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How does one differentiate?

 

The phlegm pulse should be slippery, but at times scripture describes it as

wiry.

 

Clinically, both look perilously the same, but one may moxa the damp to dry

it,

and not the phlegm.

 

If phlegm, which is by half Fire, feels Heat, it will dislodge and rise and

cause mischief.

 

And there is the LU-SP connection by which the whole is more than the

parts.

 

Please share your experiences. How to differentiate in terms of pulse,

tongue

and palpatory findings?

 

Dr. Holmes Keikobad

MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

www.acu-free.com - 15 CEUS by video.

NCCAOM reviewed. Approved in CA & most states.

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Chinese Medicine , " homi kaikobad "

<aryaone@e...> wrote:

> How does one differentiate?

>

> The phlegm pulse should be slippery, but at times scripture

describes it as

> wiry.

 

Scripture???

Phlegm and damp yes can share the same pulse qualities.

 

>

> Clinically, both look perilously the same, but one may moxa the damp

to dry

> it,

> and not the phlegm.

 

I disagree...

 

>

> If phlegm, which is by half Fire, feels Heat, it will dislodge and

rise and

> cause mischief.

 

Not true.. Phlegm can be hot or cold.

 

>

> And there is the LU-SP connection by which the whole is more than the

> parts.

 

What are yuou getting at? can you reiterate.

>

> Please share your experiences. How to differentiate in terms of pulse,

> tongue

> and palpatory findings?

 

I think you need to look at some basic theory on phlem and damp, I

suggest Clavey's book " Fluid physiology " or just Wiseman intro text to

Chinese MEdicial theory, or of course his dictionary has some basic

descriptions. Hope this helps...

 

-

>

> Dr. Holmes Keikobad

> MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

> www.acu-free.com - 15 CEUS by video.

> NCCAOM reviewed. Approved in CA & most states.

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>

> Scripture???

>

 

texts, pulse classic

 

> > Clinically, both look perilously the same, but one may moxa the damp

> > to dry it, and not the phlegm.

>

> I disagree...

>

 

can you elaborate?

 

 

> > If phlegm, which is by half Fire, feels Heat, it will dislodge and

> > rise and

> > cause mischief.

>

> Not true.. Phlegm can be hot or cold.

>

>

 

OK, cold phlegm when heated may rise and go wayward.

 

 

> > And there is the LU-SP connection by which the whole is more than the

> > parts.

>

> What are yuou getting at? can you reiterate.

> >

 

what am I getting at?

I am not getting at anything other than having a clinical discussion.

 

Deadman: In cases of phlegm always LU and SP are culpable.

 

> > Please share your experiences. How to differentiate in terms of pulse,

> > tongue

> > and palpatory findings?

>

>

 

> I think you need to look at some basic theory on phlem and damp, I

> suggest Clavey's book " Fluid physiology " or just Wiseman intro text to

> Chinese MEdicial theory, or of course his dictionary has some basic

> descriptions. Hope this helps...

 

not really. I wanted the rich experience of TCM professionals, not more

textx.

 

I have always been intrigued with the phlegm-damp connection, and don't

think I know as much as I should.

 

I wanted others to share.

 

Dr. Holmes Keikobad

MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

www.acu-free.com - 15 CEUS by video.

NCCAOM reviewed. Approved in CA & most states.

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Chinese Medicine , " homi kaikobad "

<aryaone@e...> wrote:

 

>

> > > Clinically, both look perilously the same, but one may moxa the damp

> > > to dry it, and not the phlegm.

> >

> > I disagree...

> >

>

> can you elaborate?

 

It is very simple it is just not true...People moxa phlegm conditions

all the time.

 

>

>

> > > If phlegm, which is by half Fire, feels Heat, it will dislodge and

> > > rise and

> > > cause mischief.

> >

> > Not true.. Phlegm can be hot or cold.

> >

> >

>

> OK, cold phlegm when heated may rise and go wayward.

 

I have to ask where is this coming from...? Basic theory states you

apply heat to counteract cold and this is certainly true for cold-phlegm.

 

>

>

> > > And there is the LU-SP connection by which the whole is more

than the

> > > parts.

> >

> > What are yuou getting at? can you reiterate.

> > >

>

> what am I getting at?

> I am not getting at anything other than having a clinical discussion.

>

> Deadman: In cases of phlegm always LU and SP are culpable.

 

Well deadman says this, but of course there is so much more that just

that,... That is totally oversimplified... I just didn't understand

your statement " And there is the LU-SP connection by which the whole

is more than the parts. " - I don't understand what you are getting at...

 

>

> > I think you need to look at some basic theory on phlem and damp, I

> > suggest Clavey's book " Fluid physiology " or just Wiseman intro text to

> > Chinese MEdicial theory, or of course his dictionary has some basic

> > descriptions. Hope this helps...

>

> not really. I wanted the rich experience of TCM professionals, not more

> textx.

>

> I have always been intrigued with the phlegm-damp connection, and don't

> think I know as much as I should.

 

Well this is very interesting to me... You don't want to read the

fundamental basics of a topic that you don't understand, yet you are

making things up about it, like phlegm has heat, and if you moxa it

goes wayward, or even if you heat phlegm-cold it will rise and go

wayward.. etc, etc… What is this??? Please tell me what the source is

for `your' ideas.

 

IMO, here is the downside... You just want someone's clinical

experience. Chinese medicine has a very sound theoretical framework

that supports it. If you have a clinical discussion with people that

DO NOT have this framework, you get statements and ideas like what you

are talking about. And this is just MSUing… This is like 10 monkey's

standing around a rocket and discussing how it was made.

 

Or more correctly I should point out that if you do not have the

fundamental understanding of a CM concept, you will have no conceptual

model to make sense of clinical experience (by you or others). Or if

you have completely wrong model then clinical information will be

distorted and be misfiled.

 

But you are right, phlegm-damp is an interesting topic. It is so

interesting that I have a 400 page book in Chinese (about 1200 pages

in English). Meaning there is simple black and white answers to many

issues, BUT there are clearly fundamental definitions etc that one

should know to discuss such a topic.

 

Remember that traditionally doctors memorized a teacher's texts before

studying with them, I suggest you check out the basic theories on

phlegm and damp and then if you have some questions I am sure I and

others would be happy to engage…

 

Respectfully,

 

-

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In Chinese medicine, one term is tan yin or phlegm-rheum (or thin

mucus, according to Clavey). They are usually used together, and are

mainly caused by failure of the qi to transform the clear yang and

turbid yin, leading to accumulation of fluids (rheum), that eventually

thicken and form phlegm. Phlegm and rheum are further broken down into

sub-categories, such as suspended rheum, damp phlegm, dryness phlegm,

etc.

 

Shi or dampness is a more generalized concept, referring to the overall

phenomena of dampness as an evil in the body. It can gather in the body

and form phlegm over time, but it can also be related to other

phenomena such as diarrhea, sweating, urination, edema, etc.

 

 

On Jul 18, 2004, at 9:03 AM, homi kaikobad wrote:

 

> I have always been intrigued with the phlegm-damp connection, and don't

> think I know as much as I should.

>

> I wanted others to share.

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Chinese Medicine , " "

wrote:

> Chinese Medicine , " homi

kaikobad "

> <aryaone@e...> wrote:

>

> >

> > > > Clinically, both look perilously the same, but one may moxa

the damp

> > > > to dry it, and not the phlegm.

> > >

> > > I disagree...

> > >

> >

> > can you elaborate?

>

> It is very simple it is just not true...People moxa phlegm

conditions

> all the time.

 

 

Are you " making this up " ? I would not call this an " elaboration " nor

would you. " People moxa phlegm conditions all the time " is not a

statement of fact in nor are you backing up any of

your statements with the sources you are always asking others to

provide. There are many schools of thought in Asian Medicine and I

think we all agree that many times these are contradictory. That

does not mean that there are not many ways to skin the proverbial

cat. I think we all come to this group with the hope of garnering

many points of view and learning more about the various practices of

, both modern and ancient. One is not all right

while the others all wrong.

>

 

> > OK, cold phlegm when heated may rise and go wayward.

>

> I have to ask where is this coming from...? Basic theory states

you

> apply heat to counteract cold and this is certainly true for cold-

phlegm.

 

And some schools of thought believe that because phlegm is congealed

and condensed, that adding further heat could further dehydrate and

congeal it. I think it could be a matter of which points one is to

moxa and where the phlegm is located and if the blood is also static

and weather static blood predated the phlegm or vice versa. To moxa

St 36 to increase the function of the St and Sp would be appropriate

according to my training to help in the transformation of phlegm due

to weak Spleen function. To moxa Sp 10 to invigorate blood which has

caused accumulation of phlegm would also be appropriate. In Chinese

Acupuncture and Moxibustion or CAM, a basic TCM text, Cheng XinNong

Chief editor, states:

 

The functions of moxa are: " 1. To warm meridians and expel cold. 2.

To induce the smooth flow of qi and blood. 3. To strengthen yang

from collapse. 4. To prevent diseases and keep healthy. "

The contraindications are: " 1. Excess " (phlegm is an excess syndrome

or at least a combo excess/deficiency stndrome) " syndrome, and heat

syndrome 2. scarring moxa should not be applied to the face and head

and vicinity of the large blood vessels. 3. The abdominal region and

lumbo-sacral region of pregnant women.

 

In Introduction to Meridian Therapy by Shudo Denmei, Shudo quotes

Honma Shohaku from Discourse on Meridian therapy as follows:

" Needles adjust the Qi. In moxibustion, the Qi is adjusted by moving

the Blood. Even if moxibustion is part of merdian therapy, it is a

mistake to burn moxa at L9 or Sp3. Tenderness appears at associated

points, connecting points, and some source points, or otherwise

along the yang meridians. Moxibustion is indicated for tender

points. "

>

> >

> >

> > > > And there is the LU-SP connection by which the whole is more

> than the

> > > > parts.

> > >

> > > What are yuou getting at? can you reiterate.

> > > >

> >

> > what am I getting at?

> > I am not getting at anything other than having a clinical

discussion.

> >

> > Deadman: In cases of phlegm always LU and SP are culpable.

>

> Well deadman says this, but of course there is so much more that

just

> that,... That is totally oversimplified... I just didn't understand

> your statement " And there is the LU-SP connection by which the

whole

> is more than the parts. " - I don't understand what you are getting

at...

>

> >

> > > I think you need to look at some basic theory on phlem and

damp, I

> > > suggest Clavey's book " Fluid physiology " or just Wiseman intro

text to

> > > Chinese MEdicial theory, or of course his dictionary has some

basic

> > > descriptions. Hope this helps...

> >

> > not really. I wanted the rich experience of TCM professionals,

not more

> > textx.

> >

> > I have always been intrigued with the phlegm-damp connection,

and don't

> > think I know as much as I should.

>

> Well this is very interesting to me... You don't want to read the

> fundamental basics of a topic that you don't understand, yet you

are

> making things up about it, like phlegm has heat, and if you moxa it

> goes wayward, or even if you heat phlegm-cold it will rise and go

> wayward.. etc, etc… What is this??? Please tell me what the source

is

> for `your' ideas.

>

> IMO, here is the downside... You just want someone's clinical

> experience. Chinese medicine has a very sound theoretical

framework

> that supports it. If you have a clinical discussion with people

that

> DO NOT have this framework, you get statements and ideas like what

you

> are talking about. And this is just MSUing…

 

Sorry, I don't know what MSUing is. Could you please elaborate?

 

This is like 10 monkey's

> standing around a rocket and discussing how it was made.

>

> Or more correctly I should point out that if you do not have the

> fundamental understanding of a CM concept, you will have no

conceptual

> model to make sense of clinical experience (by you or others).

Or if

> you have completely wrong model then clinical information will be

> distorted and be misfiled.

>

> But you are right, phlegm-damp is an interesting topic. It is so

> interesting that I have a 400 page book in Chinese (about 1200

pages

> in English). Meaning there is simple black and white answers to

many

> issues, BUT there are clearly fundamental definitions etc that one

> should know to discuss such a topic.

>

> Remember that traditionally doctors memorized a teacher's texts

before

> studying with them, I suggest you check out the basic theories on

> phlegm and damp and then if you have some questions I am sure I and

> others would be happy to engage…

>

> Respectfully,

 

>> -

 

I think you need a 400 page book in Chinese (1200 in English)

on " respect " . Then maybe I and others would be happy to engage. I

don't think you are aware of how painful and unnecessary your

tonguelashings are to others. You demand sources and accuse others

of " making things up " and then don't quote sources and make things

up. You truly don't know the meaning of the word " respect " and I

find it ironic you close your post that way. It's like the father

who beats his child to a pulp and then kisses him afterward.

Shameful. Or perhaps you are just a clumsy writer. Is this how you

treat your patients?

 

Shanna

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There are many types of phlegm, Shanna, and it depends on the type of

phlegm on whether moxa is appropriate. There is heat phlegm, cold

phlegm, qi phlegm, phlegm-rheum, phlegm from wind-cold, damp phlegm.

Each has its own definition, pathomechanism, and treatment. The

problem is when there are generalizations, such as 'never moxa phlegm'.

And, as Robert Hayden pointed out in his post, many traditions say you

can moxa heat conditions as well.

 

 

On Jul 19, 2004, at 8:28 PM, shannahickle wrote:

 

> Are you " making this up " ? I would not call this an " elaboration " nor

> would you. " People moxa phlegm conditions all the time " is not a

> statement of fact in nor are you backing up any of

> your statements with the sources you are always asking others to

> provide. There are many schools of thought in Asian Medicine and I

> think we all agree that many times these are contradictory. That

> does not mean that there are not many ways to skin the proverbial

> cat. I think we all come to this group with the hope of garnering

> many points of view and learning more about the various practices of

> , both modern and ancient. One is not all right

> while the others all wrong.

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Thanks, Zev. As I said, I don't doubt or worry that there are many

perspectives on such matters as moxa and its appropriate use. I do

realize it is a very strong treatment and if used inappropriately

can cause damaging side-effects which I have seen in the clinic.

What sources do you recommend me studying to further my knowledge in

this area? English, unfortuantely, is at present my only fluent

language though I am working on medical Spanish to better serve my

local population. Is Clavey's book any good? Is the 2nd edition the

newest? Which of the translated classics might be accessible for a

3rd year practitioner on this subject?

 

Thanks, Shanna

 

Chinese Medicine , " Z'ev

Rosenberg " <zrosenbe@s...> wrote:

> There are many types of phlegm, Shanna, and it depends on the type

of

> phlegm on whether moxa is appropriate. There is heat phlegm, cold

> phlegm, qi phlegm, phlegm-rheum, phlegm from wind-cold, damp

phlegm.

> Each has its own definition, pathomechanism, and treatment. The

> problem is when there are generalizations, such as 'never moxa

phlegm'.

> And, as Robert Hayden pointed out in his post, many traditions

say you

> can moxa heat conditions as well.

>

>

> On Jul 19, 2004, at 8:28 PM, shannahickle wrote:

>

> > Are you " making this up " ? I would not call this an " elaboration "

nor

> > would you. " People moxa phlegm conditions all the time " is not a

> > statement of fact in nor are you backing up any

of

> > your statements with the sources you are always asking others to

> > provide. There are many schools of thought in Asian Medicine and

I

> > think we all agree that many times these are contradictory. That

> > does not mean that there are not many ways to skin the proverbial

> > cat. I think we all come to this group with the hope of garnering

> > many points of view and learning more about the various

practices of

> > , both modern and ancient. One is not all right

> > while the others all wrong.

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Clavey's book is simply one of the best texts in english for TCM;

especially dampness and phlegm topics. If you are after moxa details,

look elsewhere........perhaps japanese style acupuncture texts would be

your best bet. TCM is general does not come close to the japanese

acu/moxa schools in this area.

 

Best Wishes,

 

Steve

 

On 20/07/2004, at 3:37 PM, shannahickle wrote:

 

> Thanks, Zev. As I said, I don't doubt or worry that there are many

> perspectives on such matters as moxa and its appropriate use. I do

> realize it is a very strong treatment and if used inappropriately

> can cause damaging side-effects which I have seen in the clinic.

> What sources do you recommend me studying to further my knowledge in

> this area? English, unfortuantely, is at present my only fluent

> language though I am working on medical Spanish to better serve my

> local population. Is Clavey's book any good? Is the 2nd edition the

> newest? Which of the translated classics might be accessible for a

> 3rd year practitioner on this subject?

>

> Thanks, Shanna

>

> Chinese Medicine , " Z'ev

> Rosenberg " <zrosenbe@s...> wrote:

> > There are many types of phlegm, Shanna, and it depends on the type

> of

> > phlegm on whether moxa is appropriate.  There is heat phlegm, cold

> > phlegm, qi phlegm, phlegm-rheum, phlegm from wind-cold, damp

> phlegm. 

> > Each has its own definition, pathomechanism, and treatment.  The

> > problem is when there are generalizations, such as 'never moxa

> phlegm'.

> >   And, as Robert Hayden pointed out in his post, many traditions

> say you

> > can moxa heat conditions as well.

> >

> >

> > On Jul 19, 2004, at 8:28 PM, shannahickle wrote:

> >

> > > Are you " making this up " ? I would not call this an " elaboration "

> nor

> > > would you. " People moxa phlegm conditions all the time " is not a

> > > statement of fact in nor are you backing up any

> of

> > > your statements with the sources you are always asking others to

> > > provide. There are many schools of thought in Asian Medicine and

> I

> > > think we all agree that many times these are contradictory. That

> > > does not mean that there are not many ways to skin the proverbial

> > > cat. I think we all come to this group with the hope of garnering

> > > many points of view and learning more about the various

> practices of

> > > , both modern and ancient. One is not all right

> > > while the others all wrong.

>

>

>

> Membership requires that you do not post any commerical, swear,

> religious, spam messages,flame another member or swear.

>

> To translate this message, copy and paste it into this web link

> page,  http://babel.altavista.com/

>

>

> and

> adjust accordingly.

>

> If you , it takes a few days for the messages to stop

> being delivered.

>

>

>

>

>

>

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Hi Shanna,

 

The best English-language source for learning about Japanese moxibustion is

Junji

Mizutani's " Practical Moxibustion Therapy " . It is a collection of articles he

wrote for

the North American Journal of Oriental Medicine. To obtain a copy you can

contact

him by email at najom ... It's US$10 including shipping to the USA,

C$15 to

Canada, and US$12 elsewhere.

 

robert hayden

 

Chinese Medicine , " shannahickle "

<shannahickle> wrote:

> Thanks, Zev. As I said, I don't doubt or worry that there are many

> perspectives on such matters as moxa and its appropriate use. I do

> realize it is a very strong treatment and if used inappropriately

> can cause damaging side-effects which I have seen in the clinic.

> What sources do you recommend me studying to further my knowledge in

> this area? English, unfortuantely, is at present my only fluent

> language though I am working on medical Spanish to better serve my

> local population. Is Clavey's book any good? Is the 2nd edition the

> newest? Which of the translated classics might be accessible for a

> 3rd year practitioner on this subject?

>

> Thanks, Shanna

>

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'Phlegm is the cooler part of Fire. Fire is the hotter part of phlegm.'

 

This presumes that in any particle of phlegm there is a sleeping seed of

Fire,

and this may come awake at the heat of burning herb.

 

Any kind of phlegm, cold, damp, stagnated or still, would have a fiery

element,

which can come awake and go wayward.

 

The mother of Damp is Earth, but the mother of Phlegm is Damp and Dryness.

Damp is wholesale wet and lives in a continuum. Phlegm is wet in part and

dry

in part, and lives as an admixture of the two.

 

The Phlegm particle, whether in the armpit as a lipoma, or in the discharge

in the

bronchus, or as the mantle of restriction in the staggering heart which

cannot beat

by it's own cadence, or as the compacted nodule on the calcaneum which will

not move come what may, is already Heated, even when the Fire is sleeping.

 

Phlegm sleeping is bad enough, for it obstructs and gives no free passage to

qi or blood or movement or transition of tissue.

 

Phlegm awake is worse, because it is essentially now a loose cannonball,

dislodged and ready to hit where it will.

 

Phlegm, once let loose, will not come under restrain.

 

The one terrifying aspect of phlegm which all have seen, when it is overt as

in

bronchial discharge, is it's obstinate mucoid character. This is Damp in

which

Dryness has instilled.

 

Often a cold cyst which is phlegmatic in nature, may render a feel of

almost,

this is a bad slimily, crepitation; or at least a peculiar 'give' which you

may

nowhere else. This is the Dry in Damp, different from the familiar spongy

feel of the

latter.

 

It may seem that the LU has instilled air particles, bubbles, in the damp

mass.

Actually it is Emptiness, created by Dryness which has come into the Wetness

of the original Damp.

 

Dry is half a skip and a whole jump away from Heated, whereby the Fiery

nature

in phlegm.

 

Can one work with thread moxa to dislodge impacted Phlegm?

Perhaps, if there is a lesser hell for the inadvertent, but well meaning

healer.

 

Can one work with the conventional moxa instead?

Only at peril to the patient.

 

Dr. Holmes Keikobad

MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

www.acu-free.com - 15 CEUS by video.

NCCAOM reviewed. Approved in CA & most states.

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Chinese Medicine , " shannahickle "

<shannahickle> wrote:

>

> Are you " making this up " ? I would not call this an " elaboration " nor

> would you. " People moxa phlegm conditions all the time " is not a

> statement of fact in nor are you backing up any of

> your statements with the sources you are always asking others to

> provide. There are many schools of thought in Asian Medicine and I

> think we all agree that many times these are contradictory. That

> does not mean that there are not many ways to skin the proverbial

> cat. I think we all come to this group with the hope of garnering

> many points of view and learning more about the various practices of

> , both modern and ancient. One is not all right

> while the others all wrong.

 

Shanna,

 

I have to say that your logic is most perplexing... The statement was

made 1) you cannot moxa phlegm conditions. This is clearly a wrong

statement... I am quite aware there are many schools of thought in

CM, and that is the point! Such black and white statements are what I

am clearly pointing out is not true because of the other schools of

thought. And, once again you miss the most important point of the

discussion. IF one's theory is lacking, and one has the wrong

assumption that phlegm has to be hot, then one can come up with the

wrong black and white statements that phlegm cannot be moxaed. This

is not being about different points of views. For this to be the

case, and your problem with my post, you would have to show me where

in the CM literature it says phlegm has to be hot AND cannot be moxa.

Everybook Chinese and English I have read says otherwise – So I am

sure I represent the mainstream view on this one… Once again, it is

common practice for people to moxa phlegm conditions, I don't think

anyone that has studied moxa would disagree, and the previous posts

have demonstrated some sources. If you actually don't believe this

and need something to read let me know. So logic goes like this: if

you make a black and white statement (as was made) and you clearly

see multiple avenues of CM that disagree then the black and white

`fact' is a falsehood. Simple logic… That is all I said…

 

 

> >

>

> > > OK, cold phlegm when heated may rise and go wayward.

> >

> > I have to ask where is this coming from...? Basic theory states

> you

> > apply heat to counteract cold and this is certainly true for cold-

> phlegm.

>

> And some schools of thought believe that because phlegm is congealed

> and condensed, that adding further heat could further dehydrate and

> congeal it. I think it could be a matter of which points one is to

> moxa and where the phlegm is located and if the blood is also static

> and weather static blood predated the phlegm or vice versa. To moxa

> St 36 to increase the function of the St and Sp would be appropriate

> according to my training to help in the transformation of phlegm due

> to weak Spleen function.

 

So you clearly agree that some points can be used for phlegm, I never

said you can moxa any point anyway for phlegm… So you proved my point

exactly! Thanx, (Now I completely question your response)…

 

To moxa Sp 10 to invigorate blood which has

> caused accumulation of phlegm would also be appropriate. In Chinese

> Acupuncture and Moxibustion or CAM, a basic TCM text, Cheng XinNong

> Chief editor, states:

>

> The functions of moxa are: " 1. To warm meridians and expel cold. 2.

> To induce the smooth flow of qi and blood. 3. To strengthen yang

> from collapse. 4. To prevent diseases and keep healthy. "

> The contraindications are: " 1. Excess " (phlegm is an excess syndrome

> or at least a combo excess/deficiency stndrome) " syndrome, and heat

> syndrome 2. scarring moxa should not be applied to the face and head

> and vicinity of the large blood vessels. 3. The abdominal region and

> lumbo-sacral region of pregnant women.

 

Unfortunately I don't even consider CAM a CM text, it was discarded

years ago and replaced by books that represent a higher level (for

me).. In the beginning it is common to teach people black and white's

so there mind can wrap around a subject, but then these are discarded,

especially when the clinic comes in to play… SO thanx for the quote it

is interesting, but IMO does not hold much weight… Furthermore it is

also common knowledge that you can moxa hot conditions, contrary to

what CAM says… These kind of C.I.'s are for people who don't really

know how to use moxa… It is the same for CI of herbs, they are for the

lowest common denominator of practitioner. I.e. – If you don't know

what is up you should follow these rules… MOST CI, as Bensky will

agree, are just guidelines and in the clinic are taken with a grain of

salt.

 

>

> In Introduction to Meridian Therapy by Shudo Denmei, Shudo quotes

> Honma Shohaku from Discourse on Meridian therapy as follows:

> " Needles adjust the Qi. In moxibustion, the Qi is adjusted by moving

> the Blood. Even if moxibustion is part of merdian therapy, it is a

> mistake to burn moxa at L9 or Sp3. Tenderness appears at associated

> points, connecting points, and some source points, or otherwise

> along the yang meridians. Moxibustion is indicated for tender

> points. "

 

So this quote says nothing about our topic, or did I miss something…

 

>

> I think you need a 400 page book in Chinese (1200 in English)

> on " respect " . Then maybe I and others would be happy to engage. I

> don't think you are aware of how painful and unnecessary your

> tonguelashings are to others.

 

I am aware, but they are necessary IMO see below......

 

 

>

Well… I do have to apologize about my tone, this is though left over

from the obvious ignorance of basic theory, when you (shanna) and I

had a convo on the CHA. I just got frustrated with people making

blatantly wrong statements, and acting like they know something. IT

was clear here that Dr. K (as he admitted) did not know anything, yet

such black and white statements came up and they were defended… In

your case you were making up more crap than I could shovel out of my

computer. (no offense, just the truth) when someone says stuff like " I

(along with CM physicians for thousands of years before us) said chai

hu enters the SJ... " This shows you are talking out of your butt, as

with about 80% of your statements.. You have no idea, and this is what

pisses me off about the profession. There is a basic amount of theory

that everyone should know, unfortunately the people that don't know it

just start MSUing (Making Stuff up)… Saying oh, Chinese medicine is

creative I can expand the theory anyway that my mind likes etc… This

is something that everyone should think about, because it is endemic

in the US, because people don't have a firm grounding and feel it is

there right to MSU…

BTW- Channels of herbs were created in the Qing dynasty, and chai hu

by most sources does not go to the SJ, and only very few sources

assign it to the SJ and this is because of the GB link, no by clearing

the 3 burners, and yes I have a source.

 

-

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Chinese Medicine , " homi kaikobad "

<aryaone@e...> wrote:

>>

> Can one work with thread moxa to dislodge impacted Phlegm?

> Perhaps, if there is a lesser hell for the inadvertent, but well meaning

> healer.

>

 

guess i'm headed for hell then........

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Chinese Medicine , " "

wrote:

>

> BTW- Channels of herbs were created in the Qing dynasty,

 

IIRC channel entry was an idea from the Song-Jin-Yuan period, especially

associated

with Zhang Yuansu in the twelfth century, long before the Qing.

 

rh

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Sadly,

There are few good books on moxabustion as a stand-alone modality in

English, Shanna. I do think that Clavey's book is excellent.

 

 

On Jul 19, 2004, at 10:37 PM, shannahickle wrote:

 

> Thanks, Zev. As I said, I don't doubt or worry that there are many

> perspectives on such matters as moxa and its appropriate use. I do

> realize it is a very strong treatment and if used inappropriately

> can cause damaging side-effects which I have seen in the clinic.

> What sources do you recommend me studying to further my knowledge in

> this area? English, unfortuantely, is at present my only fluent

> language though I am working on medical Spanish to better serve my

> local population. Is Clavey's book any good? Is the 2nd edition the

> newest? Which of the translated classics might be accessible for a

> 3rd year practitioner on this subject?

>

> Thanks, Shanna

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Ok let's look at this...

 

Chinese Medicine , " homi kaikobad "

<aryaone@e...> wrote:

> 'Phlegm is the cooler part of Fire. Fire is the hotter part of phlegm.'

 

1st- where is this from (source)...? and what is the context! This is

1 sentence (only) which sounds like it is talking about 1 kind of

phlegm Phlegm-Heat (fire...) Remeber there are many kinds of phlegm...

 

>

> This presumes that in any particle of phlegm there is a sleeping seed of

> Fire,

> and this may come awake at the heat of burning herb.

 

This is the leap (IMO)... Can you substantiate this from a source,

because I don't make this conclusion based on my knowledge and my sources.

 

>

> Any kind of phlegm, cold, damp, stagnated or still, would have a fiery

> element,

> which can come awake and go wayward.

 

Again source? I disagree...

 

 

>

> The Phlegm particle, whether in the armpit as a lipoma, or in the

discharge

> in the

> bronchus, or as the mantle of restriction in the staggering heart which

> cannot beat

> by it's own cadence, or as the compacted nodule on the calcaneum

which will

> not move come what may, is already Heated, even when the Fire is

sleeping.

 

Source?

 

 

>

> Phlegm awake is worse, because it is essentially now a loose cannonball,

> dislodged and ready to hit where it will.

 

Can you supply a source for this idea of sleeping and awake phlegm...

 

>

> Phlegm, once let loose, will not come under restrain.

>

> The one terrifying aspect of phlegm which all have seen, when it is

overt as

> in

> bronchial discharge, is it's obstinate mucoid character. This is Damp in

> which

> Dryness has instilled.

>

> Often a cold cyst which is phlegmatic in nature, may render a feel of

> almost,

> this is a bad slimily, crepitation; or at least a peculiar 'give'

which you

> may

> nowhere else. This is the Dry in Damp, different from the familiar

spongy

> feel of the

> latter.

>

> It may seem that the LU has instilled air particles, bubbles, in the

damp

> mass.

> Actually it is Emptiness, created by Dryness which has come into the

Wetness

> of the original Damp.

>

> Dry is half a skip and a whole jump away from Heated, whereby the Fiery

> nature

> in phlegm.

 

Unclear on this whole passage...

??? Where is this from?? I am having a very difficult understanding

your thought process, can you quote something or point me to a place I

can read it for myself…?

One should remember there is also hidden phlegm and many others as

Z'ev points out...

 

 

>

> Can one work with thread moxa to dislodge impacted Phlegm?

What kind?

 

Dr. H

 

_ i am curious what you are a doctor in?

 

-

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The structure of Phlegm.

 

How different is Damp from Phlegm?

What are the common elements, which not so?

 

Where does the Fire come from?

 

If 'ignited', where will phlegm fly? What is it's likely trajectory?

 

If phlegm substantial? If so what constitutes it?

 

Is it mutable? To what will it sublimate?

 

Will it construct? Destrusct? Obstruct?

 

Why do they say, " Any inexplicable illness is probably originated in

Phlegm? "

 

Dr. Holmes Keikobad

MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

www.acu-free.com - 15 CEUS by video.

NCCAOM reviewed. Approved in CA & most states.

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Really? What bad side effects from improper moxa

treatments?

John Garbarini

 

--- <zrosenbe wrote:

> Sadly,

> There are few good books on moxabustion as a

> stand-alone modality in

> English, Shanna. I do think that Clavey's book is

> excellent.

>

>

> On Jul 19, 2004, at 10:37 PM, shannahickle wrote:

>

> > Thanks, Zev. As I said, I don't doubt or worry

> that there are many

> > perspectives on such matters as moxa and its

> appropriate use. I do

> > realize it is a very strong treatment and if used

> inappropriately

> > can cause damaging side-effects which I have seen

> in the clinic.

> > What sources do you recommend me studying to

> further my knowledge in

> > this area? English, unfortuantely, is at present

> my only fluent

> > language though I am working on medical Spanish to

> better serve my

> > local population. Is Clavey's book any good? Is

> the 2nd edition the

> > newest? Which of the translated classics might be

> accessible for a

> > 3rd year practitioner on this subject?

> >

> > Thanks, Shanna

>

>

 

 

 

 

 

 

New and Improved Mail - Send 10MB messages!

 

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>

Ok let's look at this...

 

Chinese Medicine , " homi kaikobad "

<aryaone@e...> wrote:

> 'Phlegm is the cooler part of Fire. Fire is the hotter part of phlegm.'

 

1st- where is this from (source)...? and what is the context! This is

1 sentence (only) which sounds like it is talking about 1 kind of

phlegm Phlegm-Heat (fire...) Remeber there are many kinds of phlegm...

>

>

 

OK, let's.

 

Manual of Acupuncture, Deadman et al; ST 40, p. 166; commentary.

 

Incidentally, I don't write to be agreed with. This is a beautiful forum

which allows

voicing of the practice of TCM, a rich experience of many dedicated healers.

 

I revel in the knowledge and experience they ahve and share.

 

Dr. Holmes Keikobad

MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ

www.acu-free.com - 15 CEUS by video.

NCCAOM reviewed. Approved in CA & most states.

-

" " <

<Chinese Medicine >

Tuesday, July 20, 2004 8:24 AM

Re: Phlegm Vs Damp

 

 

>

> This presumes that in any particle of phlegm there is a sleeping seed of

> Fire,

> and this may come awake at the heat of burning herb.

 

This is the leap (IMO)... Can you substantiate this from a source,

because I don't make this conclusion based on my knowledge and my sources.

 

>

> Any kind of phlegm, cold, damp, stagnated or still, would have a fiery

> element,

> which can come awake and go wayward.

 

Again source? I disagree...

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Hi John

 

I was trained in Traditional by doctors from

mainland China so this is my perspective. As Zev said, there is

little information in English on moxa as a stand alone treatment,

though I have certainly heard the legends of Japanese practitioners

who are quite skillful at using this powerful modality much more

widely than is recognized in China. As for the side effects which I

have witnessed, one especially comes to mind. While a TA for the

Acupuncture Techniques class, the students were practicing using

loose moxa on each other. In CAM, the editors mention that moxa is

contraindicated for Yin Xu conditions. One menopausal, yin xu

student volunteered to test this theory. Her partner burned one

small cone on each of her BL 23 points. At the next class, the woman

claimed to have intensified hot flashes and night sweating and

trouble sleeping for several days. She was otherwise a pretty

healthy person and recovered from the side effects quickly. This has

always stuck in my mind and made me careful about the applicaton of

moxa for anything other than those conditions suggested in CAM

which, so far, is the only English language resource I have on the

subject. Again, I am very interested to learn about the other

schools of thought with respect to moxa and its use and would be

very glad to hear of anyone else's experiences and sources.

 

As a side note, I must also say that while doing a post graduate

study at Cheng Du University, I attended a lecture by a doctor who

uses moxa more widely than most and she absolutely balked at the

idea that moxa is contraindicated in yin xu conditions. Like I said,

CM is full of varying schools of thought and ideas about everything

from diagnosis to application of acu/moxa and formulas. Although it

would be comfortable and safe for all of us to think that somebody

is " right " , I think it's sort of like religion where they all may be

somewhat right and all are working toward the same goals. To try and

actually capture the Tao is foolhardy. It is ceaseless in its motion

and hides and reveals itself in a flash.

 

Thanks, Shanna

 

Thanks, Shanna

 

Chinese Medicine , John Garbarini

<johnlg_2000> wrote:

> Really? What bad side effects from improper moxa

> treatments?

> John Garbarini

>

> >

> >

>

>

>

>

>

>

> New and Improved Mail - Send 10MB messages!

>

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dragonslive wrote:

 

" TCM is general does not come close to the japanese

acu/moxa schools in this area. "

 

Ehhh... excuse me, but I think your generalization is perhaps limited by

the books or practices accessible/understandable by you. Wouldn't you admit?

 

Respectfully,

 

Mike L.

 

 

 

 

 

 

 

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While this may be your opinion, based on your experience, it is not

based in fact or the Chinese medical literature, or in the clinical

practice of the Japanese.

 

There have been critiques of those on this list who say there should be

accountability, clear sources for ideas. A statement like this, if

taken as fact, when it is opinion, leads to a narrowing of practice,

not an expansion.

 

 

On Jul 20, 2004, at 6:23 AM, homi kaikobad wrote:

 

> Can one work with thread moxa to dislodge impacted Phlegm?

> Perhaps, if there is a lesser hell for the inadvertent, but well

> meaning

> healer.

>

> Can one work with the conventional moxa instead?

> Only at peril to the patient.

>

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I am trying to follow your logic on phlegm, but fail to understand what

it is you are trying to convey, or what sources you are using. What is

the source of the statement " phlegm is the cooler part of fire " ? What

theory are you espousing? Is it mingmen fire theory of Zhang Jing-yue?

Is it spleen-stomach theory of Li Dong-yuan? Or your own ideas?

 

 

On Jul 20, 2004, at 6:23 AM, homi kaikobad wrote:

 

> 'Phlegm is the cooler part of Fire. Fire is the hotter part of phlegm.'

>

> This presumes that in any particle of phlegm there is a sleeping seed

> of

> Fire,

> and this may come awake at the heat of burning herb.

>

> Any kind of phlegm, cold, damp, stagnated or still, would have a fiery

> element,

> which can come awake and go wayward.

>

> The mother of Damp is Earth, but the mother of Phlegm is Damp and

> Dryness.

> Damp is wholesale wet and lives in a continuum. Phlegm is wet in part

> and

> dry

> in part, and lives as an admixture of the two.

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Hi Robert

 

Thanks for the reference. As you can see, however, this group's

software (I guess) doesn't permit the full listing of the website

information. Could you please reprint this with a space to fool the

computer into letting this information through?

 

Thanks, Shanna

 

Chinese Medicine , " kampo36 "

<kampo36> wrote:

> Hi Shanna,

>

> The best English-language source for learning about Japanese

moxibustion is Junji

> Mizutani's " Practical Moxibustion Therapy " . It is a collection of

articles he wrote for

> the North American Journal of Oriental Medicine. To obtain a copy

you can contact

> him by email at najom@s... ... It's US$10 including shipping to

the USA, C$15 to

> Canada, and US$12 elsewhere.

>

> robert hayden

>

> --- In

Chinese Medicine , " shannahickle "

> <shannahickle> wrote:

> > Thanks, Zev. As I said, I don't doubt or worry that there are

many

> > perspectives on such matters as moxa and its appropriate use. I

do

> > realize it is a very strong treatment and if used

inappropriately

> > can cause damaging side-effects which I have seen in the clinic.

> > What sources do you recommend me studying to further my

knowledge in

> > this area? English, unfortuantely, is at present my only fluent

> > language though I am working on medical Spanish to better serve

my

> > local population. Is Clavey's book any good? Is the 2nd edition

the

> > newest? Which of the translated classics might be accessible for

a

> > 3rd year practitioner on this subject?

> >

> > Thanks, Shanna

> >

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Dr. Holmes,

I read the reference, a very good discussion on the nature of

phlegm. So, let's continue the discussion a bit.

I think you are arguing that qi depression, yin vacuity, or

stagnation can produce heat that can congeal phlegm and produce more

heat. This is correct.

However, kidney or spleen yang vacuity leads to a lack of fire, and

the inability of the qi transformation to separate clear from turbid.

This can lead to phlegm-rheum or cold phlegm, without any heat or

dryness involved.

You mention the relationship of phlegm and dryness. While this is

certainly possible, it is not an 'all-the-time' scenario. Perhaps you

are talking about a five phase relationship here? If so, please

clarify.

 

Thank you,

 

 

On Jul 20, 2004, at 9:45 AM, homi kaikobad wrote:

 

> OK, let's.

>

> Manual of Acupuncture, Deadman et al; ST 40, p. 166; commentary.

>

> Incidentally, I don't write to be agreed with. This is a beautiful

> forum

> which allows

> voicing of the practice of TCM, a rich experience of many dedicated

> healers.

>

> I revel in the knowledge and experience they ahve and share.

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