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  • 1. Classical Acupuncture for the Practicing Physiotherapist: East Meets West Anne Dawson, Eduardo Barreto October 21, November 4, 18, December 2 20121
  • 2. Basic Theory of Traditional Chinese Medicine Dawson-Barreto, 20122
  • 3. TRADITIONAL MEDICINE  NATIVE NORTH AMERICAN MEDICINE: Hopi, Cherokee, Inuit. (Medicine Man, herbs, purification, chanting)3 Dawson-Barreto, 2012
  • 4. TRADITIONAL MEDICINE  CENTRAL – SOUTH AMERICA: Maya, Azteca, Inca.4 Dawson-Barreto, 2012
  • 5. TRADITIONAL MEDICINE  GREECE Middle East: Unani (ca 400 BC Hippocrates. Elements: earth, air, water, fire. Humours: blood, phlegm, yellow bile, black bile. Temperament: hot, cold, dry, wet. Herbs, diet, massage, exercise, Turkish bath5 Dawson-Barreto, 2012
  • 6. TRADITIONAL MEDICINE  INDIA: Ayurveda (ca 5000 BCE, Purusha-Prakruti. Space, air, fire, water, earth. Tridosha: Vata, pitta, kappa. Herbs, yoga, pulse, massage, diet)6 Dawson-Barreto, 2012
  • 7. 7 Dawson-Barreto, 2012
  • 8. TRADITIONAL CHINESE MEDICINE  Yin – Yang. Five Phases (Wu Xing): Four cycles. Qi-Blood- Essence-Fluids (Qi-Xue-Jing-Jinye). Channels – Meridians. Zang-Fu System.  The Four Examinations (Insp-List-Inquiry-Palpation)  Acupuncture – Moxa – Cupping.  Pharmacotherapy: Herbs, animals, minerals.  Tui Na (“pushing and grasping”) Anmo (“presing and rubbing”). Guasha (“to scrape away fever”).  Qi Gong – Tai Chi Chuan.  Wholism -Tx. Pattern diagnosis and differentiation.8 Dawson-Barreto, 2012
  • 9. 9 Dawson-Barreto, 2012
  • 10. 10 Dawson-Barreto, 2012
  • 11. 11 Dawson-Barreto, 2012
  • 12. 12 Dawson-Barreto, 2012
  • 13. DEFINITIONS OF HEALTH  WESTERN: Health is a normal range of physical functions. Balance of physical aspects (cellsorgans). Need to measures (lab tests, image exams, etc). Treatment. Medical technology. When you are sick  You pay the doctor.13 Dawson-Barreto, 2012
  • 14. DEFINITIONS OF HEALTH  EASTERN(CHINESE): Health is an optimum balance of energies in the body. Earlier intervention – Prevention. Before physical damage. Different types of energy. (Ancient China) You paid the doctor on the days when you are healthy. Is inhuman to take fees from a sick person (Same in India)14 Dawson-Barreto, 2012
  • 15. 15 Dawson-Barreto, 2012
  • 16. BASIC THEORIES  (Introduction: History, philosophy)  Ying – Yang Theory.  Five Phases Theory.  Qi. Blood. Essence. Fluids.  Channel Theory.  The Bowels and Viscera.  Disease and its causes16 Dawson-Barreto, 2012
  • 17. PATTERN IDENTIFICATION AND TREATMENT  The Four Examinations.  Eight – Principle Pattern Identification.  Qi – Blood Pattern Identification.  Disease – Evil Pattern Identification.  Externally Contracted Febrile Disease Pattern Identification.  Principle and Methods of Treatment. Chinese Medicine: Five Years. Third Year: Acupuncture (108 hours). Fifth Year: Practice17 Dawson-Barreto, 2012
  • 18. 18 Dawson-Barreto, 2012
  • 19. CREATION OF THE WORLD  Creation myth: PAN GU  Chopped the stone: Heaven (yang)-Earth (yin)  Head: mountains. Breath: wind and clouds. Voice: thunder. Left eye: Sun. Right eye: moon. Muscles: matrix of earth. Flesh: soil. Hair and beard: constellations. Skin: plants and trees. Teeth and bones: metals. Marrow: precious stones. Body: rain.  Lice: (ether)humans.19 Dawson-Barreto, 2012
  • 20. DYNASTY PERIOD MAJOR EVENT Shang Ca 1600-Ca 1100 BCE Oracle bones, disease=curse of ancestor. Zhou Ca110-ca 475BCE Time of chaos. Demonological therapy. Disease may now be caused by demon or magic, not ancestor. Confucius (551-479 BCE) Warring 475-221 BCE Yin – Yang School. Five Phase School. Confucian States doctrine. Lao Zi and Zhuang Zi (Daoism) Han 206 BCE- 220 CE Medicine of Systematic Correspondence (Qi). “The Yellow Emperor’s Classic of Medicine”. “Classic of Difficulties” . Buddhism . Tang 618-907 CE Imperial School of Medicine: Acup-Massage- Internal Medicine-Incantations. Ming 1368-1644 Medicinal drugs fully incorporated. Qing 1644-1911 Western Medicine: Modernization vs. Tradition20 Dawson-Barreto, 2012
  • 21. Main Books in TCM  Yellow Emperor’s Internal Classic: Plain questions and Spiritual Pivot (Nei Jing): Ca 100 BCE-100 CE. By Huang Di.  The Classic of Difficulties (Nan Jing): Ca 100 CE. By Bian Que  Treatise on Cold Damage and Miscellaneous Diseases (Shang Han Za Bing Lu): Ca 150- 219 CE. By Wang Shu He.  Divine Husbandman’s Materia Medica: Ca 100-200 CE. By Shen Nong21 Dawson-Barreto, 2012
  • 22. Qing Dinasty: 221-206 BCE. Bronze needle22 Dawson-Barreto, 2012
  • 23. 23 Dawson-Barreto, 2012
  • 24. 24 Dawson-Barreto, 2012
  • 25. 25 Dawson-Barreto, 2012
  • 26. YIN North side of the hill- South side of the river 2,6,8 Dark Earth – Moon - Night Autumn – Winter - Damp Female Slow – Stasis - Heavy Back – Down Inside - Abdomen Water – Metal Right Side Viscera ( Li-Ht-Sp-Lu-Ki) Hill – Today - Cloudy Blood Interior Bone - Sinew26 Dawson-Barreto, 2012
  • 27. YANG South side of the hill-North side of the river 3,7,9 Bright Heaven – Sun - Day Spring - Summer Dry Male Fast – Movement – Light Front – Up Outside Fire – Wood Left Side Hill – Sun - Rays Bowels (Gb-Si-St-Li-Ub) Front Up Dawson-Barreto, 201227
  • 28. 28 Dawson-Barreto, 2012
  • 29. Main Aspects of Yin and Yang Relationship  Represent two related things or phenomenon.  Yin-Yang are opposites.  Interdependent: Can not exist without each other. Are rooted in each other.29 Dawson-Barreto, 2012
  • 30.  Mutual consumption of Yin and Yang.  Inter-transformation of Yin and Yang.  Are divisible.  Counterbalance each other30 Dawson-Barreto, 2012
  • 31. YANG 50˚ C YIN 40˚ C 20˚ C31 Dawson-Barreto, 2012
  • 32. 32 Dawson-Barreto, 2012
  • 33. APPLICATION  Top-Head:Yang. Bottom – Feet:Yin.  361 Acupoints: Above waist:Yang. DU 20 Sea of Yang. Ki 1 Strongest Yin point.  Left , Back (Yang)– Right, Front (Yin)  Exterior – Interior. Hollow – Solid  Closest to inside of the body: Yin  Channels: 3 hand Yin. 3 hand Yang. 3 foot Yang. 3 foot Yin.33 Dawson-Barreto, 2012
  • 34. 34 Dawson-Barreto, 2012
  • 35. Excess of Yang: Diet. Coffe, spicy food. External: Wind, cold. Damp, Summer heat. Emotional disorders (Anger too much Yang)35 Dawson-Barreto, 2012
  • 36. REPLETE YIN (Shi) YIN EXCESS Cold Symptoms: Tongue w. white coating. Pulse: Slow – floating. Diarrhea – Abdominal cramps.36 Dawson-Barreto, 2012
  • 37. REPLETE YANG (Shi) YANG EXCESS Red Tongue – Yellow coat. Pulse: Fast. Sneezing. Yellow expectoration. Constipation.37 Dawson-Barreto, 2012
  • 38. VACUOUS YIN (Xu) YIN DEFICIENCY Red Tongue – no coating. Pulse: Rapid Heat. Night sweating.38 Dawson-Barreto, 2012
  • 39. VACUOUS YANG (Xu) YANG DEFICIENCY Tongue pale Pulse: Weak Cold39 Dawson-Barreto, 2012
  • 40. BALANCE Yin – Yang Deficiency  Tonify (moxas) Excess  Disperse, sedate.40 Dawson-Barreto, 2012