THE TRADITIONAL CHINESE DIAGNOSIS IN VIEWPOINT OF GENERAL PATHOLOGICAL PROCESSES IN HUMANS

The integration of TCM into classical Western medicine is accompanied by a number of problems. Main among them, as it is accepted to consider, antiquities and primitiveness of applied scientific models created on a principle of analogy. However, given contradiction is not basic if we take into consideration a point of view of the authors.

Ancient Eastern and modern Western medical paradigms are not "intersected" on nosological level of the analysis of illness because of basic difference of initial fields of primary features of illnesses. It depend on different technical abilities of obtaining the facts (knowledge of a patient) and basic methodology of knowledge (from general to particular in the East and on the contrary in the West).

Required "crosspoint" is presented on another overmosological level, i.e. level typical or unspecified pathological processes investigated by a modern general pathology. Using such approach, the authors demonstrate conformity between a traditional Chinese and modern medical nomenclature in particular.

"God" - disturbance of blood and lymph microcirculation leading to dystrophy or necrosis.

"Fire" - inflammation fever and hyperactivity.

"Wind" - disturbance of mechanism of autonomic and somatic nervous regulation (less in gum oral)

"Fullness/emptiness" - reflection of the whole gamma of a general reactivity of an organism (hyper-and hyporeactivity adequacy to the aetiological factors, change of a level of reactivity).

"Dampness" and "Dryness" - alternatively trended processes arising at disorder central neurogumoral regulation of hydro electrolyte balance.

"Mucus" - local disorder of Body Fluids circulation due to local disorder of microcirculation and metabolism.

Thus, the translation of traditional Chinese diagnosis not into adopted nowadays, nosological unit hut into typical pathological processes-inflammation disturbance nervous nutrition of tissues, dystrophy, disorder of microcirculation and metabolism etc. is an actual possibility of wide integration of methods and approaches of TCM in modern medicine and medical education.

Disease

Interplay of antipathogenic qi and environment
Body is not sufficient to deal with changes in the environment
Either environment is strong, or body's antipathogenic qi is weak.

Environmental Factors

- 6 pathogenic factors
Wind- yang, changes a lot, constant movement
Cold- yin, contraction and stagnation, pores will close, cramping and spasming, causes stagnation (freezing), body excretion look frozen white and clear and have no smell.

Dampness- yin, wellness and heaviness, slow moving, wet towel placed on the body.

Summer beat- only in summer, often damp charactensucs associated (dizziness, wiped out) yang, noted for consuming, yin and qi (heat consumes yin), characterized with damp too.

Dryness- yang, body is dry (exterior and interior), affect lung and lung functions.

Gre (beat) - yang, consumes yin, fire moves up so disturbances tend to be in the upper parts of the body continuum of heat disorders = Gre (worst), heat, mild heat

EXAMPLE: arthritis
Cold arthritis = contraction and spasm, pain is intense, heat palliates.
Hot arthritis = joints red and hot and swollen, cold palliates.
Wind arthritis = achy and movable
Damp arthritis = really swollen (often paired with cold or heat). Lassitude, tongue thick-sticky coating, fatigue

Emotional Factors

When body is so weakened that it cannot handle change
Most often causes of exogenous disease in the body
Anger = injured the liver, causes qi to rise up (red and pounding)
Grief and melancholy = injuries the lung and consumes qi
Worry = injures the spleen and causes qi to stagnate (over thinking damages the spleen)
Fear = injures the kidney and causes qi to descend
Fright = affects the kidney and causes qi to become deranged (start going all over the body - don't do acupuncture)

Diet

Overeating = affects stomach and spleen
Cold and raw food injures spleen yang and build up cold and damp in the body
Alcohol. Greasy or spicy food can produce damp or phlegm in the body (qi and blood can't move property)
Malnutrition = affect stomach and spleen

Physical and Sexual Activity

Keep moderation and balance within the cycle
Excess consumes qi and weakens
Not enough means you can't build qi

Traumatic injury, Insect and animal bites

Affect channels in the area, may stagnate blood and qi depending upon strength of person

Stagnant Blood And Phlegm

Result of organs not functioning right in the body
Creates changes in the body, such as pain (tumors and pregnancy)
Pain gets worse with pressure
Stagnant blood = bleeding dark red or purple with a lot of clots, purpling on the skin, purple tongue completely or corresponding part to organ affected, masses and tumors are stagnant blood

Accumulation of phlegm in the body is NEVER good - it should not exist in the body
Very turbid thick and condensed fluid
Caused by malfunction of the lung, spleen or kidney (fluid distribution in body)
Produces symptoms from asthma to coma - all excess conditions

Articles and Resources:

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- San Jose Mercury News

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The Year in Medicine

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Acupuncture works, Expert panel reports

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Way Of Wellness offers Acupuncture for the areas of San Jose, Los Gatos, Campbell, Cupertino, Santa Clara, Bay Area. Shasta Tierra, Licensed Acupuncturist - San Jose