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liver qi xu in psychiatry

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I was thumbing through flaws new TCM psychiatry book and stumbled upon

the fright/fear chapter. after doing an exhaustive search of TCM

literature to prepare this book, Flaws decided not to include Lv qi xu,

even though sionneau does. I pointed out in an earlier post that the

indicated formulas merely address a pattern of qi and blood xu anyway.

flaws does include ht/gb qi xu, but also makes it clear that he

considers this to be nothing other than a combination of qi/blood xu

with liver depression and some phlegm. I think the evidence continues

to weaken that we should consider liver qi xu a discrete pattern.

 

The fact that nei jing source theory makes the naming of this pattern

possible is not significant to me, either. Since herbology was

empirical till about 1000 AD, nei jing source theory has only been used

to rationalize discrete clinically observable patterns. I don't think

there has ever just been a carte blanche acceptance that everything

written in that text is somehow applicable to herbology. It is not an

herbal text after all. Zhang zi he's theory of all disease being

treated by purgation was also based on his reading of the nei jing, yet

his ideas were never widely accepted. I think the general trend in the

development of herbology has been to apply theory to explain what has

actually been observed. In this case, there is nothing about the

symptom complex labeled " liver qi xu " that would lead me to make a

different therapeutic choice than if I called it liver blood xu with qi

xu. Thats the crux of the issue for me.

 

--

 

Chinese Herbal Medicine

 

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