Saturday, February 22, 2014

Ayurveda and Japanese system of Medicine



Paratantraavalokanam
           (Knowkedge of related Sciences)
             Kampo(Japanese traditional medicine)
Dr.Gururaja Tantry, M.S.(Ayu), PhD (Japan).

This article is about the practice of Agnikarma and Raktamokshana in Kampo system.
It deals with the methods of agnikarma and Raktamokshana
Principles of Kampo medicine are not discussed.
Principles of Kampo medicine are similar to Ayurveda.
Here brief explanation is given just to improve our knowledge regarding the Agnikarma and Raktamokshana.
Moxibustion or Agni karma
Moxibustion is the technique of treating the diseases using Fire or heat. It is done using Moxa plant (Artemisia moxa or A.vulgaris). Tonification and dispersion (Similar to Bramhana and Langhana) are the fundamental concept of Japanese Kampo treatment. Where ever there is a deficiency of the Ki or energy ,Tonification is practiced. Moxbustion is a way of tonification of the energy. Usually Tonification comes first or before dispersion (Agni as first line of management). A chronic disease causes depletion of the energy and moxibustion is preferred. Illnesses arising from the internal causes manifest in the yin meridian and tonification techniques are used to treat. While palpating if there is an area of depression on the bodysurface it means deficiency of the energy at that point, tonification or moxbustion is indicated.
Moxa plant
Rolled between palms to prepare varti.

   Moxa powder
Different types of moxa powders
In the first row very clear fine white powder is purified for seven years and is of best quality
 

                                                                                                                                                      

Types of Moxibustion:
1.     Scarring and Non scaring  
2.     Direct and Indirect
1.    Scaring moxibustion is of three types:
  1Penetrating moxibustion
  2Cautery moxibustion
  3Suppurative moxibustion
Penetrating moxibustion:
In this form small cones of high quality moxa are burned on the skin three or more times depending on the condition. It causes blisters but the area is so small and the burn is not deep. Here scar does not form.
Cautery moxibustion:
 In this method moxa is burned directly on the skin for the purpose of burning of unwanted tissues such as corns and warts etc. Many cones of moxa are burned consecutively.
Suppurative moxibustion:
Burning of a large cone of the moxa for the purpose of formation of a large blisters and cause a localized inflammation subsequently draining the pus. It is type of purification. 
Burning of the big cone of moxa directly on the skin
2. Non scaring moxibustion or Indirect moxibustion :
 Here moxa is not burned directly on the skin instead something is placed in between the skin and the moxa. These are called as buffers. Slices of ginger, onion, garlic or soya cake are used as buffers.
These slices not only reduce the heat but also have some additional effects.
Slice of garlic is kept in between the skin and moxa cone

Other forms of non scaring moxibustion are:
Warming moxibustion: Here burning moxa sticks are held close to the skin to heat the areas.
Japanese sticks
Chinese sticks
Warming moxibustion

Heat sensing moxibustion: In this method large cone of moxa is burned directly on the skin and removed as soon as the heat is felt. This form of moxibustion is applied consecutively on the same point up to five times.
Presently only small cones are used

Mox acupuncture: Here small ball of moxa is kept and burnt on the tip of the inserted acupuncture needle.

                                 
Shiraku or Sira Vyadha
We may say that rakta mokshana was first mentioned in Ayurveda but It was popularly practiced in ancient western practice based on the principles of Galen (Blood is one of the 4 humors).Bloodletting was in practice even in Persian medicine. Bloodletting was also popular in Japan. It came to Japan from China and also from the Portuguese. Blood and energy flow are closely related. Thus bloodletting helps to restore the proper flow of energy. (In internet many images regarding the practice of bloodletting in different parts of the world are present.)
In Japanese medicine it is called as Shiraku




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