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مهربان بخشنده خداوند نام به
Integrative Medicine, (Acupuncture, Iranian Traditional Medicine, Homeopathy)
an introductionMajid Avijgan MD,
Prpfessor of Isfahan University of Medical Sciences
February 2014 1392.11.08
www.imerc.ir
The Infrastructure of the Integrative Human Body; Qi/Dameh, Qi Movement/Rouh
and Zheng/Mezadj: Scientific Base
• Majid Avijgan, Mahtab Avijgan
• International Journal of Integrative Medicine, 2013, Vol 1 Paper
22
www.imerc.ir
ROS
• The oxidative metabolism processes of cells generate reactive oxygen species (ROS) such as H 2O2, OH’ and O2
• The products lead to the excitation of constituents of cells which gives rise to them emitting ultraweak light. [1]
• lack of activity on the part of the antioxidant agents in protecting the cells from ROS. [2]
ROS generation induces UPE.
• The energy (ATP) releasing (or producing) metabolism of mitochondria has an important role to play in producing ROS and in the lack of anti oxidant activity leading to ultraweak photon emission (UPE) through electron transportation. [3]
UPE induction
• One study reported UPE induction by sun light (UVA) may be different in various conditions which depends on spectral composition of UVA, temperature of Skin and O2 concentration surrounding the skin.
• the other less important factors, presented as humidity and PH of examined skin area. [6]
UPE or light
• • External factors ± Internal Factors • ROS + Lack of antioxidant electron Transport chain
• UPE or light
UPE or light
• Oxidation-Induced UPE is dominated by proteins and along with oxidized amino acid are as the major source of emitted photons.(5)
• Based on this finding the same role has been exhibited for flowing granules (DNA) in PVS to be source, storing (storing capacity) and a method for photon emission or movement. [7]
UPE or light
• By considering the PVS network as a source of qi, by needling, moxa, massage, heat, etc, it is possible to produce qi movement via this network and for it to reach the target organs in the body. [7]
Producing Qi
• By considering PVS network as a source of qi; by needling, moxa, massage, heat and etc, it is possible to produce qi moving via this network and being reached the target organs in the body. [7]
viability and aliveness
• Movement of qi, in Traditional Chinese Medicine (TCM) means the movement and availability of qi in human body and presenting viability and aliveness.
ROUH and BOKHAR
• In other side, in Iranian Traditional Medicine (ITM), there is a term called ROUH and BOKHAR which are responsible for viability and aliveness of human. So that Non-ROUH (in Body) means death.
Similarity of ITM and TCM
• In the best of our knowledge, this is for the first time presenting the similar concepts of qi/Bokhar, Free flow of qi/rouh, qi movement/ROUH and ZHENG/MEZADJ (TCM and ITM viewpoint) in Medicine.
meridians network and connective tissue
• Since 1975 when the theory of meridians networks has been presented, the correlation of meridians network and connective tissue has been posed. [8]
• most of APs (50%) are presented at connective tissue planes (Intramuscular and Inner-muscular). (13)
Extracellular matrix• Extracellular matrix in various part of body has a
different composition which depends on the area; generally this composition is made of locally secreted proteins and polysaccharides that assembled to make a network. Extracellular matrix in every part of body has a various amounts of proteins and polysaccharides which give rise to variation of extracellular matrix. This variation depends on functional requirements of tissue and can be solid and hard such as bone and teeth or soft and transparent such as cornea. [14, 15]
PVS Control
• How has this kind of adaptation happened? • Is this adaptation (diversity) under control?• Or is it an accidental phenomenon?• The response is the PVS theory presented in
our previous report [7], which provides a condition of cell to cell contact.
• This network is amidst the connective tissue and provides links at the level of cell to cell.
photon (qi) emission
• so acupuncture needling and or laser acupuncture can induce photon (qi) emission from APs. [16, 17] This can be confirmed by observation that thermal stimulation of Moxabustion induces the photon (qi) emission from the point. [18]
Qi movement
• Normal,
• Excess can be lead to pain
• Deficiency an be lead to pain and weakness
qi Movement and Circadian Cycle
• an intensity increase on the left (yin) hand starting around 8 PM, and from 12 PM until 5 AM the left hand emits more than the right. Subsequently, the left side emission decreases and right side (yang) increases, being higher between 10 AM and 3 PM [23, 24]”. In practice the more intensity of de qi sensation in right side of patients have been reported by patients in office at afternoon session of acupuncture.
(CCD) camera
• by using a “sensitive charge-coupled-device (CCD) camera [26]” The pictures indicated that the time-dependent changes of photon emission intensity in the face and upper body so that “photon emission being weak in the morning increased in the afternoon and at a peak in the late afternoon [26]”
Cortisol concentration
• change of diurnal (and or seasonal) photon emission rhythm of the human body and cortisol concentration have a clear negative correlation, in order that there is different between morning with higher concentration of cortisol and evening with lowest concentration of cortisol
Avicenna; 980-1037; Canon of Medicine
• as Temperament or MEZADJ, of Skin. The Temperament or MEZADJ of palm is more Moderate (ETEDAL) than dorsal side, finding which is similar to finding of “the dorsal emission rate is lower than the palm [26]”.
Similarities of ITM and TCM
• In Traditional Medicines like TCM and ITM, there are some terms like Heat/Native Heat and Innate movement (Harekate Gohari)/Rouh as ITM,S terms and qi as TCM,S term which have No evidence base or objective concepts in western medicine. In translation into western medical meaningful, they are translated into the energy or Spirit.
Meaningful of BOKHAR in ITM
• BOKHAR or Vapor is a kind of gaseous steam, separated from any liquid or solid substance, can be produced by heat and has an ascending property to higher level.
• exhibits photon/qi rising movement by excited electron to higher level, the movement which is similar to BOKHAR.
• This similarity poses that photon/qi and BOKHAR have unique or similar properties.
qi movement or ROUH
• In fact the infrastructure like PVS [7] and “oriented nature of collagen liquid crystalline [22]”, can produce or facilitate the movement. This is qi movement or ROUH.
ROUH
• (Sharhe Tavale,e): The ROUH, physically, is BOKHR (gentle and Vapor Steam) which is developed from gentle and vapor part of Humor.
• (Kholasat al Hekmat): The ROUH is the life or vitality.
Mizaj or Zheng• Finally, Mezadj (changes in the composition) is a new quality of
interaction of the basic elements of ITM (Cold/Wet/Heat/Dry) and or TCM (Yin/Blood/Yang/qi).
• This new quality can be transformed into another new quality which is dependent on age, sex, time, day, hour, week, season, year, location, occupation.
• This transformation would develop various Mezadj/Zheng/temperaments in a person in comparison with others and even in different parts of the body of the same person, so that the different Mezadj/Zheng/temperaments of the human body can be shown as having a lack of uniformity and homogeneity by CCD. [26] (sensitive charge-coupled-device (CCD) camera)
Rouh
• The free flow of qi/rouh or smallest part of qi movement/ROUH
diurnal fluctuation
• This pattern means no fixed or uniform of pattern. There is a diurnal fluctuation in ROUH/qi movement in various part of body and ROUH/qi movement is not uniform issue. When there is high emission in one part of body there is low emission in other part of body. (Yin-Yang pattern) [26]
puzzles of free flow of qi
• Every puzzle is a small piece of ROUH/qi movement which by cooperation with other puzzles (free flow of qi) makes the total ROUH/qi movement of body.
puzzles of free flow of qi
• Body is made of millions of “free flow of qi”s which produce the picture of body as “ROUH”. In other word, and simplicity every “free flow of qi” is a small of portion of ROUH (similar to a pixel or puzzle of a picture) and combination of millions of “free flow of qi”s produce “ROUH” of body or qi movement or picture of body which can be traced by Sensitive Charge-Coupled-Device ( CCD) Camera. [26]
Mizaj or Zheng• The previous report presented qi and qi production [7], • but this is one small portion of the infrastructure of the
integrative human body. • The interaction of “multi-level factors [38]”
(Cold/Wet/Heat/Dry or Yin/Blood/Yang/qi) gives rise to qi production, storing and emission.
• The qi/Dameh(Bokhar) emission, similar to the pixels of the picture of a human body, is the free flow of qi in TCM or Harekate Gohari in ITM.
• The gathered (free flow of qi)s produces Rouh (qi movement) which present different pictures depending on various conditions.
Health
Normal
Yin/Blood/yang qi /BOKHAR Free flow of qi/rouh qi/time pattern or
qi Movement/ROUH
Abnormal
Disease
TCM viewpoint
ITM viewpoint
ITM viewpoint
Western viewpoint
Yin cold earth Collagen
Blood Wetness water Water
Yang Heat heat or fire Heat
qi Dryness Dehydration Movement
Table 2-Correlation between basic element of TCM and ITM and western viewpoint
Mizaj or Zheng
• The acquired genetic codes make up the structure of “multi-level factors [38]” (Cold/Wet/Heat/Dry or Yin/Blood/Yang/qi) which are specific and different in every person. • This is the basis of the definition of
Mezadj.
Mizaj or Zheng
• This specific structure has a similar mechanism in qi production/Bokhar, free flow of qi/rouh and qi movement/ROUH, but has a specific listed of signs and symptoms in person which is called ZHENG.
Pain is Stasis of qi and blood
• Qi is mother of blood • Blood is mother of Qi• Stasis of both of them will cause pain.• Pain treatment is qi and blood movment.
Ashi Point
• Referring to acupoint selection in accordance with tenderness point. Acupoints of this kind have neither specific term nor fixed location, but are selected as acupuncture parts according to tenderness points or other reaction points.
Practical points
• Penetrating Needling• A needling technique. Inserting the needle in
certain direction through to a certain point or part.
• To the corresponding points on the medial and lateral parts or the anterior and posterior parts of the four limbs, straight penetration can be applied.
Finger Acupuncture
• Namely acupressure, refers to pressing or kneading with a hand instead of a needle.
Acupoint Sticking Therapy
• An external treatment method, referring to treating diseases by sticking Chinese drugs on acupoints. Aromatic herb for inducing resuscitation, and Chinese
• drugs for clearing and activating the channels and collaterals are commonly used. The effects of hot-natured drug are better. The principle of acupoint
• selection is same as the principle of acupoint selection in acupuncture and moxbustion according to differentiation of symptoms and signs.
Cold Moxibustion
• A form of moxibustion by applying medicine on certain acupoints without any heat resources, also named moxibustion without heat. it is the opposite of heat moxibustion.
Cupping Therapy
• A therapy seen is referring to expelling the air in the cup by various means to create a negative pressure inside and produce suction of cup to the skin to treat diseases.
• This therapy causes local hyperemia or passive congestion so as to promote the circulation of blood and the flow of qi, alleviate pain and relieve swelling.
• Its indications are cough, pneumonia, asthma, headache, pain in chest and hypochondrium, wind-dampness, Bisyndrome, sprain, lumbago.
Electro acupuncture Method
• A method of preventing and treating diseases by combining needling with electric stimulation, i.e., supplying needles retained in the acupoint group concerned (two acupoints make up a group) with pulse current from an electric stimulator. There are a dual - directional pulse current (intermittent oscillatory current), sin wave, square wave, with combinations such as continuous waves, sparse- dense waves, intermittent waves, undulatory waves, sawtooth waves.
Electro acupuncture Method
• The frequency most commonly used is 1-1000 Hz, and over 1000 Hz is used less. Proper intensity of stimulation is marked by a muscular twitch around the acupoint and a comfortable sensation. The therapy can be used for cases requiring long needling stimulations. It's not advisable to connect two electrodes from the same output to the two opposite sides of the body when the therapy is applied to acupoints on the chest and upper extremities. It should be used with great care for patients with severe heart disease, or acupoints near the medulla oblongata and the spinal cord.
Electro acupuncture Method
• Usually, the patient feels comfortable with continuous waves, spares – dense waves do not easily cause electricity adaptation, but the patient often feels local discomfort; intermittent waves do not cause electricity adaptation more and has a stronger stimulating effect; undulatory and sawtooth waves are middle and easy to tolerate.
