Guest guest Posted October 2, 2000 Report Share Posted October 2, 2000 I think this group's discussion of psychiatry has gotten into social and religious implications and off the mark a little bit of what it is we actually do in clinic. It's not a question of being able to do psychoanalysis or talk therapy on a patient because TCM practitioners are not trained in any real capacity to do so. But you are overlooking an important connection between Western medicine and Chinese medicine that would easily solve this controversy. We know from recent studies in neurobiology that emotion is not limited to some specifically designed circuts of the brain that were once thought to be the " center " of emotion. Emotions are nonconscious mental processes, and are a fundamental part of the information processing and energy flow that are central features of the organization of the Self. Emotion is an essential way that the brain integrates and organizes itself and, in turn, the rest of the body. As such, emotions are improtant for us to consider in clinical practice. Emotions change physiology; physiology changes physical structure. For that very point we have 5-Elements in the Chinese medical model. We can see how emotion fulfills that function of integrating and selforganizing in 5-Elements. From the perspective of 5-Elements, mind and body cannot be separated. Unfortunately, when I teach pulse diagnosis, I haven't yet had a student ask " how do we see the brain and distinguish a problem in it separately from an organ problem " (for example, a tumor in the brain from a tumor in the breast tissue). These and many other problems can't all be just reduced to spleen vacuity. The answer is that when we divide the pulse into different levels following the Nan Jing, we can distinguish emotion from function and from physical structure. Observing emotional states in pulse diagnosis and checking their influence on disease processes is of central importance. Emotional states are often underlieing many disorders in Western culture. Psychoneuroimmunology is a fascinating field, and should be accessible to those who understand 5-Elements. We do this type of analysis in the Dong Han pulse diagnosis system, and I believe it is also done in Leon Hammer's system as well. My point is not that this information is inaccessible to all but a few who have studied these two systems, but that this type of perspective is available from Chinese models that are already familiar to you but underutilized. For example, the study of emotions discussed in Larre and Rochat's book, Seven Emotions (Monkey Press), and in Western medical literature as well, fit in the 5- Element model. Unfortunately, they are poorly described and not clearly appreciated in the TCM model (here I'm using the national board's standard as a common definition of TCM). I look forward to the Blue Poppy book on psychiatry because the inclusion of Dr. Lake's own clinical use of Chinese medicine will be truly groundbreaking. For far too long, studies derived from Chinese case histories have always been held suspect in America. Simply copying that information into English would just be more of the same. The case history reports of the successful use of Chinese herbal formulas by a Western MD in psychiatric practice will go further than anything else to validate Chinese medicinals and lend credibility to the Chinese system of medicine. Jim Ramholz Quote Link to comment Share on other sites More sharing options...
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