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The Cognition of Encephalopathy
in Traditional Chinese Medicine
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As a result of social progress, the disease spectrum changes continuously.
In recent years, encephalopathy has become a current leading project to
study in the world. In the first session of the 101st U.S. Congress in
1989, a resolution was adopted that determined the ten years from January
1, 1990 on to be " the decade of brain." In Japan, a Scientific
Program of Human Frontal Research Field was also declared that strengthened
studies on the brain. The traditional Chinese medicine with a long history
has also gained many achievements in studies on encephalopathy and its
clinical treatment.
It is estimated that in the United States there are about 50 million people
who have become affected or maimed with encephalopathy and that their
expenses for treatment and convalescence are as high as $3 050 hundred
million. If the figure is put into a global consideration, the cost will
be horrifying. It is quite evident that both the development of science
and the need of clinical treatment expect the science of neurology to
have a greater development.
The traditional Chinese medicine has rich cognition of the structure and
functions of the brain, although the content of the cognition is relatively
abstractive from the angle of modern anatomy. For examples, in”¶Treatise
on Channels. In: Miraculous Pivot”·, there is such as account: "Essence
of life is the essential substances constituting human body and maintaining
life's activities, and brain
Author's unit: Guangdong Gaoming Medical and Medicinal Institute of Encephalopathy,
Gaoming, Guangdong 528500
marrow is formed by the kidney essence"; in”¶Elementary Medicine”·there
is an account of "Brain is the sea of marrow, where the marrow converges",
and in”¶Treatise on Training and Cultivating Oneself to Attain Immortality
and Distinguishing Perplexities. In: Zhi Xuan Pian”·there is an account
of "so the head (brain) has nine palaces (compartments), with the
upper complying with the number of nine, the palace in the center is called
mud ball, or brain center, or kunlun, or upper elixir field, with many
names. The nine palaces of the brain are compartments where the spirit
and divinity live, empty as valley, with mental activities in it, also
known as mental faculties in quiescent state. They exist where there is
vitality and die where there is no vitality. They are associated with
things in daytime and with dreams in the night, with mentality not stabilizing
in them." Treatment with syndrome differentiation according to the
peculiar basic theories of traditional Chinese medicine makes traditional
Chinese medicine serve clinical practice better and thus obtain better
curative effect. In the understanding of physiology of the brain, traditional
Chinese medicine pays great attention to the idea of "vitality",
it holds that the brain governs mental activity and is the house of mental
activity, emphasizing that vitality is a complete reflection of mentality,
consciousness and thinking. In the functions of the brain, it is regarded
as the organ of lucid yang, and has the function to rise, a natural inclination
for clear qi and a natural inclination of being averse to turbid qi, a
natural inclination for filling and a natural inclination of being averse
to deficiency, and a natural inclination for quietness and a natural inclination
of being averse to disturbance. In the”¶Classified Canon”·compiled by Zhang
Jiebin of the Ming Dynasty, there is such an account: "All the vital
essence and energy of the five zang-organs and the six fu-organs go upward
to the head for utilization by the seven orifices, so the head is the
house of intelligence." The brain has a close relationship to the
five viscera, especially the heart, liver and kidney, so "the heart
is the key of five solid organs and six hollow organs and controls spirit."
In traditional Chinese medicine, the heart governs vessels and controls
mental activities, the liver governs normal flow of qi and has a natual
inclination of being averse to depression. The liver is in change of anger
and the tendons and has a close relationship to nerves and mentality.
The kidney stores reproductive essence and food essence, deficiency of
the kidney-essence may result in a series of mental symptoms. Traditional
Chinese medicine holds that encephalopathy may be caused by internal injury,
affection by exopathogen and phlegm stagnancy. The internal injury refers
mainly to impairment of the function of internal organs, caused by emotional
strain, improper diet, or intemperance in sexual life, which produces
a variety of neuropsychoses. Affection by exopathogen refers mainly to
encephalopathy produced by any of the six external etiological factors
(wind, cold, summer-heat, dampness, dryness and fire) or other noxious
factors. Phlegm and stagnancy are also the common factors which leads
to encephalopathy. With the development of traditional Chinese medicine,
researches on the brain are, for the most part, focused on the function
and pathology of the brain and on the application of treatment with syndrome
differentiation, and clinical and experimental studies have been uninterruptedly
carried out to obtain reproducible stable curative effect and to explain
mechanism of action as far as possible. In view of the change in medical
modes, researches on encephalopathy in traditional Chinese medicine will
have a greater development in biologic, psychologic, social and medical
modes.
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