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Dear Colleagues,

Clinical experience in Europe, the United States and more recently in Brazil

has lead me to the belief that an extension to classic Chinese medical

theory with regards to External Pathogenic Factors (EPF's) is called for.

I suggest the addition of 'External Invasion of MD's Arrogance'. MD's

Arrogance is a more recent extension to the External Evils (or EPF) theory,

which can overcome physical and mental defenses to invade the body. It is

commonly encountered at bio-medical institutions and medical colleges,

counsels, hospitals and surgeries, where it thrives in many forms. If the

External Arrogance is sufficiently strong (or the Wei Qi not strong enough),

it will overcome the righteous Qi of the aspiring physician or scientist and

invade his body. Like other EPF's, Externally Contracted Arrogance can

easily transform into Interior Arrogance and lodge in the Zang Fu. The most

commonly affected Zang is the Heart. Here Arrogance can combine with other

Pathogenic Factors, namely Heat and Stagnation to form Arrogance-Heat, i.e.

outspoken grandeur and narcissism.

As Yang can transform into Yin, Arrogance-Heat in time tends to transform

into Arrogance-Damp-Heat and eventually into Phlegm-Damp (or Turbid)

Arrogance, i.e. stubborn Ignorance, a particularly insidious and difficult

to clear variant.

The treatment principle to be applied consists of 'Dissolve the Arrogance

and Rectify the Humility'. Cooling (in the early stages), Qi Regulating and

Phlegm Clearing Herbs will most likely be indicated, as are medicinals that

Open the Orifices. Humbleness however is by far the best medicine, and

remembrance of the physicians' oath and old wisdom such as 'physician heal

thyself' and other forms of Hippocratic truth should have profound effects

on the pathogenesis of the above syndromes.

 

Any additional observations, suggestions or elaboration of my theory,

improvements of TCM terminology employed, as well as translations into

Medical Chinese (and / or Portuguese for that matter) are most welcome.

 

 

Dirk Gerhard Petzsch, BSc (Hons) Herbal Medicine Lic. O.H.M. Lic. Ac.

Member of The British Acupuncture Council,

National Institute of Medical Herbalists

and the Register of Chinese Herbal Medicine

 

 

 

 

 

 

 

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Dirk Petzsch <alchemia.verde wrote:

 

>I suggest the addition of 'External Invasion of MD's Arrogance'. MD's

Arrogance is a more recent extension to the External Evils (or EPF) theory,

which can overcome physical and mental defenses to invade the body.<

 

Hola Dirk,

 

I would concurr and add the further External Evil of *external Invasion of

TCM/CM/Acupuncture practitioners Arrogance* as a sub cattegory or seperate

External Evil endangering patients.

 

I often encounter the *I can do it all and treat anything syndrome* among our

own.

 

Some of the symptoms include; never refering to other OMDs /TCM practitioners

even when they can help the patient more than the original practitioner, never

making referals to MDs, DOs, or Homeopaths even when it is known that the

condition being treated is better treated by another modality/ paradigm,

resenting advice from more experienced practitioners and thinking that CEUs are

just an annoying formality rather than an opportunity to fill the huge gaps in

knowledge we all have when it comes to the human condition and of course the my

way and my experience are the only correct reallity (another dangerous symptom)

 

I have seen the combined effect of 'External Invasion of MD's Arrogance' and

'External Invasion of TCM/CM/Acupuncture Practitioners Arrogance' cause a lot of

pain and suffering as well as death for patients.

 

Doc

 

 

 

 

" The world is a dangerous place to live; not because of the people who are evil,

but because of the people who don't do anything about it. "

-- Albert Einstein

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shop for Back-to-School deals on Shopping.

 

 

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Hi Doc,

>

> Some of the symptoms include; never refering to other OMDs /TCM

practitioners even when they can help the patient more than the

original practitioner, never making referals to MDs, DOs, or

Homeopaths even when it is known that the condition being treated is

better treated by another modality/ paradigm, ...

 

I believe that it is an issue of lack of familiarity. As a " patient "

over the last 20 years, I have had the opporuntity to become familiar

with many modalities including WM (don't use this at all anymore :-)),

homeopathy, acupuncture, acupressure, herbs (western eastern), flower

remedies, Reiki, Feldenkrais, yoga, taiji, qigong, tuina, shiatsu,

reflexology, Thai massage, western massage, etc.. As such, I do

suggest different modalities to my friends depending upon their

cirumstances. Some are more effective than others depending upon the

individual and the practitioner.

 

I sometimes wonder how familiar trained professionals are with other

modalities. My experiences that even TCM professionals have very

little experience with alternative modalities even within their own

scope of interest - e.g. tuina and qigong. One would hope that trained

professionals are very familiar alternative approaches but I suspect

that they become more and more specialized and less and less familiar

with alternatives as they progress through their careers. I could be

wrong but that has been my own experiences.

 

Regards,

Rich

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AhHo Rich,

I have spent a lot of time researching other modalities through journals, online

abstracts and even sitting clinic for a bit with other healers (Alopathic as

well as Homeopathic, Chiropractic etc). I often refer to other modalities and

other TCM practitioners. I try to always keep the needs of the patient in the

center of the picture.

 

My Zaidy (Grandfather) of blessed memory said that since the total of human

knowlege about healing - from Gan Eden through today - does not scratch the

surface of all there is to know, how can any one form of healing claim to have

the *answer*. He also used to say " if you think you know *the Answer* you did

not understand the question. "

 

Doc

 

Rich <rfinkelstein wrote:

 

I sometimes wonder how familiar trained professionals are with other

modalities. My experiences that even TCM professionals have very

little experience with alternative modalities even within their own

scope of interest - e.g. tuina and qigong. One would hope that trained

professionals are very familiar alternative approaches but I suspect

that they become more and more specialized and less and less familiar

with alternatives as they progress through their careers. I could be

wrong but that has been my own experiences.

 

Regards,

Rich

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Hi Doc,

 

> My Zaidy (Grandfather) of blessed memory said that since the total

of human knowlege about healing - from Gan Eden through today - does

not scratch the surface of all there is to know, how can any one form

of healing claim to have the *answer*. He also used to say " if you

think you know *the Answer* you did not understand the question. "

>

> Doc

 

Very nice. :-) Yep, the older I get, the more I realize what I don't

know. The " knowledge balloon " keeps expanding exponentially. On the

otherhand, if one understands a " small balloon " then that may be all

that person needs to know in order to understand the " big balloon " . A

paradox.

 

Regards,

Rich

 

>

> Rich <rfinkelstein@a...> wrote:

>

> I sometimes wonder how familiar trained professionals are with other

> modalities. My experiences that even TCM professionals have very

> little experience with alternative modalities even within their own

> scope of interest - e.g. tuina and qigong. One would hope that trained

> professionals are very familiar alternative approaches but I suspect

> that they become more and more specialized and less and less familiar

> with alternatives as they progress through their careers. I could be

> wrong but that has been my own experiences.

>

> Regards,

> Rich

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