New: Fast Track CMC Block A

Chinese Medical Chinese Online:  Fast Track Block A

As of February 2017, Aowen Chinese Medicine offers a ‘fast track’ Block A.  It is meant for those students who already have basic knowledge of Chinese language, some knowledge of Chinese medical terminology, and who want to begin their studies of Classical Chinese.  This fast track course prepares you to enroll in the next available session of Blocks B & C where we focus on learning to read classical medical texts.

Fast Track Block A contents

  • you will receive all the study and reading materials of the 10 assignments of the regular Block A
  • please see Chinese Medical Chinese Online for Block A details
  • you will write three tests, the third one being the final exam of Block A
  • you will receive individual guidance with full access to your teacher

Fast Track Block A takes about six-seven weeks.  During that time you review the characters and terms covered by Block A:  Chinese Medical Characters, Volume One: Basic Vocabulary plus some additional characters.  Total characters: 110.  The reading materials of Block A will further give you a solid foundation to continue your studies in Blocks B & C.

Requirements

  • You have some basic knowledge of Chinese language and Chinese medical terminology.
  • You commit to study CMC Online Blocks B & C in the next available session.
  • You have Chinese Medical Characters Volume One available (note: we can help you to get started while you are waiting for the book)

Schedule

The next session of Blocks B & C starts in the second half of April 2018.  This means that if you want to join that group, you will have to study Fast Track Block A before mid April.  You can work at your own pace but have to finish the three tests (and pass the exam: the third test) before that time.

Cost

The price of Fast Track Block A is $ 395 (US dollars), due at the beginning of the course.  The total (including Blocks B & C) will be $ 1,985.   Your fee is refundable only if the course is cancelled.

Continuing Education Units

Contact your teacher Nicolaas via hermanoving@gmail.com if you are curious to know what we can do regarding continuing education credits.

For further information also please do not hesitate to contact Nicolaas.

Questions and Answers on Materia Medica

A Short Introduction to Tang Zonghai’s Běncǎo wèndá

In the vast corpus of the běncǎo or materia medica literature of China, Tang Zonghai’s (唐宗海, 1862-1918) Questions and Answers on Materia Medica (本草問答) occupies an exceptional place. Tang, also known by his style or courtesy name Rongchuan (容川), wrote it late in his career at the request of one of his followers who argued that, because of all the trees (the enormity of information in the existing literature), it had become impossible to see the forest. The ability of one drug to cure a hundred diseases, as described in the materia medica, had made it hard, if not impossible, to cure even one disease. Another point in his argument to convince Tang to write the book was Tang’s knowledge of Western medicine. Through an exposition of general principles, the nature and action of both Chinese and newly introduced Western drugs could be extrapolated.

Tang is recognized as one of the main proponents of the movement to integrate Western and Chinese medicine. This is extensively reflected in his oeuvre, first and foremost by his Quintessence of the Medical Classics in view of the Convergence of China and the West (中西匯通醫經精義). While he embraced new knowledge from the West, he also countered the ridicule of Chinese medicine by Western scientific circles with elaborate and astoundingly convincing arguments. In fact, he utilized Western anatomical drawings to give further evidence for concepts like qi transformation. In the first section of the Běncǎo wèndá, after explaining how the ancient Chinese arrived at their knowledge of the viscera and bowels, he wrote:

且西洋剖視只知層折而不知經脈,只知形跡而不知氣化。與中國近醫互有優劣。若與古聖內經本經較之則西洋遠不及矣

Moreover, the Western world’s anatomical observations only [lead to] knowledge of layers and broken up [fragments] but not of channels and vessels, and they [lead to] knowledge only of traces of forms but not of qi transformation. [Western medical science] and China’s contemporary medicine each have their strengths and weaknesses, but if we compare with the ancient sages, the [Huang Di] neijing and the [Shen Nong] benjing, [the knowledge of] the Western world does not come close!

Tang also contributed substantially to the theory and clinical treatment of diseases of blood, as reflected in the key work On Blood Patterns (血證論). His elaborate thinking about the formation of and relation between qi and blood is apparent in Questions and Answers on Materia Medica as well.

In the course of that latter text, we are guided from the general to the specific. Philosophical questions are raised in the first set of questions. Why are animal, mineral and herbal substances, being of different classes than humankind, able to treat illness in humans? How do substances achieve their nature? How do methods of observation inform medical theory, and why is the ancient method of observation and tasting of drugs not inferior to the Western method of proving efficacy? As the questions begin to focus on groups of, as well as individual medicinal substances, Tang manages to swiftly move back and forth from theory to practical implications. A recurring question is: Why do drugs do what they do, such as up- and downbearing, floating and sinking, attacking and harmonizing, supplementing and draining? In the answers, Tang demonstrates the relevancy of environment, growth patterns (form, color, qi, and flavor) and/or timing and method of both harvesting and processing. The writer manages to capture and hold the reader’s attention by avoiding dry facts, choosing instead an enjoyable style of informative story-telling. The thorough investigation of how the action and quality of huángqí (astragalus root) depend on where and how it grows, is a fascinating example of this. He also explains several aspects of medical theory in new ways and combines them directly with clinical applications.

 

flowering-astragalusflowering astragalus 黃芪

An interesting aspect of his answers to questions on why drugs with the same flavor can have different actions is that he proposes and illustrates a refinement of established theory. All the five flavors (sweet, bitter, acrid, sour, and salty) are true to their original nature when ‘normal’, but their action transforms when they are ‘extreme’. For instance, ‘slight bitterness’ has the original nature of fire and thus the ability to warm heart fire, but ‘great bitterness’ turns into the opposite and acquires the cold nature of water (established theory holds that ‘bitterness can drain’). He combines this with what Xu Lingtai (Xu Dachun) already noted about the actions of medicinals, namely that these can variously depend on their particular qi, flavor, color, form, substance, or time and location of growth.

With all these insights partially introduced and illustrated with examples in the 75 questions, the reader gains an understanding of many principles regarding the medicinal actions of some 340 medicinals and 35 formulas. The analyses offered by Tang have the potential of widening and deepening the foundation of the practice of Chinese medicinal therapy. The writer himself says: “Although this tome is not exclusively a běncǎo book, still all the essential meanings of the běncǎo are contained in it.”

Even though the text, rich in diversity as it is, ought to be read in its entirety to fully benefit from it, the following excerpts may serve to give a first impression:

 

問曰 入氣分入血分,其理未易明也,請再言之。

Question:  The principles of ‘entering the qi aspect’ and ‘entering the blood aspect’ are not easy to understand. Could you please elaborate on this?

答曰
秉於天水而生者入氣分,秉於地火而生者入血分。 氣本於天,味本於地,氣濃者入氣分,味濃者入血分。 入氣分者走清竅,入血分者走濁竅。 有如大蒜,氣之濃者也,故入氣分走清竅,上為目瞀而下為溺臭。 海椒味之濃者也,故入血分走濁竅,上為口舌糜爛而下為大便辣痛。 觀此二物,即知入氣分入血分之辨矣

Answer:

That which grows by grasping from heaven and water, enters the qi aspect. That which grows by grasping from earth and fire, enters the blood aspect. Qi is rooted in heaven. Flavor is rooted in earth. Concentrated qi enters the qi aspect. Concentrated flavor enters the blood aspect. That which enters the qi aspect travels to the clear orifices. That which enters the blood aspect travels to the turbid orifices. Dàsuàn (garlic), for example, is concentrated qi, and thus enters the qi aspect and travels to the clear orifices. Ascending, it creates visual distortion, descending, it leads to fetid urine. Hǎijiāo (= làjiāo, hot pepper) is concentrated flavor; therefore, it enters the blood aspect and travels to the turbid orifices. Ascending, it causes ulceration of the mouth, and descending, it leads to hot painful stool. If you look at these two substances, you will understand the distinction between entering the qi aspect and entering the blood aspect.

蓋得天水之氣而生者入氣分, 人參、黃芪最顯者也。 外如澤瀉、苡仁生於水而利水,二物同而不同。 苡仁生於莖上則化氣下行,引肺陽以達於下。澤瀉生於根則化氣上行引腎陰以達於上。百合花覆如天之下垂,旋覆花滴露而生,本天之清氣,故皆入氣分,以斂肺降氣。

As for those [medicinals] that grow by acquiring the qi from heaven and water and enter the qi aspect, rénshēn (ginseng) and huángqí (astragalus) are the most obvious [examples]. Other examples are zéxiè (alisma) and []yǐrén (coix), that grow in water and [have the ability to] disinhibit water. The two substances are similar yet different: []yǐrén grows on a stalk and so moves downward when it transforms qi. It draws lung yang to reach down to the lower body. Because zéxiè grows down at the root, the transforming qi moves upward, and [consequently] it draws kidney yang to reach to the upper body. Bǎihéhuā (flower of the tiger lily) is turned upside-down as if it droops down from heaven. Xuánfùhuā (inula flower) grows from dripping dew. They [express] clear qi rooted in heaven; therefore, both enter the qi aspect in order to constrain the lung and downbear qi.

 

flowering-tiger-lily-jpg

百合花 flowering tiger lily

[… …]

紅花色赤,自入血分而味苦則專能泄血。又凡花性皆主輕揚,上行外走,故紅花泄肌膚脈絡在外在上之血。丹皮色味亦類紅花而根性下達與花不同,故主在內及泄中下焦之血。

The color of hónghuā (carthamus) is red. It naturally enters the blood aspect. Its flavor is bitter, so that it has the special ability to discharge blood. Moreover, the nature of all flowers is to govern lightness and buoyancy. They move upward and travel to the exterior. Thus, [the action of] hónghuā is to discharge blood in the skin, vessels and networks at the external and upper [body]. []dānpí (moutan)’s color and flavor is of the same category as hónghuā, but the nature of roots is to reach downward, which is different from flowers. Therefore, it governs the inner body and discharges blood of the center and lower burner.

 

carthamus

紅花 carthamus, dried flowers

桃花紅而仁味苦,皆得地火之性味者也,仁又有生氣,故桃仁能破血亦能生血。茜草色赤味苦根甚長,故下行之力更重,專能降泄行血也。

Táohuā (peachflower) is red and the flavor of the kernel (táorén) is bitter. They both acquire their nature and flavor from earth and fire. The kernel additionally has vital qi. That is why táorén has the ability to both break blood and engender blood. Qiàncǎo (madder)’s color is red, its flavor bitter, and its root is very long. Therefore, its power to move downward is rather strong, and its special ability is to downbear, discharge and move blood.

問曰 大黃苦寒之性自當下降,而巴豆辛熱之性,宜與大黃相反,何以亦主攻下? 而較大黃之性尤為迅速,此又何說?

Question:  The nature of dàhuáng (rhubarb) is bitter and cold, so it naturally should precipitate and downbear, whereas bādòu (croton), which has an acrid and hot nature, should do the opposite of dàhuáng. Why then does it also govern offensive precipitation, and how can it be explained that compared to dàhuáng‘s nature it is even more rapid?

 

dahuang

大黃 rhubarb root

答曰
此又以其油滑而主下降,其能降下則是油滑所專主,而非辛熱所專主也。凡食麻油、當歸,皆能滑利下大便,巴豆、蓖麻子皆有油,皆滑利皆能下大便。但麻油不熱則其行緩,不辛則氣不走竄,故其下大便也緩。蓖麻子味辛氣溫,是有氣以行其油滑之性,故其行速。巴豆之油與麻油、蓖麻同一滑性,而大辛則烈,大熱則悍,以悍烈行其滑利,故剽劫不留也。

Answer:

Here, as well, it is by its oily slipperiness that it governs downbearing. Its ability to downbear is singularly governed by that oily slipperiness and not by its acridity and heat. Whenever you eat máyóu (sesame oil) or dāngguī (Chinese angelica root), they are able to lubricate and precipitate the stool. Bādòu and bìmázǐ (castor bean) both contain oil, and both are lubricating and can precipitate stool. However, sesame oil is not hot, so its moving [action] is slow. It is not acrid, so its qi is not mobile and penetrating. Therefore, it is slow in its precipitation of stool. The flavor of castor bean is acrid and its qi is warm. This means that it has qi to move its oily-slippery nature; therefore, its movement is rapid. The slippery nature of bādòu oil is similar to that of máyóu and bìmá[], but it is highly acrid and thus harsh; highly hot and thus fierce. Because it carries out its lubricating and disinhibiting harshly and fiercely, it plunders without lingering.

麻仁亦油滑,而無辛烈之性,故但能潤降不能速下。葶藶亦有油,自能滑利,又有辛味,是與巴豆之辛而有油相似。其味又苦,是又與大黃之苦而滑潤相似。然則葶藶隱寓巴豆、大黃二者之性,故能大瀉肺中之痰飲膿血,性極速降。蓋有大黃、巴豆之兼性,誠猛藥也。恐其太峻,故仲景必以大棗補之。杏仁亦有油,但得苦味而無辛烈之氣,故降而不急。

[Huǒ]márén (cannabis seed) is also oily and slippery, but it does not have an acrid and harsh nature. Hence, it is only able to moisten and downbear and cannot rapidly precipitate. Tínglì[] (lepidium/descurainia seed) has oil as well, and naturally can lubricate. It also has an acrid flavor and is similar to acrid and oil-containing bādòu. Its flavor is bitter as well, so it also resembles bitter, lubricating, and moistening dàhuáng. In that way tínglì[] harbors the natures of bādòu and dàhuáng; therefore, it has the ability for major drainage of phlegm-rheum, pus, and blood from the lung. Its nature is extremely rapid downbearing. As it has the combined natures of dàhuáng and bādòu, it is a truly fierce medicinal. Out of fear of it being overly drastic [Zhang] Zhongjing insisted on ameliorating it with dàzǎo. Xìngrén (apricot kernel) contains oil as well, but it acquires a bitter flavor and lacks an acrid and harsh qi. Thus, it downbears but not urgently.

 

問曰 藥有以天時名者如夏枯草、款冬花,得無以時為治乎

Question:  There are medicinals that are named after the seasons, like xiàkūcǎo (prunella) and kuǎndōnghuā (coltsfoot). Isn’t it so that what they treat is in accordance with [those] seasons?

{translator’s note: [xià] = summer; [kū] = wither; [dōng] = winter; [huā] = flower}

 

答曰
然天時者五行之流運,陰陽之分見,故凡論藥,又當論其生之時與成之候。雖不盡拘於時而亦有以時為治者。夏枯草生於冬末,長於三春,是正得水木之氣。遇夏則枯者木當火令則氣其退謝,故用以退肝膽經之火。款冬花生於冬月冰雪之中而花又在根下,乃坎中含陽之象,故能引肺中陽氣下行而為利痰止咳之藥。二物皆以時名,皆得其時之妙用也。

Answer:

Now, the [seasons or] heavenly periods [correspond to] the movements of the five phases and are observed as distinctions of yin and yang. Therefore, whenever we discuss medicinals, we also must discuss the seasons in which they grow and the periods in which they mature. Although it is not always so that the treatment [abilities of medicinals] are restricted by the [influences of] seasons, still there are those that derive them from the seasonal [influences]. Xiàkūcǎo grows at the end of the winter and matures during the three months of spring. This means that it principally acquires the qi of water and wood. Once summer arrives, it withers; when wood comes under the command of fire, the qi retreats and declines. That is why [xiàkūcǎo] is used to abate fire in the liver and gallbladder channel.

Kuǎndōnghuā grows in the icy and snowy winter months, and its flowers are also at the base of the root. As kan (water) contains the manifestation of yang (represented by the center line of the trigram), it therefore has the ability to draw yang qi from the lung downward and thus is a phlegm-disinhibiting and cough-suppressing medicinal. The two substances are named after the season [in which they grow] as both acquire the subtle effect of that season.

Questions and Answers on Materia Medica is full of little gems in between enlightening insights in the working of medicinals. Why do bones not rot after death, and what profundities are hidden in the relationship between blood and hair? How do you obtain bezoar from oxen, and why is it that you can treat disease with the product of a disease? What medicinals should be used for different kinds of phlegm and why? Master Tang’s explanations are sometimes surprising and do not fail to offer modern practitioners new ways of thinking about their pharmacies.

 

******************

See the Appendix below for a list of discussed medicinals with their Chinese, pinyin, common English, and Latin pharmaceutical names.

Nicolaas Herman Oving is the author and translator of this introduction and he can be reached via hermanoving@gmail.com. This article was first published on Aowen Chinese Medicine, December 2016. Nicolaas wishes to thank Nadine Luchtman-Levie for her editorial work.

All photography, except for the flowering tiger lily, is by the author.  Please contact him if you want to use any of the photographic materials.

Sharing, copying, printing, etc. of the entire article is not allowed without permission of the author.  For citations, please add the author’s name, the title of the article, and the web address of publication.

For a printable version of this article, see pdf of intro bencao wenda

An annotated translation of the complete text of the Bencao wenda will be published in the near future.  

 

Appendix

List of medicinals in order of appearance in the text

*note: Latin pharmaceutical names are chosen instead of botanical names because they indicate parts used and are thus more relevant for the practise of medicine.

Chinesepīnyīncommon EnglishLatin pharmaceutical*
黃芪huángqí astragalusAstragali Radix
大蒜dàsuàn garlicAllii Sativi Bulbus
海椒 = 辣椒hǎijiāo = làjiāohot pepperCapsici Fructus
人參rénshēnginsengGinseng Radix
澤瀉zéxiè alismaAlismatis Rhizoma
[薏]苡仁[yì]yǐréncoixCoicis Semen
百合花bǎihéhuālilyLilii Flos
旋覆花xuánfùhuāinulaInulae Flos
紅花hónghuācarthamusCarthami Flos
[牡]丹皮[mǔ]dānpímoutanMoutan Cortex
桃花táohuāpeachflowerPersicae Flos
[桃]仁[táo]rénpeach kernelPersicae Semen
茜草qiàncǎo madderRubiae Radix
大黃dàhuángrhubarbRhei Radix et Rhizoma
巴豆bādòucrotonCrotonis Fructus
麻油máyóusesame oilSesame Oleum
當歸 dāngguīChinese angelicaAngelicae Sinensis Radix
蓖麻子bìmázǐ castor beanRicini Semen
[火]麻仁[huǒ]máréncannabis seedCannabis Semen
葶藶[子]tínglì[zǐ] lepidium/descurainia Lepidii/Descurainiae Semen
大棗dàzǎojujubeJujubae Fructus
杏仁xìngrénapricot kernelArmeniacae Semen
夏枯草xiàkūcǎoprunellaPrunellae Spica
款冬花kuǎndōnghuācoltsfootFarfarae Flos

 

 

 

Heaven, above and below

 

About impersonating a character and some history and medicine

Nicolaas Herman Oving

When I teach Chinese medical Chinese classes ‘live’, one of the characters I most like to introduce is . A reason for that is that it is so demonstrable—physically demonstrable. First, there is [rén]. Stand still, arms hanging down, and legs apart: . Then, stretch your arms wide: [dà]. The step towards requires more. While standing like , first focus on your head, then let thoughts about the big wide space around and above you fill your head, making it larger and larger.

The best is to do this exercise outside, standing on real soil if possible. Also, try it on a clear night on a location where you can see stars.

The concept of  is also interesting from an historical perspective. It played an important role in the earliest forms of religion we know of and remained to be crucial in the structures of political power as well. From the earliest written records found and deciphered thus far, we have come to understand that in the early cultures we now call ‘Chinese’, divinity was experienced as ‘a complex network of integrated supernatural influences rather than as a power represented in the figure of a single antropomorphic deity’ (Major, p. 169).

During the Shang, the top part of that hierarchically structured network consisted of the deceased ancestral kings who were named Di after they passed on. Above them stood Shang Di, the ‘High God’ (上帝 [Shàngdì]). Ancestor worship and rituals for the dead (at their funerals, but to be continued after that) formed the core of religious life. 上帝 can be seen as ‘the ancestor of all ancestors’. During the Zhou, the top position was occupied by [tiān], Heaven. Shang Di became one aspect of this larger power, Heaven. Heaven became the highest focus of worship. In relation to this, the ruler who stood on top was not longer called a king ([wáng]) but bore the title of  天子 [tiānzǐ], ‘Son of Heaven’. The Son of Heaven carried out the Mandate of Heaven 天命 [tiānmìng] (can also be rendered as ‘command’), and the state he ruled, viewed as the cosmic center, occupied ‘All Under Heaven’  天下 [tiānxià].

The concept of heaven as overarching power that entrusts rulers with carrying out its mandate was projected on the past and formed a central idea in myths of origin. It continued to play a crucial role throughout history, and changes of power in China are always associated with the ‘losing of the Mandate of Heaven’.

Towards the end of the Warring States period the meaning of  shifted from ‘heaven’ towards ‘heaven/nature’. We can see this as the beginning of a process of demystification and rationalization that took more shape during the Han and in the formulations of the principles of Chinese medicine. The concept of heaven, or ‘heaven/nature’, became essential in Chinese medical philosophy.

The definition and explanation in the Practical Dictionary of Chinese Medicine reads:

 

tiān : The sky or heavens; the highest cosmic principle or force.

The Chinese concept of heaven includes not only the physical sky or space covering the earth, but also weather and the seasons, and the notion of Nature and the forces and laws that govern it.

 

In the realm of politics, heaven is (or was believed to be) able to give indications to rulers whether their government was sound or not. Natural phenomena such as specific star constellations, floods, plagues, etc. were the means of heaven to do so. Likewise, in the realm of medicine, heaven (and earth) indicators could warn humans about improper government of their individual bodies. (see Suwen 20)

Furthermore, in the system of correspondences that is seen as the foundation of Chinese medical thinking, heaven is yang and earth is yin – as stated in Suwen 29:

 

陽者天氣也主外

陰者地氣也主內

Yang is the qi of heaven. It governs the outer body.

Yin is the qi of earth. It governs the inner body.

 

A large part of physiology and pathology in Chinese medicine is an elaboration of these central concepts. For instance, the five viscera are believed to be engendered by the qi of heaven, and the six bowels by the qi of earth (Suwen 11).

Heaven also plays a crucial and specific role in the doctrine of the Five Periods and Six Qi (五運六氣 [wǔyùn liùqì]) as documented in Suwen 66-74. This section, almost one third of the entire Suwen text, is discussed in detail in an appendix of Huang Di neijing suwen – Nature, knowledge, imagery in an ancient Chinese text – P. Unschuld’s introduction to his Suwen translation.

As can be glimpsed from this brief overview, the concept of  plays an important role in the religion, politics, culture and philosophy of China. What makes it of even more interest for me is that I carry this character with me all the time. I can express it with my body and, while doing that, reflect on the meaning of life. It tells a story in a beautifully simple way.

 

Vocabulary

[tiān]

[shàng]

[xià]

上帝 [Shàngdì]

天下 [tiānxià]

天子 [tiānzǐ]

天命 [tiānmìng]

 

Literature

– Major, John S. and Constance A. Cook, Ancient China – A History, Routledge, 2017.

– Unschuld, Paul U., Huang Di nei jing su wen – Nature, knowledge, imagery in an ancient Chinese text, University of California Press, 2003.

– Wiseman, Nigel and Feng Ye, A Practical Dictionary of Chinese Medicine, Paradigm Publications, 1998.