2007年5月23日星期三

Qigong

Qigong is an aspect of Chinese medicine involving the coordination of different breathing patterns with various physical postures and motions of the body. Qigong is mostly taught for health maintenance purposes, but there are also some who teach it as a therapeutic intervention. Various forms of traditional qigong are also widely taught in conjunction with Chinese martial arts, and are especially prevalent in the advanced training of what are known as the Neijia, or internal martial arts where the object is the full mobilization and proper coordination and direction of the energies of the body as they are applied to some target.
There are currently more than 3,300 different styles and schools of qigong. Qigong relies on the traditional Chinese belief that the body has something that might be described as an "energyfield" generated and maintained by the natural respiration of the body, known as qi (this is analogous to Prana and Pranayama in Yoga). Qi means breath or gas in Chinese, and, by extension, the energy produced by breathing that keeps us alive; gong means work applied to a discipline or the resultant level of technique. Qigong is then "breath work" or the art of managing one's breathing in order to achieve and maintain good health, and (especially in the martial arts) to enhance the energy mobilization and stamina of the body in coordination with the physical process of respiration.
Attitudes toward the scientific basis (or lack of it) for qigong vary markedly. Most Western medical practitioners, many practitioners of traditional Chinese medicine, as well as the Chinese government view qigong as a set of breathing and movement exercises, with possible benefits to health through stress reduction and exercise. Others see qigong in more metaphysical terms, claiming that breathing and movement exercises can help one tap the fundamental energies of the universe.
Uses
Today millions of people in China and around the world regularly practice qigong as a health maintenance exercise. Qigong and related disciplines are still associated with the martial arts and meditation routines practiced by Taoist and Buddhist monks, professional martial artists, and their students. Once more closely guarded, in the modern era such practices have become widely available to the general public both in China and around the world.
Medical qigong treatment has been officially recognized as a standard medical technique in Chinese hospitals since 1989. It has been included in the curriculum of major universities in China. After years of debate, the Chinese government decided to officially manage qigong through government regulation in 1996 and has also listed qigong as part of their National Health Plan.
Qigong can help practitioners to learn Diaphragmatic breathing, an important component of the relaxation response, which is important in combatting stress.
Yan Xin (嚴新), a doctor of both Western and Chinese medicine as well as founder of the relatively popular Yan Xin Qigong school, suggests that in order for qigong to be accepted by the modern world it must pass the test of scientific study. Without such studies, Yan maintains, qigong will be dismissed as "superstition" (see "Criticism of Qigong" chapter below). In the mid-1980s he and others began systematic study of qigong in some research institutions in China and U.S. More than 20 papers have been published. Yan Xin's research papers were never published in peer-reviewed journals of any international scientific standing and he has deigned to demonstrate his results to sceptic scientists.
Taijiquan, a martial art based on the principles of internal qigong, appears to be a potent intervention to prevent falls in elders, maintain joint mobility, and improve balance.
In 2003 the Chinese Government respectively their mass-organization "Chinese Health QiGong Association" presented the newly developed four Health Qigong Exercises.
Beliefs
Qigong and its intimate relation to the Chinese martial arts are often associated with spirituality. Therefore for many centuries the popular imagination as place it in the province of the religious practitioners. This link is much stronger than with other techniques in traditional Chinese medicine. Qigong was historically practiced extensively in Taoist and Buddhist monasteries as an adjunct to martial arts training, and the claimed benefits of martial qigong practice are widely known in East Asian martial traditions and popular culture. In addition, the traditional teaching methods of most qigong schools (at least in Asia) descend from the strict teacher-disciple relationship conventions inherited in Chinese culture from Confucianism.
In some styles of qigong, it is taught that humanity and nature are inseparable, and any belief otherwise is held to be an artificial discrimination based on a limited, two-dimensional view of human life. According to this philosophy, access to higher energy states and the subsequent health benefits said to be provided by these higher states is possible through the principle of cultivating virtue (de or te 德, see Tao Te Ching, chapters 16, 19, 28, 32, 37, and 57). Cultivating virtue could be described as a process by which one comes to realize that one was never separated from the primal, undifferentiated state of being free of artificial discrimination that is the true nature of the universe. Progress toward this goal can be made with the aid of deep relaxation (meditation), and deep relaxation is facilitated by the practice of qigong.
Criticisms of qigong
Much of the criticism of qigong involves its claimed method of operation. Both traditional Chinese and Western medicine practitioners have little argument with the notion that qigong can improve and in many cases maintain health by encouraging movement, increasing range of motion, and improving joint flexibility and resilience. However, the benefits of qigong become much more controversial when it is asserted that qigong derives its benefits from qi acting as a kind of "biological plasma" that cannot be detected by scientific instruments. Many biologists and physicists are skeptical of these claims and regard them as pseudoscientific.
Association of qigong with practices involving spirit possession have added to establishment criticism. Some experts in China have warned against practices involving the claimed evocation of demons, and practices involving the worship of gods during qigong practice.
Many proponents of qigong claim that they can directly detect and manipulate qi. Others, including some traditional Chinese practitioners, believe that qi can be viewed as a metaphor for certain biological processes, and the effectiveness of qigong can also be explained in terms of concepts more familiar to Western medicine such as stress management.
Controversies within qigong
In the 1980s and 1990s, the increasing popularity of qigong and related practices led to the establishment of many groups and methods in China and elsewhere that have been viewed in a critical light by more traditional qigong practitioners as well as by skeptical outside observers. In their view, a large number of people started studying qigong under inadequate supervision, indeed, perhaps the majority of people today who study qigong work from books or video tapes and DVDs without supervision by a teacher. This laxness can lead to several problems, according to those who view themselves as representative of orthodox schools. Most traditional training takes many years of practice under the supervision of someone who has also learned over years, someone who can guide and prevent the student from taking an unbalanced approach to qigong practice. The othodox practitioners warn that improperly supervised practice can cause unbalanced circulation of inner energies that can eventually lead to unbalanced effects on the various systems of the body, both mental and physical.
Stories of unguided practitioners or inexpertly guided students developing chronic mental and physical health problems as a result of such training are not uncommon. A term used by English speaking practitioners and teachers for one example of this syndrome is "Qigong Psychosis" (Now included in the DSM-IV as a culture-bound syndrome: Qi-Gong Psychotic Reaction: DSM-IV General Information: Appendix I, Outline for Cultural Formulation and Glossary of Culture-Bound Syndromes). Another aspect of improper training involves frauds and deliberate acts of charlatans who promote themselves as qigong "healers" and promise miracle cures of any conceivable affliction for the right amount of money. Traditionally, qigong is considered more of a health maintenance regimen, and any promises of miracle cures should, according to traditional teachers and practitioners, be viewed with suspicion and approached with great caution.
The recent popularity of qigong has also led to increased attention being paid to quasi-religious groups teaching styles of qigong in an atmosphere of New Age-like spirituality.

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