VALDEMIR MOTA DE MENEZES
- The Making and
Disappearance of the Bronze Acupuncture Figure
- After the Tang dynasty ended in 907,
- China experienced a
period of political instability during the Five Dynasties
- and Ten Kingdoms
(907-979).
- Medical
education during that brief period was also interrupted,
- which created many social
problems.
- After
the Song dynasty (960-1279) restored order to the empire,
- the Song emperor Renzong
(1010-1063) ordered the physician Wang Weiyi
- to consolidate the entire body of
medical literature
- and establish a system of standards
- to serve the needs of the medical
profession and the general population.
- Wang researched the number of
acupuncture points and their locations on the body, and in the year 1027
- published his
Illustrated Manual of Acupuncture and Moxibustion for use with the
Bronze Figure.
- Because
of the work’s importance,
- the text and illustrations were carved on stone tablets,
- which others could
copy or use to make rubbings.
- Taking rubbings from carved stone tablets is one of the
earliest forms of printing in China.
- This is how it is done.
- A paste is applied to
the flat, uncarved surface of the stone.
- Soft white paper is then placed on
the surface of the stone,
- and beaten with a pillow-like tool, so that some of the
paper sticks
- to
the flat surface while some is forced into the carved out text or
pictures.
- The
paper is then “stamped” gently with a flat inked pad.
- The pad only applies
ink to the flat surface of the stone, which forms the “background” of
the final rubbing,
- and leaves the carved-out text or illustrations white.
- Rubbing thus enables
anyone to take a perfect copy of a written text,
- although the results appear as
“white on black.”
- Wang Weiyi, who lived in the Song dynasty,
- is also the inventor of
an important bronze human figure
- that had 354 acupuncture points
indicated on its surface,
- along with their names.
- The figure was hollow inside and
- opened up to show
models of the 11 internal viscera.
- It was a superb aid in teaching
acupuncture in government institutions;
- no equivalent device was produced in
the West for another 800 years.
- During the Song dynasty, officials
used the bronze figure for teaching
- as well as testing.
- The points themselves
were filled with small amounts of mercury,
- and the entire figure was covered
with wax, which concealed the points.
- When a student was asked to locate a
particular point with a needle,
- if he hit the point correctly,
- the mercury would
spill out of the hole in the wax.
- If he missed, nothing happened.
- In the Song dynasty,
doctors had to master the location of every acupuncture point
- on the figure in order
to obtain their license to practice,
- whether they specialized in
acupuncture or moxibustion.
- Treating a place on the body where there were no
acupuncture points was,
- of course, useless and potentially harmful.
- Historical records tell
us that Wang Weiyi made two bronze figures.
- One was placed in the imperial
Office of Medicine,
- and used for teaching and examinations.
- The other was placed in
a famous Buddhist temple,
- the Da Xiangguo temple,
- in the Northern Song capital,
Kaifeng,
- where
people could come to learn about acunpuncture.
- The figure is called the Tiansheng
Bronze Figure because it was cast
- in the Tiansheng reign period of the
Song Renzong emperor.
- We have little historical information about the figures
themselves,
- but
a book written in the Southern Song dynasty (1127-1279) by Zhou Mi,
- entitled Dong Qi Ye
Yu, an unofficial history of the period,
- records an incident in which a man
sees a bronze figure used
- in acupuncture and moxibustion.
- The figure was cast out of
high-quality bronze,
- and covered with acupuncture points,
- with the names of the
points written next to them.
- “What is most astonishing is the way the names of the
points are not written
- on the surface of the figure with brush and ink,
- but rather inlaid with
Chinese characters in gold.”
- This inlay or cloisonné technique was accomplished
- by incising the
characters with a stylus
- on the surface of the figure,
- filling in the carved-out spaces
with gold filaments,
- hammering the gold until it filled the space,
- and polishing the
surface until it is smooth
- Try to imagine a life size bronze figure as tall as I
am,
- with all
the acupuncture points indicated with gold characters.
- Only a Chinese emperor
could afford to have such a priceless object!
- The book Dong Qi Ye Yu also mentions
that the figure had an opening
- in the middle and models of the 11 internal organs
inside it.
- Qi
Dong Ye Yu was written in the Southern Song dynasty,
- but the figure was made
in the earlier Northern Song dynasty.
- We can thus assume that the figure
was still
- in
existence during the Southern Song,and that one of them was placed
- in an office of the
government for safe keeping.
- After the Mongols invaded China in the mid-thirteenth
century,
- crossing
the Yangtze River and conquering the Southern Song dynasty,
- the famous bronze
figure disappeared.
- In 1268, Kublai Khan became the first emperor of the
Yuan dynasty.
- Medicine
was a subject of great interest to the Mongols.
- When Kublai got ahold of the one
remaining bronze figure,
- it had already been damaged by war.
- He had it repaired
- and ordered a revised
version of Wang Weiyi’s book,
- Illustrated Manual of Acupuncture and Moxibustion for
use with the Bronze Figure.
- He had both the figure and the book placed them in the
Temple of the Three Emperors in the Mongol capital, today’s Beijing.
- In 1368, the Ming
dynasty overthrew the Mongols.
- Nearly a century later,
- the restored bronze figure
- was again seriously
damaged in an uprising,
- leaving most of the names of the acupuncture points
illegible.
- But
in 1443, the Ming Zhengtong emperor ordered a copy
- made of what remained of the Yuan
dynasty figure,
- which was actually from the Northern Song.
- This copy turned out
to be a masterpiece of bronze craftsmanship,
- displaying all the acupuncture
points
- and
their names in finely executed Chinese characters.
- This bronze figure, known as the
Zhengtong Bronze Acupuncture Figure,
- was placed in the Imperial Medical
College,
- where
is served as the standard
- for acupuncture studies for the next five centuries.
- In 1900, near the end
of the Qing dynasty,
- the Eight Allied Armies entered Beijing to suppress the
Boxer Uprising.
- Russian troops occupied the Imperial Medical College,
- and in the chaos that
followed the Zhengtong acupuncture figure disappeared,
- its whereabouts
unknown.
- While
it lasted, the Qing dynasty Imperial Medical College needed a bronze
acupuncture figure on the premises
- —just as the Foreign Ministry
- and the Ministry of
Geology needed world globes
- —so another figure was cast,
- some two meters tall. This time,
however,
- it
was not modeled after an earlier figure,
- since there was no such figure
around .
- Today
this early-twentieth-century bronze figure stands in the National
Museum of China in Beijing.
VALDEMIR MOTA DE MENEZES
- Holistic Medicine and
Holistic Treatment in Traditional Chinese Medicine
- There are major differences between
Western and Chinese medicine.
- In addition to using different tools for treatment,
- and different
theoretical approaches,
- the most significant difference is the fact that
- Chinese medicine takes a
holistic approach to human health.
- Western medicine takes off from
anatomy.
- Medical
students dissect corpses and analyze each organ,
- which provides the evidence for
pathology and diagnosis,
- and leads to specialization. Opthamologists treat eyes,
not ears.
- Dentists
stay away from noses.
- Internists don’t use scalpels.
- Chinese medicine follows a different
path.
- Chinese
doctors train with live people, not corpses.
- In addressing illness,
- Chinese doctors
concentrate on the relationship
- between organs and their functions,
- examining the cause and
effect of internal
- and external phenomenon.
- If you go to a Chinese doctor, he or
she will first take pulse,
- not only to determine the heartbeat,
- but rather to
understand the nature and source of your problem,
- and then make a diagnosis and
prescribe treatment.
- Some of the theories of TCM may seem strange at first,
but they actually make sense.
- For example, “Treat an ‘upper’ illness ‘below.’”
- In cases of migraine
headaches,
- Chinese
doctors don’t treat the head,
- because the root of the illness lies elsewhere.
- To treat migraine,
- Chinese doctors insert
acupuncture needles in two points in the foot.
- Another theory is “Treat a ‘lower’
illness ‘above.”
- A twitching in the leg muscles is often treated at
- two acupuncture points
behind the ears.
- “Treat internal maladies externally” is another example.
- Western-style surgery
is extremely rare in TCM.
- The parasitic disease ascariasis can be horribly painful
for children,
- especially
when the worms enter the biliary tract.
- A Western-trained doctor would
perform surgery to remove the worms,
- while a TCM doctor would perform
bloodletting at
- an
acupuncture point on the hand to relieve the pain.
- Yet another example is “Treat
external maladies internally.”
- If a patient has a severe skin itch,
- a Western doctor will
apply an anti-inflammatory medicine
- at the site to alleviate the
condition,
- while
a TCM doctor will look for the cause of the itching in the lungs,
- and prescribe a
medicine that expels the heat in the lungs,
- which will stop the itching.
- These approaches
characterize the way
- in which TCM addresses illness holistically.
VALDEMIR MOTA DE MENEZES
- Yin & Yang and
the Five Elements in the Inner Canon
- Yin and Yang and the Five Elements are
key concepts
- in
Chinese philosophy.
- First, Everything in the universe contains a mixture of
elements of Yin and Yang,
- forces or “energies” which are both contradictory and
complimentary.
- For
example, night and day,
- heaven and earth, male and female, life and death,
- strength and weakness
- all have the dialectical
qualities of Yin and Yang.
- While Yin and Yang are opposites, in certain
circumstances they can trade places:
- strength becomes weakness,
- living things die, death
is followed by birth.
- Second, Chinese view the material universe
- as highly intricate and
immensely complex,
- yet in basic terms all phenomenon boil down
- to the Five Elements:
- metal, wood, water,
fire and earth.
- These
five physical elements interact under the influence of Yin and Yang,
- resulting in the world
we live in.
- This
cosmology plays a key role in Chinese traditional medicine,
- with every part of the
human body having its own Yin or Yang qualities.
- For example, the head is Yang,
- as is the entire upper
torso,
- while
all the parts below the waist are Yin.
- The front of the body is Yin,
- the back is Yang.
- The back of the hand
is Yang, while the palm is Yin,
- and the same goes for the outer and inner sides of the
legs.
- According
to the Inner Canon,
- “Yin and Yang are the Way of Heaven and Earth.”
- Here, “Way” means the
interaction between Yin and Yang
- that gives order and discipline to
the universe.
- Within
this great order,
- controlling the forces of Yin and Yang
- enables one to be a
master of the universe.
- Yin and Yang are also the “mother and father” of all
change,
- including
the processes of birth and death.
- Yin and Yang are mysterious,
- but their mystery can
be seen and solved.
- The subtle and complex relationship between Yin and Yang
- is a key topic in
Chinese philosophy and Chinese medicine.
- Another important aspect of the
Chinese worldview
- is the intimate relationship between Heaven and
Mankind.
- Human
beings are singular participants in the vast universe.
- Thus the human body
functions according to the same principles and rules that govern the
universe, or nature.
- The human body is a microcosm of the universe.
- Consider how the
movement of the sun reflects activity in our bodies.
- The sun, which is Yang,
- rises in the morning,
as does the Yang energy in our bodies.
- Yang energy reaches its peak at
noon,
- and like
the setting sun,
- it retreats in the afternoon and evening,
- making way for the
emergence of Yin,
- which thrives at night.
- Let’s also consider the concept of
the month,
- and
the relationship between the lunar calendar
- and women’s monthly menstrual
cycles.
- There
are 365 days in the year,
- and approximately 360 acupuncture points on the body.
- In the Chinese
calendar, 60 years constitutes a cycle or 甲子jiazi.
- In fact, some major epidemics occur
at regular intervals,
- every 60 years or so.
- In ancient times, Chinese people
believed that in order to understand the universe,
- it was essential to observe the
functioning of the human body,
- as the two are intimately connected.
VALDEMIR MOTA DE MENEZES
- Introducing the Inner
Canon
- At first,
treating illnesses by stimulating acupuncture points seems like
something
- rather
straightforward and easy.
- In world history,
- many different peoples practiced medicine this way.
- But acupuncture is not
so simple.
- First,
the points on the body have to be identified,
- and then organized in a systematic way
- that can serve as the
basis for a theory of medicine.
- This process began in China over 2000 years ago,
- and the results were
recorded in the Yellow Emperor’s Inner Canon.
- This book is a series of dialogues
- between the emperor and
the doctor Qi Bo and others.
- They discuss medical theory,
- the functioning of the channels and
tracts,
- human
longevity,
- acupuncture,
- and various diagnostic
techniques.
- In
the Warring States period (BCE 475-221),
- Chinese scholars had a custom of
attributing
- their
own writings to great men of the past,
- as a way of boosting their own
reputations.
- The
legendary Yellow Emperor is believed to have lived over 4000 years ago,
- long before the
Chinese writing system was invented,
- not to mention acupuncture or
medicine.
- Scholars
have established the fact that the Yellow Emperor’s
- text dates only from
the Warring States period,
- and that it consists of two parts,
- the “Basic Questions,”
- and the “Spiritual
Pivot.”
- The
“Basic Questions” describes the 12 regular tracts,
- the 15 junctions, 12
cross-connections, 12 muscular inter-connections,
- and other particulars about the
system of acupuncture points,
- tracts and channels.
- The “Spiritual Pivot” goes into
greater detail about
- the practical aspects of acupuncture therapy,
- as well as theoretical
questions.
- These
books are the first to present the entire
- corpus of acupuncture knowledge,
- and are still regarded
as classics today.
VALDEMIR MOTA DE MENEZES
- Two Famous
Acupuncturists in Ancient China
- In the early Han dynasty, around BCE 200,
- there was another
important medical practitioner whose name is often mentioned along with
Bian Que.
- This is
Chun Yuyi,
- better
known as Cang Gong,
- who practiced the medical traditions of the Yellow
Emperor and Bian Que.
- Cang Gong made his diagnoses based on the “five colors,”
- part of the ancient
Chinese system of Five Elements active
- in the human body:
- metal, wood, water, fire,
earth.
- Wood,
for example, represents the color blue;
- fire is red;
- earth is yellow;
- metal is white;
- and water is black.
- Our internal organs, and
their functions, are also part of this five-part system:
- the liver corresponds
to wood;
- the
heart to fire;
- the
lungs to metal;
- the gall bladder to the yellow earth;
- and the kidneys to
black water.
- These
correspondences help TCM doctors diagnose illnesses
- by the color of the
patient’s complexion.
- The Historical Annals recounts how the Han emperor Wendi
once held
- a
conversation with Cang Gong
- in which the doctor recited a list of 25 different
illnesses
- he
had cured in his lifetime,
- based solely on the patients’ external appearance.
- In another famous
incident,
- Cang
Gong was treating a patient with dental cavities,
- which he cured by applying a stone
needle to an acupuncture point
- on the patient’s left hand.
- Other famous doctors in the history
- of TCM include Zhang
Zhongjing,
- Sun
Simiao and a long, long list of others.
-
-
-
-
- Two Famous Acupuncturists in Ancient China
- History records a large
number of famous physicians and
- medical practitioners active in ancient China.
- At the time of the
legendary Yellow Emperor, Huangdi, around 4,600 years ago,
- there was a superb doctor
named Bian Que.
- The
Historical Annals, or Shi Ji,
- written by Sima Qian around 100 BCE,
- has biographies of two skilled
doctors:
- Qin
Yueren, who was called the Bian Que of his age;
- and Cang Gong, a Han-dynasty
physician.
- Today’s
primary school textbooks contain excerpts
- from the Historical Annals.
- In one of them, Bian
Que goes to visit Marquis Huan of Cai,
- and tells him that he is sick.
- The Marquis denies it
and says he feels fine.
- Time passes, and the next time Bian Que sees the
Marquis, he tells him that his condition is worse.
- But again the Marquis says that he
feels perfectly well.
- At their third meeting, Bian Que says nothing to the
Marquis, turns around and walks out of the room.
- Before long, however, the Marquis
dies.
- Bian Que
only had to look at the Marquis to know that his condition was critical.
- In another famous
story,
- Bian Que
travels to the state of Guo,
- where chaos and confusion prevail.
- A prince had just died,
- and that the palace was
preparing for his funeral and burial.
- Upon further enquiry, Bian Que
learned the time of the prince’s death,
- and what his appearance was like at
the moment of death.
- Bian Que then announced that in fact,
- the prince was not
dead,
- but was
in a comatose state,
- caused by a clash between Yin and Yang energy.
- His body was motionless
- —he was in a coma,
- which made it seem he
was dead.
- Bian
Que told the king of the State of Guo
- that his son’s condition was
treatable,
- and
ordered his disciple Ziyang to grind a special stone
- needle for the purpose.
- Bian Que then applied
this stone needle to three acupuncture points
- on the top of the head,
- where three yang pulses
meet,
- and
shortly afterward the prince recovered.
- At the time,
- people marveled at Bian Que’s
ability to revive the dead,
- but this was only one of his remarkable skills.
- Bian Que developed his
own system of medical treatment,
- which included applying heat to
specific points on the body
- and using stone needles at acupuncture points.
- If a medical condition
occurred near the surface of the body,
- he treated it with medicine and
heat;
- if it
occurred internally,
- he used acupuncture.
- When needed, he performed
bloodletting
-
to rebalance the energy in the body,
- and he treated illnesses of the
digestive system
- by prescribing medicinal wines.
- This is a bust of Bian Que.
- These are rubbings from
stone carvings at the big Confucian Temple in Qufu,
- which show Bian Que
treating a female patient;
- here he is performing surgery;
- and here he is performing
acupuncture.
- In
these carvings,
- Bian Que is depicted with a bird’s body and human head.
- Not coincidentally,
“Que” in Chinese means “magpie.”
VALDEMIR MOTA DE MENEZES
- The Ming
Dynasty Bronze Acupuncture Figure and Acupuncture Theory in Ancient
China
- Ancient
Tales of Chinese Medicine
- In 1971, while planning United States
presidentRichard Nixon’s state visit to China,
- Secretary ofState Henry
Kissinger made a secret trip to Beijing viaPakistan.
- Traveling with him was a
reporter from theNew York Times,
- who had asudden attack of appendicitis
when they arrived inBeijing.
- The reporter,James Reston, underwent
emergency surgery with conventionalanesthesia,
- but the next day, once the anesthesia
wore off,Reston was still in pain.
- Chinesedoctors suggested using
acupuncture to reduce the pain.
- Restonagreed,
- and twenty minutes after the tiny silver needleswere
inserted in his body,
- he felt better.
- When Kissingerarrived back in the United States,
- and described Reston’s
treatment,
- it
set off a furor of interest inacupuncture.
- After severaldecades of mutual
isolation,
- most
Americans knew very little about Chineseculture.
- Like other Westerners,
- they were amazed to
learn that tiny needlescould reduce pain
- more effectively than
conventionalanesthesia.
- In China, acupunctureis widely used in medical treatment
today.
- Three
years ago,
- I
suddenly came down with a seriouscough,
- a so-called “dry cough.”
- In TraditionalChinese
Medicine (TCM), dry coughs are considered extremely hard tocure.
- My coughingwent on for
two months.
- It
was so bad I couldn’t sleep atnight.
- I went to the hospital for chest
X-rays, butthey turned out normal.
- A blood test was also normal.
- The doctors couldn’t
figure out what was wrongwith me.
- The coughing grew worse,
- and I could hardly get
any work done.
- A
friend ofmine introduced me to an acupuncturist.
- I told him my problem,
- and he said he could
cure me.
- He
stuck needles in a few acupuncturepoints,
- and by that evening, I was already
feelingbetter,
- and
sleptthrough the night.
- But I was still coughing the nextday,
- and went tothe doctor
again.
- After a
second course of treatment, my cough wascompletely cured.
- In thislecture, we will
discuss the way that Chinese acupuncture can curedisease.