Guest guest Posted January 21, 2005 Report Share Posted January 21, 2005 Very interesting, timely discussion. Thank you Z'ev especially for the " three factors " summary. I would just note that in such a case, I would find it helpful to know a more complete history (an extension of factor (2) - duration of the condition), in terms of evaluating the patient's constitution, elaborated along the lines of terms like (Dr. John Shen's) " body condition " (factors of post-natal development), and " life-style " . Also the factor of where is this person in their life trajectory, and their attitude or relationship to it. I.e. adding to your (Z'ev's) request for further data: age, family situation, other aspect of what we might call " position if life " . The idea being what were the resources (jing) in this patient's life prior to the surgery, drugs etc. (which themselves certainly impact the jing and constitution). The implication being to be able to draw on constitutional strengths and guard vulnerabilities as added perspective to evaluating the immediate manifestations. Likewise, looking at factor (3) - depth of the condition, elaborating to consideration of different channel systems. I.e. possibly the Divergent system viewpoint (involving the lymphatic and hormonal systems) and, of course, the 8 Extraordinary system, in addition to the primary (post-natal Qi) channel system. These elements 'extending' the basic framework you sketch are not commonly elaborated in standard TCM (i.e. our academic education), but from many of my post-graduate encounters with remarkable practitioners, these themes have been emphasized and have, at times, proven useful. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2005 Report Share Posted January 21, 2005 Chris, Thank you for the feedback. Clearly the more sophisticated practitioners and teachers of CM, such as Dr. John Shen, Michael Broffman and Jeffrey Yuen use what we can call this 'expanded' framework of Chinese medicine. I agree with you 100%, I use all of the factors you've mentioned below. The upshot is that there is an almost mathematical relationship between factors contributing to disease and their treatment, and that a successful practice of classical Chinese medicine requires a deep understanding of time, space and quality to develop sophisticated treatment strategies. I would group the factors such as constitution, stage of life, age, and other resources under zheng qi/correct qi, so that one could harness one's resources and utilize them to protect the patient from damage by the evil qi. Then, one determines treatment in terms of supplementation or attacking the disease at hand. Even in biomedicine, the treatment of diseases such as lupus, cancer, and diabetes has to consider the length and stage of the disease and the strength of the patient. In order to be successful in our present post-industrial era of complex/chronic diseases, we need the full range of Chinese medical theory so that we may develop in-depth treatment of our patients. On Jan 21, 2005, at 2:48 AM, wrote: > > Very interesting, timely discussion. Thank you Z'ev especially for the > " three factors " summary. > > I would just note that in such a case, I would find it helpful to > know a > more complete history (an extension of factor (2) - duration of the > condition), in terms of evaluating the patient's constitution, > elaborated > along the lines of terms like (Dr. John Shen's) " body condition " > (factors > of post-natal development), and " life-style " . Also the factor of > where is > this person in their life trajectory, and their attitude or > relationship to > it. I.e. adding to your (Z'ev's) request for further data: age, family > situation, other aspect of what we might call " position if life " . The > idea > being what were the resources (jing) in this patient's life prior to > the > surgery, drugs etc. (which themselves certainly impact the jing and > constitution). The implication being to be able to draw on > constitutional > strengths and guard vulnerabilities as added perspective to > evaluating the > immediate manifestations. > > Likewise, looking at factor (3) - depth of the condition, elaborating > to > consideration of different channel systems. I.e. possibly the > Divergent > system viewpoint (involving the lymphatic and hormonal systems) and, > of > course, the 8 Extraordinary system, in addition to the primary > (post-natal > Qi) channel system. > > These elements 'extending' the basic framework you sketch are not > commonly > elaborated in standard TCM (i.e. our academic education), but from > many of > my post-graduate encounters with remarkable practitioners, these > themes > have been emphasized and have, at times, proven useful. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 23, 2005 Report Share Posted January 23, 2005 I wanted to thank Z'ev for his input and second Chris' take on it. - Matt - Chinese Medicine Friday, January 21, 2005 2:48 AM Re: ringing in ears, dizziness Very interesting, timely discussion. Thank you Z'ev especially for the " three factors " summary. I would just note that in such a case, I would find it helpful to know a more complete history (an extension of factor (2) - duration of the condition), in terms of evaluating the patient's constitution, elaborated along the lines of terms like (Dr. John Shen's) " body condition " (factors of post-natal development), and " life-style " . Also the factor of where is this person in their life trajectory, and their attitude or relationship to it. I.e. adding to your (Z'ev's) request for further data: age, family situation, other aspect of what we might call " position if life " . The idea being what were the resources (jing) in this patient's life prior to the surgery, drugs etc. (which themselves certainly impact the jing and constitution). The implication being to be able to draw on constitutional strengths and guard vulnerabilities as added perspective to evaluating the immediate manifestations. Likewise, looking at factor (3) - depth of the condition, elaborating to consideration of different channel systems. I.e. possibly the Divergent system viewpoint (involving the lymphatic and hormonal systems) and, of course, the 8 Extraordinary system, in addition to the primary (post-natal Qi) channel system. These elements 'extending' the basic framework you sketch are not commonly elaborated in standard TCM (i.e. our academic education), but from many of my post-graduate encounters with remarkable practitioners, these themes have been emphasized and have, at times, proven useful. http://babel.altavista.com/ and adjust accordingly. If you are a TCM academic and wish to discuss TCM with other academics, click on this link Quote Link to comment Share on other sites More sharing options...
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