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Ying Yang and Qi - Mind, Body,
and Soul
The knowledge of the human body
and the culture of a healthy lifestyle has been an inseparable
aspect of Chinese life for thousands of years. This culture finds
it roots in the experience and profound levels of understanding
that exist in Chinese philosophy and medical discoveries surrounding
the human body. The basis of Chinese health is seen as a systematic
approach to the study of the relationship between humanity and
nature, stressing the different systems that exist in the body
and the balance necessary to maintain healthy bodily functions.
In Chinese holistic health one important aspect to preserving
health is through the balance and connectivity of the mind, spirit,
and body. This idea, when taken one step further, opens us up
to recognize the rich relationship between the universe and humankind.
The Holistic Approach
Around 4,000 BC in ancient China, people had already begun to
notice the effects and reactions brought about on the human body
from outside influences; this was the beginning of a holistic
viewpoint to health. At this time, the ancients of China had
commenced on the long road of gathering the secrets to a healthy
life whereby developing the basis of the culture of a healthy
lifestyle. The Chinese had already begun moving toward a structured
holistic view of the relationship between human life and the
universe.
The Yellow Emperor, or "Huang
Di", is the one man in Ancient China who is renowned as
a man of many inventions and the father of health culture. He
was a humble and studious man and invented many useful tools
which were very advanced for his day and age. Legend has it that
Huang Di invented a compass driven cart which played a large
role in the unity of two indigenous tribes, which were to later
become the ancestors of the Chinese people. After many years
and with the help of numerous scholars, Huang Di completed the
first work in Chinese health culture.
This work is based on the ideals of the relationship between
humankind and the universe as a whole. It is presented from the
point-of-view of "Yin Yang" (Yeen Yahng), the all encompassing
Chinese theory of universal balance, and Wu Xing (Woo Shing),
the interaction between five natural elements to create balance,
these two ideals constitute the tools used in the achievement
of good health in Chinese thought. By mapping out the different
organs in the human body and drawing up the channels of Qi, Huang
Di created a work of health concepts that has been used and improved
on for thousands of years.
.
The Body According to Yin Yang
The philosophical origins of Chinese medicine have grown out
of the tenets of Daoism. Daoism bases much of its thinking on
observing the natural world and manner in which it operates.
Yin Yang describes how the Ancient Chinese viewed the world as
containing a perfect balance of opposing forces. They believed
that the unification of opposites was the law of change in all
things. Chinese traditional health culture sees Yin Yang as a
basic aspect of life energy movement, when Yin Yang is in balance
the body is healthy.
It is worthy to point out here the idea of balance in Chinese
thought. Balance, in this context, should not be confused with
the idea of balance in the West. The balance that is expressed
here is sometimes achieved through contradiction and not through
harmony. This achievement of balance in nature, and even in human
health, is through opposing forces, which may be in a state of
repose.
In today's world, and because of the onslaught of poor habits
and environmental hazards, we are being bombarded with the causes
of illness and discomfort, our health is being incessantly challenged.
The Chinese Culture of a Healthy Lifestyle can lead us to a resource
of knowledge that can teach us how to maintain health of spirit,
mind, and body.

The earliest concept of Yin Yang held a balance between abstract
and concrete, take for example the sun; areas that receive sunlight
would be considered as "Yang"; areas which received
no sunlight, or shady areas, would be considered as "Yin".
Later, over time, other phenomena were recognized such as; Summer
versus winter, up versus down, left versus right, inside versus
outside, and action versus rest.
The Body and Illness
Within the human body and its surroundings, physical and physical,
energy and energy, and physical and energy must all maintain
balance; they must all maintain a Yin Yang balance. This is the
basis of health and the way to maintaining healthy physical activity.
The forces of Yin Yang are interdependent; they sustain and restrict,
increase and decrease. Consequently, when Yin Yang is out of
balance illness is present.
The occurrence of illness is related to the aspects of healthy
and harmful Qi. Healthy Qi refers to the whole structure and
functions of the body, including the defenses that the body has
against illness; the immune system. Harmful Qi, or Xie Qi, refers
to any factor which causes illness. The properties of healthy
Qi and harmful Qi can also be categorized by Yin Yang. Healthy
Qi is divided into Yin Qi and Yang Qi; harmful Qi is divided
into Yin Xie and Yang Xie.
The process of illness is the struggle between Zheng Qi and Xie
Qi, or healthy and harmful Qi. The result is an imbalance of
Yin Yang where either Yin or Yang may be in excess or deficient.
No matter how complex the illness, the complexity does not go
beyond the excess or deficiency of Yin or Yang. Therefore, if
one desires to avoid illness and remain in good health, they
must use all possible ways to maintain balance of Yin Yang, whereby
reaching the highest level of a healthy lifestyle.
When the classic philosophers
contemplated natural phenomenon they would explain it from the
concept of Yin Yang. They perceived all aspects of nature as
existing within opposing forces, positive and negative, life
and death. Scholars of Yin Yang believed that the world is a
material whole resulting from the unification of the opposing
forces of Yin Yang. Yin Yang represents the interaction and unification
of opposing properties. At the same time, the properties of Yin
Yang in physical phenomena are also divisible, for instance;
daytime as Yang, and nighttime as Yin. When speaking of the divisions
of day and night, morning is considered to be 'Yang within Yang',
afternoon is 'Yin within Yang', from midnight to three in the
morning is 'Yin within Yin', and from three to six in the morning
is 'Yang within Yin'. There are divisions of Yin and Yang within
Yin Yang that go on endlessly. Thus, we can see that all phenomena,
physical and non-physical, within the universe can be categorized
within Yin Yang. In addition, just as we saw the divisions of
time, all things within one category of Yin or Yang can be sub-categorized
into finer divisions of Yin and Yang. This occurrence is widely
visible in all of nature. In most instances, outward or upward
motion or action, warmth and heat, light and illumination are
all features of Yang, whereas inward or downward motion or action,
chill or cold, and darkness are all features of Yin. When speaking
from the point of view of a healthy lifestyle, if the human body
exhibits the properties of action or motion, warmth, excitement,
or anything similar, it is considered to belong to the category
of Yang. However, if the properties of restriction, moisture,
or restraint are present they belong to the category of Yin.
Balance and Harmony
All phenomena in nature are a result of the unity and balance
of Yin Yang. The human body not only needs to maintain a balance
of Yin Yang within, it must also adapt to the Yin Yang of the
environment it finds its self in. The physical realm, just like
the human body, is in constant motion and change. The physical
body is constantly adjusting and adapting to its surroundings.
The vital movements within the body must sense the supporting
and restraining effects of its surroundings; weather, altitude,
and seasonal changes, which will have direct influence on the
bodily organ movements and functions. If the body is able to
make the correct adjustments to its surroundings and adapt correctly,
it will remain in good health. However, if the changes in the
surroundings overpower the body's ability to adapt, or if the
body is too feeble or weak, the ability to adjust correctly is
lost and there will exist an imbalance in Yin Yang which will
lead to illness. It is important to gain a good grasp of the
laws of natural change to achieve the needed overall unity and
balance that will lead to overall health.
In the realm of Yin Yang, it is considered that the result of
balance, or harmony, between the two opposing forces is achieved
through normal daily life activity. When speaking of physical
versus energy forces, physical would be categorized as Yin and
energy as Yang, in the aspect of Yin Yang these two are considered
as opposing forces. Normal human life activity is considered
to be the foundation of physical matter, without physical activity
there would be no resulting energy, therefore no resulting physical
material which promotes a continuous metabolic process. If there
is a division of Yin Yang or if Yin Yang cannot maintain unification,
it must result in the termination of life. In the Chinese classic
"Su Wen" it is written, "If a human being is able
to achieve balance in Yin Yang, the body will be strong and healthy,
the mind will be calm and peaceful, however if there is a separation
of Yin Yang the person will die."
The Beginnings of Holistic Medicine
China was one of first countries to have a medical culture. In
comparison with Western medicine, the Chinese method takes a
far different approach. With a history of 5,000 years, it has
formed a deep and immense knowledge of medical science, theory,
diagnostic methods, prescriptions and cures. With a history of
2000 to 3000 years, traditional Chinese medicine has formed a
unique system to diagnose and cure illness. The traditional Chinese
medicine approach is fundamentally different from that of Western
medicine. In traditional Chinese medicine, the understanding
of the human body is based on the holistic understanding of the
universe as described in Daoism, and the treatment of illness
is based primarily on the diagnosis and differentiation of syndromes.
The basic principles of Chinese
medicine are rather distinctive: Principles of Ying and Yang
- The Physiology of Chinese medicine holds that the human body's
life is the result of the balance of yin and yang. Yin is the
inner and negative principles, and yang, outer and positive.
The key reason why there is sickness is because the two aspects
lose their harmony. Seen from the recovery mechanism of organs,
yang functions to protect from outer harm, and yin is the inner
base to store and provide energy for its counterpart. Basic Substance
- Doctors of Chinese medicine believe that vital energy - moving
and energetic particles, state of blood, and body fluid are the
essential substances that compose together to form the human
body, and the basis for internal organs to process. They are
channeled along a network within the body - Jing Luo as their
channels. On the physical side, vital energy serving to promote
and warm belongs to the properties of yang, and blood and body
fluid to moisten possesses the properties of yin. Four Methods
of Diagnosis - It is a wonder that Chinese doctors could cure
countless patients without any assistant apparatus but only a
physical examination.
The Chinese approach treats zang--fu organs as the core of the
human body. Tissue and organs are connected through a network
of channels and blood vessels inside human body. Qi (or Chi)
acts as some kind of carrier of information that is expressed
externally through jingluo system. Pathologically, a dysfunction
of the zang-fu organs may be reflected on the body surface through
the network, and meanwhile, diseases of body surface tissues
may also affect their related zang or fu organs. Affected zang
or fu organs may also influence each other through internal connections.
Traditional Chinese medicine treatment starts with the analysis
of the entire system, then focuses on the correction of pathological
changes through readjusting the functions of the zang-fu organs.
Evaluation of a syndrome not only includes the cause, mechanism,
location, and nature of the disease, but also the confrontation
between the pathogenic factor and body resistance. Treatment
is not based only on the symptoms, but differentiation of syndromes.
Therefore, those with an identical disease may be treated in
different ways, and on the other hand, different diseases may
result in the same syndrome and are treated in similar ways.
The clinical diagnosis and treatment in traditional Chinese medicine
are mainly based on the yin-yang and five elements theories.
These theories apply the phenomena and laws of nature to the
study of the physiological activities and pathological changes
of the human body and its interrelationships. The typical traditional
Chinese medical therapies include acupuncture, herbal medicine,
and qigong exercises. With acupuncture, treatment is accomplished
by stimulating certain areas of the external body. Herbal medicine
acts on zang-fu organs internally, while qigong tries to restore
the orderly information flow inside the network through the regulation
of Qi. These therapies appear very different in approach yet
they all share the same underlying sets of assumptions and insights
in the nature of the human body and its place in the universe.
Some scientists describe the treatment of diseases through herbal
medication, acupuncture, and qigong as an "information therapy".
Such a complicated medical science
had come down thanks to records like The Yellow Emperor's Canon
of Interior Medicine, Shen Nong's Canon of Herbs, and the Compendium
of Materia Medica, which are all comprehensive and profound works.
There are also wide-spread stories praising the experienced and
notable doctors in ancient China like Hua Tuo in the Three Kingdoms
Periods (220 - 280). Today, though western medicine has been
adopted, traditional treatments are still playing an important
role and have raised great attention and interest worldwide due
to the amazing curative effects reported.
The Law of Balance between
Heaven and Man
"Heaven" refers to the natural environment; "Man"
refers to the human body. The idea behind the Balance between
Heaven and Man expresses the strong connection that exists between
nature and humanity. All changes and movements of nature will
have some effect, direct or indirect, on the human body. If,
during the movements of the seasons, there occurs uncommon weather
phenomenon; cold during spring, warmth during winter, a long
drought, or heavy rains, they will all have some effect on the
human body. The only way for the body to maintain good health
is by adapting to the changes in its natural surroundings.
Thus, the ancients used the supportive and restrictive, or positive
and negative, principles of Yin Yang to represent and explain
natural surroundings and climate changes. Whereby, pointing out
the changes of Yin Yang and the changes of the seasons as being
the basic principle in the adaptation process; if a person desires
health and longevity it is important to adhere to these principles
of nature.
The World According to Wu Xing
The Wu Xing, or Five Elements explain the structure of the world.
In China, Wu Xing, much like its counterpart Yin Yang, has made
a large contribution in the study of a healthy lifestyle.
The main idea behind Wu Xing is not so simple as to say that
all things can be divided into five separate categories. Rather,
the Five Elements exist within the laws of mutual support, and
restraint, and are used to explain the relations between complex
systems and material objects. It is on this basis that the idea
of completeness and a unified self adjustment is expressed. Through
the adjustment of Wu Xing the functions of the body are strengthened,
allowing individual functions to maintain or recover normal conditions,
the result is the healthy lifestyle goal of well-being and longevity.
Within the natural world, these
five elements have different kinds of unions, which after close
observation they discovered the mutual associations of support
and restriction, which they continued to develop and expand on.
They noticed how the elements were interrelated through continual
support and restriction causing them to achieve and maintain
balance.
The Properties of the Five Elements
- Wood - The ancients saw the growth pattern of trees as
upward and outward with branches growing curved and straight.
They recognized them as displaying the usage and properties of
growth and upward expansion.
- Fire - The ancients saw fire as having the characteristics
of heat and rising motion. They recognized this as the usage
and properties of heat and ascension.
- Soil - The ancients saw soil as having the usages of sowing,
cultivating and harvesting. Therefore they recognized it as being
an element of growth, able to bear weight, and able to receive.
As in the sayings; "All things return to the earth",
and "the earth is the mother of all things".
- Metal - The ancients recognized metal as having
the properties and usages of purity, and restraint.
- Water - The ancients recognized water as having
the properties and usages of moisture, cold, and downward motion.
Acupuncture
The practice of acupuncture and moxibustion is based on the theory
of meridians. According to this theory, qi (vital energy) and
blood circulate in the body through a system of channels called
meridians, connecting internal organs with external organs or
tissues. By stimulating certain points of the body surface reached
by meridians through needling or moxibustion, the flow of qi
and blood can be regulated and diseases are thus treated. These
stimulation points are called acupuncture points, or acupoints.
Acupoints reside along more than a dozen of major meridians.
There are 12 pairs of regular meridians that are systematically
distributed over both sides of the body, and two major extra
meridians running along the midlines of the abdomen and back.
Along these meridians more than three hundred acupoints are identified,
each having its own therapeutic action. For example, the point
Hegu (LI 4), located between the first and second metacarpal
bones, can reduce pain in the head and mouth. The point Shenmen
(HT 7), located on the medial end of the transverse crease of
the wrist, can induce tranquilization.
The effectiveness of an acupuncture treatment is strongly dependent
upon an accurate Chinese medical diagnosis. The needling skills
and techniques of the practitioner will also influence greatly
the effectiveness of the outcome. Acupuncture can be remarkably
effective in many conditions, but in the West, patients often
use acupuncture as the last option for their long-term chronic
problems. Therefore we sometimes see the treatment as slow and
in some cases of marginal benefit. With the gradual establishment
of acupuncture as the treatment of choice for many people, the
effectiveness of the approach with acute as well as with more
chronic conditions is being recognized.
Herbal Medicine
Together with acupuncture, herbal medicine is a major pillar
of Chinese medicine. The Chinese pharmacopoeia lists over 6,000
different medicinal substances in terms of their properties and
the disharmonies that they were helpful with. There are about
600 different herbs in common use today.
Herbs are classified in two major dimensions. The first dimension
refers to the temperature characteristics of the herb, namely
hot (re), warm (wen), cold (han), neutral (ping), and aromatic.
The second dimension refers to the taste property of the herb,
namely sour (suan), bitter (ku), sweet (gan), spicy (xin), and
salty (xian).
The various combinations of temperature
and taste give the herb its properties that can influence the
yin and yang energy patterns of the body. For example, sour,
bitter and salty tastes are related to yin, whereas acrid, sweet
are attributed to yang. There are herbs that will warm, herbs
that will cool, herbs that will tonify, herbs that will move
stagnation and so on. It is also important to understand that
herbs do not possess one quality. They are most always a combination
of properties and temperatures and may reach one to as many as
twelve organ systems. Warm herbs can be used with individuals
suffering from Heat disorders, but the herb with warm energy
must be mixed with herbs with Cool/Cold energy so that the overall
balance of the mixture is on the Cool side. Likewise, Cool herbs
can be used with people with Cold disorders as long as the overall
balance of the mixture is warm. Neutral herbs are those that
are neither hot nor cold, so they are often considered gentle
herbs. There are not too many neutral herbs in the pharmacopoeia.
As for the tastes, sour constricts or consolidates. Herbs of
sour taste are often indicated for use in perspiration due to
deficiency, protracted cough, chronic diarrhea, seminal and urinary
incontinences, leakage or spermatic fluid, and other conditions
related to hypo-metabolism (under-performance). In traditional
Chinese medicine, they are seen as deficient or cold patterns.
The unique characteristic of Chinese herbal medicine is the degree
to which formulation is done. In other forms of herbal medicine,
especially western herbal medicine, herbs are often delivered
singly or combined into very small formulas of herbs with the
same function. In contrast, Chinese herbalists rarely prescribe
a single herb to treat a condition. They create formulas instead.
A formula usually contains at least four to twenty herbs. Herbal
formulas can be delivered in all manners of preparation. Decoction
is the traditional method of preparing herbal medicine. A decoction
is a concentrated form of tea. The practitioner weighs out a
day's dosage of each herb and combines them in a bag. A patient
is given a bag for each day the herbal formula will be taken.
The herbs are then boiled in water by the patient at home.
Qi
In Chinese thought there is also the important aspect of recognizing
disease or discomfort through the balance or imbalance of "Qi"
(Chee), which can be understood as "Life Energy". There
are two kinds of Qi, healthy Qi or Zheng (jung) Qi, and harmful
Qi or Xie (she-ay) Qi; Zheng Qi can be related to a healthy immune
system and is something that exists within; Xie Qi can be related
to the causes of illness and discomfort and exists without. With
this, comes the important idea of preventive medicine or "stopping
illness before its onset". Similar to the theory of yin-yang,
qi was derived from ancient Chinese philosophy, which believes
everything is related. In traditional Chinese medicine, qi is
treated as the fundamental substance of the human body, and its
movements explain various life processes. Qi in its physiological
sense constitutes, replenishes and nourishes the human body.
Qi is often called vital energy because it is believed to be
the motive energy derived from the essential substance for various
vital processes. 
Qi is often classified according to what it acts on. For example,
the heart-qi refers to the force with which the heart works and
the blood circulates, so it regulates the cardiac function; the
stomach-qi refers to the force with which the stomach functions,
so it regulates the gastric function. The qi that maintains normal
functioning for resistance against disease is called zheng-qi,
which means genuine energy or body resistance. The qi that warms
the body and maintains normal body temperature is called yang-qi,
which is similar to the heat energy. Metabolism of materials
and energy also depends on the action of qi, including metabolism
of blood, fluids and other essential materials.
Qi is formed from the inhaled oxygen, the dietary nutrients,
and the inborn primordial qi stored in the kidney, which may
be genetically related. Qi circulates along meridians and collaterals.
A healthy body requires normal circulations of qi. Health problems
occur if the flow of qi is stagnated. The circulation of qi is
also closely related to mental conditions. Emotional instability
may cause the stagnation of qi. For example, anger may lead to
dizziness, headache, distress in the hypochondriac regions, or
distention in the stomach with impairment of appetite. On the
other hand, the exercise of mind can help the circulation of
qi, which is the purpose qigong exercise.
Medical Text
The archeological discoveries of the last few decades reveal
that during the two centuries of the Western Han dynasty (206
BC - 23 AD), Chinese medical thought underwent a process of comprehensive
standardization and systematization. This newly emerging image
is in contrast with the views of the Chinese medical tradition
tracing the origins of their primary medical canons to pre-Qin
times. The medical manuscripts excavated in 1973 from Tomb #3
at Mawangdui show that the early medical classics, especially
the Huangdi neijing (The Yellow Emperor's Inner Classic), which
is revered as the oldest writings of its kind, had not only been
compiled much later than it is commonly believed in the Chinese
tradition but even the views represented in them could not have
developed before the Han. Thus the standard view of medical tradition
of the last fifteen-seventeen hundred years in China contradicts
to the reality manifested in the Mawangdui manuscripts. Based
on the manuscript texts, one can determine that at the time of
Qin (221 BC - 206 BC) and the beginning of Western Han most of
the typical features of the Chinese healing art had not been
formed yet. One must also point out here the significance of
the Nanjing (Classic of Difficult Issues) and its role in establishing
a new direction towards a standardized and systematic body of
knowledge.
The
traditional Ancient Chinese medical writings, with a very few
exceptions, are still not available in any of the main European
languages. As is the case with many other aspects of Chinese
culture, the authorship of medical classics has been assigned
to mythical personages and pushed back to times of remote antiquity.
In traditional thought, the beginning of healing art had been
associated with Huangdi, the Yellow Emperor or Yellow Sovereign
and the knowledge of pharmacology with Shennong, the Divine Husbandman;
they hand down their wisdom in the Huangdi neijing or the Yellow
Emperor's Inner Classic and the Shennong bencao, the Materia
Medica of the Divine Husbandry, respectively. Huangdi was the
one who taught people the knowledge of raising silk-worms, riding
boats and carriages, also he was the one who invented writing,
music and medicine. Chinese historical records date the reign
period of Huangdi and, consequently, the Huangdi neijing to 2698
B.C., a time which by no means can be regarded historically reliable.
The Huangdi neijing is one of the first, and undoubtedly the
most important, classic in the history of Chinese medicine, which
had an enormous influence on the medical thought in later centuries.
The book records the dialogs between the Yellow Emperor and some
of his sage physicians on medical issues; the emperor's questions
encompass every possible aspect of diagnostics, pathology, acupuncture,
and moxibution, including both theory and practice, and the sage
teachers give detailed explanation on each topic.
Another
important classic is the Nanjing, or Classic of Difficult Issues
which is also referred to as Huangdi bashiyi nanjing, or the
Yellow Emperor's Classic of the Eighty-one Difficult Issues.
According to the medical tradition starting from the Shiji (91
BC), this book is a work of Bien Que, a physician who is supposed
to have flourished sometime between the sixth and third centuries
B.C. Later, the Nanjing was added to the Yellow Emperor tradition
and was assigned to the Yellow Emperor himself. Until very recently,
the Nanjing was thought to be a commentary to the Huangdi neijing,
elaborating on certain obscure passages and issues from it. The
difficult issues, however, despite their apparent similarity,
cannot be found in the Huangdi neijing; in many cases they in
fact do shed light on obscure parts of the Huangdi neijing, but
this is due to the fact that the Nanjing explains medical theory
and practice in a much more clear and lucid way than the Huangdi
neijing. The homogeneous
structure and content of the Nanjing confirms that it is not
a collection of thoughts and ideas, as it is often the case with
early texts in Chinese literature, but was written by one author
and, therefore, belongs to one time period. Most of the Western
scholars date the book anywhere from the first to third century
AD; in general, their calculations are based on the dating of
the Shanghan lun, written by Zhang Ji (142-220), which has been
influenced by the Nanjing
Unlike the Nanjing, the Huangdi
neijing is a text that was put together over a span of several
centuries by a number of individuals; one can finds esoteric
and self-cultivating cosmology next to Confucian discussions
on ethical considerations; there are highly rational and scientific
arguments a few pages after appraisal of physiological alchemy;
certain parts of the book may go back to pre-Qin times and other
parts are from the Tang dynasty. There has been an extensive
debate over the last few decades regarding the authorship and
dating of this book, yet, to present day, no generally accepted
and solidly based theory exists. Since it is a compilation, it
is extremely hard to label it with a particular date. The title
first appears in the "Yiwenzhi" chapter of the Hanshu,
among the bibliography of medical classics. Of course, there
is no way of knowing, whether that title referred to the same
content and, similarly, other titles could have included parts
of the present text. The name Huangdi neijing is generally prefixed
to the titles of four books, Suwen, Lingshu, Taisu, and Mingtang.
We do not have a Han copy of any of the texts and all of the
extant texts have undergone further editing and revision after
the Han. There are also two other texts, the Jiayijing (256 -
282) and the Maijing (ca. 280) which were strongly influenced
by the original version of the text. [9] This shows that the
Huangdi neijing was already present at least during the Latter
Han, however, it is very hard to establish to what extent was
this original text damaged by later revisions. A detailed analysis
of the various time layers in the Huangdi neijing and the dating
of these text fragments is a task far beyond the scope of this
paper.
Medical theory has always been
traced back to the Nanjing and Huangdi neijing which served as
an absolute standard for all works after the Han; this kind of
continuous authority, produced as a result of the well-known
traditionalism of Chinese scholarship, resulted in an unusually
homogenous and coherent conceptual structure. On this part of
the world, just like in other ancient societies, the idea of
evolution worked seemingly backwards, the original settings were
the best and ever since the times of antiquity everything has
been deteriorating. While in the modern, "scientific"
West it is customary to think that the newer a thing is the better,
in traditional Chinese thought this appears to be just the opposite;
a new thing could be justified and accepted if one could prove
that it has been already mentioned and thought of in ancient
times. As a result of this traditionalistic approach, medicine
in China has been regarded as a body of knowledge which has undergone
very little, if any, changes through the span of history.
The
Mawangdui Documents
In 1973, a large number of silk
and a smaller number of bamboo slip documents were excavated
from Tomb Three of the Mawangdui site at Changsha, Hunan. The
burial is dated to 168 B.C., providing us with an absolute date
for the latest time span of all the manuscripts in the tomb.
The total of 130,000 characters included the copies of the Yijing,
the Laozi, Chunqiu shiyu, as well as other manuscripts on history,
geography, military science, philosophy, astronomy, divination,
and medicine. =The medical texts, representing every aspect of
healing art in ancient China, amount to more than 23,000 characters,
constituting one sixth of all the writings; the 14 individual
medical documents, following the arrangement of the bibliographic
catalogue in the Hanshu, can be grouped into four main categories:
- Classics of Medicine (Yi Jing)
- Collection of Prescriptions
(Jing Fang)
- Treatises on the Bedroom (Fang
Zhong)
- Methods and Prescriptions for
Immortality (Shen Xian)
It is fortunate that all of the
four categories in the Hanshu are represented among the excavated
materials. The diversity of texts included in the Mawangdui medical
corpus gives us an unusually complete picture of the state of
medical literature in the Warring States and Qin-Han periods.Despite
the wide variety of documents, the Mawangdui corpus presents
us with an essentially consistent ideology; this is an important
evidence that the texts are part of a larger tradition and not
just individual fragments.
What makes these documents so rare and valuable is that the exact
date of the burial and the way name-taboo characters are used
or omitted give us a solid chronological basis so unusual in
this field. Furthermore, since these manuscripts have been out
of circulation during the centuries of changes, they allow us
to lift up the veil covering the earliest phase of development
of medical thought during the Eastern Han dynasty.
The Mawangdui documents present us an ideology remarkably different
from the conventionally accustomed view of medical theory which,
in its earliest form, is represented by the Nanjing and Huangdi
neijing. The more "primitive" and unstructured doctrines
of the excavated material remind us of the grand process of standardization
that took place sometime during the Latter Han. If we compare
the Mawangdui medical corpus with the classics, a number of striking
distinctions confirm the gap in time and ideology.
Standardization of Chinese
thought during the Western Han
The standardization of terminology, theory, and practical technique
during the early Han was by no means limited to the medical world;
it was a much broader process, involving many aspects of contemporary
culture, including philosophy and literature. "In sharp
contrast with the Qin the Han dynasty, while continuing the political
heritage of the former, combined in its world-conception the
idea of the absolute power of the Emperor with the recognition
of the necessity of the metaphysical norms of love and duty,
thus realizing, perhaps for the first time in Chinese history,
Confucius' ancient ideal of the Sovereign who, mandated by Heaven,
carried out its will: to govern the people by spiritual power
which by its very nature is beneficent and stimulating.
The period of early Han is the time of general standardization
in Chinese culture; it is the time of classification and standardization
of the classics. The study of the classics was a central issue
and was promoted by the emperor himself; in 191 B.C. emperor
Hui abolished the law proscribing the possession of books, promulgated
by the Qin in 213 B.C.; in 136 B.C. emperor Wu established, advised
by the leading scholar Dong Zhongshu, the institution of the
wujing boshi (erudities for the five classics), raising Confucianism
to be the only officially recognized doctrine. The reign of emperor
Wu of the Han is known in Chinese literature as the period of
tongyi sixiang, or the ideological unification; despite his affinity
towards occult and esoteric teachings, through promoting Confucianism
and the study of classics, he made a big step towards the unification
and rationalization of Chinese thought. The need for such reforms
was present in the political and intellectual world, the changes
did not merely represent the literary interest or attraction
of the emperor; "the fact that two councils for the discussions
of the discrepancies in the Classics were held within comparatively
so short a time, the first in the Shiquguo in 51 B.C., the second
in the Baihuguan in 79 A.D., points out the unsettled state of
affairs in the world of Classical studies during the Western
and Eastern Han Dynasties;" even the fierce conflict between
the New Text and Old Text schools shows us how important it was
considered to have a united and consistent approach to intellectual
thought.
During the Han dynasty, Confucian
thought became a great synthetic religion which, despite all
the superstition and mysticism fused into it, was a highly rationalized
body of thought. This rationalistic system, until the first decades
of the Western Han, was counter-balanced by "other, rival,
doctrines, in particular Taoism and the School of Law;"
later on, these schools lost from their influence and attraction
and Confucian rationalism became the dominant force in politics
and culture. This is what Needham calls a "Naturalist-Confucian
synthesis during the Han." The study of the classics was
further emphasized in the years of the reign of emperor Xuan
(73-49 B.C.), twelve scholars representing twelve different schools
of interpretation taught the Five Classics at the Grand School
in the New Text tradition; the Old Text versions were not recognized
officially until a little later, although many scholars of the
first century knew and had studied them.[
The process of ideological and
intellectual consolidation was present in all aspects of contemporary
Chinese thought; the grand scale unification also involved the
standardization of terminology and technical vocabulary. John
S. Major presents a clear and detailed analysis on the evolution
of the nomenclature of winds and directions in this period, reaching
the conclusion that "the nomenclature of winds and directions
in the early Han was still somewhat confused, but also that the
confusion was rapidly diminishing as the manifold correlations
of Han cosmology were becoming standardized." Major also
points out the cosmological significance of Gao You's (c. 168-212)
commentary that gives a correlation to the eight musical instruments
as well. "This may seem a trivial correlation to make until
one remembers how seriously music was taken in ancient China
for its symbolic and numerological qualities. Thus introducing
musical instruments in this context opens the door for further
cosmological integration, so that the system will embrace not
only time and space, yin and yang, the Five Phases, and the eight
triagrams, but the numerology of the pentatonic and duodecatonic
scales. Thus the system approaches the all-embracing syncretic
organic cosmology, containing an appropriately detailed set of
prescriptions for human conduct, that was to have its full flowering
in the works of Dong Zhongshu within a few decades of the writing
of the Huainanzi."
One of the spectacular manifestations
of this standardization process in this period is the compilation
of Dong Zhongshu's Chunqiu fanlu, a work in the New Text tradition
which, despite its later interpolations, remains to be one of
the greatest examples of correlative thinking and the system
of correspondences. It is a work extends the theories of Yin-Yang
and five phases to virtually every aspect of human existence,
including arts, music, food, politics, philosophy etc., creating
a consistently integrated system very much in the tradition seen
in medical literature starting from the Nanjing, Huangdi neijing,
Shanghanlun and other texts during and after the Han dynasty.
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