies date back at least 2,200 (3000-5000) years. • Shang Dynasty (1000 BCE) archaeological findings: acupuncture needles and divination bones with medical problems engraved • The earliest known written record of TCM is the Huang Di Nei Jing (The Yellow Emperor's Inner Classic) from the 3rd century BCE HISTORY OF TCM • • • Five Elements (Wu Xing) 1000-770 BC ‘Book of Changes’ (Yi Jing) 700 BC Earliest reference to Yin and Yang Established firmly in Han Dynasty (206 BCE - 220 CE) Concepts Established Yin and Yang Five Elements Channel theory Pharmacopeia • By 4th Century CE medical classics that laid foundations of TCM written PRINCIPLES OF TCM • Your body is integrated as a whole. Every part of the body is integral to the whole. Mind, emotions, spirit, and the physical body are interconnected and can influence each other in the interrelated system • Connection to Nature TCM takes into consideration the particular season, geographical location, time of day, as well as your age, genetics, and the condition of your body PRINCIPLES OF TCM • Innate self-healing capacity The body has a microcosm that reflects the macrocosm. • Prevention is the best cure. The body is continually expressing signs about the state of our health, from the tongue and pulse, to signs and symptoms. TCM teaches us how to interpret what the body is trying to say. PRINCIPLES OF TCM • Holism • Balance • Prevention • Pattern Differentiation PRINCIPLES OF TCM • TCM treats the patient NOT the disease. TCM may treat the same disorder differently and different disorders the same way. • TCM is based on observation of nature, people’s emotions and lifestyles. PATTERN DIFFERENTIATION What if you have two patients that came in, both with headaches? How would you treat them? How would they likely be treated? PATTERN DIFFERENTIATION Patient A: Low blood pressure Anemia, pale complexion Fatigued, low appetite Weak, quiet voice Thin Patient B: High blood pressure Red face Overweight Angered easily Loud voice TCM METHODS OF TREATMENT • Acupuncture (Traditional, Auricular, Electro-stim) • Cupping • Botanical (plant, mineral and animal) • Moxibustion • Massage (Tui Na) • Nutrition • Bleeding techniques • Gua Sha • Tai Chi and Qi Gong. TCM IN THE ND PRACTICE • CNPBC Acupuncture Certification Requirements: Evidence of a minimum of 50 hours of supervised clinical training by a licensed acupuncturist or practitioner authorized by the College; and evidence of a minimum of 200 hours of study in Traditional Oriental Medicine, which must include: A) Syndrome differentiation and formulation of point prescriptions B) Traditional acupuncture anatomy, physiology and pathology C) Acupuncture and Moxibustion techniques and point location TCM ACROSS NORTH AMERICA • Provinces and States have their own regulation of acupuncture, especially in the ND program In Canada: ND Programs that have concurrent acupuncture courses within the curriculum In the US: ND Programs do not include acupuncture and students looking to pursue TCM must do a LAc/MSOAM ACCREDITED TCM PROGRAMS Diploma in Acupuncture eligible for CTCMA 1,920 Hours Lecture: 1,464 Hours Clinical Internship: 456 Hours NCCAOM Eligibility for Acupuncture Programs 3-Year Masters Degree 705 hours Oriental Medicine/Acupuncture Theory 660 hours Acupuncture Clinic 450 hours Biomedicine 90 hours Counseling, Communications, Ethics, Practice Management TCM IN THE ND PRACTICE • Applications of TCM can be applied as NDs quite powerfully • Use of Acupuncture and TCM Principles in conjunction with Naturopathic Modalities YIN AND YANG YIN AND YANG • AKA. The Taiji • The concept of Yin-Yang is probably the single most important and distinctive theory of Chinese medicine • All Chinese medical physiology, pathology and treatment can, eventually, be reduced to Yin-Yang. YIN AND YANG • The first character 陰 / 阴 (yīn) means: overcast weather; feminine; moon; cloudy; negative electrical charge; shady. • The second character 陽 / 阳 (yáng) means: positive electrical charge; sun. YIN • Material • Descending • Produces Form • Below • Grows • Water • Matter • Female • Contraction YANG • Immaterial • Rising • Produces Energy • Above • Generates • Fire • Energy • Male • Expansion FUNCTIONS OF YIN • Cooling • Nourishes • Provides space for rest • Substance that is moved • Creates the space for conception FUNCTIONS OF YANG • • • • • • Warming Transforms Protects Moves Holds Creates the spark for conception YIN IN MEDICINE • • • • • • Female Cold Heavy Obscured Earth Night • Downward and Inward movement • Autumn and Winter • Lower body • Interior • Abdomen YANG IN MEDICINE • • • • • • Male Hot Light Radiant Heaven Day • Upward and Outward movement • Spring and Summer • Upper body • Exterior • Back YIN AND YANG • “Yin is the material basis for Yang” • “Yang is the functional manifestation of Yin” YIN AND YANG CONCEPTS • Four aspects of Yin / Yang Opposition Interdependence Mutual Consumption Inter-transformation OPPOSITION • Yin and Yang are relatively opposite • Never exactly 50/50 • Always changing to maintain homeostasis • Even if something is Yin, it contains Yang as well INTERDEPENDENCE • Cannot exist without the other • “Cannot have activity without having rest” • “Amount of activity correlated to amount of rest” MUTUAL CONSUMPTION • Too much of one will deplete the other - too much Yin depletes Yang and vice versa • Not enough of one will show more of the other – not enough Yang will look similar to too much Yin Too little Yin Too little Yang INTER-TRANSFORMATION • Yin and Yang transform into one another • Awake into sleep, life into death, summer into winter, etc. • Occurs when the timing is right. • Female menstrual cycle: follicular phase into luteal phase YIN EXCESS • Excess Yin produces cold symptoms • Abdominal pain better with warmth • Dysmenorrhea better with warmth • Local pain better with heat • Chills YANG DEFICIENCY • Decrease of Yang produces cold symptoms • Tired after bowel movement • Low libido • Edema • Fatigue YIN DEFICIENCY • • • • • • • • Decrease in Yin produces heat symptoms Red cheeks Dry stools Anxiety at night Night sweats Hot flushes 5 Centre Heat Thirst for cold drinks in sips YANG EXCESS • Excess Yang produces heat symptoms • Feeling hot all day • Red face • Thirst for cold drinks (gulps) REFERENCES • Maciocia, G. (2005). The Foundations of Chinese Medicine. 2nd Edition. Chapter 1: Pp. 3-16.