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If a nonstandard pattern is introduced into TCM dx, then it is only

clinically relevant to me if the identification of said pattern results

in a treatment principle and strategy that is not covered by an existing

pattern. To name a pattern and merely treat it the same as the pattern

of another name seems redundant and superfluous to me. It would be like

deciding that one pattern of chronic loose stool should be called large

intestine qi vacuity instead of spleen qi vacuity, but then using bu

zhong yi qi tang in either case. this may be more relevant to

acupuncture where the identification of a channel plays a greater role

than in herbology. So while si jun zi tang is used for both spleen qi

xu and liver qi xu, different points might be selected (assuming one

believes acupuncture's effect on supplementation is analogous to herbs -

I do not and direct interested parties to Steven Clavey's recent JCM

article on the subject.).

 

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Chinese Herbal Medicine

 

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