lv/sp continuum

[Guest guest]

, Will <will@e...> wrote:

 

>

> No I am stating that BZYQT works for Liver Qi Xu patterns (primarily because

of the

> Chai Hu content, it is at the Spleen end of the Liver-Spleen continuum, yet

maintains an

> action on the Liver). If we are to express the possibility of the superior

physician,

> prevention is required, I would suggest that waiting for a frank symptological

picture is

> practicing a game of catchup. Large doses of Huang Qi are my primary strategy,

however,

> Bu Zhong Yi Qi Tang works for the various patterns listed below when

appropriately

> modified, and this is a distinctly different use than for conventional Spleen

patterns or

> recovery from infections.

 

I kind of agree with this as I also consider bu zhong yi qi tang to be

useful for liver spleen disharmony and also perceive it to be on the

spleen xu end of the spectrum. However, I consider it to treat liver

depression and blood xu with dang gui and chai hu. I still don't see

the relevance of calling the pattern liver qi xu. As for not waiting

for symptoms to appear before making the dx, you are still basing

selection upon a sign - some sort of pulse characteristic in this case.

Perhaps it is my pulsetaking skills, but I have found pulse to be

highly unreliable and teach my students to rely primarily on

questioning and observation. The pulse changes when a car honks

outside, it changes between questioning and return to the tx room and

different clinicans rarely agree on the pulse qualities of agiven

patient. Liver depression may present with subtle sx like rib side

distension, emotional lability, sighing, constant stretching, etc., so

clearcut physical pathology is not required, but good questioning and

observation can still elicit enough sx to make this dx. But I'd like

to see a citation (modern or classical) for initiating such a treatment

just because the deep left guan position of the pulse is xu. While all

TCM was originally MSU, there is time tested MSU and brand new MSU.

Unless one is not getting satisfactory results with the general

consensus MSU, I see no reason to stray.