Sun Si Miao

Li Dong Yuan

Finding the trace of medicine in daily life

Profiles
born in 581-682 AD
in Shannxi province 1180-1251
of China Jin and Yuan
Dynasty
Lived through
Beizhou, Sui, Tang
One of The
dynasty
famous four
most long-lived scholar in
physician in the TCM in Jin -
Chinese medical Yuan period
history
Tonifying the
Regard as the King Spleen
of Medicine
 Background
Sun Si Miao

born in 581 AD, the end the Northern Li Dong Yuan

Zhou dynasty.
Born in 1180,
childhood, the country was in chaos
due to war and political conflicts. China was torned under the harsh Mongol
conquests.
Malnutrition was common among
peasant people Witnessing the suffrage of the masses
with famine, epidemic, and poverty,
in frail health as a Child,
The integrity of qi can be heavily
the frequent sought for medical help influenced by one’s emotions.
nearly exhausted his family financially
 Influential works

Sun Simiao
Li Dong Yuan
Thousand pieces of Gold
prescriptions School of tonifying the Earth
(Spleen and Stomach)
Ethics of a physician
Treatise on the Spleen and
Yangsheng - The use of food Stomach
balancing diet
Clearing Doubts about Damages
Gynaecology from Internal and External Causes

The 13 Ghost points & Mental Health Secrets from the Orchid Chamber
 Sun Si Miao - Ethics of a physician
life is as precious as a thousand pieces of gold, if one can be saved with a prescription,
the virtue is far greater than that.

Dayijingcheng-a great physician’s heart and honesty (TCM Oath equivalent to the
Hippocratic Oath)
-Treat with respect and wholeheartedly, and never be afraid of danger and difficulties.
-Never disgust for stench and filth in the treatment of patients.
-Keep calm and pay attention to patients safety while giving careful and accurate diagnosis.
-Show great respect and support for peers and never be jealous of others.

deeply rooted in the hearts of generations of TCM physicians

-A doctor has the heart of a parent, meaning a doctor ‘s generosity and empathy towards a
patient is as attentive and careful as caring for one’s own child.

(Li & Liang 2015, p. 69)

 Sun Si Miao - prevention of disease through a balancing lifestyle
Thousand pieces of Gold prescriptions
significant attention on using food as medicine
-A vast collection of recipes were provided,
-using essential food items which are less powerful and therefore harmful compared to
herbs.
-shaped the Chinese food culture according to the yin yang. cooling, warming, rising,
sinking, & five element theory
(Tian, Tian, Dandan & Wang, 2018)

Cantonese slow-cooked soup(CSCS)

-have different medicinal functions and it serves a significant role in family healthcare
- 113 kinds of plants or plant parts are used as ingredients in CSCS
-contain formula prescriptions E.g. Qing Bu Liang which serves to tonify qi & clearing heat
(Liu et al., 2018)
 Sun Si Miao - Gynaecology

the first to recognize the importance of female’s health, from a sociological perspective
because of emotional constraints and childbearing,
female health is far more complex than man.

as the nurturer of the next generation,

women’s health is essential not only to a family’s stability,
but also the stability of a society and a race

led to the fully-fledged emergence of gynaecology as a respected medical speciality in the

official
Zuo Yue ZI( sitting the month)
- a detailed care system developed in accordance to TCM
- Spread to nearby country - Korea
- Application of TCM in Post Natal Depression
-TCM Acupuncture -->significantly better performances assessed by the Hamilton Depression Scale.
（Tong2019）
Sun Si Miao - THe 13 Ghost points
The 13 Ghost Points for treating mental health disorders
-were used treating unusual mental conditions and cognitive function before Sun’s time
-such collection and classification marks a significant recognition of mental health as a branch
of medicine.
-led to the diagnosis and treatment principles in accordance with organs and meridians in TCM
in later practice. (Cibik 2007, p. 30, Burke 2003, p. 10 & Koprowski 2013, p. 4)

tested the 13 ghost points with lasers and found spontaneous responses in the brain through
functional magnetic resonance imaging. (Li et, Fu, 2017)

If used with rehabilitation training, they can significantly improve the abnormal behaviour,
intellectual process, language function in children with ASD aged between 2-6.
(Li et, Fu, 2017)
LI DONG Yuan -- Treatise on the Spleen and Stomach
Not enough Other Zangfu
Malnutrition, Damaged
postnatal essence Organs not
Unbalanced Spleen &
for spleen to make nourished
diet Stomach
original qi, blood properly

Blood deficiency
Damp-Heat Extreme of the Stir up
Spleen
LIver invading 7 emotions ministry of
deficiency
spleen Fine

Mask the Heat

underlying cold & Symptoms Disease Yin Fire Arise
Yang Deficiency

(Li & Liang, 2016)

 Li Dong Yuan - Theory & Concepts

Spleen & Stomach, in the middle position

closely linked to each of the other four Zang organs

disease on the other Zang organ can be treated through the the spleen & stomach
- Nourishing and balancing

- tonifying the spleen and stomach, raising the clear yang , draining the yin fire, and balancing the
functions

- tonify moderately with patience and caution, avoid avoid strong warming and tonifying herbs

taking into account the seasonal rhythm and environmental factors.

(Li, 2018)
 Li Dong Yuan - influence on TCM
Students:
Wang Haogu and Luo Tianyi not only inherited his theory but
brought forth new ideas.

Famous physicians since the Ming Dynasty (1368-1644)

Zhang Jingyue, Li Zhongzi, Xue lizhai
Ye Tianshi (Qing Dynasty)

-studied Li’s theory in depth and built their own schools with
deep embodiment of Li Gao’s work
Li Dong Yuan - trace in the society/culture
Nourishing the Spleen & the stomach - Widespread belief now

Chinese diet -intaking the food that nourishes the stomach and spleen as priority
the grains made up the main portion of a typical meal .
(rice, noodle, porridge, steam buns)
- the 5 grains ‘s mission is to nourish, particularly the earthy organs
Tian, Tian, Dandan & Wang, 2018).

Postnatal care: porridge made with a mixture of the 5 grains consumed everyday to
nourish the mother, recovers middle Qi quickly (Hung, 2001).

Environmental and seasonal factors

-cooling tea of the cantonese in the summer and
-moderate winter tonifying herbal recipes such as Qing Bu Liang in the slow cooked
Cantonese soups reflects
 Li Dong Yuan - Formulas

Shengyang Yiwei Tang

raise yang and boost the stomach function;
Buzhong yiqi Tang
supplement the spleen and boost the qi,
Sheng Mai san
nourish the yin,
Also widely used in modern chinese hospitals for cardiovascular
problems;
Danggui Buxue Tang
nourish the Qi and blood quickly and deeply after extensive blood loss.
 Li Dong Yuan
- The Application of Buzhong Yiqi Tang in today’s practice

Indications: Yin fire, Stagnations and deficiency of spleen and stomach

ascend yang and prevent yin fire by tonifying the spleen and stomach qi in principle
(Jian, 2007)
Oral Apthae, Small lobe mammary hyperplasia,
acute occurrence of chronic urinary tract infection,
Hypersomnolence, Profuse sweating, Urinary syncope
(Flaw, 2005)
pelvic floor muscle exercise early postpartum pelvic floor dysfunction disease
Use with muscle exercise-improve symptom and promote recovery
(Chen et al., 2018).
Perennial allergic rhinitis
-Preventing yin fire → anti inflammatory effect→ suppressed nasal inflammation
(Yang & Liu, 2008)
 Reference (Sun Si Miao)
Burke, A 2003. 'Fibromyalgia and the treatment of chronic pain Use of Ghost Points in an Interview with Dr. Hu Ling Xiang', California
Journal of Oriental Medicine, vol. 14, no. 2, pp. 10-11

Cibik, T 2007, 'Possession and Mental Illness from a Chinese health care perspective', Oriental Medicine, vol. spring, pp. 30-37

Cheung, N., Mander, R., Cheng, L., Chen, V., Yang, X., Qian, H., & Qian, J. (2006). ‘Zuoyuezi’ after caesarean in China: an interview
survey. International Journal Of Nursing Studies, 43(2), 193-202. doi: 10.1016/j.ijnurstu.2005.04.003

Hung, P. (2001). Traditional Chinese customs and practices for the postnatal care of Chinese mothers. Complementary Therapies In
Nursing And Midwifery, 7(4), 202-206. doi: 10.1054/ctnm.2001.0562

Kim, S. (2017). Sanhujori: Korea's Traditional Postnatal Care Culture. International Journal Of Childbirth Education, Jul2017(32（3）), 13-16.

Koprowski, E 2013, 'A case study: ghost point acupuncture a useful adjunct to psychotherapy; pharmacotherapy', California Journal of
Oriental Medicine, vol. 24, no. 1, pp. 4-6

Li, N., Li, J., Liu, Z., Zhao, Y., Jin, B., & Fu, W. et al. (2017). Clinical observation on acupuncture at thirteen ghost acupoints for children
with autism spectrum disorder. Journal Of Acupuncture And Tuina Science, 15(5), 344-348. doi: 10.1007/s11726-017-1025-8

Li, M., & Liang, Y. (2015). Sun Simiao, super physician of the Tang Dynasty. Journal Of Traditional Chinese Medical Sciences, 2(2), 69-70.
doi: 10.1016/j.jtcms.2016.01.005
 References (Sun Si Miao)
Liu, Y., Liu, Q., Li, P., Xing, D., Hu, H., & Li, L. et al. (2018). Plants traditionally used to make Cantonese slow-cooked soup in
China. Journal Of Ethnobiology And Ethnomedicine, 14(1), 4-21. doi: 10.1186/s13002-018-0206-y
Luo, B., Li, F., Ahmed, S., & Long, C. (2019). Diversity and use of medicinal plants for soup making in traditional diets of the
Hakka in West Fujian, China. Journal Of Ethnobiology And Ethnomedicine, 15(1). doi: 10.1186/s13002-019-0335-y
Lv, J, Shi, C, Deng, Y, Lou, W, Hu, J, Shi, L, Luo, L & Wang, D 2016, ‘The brain effects of laser acupuncture at thirteen ghost
acupoints in healthy individuals: a resting-state functional MRI investigation’, Computerized Medical Imaging and Graphics, vol.
54, pp. 48-54
(Ou, Greeven, Belger & Nelson, 2016)
Ou, H., Greeven, A., Belger, M., & Nelson, J. (2016). The first forty days (p. Introduction). New York: Stewart, Tabori & Chang.
Tian, R., Tian, K., Dandan, Z., & Wang, C. (2018). FOOD CULTURE IN CHINA: FROM SOCIAL POLITICAL PERSPECTIVES.
Trames. Journal Of The Humanities And Social Sciences, 22(4), 345. doi: 10.3176/tr.2018.4.02
Tong, P., Dong, L., Yang, Y., Shi, Y., Sun, T., & Bo, P. (2019). Traditional Chinese acupuncture and postpartum depression: A
systematic review and meta-analysis. Journal Of The Chinese Medical Association, 82(9), 719-726. doi:
10.1097/jcma.0000000000000140
Wilcox, L 2017 ‘Nourishing life (yang sheng): an ancient love of lists’, Journal of Chinese Medicine, no. 113, pp. 28-31
Zhang, K., Liu, Y., Chen, B., & Xu, Y. (2016). Origin and development of acupuncture manipulation. World Journal Of
Acupuncture - Moxibustion, 26(1), 34-41. doi: 10.1016/s1003-5257(17)30046-6
 References (Li Dong Yuan)
Flaws, B. (2005). Clinical Uses of Bu Zhong Yi Qi Tang. Townsend Letter For Doctors & Patients, Aug/Sep2005(265/266), 96-101.
Retrieved 7 June 2021, from.

Hung, P. (2001). Traditional Chinese customs and practices for the postnatal care of Chinese mothers. Complementary Therapies In
Nursing And Midwifery, 7(4), 202-206. doi: 10.1054/ctnm.2001.0562

Jian, Y. (2007). A Return to the Original Understanding of Bu Zhong Yi Qi Tang. Journal Of Chinese Medicine, (85), 31-35. Retrieved 7
June 2021, from.

Li, D. (2018). Pi wei lun. Shan xi ke xue ji shu chu ban she.

Li, M., & Liang, Y. (2016). Li Gao, Great master of tonifying earth (phase). Journal Of Traditional Chinese Medical Sciences, 3(4),
199-200.

Tian, R., Tian, K., Dandan, Z., & Wang, C. (2018). FOOD CULTURE IN CHINA: FROM SOCIAL POLITICAL PERSPECTIVES. Trames.
Journal Of The Humanities And Social Sciences, 22(4), 345. doi: 10.3176/tr.2018.4.02

Ou, H., Greeven, A., Belger, M., & Nelson, J. (2016). The first forty days (p. Introduction). New York: Stewart, Tabori & Chang.

Yang, S., & Yu, C. (2008). Antiinflammatory effects of Bu-zhong-yi-qi-tang in patients with perennial allergic rhinitis. Journal Of
Ethnopharmacology, 115(1), 104-109. https://doi.org/10.1016/j.jep.2007.09.011