Guest guest Posted March 31, 2008 Report Share Posted March 31, 2008 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 1, 2008 Report Share Posted April 1, 2008 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 ______________________________\ ____ You rock. That's why Blockbuster's offering you one month of Blockbuster Total Access, No Cost. http://tc.deals./tc/blockbuster/text5.com Quote Link to comment Share on other sites More sharing options...
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