dx system

[Guest guest]

When I suggest that one solution to the ICD-9 dilemma is to learn

western dx, I am not suggesting we give up our diagnostic methods when

it comes to bian zheng therapy. Just that we adopt western standards

for bian bing dx. That is what the modern chinese have done. As far

as the modern japanese, it is my understanding that herbs are prescribed

only medical doctors who make medical diagnoses. Yet they are free to

still use bian zheng in therapy, selecting actual formula based on

" sho " . there may be some limitations in how far they can go in this,

though? does anyone know?

 

I think it is naive to think that a modern insurance company will ever

accept a code for liver yang rising. The entire insurance trend is away

from all subjectivity in dx. So why would they allow us to make

subjective dx based on medieval chinese metaphysics, yet disallow

doctors from doing this, even when their basis is modern physiological

reasoning. If you didn't catch the gist of my last post, I think we are

inherently crippled by any association with the insurance industry. but

if you want to dance with the devil, I think you have to do it on his

terms. That means either objectifying TCM dx or using western dx to

make insurance claims (I prefer the latter, personally). But there is

really no chance of getting insurance reimbursement based on wholly

subjective TCM dx. First, find me ten senior practitioners who actually

agree on a TCM dx of any given patient and then we might have a chance.

 

[Guest guest]

 

Although the Chinese may have adapted the western disease names, they

still know and to some degree use the Chinese bian bing/disease diagnosis.

.. . .the language is very rich, and based on the same detail of

symptomology that personifies this medicine.

It is alright, in my opinion, to use western disease names for ICD-9

diagnoses when filing insurance. . . .but the catch is that we are not

licensed in most places to diagnose biomedical conditions, so that

diagnosis usually has to be made by someone else, even if we are trained to

do so. This puts us at a great disadvantage.

Also, the modern Chinese adaptation of western disease names and

categories is not necessarily a good thing. As a professor of Chinese

medicine, I can clearly state that one of the most confusing issues for

students is that many textbooks are chapter-headed and layed out according

to western disease names, with pattern diagnosis a perfunctionary second

place. Fortunately, newer texts such as Deng's " Practical Diagnosis "

reverses this trend, giving in-depth coverage to both patterns and Chinese

disease names.

 

 

 

 

 

 

 

>When I suggest that one solution to the ICD-9 dilemma is to learn

>western dx, I am not suggesting we give up our diagnostic methods when

>it comes to bian zheng therapy. Just that we adopt western standards

>for bian bing dx. That is what the modern chinese have done. As far

>as the modern japanese, it is my understanding that herbs are prescribed

>only medical doctors who make medical diagnoses. Yet they are free to

>still use bian zheng in therapy, selecting actual formula based on

> " sho " . there may be some limitations in how far they can go in this,

>though? does anyone know?

>