CMPR311. Session 11. Medical Developments in the Qing Dynasty. Chinese Medicine Department.

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1 CMPR311 Session 11 Medical Developments in the Qing Dynasty Chinese Medicine Department

2 Qing Dynasty 清朝 ( ) the Development of Febrile Disease (Wen Bing) theory Endeavour College of Natural Health 2

3 The developments of Febrile disease (Wen Bing Theory) Part 2 Endeavour College of Natural Health 3

4 Session Contents o Three (3 ) different school of Wen Bing / Febrile disease: 1) Ye Tian Shi & Wei, Qi, Ying & Xue Pattern differentiation; Wen Re Lun ( 温热论 ) 2) Xue Sheng Bai & Damp-heat syndrome differentiation; The book Shi Re Bing Pian 湿热病篇 3) Wu Ju Tong & San Jiao Pattern differentiation; the book Wen Bing Tiao Bian o Diagnosis in Wen Bing Endeavour College of Natural Health 4

5 Ye Tian Shi 叶天士 (Ye Gui 叶桂 ) o He developed the 4 Levels of Heat :Wei, Qi, Ying and Xue o the Treatise on Warm Heat (Wen Re Lun 温热论 ) Endeavour College of Natural Health 5

6 Wei Level Heat = Wind-Heat S&S: o Chills o Fever o Aversion to Heat o Headaches o Body aches o Red eyes o Thirst o Tongue: Thin yellow coat o Floating-Rapid pulse Endeavour College of Natural Health 6

7 Qi Level Heat = Internal (Yang Ming) Heat in-class group discussion: o What are the main S&S at this stage (Qi level) Wen Bing according to Ye Tianshi s theory? Endeavour College of Natural Health 7

8 Ying Level Heat Previous stage causes Yin Deficiency in-class group discussion: o What are the main S&S at this stage (Ying level) Wen Bing according to Ye Tianshi s theory? Endeavour College of Natural Health 8

9 Blood Level Heat in-class group discussion: o What are the main S&S at this stage ( Blood level) Wen Bing according to Ye Tianshi s theory? Tips: -Yin Deficiency signs and symptoms + bleeding Endeavour College of Natural Health 9

10 Xue Sheng Bai 薜生白 Xue Xue ( ) o He added to the Wen Bing theory with the notion that whenever you have Heat, you also have Dampness; o So a Wei Level disease can entail Heat, Damp and/or Wind (Heat creates Wind). Endeavour College of Natural Health 10

11 Xue Sheng Bai 薜生白 o He clearly explained that damp-heat usually occurs from a combination of external yang brightness and internal greater yin factors affecting each other. o He published his ideas in his Detailed Analysis of Damp-Heat (Shi Re Tiao Bian 湿热条辨 ;Shi Re Bing Pian 湿热病篇 ). Endeavour College of Natural Health 11

12 Wu Ju Tong 吴鞠通 (Wu Tang ) o He created the triple burner differentiation (San Jiao Heat Patterns differentiation ) o He summarized his findings and published them in his Detailed Analysis of Warm Diseases (Wen Bing Tiao Bian). o He specified nine different types of fevers, and concluded that only one of them was contagious. Endeavour College of Natural Health 12

13 The San Jiao Heat patterns San Jiao includes: o Upper Jiao o Middle Jiao o Lower Jiao Endeavour College of Natural Health 13

14 Damp-Heat in the Upper Jiao S&S: o Heavy headedness o Sinus infections o Red eyes Treatment Principles: Expel and transform Heat Endeavour College of Natural Health 14

15 Damp-Heat in Middle Jiao What are the typical S&S of this pattern? What are the corresponding Treatment Principles for this pattern? (according to Wu Jutong s theory) Endeavour College of Natural Health 15

16 Damp-Heat in Lower Jiao What are the typical S&S of this pattern? What are the corresponding Treatment Principles? (according to Wu Jutong s theory) Endeavour College of Natural Health 16

17 Diagnosis in Wen Bing o Traditional 4 TCM methods of diagnosis applied o How would you ask properly a patient the following two main questions: Fever? Sweating? o Palpation is also an important diagnosis method in Wen bing. What tips you can think about when palpating a patient who is in Damp-heat Fever? Endeavour College of Natural Health 17

18 Questions? & Group Discussion

19 Summary

20 References o Lu, Y-Y. Liu, L-G. & Huang, Q-F, 2009, Introduction to Lu Shou-yan s Acupuncture Theory, J. Acupuncture. Tuina. Sci, Vol. 7, pp o Park, H-L. Lee, H-S. Shin, B-C. Liu, J-P. Shang, Q-H. Yamashita, H. and Lim, B. 2012, Traditional Medicine in China, Korea, and Japan: A Brief Introduction and Comparison, Evidence-Based Complementary and Alternative Medicine, Vol. 2012, pp. 1-9 o Gary, M, 2011, The Transmission of Chinese Medicine in Australia, Journal of Multidisciplinary International Studies, Vol. 8, No.2, pp.2-13 o Birch, S 2012, Overview of Japanese acupuncture in Europe, JAM, 2, pp. 1-4 o Prescott, A 2012, Medical Master of Jin-Yuan Dynasties. 1-9 o Wang, J-H, 2013, Historical Timeline of Chinese Medicine: Understanding the Past, Association for Traditional Studies, retrieved on 13 December 2013, <http://www.tradtionalstudies.org/historical-timeline-of-chinese-med> o Hue, C-T, 2003, Traditional Vietnamese Medicine: Historical Perspective and Current Usage, Retrieved on 27 January 2014, <http://ethnomed.org/clinical/traditional-medicine/traditional-vietn> o 魏稼, 高希言,2007, 各家針灸学說. 中国中医葯出版社. 北京 Endeavour College of Natural Health 20

21 The end Endeavour College of Natural Health 21

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