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本帖最後由 容燥兒 於 2019-10-8 22:36 編輯
Dr. Kwok Channel - The discussion on the unity of the sources between Chinese and Western medicine.
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詳細資料
00:01 We should first give our appreciation to the people who have made or are going to make contribution to the knowledge of human health
00:17 Whatever nationality they are
00:20 We pay respect to them
00:24 The first question for all of you is:
00:28 Anyone knows how long is the history of Traditional Chinese Medicine?
00:32 Raise your hand
00:36 Since the term "Traditional Chinese Medicine" was created, or since the existence of Traditional Chinese Medicine was recognized, how long that history is?
00:47 And except the term "Traditional Chinese Medicine"
00:50 What else are able to represent Traditional Chinese Medicine?
00:55 Because Traditional Chinese Medicine has lots of its own characteristic, any synonyms of Traditional Chinese Medicine?
01:01 When such words or phrases are spoken people know it represents Traditional Chinese Medicine
01:06 You should go home and take a nap
01:09 There are serveral hundred kinds of Chinese medcial art
01:11 How could one single medical art represents Traditional Chinese Medicine?
01:17 OK it should be uncommon knowledge
01:25 Here are some introduction first
01:27 In terms of both Chinese and western medicine
01:29 The earliest emerged Traditional Chinese Medicine was called "The art of Qi and Huang"
01:33 which is based on Yellow Emperor's Inner Canon, where the conversation between Qi bo and Huang di was recorded
01:40 In Sanguo era there was a doctor whose name was Dongfeng (220-280)
01:44 He didn't charge money for treatment
01:47 But some gifts that he required
01:49 He requried every patient to plant a ginkgo
01:54 back in his garden
01:56 Therefore it got more and more ginkgo
01:58 Around the house, even the neighbouring houses, there are ginkgoes
02:03 That's why it is called "Ginkgo jungle"
02:04 You must have heard of it, "Ginkgo jungle master"
02:06 So "Ginkgo jungle" can stand for the spirit of Traditional Chinese Medicine
02:09 Another phrase representing Traditional Chinese Medicine is "The art of the green backpack"
02:16 A green back pack by its name
02:20 A story involving Hua tuo
02:22 At that time Hua tuo kindly spoke to Cao cao
02:24 About your headache, I can slit your skull
02:28 to treat your disease
02:31 While Cao cao thought Hua tuo tried to kill him in this way
02:33 So he delegated the order to behead Hua tuo, making Hua tuo to flee
02:37 But he was then caught and imprisoned
02:40 Before the execution
02:42 As there were many books about medicine in his green backpack
02:46 He left it for the warden
02:51 Who guarded the prison at night
02:53 The warden then took and returned some of the books to the government
02:59 And kept the rest for himself
03:03 That's how Hua tuo's medicical art was able to be spread out and passed on
03:05 So when we mention Traditional Chinese Medicine passed from Hua tuo
03:08 we can say it is "The art of the green backpack"
03:11 which originated from Hua tuo
03:13 OK the 4th phrase for Traditional Chinese Medicine
03:16 As we all know, sometimes you can see it in Traditional Chinese Medicine stores
03:20 "Hanging pot aiding the world"
03:22 Have you heard about it?
03:24 Have you? Explain it? Anyone know the full story?
03:27 Of course it is related to a gourd, but there is further story
03:32 Yet it is 'pot' in that phrase
03:36 But not 'gourd' ('pot' and 'gourd' sounds the same in Chinese)
03:41 Who invented that?
03:43 How did the phrase come out?
03:46 We have to say more about it
03:53 In Han dynesty there was a man whose name was Fei Chang Fang
03:59 He was an ascetic and living a bit of monastic life
04:03 He was pretty idle and wandering around the street every day
04:06 One day he went into a barter
04:09 He saw an old man treating patients
04:13 Next to him there hanged a gourd
04:17 A bit larger in size than the normal ones
04:20 Everytime the old man finished diagnosing he probed his hand into the gourd
04:23 Brought some medicine out for the patient
04:26 He peeped him from a distance
04:29 Wondering "how could he put his hand into such a small gourd?"
04:33 It was just mysterious
04:38 He continued to observe the old man for a time until one day
04:42 Because he didn't see the old man charging any patients
04:45 He was very respectful to him
04:46 Wondering "He treated patients all day like that!"
04:48 Therefore he brought him some wine and good food
04:52 to serve the old man
04:56 The old man was very happy
04:58 and said, "Come here again tomorrow"
05:01 He did went there again the other day
05:06 The old man then held his hand
05:08 And jumped into the gourd together with him
05:13 After entering the gourd
05:15 It was another world
05:20 Extremely beautiful, like a paradise
05:22 He stayed there for 10 days
05:25 During that time the old man taught him lots of medical art and skills
05:27 within 10 days
05:30 His name is Fei Chang Fang, you can google it
05:34 When he was about to leave after ten days
05:37 The old man
05:40 asked him to pick up a stick from the corner
05:46 and said "You can go home sitting on the stick"
05:51 He thought the old man was teasing him
05:52 "How can I sit on such a small stick!"
05:55 The old man replied "Don't bother asking, just sit on it"
05:57 He then sat on the stick and got out of the gourd in a moment
05:59 and went straight back home after getting out
06:02 After getting back his mother had already been grey-haried
06:05 His children had grown up
06:06 It turned out to be 10 years since he left
06:08 10 year... He stayed there for 10 days but in real life it was 10 years
06:11 Because of Fei some prescriptions were passed on
06:14 Rumor says after Fei had treated many patients in his late life
06:19 He disappeared
06:21 It is said that the old man come again, picked him up and disappeared together
06:27 But not died, you can google it
06:31 So that's the originality of Traditional Chinese Medicine
06:34 However it has been less than 200 years since Traditional Chinese Medicine got its formal name
06:42 less than 200 years
06:43 From 1827
06:46 Right after the Opium War in 1827
06:49 Westerners came to preach
06:52 They had a habit to treat patients for free when preaching
07:02 That time there was a ophthalmologist whose name was Guo Shu Lei
07:06 He is from East India Company
07:09 He established a hospital to treat diseases including eye diseases for free
07:13 and preaching as well
07:14 Later in China they were widely spread out as Christnaity
07:19 thereby claimed a lot of land from the goverment
07:21 and more hospitals were built
07:24 After that they started charging in high price
07:26 Nowadays the French hospitals in HK are doing the same thing! They keep charging more and more
07:29 For exampel, Baptist Hospital also came from the support of churches
07:32 At the beginning it was free, now the fee is getting higer and higher
07:36 The same situation at that time...
07:41 OK since our topic reached here
07:43 Let's take a pause and switch back to the history of origin
07:46 The orgin of western medicine
07:50 Who knows When did western medicine come into existence?
08:01 Sicne Traditional Chinese Medicine can date back to the emerge of Yellow Emperor's Inner Canon
08:11 in about 500 BC
08:15 Back then it was not called "Traditional Chinese Medicine", but "The art of Qi and Huang"
08:17 which was the conversation between Qi bo and Huang di
08:21 Almost at the same time in about 500 BC
08:25 Western medicine came on stage as well
08:31 It is
08:35 Western medicine started to develop
08:40 Starting from Chibolagadi(?)
08:43 Back then they adopted Vata (Wind), Pitta (Fire), and Kapha (Earth, water)
08:46 So I suspected that they had learned the medical art from ancient India and adopted it for use
08:52 In acient India
08:53 Because they were then using the system of Vata, Pitta and Kapha
08:55 in combined with bile or phlegm
09:01 or blood
09:04 So in 500 BC
09:09 There were many communal characteristic between acient Indian medicine and Yellow Emperor's Inner Canon
09:15 We used the five element system (metal, wood, water, fire, earth), they asserted the earth, water, fire and wind system
09:18 There is a principle here
09:21 For example when we are doing researches
09:23 For the scholar who is doing research
09:26 The target of the research is an object
09:28 It can be a bottle or an animal
09:30 Or other.. subjects
09:34 Mostly the research target is way different from the researcher himself or herself
09:42 Say if you investigate a cup, the cup is definitely not yourself (which is a human)
09:44 Definitely not, just few cases when the research targets are the same with the researcher
09:48 The only exception is the medical research
09:50 when the target under investigation and the researcher are the same thing
09:53 Because what you are investigating is a human!
09:56 In other words it is human who is doing research about human, a bizarre case isn't it?
10:01 Because usually they are different objects
10:05 Well since they are the same
10:09 There is no need to classify eastern and western researchers
10:13 It is human that eastern researchers are investigating
10:15 Also it is human that western researchers are investing
10:18 Since then why
10:21 it evolved two different systems after developing for a long time?
10:23 Who knows the reason?
10:31 The research objects are both human, why there are differences between two medical systems?
10:36 When did they begin to be parted? Why were they parted?
10:40 If we ellaborate on it today there would be much detail involved
10:43 You don't know too much about human body
10:48 If you don't even know a little about the method or treatment that the doctor is providing you with
10:57 It is just not appropriate
11:01 In other words you are just guessing
11:03 Whether the diagnosis from the doctor is correct or not
11:10 You are just guessing, or simply believing in the doctor without any reasons
11:14 Fine so what's the differece between Traditional Chinese Medicine and western medicine?
11:18 In 200 AD
11:25 Two figures appeared at the same time in China and in the west
11:28 Galen in the west
11:32 who discovered and influenced Human Embryology and Anatomy
11:45 So he started pursuing realistic proof
11:48 which is not simply pulse reading, guessing, observing the physical state, face, tongue, and so on
11:54 but to truly dissect the actual human body in a practical way
11:56 therefore he depicted the first figure of anatomy of human embryo
12:03 which was made public by Galen in 200 BC
12:08 That leaded western medicine to a way of pursuing realistic proofs and reasoning
12:15 they valued phisics and science of medicine, highlighting the scientific aspect
12:20 they pursued the microscopic world of everything
12:24 kept pursuing gradually, till 200 BC when Galen was active in western medicine
12:31 Right in the same era there was a figure named Zhang Zhongjing in China
12:34 In the same era
12:35 Zhang Zhongjing wrote Treatise on Exogenous Febrile Disease (Shanghan Lun) and Synopsis of Golden Chamber (Jinkui Lun)
12:41 More than 200 prescriptions in total were recorded in these two books
12:46 In all of the cases, realistic proof were not the way to diagnose the diseases
12:50 When a same patient is treated
12:52 Zhang Zhongjing relied on dialectical therapy, which is chronically used in Traditional Chinese Medicine
13:06 Or dialectical ideology and therapy
13:12 in which reasoning is based on sympton of the patient
13:15 From then on the split appeared
13:20 In 450 AD
13:24 The development of western medicine began to stagnate
13:28 It entered the one-thousand-year dark ages
13:33 The middle ages, when Europe fell into dark ages
13:40 wholely controlled by theocracy, no way to bring any enhancement or progress
13:43 It's all God's decision, you could review that history
13:46 The development of western medicine in Europe had been stagnant for a thousand years
13:50 which was the a-thousand-year dark ages of European history
13:53 During this period, smallpox appeared from about 160 AD
14:00 Smallpox resulted in the collapse of Roman empire
14:05 Till 1979 the global eradication of smallpox was certified
14:08 The death toll was estimated to be a billion
14:13 a billion people was died of smallpox
14:14 From 1453
14:25 Nicolaus Copernicus, you should have all known from reading, the person who proposed Heliocentric theory
14:33 a model of the universe that placed the Sun rather than the Earth at the center of the universe
14:38 Meanwhile there was a doctor whose name was Andreas Vesalius
14:44 He renewed and perfected anatomy
14:50 From then on western medicine has been rapidly
14:53 Following that was Bacteriological, Cytology
14:57 delving deeper into the microscopic world
15:00 Nowadays the medicine has reached the level of submolecular research
15:05 followed by the genetic research
15:10 The knowledge in this aspect has always been developing rapidly
15:13 This area
15:16 So this is the basis of western medicine
15:20 they keep pursuing the realistic proof and ideology
15:25 which is very practical and realistic, every assumption or conclusion should be based on evidence
15:29 in hope for the explanation and a way of cure to a sympton in an extremely microscopic world
15:36 Since they try to obtain proof or evidence in such a microscopic world
15:40 In most of the cases they tend to assembly anything
15:44 Sometimes they dismantle a part of the body
15:46 and then install an object back, for example, heart
15:50 In other words, replacing components, because they adopt the microscopic ideology, you know?
15:55 which means they can replace this and replace that
15:58 For example replacing a piece of bone with a gum and reassembly it
16:02 This is the microscopic world
16:04 OK in China, in the perspective of Traditional Chinese Medicine
16:09 From Zhang Zhongjing it evolved and developed
16:15 In terms of treating smallpox, Traditional Chinese Medicine was more outstanding
16:19 In Tang and Song Dynesty, the treatment was already remarkable and many prestigious doctors were at that age
16:35 In Yuen Dynesty, there was a doctor whose surname was Wei, Wei Yilin
16:41 who invented a method to treat fracture by suspension
16:47 the prototype of the using stands to suspend your limbs on bed
16:52 Invented by Chinese, 600 years earlier than the westerners did
16:56 How did Chinese treat smallpox at that time?
17:01 That's why Traditional Chinese Medicine has saved countless lives
17:03 For western medicine it was very lately that vaccinia was invented
17:08 Infected a cattle with smallpox and extracted the vaccinia from milk, and then planted into the human body, in this way smallpox was controlled
17:14 Back then Chinese were clever treating smallpox
17:18 They collected the clothing that had been worn by a child who happened to be infected with smallpox
17:23 and made another healthy child wear it for a while
17:28 in this way infecting the child slightly with smallpox virus
17:32 so that antibody was created in the body of that child, the same mechanism as planting vaccinia
17:38 Is it a clever way or not? They already thought of that before
17:42 In addition they extracted the smallpox virus from child's body and plant it in other people's nostrils, sinus vaccines
17:51 Therefore back then there was a "Sinus Bureau" set up in China
17:55 which was specialized for smallpox
17:59 They were operated in a pretty meticulous way
18:03 They set different doses for differnt children
18:10 based on gender, height, weight, season, and some other factors
18:15 to adjust the dose of medicine and the duration of clothes being worn
18:20 also there were full follow-up for the patients
18:23 OK that's it for this session
18:26 Now I'll continue to talk about the history of some origin, if you are not clear about the it
18:32 you could not understand the conflicts between western medicine and Traditional Chinese Medicine
18:36 In the Traditional Chinese Medicine system a lot of famous doctors emerged till Qin Dynasty
18:47 For example, Sun Simiao, Li Shizhen, Ye Tianshi, Wu Gutong, etc.
18:52 Doctors in a national level, from Ming Dynasty all the way through Qin Dynasty
18:56 You can search them in the internet
18:57 Many famous doctors appeared in different dynasties
19:01 A widely spread saying at that time in China
19:08 "If you cannot be a good prime minister, you should be a good doctor"
19:11 If I don't do well enough in the imperial examination system to get a position in a government which can garantee a prosperous future
19:15 not good enough to be a prime minister, I can still be a doctor the save lives
19:19 the idea was very good
19:24 For Traditional Chinese Medicine as the history went on till the start of late Qin Dynasty
19:32 Western knowledge stepped on stage in China
19:36 the Meiji Reform, Japan was involved here
19:39 Before MEiji Reform
19:42 Japanese adopted "Han Medicine", which was also Traditional Chinese Medicine
19:45 After Meiji Reform Traditional Chinese Medicine was completely overthrown
19:48 Also Han study, Han medicine, were all overthrown, and thoroughly introduced and adopted western medicine
19:53 Back in China, after the Fourth Movement
19:55 Because western culture kept spreading to China
19:58 People began to admire foreign culture
20:00 From exclusion and resistance at the beginning
20:04 resistant to western knowledge, to gradually accpeted
20:08 After the acceptance Traditional Chinese Medicine was about to be overthown as well
20:11 Because they thought Traditional Chinese Medicine is not "scientific"
20:14 The main reason to overthrow Traditional Chinese Medicine was it being not "scientific"
20:19 Until late Qin Dynasty
20:25 A person with great knowledge appeared
20:29 Do you know who first took the lead to intensely oppose Traditional Chinese Medicine?
20:37 I bet none of you knows because it is uncommon knowledge
20:42 His surname was Yu
20:47 (Some explanation of character Yu)
20:49 His name was Yu Yue, (Some explanation of character Yue)
20:54 He was a Sinology master
20:58 Teacher of Zhang Taiyan
21:02 He was born in 1827, died in 1907 at the age of 80
21:09 very famous
21:11 Teacher of Zhang Taiyan, isn't he knowledgeable!
21:15 Then why did he set up his mind to oppose Traditional Chinese Medicine?
21:18 He had a role as an editor in Hanlin Academy
21:24 Very knowledgeable, you can search about him on the internet
21:29 Later he offended someone in the bureau and it was Zeng Guofan who saved him
21:36 He then left the bureau and start propagating knowledge everywhere
21:39 He had excellent knowledge but he was not a doctor and couldn't treate patients
21:45 Then why did he oppose Traditional Chinese Medicine?
21:47 He was active in East China (regions of Zhejiang, Shanghai now) and gave teachings all around
21:50 had many students, as many as Confucius did, about 3000
21:54 This was Yu Yue, a Sinology master
21:58 His wife played an important role here, he was married at the age of 19, and his wife died when he was 59
22:04 He blamed it all on the doctor who could not cure his wife
22:07 It was a couple with deep affection to each other
22:11 Here's an example of how deep the affection was between the couple
22:13 Once a tooth of his wife's was shed, he kept it in a cup rather than throwing it away
22:18 Waiting until he lost a teech as well and he buried both together
22:23 Isn't it interesting? Dug a hole and get buried together, even just teeth!
22:27 So when his wife died he was extremely miserable, few years after her death
22:32 His oldest son died as well
22:34 Who took the role as Tongzhi (deputy) in the bureau in Henan Province
22:39 Later his second oldest son
22:41 because of infectious diseases
22:43 couldn't get healed, turned to be lunatic
22:47 Series of tragedies made him believe that his family was ruined by incompetent doctors of Traditional Chinese Medicine
22:53 Messing around in vain, resulting in an unhappy life of his
22:57 Therefore he harboured all the resentment toward Traditional Chinese Medicine
23:02 blamed all of the responsibility on the doctors, he searched and read many books and references
23:07 wrote a book named "Suo Qiao Bian Yin"
23:11 the first book criticizing Yellow Emperor's Inner Canon
23:14 refuting the content of Yellow Emperor's Inner Canon sentence by sentence
23:17 lecturing everywhere to refute Traditional Chinese Medicine, triggering much attention and discussion
23:23 Several years after his death in 1907
23:29 In 1913
23:40 The first disaster of Traditional Chinese Medicine in China came
23:47 The Ministry of education in the National government proposed
23:52 "The leave-out of Traditional Chinese Medicine", you can search it online
23:57 "The leave-out of Traditional Chinese Medicine", which means all of the subjects, six subjects
24:01 Science, engineering, etc. It is allowed to establish a separate department for these subjects
24:06 except Traditional Chinese Medicine
24:11 When the policy were announced it cause huge opposition
24:15 The situation exacerbated and some of them proposed petitions
24:19 proposed petitionsto the Nanjing government
24:23 After the petition
24:25 Led by Yu Botao
24:28 The Minister of Education then was Hong Daxie
24:33 He studied in Japan
24:36 The Minister of Education
24:37 He by no means approved the existence of government authorized Traditional Chinese Medicine college
24:48 After his successful rebutal he aimed also to eliminate Traditional Chinese Medicine, to stop the inheriting of this knowledge
24:53 disconnection between generation
24:55 If no teachers or schools could teach it, it could become unpopular and go into extinction generation by generation
24:59 directly anniliate Traditional Chinese Medicine and its propagation, and turn all into western medicine colleges
25:03 Later Yu Botao managed to
25:05 maintain the privilege to set up private schools for Traditional Chinese Medicine
25:09 "If the government doesn't set up, the private individuals and organization do" That gave the permission for continuing Traditional Chinese Medicine college
25:13 The dicussion started from 1913
25:19 This was the first disaster for Traditional Chinese Medicine, the government not only rejected to to approve fund for schools
25:27 but also hardly recognize the degree
25:28 If it was set up by private individuals or organization, the degree was just a record, the students were developed their career in their own way without any encouragement or support from the government
25:41 Then the disput and discussion continued until the calamity came
25:46 In 1929, the real disaster came
25:52 Led by the grand-student (student of the student) of Yu Yue
25:57 A grand-student of Yu Yue came on stage out of the blue
26:02 named Yu Yunyou
26:08 (some explanations for his name)
26:11 He had also studied medicine in Japan for 11 years
26:14 A student of Zhang Taiyan's
26:17 proposed a bill to the government
26:21 Abolishment of Traditional Chinese Medicine
26:23 Not just a "leave-out", but also a direct abolishment!
26:27 No diagnozing, no advertising, no licence, no business running
26:32 An absolute root out
26:36 The matter got more attention and response
26:47 The premier then was Wang Jingwei
26:54 He supported the bill
26:57 Because he also used to study in Japan
27:00 So did the Minister of Education Ge Minyi
27:06 Only the Legislative Yuan, who was Sun Yat-sen's son
27:10 He supported the bill of legislations of Traditional Chinese Medicine
27:15 That was to legislate and recognize the importance of Traditional Chinese Medicine, which certainly caused contradiction
27:18 Intense debate were carried out between Executive Yuan and legislature
27:22 The Executive Yuan even passed the motion of abolishing Traditional Chinese Medicine
27:27 A sensational case
27:35 Since it got huge public attention
27:39 Someone came up with an idea to settle it down
27:42 How about operating a contest
27:46 A contest to treat patients
27:50 Let's collect some cases and see which medicine can heal the sickness better, so that we could stop arguing
27:53 Kong Bohua, one of the four famous doctors in Beijing, was asked to participate in the contest on behalf of Traditional Chinese Medicine
27:58 12 patients were collected from the hospital
28:02 Six patients were first chosen by the western medicine side, the remaning six for the Traditional Chinese Medicine side
28:06 six patients for each side
28:08 As it was known that Yu Yunzhou
28:13 became the president of Shanghai western medicine union after he came back from Japan
28:22 He chose 12 patients and 6 first for the western medicine side
28:27 the other 6 that were most difficult to treat were left for Traditional Chinese Medicine side
28:30 There were infectious disease, asthma, and so on
28L36 Serious fever... These patients were left for Traditional Chinese Medicine side to treat
28:39 Kong Bohua was selected as the main doctor for Traditional Chinese Medicine side
28:44 Incredibly soon he healed all the patients' diseases
28:45 much quicker than the western medicine side who had chosen the ones that they thought were easy to treat
28:50 So Traditional Chinese Medicine won a battle
28:51 The vicotry cause huge sensation in Traditional Chinese Medicine profession
28:55 Why was it such a sensation?
28:59 Because if Traditional Chinese Medicine was abolished then the pharmacuetical business would also have bad days
29:03 As no one buys Traditional Chinese Medicine any more, that would be huge trouble
29:08 But it won so they were pleased about that
29:09 they survived their business
29:11 people continued to buy Traditional Chinese Medicine
29:14 if Chinsese medicine are abolished the medical material companies would be bankrupting
29:17 Yet it didn't convice Wang Jingwei as he had passed the bill of abolishing it
29:22 But the fortune for Traditional Chinese Medicine came timely
29:27 It was really more or less from God's plot
29:30 The mother in law of Wang Jingwe suddenly suffered from dysentery
29:36 She had diarrhoea which nearly led to a prolapse of rectum
29:40 She just kept excreting and couldn't stop
29:43 Wang Jingwei was then the Dean of Executive Yuan
29:48 He could find whatever doctors he wanted
29:50 Almost all of the doctors from western medicine across the country were asked to make treatment for his mother in law, but no one succeeded
29:56 Luckily Wang Jingwei was very obedient to his wife
29:59 He didn't allow it be treated by Traditional Chinese Medicine
30:01 His wife was dissented, "No way you bastard, my mum was so sick, how dare you don't even let Traditional Chinese Medicine do the treatment!"
30:07 She was so furious about that and almost tried to beat Wang Jingwei
30:11 She even got him away from home, kept blaming him, "Do you want to watch my mum die in that way?"
30:14 Finally he asked a doctor from Traditional Chinese Medicine to treat his mother in law
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