Chinese Medicine

Topic Overview

What is Chinese medicine?

Chinese medicine is a system of medicine partly based on the idea that an energy, called qi (pronounced "chee"), flows along pathways in the body called meridians. In this belief, if the flow of qi along these meridians is blocked or unbalanced, illness can occur. In China, doctors have practiced Chinese medicine for thousands of years, and it is gaining in popularity in many Western countries.

Causes of qi imbalance are thought to involve:

• External forces, such as wind, cold, or heat.
• Internal forces, such as emotions of joy, anger, or fear.
• Lifestyle factors, such as poor diet, too little sleep, or too much alcohol.

Another important concept in Chinese medicine is the concept of yin and yang. In this approach, all things, including the body, are composed of opposing forces called yin and yang. Health is said to depend on the balance of these forces. Chinese medicine focuses on maintaining the yin-yang balance to maintain health and prevent illness.

Chinese medicine doctors look at the balance of body, mind, and spirit to determine how to restore qi, the yin-yang balance, and good health.

What is Chinese medicine used for?

People use Chinese medicine to treat many illnesses from asthma and allergies to cancer and infertility. Chinese doctors may use several types of treatment to restore qi balance.

Chinese medicine therapies include:

• Acupuncture, which uses thin metal needles placed along the body's meridians.
• Acupressure, which uses the hands or fingers to apply direct pressure to points along the body's meridians.
• Chinese herbs, combinations of herbs, roots, powders, or animal substances to help restore balance in the body.
• Cupping, which uses warm air in glass jars to create suction placed on areas of the body to help stimulate qi.
• Diet. Yin and yang foods can help restore the yin-yang balance in the body.
• Massage (tui na) on specific areas of the body or along the body's meridians.
• Moxibustion, which uses small amounts of heated plant fiber (moxa, or Chinese mugwort) on specific areas of the body.
• Qi gong, which uses movement, breathing techniques, and meditation.

Is Chinese medicine safe?

Research in China and worldwide has shown Chinese medicine to be helpful for many types of illness. Because Chinese medicine differs from Western medical practice in diagnosis and treatment methods, it is difficult to apply Western scientific standards to it.

For example, in Western medical practice, any two people with a similar infection (such as an sinusitis) may be treated with a standard course of antibiotics. In Chinese medicine, each person might receive a different treatment for the same illness depending on the person's own qi and yin-yang balance.

The United States accredits schools in Chinese medicine, so a practitioner certified by an accredited school has had extensive training in Chinese medicine.

The National Institutes of Health, through the National Center for Complementary and Alternative Medicine (NCCAM) and other institutes, funds ongoing research of many complementary therapies to determine their benefits and risks. Acupuncture has been the most studied of Chinese medicine treatments and has become accepted as a therapy for certain conditions in the United States. Promising results have been found for the use of acupuncture in treating nausea and vomiting related to chemotherapy, postsurgery pain, and pregnancy. Acupuncture also may be useful for other conditions such as addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma. In general, acupuncture is safe when done by a certified acupuncturist, but the treatment can be expensive and time-consuming.

Like conventional medications, Chinese herbal medications may also cause side effects, trigger allergic reactions, or interact with other prescription and nonprescription medications or herbs. Before you use any Chinese therapies, be sure to tell your health professional about any prescription, nonprescription, or other natural supplements you are taking.

Always tell your doctor if you are using an alternative therapy or if you are thinking about combining an alternative therapy with your conventional medical treatment. It may not be safe to forgo your conventional medical treatment and rely only on an alternative therapy.

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Author:	Caroline Rea, RN, BS, MS	Last Updated June 27, 2007
Medical Review:	Kathleen Romito, MD - Family Medicine Marc S. Micozzi, MD, PhD - Policy Institute for Integrative Medicine
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