Académique Documents
Professionnel Documents
Culture Documents
2013
Traditional Chinese medicine (TCM; simplified Chinese: ; traditional Chinese: ; pinyin: zhng y;
literally "Chinese medicine") is a broad range of medicine practices sharing common concepts which have been
developed in China and are based on a tradition of more than 5,000 years, including various forms of herbal
medicine, acupuncture, massage (Tui na), exercise (qigong), and dietary therapy.[1]
The doctrines of Chinese medicine are rooted in books such as the Yellow Emperor's Inner Canon and the
Treatise on Cold Damage, as well as in cosmological notions like yin-yang and the five phases. Starting in the
1950s, these precepts were modernized in the People's Republic of China so as to integrate many anatomical
and pathological notions with modern scientific medicine. Nonetheless, some of its methods, including the model
of the body, or concept of disease, are not supported by modern evidence-based medicine.
TCM's view of the body places little emphasis on anatomical structures, but is mainly concerned with the
identification of functional entities (which regulate digestion, breathing, aging etc.). While health is perceived as
harmonious interaction of these entities and the outside world, disease is interpreted as a disharmony in
interaction. TCM diagnosis includes in tracing symptoms to patterns of an underlying disharmony, by measuring
the pulse, inspecting the tongue, skin, eyes and by looking at the eating and sleeping habits of the patient as well
as many other things.
Contents
1 History
1.1 Historical physicians
2 Philosophical background
2.1 Yin and yang
2.2 Five Phases theory
3 Model of the body
3.1 Qi
3.2 Xue
3.2.1 Jinye
3.3 Zang-fu
3.4 Jing-luo
4 Concept of disease
4.1 Disease entities
4.2 Patterns
4.2.1 Six Excesses
4.2.2 Typical examples of patterns
4.2.3 Basic principles of pattern discrimination
4.2.4 Considerations of disease causes
5 Diagnostics
5.1 Tongue and pulse
6 Herbal medicine
6.1 Prescriptions
6.2 Raw materials
6.2.1 Animal substances
en.wikipedia.org/wiki/Traditional_Chinese_medicine
1/27
28.06.2013
History
Traces of therapeutic activities in China date from the Shang dynasty
(14th11th centuries BCE).[2] Though the Shang did not have a
concept of "medicine" as distinct from other fields,[3] their oracular
inscriptions on bones and tortoise shells refer to illnesses that affected
the Shang royal family: eye disorders, toothaches, bloated abdomen,
etc.,[4] which Shang elites usually attributed to curses sent by their
ancestors.[3] There is no evidence that the Shang nobility used herbal
remedies.[5]
Stone and bone needles found in ancient tombs have made Joseph
Needham speculate that acupuncture might have been carried out in
the Shang dynasty.[6] But most historians now make a distinction
between medical lancing (or bloodletting) and acupuncture in the
narrower sense of using metal needles to treat illnesses by stimulating
specific points along circulation channels ("meridians") in accordance with theories related to the circulation of
Qi.[7] The earliest public evidence for acupuncture in this sense dates to the second or first century BCE.[8]
The Yellow Emperor's Inner Canon, the oldest received work of Chinese medical theory, was compiled
around the first century BCE on the basis of shorter texts from different medical lineages.[9] Written in the form
of dialogues between the legendary Yellow Emperor and his ministers, it offers explanations on the relation
between humans, their environment, and the cosmos, on the contents of the body, on human vitality and
pathology, on the symptoms of illness, and on how to make diagnostic and therapeutic decisions in light of all
these factors.[10] Unlike earlier texts like Recipes for Fifty-Two Ailments, which was excavated in the 1970s
from a tomb that had been sealed in 168 BCE, the Inner Canon rejected the influence of spirits and the use of
en.wikipedia.org/wiki/Traditional_Chinese_medicine
2/27
28.06.2013
magic.[11] It was also one of the first books in which the cosmological doctrines of Yinyang and the Five Phases
were brought to a mature synthesis.[10]
The Treatise on Cold Damage Disorders and Miscellaneous Illnesses was collated by Zhang Zhongjing
sometime between 196 and 220 CE, at the end of the Han dynasty. Focusing on drug prescriptions rather than
acupuncture,[12] it was the first medical work to combine Yinyang and the Five Phases with drug therapy.[13]
This formulary was also the earliest public Chinese medical text to group symptoms into clinically useful
"patterns" (zheng ) that could serve as targets for therapy although the private scrolls held by families were
jealously guarded and although it is not known for sure what is in them, the traditional school today say that they
have had this information for much longer. Having gone through numerous changes over time, the formulary now
circulates as two distinct books: the Treatise on Cold Damage
Disorders and the Essential Prescriptions of the Golden Casket,
which were edited separately in the eleventh century, under the Song
dynasty.[14]
In the centuries that followed the completion of the Yellow Emperor's
Inner Canon, several shorter books tried to summarize or
systematize its contents. The Canon of Problems (probably second
century CE) tried to reconcile divergent doctrines from the Inner
Canon and developed a complete medical system centered on
needling therapy.[15] The AB Canon of Acupuncture and
Moxibustion (Zhenjiu jiayi jing , compiled by Huangfu
Mi sometime between 256 and 282 CE) assembled a consistent body
of doctrines concerning acupuncture;[16] whereas the Canon of the
Pulse (Maijing ; ca. 280) presented itself as a "comprehensive
handbook of diagnostics and therapy."[16]
Historical physicians
These include Zhang Zhongjing, Hua Tuo, Sun Simiao, Tao Hongjing,
Zhang Jiegu, and Li Shizhen.
Philosophical background
Traditional Chinese medicine (TCM) is based on Yinyangism (i.e., the combination of Five Phases theory with
Yin-yang theory),[17] which was later absorbed by Daoism.[18]
en.wikipedia.org/wiki/Traditional_Chinese_medicine
3/27
28.06.2013
Phenomenon
Yin
Yang
sun
Gender[22]
female
male
Location[22]
inside
outside
Temperature [22]
cold
hot
Direction[23]
downward upward
Interactions of Wu Xing
en.wikipedia.org/wiki/Traditional_Chinese_medicine
4/27
28.06.2013
Phenomenon
Wood
Direction[30] east
Colour[31]
green/blue
Fire
Earth
Metal
Water
south
center
west
north
red
yellow
white
black
heat
damp
dryness
cold
Taste [32]
sour
bitter
sweet
acrid
salty
Zang
Organ[33]
Liver
Heart
Spleen
Lung
Kidney
Small Intestine
Stomach
Large Intestine
Bladder
eye
tongue
mouth
nose
ears
above bridge
of nose
cheeks (below
cheekbone)
pupil
Fu Organ[33] Gallbladder
Sense
organ[34]
Facial
part[35]
sclera
Strict rules are identified to apply to the relationships between the Five Phases in terms of sequence, of acting on
each other, of counteraction etc.[29] All these aspects of Five Phases theory constitute the basis of the zng-f
concept, and thus have great influence regarding the TCM model of the body.[28] Five Phase theory is also
applied in diagnosis and therapy.[28]
Correspondences between the body and the universe have historically not only been seen in terms of the Five
Elements, but also of the "Great Numbers" (, pinyin: d sh)[37] For example, the number of acu-points
has at times been seen to be 365, in correspondence with the number of days in a year; and the number of main
meridians 12 has been seen in correspondence with the number of rivers flowing through the ancient Chinese
empire.[38][39]
5/27
28.06.2013
The primary functional entities used by traditional Chinese medicine are q, xu, the five zng organs, the six f
organs, and the meridians which extend through the organ systems.[44] These are all theoretically interconnected:
each zng organ is paired with a f organ, which are nourished by the blood and concentrate qi for a particular
function, with meridians being extensions of those functional systems throughout the body.
Attempts to reconcile these concepts with modern science in terms of identifying a physical correlate of them
have so far failed.[45]
Qi
Main article: Qi
TCM distinguishes not only one but several different kinds of qi (simplified Chinese: ; traditional Chinese: ;
pinyin: q).[46] In a general sense, qi is something that is defined by five "cardinal functions":[46][47]
1. Actuation (, tudng) of all physical processes in the body, especially the circulation of all body
fluids such as blood in their vessels. This includes actuation of the functions of the zang-fu organs and
meridians.
2. Warming (, pinyin: wnx) the body, especially the limbs.
3. Defense (, pinyin: fngy) against Exogenous Pathogenic Factors
4. Containment (, pinyin: gsh) of body fluids, i.e. keeping blood, sweat, urine, semen etc. from
leakage or excessive emission.
5. Transformation (, pinyin: qhu) of food, drink, and breath into qi, xue (blood), and jinye
(fluids), and/or transformation of all of the latter into each other.
Vacuity of qi will especially be characterized by pale complexion, lassitude of spirit, lack of strength,
spontaneous sweating, laziness to speak, non-digestion of food, shortness of breath (especially on exertion), and
a pale and enlarged tongue.[26]
Qi is believed to be partially generated from food and drink, and partially from air (by breathing).[48] Another
considerable part of it is inherited from the parents and will be consumed in the course of life.[48]
In terms of location, TCM uses special terms for qi running inside of the blood vessels and for qi which is
distributed in the skin, muscles, and tissues between those. The former is called yng-q (simplified Chinese:
; traditional Chinese: ), its function is to complement xu and its nature has a strong yin aspect (although
qi in general is considered to be yang).[49] The latter is called we-q (Chinese: ), its main function is
defence and it has pronounced yang nature.[49]
Qi also circulates in the meridians. Just as the qi held by each of the zang-fu organs, this is considered to be part
of the principal qi (, pinyin: yunq) of the body[50] (also called pinyin: zhn q, true qi, or
pinyin: yun q, original qi).[51]
Xue
In contrast to the majority of other functional entities, xu (, "blood") is correlated with a physical form the
red liquid running in the blood vessels.[52] Its concept is, nevertheless, defined by its functions: nourishing all
parts and tissues of the body, safeguarding an adequate degree of moisture,[53] and sustaining and soothing both
consciousness and sleep.[54]
en.wikipedia.org/wiki/Traditional_Chinese_medicine
6/27
28.06.2013
Typical symptoms of a lack of xu (usually termed "blood vacuity" [, pinyin: xu x]) are described as:
Pale-white or withered-yellow complexion, dizziness, flowery vision, palpitations, insomnia, numbness of the
extremities; pale tongue; "fine" pulse.[55]
Jinye
Closely related to xu are the jny (, usually translated as "body fluids"), and just like xu they are
considered to be yin in nature, and defined first and foremost by the functions of nurturing and moisturizing the
different structures of the body.[56] Their other functions are to harmonize yin and yang, and to help with the
secretion of waste products.[57]
Jny are ultimately extracted from food and drink, and constitute the raw material for the production of xu;
conversely, xu can also be transformed into jny.[58] Their palpable manifestations are all bodily fluids: tears,
sputum, saliva, gastric juice, joint fluid, sweat, urine, etc.[59]
Zang-fu
Main article: Zang-fu
The zng-f (simplified Chinese: ; traditional Chinese: ) constitute the centre piece of TCM's
systematization of bodily functions. Bearing the names of organs, they are, however, only secondarily tied to
(rudimentary) anatomical assumptions (the f a little more, the zng much less).[60] As they are primarily defined
by their functions,[61][62] they are not equivalent to the anatomical organs to highlight this fact, their names are
usually capitalized.
The term zng () refers to the five entities considered to be yin in nature Heart, Liver, Spleen, Lung, Kidney
, while f () refers to the six yang organs Small Intestine, Large Intestine, Gallbladder, Urinary Bladder,
Stomach and Snjia.[63]
The zng's essential functions consist in production and storage of q and xu; in a wider sense they are
stipulated to regulate digestion, breathing, water metabolism, the musculoskeletal system, the skin, the sense
organs, aging, emotional processes, mental activity etc.[64] The f organs' main purpose is merely to transmit and
digest (, pinyin: chun-hu)[65] substances like waste, food, etc.
Since their concept was developed on the basis of W Xng philosophy, each zng is paired with a f, and each
zng-f pair is assigned to one of five elemental qualities (i.e., the Five Elements or Five Phases).[66] These
correspondences are stipulated as:
Fire () = Heart (, pinyin: xn) and Small Intestine (, pinyin: xiachng) (and, secondarily,
Snjia [, "Triple Burner"] and Pericardium [, pinyin: xnba])
Earth () = Spleen (, pinyin: p) and Stomach (, pinyin: we)
Metal () = Lung (, pinyin: fe) and Large Intestine (, pinyin: dchng)
Water () = Kidney (, pinyin: shn) and Bladder (, pinyin: pnggung)
Wood () = Liver (, pinyin: gn) and Gallbladder (, pinyin: dn)
The zng-f are also connected to the twelve standard meridians each yang meridian is attached to a f organ
and five of the yin meridians are attached to a zng. As there are only five zng but six yin meridians, the sixth is
assigned to the Pericardium, a peculiar entity almost similar to the Heart zng.[67]
Jing-luo
en.wikipedia.org/wiki/Traditional_Chinese_medicine
7/27
28.06.2013
Concept of disease
In general, disease is perceived as a disharmony (or imbalance) in the
functions or interactions of yin, yang, qi, xu, zng-f, meridians etc.
and/or of the interaction between the human body and the
environment.[71] Therapy is based on which "pattern of disharmony" can
be identified.[72][73] Thus, "pattern discrimination" is the most important
step in TCM diagnosis.[72][73] It is also known to be the most difficult
aspect of practicing TCM.[74]
Disease entities
In TCM, a disease has two aspects: "bng" and "zhng".[78] The former is often translated as "disease entity",[79]
"disease category",[80] "illness",[78] or simply "diagnosis".[78] The latter, and more important one, is usually
translated as "pattern"[79][81] (or sometimes also as "syndrome"[78]). For example, the disease entity of a
common cold might present with a pattern of wind-cold in one patient, and with the pattern of wind-heat in
another.[82]
From a scientific point of view, most of the disease entitites (, pinyin: bng) listed by TCM constitute mere
symptoms.[79] Examples include headache, cough, abdominal pain, constipation etc.[83]
Since therapy will not be chosen according to the disease entity but according to the pattern, two patients with
the same disease entity but different patterns will receive different therapy. Vice versa, patients with similar
patterns might receive similar therapy even if their disease entities are different. This is called
(pinyin: y bng tng zh, tng bng y zh,[73] "different diseases, same treatment; same disease, different
treatments").
Patterns
en.wikipedia.org/wiki/Traditional_Chinese_medicine
8/27
28.06.2013
In TCM, "pattern" (, pinyin: zhng) refers to a "pattern of disharmony" or "functional disturbance" within the
functional entities the TCM model of the body is composed of.[84] There are disharmony patterns of qi, xu, the
body fluids, the zng-f, and the meridians.[85] They are ultimately defined by their symptoms and "signs" (i.e.,
for example, pulse and tongue findings).[86]
In clinical practice, the identified pattern usually involves a combination of affected entities[87] (compare with
typical examples of patterns). The concrete pattern identified should account for all the symptoms a patient
has.[88]
Six Excesses
The Six Excesses (, pinyin: li yn,[89] sometimes also translated as "Pathogenic Factors",[90] or "Six
Pernicious Influences";[91] with the alternative term of , pinyin: li xi, "Six Evils" or "Six Devils"[92]) are
allegorical terms used to describe disharmony patterns displaying certain typical symptoms.[93] These symptoms
resemble the effects of six climatic factors.[91] In the allegory, these symptoms can occur because one or more
of those climatic factors (called , pinyin: li q, "the six qi"[94]) were able to invade the body surface and to
proceed to the interior.[95] This is sometimes used to draw causal relationships (i.e., prior exposure to
wind/cold/etc. is identified as the cause of a disease),[96] while other authors explicitly deny a direct cause-effect
relationship between weather conditions and disease,[97][98] pointing out that the Six Excesses are primarily
descriptions of a certain combination of symptoms[99] translated into a pattern of disharmony.[91] It is
undisputed, though, that the Six Excesses can manifest inside the body without an external cause.[95][100] In this
case, they might be denoted "internal", e.g., "internal wind"[100] or "internal fire (or heat)".[101]
The Six Excesses and their characteristic clinical signs are:
1. Wind (, pinyin: fng): rapid onset of symptoms, wandering location of symptoms, itching, nasal
congestion, "floating" pulse;[102] tremor, paralysis, convulsion.[95]
2. Cold (, pinyin: hn): cold sensations, aversion to cold, relief of symptoms by warmth, watery/clear
excreta, severe pain, abdominal pain, contracture/hypertonicity of muscles, (slimy) white tongue fur,
"deep"/"hidden" or "string-like" pulse,[103] or slow pulse.[104]
3. Fire/Heat (, pinyin: hu): aversion to heat, high fever, thirst, concentrated urine, red face, red tongue,
yellow tongue fur, rapid pulse.[105] (Fire and heat are basically seen to be the same)[106]
4. Dampness (, pinyin: sh): sensation of heaviness, sensation of fullness, symptoms of Spleen dysfunction,
greasy tongue fur, "slippery" pulse.[104]
5. Dryness (, pinyin: zo): dry cough, dry mouth, dry throat, dry lips, nosebleeds, dry skin, dry
stools.[107]
6. Summerheat (, pinyin: sh): either heat or mixed damp-heat symptoms.[108]
Six-Excesses-patterns can consist of only one or a combination of Excesses (e.g., wind-cold, wind-dampheat).[102] They can also transform from one into another.[102]
Typical examples of patterns
For each of the functional entities (qi, xu, zng-f, meridians etc.), typical disharmony patterns are recognized;
for example: qi vacuity and qi stagnation in the case of qi;[109] blood vacuity, blood stasis, and blood heat in the
case of xu;[110] Spleen qi vacuity, Spleen yang vacuity, Spleen qi vacuity with down-bearing qi, Spleen qi
vacuity with lack of blood containment, cold-damp invasion of the Spleen, damp-heat invasion of Spleen and
Stomach in case of the Spleen zng;[111] wind/cold/damp invasion in the case of the meridians.[112]
en.wikipedia.org/wiki/Traditional_Chinese_medicine
9/27
28.06.2013
TCM gives detailed prescriptions of these patterns regarding their typical symptoms, mostly including
characteristic tongue and/or pulse findings.[113][114] For example:
"Upflaming Liver fire" (, pinyin: gnhu shng yn): Headache, red face, reddened eyes, dry
mouth, nosebleeds, constipation, dry or hard stools, profuse menstruation, sudden tinnitus or deafness,
vomiting of sour or bitter fluids, expectoration of blood, irascibility, impatience; red tongue with dry
yellow fur; slippery and string-like pulse.[115]
Basic principles of pattern discrimination
The process of determining which actual pattern is on hand is called (pinyin: bin zhng, usually translated
as "pattern diagnosis",[116] "pattern identification"[117] or "pattern discrimination"[81]). Generally, the first and
most important step in pattern diagnosis is an evaluation of the present signs and symptoms on the basis of the
"Eight Principles" (, pinyin: b gng).[117][118] These eight principles refer to four pairs of fundamental
qualities of a disease: exterior/interior, heat/cold, vacuity/repletion, and yin/yang.[117] Out of these, heat/cold and
vacuity/repletion have the biggest clinical importance.[117] The yin/yang quality, on the other side, has the
smallest importance and is somewhat seen aside from the other three pairs, since it merely presents a general
and vague conclusion regarding what other qualities are found.[117] In detail, the Eight Principles refer to the
following:
Exterior (, pinyin: bia) refers to a disease manifesting in the superficial layers of the body skin, hair,
flesh, and meridians.[119] It is characterized by aversion to cold and/or wind, headache, muscle ache, mild
fever, a "floating" pulse, and a normal tongue appearance.[119]
Interior (, pinyin: l)refers to disease manifestation in the zng-f, or (in a wider sense) to any disease
that can not be counted as exterior.[120] There are no generalized characteristic symptoms of interior
patterns, since they'll be determined by the affected zng or f entity.[121]
Cold (, pinyin: hn) is generally characterized by aversion to cold, absence of thirst, and a white
tongue fur.[122] More detailed characterization depends on whether cold is coupled with vacuity or
repletion.[122]
Heat (, pinyin: r) is characterized by absence of aversion to cold, a red and painful throat, a dry
tongue fur and a rapid and floating pulse, if it falls together with an exterior pattern.[123] In all other cases,
symptoms depend on whether heat is coupled with vacuity or repletion.[124]
Vacuity (, pinyin: x) often referred to as "deficiency", can be further differentiated into vacuity of qi,
xu, yin and yang, with all their respective characteristic symptoms.[125] Yin vacuity can also be termed
"vacuity-heat", while yang vacuity is equivalent to "vacuity-cold".[126]
Repletion (, pinyin: sh) often called "excess", generally refers to any disease that can't be identified as
a vacuity pattern, and usually indicates the presence of one of the Six Excesses,[127] or a pattern of
stagnation (of qi, xu, etc.).[128] In a concurrent exterior pattern, repletion is characterized by the absence
of sweating.[123] The signs and symptoms of repletion-cold patterns are equivalent to cold excess
patterns, and repletion-heat is similar to heat excess patterns.[129]
Yin and yang are universal aspects all things can be classified under, this includes diseases in general as
well as the Eight Principles' first three couples.[130] For example, cold is identified to be a yin aspect,
while heat is attributed to yang.[130] Since descriptions of patterns in terms of yin and yang lack
complexity and clinical practicality, though, patterns are usually not labelled this way anymore.[130]
Exceptions are vacuity-cold and repletion-heat patterns, who are sometimes referred to as "yin patterns"
and "yang patterns" respectively.[130]
en.wikipedia.org/wiki/Traditional_Chinese_medicine
10/27
28.06.2013
After the fundamental nature of a disease in terms of the Eight Principles is determined, the investigation focuses
on more specific aspects.[117] By evaluating the present signs and symptoms against the background of typical
disharmony patterns of the various entities, evidence is collected whether or how specific entities are
affected.[131] This evaluation can be done
1.
2.
3.
4.
5.
There are also three special pattern diagnosis systems used in case of febrile and infectious diseases only ("Six
Channel system" or "six division pattern" [, pinyin: li jng bin zhng]; "Wei Qi Ying Xue system" or
"four division pattern" [, pinyin: we q yng xu bin zhng]; "San Jiao system" or "three
burners pattern" [, pinyin: snjia bin zhng]).[85][133]
Considerations of disease causes
Although TCM and its concept of disease do not strongly differentiate between cause and effect,[134] pattern
discrimination can include considerations regarding the disease cause; this is called (pinyin: bngyn
bin zhng, "disease-cause pattern discrimination").[87]
There are three fundamental categories of disease causes (, pinyin: sn yn) recognized:[71]
1. external causes: these include the Six Excesses and "Pestilential Qi".[71]
2. internal causes: the "Seven Affects" (, pinyin: q qng,[71] sometimes also translated as "Seven
Emotions"[135]) joy, anger, brooding, sorrow, fear, fright and grief.[135] These are believed to be able to
cause damage to the functions of the zng-f, especially of the Liver.[136]
3. non-external-non-internal causes: dietary irregularities (especially: too much raw, cold, spicy, fatty or
sweet food; voracious eating; too much alcohol),[137] fatigue, sexual intemperance, trauma, and parasites
(, pinyin: chng).[71]
Diagnostics
In TCM, there are five diagnostic methods: inspection, auscultation, olfaction, inquiry, and palpation.[138]
Inspection focuses on the face and particularly on the tongue, including analysis of the tongue size, shape,
tension, color and coating, and the absence or presence of teeth marks around the edge.
Auscultation refers to listening for particular sounds (such as wheezing).
Olfaction refers to attending to body odor.
Inquiry focuses on the "seven inquiries", which involve asking the patient about the regularity, severity, or
other characteristics of:
chills
fever
perspiration
appetite
en.wikipedia.org/wiki/Traditional_Chinese_medicine
11/27
28.06.2013
thirst
taste
defecation
urination
pain
sleep
menses
leukorrhea
Palpation includes feeling the body for tender A-shi points, palpation of the wrist pulses as well as various
other pulses, and palpation of the abdomen.
Herbal medicine
Main article: Chinese herbology
See also: List of medicines in traditional Chinese medicine
Prescriptions
Typically, one batch of medicinals is prepared as a decoction of about
9 to 18 substances.[140] Some of these are considered as main herbs,
some as ancillary herbs; within the ancillary herbs, up to three
categories can be distinguished.[141]
Raw materials
There are roughly 13,000 medicinals used in China and over 100,000
medicinal recipes recorded in the ancient literature.[142] Plant elements
and extracts are by far the most common elements used.[143] In the
classic Handbook of Traditional Drugs from 1941, 517 drugs were
listed out of these, 45 were animal parts, and 30 were minerals.[143]
Animal substances
en.wikipedia.org/wiki/Traditional_Chinese_medicine
12/27
28.06.2013
Some animal parts used as medicinals can be considered rather strange such as cows' gallstones.[144] Some can
include the parts of endangered species, including tiger bones[145] and
rhinoceros horn.[146] The black market in rhinoceros horn reduced
the world's rhino population by more than 90 percent over the past
40 years.[147] Concerns have also arisen over the use of turtle
plastron,[148] seahorses,[149] and the gill plates of mobula and manta
rays.[150]
Since TCM recognizes bear bile as a medicinal, more than 12,000
asiatic black bears are held in "bear farms".[151] The bile is extracted
through a permanent hole in the abdomen leading to the gall bladder,
which can cause severe pain.[151]
A number of animal species used in traditional Chinese medicine are
now raised on farms in large quantities.[152]
Australian scientists have developed methods to identify medicines
containing DNA traces of endangered species.[153]
Traditional categorization
The traditional categorizations and classifications that can still be found today
are:
classification according to the Four Natures (, pinyin: s q): hot,
Artemisia annua, one kind of
[157]
wormwood, is used to treat
warm, cool, or cold (or, neutral in terms of temperature).
Hot and
fevers. It has been found to
warm herbs are used to treat cold diseases, while cool and cold herbs
[157]
have antimalarial properties.
are used to treat heat diseases.
classification according to the Five Flavors, (, pinyin: w wi,
sometimes also translated as Five Tastes): acrid, sweet, bitter, sour, and salty.[157] Substances may also
have more than one flavor, or none (i.e., a "bland" flavor).[157] Each of the Five Flavors corresponds to
one of zng organs, which in turn corresponds to one of the Five Phases.[32] A flavor implies certain
properties and therapeutic actions of a substance; e.g., saltiness drains downward and softens hard
masses, while sweetness is supplementing, harmonizing, and moistening.[157]
classification according to the meridian more precise, the zng-organ including its associated meridian
which can be expected to be primarily affected by a given medicinal.[158]
categorization according to the specific function. These categories mainly include:
exterior-releasing[159] or exterior-resolving[160]
heat-clearing[159][160]
downward-draining[159] or precipitating[160]
en.wikipedia.org/wiki/Traditional_Chinese_medicine
13/27
28.06.2013
wind-damp-dispelling[159][160]
dampness-transforming[159][160]
promoting the movement of water and percolating dampness[159] or dampness-percolating[160]
interior-warming[159][160]
qi-regulating[159] or qi-rectifying[160]
dispersing food accumulation[159] or food-dispersing[160]
worm-expelling[159][160]
stopping bleeding[159] or blood-stanching[160]
quickening the Blood and dispelling stasis[159] or blood-quickening[160]
transforming phlegm, stopping coughing and calming wheezing[159] or phlegm-transforming and
cough- and panting-suppressing[160]
Spirit-quieting[159][160]
calming the Liver and expelling wind[159] or Liver-calming and wind-extinguishing[160]
orifice-opening[159][160]
supplementing:[159][160] this includes qi-supplementing, blood-nourishing, yin-enriching, and yangfortifying.[160]
astriction-promoting[159] or securing and astringing[160]
vomiting-inducing[159]
substances for external application[159][160]
Efficacy
Regarding Traditional Chinese herbal therapy, only a few trials of adequate methodology exist and its
effectiveness therefore remains poorly documented.[161] For example, a 2007 Cochrane review found promising
evidence for the use of Chinese herbal medicine in relieving painful menstruation, compared to conventional
medicine such as NSAIDs and the oral contraceptive pill, but the findings must be interpreted with caution due
to the generally low methodological quality of the included studies (as, amongst others, data for placebo control
could not be obtained).[162]
28.06.2013
Efficacy
Main article: Acupuncture#Effectiveness for specific conditions
The World Health Organization (WHO) has compiled a list of disorders
for which acupuncture may have an effect: adverse reactions to
chemotherapy and radiation, induction of labor, sciatica, dysmenorrhea,
depression, hypertension, rheumatoid arthritis, and low back pain.[167]
According to a 2007 review article, "the emerging clinical evidence
Traditional moxibustion set from
seems to imply that acupuncture is effective for some but not all
Ibuki (Japan)
conditions".[168] A 2011 Cochrane review documented that acupuncture
is effective in the treatment of migraines, neck disorders, tension
headaches, and some types of osteoarthritis, while results were inconclusive for efficacy in treating shoulder
pain, lateral elbow pain, and low back pain, and negative for rheumatoid arthritis.[169] There is evidence "that
acupuncture provides a short-term clinically relevant effect when compared with a waiting list control or when
acupuncture is added to another intervention" in the treatment of chronic low back pain.[170]
Several review articles discussing the effectiveness of acupuncture have concluded that its effects may be due to
placebo.[171][172][173][174]
There is general agreement that acupuncture is safe when administered by well-trained practitioners using sterile
needles.[175][176][177] Major adverse events are exceedingly rare and are usually associated with poorly trained
unlicensed acupuncturists.[178]
Tui na
Main article: Tui na
Tui na () is a form of massage akin to acupressure (from which shiatsu evolved). Oriental massage is
typically administered with the patient fully clothed, without the application of grease or oils. Choreography often
involves thumb presses, rubbing, percussion, and stretches.
Qigong
Main article: Qigong
Qgng ( or ) is a TCM system of exercise and meditation that combines regulated breathing, slow
movement, and focused awareness, purportedly to cultivate and balance qi.[179] One branch of qigong is qigong
massage, in which the practitioner combines massage techniques with awareness of the acupuncture channels
and points.[180][181]
Other therapies
Cupping
Cupping () is a type of Chinese massage, consisting of placing several glass "cups" (open spheres) on the
body. A match is lit and placed inside the cup and then removed before placing the cup against the skin. As the
air in the cup is heated, it expands, and after placing in the skin, cools, creating lower pressure inside the cup
that allows the cup to stick to the skin via suction. When combined with massage oil, the cups can be slid
en.wikipedia.org/wiki/Traditional_Chinese_medicine
15/27
28.06.2013
Gua Sha
Gua Sha is abrading the skin with pieces of smooth jade,
bone, animal tusks or horns or smooth stones; until red
spots then bruising cover the area to which it is done. It
is believed that this treatment is for almost any ailment
including cholera. The red spots and bruising take 3 to
10 days to heal, there is often some soreness in the area
that has been treated.[182][183][184][185]
Die-da
Di-d () or bone-setting is usually practiced by
martial artists who know aspects of Chinese medicine
that apply to the treatment of trauma and injuries such as
Acupuncture and moxibustion after cupping in
bone fractures, sprains, and bruises. Some of these
Japan
specialists may also use or recommend other disciplines
of Chinese medical therapies (or Western medicine in
modern times) if serious injury is involved. Such practice of bonesetting ( or ) is not common in the West.
Regulations
Many governments have enacted laws to regulate TCM practice.
Gua Sha
Hong Kong
The Chinese Medicine Council of Hong Kong was established in 1999. It regulates the medicinals and
professional standards for TCM practitioners. All TCM practitioners in Hong Kong are required to register with
the Council. The eligibility for registration includes a recognised 5-year university degree of TCM, a 30-week
minimum supervised clinical internship, and passing the licensing exam.[186]
United States
As of July 2012, only six states do not have existing legislation to regulate the professional practice of TCM.
These six states are Alabama, Kansas, North Dakota, South Dakota, Oklahoma, and Wyoming. In 1976,
California established an Acupuncture Board and became the first state licensing professional
acupuncturists.[187]
Malaysia
en.wikipedia.org/wiki/Traditional_Chinese_medicine
16/27
28.06.2013
The Traditional and Complementary Medicine Bill was passed by Parliament in 2012 establishing the Traditional
and Complementary Medicine Council to register and regulate traditional and complementary medicine
practitioners, including traditional Chinese medicine practitioners as well as other traditional and complementary
medicine practitioners such as those in traditional Malay medicine and traditional Indian medicine.[188][189][190]
Singapore
The TCM Practitioners Act was passed by Parliament in 2000 and the TCM Practitioners Board was
established in 2001 as a statutory board under the Ministry of Health, to register and regulate TCM
practitioners. The requirements for registration include possession of a diploma or degree from a TCM
educational institution/university on a gazetted list, either structured TCM clinical training at an approved local
TCM educational institution or foreign TCM registration together with supervised TCM clinical
attachment/practice at an approved local TCM clinic, and upon meeting these requirements, passing the
Singapore TCM Physicians Registration Examination (STRE) conducted by the TCM Practitioners Board.[191]
See also
Alternative medicine
American Journal of Chinese Medicine (journal)
Ayurveda
Capsicum plaster
Chinese classic herbal formula
Chinese food therapy
Chinese herbology
Guizhentang Pharmaceutical company
List of branches of alternative medicine
List of topics characterized as pseudoscience
List of traditional Chinese medicines
Medicinal mushrooms
Pharmacognosy
Public health in the People's Republic of China
Traditional Korean medicine
Traditional Mongolian medicine
Traditional Tibetan medicine
Turtle farm
HIV/AIDS and traditional Chinese medicine
Qingdai
Snake farm
References
1. ^ Traditional Chinese Medicine, National Center for Complementary and Alternative Medicine, Traditional
Chinese Medicine: An Introduction [NCCAM Backgrounder]
(http://nccam.nih.gov/health/whatiscam/chinesemed.htm)
2. ^ Unschuld 1985, p. 17
3. ^ a b Unschuld 1985, p. 19
4. ^ Unschuld 1985, p. 18; for detailed explanations of these ailments in Chinese, see Peng 2008, pp. 193217
5. ^ Unschuld 1985, p. 22
6. ^ Lu & Needham 1980, pp. 6970; Harper 1998, p. 5, note 2.
en.wikipedia.org/wiki/Traditional_Chinese_medicine
17/27
28.06.2013
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
en.wikipedia.org/wiki/Traditional_Chinese_medicine
18/27
28.06.2013
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
formulation of treatment in acupuncture." As seen at: NIH Consensus Development Program (35 November
1997). "Acupuncture Consensus Development Conference Statement"
(http://consensus.nih.gov/1997/1997Acupuncture107html.htm). National Institutes of Health. Retrieved 201202-28.
^ a b Aung & Chen 2007, pp 1112
^ "...()...()...()...()...()
[Physiological functions of qi ... 1.) Function of actuation ... 2.) Function of warming ... 3.) Function of
defense ... 4.) Function of containment ... 5.) Function of transformation ...] as seen at (24t October
2009). "" [Qi] (http://web.archive.org/web/20090108191112/http://www.zgxl.net/sljk/imgbody/zyrt/qi.htm)
(in Chinese). Archived from the original (http://www.zgxl.net/sljk/imgbody/zyrt/qi.htm) on 8 January 2009.
Retrieved 2 December 2010.
^ a b "What is Qi? Qi in TCM Acupuncture Theory"
(http://www.yinyanghouse.com/theory/chinese/what_is_qi#jing). 20 June 2006. Retrieved 3 December 2010.
^ a b Elizabeth Reninger. "Qi (Chi): Various Forms Used In Qigong & Chinese Medicine How Are The Major
Forms Of Qi Created Within The Body?" (http://taoism.about.com/od/qi/a/Qi_Forms.htm). Retrieved 6
December 2010.
^ "...... [After yuan-qi is created, it
disperses over the whole body, to the zang-fu in the interior, to the skin and the space beneath it on the
exterior...] as seen in (24t October 2009). "" [Qi]
(http://web.archive.org/web/20090108191112/http://www.zgxl.net/sljk/imgbody/zyrt/qi.htm) (in Chinese).
Archived from the original (http://www.zgxl.net/sljk/imgbody/zyrt/qi.htm) on 8 January 2009. Retrieved 6
December 2010.
^ "1 """"..." [1. Yuan-qi Yuan-qi is also
known as "yuan-qi" and "zhn q", is the body's most fundamental and most important (kind of) qi ...] as seen
at (24t October 2009). "" [Qi]
(http://web.archive.org/web/20090108191112/http://www.zgxl.net/sljk/imgbody/zyrt/qi.htm) (in Chinese).
Archived from the original (http://www.zgxl.net/sljk/imgbody/zyrt/qi.htm) on 8 January 2009. Retrieved 6
December 2010.
^ "Blood from a TCM Perspective" (http://www.shen-nong.com/eng/principles/blood.html). Shen-Nong
Limited. Retrieved 4 April 2011.
^ "The Concept of Blood (Xue) in TCM Acupuncture Theory"
(http://www.yinyanghouse.com/theory/chinese/blood_theory_and_disharmonies). 24 June 2006. Retrieved 3
December 2010.
^ "Blood from a TCM Perspective" (http://www.shen-nong.com/eng/principles/blood.html). Shen-Nong
Limited. Retrieved 3 March 2011.
^ Wiseman & Ellis, p. 147
^ "Body Fluids (Yin Ye)" (http://www.sacredlotus.com/theory/substances/jinye.cfm). copyright 20012010 by
Sacred Lotus Arts. Retrieved 9 December 2010.
^ " ... ... ..." [3.) Functions of the Jinye: ...
3.3.)Harmonizing yin and yang ... 3.4.)Secretion of waste products ...] As seen at: "
. " [Basics of TCM theory. Chapter 4: Essence, qi, blood, jinye. Section 4:
jinye] (http://www.zysj.com.cn/lilunshuji/jichulilun/44-4-4.html) (in Chinese). Retrieved 9 December 2010.
^ "Body Fluids (Yin Ye)" (http://www.sacredlotus.com/theory/substances/jinye.cfm). copyright 20012010 by
Sacred Lotus Arts. Retrieved 3 March 2011.
^ "
" [The (term) jinye comprises all physiological bodily fluids of the zang-fu and
tissues, and physiological secretions, gastric juice, intestinal juice, saliva, joint fluid etc. Costumarily this also
includes metabolic products like urine, sweat, and tears, etc.] As seen at: "
. " [Basics of TCM theory. Chapter 4: Essence, qi, blood, jinye. Section 4: jinye]
(http://www.zysj.com.cn/lilunshuji/jichulilun/44-4-4.html) (in Chinese). Retrieved 9 December 2010.
^ "Cultural China Chinese Medicine Basic Zang Fu Theory" (http://kaleidoscope.culturalchina.com/en/118Kaleidoscope4651.html). Retrieved 8 January 2011.
^ Ross 1984, p.6: "... the Zang Fu, the organ systems of TCM, do not refer so much to structures as to
functions."
^ Kaptchuk 2000, p. 76: "The Chinese Liver is defined first by the activities associated with it, the Western liver
by its physical structure"
^ by citation from the Huangdi Neijing's Suwen: [Within
en.wikipedia.org/wiki/Traditional_Chinese_medicine
19/27
28.06.2013
28.06.2013
93.
94.
95.
96.
97.
98.
99.
100.
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
111.
112.
113.
114.
115.
116.
117.
118.
119.
120.
121.
122.
123.
124.
125.
126.
127.
128.
129.
130.
131.
132.
133.
134.
135.
136.
137.
138.
139.
140.
^ Ergil et al. 2009, p. 88: "The six evils are not detected in a lab, but are known through distinctive signs."
^ Deng 1999 , p. 185
^ a b c Ergil et al. 2009, p. 88
^ Deng 1999, p. 185: "Or, abnormal changes in the weather, at inappropriate times for that weather condition,
can cause the emergence of disease."
^ Ergil et al. 2009, p. 88:"Whether the patient had a specific encounter with a cold wind shortly before the
onset of the symptoms is not necessarily relevant."
^ Ross 1984, p. 39: "The situation is not so much a linear chain of cause and effect,..."
^ Ergil et al. 2009, p. 88: "It is the patient's presentation that determines the nature of the evil."
^ a b Wiseman & Ellis 1996, p. 79
^ Wiseman & Ellis 1996, p. 81
^ a b c Deng 1999, p. 186
^ Wiseman & Ellis 1996, pp. 80 & 142
^ a b Ross 1984, p. 38
^ Ergil et al. 2009, p. 89
^ Wiseman & Ellis 1996, p. 80
^ Ergil et al. 2009, p. 127
^ Wiseman & Ellis 1996, p. 82
^ Wiseman & Ellis 1996, p. 145146
^ Wiseman % Ellis 1996, p. 147150
^ Ergil et al. 2009, p. 139 (table)
^ Flaws & Finney 1996, p. 169-173
^ cf. Flaws & Finney 1996, pp. 9133, 137151, 169174
^ cf. Wiseman & Ellis 1996, pp. 145 et sqq.
^ Wiseman & Ellis 1996, p. 173
^ Ergil et al. 2009, p. 122
^ a b c d e f Wiseman & Ellis 1996, p. 127
^ Ergil et al. 2009, p. 124
^ a b Wiseman & Ellis 1996, p. 128
^ Deng 1999, p. 167
^ Wiseman & Ellis 1996, p. 130
^ a b Wiseman & Ellis 1996, p. 132
^ a b Wiseman & Ellis 1996, p. 141
^ Wiseman & Ellis 1996, p. 133
^ Wiseman & Ellis 1996, p. 135
^ Kaptchuck 2000, pp. 230231
^ "...if it not that the right is vacous, then it is that the evil is replete." As seen at: Deng 1999, p. 165
^ Tierra & Tierra 1998, p. 108
^ cf. Wiseman & Ellis 1996, pp. 80, 142, 193, 197
^ a b c d Wiseman & Ellis 1996, p. 138
^ "For instance, if by eight-principle pattern identification a heat pattern is detected, qi-blood pattern
identification will show whether the heat is located in the blood or qi; organ pattern identification will determine
what organ or organs are affected; and disease-evil pattern identification will identify any evil present." As seen
at: Wiseman & Ellis 1996, p. 127
^ Flaws & Finney 1996, p. 7
^ Flaws & Finney 1996, p. 6
^ Ross 1984, p. 26
^ a b Ross 1984, p. 40
^ Wiseman & Ellis 1996, p. 65
^ Wiseman & Ellis 1996, p. 83
^ Cheng, 1987, chapter 12.
^ Wright, Thomas; Eisenberg, David (1995). Encounters with Qi: exploring Chinese medicine. New York:
Norton. pp. 534 (http://books.google.ca/books?id=DgFA-kVkuZEC&pg=PA53#v=onepage&q&f=false).
ISBN 0-393-31213-5.
^ "Nach der Erfahrung des Verfassers bewegen sich in der VR China 99% der Rezepturen in einem Bereich
en.wikipedia.org/wiki/Traditional_Chinese_medicine
21/27
28.06.2013
140. ^ "Nach der Erfahrung des Verfassers bewegen sich in der VR China 99% der Rezepturen in einem Bereich
zwischen 6 und 20 Krutern; meist sind es aber zwischen 9 und 18,... ("According to the author's experience,
99% of prescriptions in the PR of China range from 6 to 20 herbs; in the majority, however, it is 9 to 12,...") A
seen at: Kiessler, (2005), p. 24
141. ^ "Innerhalb einer Rezeptur wird grob zwischen Haupt- und Nebenkruter unterschieden. Bei klassischen
Rezepturen existieren sehr genaue Analysen zur Funktion jeder einzelnen Zutat, die bis zu drei Kategorien (Chen,
Zun und Chi) von Nebenkrutern differenzieren." ("Regarding the content of the prescription, one can roughly
differentiate between main herbs and ancillary herbs. For classical prescriptions, detailed analyses exist for the
function of each single ingredient, discriminating between up to three categories (Chen, Zun, and Chi) of
ancillary herbs.") As seen at: Kiessler (2005), p. 25
142. ^ Certain progress of clinical research on Chinese integrative medicine, Keji Chen, Bei Yu, Chinese Medical
Journal, 1999, 112 (10), p. 934, [2] (http://wenku.baidu.com/view/dfc192a0b0717fd5360cdc44.html)
143. ^ a b Foster & Yue 1992, p.11
144. ^ Hesketh T, Zhu WX (1997). "Health in China. Traditional Chinese medicine: one country, two systems"
(http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2127090). BMJ 315 (7100): 1157.
doi:10.1136/bmj.315.7100.115 (http://dx.doi.org/10.1136%2Fbmj.315.7100.115). PMC 2127090
(//www.ncbi.nlm.nih.gov/pmc/articles/PMC2127090). PMID 9240055
(//www.ncbi.nlm.nih.gov/pubmed/9240055).
145. ^ Nigel Wiseman & Ye Feng (1998). A Practical Dictionary of Chinese Medicine
(http://books.google.com.hk/books?
id=_FyGk5QnjhAC&printsec=frontcover&dq=wiseman+medicine+dictionary&hl=zh-CN&sa=X&ei=DIUPUeJGuWJmwW37IH4BQ&ved=0CDkQ6AEwAA#v=onepage&q=tiger%20bone&f=false) (2 ed.). Paradigm
Publications. p. 904.
146. ^ Facts about traditional Chinese medicine (TCM): rhinoceros horn, Encyclopdia Britannica, Facts about
traditional Chinese medicine (TCM): rhinoceros horn, as discussed in rhinoceros (mammal): Britannica Online
Encyclopedia (http://www.britannica.com/facts/5/1035448/traditional-Chinese-medicine-TCM-as-discussed-inrhinoceros-mammal)
147. ^ "Rhino horn: All myth, no medicine", National Geographic, Rhishja Larson
148. ^ Chen1, Tien-Hsi; Chang2, Hsien-Cheh; Lue, Kuang-Yang (2009). "Unregulated Trade in Turtle Shells for
Chinese Traditional Medicine in East and Southeast Asia: The Case of Taiwan"
(http://www.bioone.org/doi/abs/10.2744/CCB-0747.1). Chelonian Conservation and Biology 8 (1): 1118.
doi:10.2744/CCB-0747.1 (http://dx.doi.org/10.2744%2FCCB-0747.1)
149. ^ "NOVA Online | Kingdom of the Seahorse | Amanda Vincent"
(http://www.pbs.org/wgbh/nova/seahorse/vincent.html). Pbs.org. Retrieved 2009-12-07.
150. ^ Chou, Chan Tao (2 April 2013). "Diminishing ray of hope"
(http://www.aljazeera.com/programmes/101east/2013/03/201332715299451455.html). 101 East (Al Jazeera
English). Retrieved 6 May 2013.
151. ^ a b "The ultimate sacrifice: Mother bear kills her cub and then herself to save her from a life of torture"
(http://www.dailymail.co.uk/news/article-2025388/China-Tortured-mother-bear-kills-cub-herself.html?
ito=feeds-newsxml). Daily Mail (London). 12 August 2011.
152. ^ "Update on Turtle Farming in China": an extract from a report of CITES animals committee meeting in
Geneva (August 2003). Appears as Appendix 4 in: http://www.itmonline.org/arts/turtles.htm Missing or empty
|title=(help)
153. ^ DNA may weed out toxic Chinese medicine (http://www.abc.net.au/news/2012-04-13/dna-may-help-weedout-toxic-chinese-medicine/3949356) By Carolyn Herbert Australian Broadcasting Corporation Retrieved
14 April 2012.
154. ^ Human Drugs in Chinese Medicine and the Confucian View: An Interpretive Study, Jing-Bao Nie,
Confucian Bioethics, 2002, Volume 61, Part III, 167206, doi:10.1007/0-306-46867-0_7
(http://dx.doi.org/10.1007%2F0-306-46867-0_7), [3]
(http://www.springerlink.com/content/r3371v1625353774/)
155. ^ THE HUMAN BODY AS A NEW COMMODITY, Tsuyoshi Awaya, The Review of Tokuyama, June, 1999
156. ^ Commodifying bodies, Nancy Scheper-Hughes, Loc J. D. Wacquant, 2002
157. ^ a b c d e Ergil et al. 2009, p. 232
158. ^ Ergil et al. 2009, p. 234
159. ^ a b c d e f g h i j k l m n o p q r s t Xu & Wang 2002, Summary of Contents
160. ^ a b c d e f g h i j k l m n o p q r s t Ergil et al. 2009, p. 239
161. ^ Shang A. et al. (29 June 2007). "Placebo-controlled trials of Chinese herbal medicine and conventional
en.wikipedia.org/wiki/Traditional_Chinese_medicine
22/27
28.06.2013
161. ^ Shang A. et al. (29 June 2007). "Placebo-controlled trials of Chinese herbal medicine and conventional
medicine comparative study" (http://www.ncbi.nlm.nih.gov/sites/entrez?
orig_db=PubMed&db=pubmed&cmd=Search&term=36%5Bvolume%5D%20AND%205%5Bissue%5D%20AN
D%201086%5Bpage%5D%20AND%202007%5Bpdat%5D). PubMed.org for Int.J.Epidemol. Retrieved 28
April 2011.
162. ^ Zhu X, Proctor M, Bensoussan A, Wu E, Smith CA (17 October 2007). "Chinese herbal medicine for primary
dysmenorrhoea" (http://www2.cochrane.org/reviews/en/ab005288.html). Cochrane Database of Systematic
Reviews. Retrieved 2 September 2011.
163. ^ "Acupuncture Consensus Development Conference Statement"
(http://consensus.nih.gov/1997/1997Acupuncture107html.htm). National Institutes of Health. 5 November
1997.
164. ^ Novak, Patricia D.; Dorland, Norman W.; Dorland, William Alexander Newman (1995). Dorland's Pocket
Medical Dictionary (25th ed.). Philadelphia: W.B. Saunders. ISBN 978-0-7216-5738-7. OCLC 33123537
(//www.worldcat.org/oclc/33123537).
165. ^ "Moxibustion, Acupuncture Today" (http://acupuncturetoday.com/abc/moxibustion.php).
Acupuncturetoday.com. Retrieved 2011-05-17.
166. ^ Robertson, Valma J; Robertson, Val; Low, John; Ward, Alex; Reed, Ann (2006). Electrotherapy explained:
principles and practice. Elsevier Health Sciences. ISBN 978-0-7506-8843-7.
167. ^ "World Health Organization: Acupuncture: Review and Analysis of Reports on Controlled clinical Trials: 3.
Diseases and disorders that can be treated with acupuncture"
(http://apps.who.int/medicinedocs/en/d/Js4926e/5.html). who.int. 2003. Retrieved 2011-03-03.
168. ^ Ernst E, Pittler MH, Wider B, Boddy K (2007). "Acupuncture: its evidence-base is changing". Am. J. Chin.
Med. 35 (1): 215. doi:10.1142/S0192415X07004588 (http://dx.doi.org/10.1142%2FS0192415X07004588).
PMID 17265547 (//www.ncbi.nlm.nih.gov/pubmed/17265547).
169. ^ Lee, M. S.; Ernst, E. (2011). "Acupuncture for pain: An overview of Cochrane reviews". Chinese Journal of
Integrative Medicine 17 (3): 187189. doi:10.1007/s11655-011-0665-7 (http://dx.doi.org/10.1007%2Fs11655011-0665-7). PMID 21359919 (//www.ncbi.nlm.nih.gov/pubmed/21359919).
170. ^ Rubinstein SM, van Middelkoop M, Kuijpers T, et al, SM; Van Middelkoop, M; Kuijpers, T; Ostelo, R;
Verhagen, AP; De Boer, MR; Koes, BW; Van Tulder, MW (2010). "A systematic review on the effectiveness of
complementary and alternative medicine for chronic non-specific low-back pain"
(http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989199). Eur Spine J 19 (8): 121328. doi:10.1007/s00586010-1356-3 (http://dx.doi.org/10.1007%2Fs00586-010-1356-3). PMC 2989199
(//www.ncbi.nlm.nih.gov/pmc/articles/PMC2989199). PMID 20229280
(//www.ncbi.nlm.nih.gov/pubmed/20229280).
171. ^ Ernst, E. (2006). "Acupuncture - a critical analysis". Journal of Internal Medicine 259 (2): 125137.
doi:10.1111/j.1365-2796.2005.01584.x (http://dx.doi.org/10.1111%2Fj.1365-2796.2005.01584.x).
PMID 16420542 (//www.ncbi.nlm.nih.gov/pubmed/16420542).
172. ^ Singh, S; Ernst E (2008). "The Truth about Acupuncture". Trick or treatment: The undeniable facts about
alternative medicine. W. W. Norton & Company. pp. 103106. ISBN 978-0-393-06661-6. ""These initial
conclusions have generally been disappointing for acupuncturists: They provide no convincing evidence that
real acupuncture is significantly more effective than placebo." (p. 104)"
173. ^ Furlan, Andrea D; Van Tulder, Maurits W; Cherkin, Dan; Tsukayama, Hiroshi; Lao, Lixing; Koes, Bart W;
Berman, Brian M (2005). "Acupuncture and dry-needling for low back pain"
(http://www.thecochranelibrary.com/userfiles/ccoch/file/Acupuncture_ancient_traditions/CD001351.pdf)
(PDF). In Furlan, Andrea D. Cochrane Database Syst Rev (1): CD001351.
doi:10.1002/14651858.CD001351.pub2 (http://dx.doi.org/10.1002%2F14651858.CD001351.pub2).
PMID 15674876 (//www.ncbi.nlm.nih.gov/pubmed/15674876).
174. ^ Madsen, M. V.; Gotzsche, P. C.; Hrobjartsson, A. (2009). "Acupuncture treatment for pain: systematic
review of randomised clinical trials with acupuncture, placebo acupuncture, and no acupuncture groups"
(http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769056). BMJ 338: a3115. doi:10.1136/bmj.a3115
(http://dx.doi.org/10.1136%2Fbmj.a3115). PMC 2769056
(//www.ncbi.nlm.nih.gov/pmc/articles/PMC2769056). PMID 19174438
(//www.ncbi.nlm.nih.gov/pubmed/19174438).
175. ^ NIH Consensus Development Program (35 November 1997). "Acupuncture --Consensus Development
Conference Statement" (http://consensus.nih.gov/1997/1997Acupuncture107html.htm). National Institutes of
Health. Retrieved 2007-07-17.
176. ^ "Acupuncture" (http://nccam.nih.gov/health/acupuncture/). US National Center for Complementary and
en.wikipedia.org/wiki/Traditional_Chinese_medicine
23/27
28.06.2013
Aung, S.K.H. & Chen, W.P.D. (2007): "Clinical introduction to medical acupuncture"
(http://books.google.com.hk/books?
id=I6NclaeDWjgC&printsec=frontcover&dq=Clinical+introduction+to+medical+acupuncture&hl=zhCN#v=onepage&q&f=false). Thieme Medical Publishers. ISBN 978-1-58890-221-4
Benowitz, Neal L. (2000) Review of adverse reaction reports involving ephedrine-containing herbal products.
Submitted to U.S. Food and Drug Administration. 17 January.
Chan T.Y. (2002). "Incidence of herb-induced aconitine poisoning in Hong Kong: impact of publicity measures
to promote awareness among the herbalists and the public". Drug Saf. 25 (11): 823828.
doi:10.2165/00002018-200225110-00006 (http://dx.doi.org/10.2165%2F00002018-200225110-00006).
PMID 12222992 (//www.ncbi.nlm.nih.gov/pubmed/12222992).
Chang, Stephen T. The Great Tao; Tao Longevity; ISBN 978-0-942196-01-6 Stephen T. Chang
Cheng, X. (1987). Chinese Acupuncture and Moxibustion (1st ed.). Foreign Languages Press. ISBN 7-11900378-X.
Clavey, Steven (1995): "Fluid physiology and pathology in traditional Chinese medicine"
(http://books.google.com.hk/books?id=2RQMLGcFe6kC&pg=PR30&dq=tcm+ba+gang+diagnosis&hl=zhCN#v=onepage&q=tcm%20ba%20gang%20diagnosis&f=false). Elsevier. 2nd edition, 2003. ISBN 978-0-44307194-2
en.wikipedia.org/wiki/Traditional_Chinese_medicine
24/27
28.06.2013
25/27
28.06.2013
[Medical data in the oracle bones: translations, philological analysis, and research]. Beijing: Renmin
weisheng chubanshe. ISBN 978-7-117-09270-8.
Porkert, Manfred (1974). The Theoretical Foundations of Chinese Medicine. MIT Press. ISBN 978-0-26216058-2.
Qu, Jiecheng, When Chinese Medicine Meets Western Medicine History and Ideas (in Chinese); Joint
Publishing (H.K.), 2004; ISBN 978-962-04-2336-9
Ross, Jeremy (1984) "Zang Fu, the organ systems of traditional Chinese medicine"
(http://books.google.com.hk/books?
id=t23zKB1FSVYC&pg=PA6&dq=Chinese+medicine+is+completely+different;+it+emphasizes+function.+Little
&hl=zhCN#v=onepage&q=Chinese%20medicine%20is%20completely%20different%3B%20it%20emphasizes%20func
tion.%20Little&f=false) Elsevier. First edition 1984. ISBN 978-0-443-03482-4
Scheid, Volker, "Chinese Medicine in Contemporary China: Plurality and Synthesis"
(http://books.google.com.hk/books?
id=uvWJoYG1UwMC&printsec=frontcover&dq=Scheid,+Volker,+Chinese+Medicine+in+Contemporary+China
:+Plurality+and+Synthesis&hl=zh-CN#v=onepage&q&f=false) Duke University Press, 2002; ISBN 978-08223-2857-5
Sivin, Nathan (1987). Traditional Medicine in Contemporary China. Ann Arbor: Center for Chinese Studies,
University of Michigan. ISBN 978-0-89264-074-4.
Sivin, Nathan (1993). "Huang-ti nei-ching ". In Loewe, Michael. Early Chinese Texts: A
Bibliographical Guide. Los Angeles and Berkeley: Institute for East Asian Studies, University of California,
Berkeley. pp. 196215. ISBN 978-1-55729-043-4.
Tierra, M., & Tierra, L. (1998) "Chinese Traditional Herbal Medicine Volume I Diagnosis and Treatment"
(http://books.google.com.hk/books?
id=6NNH1yHtJx0C&pg=PA94&lpg=PA94&dq=bing+yin+bian+zheng&source=bl&ots=8fKqMKuaM&sig=0COKczHPJw4cVNRb5-OpTuXdJ5o&hl=zh-CN#v=onepage&q=disease%20discrimination&f=false)
Lotus Press. 1st edition. ISBN 978-0-914955-31-3
Unschuld, Paul U. (1985). Medicine in China: A History of Ideas. Berkeley: University of California Press.
ISBN 978-0-520-05023-5.
Unschuld, Paul U. (2003). Huang Di Nei Jing Su Wen: Nature, Knowledge, Imagery in an Ancient Chinese
Medical Text. Berkeley and Los Angeles: University of California Press. ISBN 978-0-520-05023-5.
Wiseman, N. & Ellis, A. (1996): "Fundamentals of Chinese medicine (http://books.google.com.hk/books?
id=3SOAjUt53UgC&pg=PA199&dq=summerheat+tcm&hl=zh-CN#v=onepage&q&f=false) Paradigm
Publications. ISBN 978-0-912111-44-5
Xu, L. & Wang, W. (2002) "Chinese materia medica: combinations and applications"
(http://books.google.com.hk/books?
id=36dhuXGm3OgC&pg=PA1&dq=traditional+chinese+medicine+herb&hl=zhCN#v=onepage&q=traditional%20chinese%20medicine%20herb&f=false) Donica Publishing Ltd. 1st edition.
ISBN 978-1-901149-02-9
Further reading
McGrew, Roderick. Encyclopedia of Medical History (1985), brief history pp 56-59
Sivin, Nathan, ed. (2000). Medicine. (http://books.google.com/books?id=zd0ZoLtulgC&dq=nathan+sivin&client=firefox-a&source=gbs_summary_s&cad=0) (Science and civilisation
in China, Vol. VI, Biology and Biological Technology, Part 6). Cambridge: Cambridge University
Press. 10-ISBN 978-0-521-63262-1; 13-ISBN 978-0-521-63262-1; OCLC 163502797
(http://www.worldcat.org/wcpa/oclc/163502797)
External links
Medicinal Plant Images Database (http://libproject.hkbu.edu.hk/was40/search?
lang=en&channelid=1288) School of Chinese Medicine, Hong Kong Baptist University (traditional
Chinese)(English)
en.wikipedia.org/wiki/Traditional_Chinese_medicine
26/27
28.06.2013
en.wikipedia.org/wiki/Traditional_Chinese_medicine
27/27