Identifying the causes of diseases (etiology) consists of discovering,
using examinations, observation and study of the "field"
of the patient, what are the imbalances causing illnesses.
Most of the time, we try to circumscribe the causes by qualifying the types
imbalances (Void,
Excess,
Stagnation,
Cold,
Heat,
Wind,
etc.), and determining which viscera
or what functions they mainly affect.
For example, we say that a person suffering from a cold is victim of a Wind,
because this damage is often done during a climate change accompanied
wind or by exposure to a draft. The Wind also symbolizes
power of the air which transports and penetrates a pathogenic factor.
We will then speak of external wind. It is also said of a person who suffers
of random tremors, that she is suffering from an Internal Wind because her
symptoms have the appearance of what the wind causes: gusts,
leaf tremor, etc. The wind is therefore an image that serves as a point of
concrete and analogical start to designate a specific set
of pathological symptoms, and which serves to classify them in a category
or to associate them with a clinical portrait. These images can be refined
more and more: we will speak of an external or internal Wind, of a direct attack
of Wind, of a Wind-Heat which attacks the
Lung or from a Wind-Moisture that enters a
Meridian, each expression designating realities
very specific.
Of course, when we say that a disease is caused by a
Fire liver,
it does not mean that the Liver is physically warmer, but that it is
overly active, it takes up too much space, it "overheats".
And when TCM identifies a cause as an Internal Cold, it’s because
symptoms are similar to those caused by a
real cold that would have entered the body
(slowing, thickening, congestion, solidification, etc.).
From cause to solution
The identification of the causes of diseases allows among other things
the most appropriate interventions. For example, if TCM concludes that
the cause of a disease is a Wind-Cold located in the Lung, this will allow
to choose treatments that will help disperse the Wind and
bring more qi
in the Lung (to fight against the Cold), which, in the end, will bring the
healing. It also gives the patient a chance, knowing the origin
of his illness or imbalance, to make the necessary changes
in his lifestyle to avoid relapse and to prevent
other health problems.
This approach is very different from the Western medical approach,
who will consider, for example, that the cause of sinusitis is the presence
pathogenic bacteria;
so she will use an antibiotic (or a natural product like eucalyptus) to
attack and destroy the bacteria in question. TCM considers
rather than the cause of the disease is, for example, a Wind-Cold in the Lung
or a Liver Fire, that is to say a weakness of the system, a vulnerability
momentary which allowed, in these particular circumstances, to
the disease to settle (whether by leaving the field open to bacteria
or otherwise). TCM will therefore seek to strengthen the immune system
and the whole organism so that it regains the strength to get rid of itself
sinusitis (and bacteria he no longer had the ability to
to fight previously).
TCM divides the causes of diseases into three categories: external,
internal and others. Each is presented in more detail to
following levels.
- The causes external (WaiYin) are linked to climatic factors like
the heat,
Drought,
Humidity,
the wind,
etc. - The causes internal (NeiYin) come mainly from an imbalance
emotions. - The other causes (Bu Nei Bu WaiYin) are trauma, poor
diet, overwork, weak constitution and sexual excess.
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