Monday 13 August 2018

何为良医?


1. 有牺牲精神的人: 
医者的牺牲精神,就是忘我,为了别人的健康忘我的努力,不为自己的益处,只为别人的好处。
2. 不为金钱烦恼的人:
或生于富贵家庭,或甘心贫穷,都是不被金钱诱惑的人,可以保持医者的本心。不嫉妒别人富贵,也不轻看穷人的人。否则,很难全医者中庸之品格。
3. 自身健康问题长期困扰自己的人:
或家人生病,自己愿竭尽全力医治,不辞辛苦的人;或自己的问题需要长期看中医,却又希望自己能明白其中道理的人。也许,学医是一个成全自己,也成全别人的方法,若能不辞辛苦、竭尽全力,就会有一番宝贵的收获。
符合以上三种情况的人学医,至少可以达到做好医生的条件了,之后再看每个医生是否有精诚之心和聪明智慧去运用所学,学以致用了。 

医者固穷

最近,遇到了一些事情。有人对我的收费不满,甚至质疑我行医的道德,认为我是不合理的低价恶意竞争,和缺乏道德的买五星好评。
由此,我想到了孔子的一则故事:

《庄子》——

孔子穷于陈蔡之间,七日不火食,藜羹不糁,颜色甚惫,而弦歌于室。颜回择菜。子路、子贡相与言曰:「夫子再逐于鲁,削迹于卫,伐树于宋,穷于商周,围于陈蔡,杀夫子者无罪,藉夫子者无禁。弦歌鼓琴,未尝绝音,君子之无耻也若此乎?」
孔子一行被围困于陈蔡之间,七天没好好吃饭,很多人都病倒了。这时候之后孔子依然优哉游哉地弹着琴、唱着歌,孔子最信任的学生颜回则安安静静地择菜。这时候,子路、子贡两个人议论开了,因为不私下议论,所以话说得很重,他们说:「老师两次被鲁国赶出来,离开卫国的时候他们厌弃地把我们的脚印都扫干净了,在宋国桓魋大树砍了吓我们,在商、周故地穷困潦倒,现在我们在陈蔡之间被团团围困,谁都可以杀了我们。我们沦落至此,作为这个团队的灵魂,我们的老师孔夫子他老人家,居然没心没肺地在弹琴唱歌,一直弹唱到现在,他是君子啊,但是君子无耻起来怎么会这样呢?」
颜回无以应,入告孔子。孔子推琴喟然而叹曰:「由与赐,细人也。召而来,吾语之。」子路、子贡入。子路曰:「如此者可谓穷矣!」孔子曰:「是何言也!君子通于道之谓通,穷于道之谓穷。今丘抱仁义之道以遭乱世之患,其何穷之为!故内省而不穷于道,临难而不失其德,天寒既至,霜雪既降,吾是以知松柏之茂也。陈蔡之隘,于丘其幸乎!」
子路、子贡的对话都被颜回听到了,他当然是向着老师的,但他也不知道如何反驳,于是他进去向孔子汇报。孔子就说:「子路和子贡都是小人啊,把他们喊过来,我有话和他们说。」然后子路、子贡进来,子路问了「君子也会穷途末路吗?」然后孔子告诉他们:「君子在大道上通达,才是通达;君子在大道上穷途末路,才是穷途末路。现在,我怀抱尧舜文武的仁义之道,却遭逢这个礼崩乐坏的乱世,这哪里是我穷了?遇到这次危机,我反躬自省,发现我并没有因为遭遇灾难就忘失了品德,就好比天冷了霜雪降临时才发现松柏的茂盛。我被围困于陈蔡,却没有丧失道德,不忘初心,方得始终,我是经受了考验的,所以我很幸运,能有这次经历。」

孔子也有固穷的时候,医者也有固穷的时候,人总是要在逆境里保持自己的本心,才叫经历试炼。
提出疑问的朋友,我对他们的行为也非常感恩,这些人可能有一些关心我,也可能是我周围的朋友,不理解我为什么要把自己逼到穷途末路。其实,我无非是遵从自己的本心而已。
我学医的初心并非求一世荣华,如今,我舍弃钱财,也不是为了富贵或者名利。医者的本心,就是济世而已。既为医者,总要尽心竭力,才无愧于心。
坚持本心,我并未得到任何好处,相反,我失去了很多。只是,这些失去的,是我甘心舍弃的,因此,我不悔。
至于那些我都没听过的网站买好评的事情,我无力左右网上任何人的评论,清者自清吧。

Wednesday 25 July 2018

Binbin Zhang's Translation Awards (Chinese medicine, Chinese translate to English) in 2018

http://www.wfcms.org/menuCon/contdetail.jsp?id=8725


I give thanks to UTS and my supervisor Prof. Chris for helping me improve my English skills during my PhD. I give thanks to my family for always supporting my learning. I give thanks to SIIT teachers for opening a translation gate to me. I give thanks to Endeavour College for always trusting me during the past seven years. I give thanks to my patients and my friends for always supporting me. I give thanks to the organizing committee from World Federation of Chinese Medicine Societies for the award!

Wednesday 10 August 2016

Cupping: What were the marks on Michael Phelps' back?

By Jessica Haynes
Updated




When US Olympian Michael Phelps jumped into the pool this week in Rio, it wasn't just his 19th gold medal that made headlines.
Phelps had large, circular bruises that covered his back and shoulders, causing some to question whether they were the result of a paintball session or perhaps falling asleep on all his medals.
But as it turns out Phelps is a fan of cupping.

What is cupping?

It is an ancient therapy, said to be used in ancient China, Greece and Egypt, where glass or plastic cups, sometimes heated, are applied to the skin.
They are usually placed on the back or arms or legs and either heated or pumped to suck the skin into the cup.
In most cases a flammable liquid is put into the cups to create suction.
Some therapists move them around on the back, other leave them on the skin untouched, before taking them off.

What does it supposedly do?

It is said to promote blood flow and bring toxins to the surface of the skin.
People undergo the treatment for a range of health issues including muscle tension, arthritis, sleep issues, fertility problems and pain relief.
However Australian Acupuncture and Chinese Medicine Association vice president Waveny Holland said the use of cupping was up to the practitioner, and not generally used for specific medical ailments.
"It's not a blanket thing like Western medicine," Mrs Holland said.
"Practitioners will treat their patients according to their specific needs.
"Cupping isn't generally used for headache or infertility ... it would be on the practitioner's diagnosis and assessment that they will choose the right treatment for that person."

What about the bruises?

Well, Mrs Holland said her training taught her not to leave any bruises after a cupping treatment.
"For me again, I use it sliding (the cup) and that's like doing a deep-tissue massage without leaving the marks," she said.
"You don't put them over broken skin at all or anything like that.
"You don't want to cause any more bleeding."

Why do athletes do it?

It is said to help improve recovery and promote blood flow.
"I'd be interested to know whether they are Chinese medicine practitioners, whether their professionally trained or whether they're just practitioners who think that cupping might be good thing to do," Mrs Holland said.







US gymnast Alexander Naddour is also a fan.
He told USA Today that it was "better than any money I've spent on anything else".

What does science tell us?

Not much, according to Australian Medical Association vice president Dr Tony Bartone.
"What I can say is that cupping has, from our perspective, no medical benefit whatsoever," Dr Bartone said.
"There is no evidence to suggest — not proven evidence — to suggest that it has a role to play."

Is it dangerous?

Well, it can be.
"Well look ... the theory is it is using a suction to draw ... toxins out of the blood to the surface [and] the pressure, that creates bruising beneath the skin," Dr Bartone said.
"You're breaking ... capillaries... that bruising or bleeding may be extensive and may create deep bruising within muscle which may, in really bad cases, could create some deep scaring or nodules.
"Because some practitioners use heat ... burns are not an uncommon consequence of cupping, not to mention the impressive bruises that are visible for all to see."

So, should you avoid Chinese medicine?

Not necessarily. Dr Bartone said cupping was "one of the more extreme ends" of Chinese medicine.
"Acupuncture has got a role to play," he said.
"It's used by many leading pain management clinics.
"[Cupping] just unfortunately doesn't stand up to the same rigour of scrutiny."
Mrs Holland said it was important to seek out professionals with proper qualifications.
"There's a lot of controversy going around Chinese medicine," she said.
"Chinese medical practitioners have to have a minimum of a four-year bachelor degree [in] Chinese medicine to be registered and practice and we've got to maintain our professional development every year to maintain that registration to practice.
"The national law is supposed to protect [the public] from people who are not properly trained."

Monday 30 May 2016

Knowing how to use acupuncture to manage nine different pathogenic factors

行针指要歌

Needling for pathogenic factors

translated by Binbin ZHANG 


KEY WORD  acuapuncture point

How to manage nine different pathogenic factors?

Acupuncture for Wind: FENG FU, BAI HUI

Acupuncture for water: SHUI FEN  

Acupuncture for block: SHUI DAO

Acupuncture for fatigue: GAO HUANG, BAI LAO

Acupuncture for deficiency: QI HAI, GUAN YUAN, WEI ZHONG

Acupuncture for qi : ZHONG WAN

Acupuncture for cough:  FEI SHU, FENG MEN (MOXA)

Acupuncture for phlegm: ZHONG WAN; ZU SAN LI

Acupuncture for vomiting: ZHONG WAN; QI HAI; NAO ZHONG

All nausea and vomiting in acupuncture treatment are same.  



【提要】本歌引自明·高武的《针灸聚英》。文中列举风、水、结、劳、虚、气、嗽、痰、吐等九种常见证的有效治疗穴位,并要略地点出何者用针、何者用灸、何时当泻、何时当补。

[原文]

或针风[1],先向风府、百会中。

或针水[2],水分侠脐上边取。

或针结[3],针着大肠泄水穴。

或针劳[4],须向膏育及百劳

或针虚[5],气海、丹田、委中奇。

或针气[6],腹中一穴分明记。

或针嗽[7],肺俞、风门须用灸。

或针痰[8],先针中院、三里间。

或针吐[9],中院、气海、脑中补;

番胃吐食一般医,针中有妙少人知。


【校勘】

①风府百会:《针灸聚英》卷四上作“风门气海”。

②膏育及百劳:《针灸聚英》卷四上作“风门及膏育”。

【注释】

[l]口风:《内经》上说:“伤于风者,上先受之”。头为诸阳之会,督脉总督诸阳,故凡风病不论内风外风均宜取百会、风府以治之。

[2]水:此指水湿之邪。水分为任脉经穴,取水分者,以其能治一切水肿病,应以灸为主。凡患水肿,无论其为腰以下肿,当利小便者,或腰以上肿,当发汗者,均可首取具有通利小便,宣泄水湿的水分穴。因水分位于脐上,故日侠脐上边取。

[3]结:指病邪蕴结于经脉,阻碍气血运行之证。“大肠泄水穴”一句之“大肠”,一指膀胱经之大肠俞,一指大肠经之荣水穴。如能同时取之,可收疏通肠胃、宣导气血、消痕散结,宣泄水湿之功。

[4]劳:久病则虚,虚极为劳,膏育穴能收扶阳固卫,济阴和营,调理气血,补益强壮之效。百劳穴、主治瘰疬等症,能配合用此二穴治劳,其效果更佳。

[5]虚:是泛指人体正气不足,抗病能力减弱。所取之气海穴属任脉,丹田穴亦属任脉。有说脐下一寸三分为丹田,道家又称脐下三寸为丹田,是治男精女血之要穴,故主诸虚百损。委中为足太阳膀胱经之合穴,与肾经相表里,故取委中可以补肾培元治下焦之虚损。气海丹田委中三穴相配而用,可相得益彰。

[6]气:这里是指脏腑失调及情志失常之证。膻中穴位于胸中,居两乳之间,又称上气海,为八会中之“气会”,故上症均可首选此穴治之。

[7]嗽:咳症不论其为内伤外感无不与肺有关。肺俞穴在背俞中相关于肺,为肺之精气转输出入之所,是治肺的要穴。风门亦为背俞穴,为风邪出入之门户,故取风门穴可收驱风解表镇咳

[8]痰:分有形之痰与无形之痰两种。不论因病生痰,或因痰致病,均与肺脾二脏有关。一、指呼吸道分泌的病理产物。如热痰、寒痰、燥痰等。二、指病因病证。如风痰、痰火、痰湿、顽痰、宿痰、痰饮、痰疟等。选中院、三里以治之,是因脾与胃相表里,而中院为八会中之腑会,又是胃募,三里则为胃之合穴,故有和胃化痰之功。

[9]吐:吐是胃失和降、气逆于上所致。本文取中脱、气海、膻中来治疗乃三焦并治之法,上取膻中为心包络之募穴,又为“气会”,可总调上焦之气机。中取中院,可统治中焦脾胃一切积滞之疾患,以和胃消积。下取气海、可促使气机旺盛,温脾肾之虚寒,益火以生土。三穴相配,可相辅相成。

DAY 15- Understanding Dong Yuan Acupuncture Needling- CMASA wechat group study

copywrite@ Binbin ZHANG


KEY WORDS:  acupuncture, liver channel

Abstract: This is a conclusion of whole DONG YUAN ACUPUNCTURE NEEDLING. 


[原文] 东垣曰:一富者前阴臊臭[1],又因连日饮酒,腹中不和,求先师治之,曰:夫前阴足厥阴之脉络,循阴器出其挺。凡臭者,心之所主,散入五方为五臭[2],入肝为臊,此其一也。当于肝经中泻行间,是治其本;后于心经中泻少冲,乃治其标。

【注释】

[1]臭(xiu秀):此指气味而言。

[2]五方为五臭(xiu秀):五方,为东、西、南、北、中五个方位,与人之五脏相应。臭,为五种气味。病人喜臭何种气味,可反应其患病之部位,此即为五味应五脏之说。如:心病善焦、肝病善臊、脾病善香、肺病善腥,肾病善腐。

【按语】本篇中所阐述的“东垣针法”,首论了胃病的治法,继之论述了气盛在心、肺、肠胃、头和臂足以及“阳病治阴,阴病治阳”的治则。还阐述了三焦气衰的各种症象,最后又例举一前阴臊臭症,说明治标、治本的道理。

本篇中,胃气下溜五脏气乱其为病互相出见,阳病阴治、阴病阳治和三焦元气衰旺等均系李东垣《脾胃论》中之标题,在《针灸聚英》刊刻时人于正文,《针灸大成》又予以转引。本篇在语译时均从略。

本篇所阐述之《东垣针法》是高武从《脾胃论》中摘录的。李东垣在他的另一些著作中如《内外伤辨惑论》和《兰室秘藏》里均载有有关针灸的内容。此外在其弟子罗天益的《卫生宝鉴》中,还有王好古的《此事难知》中亦载有李东垣针药配合的治疗经验,可见李氏在针灸学术上是有一定的创见的。
李氏在针灸方面的见解大致有以下几个方面:
①从元气不足立论,用灸法治内伤以补其元气之不足。
②取俞穴、募穴分别治外感与内伤。
③以调理脾胃为中心,治五脏之气乱。
④治病必须分清标本,然后施先补后泻,或先泻后补之法。
⑤使用五输穴补母泻子的经验和循经取穴的经验。
⑥从阳引阴、从阴引阳的导气同精的应用等。

今天的内容是前几天针灸讲座的总结,总结了整篇东垣针法的想法和《东垣针法》从阴引阳和从阳引阴的针刺方法。




Friday 27 May 2016

DAY 14- Understanding Dong Yuan Acupuncture Needling- CMASA wechat group study

CMASA 微信群学习 第14


copywrite@张彬彬
KEY WORDS: san jiao, qi deficiency, acupuncture
ABSTRACT: This paragraph is about upper Jiao and lower Jiao qi deficiency situation. 


[原文]东垣曰:三焦元气衰旺[1] 《黄帝针经》云:上气不足,脑为之不满,耳为之苦鸣,头为之倾,目为之暝。中气不足,溲便为之变,肠为之苦鸣②。下气不足,则为痿厥心闷。补足外踝,留之。

【校勘】

①旺:原作“王”,据《脾胃论》卷中改.

②鸣:原作“结”,据《脾胃论》卷中改。

【注释】

[1]东垣曰:三焦元气衰旺:此句为东垣《脾胃论》之标题并非原文。

【语译】《黄帝针经》说:上气不足,是因头脑不健全,常常耳鸣,头部倾垂,视物不清等症。中气不足时则二便失常,频频肠鸣。若下气不足时,则出现四肢痿软、厥冷、心胸满闷。可刺外踝部位。用补法,要留针。


彬彬注:本段讨论的是上气和下气不足时候的症状。上气不足,可出现耳鸣,视物不清;中焦气不足,可见到大小便的变化,肠鸣;下焦气不足,可以见到四肢无力,厥冷。补足外踝,我认为是昆仑穴,久留针。


昆仑穴,为膀胱经经穴,又简称昆仑,出自《灵枢·本输》。在足部外踝后方,当外踝尖与跟腱之间的凹陷处。布有腓肠神经,小隐静脉及外踝后动、静脉。属足太阳膀胱经,经(火)穴。主治头痛,目眩,项强,鼻衄,腰痛,脚跟痛,小儿癫痫,难产,胞衣不下,下肢麻痹或瘫痪,及坐骨神经痛,足踝关节及周围软组织疾患等。直刺0.5—0.8寸。艾炷灸3-5壮;或艾条灸5-10分钟。





Thursday 26 May 2016

DAY 13- Understanding Dong Yuan Acupuncture Needling- CMASA wechat group study

CMASA 微信群学习 第13

copywrite@ Binbin ZHANG

KEY WORD    acupuncture     mu    wrong needling

Abstract           We should use right acupuncture needling techniqus. 


[原文] 若元气愈不足,治在腹上诸腑之募穴1。若传在五脏,为九窍[2]不通,随各窍之病,治其各脏之募穴于腹。故曰五脏不平,乃六腑元气闭塞之所生也。又曰:五脏不和,九窍不通,皆阳气不足,阴气有余,故曰阳不胜其阴。凡治腹之募,皆为元气不足,从阴引阳,勿误也。若错补四末之俞,错泻四末之荥,错泻者,差尤甚矣。按岐伯所说,只取穴于天上。天上者,人之背上五脏六腑之俞,岂有生者乎?兴言及此,寒心切骨!若六淫客邪,及上热下寒,筋骨皮肉血脉之病,错取穴于胃之合,及诸腹之募者,必危。亦岐伯之言,下工3岂可不慎哉!

【注释】

[1]诸腑之募穴:即六腑之募穴(胆募--日月;胃募--中院;三焦募--石门;小肠募--关元,大肠募--天枢;膀胱--中极)。

[2]九窍:即上七窍(耳、鼻、眼、口)与前后阴,总称为九窍。

[3]下工:“凡医生于望诊、问诊、脉诊,只知其一者,叫下工

(见马莳《灵枢》注)。在此泛指技术较低的医生而言。

【语译】如果元气日益趋于不足,则应取在腹部的六腑之募穴来治疗。若病传于五脏,表现为九窍不通,就其所现的不同症状,针其在腹部的各脏的幕穴。因此说,五脏精气输布的不平衡,就是六腑之气壅滞不通的结果。又说:五脏之气不和,九窍不通,都是由于阳气不足,阴气有余所致,因此说这是阳不胜阴。凡针腹部之募穴时,都是治元气不足之症,一定要用腹部募穴引阳气上行,千万不能误治。假如错补四肢的俞穴或错泻四肢的荥穴,都是不可以的,尤其是错用泻法,其后果更为严重。因此,按岐伯所说,只能取上背部的穴位。在人体背部五脏六腑的俞穴上,不该泻而错用泻法,这能救治病人吗?说到这里真是今人心寒骨冷啊!此外,在治疗六淫之邪所致之上热下寒诸症和筋骨、皮肉、血脉之症时,错误地取胃经合穴(足三里)和腹部的募穴来治,也会使病情危重。正如岐伯所说,那些技术很差的医生,怎么可以粗心大意呢。

百度百科: 
募穴是脏腑之气输注于胸腹部的腧穴。十二募穴在胸腹部的位置,与相关脏腑在体内的位置大致对应。其中分布于任脉上的6个募穴为单穴,其余为双穴。募穴可治疗相关脏腑证,尤多用于治疗六腑病证,常与背俞穴配合使用。肝的募穴是期门,胆的募穴是日月,胃的募穴是中脘,脾的募穴是章门,石门是三焦的募穴,膻中是心包的募穴。《难经•六十七难》说:“五脏募穴皆在阴……阳病行阴,故令募在阴”,阳性病证,其病气多行于阴分募穴,应采用“从阴引阳”的法则,针刺胸腹部的募穴,以调整经气而引邪外出。


张彬彬解释:

当元气不足时,我们通常选用募穴,而不是背兪穴,错用和误用,会导致疾病恶化。对于背部的兪穴不该泻而误用泻法,伤人无形。针刺手法,用得合适可以救人,用得不合适,伤人于无形。

因此,针刺手法的使用,要非常谨慎,不可乱试和乱用,错用和误用,都会伤人。