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Because I am a brand new graduate myself, I would like some feedback as well on

the subject. The way I understand it, the reason so much emphasis is placed on

learning biomedicine in school is to be able to recognize when you are in over

your head and need to refer the patient to a western dr or emergency situation.

Take into consideration things like how long condition lasts, what avenues they

have pursued, how compliant are they, what medications they are on or have been

on, etc. But don't get hung up on the western diagnosis except as a piece of

the puzzle. Treat the syndrome as learned in school. Does the tongue and pulse

support the theory of spleen deficiency. Let's say for example, the tongue and

pulse and symptoms support Hyperactivity of fire in stomach so treat for that.

I am guessing here on what the tongue and pulse might picture. Somebody with

experience would better know what the pulse and tongue might look like and how

to pursue it better than I .

But I guess we need to know what the tongue and pulse look like in this

patient. I am looking forward to the day when I have the voice of experience.

Rissa

 

lou hart <loulumina wrote: Thank you, to Douglass Knapp.

Just to be clear -so what youre saying is that as a CM practitioner Ill do

best to put aside whatever western info I get and treat according to

whatever shows up in the patient? eg in this case, ignore the info about

venous leakage and treat the signs and symptoms? there surely IS SPleen qi

deficiency in this patient, separate from any 'idea' about keeping blood in

the veins -so that is what youd work with? Do you heed the western info at

all, even as corroboration? Im really a beginner and Ive been urged to

attend to western info (why else is there the huge biomed portion on the

NCCAOM test?) -but my imclination wouold be what you suggest. id like to

learm more about how you think about this, as well as your experience (and

anyone else's too!) many thanks- Lou

 

 

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The western diagnosis and information are just interesting asides, and should be

viewed as such by the practitioner of TCM, which is a stand alone medicine and

does not need to, and should not, follow the western model. The methodology of

TCM is to use the observations of yin, yang, hot, cold, internal or external

nature of disease, qi and blood. These are the ideas upon which the pattern of

disharmony are based. When looking at erectile dysfunction, what are the

patterns in the diagnosis from a TCM standpoint. In , this falls

under impotence (the chinese being yang wei which indicates the whithering of

yang). The spleen is not one of the organs classically associated with yang wei

(except in its roll in dampness which can obstruct the clear yang). Do a

complete intake and arrive at your pattern, and treat the pattern while

referencing the CM literature. Do not let the western diagnosis lead you astray,

as it will damage your clinical

effectiveness. Later, after you have been practicing for a time, you may see

some cross relevance, but that comes with seasoning as a practitioner, and, even

then, one must still treat the pattern. The paradigms are different, and it is

alright to allow them to be different; not needing to be integrated (which will

most likely lead to dominance by the MD's, but that is a different discussion).

 

Douglas Knapp

Doctoral Fellow, L.Ac.

Full Moon Acupuncture

1600 York Avenue

New York, NY 10028

212-734-1459

 

 

 

 

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