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Curved Spine: The Shape of Spine in Taoist Body Diagrams and Its Influence on Medical Body Diagrams 弯曲的脊柱道教人体图中的脊柱形状及其对医学人体图的影响
Pub Date : 2024-08-08 DOI: 10.1097/mc9.0000000000000111
Xinyu Zhang, Shujian Zhang
From the early Taoist diagrams of the human body to the end of the Qing Dynasty and the beginning of the Republic of China, Taoists exaggerated and deformed the human spine in a shape-shifting manner. It is likely that medical practitioners were influenced by this style of representation, and there are also numerous diagrams of the human body with the curved spine in the lateral-view diagrams of viscera and Ming Tang Tu (明堂图), which always show the human torso in an elliptical "egg shape". No later than the Ming dynasty, medical practitioners began to depict the actual physiological spinal curve of the human body. By the Qing dynasty, the depiction of the spinal curve in medical diagrams of the human figure showed a tendency to part ways with the Taoist freehand style of the previous generation. Although the representation of the curve of the spine was very crude, later medical images of the human body at least gradually straightened the spine and no longer depicted it in a shape-shifting manner. However, the curved spine in Taoist diagrams of the human body continued to exist, and the presentation of the curved spine never changed. This way of depicting its appearance, which is very different from reality, is shaped by Taoism's special way of perceiving and viewing the body, and may also contain another form of truth.
从早期的道家人体图到清末民初,道家都对人体脊柱进行了夸张变形的塑造。医家很可能受到这种表现手法的影响,在《内脏侧视图》和《明堂图》中也有大量脊柱弯曲的人体图,这些图总是将人体躯干表现为椭圆形的 "蛋形"。至迟在明代,医学家们开始描绘人体脊柱的实际生理曲线。到了清代,医学人体图解中对脊柱曲线的描绘呈现出与前代道家写意风格分道扬镳的趋势。虽然对脊柱曲线的表现非常粗糙,但后来的人体医学图像至少逐渐将脊柱拉直,不再以变形的方式描绘脊柱。然而,道教人体图中弯曲的脊柱依然存在,对弯曲脊柱的表现形式也从未改变。这种与现实大相径庭的表象描绘方式,是道教对人体的特殊认知和观照方式所形成的,也可能蕴含着另一种形式的真理。
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引用次数: 0
The “Ukiyo” of Moxibustion Reflected in the Ukiyo-e 浮世绘中反映的艾灸 "浮世"
Pub Date : 2024-04-22 DOI: 10.1097/mc9.0000000000000105
Shan Jiang
Ukiyo-e (浮世絵) was a genre of popular art during the Edo and Meiji periods in Japan. Moxibustion, which was introduced from China at the first place, was also in its heyday and became one of the popular topics for ukiyo-e artists at that time. Using the images as historical evidence perspective, this article focuses on the moxibustion used in daily life in Japan depicted in the ukiyo-e arts. With the perspective of acu-moxa therapy, one may identify some specific issues in the acupoint selection, leading to the discovery of special application of moxibustion used by the group of yūjo (遊女) at that time. The article concludes by exploring gender issues in ukiyo-e arts and the implications of punishment attached to moxibustion treatment.
浮世绘是日本江户和明治时期的一种流行艺术流派。最初从中国传入的灸法也正处于鼎盛时期,成为当时浮世绘艺术家的热门题材之一。本文以图像作为历史证据的视角,重点探讨浮世绘中描绘的日本日常生活中使用的艾灸。从针灸疗法的角度,我们可以发现穴位选择中的一些特殊问题,从而发现当时游女灸的特殊应用。文章最后探讨了浮世绘艺术中的性别问题,以及艾灸治疗所附带的惩罚的含义。
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引用次数: 0
Perceptions and Controversies on Cholera in Traditional Chinese Medicine Field in Late Qing Dynasty 晚清中医界对霍乱的认识与争议
Pub Date : 2024-04-22 DOI: 10.1097/mc9.0000000000000104
Shiqiang Guo, Haohuan WU, Yinghua Wu
At the beginning of the initial cholera outbreak in China, Wang Qingren (王清任), after years of clinical trials, became an early representative who discovered the infectious characteristics and observed the course of cholera in the field of traditional Chinesse medicine (TCM). Later, Kou Langao (寇兰皋) and Xu Zimo (徐子默), both medical practitioners, constructed a diagnosis and treatment system for cholera with cold patterns under the theory of typhoid. They represented "School of Cholera with Cold Patterns" (SCCP). In the 1860s, with the influence of Wang Shixiong’s (王士雄) studies on the nature of cholera under the theory of epidemic febrile disease, the "School of Cholera with Heated Patterns" (SCHP) prevailed thereafter. The two schools complemented each other in theories and contributed to the integrity of TCM in cholera diagnosis and treatment. By reviewing previous literature, books, clinical cases, and historical materials in medical field, this article aims 1) to summarise the influence TCM on the perception development towards cholera in the late Qing dynasty; 2) to explore the origin of the controversy between SCCP and SCHP from historical evidence; 3) to summarize the historical lessons from the debate over cholera in TCM based on the principle of treatment based on pattern identification, and offer suggestions for the current prevention and treatment of new diseases using TCM.
中国霍乱爆发之初,王清任经过多年的临床实践,成为较早发现霍乱传染特点、观察霍乱病程的中医代表。后来,寇兰皋和徐子默两位医家在伤寒论的理论指导下,构建了霍乱寒证的辨证论治体系。他们是 "伤寒霍乱学派"(SCCP)的代表人物。19 世纪 60 年代,受王士雄在流行性发热病理论下对霍乱本质研究的影响,"热型霍乱学派 "盛行。两派在理论上相互补充,促进了中医在霍乱诊治方面的完整性。本文通过对以往文献、书籍、临床病例、医学史料的梳理,旨在:1)总结清末民初中医对霍乱认识发展的影响;2)从史料中探寻 "热型霍乱学派 "与 "热型霍乱学派 "之争的渊源;3)根据辨证论治的原则,总结中医霍乱之争的历史教训,为当前中医药防治新病提供建议。
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引用次数: 0
Feasibility and Challenges of Interactive AI for Traditional Chinese Medicine: An Example of ChatGPT 交互式人工智能用于传统中医的可行性与挑战:以 ChatGPT 为例
Pub Date : 2024-04-17 DOI: 10.1097/mc9.0000000000000103
Qi Kong, Liming Chen, Jingyi Yao, Chao Ding, Peihao Yin
ChatGPT, developed by OpenAI, is currently the largest language model with robust interactive capabilities. As a complementary alternative medicine (CAM), Traditional Chinese Medicine (TCM) represents an established medical system with a rich history and abundant clinical experience. TCM is an empirical medicine, the process of which is analogous to ChatGPT's learning and development model. In TCM, inquiry is a relatively objective way of traditional syndrome differentiation. Although various artificial intelligence systems related to TCM consultation exist, their interactive abilities remain limited. As such, we standardized the primary complaint and instructed ChatGPT to simulate a TCM practitioner, conducting three comprehensive inquiry tests. The results yielded unexpected conclusions, revealing that ChatGPT could simulate a TCM practitioner's inquiry with patients, confirming its potential in the field of TCM inquiry. However, current applications still pose certain limitations and risks. Hence, to integrate ChatGPT-like language models with traditional TCM AI to establish an associative mode that can facilitate TCM diagnosis and treatment with more convenience and standardization is crucial, yet at the same time, it should be treated very carefully.
由 OpenAI 开发的 ChatGPT 是目前最大的语言模型,具有强大的交互能力。作为一种补充替代医学(CAM),中医(TCM)是一种历史悠久、临床经验丰富的成熟医学体系。中医是一种经验医学,其过程类似于 ChatGPT 的学习和发展模式。在中医中,问诊是一种相对客观的传统辨证方法。虽然目前存在各种与中医问诊相关的人工智能系统,但其交互能力仍然有限。因此,我们将主诉标准化,并指导 ChatGPT 模拟中医,进行了三次综合问诊测试。结果出乎意料,ChatGPT 可以模拟中医问诊,证实了其在中医问诊领域的潜力。然而,目前的应用仍存在一定的局限性和风险。因此,将类似 ChatGPT 的语言模型与传统中医人工智能相结合,建立一种联想模式,使中医诊疗更加便捷和规范,是至关重要的,但同时也应慎重对待。
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引用次数: 0
Case Records as Medical Stories: Narrating Medicine in Song-Dynasty China: A Song-dynasty Doctor’s Narration of His own Medicine – Xu Shuwei (1080-1154) 作为医学故事的病例记录:宋代中国的医学叙事:宋代医生对自己医术的叙述 - 徐树伟(1080-1154)
Pub Date : 2024-04-03 DOI: 10.1097/mc9.0000000000000101
Asaf Goldschmidt
The focus in studying or teaching the history of Chinese medicine is often on the doctrines underlying it and on its perception of the body, physiology, pathology, and its treatment. In other words, we often tend to focus on reading and analysing the classical canons and therapy-related texts including formularies and materia medica collections. However, focusing on these sources provides us with a one-sided presentation of Chinese medicine. These studies only show what physicians wrote in order to pass down their knowledge, either theoretical or practical, to their readership. However, these primary sources lack the clinical down-to-earth know-how that encompasses medical treatment, which are represented, for instance, in the clinical rounds of modern medical schools. In other words, our traditional focus on the medical canons and formularies provides almost no clinical knowledge, leaving us with a one-sided narrative that ignores how medicine and healing are actually practiced in the field. This paper focuses on the latter aspect of medicine from a historical perspective. Using written and visual sources dating to the Song dynasty, the paper depicts the clinical encounter between doctors and patients including their families based on case records recorded by a physician, members of the patient’s family, and bystanders. This array of case records or case stories will enable us to narrate the interaction between physicians and patients both from the clinical perspective and from the social interaction. Namely, we can use these case narratives to illustrate the process of diagnosis and treatment all while interacting with members of the patient’s family. I will also discuss visual depictions of the medical encounter to provide another perspective for narrating medicine during the Song dynasty. Medical case records and paintings depicting medical encounter are exemplary of the potential of Chinese primary sources for narrative medicine.
研究或讲授中医史的重点往往是中医的基本理论,以及中医对人体、生理、病理和治疗的认识。换句话说,我们通常倾向于阅读和分析经典医典和与治疗相关的文献,包括方剂学和本草纲目。然而,只关注这些资料为我们提供了片面的中医介绍。这些研究只展示了医生为了将其理论或实践知识传授给读者而撰写的内容。然而,这些原始资料缺乏包括医疗在内的脚踏实地的临床知识,例如,现代医学院校的临床查房就体现了这一点。换句话说,我们传统上对医典和医方的关注几乎没有提供任何临床知识,给我们留下了片面的叙述,忽略了医学和治疗在实际中是如何进行的。本文主要从历史角度探讨医学的后一个方面。本文利用可追溯到宋代的文字和影像资料,根据医生、病人家属和旁观者记录的病例,描绘了医生与病人(包括其家属)之间的临床接触。通过这些病例记录或病例故事,我们可以从临床角度和社会互动角度来叙述医患之间的互动。也就是说,我们可以利用这些病例叙述来说明诊断和治疗的过程,同时与患者家属进行互动。我还将讨论对医疗过程的视觉描述,为宋代医学的叙述提供另一个视角。病例记录和描绘医疗过程的绘画是中国原始资料在叙述医学方面潜力的典范。
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引用次数: 0
The Value of Traditional Medicine should not be Underestimated—Traditional Chinese Medicine in Treatment of Autoimmune Diseases 传统医学的价值不容低估--传统中医药在自身免疫性疾病治疗中的应用
Pub Date : 2024-04-03 DOI: 10.1097/mc9.0000000000000102
Yurii O Novikov, Anait P. Akopyan
Autoimmune diseases of the nervous system (ADNS) are characterized by the formation of a pronounced neurologic deficit and often lead to disability. The attention of doctors and researchers is increasingly attracted by complementary medicine as adjuvant or preventive therapy for various diseases, including autoimmune diseases. Traditional Chinese medicine (TCM) is a combination of treatment methods that include acupuncture, herbal medicine, dietetics, physical exercises, and other methods that are often used in conjunction with recognized approaches of official medical science. The article describes the application of TCM techniques in autoimmune diseases of the nervous system, and demonstrates clinical experience in the use of acupuncture, herbal medicine, diets and physical exercises. Traditional and complementary medicine is an important and often underestimated healthcare resource, especially in the prevention and treatment of autoimmune diseases of the nervous system.
神经系统自身免疫性疾病(ADNS)的特点是形成明显的神经功能缺陷,并经常导致残疾。辅助医学作为包括自身免疫性疾病在内的各种疾病的辅助或预防疗法,越来越受到医生和研究人员的关注。传统中医药(TCM)是一种治疗方法的组合,包括针灸、草药、饮食、体育锻炼和其他方法,通常与官方医学科学公认的方法结合使用。文章介绍了中医技术在神经系统自身免疫性疾病中的应用,并展示了使用针灸、中药、饮食和体育锻炼的临床经验。传统和补充医学是一种重要的医疗资源,但往往被低估,尤其是在预防和治疗神经系统自身免疫性疾病方面。
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引用次数: 0
Introducing Traditional Chinese Medicine New Medicine Creation Team led by Professor Zhang Tong 张彤教授带领的中医新药创制团队介绍
Pub Date : 2024-03-01 DOI: 10.1097/01.mc9.0001011516.82519.ba
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引用次数: 0
An Interview with Peter Deadman – Acupuncture Pioneer and Founder of the Journal of Chinese Medicine (UK) 针灸先驱、《中医杂志》(英国)创始人彼得-德德曼访谈录
Pub Date : 2024-01-23 DOI: 10.1097/mc9.0000000000000095
Ioannis Solos, Charles Buck, Peter Deadman
This interview was conducted on the 21st of August 2022 by Charles Buck and Ioannis Solos. Peter Deadman has worked in the field of health promotion for 50 years. He co-founded Infinity Foods (an organic and natural foods workers co-op) in 1971, followed by the Brighton Natural Health Centre - a charity dedicated to teaching ways to improve personal, community and planetary health and wellbeing. He qualified as an acupuncturist in 1978 and in Chinese herbal medicine in 1990. He founded The Journal of Chinese Medicine in 1979 (Fig. 1), and co-authored A Manual of Acupuncture (published 1998). He is the author of Live Well Live Long: Teachings from the Chinese Nourishment of Life Tradition. He has taught Chinese medicine and health promotion internationally for decades and is a dedicated practitioner and teacher of Qi Gong (气功).
本访谈由查尔斯-巴克(Charles Buck)和伊奥尼斯-索罗斯(Ioannis Solos)于 2022 年 8 月 21 日进行。彼得-德德曼(Peter Deadman)在健康促进领域工作了 50 年。他于 1971 年与他人共同创办了 Infinity Foods(一家有机天然食品工人合作社),随后又创办了布莱顿自然健康中心(Brighton Natural Health Centre)--一家致力于传授改善个人、社区和地球健康与福祉方法的慈善机构。他于 1978 年获得针灸师资格,1990 年获得中草药资格。他于 1979 年创办了《中医杂志》(图 1),并与人合著了《针灸手册》(1998 年出版)。他著有《活得好活得久:中国养生传统的教诲》一书。几十年来,他在国际上教授中医药和健康促进知识,是气功的忠实实践者和教师。
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引用次数: 0
William Morris, Establishing the Foundation for the Advancement of TCM in the US 威廉-莫里斯,建立美国中医药发展基金会
Pub Date : 2024-01-23 DOI: 10.1097/mc9.0000000000000097
Ioannis Solos, Charles Buck, William Morris
Charles Buck and Ioannis Solos conducted this interview on the 2nd of March 2023. William Morris has sustained practice since 1980. He has served on the California, Texas and Massachusetts Professional Associations, as well as the National Association. He has tendered 20 years of service to the field through academic medicine, earning a master's degree in medical education to assist in developing Chinese medical doctoral programs and institutional review boards. He earned an OM.D. in 1988, a DAOM in 2002, and a Ph.D. focused on pulse diagnosis as clinical epistemology in 2009. He has published five books, including TCM Case Studies Dermatology, Li Shi-zhen Pulse Studies: An Illustrated Guide, Neoclassical Pulse Diagnosis, Cycles in Medical Astrology, and Transformation: Treating Trauma with Acupuncture and Herbs. (Fig. 1)
查尔斯-巴克(Charles Buck)和伊奥尼斯-索罗斯(Ioannis Solos)于 2023 年 3 月 2 日进行了这次采访。威廉-莫里斯自 1980 年起开始执业。他曾在加利福尼亚州、德克萨斯州和马萨诸塞州专业协会以及全国协会任职。他通过学术医学为该领域提供了 20 年的服务,并获得了医学教育硕士学位,以协助开发中国医学博士课程和机构审查委员会。他于 1988 年获得医学博士学位,2002 年获得医学博士学位,2009 年获得博士学位,研究方向为作为临床认识论的脉诊。他已出版了五部著作,包括《中医皮肤病病例研究》、《李时珍脉学》、《李时珍脉学图解指南》、《新古典主义脉学》、《中医皮肤病病例研究》、《中医皮肤病病例研究》、《中医皮肤病病例研究》、《中医皮肤病病例研究》:图解指南》、《新古典脉诊》、《医学占星学中的周期》和《转化》:图 1
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引用次数: 0
A Conversation with a Key Architect of Modern TCM in the West- Professor Ted Kaptchuk 对话西方现代中医药的重要奠基人--泰德-卡普丘克(Ted Kaptchuk)教授
Pub Date : 2024-01-23 DOI: 10.1097/mc9.0000000000000096
Ioannis Solos, Charles Buck, Ted Kaptchuk
The interview was conducted on November 20, 2022 by Ioannis Solos and Charles Buck. Ted Kaptchuk (泰开阳) is a Professor of Medicine and a Professor of Global Health & Social Medicine at Harvard Medical School. In 1975, he graduated from the Macau Institute of Chinese Medicine, Macau, China. After returning to the West, Ted taught Chinese medicine throughout the States, Europe, Latin America, and Australia. Ted's book, The Web That Has No Weaver: Understanding Chinese Medicine is a groundbreaking explanation of East Asian medicine that continues to shape the discourse of the Chinese medicine profession in the West and has been translated into 13 languages. In 1990, Ted was recruited in Harvard Medical School to help research Chinese medicine. After encountering high placebo responses in multiple acupuncture clinical trials, Ted decided to switch his career to primarily studying placebo. He has published over 300 peer-reviewed articles. He has been awarded the Lifetime Achievement Award from the Society of Acupuncture Research (2015), the Lifetime Achievement Award from the Society for Interdisciplinary Placebo Studies (2021), and the William Silen Lifetime Achievement Award in Mentoring from Harvard Medical School (2022).
采访于 2022 年 11 月 20 日由 Ioannis Solos 和 Charles Buck 进行。泰德-卡普丘克(Ted Kaptchuk)是哈佛大学医学院医学教授、全球健康与社会医学教授。1975 年,他毕业于中国澳门中医药学院。回到西方后,泰德在美国、欧洲、拉丁美洲和澳大利亚教授中医。泰德的著作《没有编织者的网》(The Web That Has No Weaver:这本书对东亚医学进行了开创性的阐释,继续影响着西方中医行业的话语体系,并被翻译成 13 种语言。1990 年,泰德应聘到哈佛医学院帮助研究中医。在多项针灸临床试验中遇到高安慰剂反应后,泰德决定转行主要研究安慰剂。他发表了 300 多篇经同行评审的文章。他曾荣获针灸研究学会终身成就奖(2015 年)、跨学科安慰剂研究学会终身成就奖(2021 年)和哈佛医学院威廉-西伦指导终身成就奖(2022 年)。
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引用次数: 0
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Chinese Medicine and Culture
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