The Treatment of Modern Western - Biblio.nhat-nam.ru

4 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEone says that a patient’s pattern was liver depression qi stagnationwith transformative heat, one is using three different systemsof pattern discrimination. By saying liver and not heartor stomach, one is using viscera and bowel pattern discrimination.Saying that there is transformative heat is a type of eightprinciples pattern discrimination since the discrimination ofheat from cold is part of that system. In addition, liver depressionis a species of repletion, and the discrimination of repletionfrom vacuity is another part of eight principles patterndiscrimination. As another example, if one says that thepatient’s pattern is liver wood assailing and damaging thespleen, one has specifically used viscera bowel pattern discriminationand five phases pattern discrimination. One has alsoimplied eight principles pattern discrimination, since liverassailing spleen means that, due to the liver being replete, thespleen has become vacuous.Of these 10 systems, only the last three tend to be used asstand-alone systems, and even the last two are typically combined.System No. 8 refers to the six divisions of cold damageoriginated by Zhang Zhong-jing. Of these six divisions,only the shao yang division is still regularly used in Westernclinical practice. 5 Systems No. 9 and 10 are both parts ofQing dynasty warm disease theory. The four divisions are thedefensive, qi, constructive, and blood. These describe thecommon routes of transmission of externally contractedwarm heat evils in the body. Three burner pattern discriminationoffers yet further elaboration on the routes of transmissionof such warm heat evils through the three burners.THE THREE CONSTITUENTS OF ACHINESE MEDICAL PATTERNChinese medical patterns are made up of three groups orstreams of information gathered by the four examinations.Those three groups of information are 1) general signs andsymptoms, 2) tongue signs, and 3) pulse signs. First of all,only information gathered by the four examinations is germanewith making a Chinese pattern discrimination.Although research is currently being conducted in thePeople’s Republic of China trying to ascertain what Westernmedical laboratory tests reliably correspond to Chinese patterns6 , no such test is yet considered standard in professionalChinese medicine. Secondly, it is the coordination of signsand symptoms, tongue signs, and pulse signs which make upa Chinese medical pattern. No single sign or symptom equalsa pattern. By its very nature, a pattern must be made up ofmore than a single element. 7 The meaning of any single signor symptom only becomes apparent in the light of the othersigns and symptoms with which it appears. If any element ofthese three groups of information is materially different, thenone is dealing with a different pattern. If all three groups ofinformation are the same, then the patterns are the same, andtheir different names are only that, different names for essentiallythe same diagnostic entity.THE STEPS IN THE CHINESE MEDICALPRESCRIPTIVE METHODOLOGYProfessional Chinese medicine is a rational medicine, andthere is a definite step-by-step process taught at Chinesemedical schools for arriving at correct treatment plans. 8 Thetable below outlines the steps in this logical process.This step-by-step methodology is the standard of care in professionallypracticed Chinese medicine in the People’sRepublic of China, and it is only by reliance on such a codifiedprescriptive methodology that one can have a nationalTHE STEPS IN THE CHINESE MEDICAL PRESCRIPTIVE METHODOLOGY1. Gather information via the four examinations2. Analyze that data according to Chinese medicaltheory3. Determine the modern Western disease diagnosis (orwrite down such a pre-established diagnosis)4. Determine the traditional Chinese medical diseasediagnoses5. Determine the Chinese pattern discrimination6. State the treatment principles necessary to rebalance theimbalance implied in the name(s) of the patient’s pattern(s)7. Choose treatment methods logically derived fromthose treatment principles8. Administer that treatment9. Assess the outcome of that treatment10. Reframe the patients’ pattern discrimination based onthat assessment11. Reframe the treatment principles based on the newpattern discrimination12. Modify the treatment plan to embody these new orrevised treatment principles13. Continue with steps 9-13 until the patient is cured orstabilized