1. Classical Acupuncture for the Practicing
Physiotherapist:
East Meets West
Anne Dawson, Eduardo Barreto
October 21, November 4, 18, December 2
2012
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2. Basic Theory of Traditional Chinese
Medicine
Dawson-Barreto, 2012
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3. TRADITIONAL MEDICINE
 NATIVE NORTH AMERICAN MEDICINE: Hopi,
Cherokee, Inuit. (Medicine Man, herbs, purification,
chanting)
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4. TRADITIONAL MEDICINE
 CENTRAL – SOUTH AMERICA: Maya, Azteca, Inca.
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5. TRADITIONAL MEDICINE
 GREECE Middle East: Unani (ca 400 BC Hippocrates.
Elements: earth, air, water, fire. Humours: blood, phlegm,
yellow bile, black bile. Temperament: hot, cold, dry, wet.
Herbs, diet, massage, exercise, Turkish bath
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6. TRADITIONAL MEDICINE
 INDIA: Ayurveda (ca 5000 BCE, Purusha-Prakruti. Space,
air, fire, water, earth. Tridosha: Vata, pitta, kappa. Herbs,
yoga, pulse, massage, diet)
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8. TRADITIONAL CHINESE MEDICINE
 Yin – Yang. Five Phases (Wu Xing): Four cycles. Qi-Blood-
Essence-Fluids (Qi-Xue-Jing-Jinye).
Channels – Meridians. Zang-Fu System.
 The Four Examinations (Insp-List-Inquiry-Palpation)
 Acupuncture – Moxa – Cupping.
 Pharmacotherapy: Herbs, animals, minerals.
 Tui Na (“pushing and grasping”) Anmo (“presing and
rubbing”). Guasha (“to scrape away fever”).
 Qi Gong – Tai Chi Chuan.
 Wholism -Tx. Pattern diagnosis and differentiation.
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13. DEFINITIONS OF HEALTH
 WESTERN: Health is a normal range of physical functions.
Balance of physical aspects (cellsorgans). Need to
measures (lab tests, image exams, etc). Treatment. Medical
technology. When you are sick  You pay the doctor.
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14. DEFINITIONS OF HEALTH
 EASTERN(CHINESE): Health is an optimum balance of
energies in the body. Earlier intervention – Prevention.
Before physical damage. Different types of energy.
(Ancient China) You paid the doctor on the days when
you are healthy. Is inhuman to take fees from a sick person
(Same in India)
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16. BASIC THEORIES
 (Introduction: History, philosophy)
 Ying – Yang Theory.
 Five Phases Theory.
 Qi. Blood. Essence. Fluids.
 Channel Theory.
 The Bowels and Viscera.
 Disease and its causes
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17. PATTERN IDENTIFICATION AND
TREATMENT
 The Four Examinations.
 Eight – Principle Pattern Identification.
 Qi – Blood Pattern Identification.
 Disease – Evil Pattern Identification.
 Externally Contracted Febrile Disease Pattern Identification.
 Principle and Methods of Treatment.
Chinese Medicine: Five Years. Third Year: Acupuncture (108 hours).
Fifth Year: Practice
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19. CREATION OF THE WORLD
 Creation myth: PAN GU
 Chopped the stone: Heaven (yang)-Earth (yin)
 Head: mountains. Breath: wind and clouds. Voice:
thunder. Left eye: Sun. Right eye: moon. Muscles:
matrix of earth. Flesh: soil. Hair and beard:
constellations. Skin: plants and trees. Teeth and bones:
metals. Marrow: precious stones. Body: rain.
 Lice: (ether)humans.
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20. DYNASTY PERIOD MAJOR EVENT
Shang Ca 1600-Ca 1100 BCE Oracle bones, disease=curse of ancestor.
Zhou Ca110-ca 475BCE Time of chaos. Demonological therapy. Disease may
now be caused by demon or magic, not ancestor.
Confucius (551-479 BCE)
Warring 475-221 BCE Yin – Yang School. Five Phase School. Confucian
States doctrine. Lao Zi and Zhuang Zi (Daoism)
Han 206 BCE- 220 CE Medicine of Systematic Correspondence (Qi). “The
Yellow Emperor’s Classic of Medicine”. “Classic of
Difficulties” . Buddhism .
Tang 618-907 CE Imperial School of Medicine: Acup-Massage-
Internal Medicine-Incantations.
Ming 1368-1644 Medicinal drugs fully incorporated.
Qing 1644-1911 Western Medicine: Modernization vs. Tradition
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21. Main Books in TCM
 Yellow Emperor’s Internal Classic: Plain
questions and Spiritual Pivot (Nei Jing): Ca
100 BCE-100 CE. By Huang Di.
 The Classic of Difficulties (Nan Jing): Ca 100
CE. By Bian Que
 Treatise on Cold Damage and Miscellaneous
Diseases (Shang Han Za Bing Lu): Ca 150-
219 CE. By Wang Shu He.
 Divine Husbandman’s Materia Medica: Ca
100-200 CE. By Shen Nong
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22. Qing Dinasty: 221-206 BCE. Bronze needle
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26. YIN
North side of the hill- South side of
the river
2,6,8
Dark
Earth – Moon - Night
Autumn – Winter - Damp
Female
Slow – Stasis - Heavy
Back – Down
Inside - Abdomen
Water – Metal
Right Side
Viscera ( Li-Ht-Sp-Lu-Ki)
Hill – Today - Cloudy
Blood
Interior
Bone - Sinew
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27. YANG
South side of the hill-North
side of the river
3,7,9
Bright
Heaven – Sun - Day
Spring - Summer
Dry
Male
Fast – Movement – Light
Front – Up
Outside
Fire – Wood
Left Side Hill – Sun - Rays
Bowels (Gb-Si-St-Li-Ub)
Front
Up
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29. Main Aspects of Yin and Yang Relationship
 Represent two related things or phenomenon.
 Yin-Yang are opposites.
 Interdependent: Can not exist without each other.
Are rooted in each other.
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30.  Mutual consumption of Yin and Yang.
 Inter-transformation of Yin and Yang.
 Are divisible.
 Counterbalance each other
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31. YANG
50˚ C
YIN
40˚ C
20˚ C
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33. APPLICATION
 Top-Head:Yang. Bottom – Feet:Yin.
 361 Acupoints: Above waist:Yang. DU 20 Sea of Yang. Ki 1
Strongest Yin point.
 Left , Back (Yang)– Right, Front (Yin)
 Exterior – Interior. Hollow – Solid
 Closest to inside of the body: Yin
 Channels: 3 hand Yin. 3 hand Yang. 3 foot Yang. 3 foot Yin.
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35. Excess of Yang: Diet. Coffe,
spicy food.
External: Wind, cold. Damp,
Summer heat.
Emotional disorders (Anger
too much Yang)
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36. REPLETE YIN (Shi)
YIN EXCESS
Cold Symptoms:
Tongue w. white coating.
Pulse: Slow – floating.
Diarrhea – Abdominal cramps.
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37. REPLETE YANG (Shi)
YANG EXCESS
Red Tongue – Yellow coat.
Pulse: Fast.
Sneezing.
Yellow expectoration.
Constipation.
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38. VACUOUS YIN (Xu)
YIN DEFICIENCY
Red Tongue – no coating.
Pulse: Rapid
Heat.
Night sweating.
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39. VACUOUS YANG (Xu)
YANG DEFICIENCY
Tongue pale
Pulse: Weak
Cold
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40. BALANCE Yin – Yang
Deficiency  Tonify (moxas)
Excess  Disperse, sedate.
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