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Pathogenic Factors: The Causes of Illness
"Whether we recognize it or not, most of us Westerners think of what we learned about the human body in high school as "the really real" description of reality, not [just] one possible description. However, if Chinese medicine is to make any sense to Westerners at all, one must be able to entertain the notion that there are potentially other valid descriptions of the human body, its functions, health, and disease. In grappling with this fundamentally important issue, it is useful to think about the concepts of a map and the terrain it describes...
What I am getting at here is that the map is not the terrain. The Western biological map of the human body is only one potentially useful medical map. It is no more true than the traditional Chinese medical map, and the "facts" of one map cannot be reduced to the criteria or standards of another unless they share the same logic right from the beginning. As long as [a given] medical map is capable of solving a person's disease in a cost-effective, time-efficacy manner without wide effects or iatrogenesis (meaning doctor-caused disease), then it is a useful map ... The Chinese medical map of health is just as "real" as the Western biological map as long as, using it, professional practitioners are able to solve their patients' health problems in a safe and effective way."
--Bob Flaws, Chinese Medicine author, scholar and practitioner since the 1970s
Over the course of at least 5,000 years, Chinese medicine has classified health and illness based on the differentiation of symptoms (what the patient experiences) and signs (what the doctor observes).
In particular, by examining practical observations from generation to generation, and the results of specific clinical practices, Chinese medicine has elaborated the properties of various kinds of pathogenic factors (causes of disease).
When considering this theoretical framework, please bear in mind that the absolute existence of these factors is unimportant; what matters is that they provide a workable context for successfully treating every observable and reported detail encountered in clinic.
Six Natural/Environmental Factors
Cold
Wind
Fire (and heat)
Summer-heat
Dampness
Dryness
Epidemic Factors
Seven Emotions
Anger
Joy (excessive)
Grief and Melancholy
Fear
Terror
Over thinking
Diet, Work and Rest
A. Improper Diet
Abnormal Ingestion
Impure Diet
Overindulgence in particular foods
B. Consumption and Impairment Related to Work and Rest
Physical Overstrain
Mental Overstrain
Sexual Overstrain
Excessive Rest
Physical Trauma and Injuries by Animals and Insects
A. Trauma due to Three Different Factors
Traumatic injuries, gunshot wounds and incisions
Burns and Scalds
Cold Injury
B. Common Injuries by Animals and Insects
Bites by wild animals and stings by scorpions or wasps
Snakebites
Rabies
Mosquitoes, ticks, etc.
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