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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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    Copyright © 2008, Gardner Singleton, Dipl.Ac., Dipl.C.H.. All rights reserved.