Theoretical reform of TCM theory

Qi = information, energy, material flow, ternary theory and pluralism of qi.

Qi is a ternary-multivariate mixed unity of flowing information, energy and matter (1996).

It is the unity of multiple mixed flows of information, energy and matter. 55438+0996

Anatomical structure of fractal channels and collaterals, rough, non-tubular, uneven, self-regulation of cell filling-channels and collaterals of cell group (cytosociology) .40998.199998988895

Modern definition of yin and yang; Yin-yang fractal set, Yin-yang fractal dimension, Yin-yang five-line fractal set, five-line fractal dimension

Fractal five-system of Tibet image

Heart system, liver system, spleen system, lung system and kidney system: the third philosophy of traditional Chinese medicine: similarity view (fractal view).

(The second philosophy of traditional Chinese medicine-dialectical view.

The first philosophical view-holistic view) Innovations of TCM theory: pancreatic meridian, Yishu point and islet point.

In the clinical study of five-point acupuncture therapy for diabetes, it is found that the pancreas also has certain meridian points, which has a good therapeutic effect on the disease. According to the theory that zang-fu organs and zang-fu organs and zang-fu organs and meridians are connected and passed down from generation to generation, it is determined that pancreatic dysfunction or pancreatic meridian lesions caused by various factors are the basic pathogenesis of diabetes, which lays a theoretical foundation for syndrome differentiation and treatment of diabetes.

1. The position, structure and function of the pancreas

The pancreas is a long flat gland (also called pancreas), reddish, about12cm long, about 2.5cm thick and weighing about 80g. It is located in the retroperitoneal cavity of the left upper abdomen, behind the stomach and across the posterior abdominal wall, which is equivalent to the level between the first and second lumbar vertebrae.

The pancreas is divided into three parts, including head, body and tail. The enlarged head is located on the right, surrounded by duodenum. The body occupies most of the pancreas, and the tail end faces to the upper left, touching the spleen. There is a transverse glandular duct in the pancreas, which opens at the duodenal papilla.

The pancreas is divided into exocrine glands and endocrine glands. Exocrine gland consists of acinus and glandular duct. The acinus secretes pancreatic juice, and the glandular duct is the channel through which pancreatic juice is discharged. Pancreatic juice contains sodium bicarbonate, trypsin, lipase, amylase and so on. Pancreatic juice is discharged into duodenum through pancreatic duct, which can digest protein, fat and sugar. Endocrine glands are composed of islet cells of different sizes, which secrete insulin and regulate glucose metabolism. Each islet contains at least four kinds of cells: A cells secrete glucagon, B cells secrete insulin, D cells secrete growth hormone and inhibitory hormone, and PP cells secrete pancreatic polypeptide.

The pancreas has both endocrine and exocrine functions. Pancreatic endocrine mainly refers to the secretion of insulin, which is an important hormone that enables cells to use glucose in the blood. After a full meal, blood sugar will rise, and at this time, insulin will be released into the blood, allowing glucose to enter cells for utilization and lowering blood sugar. Exocrine pancreas refers to pancreatic juice, which contains trypsin, amylase and other substances, and can be used to decompose protein and other substances in the intestine.

2. The nature, meridian circulation and physiological function of pancreas.

In the viscera of the basic theory of traditional Chinese medicine, the pancreas is always vacant, and in the meridians, it is also blank; But the pancreas, as an entity, has its due position and belonging after all.

1. According to the anatomical position of the pancreas in the human body, the pancreas is hidden in the liver, spleen, kidney, intestine and other organs and belongs to the internal organs; According to the qualitative theory of viscera in traditional Chinese medicine, the pancreas has the functions of growing, storing essence and secreting body fluid, which belongs to viscera and should be named pancreas.

2. According to the Yin-Yang property of TCM, the viscera is Yin, the fu-organs are Yang, and the pancreas belongs to the viscera.

3. According to the five elements theory of Chinese medicine, soil is the mother of all things, which has the characteristics of biochemistry and nourishing all things. Pancreas has the functions of secreting body fluid, regulating qi and blood, and promoting digestion and metabolism. It has the characteristics of soil and should belong to five elements of soil.

4. The pancreas belongs to yin in the five internal organs, surrounded by yang fu-organs, and belongs to yin in the meridians, so it is the yin meridian in the yang. Internal body fluid is applied to the triple energizer, and the upper energizer is like fog to nourish the viscera; Lower energizer is common to remove blood stasis and dredge intestines. Externally, it radiates meridian qi, nourishes skin fat, and maintains elasticity and vitality.

5. Location of Pancreatic Meridian: According to the close relationship between the position of the pancreas in the body and the spine, the starting point of pancreatic meridian is at the back of the spine, and the route it follows is half an inch along the Du meridian, which is equivalent to the location of Jiaji point that has been discovered for thousands of years, contrary to the route between the kidney meridian and the human anterior meridian.

The qi of pancreatic meridian fills the whole spine, and the qi is distributed to all cones, forming acupoints between all cones, from cervical vertebra 1 to lumbar vertebra 5, with 48 acupoints on both sides. For the time being, the names of acupoints are still determined by cervical vertebra 1, cervical vertebra 2, thoracic vertebra 1 and thoracic vertebra 2. Ascending meridian qi spreads along the neck to the summit, descending meridian qi spreads from sacrum to lower limbs, and lateral meridian qi spreads from thoracic vertebra to shoulders and upper limbs.

The pancreatic meridian is closely related to the bladder meridian. The acupoints in the bladder meridian are distributed in parallel with the acupoints of the pancreatic meridian from Dayi to Guanyuan Shu, close to the edge of the cone, and the qi of the pancreatic meridian is scattered to the bladder meridian through various acupoints and runs with the bladder meridian. It is precisely because of the adjacent and interlinked relationship between bladder meridian and pancreatic meridian that many acupoints of bladder meridian have good curative effect on treating pancreatic diseases. In addition, there are two blank points in the bladder meridian, one of which is under the eighth thoracic vertebra 1.5 inch between Shu Ge and Ganshu, and should be named "Yishu point" (originally listed as strange point: Xia Shu point under the stomach tube). Secondly, if there is a 3-inch depression on the lower side of the eighth thoracic vertebra between Geguan point and Hunmen point, it should be named "Islet Point" (now regarded as no point). These two acupoints can play a key role in treating diseases caused by pancreas and pancreatic meridians.

When the pancreas is sick, it can be seen that the back of the heart is tight, the parts above the waist and below the scapula are swollen, dizzy, eyes are heavy, the vision is blurred, muscles are sore, limbs are weak, people are lazy, the chest and abdomen are dry and stuffy, and the throat is dry and thirsty.

6. The physiological functions of the pancreas are similar to those of the spleen, but they are different. Their relationship is like a pair of twin brothers. Spleen governs blood, pancreas governs body fluid, spleen is the source of blood biochemistry, and pancreas is the source of body fluid biochemistry. The pancreas governs harmony, controls the whole body, promotes diuresis and nourishes, makes the body fat, swallows in the orifices, doubts in the mind, and is warm and sweet.

(1) Main melody melody and harmony: it is mainly manifested in harmonizing yin and yang, balancing secretion, and has a certain function of storing body fluids. The main function of Tibetan body fluid is to store a certain amount of body fluid in the pancreas to maintain the harmonious and balanced function of the pancreas. When the blood sugar in the body is too high, in order to keep the blood sugar balance in the body, the pancreas begins to adjust itself, automatically increasing insulin secretion and lowering blood sugar; When hypoglycemia occurs, the pancreas will automatically reduce insulin secretion and maintain blood sugar balance. The blood sugar in the body is always in a balanced state under the monitoring of the pancreas to ensure the normal metabolism of the body and the normal functions of various organs. When the pancreas is damaged, there will be a series of diseases such as visceral dysfunction, endocrine imbalance and elevated blood sugar.

(2) Master control: The pancreas has the functions of metaplasia and controlling the diffusion of body fluids, so that body fluids can be used normally in the body without leakage. The mechanism of pancreas regulating body fluid is to absorb pancreatic qi. Pancreas is the source of body fluid metaplasia, and the pancreatic qi is strong, which can ensure the full administration of body fluid. If the pancreas is not metaplasia and unified, the body fluid will be insufficient or lost. With the leakage of body fluid, the yang is not solid, and symptoms of yin and yang deficiency such as emaciation, weakness and mental fatigue appear. Therefore, the pancreas has the function of nourishing yin and strengthening yang.

(3) Primary diuresis: mainly manifested as pancreatic liquefication, which is injected into the intestine, contributing to the normal transportation and excretion of the intestine. Intestines lack the nourishment of pancreatic juice, and substances such as protein cannot be decomposed normally, which will lead to constipation and intestinal obstruction.

(4) Nourishing: the main manifestation is that body fluids are scattered in viscera, orifices and skin to maintain the balance of yin and yang; If the viscera are not nourished by body fluid, endogenous dryness and heat will appear; When the body fluid of Guan Qiao is insufficient, there will be dry throat, dry eyes, nasal fever, deafness and tinnitus; Skin nourished by body fluids will be rough, emaciated and inelastic.

(5) Body fat: The pancreas maintains the metabolism of sugar and fat in the body, metabolizes and absorbs food, and keeps the body rich in fat and sugar, thus storing and regulating the necessary heat supply and demand in the body. Mainly reflected in the biochemical and control effects of grape substances, blocking the loss of sugar and maintaining the activity of fat; The activity of fat is strong, which is conducive to the discharge of damp-heat gas in the body, and the compactness of fat can resist the invasion of cold air into the body; If the viscera function is abnormal, the body fluid can't be controlled, and nutrients such as sugar flow out, there will be a series of diseases such as fat weakness, reduced body heat, chills, and soreness and weakness of limbs.

Conclusion: If the pancreas does exist in human body, it should have its exact classification and attributes. Every zang-fu organ has certain meridians. As a viscera, the pancreas must have its own meridians. But specifically, why is there no theory of pancreas and its meridians in TCM theory? What is the relationship between pancreatic meridians and other meridians? Are there any other branches of the pancreatic meridian? What is the name and specific indication of each acupoint? And whether the establishment of the pancreas should turn the five internal organs into six internal organs, or should the pancreas be designated as an organ in the heart? Is the establishment of pancreatic meridians in the twelve meridians or within the eight strange meridians? There are still many problems that need further study and discussion.

This article was included in the supplement of Discovery magazine and China Medical Frontier magazine, and won the first prize of excellent academic paper.

A brief history of exploration

1996 Deng Yu et al. Morphology and anatomical structure of meridians with fractal dimension (non-interstitial meridians, non-tube meridians full of cells)

1996 meridian of "gap dimension" in Zhang Shengyu (error)

Meng Jingbi (isotope tracer),

1985, isotope tracer imaging method in de Vernejoul, France; In addition, Nieboyer, France studied skin electricity.

1984, Xie Haoran, anatomical observation on the structure of human meridian gap

From 65438 to 0984, Eore in Hungary studied meridians with carbon dioxide analyzer.

In 1980, Zhang Baozhen and others adopted the methods of naked eye observation and vascular perfusion.

Meng Zhaowei 1978 The Third Balance System of Meridian

1972 wangtong put forward the hypothesis that the essence of meridians is double reflection.

In the 1970s, Japanese scholar Hiroshi Benshan observed the temperature changes on the meridian induction line with the method of liquid crystal film.

1970, J.Borsarello of France used infrared thermal imaging to study meridians.

1956 Nogierop's research on China auricular acupuncture point atlas and its function,

1955 Kazuo Nakatani and others have achieved the results of "Research on Collateral Meridian Guidance", and Sasakawa's "Collateral Meridian Guidance Point" and "Collateral Meridian Guidance"

1952, Kuro Fujita put forward a hypothesis about meridians.

1950, Japan reported the phenomenon of telepathy along the meridian.

Modern gas concept

1996, Deng Yu et al.: Qi is "the unity of information, energy and matter". It is the unity of "the mixture of matter-energy-information". The essence of TCM Qi is "the mixed unity of information, energy and matter" and "the mixed unity of matter, energy and information".

Li Dexin: Qi is the unity of matter and function.

1962, Beihai Wei: Dualism of Qi.

Luo Shibiao: In the early 1960s, the theory of qi (1962).

Qin Bowei: The Materialism of Qi in the Late 1950s: 1959? .

Qi is a unified field theory

Huang Kunyi et al.: Theory of human body gas field.

Shao Li et al.: Theory of Qi and Entropy Flow.

Wu Banghui: gas sequence parameter theory

A Brief History of the Modern Development of Yin and Yang

traditional Chinese medicine

Revealing Yin and Yang has a long history, emphasizing the listing of phenomena and attaching importance to superficial narration, which are the characteristics of classical Yin and Yang studies. Modern exploration has made revolutionary progress and produced many new ideas since the middle and late 1990s. Mathematical physicalization, that is, "mathematical yin and yang" has become the symbol of modern yin and yang. Yin and Yang are measured by the world's three elements "matter, energy and information" and expressed by mathematical models, which are the characteristics of modern science.

1995, Li Rongxing, Discrimination of Yin and Yang, journal of traditional chinese medicine, Liaoning, 1995, No.6. The definition of yin and yang in traditional Chinese medicine is more clinical.

1997, Zhao Xixin, mathematical model of yin and yang in traditional Chinese medicine, Henan traditional Chinese medicine, 1997, No.5.

1998, Deng Yu, et al., Scientific Essence of Yin and Yang and Its Mathematical Construction,> 1998,2:59-6 1.

Mathematical Yin and Yang, Journal of Mathematical Medicine, 1999, 1.

1999, Deng Yu, et al., Fractal Set of Traditional Chinese Medicine, Journal of Mathematical Medicine, 1999, v 12, No.3. Create the concept of "Yin-Yang Fractal Set". Fractal dimension of yin and yang = 1.

In 2003, Lin Jianming, Modernization of Traditional Chinese Medicine and Mathematics, Journal of Mathematical Medicine, 1999, 1.

Fengjun Qi, 2004, On the Mathematical Balance of Yin and Yang, China Journal of Basic Medicine of Traditional Chinese Medicine, 2004,7.

2005, Zhao Zhiyong, zhaowei, Establishment of pure mathematics model of Yin and Yang in TCM and quantitative study of calculus, Sichuan Traditional Chinese Medicine, 2005, 1 1.

Meng, 2007, Mathematics of Yin-Yang and Five Elements and Its Application in Traditional Chinese Medicine, Journal of Shanghai University of Traditional Chinese Medicine, 2007, 6.

1998, the modern definition of philosophy and logic of yin and yang.

Definition 1: Yin and Yang are incompatible relations between the two concepts under the unity of opposites of the same generic concept. The connotations of Yin and Yang are mutually negative. One concept of Yin affirms the objective attribute of Yin, while the other concept of Yang regards the attribute of Yang as the objective attribute of Yin. The extension of Yin and Yang is mutually exclusive and complementary, and its sum is equal to the extension of its nearest generic concept (unity of opposites), that is, the sum or union of the extension of Yin and Yang of the two concepts.

Quantitative measurement of yin and yang: described by the index of "state function U", it can be described by "matter-energy-information" as a whole.

u=EP .

E is the index energy of kinematics or dynamics; P is an index of system disorder (order), which is closely related to entropy.

A brief history of Tibetan images

(Introduction: 1980, Lei Shunqun, System Theory and Zangxiang Theory (I), journal of traditional chinese medicine, Liaoning, 1980. 1983, Continuation System Theory and Hidden Image Theory (2)-journal of traditional chinese medicine, Liaoning, 1983)

preface

Xiao Liegang, 1994. On the characteristics of five zang-organs system in viscera theory [J]. Shaanxi Traditional Chinese Medicine, 1994,15 (5): 211-213. This paper systematically expounds the five zang-organs system in the theory of Tibetan image, and shows that the essence of the five zang-organs system in the theory of Tibetan image is consistent with the modern system theory, but it has its own characteristics.

revolution

There are five Tibetan elephant systems: heart system, liver system, lung system, spleen system and kidney system. Five systems of fractal Tibet image.

1999, Deng Yu, et al. New English version of five series of Tibetan fractal [J]: China Journal of Integrated Traditional Chinese and Western Medicine; 1999 09 The five systems of fractal Tibetan image, namely, heart system, liver system, lung system, spleen system, kidney system and Tibetan image, exceed the limitations of traditional heart, liver, spleen, lung, kidney and viscera.

Deng Yu et al., 1999, Fractal Collection of Traditional Chinese Medicine, Journal of Mathematical Medicine, 1999.

develop

In 2002, Deng Zhongyan was the editor-in-chief, and Deng Tietao presided over Modern Research on Basic Theoretical System of Traditional Chinese Medicine: Basic and Clinical. Heart system, liver system, lung system, …… brain system, etc.

Zhao Xi, 2005, in Journal of Hebei North University (Medical Edition): June 2, 2005, No.3. The heart system.