Chapter 1 ANCIENT CHINESE PHILOSOPHY AND HISTORY one OF TRADITIONAL CHINESE MEDICINE Traditional Chinese medicine (TCM), as one of the representative gems of traditional Chinese culture, has been practiced in China for thousands of years. TCM reflects the great wisdom and talent of the Chinese people. TCM is based on ancient Chinese philosophy and demonstrates an empathetic understanding of the world. Although modern medicine is very popular, it still has a significant impact on modern society. The diagnosis and treatment of modern medicine depends on cutting-edge technologies and advanced medical instruments. This acquired information is relatively accurate, detailed and comprehensive, making the diagnosis intuitive, vivid, and convincing. In contrast, the diagnosis in TCM is obscured due to the lack of detailed quantitative measurements, including observing, smelling, questioning, and touching the pulse. After observation, sensation, analysis, judgment, and reasoning, TCM practitioners make diagnostic conclusions, which seem incredible and mysterious. However, TCM practitioners provide an individualized diagnosis. What are the principles and theories used by TCM to diagnose and treat diseases? Some people believe that “TCM relies on consciousness to cure diseases.” As we advance in the development of ancient Chinese philosophy and medicine, it will become clear what the theoretical foundations are for TCM diagnostics and therapeutics. 1.1 Ancient chinese philosophy Philosophy is the unity of methodology and systematic worldview, including natural, social and thinking knowledge, and shows the existence of social consciousness. Philosophy pursues the essence of the world and explores metaphysical forms such as universality and absoluteness. As the ancient philosophy goes: “My beliefs must sustain to the end and last a lifetime.” Both heaven and human beings should follow the same principle, which is harmony and unity between heaven and human beings. Principles of nature share the common theoretical framework in TCM. Philosophy claims the existence of social consciousness. Chinese philosophy was derived and inherited from ancient witchcraft, such as Jedi Tiantong. The belief system of destiny theology gradually faltered until it collapsed. In the early development stage of Chinese philosophy, there were several landmark theories: Shu Xing’s consideration of “Yin and Yang”and “good and bad”, Boyang Fu’s deliberation of “Earthquake”, Shi Bo’s deliberation of “Harmony”, and Shi Mo’s consultation of “Accompaniment”, which are the explanations of the emperors on natural or social phenomena. Here, the old-style witch becomes a new-style philosopher. The witch historians who made religious theological explanations abandoned divination (such as ghost and god) in favor of metaphysics. They tried to explain the world and diseases in a reasonable and philosophical way. Although Chinese philosophers have leisure 中药基础理论Traditional Chinese Medicine2中药基础理论Traditional Chinese Medicine 中药基础理论Traditional Chinese Medicine2中药基础理论Traditional Chinese Medicine time, they are not “wise lovers” who pursue pure knowledge. They explain natural phenomena, but mainly focus on human affairs. The purpose of “reasoning and deciphering the destiny of heaven” represents an alternative interpretation to solve the world of thought after the conceptual collapse of the religious fate. Chinese philosopher’s “deciphering the destiny to understand human affairs” gave the community a distinctive character, who paid attention to specific opportunities that emerged. These opportunities shape people’s character and personality in China. “Those who change things have worries” is an understanding of the shamanic character in the philosophical works of the predecessors. Ancient Chinese have traditions of theoretical thinking, who study human relations and the transcendence basis for secular life. The changes of the past and of the present, as well as the families, are the central question of ancient philosophers about heaven and human beings. It is the conscious mission of ancient philosophers to ordain conscience for Heaven and Earth, secure life and fortune for the people, continue the lost teachings of past sages, and establish peace for all future generations. The development of ancient Chinese philosophy developed with the corresponding society in three stages. Philosophical theories have been applied and propagated in the entire social system from the slave society. The ancient philosophy evolved through the Yin Dynasty, the Western Zhou Dynasty, and the Spring and Autumn Periods. The first phase of ancient Chinese philosophy began with the eastward movement of Zhou’s chambers during the Warring States period. The Spring and Autumn Period philosophy was the second phase, while the third phase was the Warring States period as at when the theory of Confucius and Mencius was initiated. Ideological representatives continually erupt with a tendency of contention among hundreds of school thoughts. Zhuang Zi has a personal evaluation and in his book Zhuang Zi: Universe (《庄子·天下篇》). Materialist thoughts in the spring and autumn period are scattered in the Zuo tradition. For example, the five elements (《五行》) or “five materials”, “six Qi”, and “seven internal emotions” are essential matter of the universe and human beings. The governor of a country who has worked hard and has achieved success should be open-minded and listen to the opinion of the masses. People believe in human power, not divine power, but the light of materialism. The historical development of Chinese philosophy is driven by national misfortune. China meets with the bandit nations that are expanding and dividing the world in modern history. Defeating foreign invaders accelerates national self-confidence to an unprecedented level. In turbulent times, strengthening and saving the country has become a top priority. Chinese philosophers talked about China and the West in ancient and modern times, seeking self-improvement, creating new ways, introducing Western learning to connect China and the West, and forming a novel culture of neither China nor the West as a kind of cultural integration. The era of “national misfortune” has brought about major philosophical issues. The fortune philosophers responded to the major issues of the times and created energetic thought to transform society and philosophy. As long as Chinese philosophy is under rapid and vivid development, the number of schools, the prosperity of talents, the freedom of thought, and the openness of academics will reach their peaks. The rise and fall of Chinese philosophy have moved along with social changes and has created the personality and connotation of the national spirit. Therefore, when discussing how to inherit or develop Chinese medicine, the contemporary social and philosophical basis must first be understood. Ancient Chinese philosophy is charming but complicated, evolving with people’s understanding of nature and the pursuit of the spirit world. The theory of ‘Yin and Yang’ and the ‘five elements’ is the unified framework for explaining the law of natural development. They are the cosmology and methodology used by ancient Chinese philosophers to understand the world, and they play an important role in the development of TCM (Figure 1.1). Figure 1.1 Taiji Diagram (Black region represents Yin, white region represents Yang.) Chapter ANCIENT CHINESE PHILOSOPHY AND HISTORY OF TRADITIONAL CHINESE MEDICINE3Chapter 1 ANCIENT CHINESE PHILOSOPHY AND HISTORY OF TRADITIONAL CHINESE MEDICINE1.2 A brief history of tcM China has a recording history of over 4000 years as an ancient East Asian country. Chinese culture emerged and flourished in the ancient land of China. As a treasure of the Chinese nation, Chinese medicine develops together with Chinese culture. The development of TCM reflects the integration of traditional philosophy with medicine, which is based on the ancient people’s experience in fighting against diseases and providing care for future generations. Thousands of years of history and clinical practice have demonstrated the magic of Chinese medicine in disease prevention, treatment, and health preservation. TCM guards the Chinese nation with its unique charm as treasures of Chinese culture. Chinese medicine originated from the labor process of primitive society. The ancestors of the Chinese nation first settled down in the Yellow River basin, where Chinese medicine also emerged. In China, there are many legendary myths and stories about TCM, such as “Shen Nong tastes hundreds of herbs and encounters seventy poisons in one day”. These legends reflect the hardships of the ancient people who fought against nature and disease. The struggle spirit of the ancient Chinese people inspired the painstaking process of discovering drugs and accumulating theoretical knowledge. TCM has been gradually developed through long-term medical practice and eventually established as a new medical theoretical system. People first learn about botanicals during the agricultural society. With the continuous development of fishery, hunting methods, and the use of fire, ancient people had more ways to obtain food and other materials, such as meat, fish and crustaceans. In these agricultural productions, people have accumulated an understanding of animal and mineral medicines, which led to the further development of the TCM system. As early as the Xia, Shang and Zhou dynasties (approximately the end of the 22nd century BC-256 BC), medicinal liquor and decoction appeared in China. The “Book of Songs” of the Western Zhou Dynasty (about 11th century BC—771 BC) is China’s earliest medical record book. The earliest TCM classics “Internal Classics” compiled the theories of “cold is hot and hot is cold”, “the five flavors”, and “the five internal organs suffer from pain and desire to replenish and reduce”, which lay the foundation for the basic theory of Chinese medicine. Decoction is one of the most common dosage forms of Chinese medicine, which was developed by Yi Yin, the prime minister of the Shang Dynasty. Unfortunately, Yi Yin’s work has been lost. From the discoveries of archaeologists based on the Oracle bone inscriptions during the Yin and Shang Dynasties, there are records of medical treatments and decoction prescriptions. The Zhou Dynasty has already used diagnostic methods, such as seeing, hearing, asking, and feeling the pulse. TCM practitioners began testing drugs, acupuncture and surgery. During the Spring and Autumn Period, all nations had medical development and medical remission. There are well- known official doctors in history, for example, Bian Que during the Spring and Autumn Period and the Warring States Period. Bian Que is proficient in inspection and pulse feeling, and has left many wonderful legendary cases for future generations to learn and refer to. During the Qin and Han Dynasties, a book with systematic TCM theory such as Huangdi Nei Jing (《黄 帝内经》) was formed. This book is the earliest extant theoretical classic of Chinese medicine. This book records the discussion and dialogue between Huang Di and his teacher Qi Bo on the prevailing medical issues, involving the relationship between man and nature, physiology, pathology, diagnosis, treatment, and disease prevention. This book also introduces the basic principles of meridian acupoints, acupuncture and moxibustion techniques, and position selection, which establishes a theoretical system for the future development of Chinese medicine. At the end of the Eastern Han Dynasty, a legendary TCM practitioner appeared in China. It is Zhang Zhongjing who was hailed as the “medical saint” by later generations. Wars 3Chapter 1 ANCIENT CHINESE PHILOSOPHY AND HISTORY OF TRADITIONAL CHINESE MEDICINE1.2 A brief history of tcM China has a recording history of over 4000 years as an ancient East Asian country. Chinese culture emerged and flourished in the ancient land of China. As a treasure of the Chinese nation, Chinese medicine develops together with Chinese culture. The development of TCM reflects the integration of traditional philosophy with medicine, which is based on the ancient people’s experience in fighting against diseases and providing care for future generations. Thousands of years of history and clinical practice have demonstrated the magic of Chinese medicine in disease prevention, treatment, and health preservation. TCM guards the Chinese nation with its unique charm as treasures of Chinese culture. Chinese medicine originated from the labor process of primitive society. The ancestors of the Chinese nation first settled down in the Yellow River basin, where Chinese medicine also emerged. In China, there are many legendary myths and stories about TCM, such as “Shen Nong tastes hundreds of herbs and encounters seventy poisons in one day”. These legends reflect the hardships of the ancient people who fought against nature and disease. The struggle spirit of the ancient Chinese people inspired the painstaking process of discovering drugs and accumulating theoretical knowledge. TCM has been gradually developed through long-term medical practice and eventually established as a new medical theoretical system. People first learn about botanicals during the agricultural society. With the continuous development of fishery, hunting methods, and the use of fire, ancient people had more ways to obtain food and other materials, such as meat, fish and crustaceans. In these agricultural productions, people have accumulated an understanding of animal and mineral medicines, which led to the further development of the TCM system. As early as the Xia, Shang and Zhou dynasties (approximately the end of the 22nd century BC-256 BC), medicinal liquor and decoction appeared in China. The “Book of Songs” of the Western Zhou Dynasty (about 11th century BC—771 BC) is China’s earliest medical record book. The earliest TCM classics “Internal Classics” compiled the theories of “cold is hot and hot is cold”, “the five flavors”, and “the five internal organs suffer from pain and desire to replenish and reduce”, which lay the foundation for the basic theory of Chinese medicine. Decoction is one of the most common dosage forms of Chinese medicine, which was developed by Yi Yin, the prime minister of the Shang Dynasty. Unfortunately, Yi Yin’s work has been lost. From the discoveries of archaeologists based on the Oracle bone inscriptions during the Yin and Shang Dynasties, there are records of medical treatments and decoction prescriptions. The Zhou Dynasty has already used diagnostic methods, such as seeing, hearing, asking, and feeling the pulse. TCM practitioners began testing drugs, acupuncture and surgery. During the Spring and Autumn Period, all nations had medical development and medical remission. There are well- known official doctors in history, for example, Bian Que during the Spring and Autumn Period and the Warring States Period. Bian Que is proficient in inspection and pulse feeling, and has left many wonderful legendary cases for future generations to learn and refer to. During the Qin and Han Dynasties, a book with systematic TCM theory such as Huangdi Nei Jing (《黄 帝内经》) was formed. This book is the earliest extant theoretical classic of Chinese medicine. This book records the discussion and dialogue between Huang Di and his teacher Qi Bo on the prevailing medical issues, involving the relationship between man and nature, physiology, pathology, diagnosis, treatment, and disease prevention. This book also introduces the basic principles of meridian acupoints, acupuncture and moxibustion techniques, and position selection, which establishes a theoretical system for the future development of Chinese medicine. At the end of the Eastern Han Dynasty, a legendary TCM practitioner appeared in China. It is Zhang Zhongjing who was hailed as the “medical saint” by later generations. Wars 中药基础理论Traditional Chinese Medicine4中药基础理论Traditional Chinese Medicine 中药基础理论Traditional Chinese Medicine4中药基础理论Traditional Chinese Medicine and plagues raged across the country, and people lived a miserablelife. Many family members of Zhang Zhongjing died of diseases as a result of mistreatment. There were many preventable deaths in society due to the pandemic and limited therapeutics in his time. The book “Typhoid Fever and Miscellaneous Diseases” compiled by Zhang Zhongjing specifically discusses the principles of diagnosis and treatment of various miscellaneous diseases, laying a foundation for the development of clinical medicine in later generations, establishing the treatment principles of TCM syndrome differentiation, and the development of TCM formulas. Surgery during the Han Dynasty has reached a high level according to Records of the Three Kingdoms (《三国志》). Hua Tuo, a famous doctor, has begun to use the general anesthetic Ma Fei San (《麻沸散》) to perform various surgical operations. He also advocated sports therapy, guided and cured diseases, and created the famous Five-Animal Exercise (《五禽戏》). The influences of TCM are no longer confined to China, but have affected overseas at that time (Figure 1.2). Figure 1.2 Five-Animal Exercise From the WeiJin, Southern and Northern Dynasties (220 AD-589 AD) to the Sui, Tang, and Five Dynasties (581 AD-960 AD), pulse diagnosis has made remarkable achievements. So far, the surgical level of Chinese medicine is soaring, and a large number of documents and works have been transmitted. TCM surgery develops gradually from the fragmentary experience to the theoretical system. The Mai Jing of Wang Shuhe, a famous doctor of the Jin Dynasty, summarizes 24 kinds of pulse conditions. This book has a great influence on Chinese medicine and overseas. During this period, the specialization of various medical disciplines has matured. In addition, there are large-volume of prescriptions, such as Sun Simiao’s Thousand-Golden-Prescriptions (《千金要方》) and Wang Tao’s Waitai Mi Yao (《外台秘要》). During the Song, Jin and Yuan Dynasties, the TCM theory was further deepened. In the Song Dynasty, the rulers attached great importance to Chinese medicine education and established a special medical bureau to train people with medical backgrounds at that time. To a certain extent, it promoted the prosperity of TCM culture and became the highest institution for training TCM talents at that time. The Song Dynasty government specially established the “Corrective Medical Skills Bureau” to systematically summarize and organize important medical classics of the past. The system of Chinese medicine was further improved in the following ten years. Monographs on acupuncture and moxibustion include A-B Classic of Acupuncture and Moxibustion (《针灸甲乙经》); Baopuzi (《抱朴子》), and Posterior elbow Prescriptions (《肘后方》) are representative works of alchemy; Lei Gong Pao Zhi Lun (《雷公炮炙论》) in pharmacy; Liu Juanzi’s Remedies Bequeathed by Ghosts (《刘涓子鬼遗方》) in surgery and the cause of the disease. The Cranial fontanelle (《颅囟经》) is a pediatric monograph; Newly Revised Materia Medica (《新修 本草》) is the world’s first pharmacopoeia; ophthalmology monographs include Yinhai Jingwei () 《银海精微》 and so on. During the Jin and Yuan era, many distinctive medical schools appeared. The four most representatives are: Liu Wansu, who believes that the symptoms of typhoid fever (generally referred to as febrile diseases) are related to “heat”, and cold medicines are used for treatment as the school of cold and cool Chapter ANCIENT CHINESE PHILOSOPHY AND HISTORY OF TRADITIONAL CHINESE MEDICINE5Chapter 1 ANCIENT CHINESE PHILOSOPHY AND HISTORY OF TRADITIONAL CHINESE MEDICINE(《寒凉派》); Zhang Congzheng believes that the disease is caused by external evil invading the human body. The disease can be caused and eliminated. The treatment often uses sweating, vomiting, and other methods to combat the diseases. Li Dongyuan claimed: “due to internal injuries of the spleen and stomach, all diseases are born”, and the focus of treatment is to warm up the spleen and stomach. Since the spleen belongs to the “earth”in the theory of the five elements, it is called the Earth tonifying school (《补土派》) by later generations. Zhu Zhenxiang believes that “the Yang is always surplus, and the Yin is always insufficient”(the human body is often considered too Yang and insufficient). The treatment of diseases nourishes Yin and reduces Yang. The development of TCM theory stopped after the Ming and Qing Dynasties. From the Ming Dynasty (1368 AD-1644 AD), Western medicine propagates to China. A group of medical scientists advocated the “convergence of Chinese and Western medicine” and became the pioneers of contemporary Chinese and Western medicine. Li Shizhen, a medical scientist, completed the masterpiece Compendium of Materia Medica (《本草纲目》) about Chinese pharmacy in 27 years. The book contains 1892 kinds of medicines, making it the greatest integrated work in the history of Chinese Materia Medica. Since the end of the Qing Dynasty, China has suffered from the armed invasion of western powers, and its fate has also weakened. The influx of modern medicine (Western medicine) affects the development of Chinese medicine. Many people advocate the modernization of medicine, but TCM has been greatly challenged. People began to use the theory of the Western medical system to examine TCM, which is a debate about preservation and abolition. The same is true of Japanese Kampyo Medicine and Korean Medicine, both of which belong to the Chinese medical system. However, hasn’t the development of Chinese medicine stopped here? Wu Jutong created the Sanjiao (《三焦》) dialectical system to diagnose and treat the disease, which further enriched the diagnosis and treatment system of TCM syndrome differentiation, and formed a self- contained theory in terms of etiology, pathogenesis, and dialectical diagnosis and treatment of TCM. Until today, the development of Chinese medicine has a history of thousands of years. The status of TCM and its role in modern clinics has recovered after the decline. Internationally, acupuncture arouses great interest in the medical community. Acupuncture can effectively relieve post-operative pain, nausea during pregnancy, nausea and vomiting caused by chemotherapy, and toothache, with extremely low side effects. However, for chronic pain, back pain, and headache, the data is ambiguous or controversial. WHO agrees that the effectiveness of many acupunctures and some herbal medicines can be supported by scientific double-blind studies, but other traditional therapies need to be further studied, and the safety of these therapies cannot be ignored. On May 26, 2002, WHO published the Global Strategy for Traditional Medicine Research 2002-2005 and invited many countries to incorporate alternative medicine into their medical policies. On October 1, 2018, WHO included TCM for the first time in its globally influential medical program in Chapter 26 of the 11th edition of the Global Medical Compendium. This chapter mainly explains the classification system of traditional medicine, which will be implemented in the WHO member states after 2022. The original innovation and revolution of the basic theory of modern Chinese medicine began in the 1990s. Three novel philosophical views of TCM exist: holistic view, syndrome differentiation view, and the newly excavated third philosophical view of TCM: similarity view-fractal theory. In this COVID19 pandemic, Chinese medicine based on Zhang Zhongjing’s traditional prescription still plays an important role. The team of Academician Zhong Nanshan published a paper to propose the effect of Lianhua Qingwen Capsule in controlling the pandemic. Besides masks and disinfectants, Chinese medicine has become indispensable in this pandemic. 1.3 top 10 fAMous chinese doctors in history Chinese culture has a long history, which is broad and profound. As one of China’s national 5Chapter 1 ANCIENT CHINESE PHILOSOPHY AND HISTORY OF TRADITIONAL CHINESE MEDICINE(《寒凉派》); Zhang Congzheng believes that the disease is caused by external evil invading the human body. The disease can be caused and eliminated. The treatment often uses sweating, vomiting, and other methods to combat the diseases. Li Dongyuan claimed: “due to internal injuries of the spleen and stomach, all diseases are born”, and the focus of treatment is to warm up the spleen and stomach. Since the spleen belongs to the “earth”in the theory of the five elements, it is called the Earth tonifying school (《补土派》) by later generations. Zhu Zhenxiang believes that “the Yang is always surplus, and the Yin is always insufficient”(the human body is often considered too Yang and insufficient). The treatment of diseases nourishes Yin and reduces Yang. The development of TCM theory stopped after the Ming and Qing Dynasties. From the Ming Dynasty (1368 AD-1644 AD), Western medicine propagates to China. A group of medical scientists advocated the “convergence of Chinese and Western medicine” and became the pioneers of contemporary Chinese and Western medicine. Li Shizhen, a medical scientist, completed the masterpiece Compendium of Materia Medica (《本草纲目》) about Chinese pharmacy in 27 years. The book contains 1892 kinds of medicines, making it the greatest integrated work in the history of Chinese Materia Medica. Since the end of the Qing Dynasty, China has suffered from the armed invasion of western powers, and its fate has also weakened. The influx of modern medicine (Western medicine) affects the development of Chinese medicine. Many people advocate the modernization of medicine, but TCM has been greatly challenged. People began to use the theory of the Western medical system to examine TCM, which is a debate about preservation and abolition. The same is true of Japanese Kampyo Medicine and Korean Medicine, both of which belong to the Chinese medical system. However, hasn’t the development of Chinese medicine stopped here? Wu Jutong created the Sanjiao (《三焦》) dialectical system to diagnose and treat the disease, which further enriched the diagnosis and treatment system of TCM syndrome differentiation, and formed a self- contained theory in terms of etiology, pathogenesis, and dialectical diagnosis and treatment of TCM. Until today, the development of Chinese medicine has a history of thousands of years. The status of TCM and its role in modern clinics has recovered after the decline. Internationally, acupuncture arouses great interest in the medical community. Acupuncture can effectively relieve post-operative pain, nausea during pregnancy, nausea and vomiting caused by chemotherapy, and toothache, with extremely low side effects. However, for chronic pain, back pain, and headache, the data is ambiguous or controversial. WHO agrees that the effectiveness of many acupunctures and some herbal medicines can be supported by scientific double-blind studies, but other traditional therapies need to be further studied, and the safety of these therapies cannot be ignored. On May 26, 2002, WHO published the Global Strategy for Traditional Medicine Research 2002-2005 and invited many countries to incorporate alternative medicine into their medical policies. On October 1, 2018, WHO included TCM for the first time in its globally influential medical program in Chapter 26 of the 11th edition of the Global Medical Compendium. This chapter mainly explains the classification system of traditional medicine, which will be implemented in the WHO member states after 2022. The original innovation and revolution of the basic theory of modern Chinese medicine began in the 1990s. Three novel philosophical views of TCM exist: holistic view, syndrome differentiation view, and the newly excavated third philosophical view of TCM: similarity view-fractal theory. In this COVID19 pandemic, Chinese medicine based on Zhang Zhongjing’s traditional prescription still plays an important role. The team of Academician Zhong Nanshan published a paper to propose the effect of Lianhua Qingwen Capsule in controlling the pandemic. Besides masks and disinfectants, Chinese medicine has become indispensable in this pandemic. 1.3 top 10 fAMous chinese doctors in history Chinese culture has a long history, which is broad and profound. As one of China’s national 中药基础理论Traditional Chinese Medicine6中药基础理论Traditional Chinese Medicine 中药基础理论Traditional Chinese Medicine6中药基础理论Traditional Chinese Medicine quintessence, Chinese medicine is a representative of Chinese culture. TCM is the crystallization and embodiment of the wisdom of the Chinese nation. TCM plays an important role in the world medical system. In the context of the vigorous development of Chinese medicine, the Chinese nation has seen many famous doctors. Their emergence promoted the development of Chinese culture and TCM, leaving a wealth of visiting books and prescription treatments for future generations. There are countless famous Chinese medicine doctors, but here we list ten Chinese medicine doctors who have representative value. 1.3.1 Fu Xi Fu Xi is the ancestor of mankind in Chinese mythology, who lived in the middle and late Paleolithic period as one of the originators of Chinese medicine. Fuxi created nine needles and tasted hundreds of medicines. For thousands of years, TCM practitioners have regarded him as the ancestor of medicine and acupuncture. Fu Xi’s contribution mainly lies in the theoretical basis of Chinese medicine (Figure 1.3). Through the changes of Yin and Yang, Fuxi deduces and combines these four images and the Bagua (八卦Figure 1.4) Qian (乾), Kan (坎), Gen (艮), Zhen (震), Xun (巽), Li (离), Kun (坤), Dui (兑) The Eight Diagrams are composed of Yin Yao and Yang Yao. There are eight hexagrams in the Bagua diagram, but each hexagram has three lines, and the disconnection and connection in each hexagram have a strange law. Applying the changing law of the three lines to graphics, it is generally considered that “--” is Yang and “--” is Yin. A system in which all things can be understood is formed through permutation and combination, and becomes the theoretical basis for later generations of Chinese medicine. Eight trigrams serve as a theoretical framework for explaining physiological, pathological and medical theories. Fu Xi’ eight trigrams divide the human body into five outer elements and five inner elements. The outer elements are the head as Qian, Kun as abdomen, Zhen as foot, Xun as stock, Kan as ear, Li as eye, Gen as hand, and Dui as mouth. For the inner five elements, Qian is the lung, Li is the heart, Xun is the gall, Zhen is the liver, Gen is the spleen, Kun is the stomach, and Kan is the kidney. The pathology of the five internal organs is due to its own imbalance of Yin and Yang, as well as the constraints on these five elements. Fu Xi’s philosophy of life is to understand all pathological changes that occur in the human body through a macroscopic, holistic and individualized view. Later, doctors used eight trigrams to classify the ears, hands, feet, and eyes into eight parts to explain the occurrence and treatment of diseases. When formulating a prescription for the clinical diagnosis and treatment of diseases in TCM, the first thing to do is to localize the disease. For example, patients with insomnia mostly suffer from liver and kidney Yin deficiency or heart-kidney incompatibility; the prescription should nourish the liver and kidneys and warm the heart. Patients with cough are mostly spleen and lung deficiency. TCM practitioners should take the pulse in the Kun position and switch Figure 1.3 Portrait of Fu Xi Figure 1.4 Schematic of Bagua positions to cultivate the earth to produce gold, so as to achieve the spleen and lung power. Patients with menstrual bladder pain on both sides of the spine could take the spine, because the water of the Kan hexagram corresponds to the Ren channel, ears, kidneys and bladder; if the pain is in the spine, then its stem position is taken. The Qian hexagram is golden, corresponding to the spine and the governing channel. The Yellow Emperor’s Inner Classic-Suwen-Golden Chamber True Statements (《黄帝内经·素问·金 匮真言论》) said: “Speaking of Yin and Yang in the viscera, the viscera is Yin, and the viscera is Yang. The five internal organs of liver, heart, spleen, lung and kidney are Yin. Gallbladder, stomach, large intestine, small intestine, bladder, three-burner, and six internal organs are all Yang, which describes the division of the Yin and Yang in the body’s viscera. The Yellow Emperor’s Inner Classic-Suwen-Qi Tongtian Theory (《黄帝 内经·素问·生气通天论》) propose that, the essential elements of Yin and Yang, “Spirit is the cure”, and the “Qi (《气》) ” in the human body distinguishes between Yin and Yang. Although Fu Xi’s contribution to ancient Chinese medicine did not leave a classic, the Yin and Yang, five elements, and eight trigrams theories established by Fu Xi guided the physiology, pathology, syndrome differentiation and medicinal practice of Chinese medicine. 1.3.2 Bian Que Sima Qian said in the chapter of Historical Biography of Bian Que Cang Gong (《史记·扁鹊仓工传》, Figure 1.5): Women have neither beauty nor evil, they see jealousy in the palace; scholars are not good, and they see doubts when they enter the court. Therefore, Bian Que uses his tricks to see the trouble, and the Cang gong hides himself. Teng Weiyin, a Japanese physician, comments: “Bian Que is the ancient genius doctor.” Bian Que is one of the representative figures of ancient Chinese medicine. Bian Que, a citizen of Yue, was a famous doctor in the Spring and Autumn Period and Warring States Period, who was born in Bohai County (Jizhou Town, Xiong County). Bian Que studied medicine when he was young, and learned a lot of forbidden prescriptions from Chang Sangjun as his teacher. Due to his excellent medical skills, he was rated as a genius doctor. He cured Zhao Jianzi’s five-day unawake disease. Zhao Jianzi rewarded him with the 40, 000 acres of Pengque mountain fields in Bianque. At the top of the mountain and above the Bianque Cave Mansion, there are natural stone magpies eager to fly and the magical stone figure of the world. Zhao people regarded Qin Yue people as auspicious magpies, and respectfully called them “Bian Que” or “Zhao Bian Que”. Therefore, people at that time borrowed the name of the genius doctor “Bian Que” from the Huangdi period in ancient mythology to call him, whose reputation spreads throughout the country. It is regrettable that Bian Que was killed by jealous people, which is a regret in history. His contributions to TCM remain invaluable to this day. Neiqiu is the birthplace and hometown of the Bian Que culture. The medical techniques of Huang’s medicine have been passed down from generation to generation in Bian Que Temple. Yan Bolu and his son rebuilt Bian Que’s diagnosis of diseases and followed the 4-pillar diagnosis formulated by Qian Que, such as looking at color, listening to sounds, writing shadows, and feeling pulses, who were good at observing superficial color for diagnosis and prognosis of diseases. Bian Que specializes in internal, external, female, harmonious, and incisional diagnosis. The five sense organs, acupuncture, massage, soup, hot ironing and other methods can be used to treat pediatric diseases. Qian Que is respected as the ancestor of medicine due to his contribution to TCM. Bian Que initiated pulse diagnosis to judge diseases and proposed the corresponding pulse diagnosis theory. Bian Que’s pulse-sensation diagnosis is very prominent at a higher level. In the early Qin Dynasty, Figure 1.5 Portrait of Bian Que 中药基础理论Traditional Chinese Medicine8中药基础理论Traditional Chinese Medicine 中药基础理论Traditional Chinese Medicine8中药基础理论Traditional Chinese Medicine the pulse diagnosis of Chinese medicine was a three part nine waiting method. In terms of treatment, Bian Que uses comprehensive treatments, which is the main treatment method for Bian Que while practicing medicine. Bian Que is an all-rounder who treats all kinds of diseases concurrently and acts according to local needs. When he was in Handan, he heard that the local people were caring for women, so he focused on being a doctor to treat the diseases of women. Bian Que specializes in the treatment of deafness, vertigo, and limb pain in the elderly. When he arrived in Xianyang, he heard about the children’s diseases of the Qin people and began to treat such diseases, thus flexibly changing the scope of his treatment for different patients. Qin’s imperial physician told Li Xi that his medical skills were inferior to Bian Que, and the latter sent someone to assassinate Bian Que. People using dialysis and pulse diagnosis around the world follow Bian Que’s theory and practice. According to records, Bian Que is also good at surgery with drug anesthesia. Therefore, to a certain extent, Bian Que’s achievements lay the foundation for TCM diagnostics and have a great influence on the development of Chinese medicine. He spent his whole life carefully summarizing existing medical diagnosis and treatment experience, translating it into his medical practice, and contributing to the field of TCM in diagnosis, pathology, and treatment methods. He is the author of Internal Classics and External Classics. The TCM practitioners respect Bian Que as the patriarch of ancient Chinese medicine and founder of ancient medicine. 1.3.3 Zhang Zhongjing Zhang Zhongjing is one of the most outstanding scientists in the long civilizational history of the Chinese nation. His doctrine nurtured several generations of famous doctors and made great contributions to the prosperity of the Chinese nation (Figure 1.6). Zhang Zhongjing was born in Nanyang County (now Zhangzhai Village, Rangdong Town, Dengzhou City, Henan Province) in the Eastern Han Dynasty as a later generation medical saint. Zhang Zhongjing lived in an extremely turbulent era in ancient Chinese history—the late Eastern Han Dynasty. Wars continued, epidemics swept the Central Plains, and the people became homeless. Countless people died in exile. Since the early years of Jian’an, in less than ten years, two-thirds of his extended family have died of epidemics, and seven out of ten have died of typhoid fever. Faced with the raging plague, Zhang Zhongjing felt very sad and resentful. In this regard, Zhang Zhongjing determined to study the diagnosis and treatment of typhoid fever and must subdue the plague of typhoid fever. After decades of hard work, he finally wrote an immortal book entitled Treatise on Febrile and Miscellaneous Diseases, which is a summary of medical theory since the Qin and Han Dynasties. It is one of the most influential classical medical works in the history of TCM and the first masterpiece of clinical therapy (Figure 1.7). Zhang Zhongjing proposed “differentiation and treatment” in his book, which absolutely dominated the development of Chinese medicine in later generations. In addition, Zhang Zhongjing is modest and prudent and advocates lifelong learning. His spirit affects future generations. In the book preface, he said: The one who is born to know Figure 1.6 Portrait of Zhang Zhongjing Figure 1.7 Treatise on Febrile and Miscellaneous Diseases goes, learns less, learns more, knows more, and then knows the second. Zhang Zhongjing commented that he was not a genius, and he could only gain knowledge by studying hard. His masterpiece Treatise on Febrile and Miscellaneous Diseases, which establishes the principles of syndrome differentiation and treatment, is the basic principle of TCM clinical practice, the soul of TCM, and a classic work for post- scholars to study TCM. He has made important contributions to the development of TCM, whose medical philosophy and insights still affect today’s society. As early as 1997, WHO proposed that the best medical model of the 21st century is personalized medicine, which coincides with Zhang Zhongjing’s thought of “differentiation and treatment”. 1.3.4 Hua Tuo Hua Tuo is one of the outstanding surgeons in the history of Chinese medicine. When it comes to Hua Tuo, the first thing most people think of is the description of Hua Tuo’s treatment of Guan Yu in Luo Guanzhong’s Romance of the Three Kingdoms. However, the description in this paragraph may be fabricated in The Romance of the Three Kingdoms and Xiangyang Fuzhi circulating widely among the people of Hubei. Although Guan Yu has a bone scraping to heal his injuries, Hua Tuo died a few years earlier than his surgery. Of course, it is undeniable that Hua Tuo’s medical skills are extraordinary (Figure 1.8). Hua Tuo (approximately 145 AD-208 AD) was a native of Qiao County in Peiguo and a famous medical scientist of the late Eastern Han Dynasty. When Hua Tuo was young, he modestly studied medical skills far away from his hometown. He did not seek to make a difference in his official career. His medical practice is not only limited to one area, but also spreads all over Anhui, Shandong, Henan, Jiangsu, and other places. After decades of medical practice, Hua Tuo specializes in health preservation, prescriptions, acupuncture, and surgery. He is proficient in internal medicine, external medicine, gynecology, and pediatrics. He is an expert in clinical treatment, accurate diagnosis, simple methods, and fast curative effects known as the “genius doctor”. Hua Tuo plays a pioneering role in the development of Chinese medicine from the perspective of treating diseases such as fever, visceral diseases, mental illness, obesity, and parasitic diseases, as well as external diseases including pediatrics and gynecology such as trauma, intestinal carbuncle, tumor, fracture, needle error, breast cancer, Stillbirth, diarrhea in children, etc. Hua Tuo pioneered the invention of Ma Fei San (麻沸散), a drug used for general anesthesia as an anesthetic precedent in the world. Hua Tuo uses Ma Fei San to perform surgical operations, who is the initiator of surgery. The emergence of Western anesthetics was 1, 600 years later than that of Hua Tuo’s Ma Fei San. Hua Tuo is proficient in herb prescriptions, acupuncture, and moxibustion. Hua Tuo visited many doctors and discovered drugs with anesthetic effects. After many trials of formulations, he finally succeeded in creating an anesthetic. He prepared anesthetics and hot wine to make the patient unconscious. Then, he will open the abdominal cavity, cut the ulcer, wash the filth, suture it with mulberry thread, and then apply magic ointment. Patients will relieve from the pain in four to five days and recover in one month. Hua Tuo uses the tincture service “Ma Fei San” to perform abdominal surgery, which is unprecedented and rare in the history of the world of TCM. This invention enables TCM to form its own system in the direction of surgery. In addition, Hua Tuo pioneered the use of sports to diagnose and treat diseases in ancient Chinese medicine. Hua Tuo inherited and developed the predecessor’s prevention theory of “sages do not cure their own diseases, and they will cure the disease before the disease”, and arranged a set of aerobics that Figure 1.8 Portrait of Hua Tuo 中药基础理论Traditional Chinese Medicine10中药基础理论Traditional Chinese Medicine 中药基础理论Traditional Chinese Medicine10中药基础理论Traditional Chinese Medicine mimic the postures of five kinds of animals such as apes, deer, bears, and tigers for the elderly and infirm. Wuqinxi (禽戏), as a brand-new concept, enables Chinese medicine to become part of TCM. What this medical master left us is a wealth of medical knowledge and spirit. Hua Tuo lived in the early period of the Three Kingdoms and the late Eastern Han Dynasty. At that time, the warlords were in a state of chaos, epidemics were prevalent, and the people’s lives were difficult and miserable. In order to alleviate the suffering of people’s livelihood, Hua Tuo focusses on medical research rather than fame or wealth. The Book of the Later Han Dynasty-Hua Tuo Biography commented that he was “skilled in both mathematics and sexual nurturing”, especially “good at prescriptions”. He compiled his rich medical experience into a medical book called The Qing Nang Jing, but unfortunately this work was not passed down. Hua Tuo critically inherited the academic achievements of his predecessors and created new theories based on previous experiences. In his time, the development of TCM was very brilliant, such as Bian Que’s analysis of physiology and pathology in the Spring and Autumn Period. Hua Tuo maintained the essence and removed the dross, thus improving the level of Chinese medicine. 1.3.5 Huang Fumi Huang Fumi (Figure 1.9) whose name is Shi’an, was named as Jing when he was young, and Xuanyan Xian Sheng in his later years. Huang Fumi was a medical scientist in Wei Jin Dynasty. According to historical records, Huang Fumi was born in a famous family in the Eastern Han Dynasty. He was eager to play since he was a child and never studied to improve. For example, he made a shield with village children and a spear with sticks rather than studying. By the age of seventeen, he was already tall, but he didn’t understand history. Family traditions are gradually fading. Under the reprimand of his aunt, he decided to study hard. He made up his mind to compile a book on acupuncture and moxibustion. He studied three well-known ancient medical works, namely Su Wen (《素问》), Acupuncture Jing (“Lingshu”), and Ming tang Acupoint Acupuncture Treatment Essentials, and made a comprehensive comparison to delete the floating words. Except for its repetition, he also discussed its essence, combined with his own clinical experience, and eventually wrote a masterpiece as a standard for later generations of acupuncture The Yellow Emperor’s Three Acupuncture and Moxibustion Classics, also called Acupuncture and Moxibustion A and B Classics or A-B Classic. In the history of acupuncture and moxibustion, this book occupies a high academic position. Huang Fumi is known as the originator of acupuncture. People may wonder why Huang Fumi, who lives in the turbulent social life environment, does not strive for high-ranking officials and wealth and with extraordinary perseverance, writes and speaks, instead of an eternal scholar. Perhaps we can learn from his perspective of the universe. Like many scholars in ancient China, he did not systematically explore the origin and essence of nature, nor did he leave any special expositions and monographs. However, he caught a glimpse of his philosophical views from numerous works handed down. The description in his A and B Classic of the Five Zang Change shows that he agrees that the world is material, and everything develops and changes in the contradiction between Yin and Yang, which promotes the prosperity of everything. Withered by the social and historical evolution and progress, Yin and Yang are constantly transforming and restricting each other. Huang Fumi has established a correct outlook on the world and life, and uses a dialectic perspective to understand, analyze, and solve problems. Witnessing the sinister social turmoil and political vortex, he is not pessimistic about it. He believes that the change and replacement of dynasties indicate social progress, and these inevitable laws of historical development are irreversible. Corruption and darkness are reversed in social progress, and the sprays will eventually be washed away. Human activities must advance with the Figure 1.9 Portrait of Huang Fumi times and respect the inevitable laws of historical development. 1.3.6 Sun Simiao Li Shimin commented: “he is the master of a hundred generations and respectable TCM doctor”. Sun Simiao is a native of Jingzhao Dongyuan (Sunjiayuan, Yao County, Shaanxi Province), who was born in the first year of Kaihuang in the Sui Dynasty and died in the first year of Tang Yongchun. He lived 102 or 141 years old and he was a famous medical scientist and pharmacologist in the history of China and even the world. He was respected by the people as the “King of Medicine”. According to records, Sun Simiao was very talented since he was a child. When he was 7 years old, he knew more than a thousand words. By the time he was 20 years old, he became acquainted with the classics of hundreds of scholars. During the Northern Zhou Dynasty, Yang Jian was in charge of the government and called Sun Simiao a doctor of the country. Sun Simiao believes that government officials are sophisticated and restrictive. Hence, he devoted himself to medicine, herbs, and pharmacology. Later, he lived in seclusion in the Taibai Mountains. He earnestly studied ancient medical books. Dr. Sun is enthusiastic about treating diseases and accumulating clinical experience. Based on his experience and existing theoretical basis, Sun Simiao wrote the medical books Qianjin Yaofang and Qianjin Yifang (Figure 1.10). Sun Simiao has made many achievements and contributions to the development of TCM. He specialized in internal medicine, gynecology, pediatrics, surgery, and ENT. For the first time in TCM, he advocated that the treatment methods for women and children’s diseases should be set up separately, thereby first discussing gynecology and pediatrics. He attached great importance to maternal and child health care. He wrote three volumes of “Prescriptions for Women” and two volumes of “Prescriptions for Toddlers and Children”, which were placed at the top of “Prescriptions for a Thousand Golds”. Future generations of medical workers have shown great importance to the study of treatment techniques for gynecological and pediatric diseases. Sun Simiao advocated for self-health preservation and practice. He combined the health preservation of Confucianism, Taoism, and ancient Indian Buddhism with the theory of Chinese medicine, and put forward many practical health preservation methods. At the same time, Sun Simiao advocated the importance of medical ethics, regardless of “noble and lowly, rich and poor, young and old, resenting relatives and friends, and stupidity and wisdom”. Life is the most important thing and is more expensive than thousands of gold. He believes that doctors must relieve patients’ pain as their sole responsibility without private desires and demands, and treat patients with equality and supremacy. He is committed to saving lives, not seeking fame and fortune. He spent his entire life on realizing Taoist’s medical ethics, and he was the founder of Chinese medical ethics. In his famous work “A Thousand Gold Prescriptions”, the medical ethics of “grand doctors are sincere”is in an extremely important position. He is one of the representative figures of moral cultivation, moral cultivation, and virtue and art. It is worth mentioning that in ancient society, natural materials were used to treat diseases. Sun Simiao is one of the few Chinese medicine practitioners who do not advocate the use of animals as medicine. He said: “TCM practitioners risk their lives to help treat their own diseases since ancient times. Cheap animals save the lives of nobles and themselves and avoid harms.” Sun Simiao’s theory guides people’s daily lives, and maintains a balanced mindset. People should not blindly pursue fame and fortune, and eating should be temperate, which are precious experiences for future generations. 1.3.7 Song Ci Song Ci is a well-known Chinese medicine doctor and the originator of forensic medicine in history, Figure 1.10 Portrait of Sun Simiao 中药基础理论Traditional Chinese Medicine12中药基础理论Traditional Chinese Medicine 中药基础理论Traditional Chinese Medicine12中药基础理论Traditional Chinese Medicine who is known as one of the ten famous detectives in ancient China. Song Ci (1186-1249, Figure 1.11) was born in Jianyang (now Nanping, Fujian), and he was a famous forensic scientist in the Southern Song Dynasty. Song Ci pioneered the “forensic appraisal” in 1235 AD as a precedent of forensic medicine in the world, and is known as the “father of forensic medicine”. Song Ci served as a prison officer in Guangdong, Hunan and other places, concentrating on field inspections. The five-volume “Compilation of Injustices” is the first systematic and the earliest recognized forensic monograph in the world. He made significant contributions to the development of TCM and forensic medicine. Regarding the specific examination of the corpse, Song Ci’s materialism in forensic theory and practice promoted the diagnosis of death because, to a certain extent, it requires high technique. Forensic practitioners should have good ideological and moral character, and deep medical foundation with scientific knowledge and methods. Song Ci, who was born as a Confucian, has no knowledge of medicine and other related sciences. In order to make up for this shortcoming, he assiduously studied medical books and applied relevant knowledge of physiology, pathology, pharmacology, toxicology, and diagnostic methods to examine deaths and injuries. He carefully summarized his previous experience to prevent “Loss of Prison Situation” and “Mistaken Verification”. After many years of testing practice, he worked hard to develop diverse and scientific testing methods and spared no effort in this regard. Inheriting from the book The Collected Records of Washing Injustices that has been passed down to him, the variety, comprehensiveness, and accuracy of the inspection methods contained therein are unprecedented. He lived a simple life and paid attention to training the younger generation, which played an important role in the development of TCM. 1.3.8 Ge Hong Due to the lack of scientific theoretical explanations in ancient TCM, some people think that Chinese medicine is a kind of superstition and should not exist in this era. Ge Hong, a well-known Chinese medicine expert, used practical experience to prove the error of this statement and the scientific principles of TCM. Ge Hong was called Zhichuan (Figure 1.12), self-named Bao Puzi, from Jurong, Danyang County, Jin (now Jurong County, Jiangsu). Ge Xuan’s nephew, the alchemist of the Three Kingdoms, is known as Xiaoxianweng (《小 仙翁》). He was a Taoist leader in the Eastern Jin Dynasty and was good at alchemy. He studied medicine, Taoism and Confucianism, and had profound thoughts and works. He has made great achievements in the internal and external development of Taoist theory. He made achievements in healing, medicine, music, literature, etc., and is the author of the book Baopuzi (《抱朴子》). Ge Hong’s life is extremely legendary. Besides his identity being a TCM scientist, he was also a Taoist scholar and alchemist. Ge Hong was born into the noble family of Jiangnan, and lost his father at the age of 13, leaving his family in poverty. He used his income from cutting firewood in exchange for pen and paper, copying books, and studying after work until late at night. The villagers called him a scholar of Baopu or “Baopuzi”. Ge Hong is the first scientist in China to observe and record tuberculosis. He described a disease called “Zhou Zhu” in “Elbow Reserve Emergency Recipe”, telling that Figure 1.11 Portrait of Song Ci Figure 1.12 Portrait of Ge Hong this disease can be contagious to each other and is constantly changing. People with this disease cannot tell where they feel uncomfortable, afraid of catching a cold, fever, tiredness and getting lost. Patients lose weight every day, and they will die after suffering for a long time. The disease Ge Hong described is what we now call tuberculosis. Ge Hong’s method is scientifically justified and contains budding immunological ideas. Ge Hong took preventive measures against rabies as a pioneer in immunology, which began from Pasteur in France, Europe. Pasteur used artificial methods to infect rabbits with rabies. Then he took out the brains of the sick rabbits and injected them to prevent and treat rabies. The principle is similar to that of Ge Hong. Pasteur’s working method is, of course, more scientific, but it is more than 1, 000 years later than Ge Hong. The main activities of Ge Hong’s life were engaged in alchemy and medicine. He was also a religious theorist who combined Confucianism with Taoism. Ge Hong dared to “suspect the ancients” and opposed “expensive and inferior to the present.” He emphasized innovation and believed that “even though there are many ancient books, they may not be perfect.” Ge Hong read a large number of medical books and paid attention to analysis and research. In his medical practice, he summarized his treatment experience and collected private medical experience. He completed the 100-volume book Yuhanfang (《御寒方》). Due to a large number of volumes and difficulty in carrying and retrieving, the abstracts of common clinical diseases, emergencies and their treatments are compiled into 3 volumes of “Rescue Peasants’ Prescriptions Behind the Elbow”, which makes it easy for doctors to carry and meet the needs of clinical emergency retrieval. This book is the first clinical aid manual in the history of Chinese medicine. 1.3.9 Li Shizhen Li Shizhen (July 3, 1518-1593, Figure 1.13), whose name is Dongbi, became a native of Hushan in his later years and was born in Qizhou, Huangzhou Prefecture (now Qichun County, Hubei Province), and a famous medical scientist of the Ming Dynasty. Li Shizhen comes from a medical family. His grandfather was an herbalist, and his father, Li Yanwen, was a famous doctor. At that time, private doctors had low status and difficult lives. His father did not want Li Shizhen to study medicine. When Li Shizhen was 14 years old, he went with his father to the Huangzhou Mansion to take the exam and returned home as a talented scholar. However, he loved medicine since childhood, and was not keen on imperial examinations. After that, he went to Wuchang three times to take the exam and eventually decided to abandon Confucianism. At the age of 23, he studied medicine with his father, and his reputation in the medical field grew day by day. Li Shizhen’s academic thoughts and research methods are very distinctive. He has improved the ancient scientific methods and accumulated new research experience through his own practical experience. Li Shizhen uses methods of observation and experiment, comparison and classification, analysis and synthesis, critical inheritance, and historical textual research. He is the author of the Compendium of Materia Medica (《本 草纲目》), which has made a significant contribution to the development of Chinese pharmacology with a profound impact on the development of world medicine, botany, zoology, mineralogy, and chemistry. 1.3.10 Qian Yi Some people believe that the classification of TCM is vague, and it is impossible to achieve an “individualized plan” for treating a single patient. The classification of TCM is detailed, and it is not inferior to Western medicine, which is demonstrated in the famous Chinese classic Siku Quanshu General Catalogue Summary (《四库全书总目提要》). The author of this book is a Chinese medicine practitioner regarded as “the best Pediatrician of this generation”. Figure 1.13 Portrait of Li Shizhen 中药基础理论Traditional Chinese Medicine14中药基础理论Traditional Chinese Medicine 中药基础理论Traditional Chinese Medicine14中药基础理论Traditional Chinese Medicine Qian Yi, whose name is Zhongyang (Figure 1.14), lived in Dongping of the Song Dynasty. He was born approximately between Renzong and Huizong in the Northern Song Dynasty (approximately 1032—1113 AD). He practiced pediatrics and cured the pediatric diseases of the imperial relatives. Qian Yi had an outstanding reputation with the title of Hanlin Doctor of Medicine. Qian Yi has accumulated rich clinical experience during his years of practicing medicine, thereby serving as Cheng at Taiyuan Hospital. In the Qian’s era, the development of TCM was practically completed. Qian Yi has made great contributions to the cause of Chinese medicine. Qian Yi studied TCM with Lv Jun since childhood, involving “Neijing”, “Treatise on Febrile Diseases”, “Shen Nong’s Materia Medica”, etc. He worked hard to discriminate the right and wrong in “Shen Nong’s Materia Medica”. He explained in detail the difference from “birth” to “search for names and appearances”, with the latter checking the cursive script and fitting them all together. He collects and studies ancient and contemporary pediatric materials. Before Qian Yi, there was very little information about the treatment of pediatric diseases. Bian Que is a pediatric doctor, and the Cranial Fontan Sutra (《颅方丹经》) written by Wei Xun in the Eastern Han Dynasty was unfortunately lost. There are records of pediatric diseases in Chao Yuanfang’s Theories on the Sources of Various Diseases and Sun Simiao’s Qian Jin Fang. At the beginning of the Song Dynasty, people entrusted an ancient wizard to write the second volume of “The Skull Fontan Sutra”, which talked about the pediatric pulse, disease diagnosis, treatment of epilepsy, malaria, fire pill (i.e. erysipelas), and other syndromes. Qian Yi repeatedly studied this book and used curative methods in the clinic, which has far-reaching enlightening significance. Qian Yi took advantage of the enlightenment of the theory of “Pure Yang in children” in the “Cranial Fontan Sutra”, combined with his personal clinical practice on the basis of syndrome differentiation and treatment summarized by Zhang Zhongjing, and explored a set of “five internal organs differentiation” method suitable for children. Qian Yi’s achievements have a great influence on TCM syndrome differentiation and prescriptions. He established the professional status of pediatrics as a milestone figure in the history of Chinese medicine. With a wonderful hand and a benevolent heart, the goal of the TCM doctor is to make young and old people healthy, demonstrating the broadness and benevolence of Chinese medicine. From the taste of herbs to the gradual improvement of prescriptions and medicines, the coagulation of TCM theory is the unremitting effort of our ancestors. TCM is established step by step by practitioners of Chinese medicine. Standing on the shoulders of giants, TCM will surely get a resurgence and further development integrated with modern science and technologies. Figure 1.14 Portrait of Qian Yi [1] Still J. Use of animal products in traditional Chinese medicine: Environmental impact and health hazards [J]. Complementary Therapies in Medicine, 2003, 11: 118-120. [2] 李成文. 中医发展史 [M]. 北京: 人民军医出版社, 2004. [3] 潘天雄. 试论 “魄门亦为五脏使 ”的临床意义 [J]. 浙江中医杂志, 2004, 39 (7): 280-281. [4] Zhongjing zhang. Shang Han Lun: On Cold Damage, Translation & Commentaries [M]. Paradigm. Publications, 1999. [5] 许健鹏, 李国清. 中国古代名医点评 [M]. 北京: 中国医药科技出版社, 2000. [6] 董诰 . 全唐文第 1-11册 [M]. 北京: 中华书局, 1983. [7] Matthew W. Self as Historical Artifact: Ge Hong and Early Chinese Autobiographical Writing [J]. Early Medieval China, 2013, 2003(1):71-103. [8] 傅沛藩 . 钱乙学术思想对宋后医学流派影响初探 [J]. 中医文献杂志, 1999, 1: 11-12. [9] 卢红蓉 , 于志静. 钱乙学术思想及对后世的影响 [J]. 中国中医基础医学杂志, 2014. 20: 880-881.