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PRINCIPLES OF PREVENTION AND TREATMENT — 2

August 22, 2007 – 12:09 pm

II. Principles of Treatment

�?  To study TCM treatment, attention should be paid to the therapeutic principles which must be followed in the treatment of disease. They are formed under the guidance of holistic concept and TDS, and they have the guiding significance for establishment of the therapeutic principles and prescriptions of a recipe. Therapeutic principles differ from therapeutic methods. The former refer to the general principles for guiding therapeutic methods, while the latter are the concrete methods of treatment under the guide of the therapeutic principles. There are different kinds of therapeutic principles in TCM. For example, treatment aiming at the primary cause of a disease, strengthening vital qi and eliminating pathogenic factors, readjusting yin and yang, regulating the zangfu’s functions, regulating qi-blood and treatment in accordance with the three factors( Climate, locality and individual).

1. Treatment Aiming at the Root Cause of a Disease�? �? 

�? �? �?  By treatment aiming at the root cause of a disease is meant treating a disease on the basis of its root cause. It is not until the fundamental cause of a disease is found out that it is possible to get to the essence of the problem and to make a proper treatment. Basic Questions points out, ” In treating search for the its root cause of a disease of a disease in treatment. ” When treatment aiming at the root cause of a disease is used clinically, routine treatment or contrary treatment and treating the primary (ben) and or treating the secondary (biao ) must be dealt with correctly.

�?  Routine treatment includes the following methods: treating cold syndrome with hot natured drug, treating heat syndrome with cold natured drug, treating deficiency syndrome by replenishment, treating excess syndrome by purgation, etc.
Contrary treatment has the following methods: treating pseudo-heat syndrome with hot-natured drugs, treating pseudo-cold syndrome with cold-natured drugs, treating obstruction-syndrome with tonification and treating diarrhea with purgation.

�? Treatment of the primary and the secondary includes the following methods: treating the secondary for emergency, treating the primary for chronic cases and treating both the primary and the secondary aspects.

2. Strengthening Vital Qi and Eliminating Pathogens.

�? �?  Strengthening vital qi is to increase body resistance. Since victory or failure in the struggle between vital qi and pathogens determines the aggravation or alleviation of a disease, one of the important principles in clinical treatment is to change the relative strength of vital qi and pathogens. In so doing, the disease will take a turn for the better.
Eliminating pathogens means getting rid of pathogenic factors to facilitate and recover the strength of vial qi. Therefore, eliminating pathogens, like strengthening vital qi, is also one of the important principles clinically.

�?  They have the following methods: driving out pathogens first and then strengthening vital qi, strengthening vital qi first and then eliminating pathogens and strengthening vital qi and eliminating pathogens simultaneously.

Strengthening vital qi and eliminating pathogens supplement each other: the former helps the elimination of pathogenic factors and the latter helps strengthening vital qi. So, clinically, they should be applied in the light of the variations of the cases.

3. Readjusting Yin and Yang.

�? �?  The imbalance of yin and yang is the basic pathogenesis of many a disease, therefore, regulating relative excess or insufficiency of yin and yang, remedying defects to rectify abuses and restoring relative balance of yin and yang are one of the basic principles in clinical treatment. To restore their balance yin and yang are usually regulated by means of removing the relative excess or invigorating the relative deficiency. Since Yin and Yang are the changes may be summarized as the imbalance of yin and yang.

�?  Besides, regulating zang-fu’s functions and qi-blood relationship are also two important therapeutic principles. Space lacks for a detailed description of it.

4. Treatment in Accordance with Three Factors (climate, locality and individual).

�?  This is the therapeutic principle that TCM adopts in treating diseases. The occurrence, development and changes of a disease are involved by various factors, including the climate, geographical environment, the patient’s constitution, sex and age etc. Therefore, when treating a disease, the doctor must take the three conditions into account, and make a concrete analysis of concrete conditions and deal with them in different ways, thereby working out an appropriate therapeutic method.

Tags: prevention, treatment

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