Guest guest Posted May 30, 2002 Report Share Posted May 30, 2002 I have a question for the group on blood stasis. An intern of mine recently saw a patient who reported hematuria without pain. Sionneau lists this pattern, which is distinct from blood strangury, due to the absence of pain. According to Sionneau, one possible cause is blood stasis. However, this pattern only contains possible pain as a symptom and the pain is not sharp. Well, one of the other clinicians, who is from China, flipped through a book of her own in Chinese and authoritatively reported that sionneau was dead wrong. He had probably made a translation error. there was no such pattern for hematuria and further, there is no such thing as blood stasis without sharp pain in ANY condition. Another more senior chinese clinician dismissed this position and said Sionneau was correct. However, now I am left wondering about this. I know the treatment of blood stasis is one of the almost ubiquitous strategies in addressing chronic disease in modern china. there is much research to support this approach and it is now well grounded in classical theory, thanks to Yan de xin. My first teacher, Subhuti dharmananda, has been reporting on this trend since about 1986, so the idea has influenced my entire education and career. As time goes on, more and more evidence has come across my desk to bolster this view. So to hear someone so adamantly reject this idea makes me wonder how well it really is accepted in the PRC. Is the widespread use of the blood stasis dx just a passing aberration? And how well accepted is it to make a BS dx in the absence of any pain? Chinese Herbs " Great spirits have always been violently opposed by mediocre minds " -- Albert Einstein Quote Link to comment Share on other sites More sharing options...
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