What is the essence and development direction of TCM theory?

TCM theory is the core and soul of TCM. From the analysis of the formation process of the theoretical framework of traditional Chinese medicine before the Han Dynasty, the origin and development of the theory of traditional Chinese medicine have a clear vein. Since Shang Dynasty, people have been exploring the theory of human physiological and pathological regulation. It has gone through different historical stages: 1. Theory of heart meridian regulation. 2. Dialectical theory of yin-yang regulation 3. Primitive theory of regulating qi. 4. Restrain the theory of five elements-five zang-organs regulation. 5. New theory of heart meridian regulation. During the Qin and Han Dynasties, all the scholars were attributed to the theory of regulating the heart meridian, which greatly enriched the theoretical system of traditional Chinese medicine and formed a new theoretical system of traditional Chinese medicine. Among them, the core idea is meridian theory, and Yin-Yang theory, Qi-blood theory and Zangxiang theory all revolve around and serve meridian theory.

Any theory, any theory, if it is not developed and injected with fresh blood, will definitely fall behind the world and be abandoned by history. Before the Ming and Qing Dynasties, Chinese medicine was able to advance by leaps and bounds because it accepted various ideas. However, after the Ming Dynasty, it stopped accepting new ideas, which was incompatible with the development of western medicine. With the rapid development of western medicine, Chinese medicine has been in a passive position without seizing the opportunity to follow up. Faced with the differences with western medicine, we can't justify ourselves. If the country is not strong and the people are in poverty, the theory of traditional Chinese medicine cannot calm the voice of abolishing traditional Chinese medicine. It is the responsibility of everyone in China to spread the theory of TCM to the whole world.

The core of TCM theory is the theory of meridians, yin and yang, qi and blood, eight categories of syndrome differentiation and zang-xiang. The meridians of traditional Chinese medicine include the twelve meridians, collaterals and eight strange meridians. This is the core of TCM theory, and the eight categories of Yin-Yang theory, Qi-Blood theory, Zangxiang theory and syndrome differentiation are all around meridians. Without solving the question of what meridians are, the contradiction between Chinese medicine and western medicine will not be solved.

In fact, the meridians are real. Through my own acupuncture, combined with more and more evidence, I am sure that meridians are the nervous system discovered today. Our ancestors described the physiological function of nerve very accurately two thousand years ago: 1 communicating inside and outside, connecting viscera and organs. 2. Promote qi and blood and nourish viscera and tissues. 3 Inductive conduction 4 Regulating body balance. This is an accurate understanding of nerves by ancient people in China two thousand years ago, and it is also used in clinic to explain the pathological changes of human body and guide the diagnosis, treatment and prevention of diseases. This is a very great pioneering work. It is amazing that its physiological function can be determined only through clinical observation two thousand years ago. Moreover, the ancient Chinese also observed the phenomenon that the left and right hemispheres controlled the contralateral limbs, which can be seen from acupuncture works. It is mentioned in the book that the disease of unilateral limb needs the left disease to stab the right and the right disease to stab the left, and this discovery is expounded. This seems unimaginable today. It's a miracle that the Du meridian is in the same direction as the current nervous system, and the position of the visceral Shu point on the back is basically the same as that of the autonomic nerve of the nervous system. However, we should be more aware that the twelve meridians, Qijing and Bamai systems are just ancestors' external understanding of the nervous system. In other words, the twelve meridians, Qijing and Bamai systems do not exist. His distribution law, trend, exterior-interior relationship and flow direction order are all wrong. Only by recognizing this, can we solve the contradiction with western medicine from the source. This is hard for everyone to understand. Chinese medicine is very powerful and cannot be questioned by others. Moreover, new ideas are not allowed, which seriously restricts the development of TCM theory.

When we realize the essence of meridians, the latter thing is very simple. The ancients in China not only confirmed the existence of nerves, but also recognized the existence of sympathetic nerves and parasympathetic nerves in life. Using the description of yin and yang, the relationship between sympathetic nerve and parasympathetic nerve is correctly expounded: opposition of yin and yang, interaction of yin and yang, balance of yin and yang, and interaction of yin and yang. There is no more concise language to describe the relationship between the two. Today, we don't look at the appearance of Yin and Yang, but at its essence: Yin and Yang are used to summarize the attributes of things and are an instant interactive relationship. According to this standard, heaven and earth, fire and water, day and night, qi and blood, viscera and so on. Yin and Yang can't be used to express it, because there is no real-time interaction between them, and they are not attributes of things. This is something that needs to be corrected in the theory of traditional Chinese medicine, otherwise it will become an excuse to attack traditional Chinese medicine. It seems that only sympathetic nerves and parasympathetic nerves have such a relationship. Since the theory of yin and yang was introduced into the theory of traditional Chinese medicine, that is, after the establishment of meridian theory, ancient Chinese people felt different physiological functions of sympathetic nerve and parasympathetic nerve in clinical observation, so the image of yin and yang was used to express the relationship between them. Therefore, the theory of yin and yang serves the theory of meridians. It's just that later generations have expanded it infinitely, which is all wet.

The wise ancients in China even found the root of life activities, physiological development and viscera function: Qi, a hormone discovered by western medicine today. The ancients in China used the concept of Qi to explain the naming of hormones: Qi is a subtle substance, which is the basic substance that constitutes the human body, and described its functions in detail and accurately: 1 Promote the growth and development of human body, the physiological activities of organs such as viscera and meridians, and the generation and operation of blood depend on the promotion of Qi. 2. Warm action, 3. Defensive action, 4. Watch the action, 5. Without gasification, there is no life. Qi is in constant motion, and the cessation of Qi means the end of life. This is obviously the physiological function of hormones. The ancients further revealed the relationship between hormones and blood, hormones and body fluids: qi can produce blood, qi can produce blood, qi can suck blood, and blood is the mother of qi. There are many types of qi: stomach qi, kidney qi, meridian qi, liver qi and so on. Look at the different understanding of hormones in ancient China two thousand years ago. Will you still abolish Chinese medicine?

The ancients in China summed up the relationship between zang-fu organs through their own wisdom, and founded the theory of Zangxiang. Created a precedent for clinical medicine. It profoundly reveals the physiological functions of the five internal organs and the relationship between zang-fu organs, fu-fu organs and fu-fu organs, and zang-fu organs. Its accuracy seems to be beyond our ability today. For diagnostic methods, China ancients created four diagnostic methods and eight dialectical principles. This is China's 5,000-year clinical accumulation, the collective wisdom of the Chinese nation and precious wealth. This makes western medicine instruments far behind. Because western medicine often detects organic diseases through instruments, it can't detect functional diseases, such as constipation, diarrhea, stomach cold and stomachache, dysmenorrhea due to palace cold, neck and back pain, no sweat and little sweat, lethargy, nausea and vomiting. Western medicine is often at a loss. This is the limitation of western medicine. This is the strength of Chinese medicine. By looking, listening and asking questions, it is easy to find the cause of the disease according to the syndrome differentiation of the eight cardinal principles, and adjust the disorder through acupuncture or traditional Chinese medicine. It can be seen from here that the scope of diagnosis and treatment of traditional Chinese medicine and western medicine is different. Traditional Chinese medicine (TCM) aims at functional diseases, which can be diagnosed early, while western medicine aims at organic diseases. Most diseases often start from dysfunction and gradually evolve into organic diseases.

As for the relationship between TCM and Zhouyi, I think it is the biggest mistake to introduce TCM theory into Zhouyi, which is tantamount to inviting wolves into the room. It is easy to make the theory of traditional Chinese medicine go astray. Those who are close to ink are black, and those who are close to ink are black, which makes Chinese medicine cast the hat of witch doctor. Only by cutting off all contact with Zhouyi can Chinese medicine avoid gossip. In order to prevent many swindlers from fishing in troubled waters and disturbing the order of Chinese medicine. Look at Qu Limin, a professor at Beijing University of Chinese Medicine, and move the Zhouyi Eight Diagrams Feng Shui to the lecture hall of Chinese medicine in front of the whole country, which makes people stunned. This is tantamount to jumping in front of science. No wonder Li Ao called Chinese medicine a witch doctor. In my opinion, this is not the case, but Chinese medicine can't let go of its position, failed to seize the opportunity, and stood still in the disadvantage. The discovery of western medicine further confirmed the correctness of the theory of traditional Chinese medicine, and the theory of traditional Chinese medicine did have shortcomings and defects. For example, the theory of five elements, such as big braid, is useless for the diagnosis of diseases and has become an excuse for many swindlers to cheat. It is really useless to keep it. Chinese medicine has become the target of attack by literati. However, it is not easy to completely cut it off. Maybe someone will fight with their lives. After all, big braid, a legacy of the Qing Dynasty, failed to stay, and the Five Elements Theory also had the same fate. It sounded the alarm for the mistakes of traditional Chinese medicine a long time ago. First of all, there are many mistakes in understanding the physiological structure of the human body, such as the statement that the liver is distributed in the left lung and the right lung, and the statement that the heart governs the spirit is obviously wrong. Let's not deceive ourselves and find any reason to explain its rationality. Everyone knows that only by making mistakes can we make progress. In reality, we often find various reasons to whitewash our mistakes. Doing so will only make Chinese medicine go further and further.

Chinese medicine is the quintessence of China, and we should be proud of it. If the theory of TCM is a crown, then acupuncture and TCM are two pearls in the crown. Acupoints were founded by ancient people in China. The standardization and internationalization of acupoints is a gift from China people to all mankind. The core of TCM theory is: eight categories of syndrome differentiation of meridian theory, yin-yang theory, qi-blood theory and zang-xiang theory. Meridian theory is the core leadership, and other theories serve it. Meridian of traditional Chinese medicine is China people's understanding of nervous system 2000 years ago. Yin and Yang describe the physiological functions of sympathetic and parasympathetic nerves, while Qi is only the ancient people's understanding of hormones. The eight categories of syndrome differentiation and four diagnoses of Tibetan image theory are valuable clinical observations and experiences of ancient people in China. We should also see the deficiency of TCM theory, abolish the theory of five elements, draw a clear line with Zhouyi and improve our understanding of human physiological structure. Inherit and improve the theory of Tibetan image, improve the accuracy of four diagnosis and eight types of syndrome differentiation, and so on. Modern reform of TCM theory is imperative. I hope that the theory of traditional Chinese medicine will go to the world with dignity.

Looking forward to the future of Chinese medicine, the rapid development of western medicine has verified the correctness of Chinese medicine theory, and the forward-looking nature of Chinese medicine theory is the pride of China people. We should make it clear that the scope of diagnosis and treatment of traditional Chinese medicine and western medicine is different: traditional Chinese medicine aims at functional diseases, while western medicine aims at organic diseases. Dysfunctional diseases cannot be diagnosed by western medicine. Traditional Chinese medicine is at a loss about organic diseases. The disease gradually changes from functional to organic, which requires the full cooperation of Chinese and western medicine. One more thing we should also be clear: Chinese medicine has holism, but the understanding of human body structure still stays in ancient times. Although western medicine has no overall theory, its understanding of the human body has entered the micro level. If the discovery of western medicine is included in the theory of traditional Chinese medicine, it will greatly enrich the content of the theory of traditional Chinese medicine, bring traditional Chinese medicine from macro to micro, and play a positive role in the emergence, development and diagnosis of diseases. If western medicine accepts the theory of traditional Chinese medicine, it will certainly achieve greater development under the guidance of the overall concept of traditional Chinese medicine theory. When Chinese and western medicine learn from each other's strengths and achieve the same goal by different routes, it is the time when Chinese medicine is proud.

The above discussion only represents my personal views. I reserve the right to study and revise. Due to my limited level, my understanding of some issues is not comprehensive. What's wrong with it? I want you to. I believe that knowledge is dead and human thinking is the most precious. When we learn to think, the world will progress because of the progress of our thinking.

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