Guest guest Posted May 3, 2001 Report Share Posted May 3, 2001 Todd: You're starting to have nonstandardized thoughts. There aren't any standardized terms in the Wiseman dictionary for hGH, pituitary, endocrine system, etc. because it translates terms literally; so they can't exist in TCM theory. This is one of the drawbacks of living in highly technical culture but limited in your profession to a classical terminology. Nor will you probably find any discussion of the type you raise here in untranslated classical material. But from the point of view of nonstandardized Asian medical systems, your ideas are quite important and even expressible with Chinese terminology if we don't render each term literally. Chinese medical theory can be a rich and valuable foundation for many Western medical ideas if translated from a literary and contextual perspective. For example, in my system of acupuncture (admittedly Korean), we've always talked about things the way you are trying to do here. When discussing the functionality of either zang or fu, we speak of it as a yang aspect; when discussing what is produced by zang or fu, we speak of it as a yin aspect. For example, if a client comes to you complaining of fatigue, there are various ways of looking at the pulses to determine the root of the symptom. When examining the pulse we can check to see how the pancreas is performing. In the Nan Jing, the right middle earth position can be divided into three levels. The dividing line between the second and lowest level pertains to endocrine function; so we can distinguish pancreas from spleen even though Chinese anatomy did not readily distinguish them. In the Nan Jing, the rising movement of the pulse is the yang aspect or " front " and the downward movement is yin aspect or " back. " By distinguishing the characteristic quality of the front and back aspects of the pulse (at the endocrine level of the earth element only) we can check the functionality or physical capacity of the pancreas in its response to blood sugar levels. If the patient shows a wiry or tense movement in the first half or front, it shows a problem of he yang aspect or ability of the pancreas to function in a timely manner. If the back shows a choppy quality, that means that the physical aspect of the pancreas doesn't have the capacity to produce adequate amounts of insulin. The former is hypoglycemia, the latter is diabetes. The degree to which each pulse " front " or " back " deviates from a normal pulse is degree of severity of the problem. We can apply this concept of " front " and " back " to all other positions. But it's a nonstandardized way of viewing things, so it may be met with great resistance. Jim Ramholz Kind the beginning of some thoughts I have been having. Apologies in advance who don't approve of this type of speculation. I've been studying the effects of growth hormone recently. And the research that I've been doing has let me consider some relationships between kidney tonics and this hormone. I have specifically been looking into the role of certain amino acids which are used by people involved in the areas as diverse as body building or life extension in order to induce the release of growth hormone, either for the purpose of enlarging ones muscles or for the purpose of increasing a persons youthfulness . Large doses of amino acids are thought to induce the release of growth hormone probably by affecting control mechanisms, rather than providing building blocks for the hormone itself. This has led me to consider what it is that kidney tonics are actually doing when we ingest them. The reason kidney yang and essence tonics came to mind is because kidney tonics have been shown to have an effect of increasing the amount of circulating growth hormone in the body. And because research in China and indicates that kidney yang and essence tonics exert their activity in the body by also affecting control mechanisms. Though many of these herbs contain hormones like substances, the amount that is absorbed into the body even when taken in the form of very high dosage decoctions is on the order of 1000 times less than the amount of the endogenous hormone that the body produces itself. The substances (amino acids and kidney tonics) also have similar actions upon the body as does the administration of growth hormone itself. These include various changes associated with youth, such as increased strength, better muscle tone, higher metabolism, increased sex drive, etc. Growth hormone has become very popular therapy among the rich, especially in Europe. It is also have been ignored following here in the United States, as well. However it is extremely expensive, as a can cost up to $10,000 per month. It is the shown to have rather remarkable fax, but it also has the risk inherent in the use of any exogenous hormone for an extended period of time. Because of this, growth hormone releasing substances have become very popular in recent years. I postulate that perhaps kidney tonics are more akin to growth hormone releasing factors and other hormone releasing factors than they are to some things like vitamins (this should not be confused with things like TSH, a hormone itself. Releasing factors are substances derived from food or herbs. Interestingly, the mechanism I'm proposing is similar to the mechanism by which we understand the drug like Prozac works. In fact, as I understand the modern Chinese research on the subject, this is exactly how the mechanisms of these herbs is beginning to be understood. This seemed to have various effects on the function of the body, such as altering receptor activity or increasing the circulation of certain substances in the bloodstream by inhibiting their reuptake. They may also affect feedback mechanisms. So in order for these herbs to affect the hormonal system it again is not about providing building blocks for the body but actually affecting the control mechanisms instead. One of the interesting thoughts that comes up in connection with this idea is the whole way we tend to think of the terms of supplementing and draining as if it is purely quantitative. In other words, some thing is either added or removed from the body. Now this thing may be something tangible like yin or something less tangible like yang. But in either case it is definitely thought of as something (by me) that is conceptualized quantitatively. Personally , I think the use of the terms excess and deficiency somewhat lend themselves to this quantitative reductionism. Of course we tend to evaluate where going on with patients in the practice of Chinese medicine with more qualitative analysis. So, and Let Ken correct me if I'm completely off base, but should these terms also be considered qualitatively . In this case I am referring specifically to the terms supplement and drain, vacuity and repletion . If you think of these terms more along lines of how they affect the qi, then we move to a Chinese version of affecting the control mechanisms. So to add yang or essence to the body, you begin to think of this in terms of how the yang alters the function of the body rather than providing raw materials, per se. So when you supplement a vacuity, perhaps what you're actually doing is supplementing the ability of the body to rectify the vacuity, rather than replacing what is lacking directly with the medicinal substances. I am certain I am not the first person to think of this . This is merely the first time that I have been able to express it somewhat succinctly. All this has thus led me to consider the issues of longevity, aging and what it means to follow nature. To a certain extent, merely following nature blindly leads to succumbing to our basic animal instincts and urges would lead us to eat till we are completely gorged during times of abundance, to reproducing endless children and to generally practice activities that were designed for short-term reproductive fitness of the species and not long-term survival of the individual. But the very nature of civilization is such that we do many different things to thwart this natural process. And I would argue that many of these things that we do that probably have led to being such a long lived species. By learning to discipline ourselves with regard to things like diet and exercise and to work on harmonizing our emotional and mental lives. The use of the tonic herbs in Chinese medicine is a particularly telling example, as it is my understanding that the knowledge of many of these herbs was acquired by daoist practitioners who were exploring the issues of longevity and even immortality. One of the things these practitioners supposedly discovered in their quest was that extreme measures could be taken to increase the lifespans even beyond all one acquire by the aforementioned regimen. These extreme measures included the use of certain medicinal substances and the practice of certain meditation techniques. It is well known that a variety of hormones decline as one ages. These include growth hormone, testosterone, Melatonin and, estrogen. This seems to be a natural unavoidable part of the course of life. Some longevity researchers have actually suggested that this mechanism is programmed into us. It may be that kidney tonic herbs and other growth hormone releasing substances exert their actions upon the body in a safe manner is because they introduced a new piece of programming to the control mechanisms and for lack of a better analogy, the software is compatible. So the programmed mechanism of aging becomes thwarted by the use of these substances. Certain meditation practices have also been shown to have been a factor on the levels of various hormonal control mechanisms of the body. So when you combine these two things together, you could conceivably have a dramatic effect on health and longevity. It is often understood by longevity researchers that what substances like the growth hormone releasing factors basically do is slowing the process of aging, not end it an altogether. This is reflected in experiments that have shown that people who have done certain practices have measures of biological age there often much younger than their chronological years. -- Chinese Herbal Medicine FAX: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2001 Report Share Posted May 3, 2001 , jramholz wrote: : > > You're starting to have nonstandardized thoughts. There aren't any > standardized terms in the Wiseman dictionary for hGH, pituitary, > endocrine system, etc. because it translates terms literally; so they > can't exist in TCM theory. This is one of the drawbacks of living in > highly technical culture but limited in your profession to a > classical terminology. Nor will you probably find any discussion of > the type you raise here in untranslated classical material. I always have nonstandardized thoughts, I just don't share them often. My main interest is actually the points of intersection between TCM and modern science. My adherence to rigorously translated classical and modern texts is not because I am some kind of fundamentalist, but because I truly believe the only with strong foundations in what the chinese actually said can we even begin to take this leap. But I do not see TCM or any form of CM moving into the future as a complete independent body of medical thought that exists alongside modern medicine, separate but equal. I predict an interplay that will result in an integrative 21st century medicine that is rooted in the best of both, but is really neither in their current forms. I have always worked with naturopaths and MD's in my clinics who practice functional endocrine oriented western medicne and I would never have it any other way. I have a degree in biology and started my medical studies at the National college of Naturopathic Medicine in Oregon. Subhuti dharmananda was my first chinese herb teacehr and he has always had a strong integrative orientation. I would never have been attracted to TCM without this perspective. However, I do not feel comfortable applying my untested ideas upon my patients. So, and this should make Alon happy, I would never recommend growth hormone releasers to my patients because I am also not satisfied with the current research. Alon is right that many people will do potentially unsafe things just because they are alternative. But in the interest of longevity, I respectfully disagree with Alon that one should only use GH releasers if one has GH too low for one's age. this is conservative western medicine which just assumes a priori that it is naturally ordained that everyone should just grow old and die. I am not so sure and cutting edge aging research and many Taoists and yogis disagree with this hypothesis. I also believe that there is no ethical dilemma with me experimenting upon myself. I also do think we need to reconsider when it is truly appropriate to apply kidney tonics short of gross pathology (which might result, horror of horrors, in giving herbal GH releasers without the support of conventional lab tests). Douglas, I will answer your post on this subject later. However, I believe there is much in the realm of integrative medicine that has been tested and is standard medicine in the PRC today. In fact, as I mentioned in an earlier post, paradigm is currently working on a translation of a book on biomedical research correlations with TCM. I know many out there are chagrined by this and consider it an unwelcome aberration in modern china, but I truly believe it is the future. flaws TCM psych book is filled with research studies and case studies that also take an integrative approach to understanding and treating illness. So while growth hormone may not be part of classical TCM and is not found in Wiseman, it is certainly part of modern TCM and is found in medical journal literature and cutting edge modern texts. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2001 Report Share Posted May 3, 2001 I respectfully disagree with Alon that one should only use GH releasers if one has GH too low for one's age. >>>>>I was talking about GH not GH releasers. I do not think there is any problems with releasers and probably no down side. Alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2001 Report Share Posted May 3, 2001 , <alonmarcus@w...> wrote: > I respectfully disagree with Alon that one > should only use GH releasers if one has GH too low for one's age. > >>>>>I was talking about GH not GH releasers. I do not think there is any problems with releasers and probably no down side. > Alon Oh, I totally agree with that. I said at the outset I have reservations about all exogenous hormones and my entire discussion has been focused on releasers affecting control mechanisms, not direct supplementation with GH. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2001 Report Share Posted May 3, 2001 Responses to Todd and James: > >> >> (Jim:) >> You're starting to have nonstandardized thoughts. There aren't any >> standardized terms in the Wiseman dictionary for hGH, pituitary, >> endocrine system, etc. because it translates terms literally; so they >> can't exist in TCM theory. This is one of the drawbacks of living in >> highly technical culture but limited in your profession to a >> classical terminology. Nor will you probably find any discussion of >> the type you raise here in untranslated classical material. I think this is a misrepresentation of " Wiseman terminology " , Jim. Using reasonable English terms as a translation standard doesn't mean that one cannot address issues from a more technological medicine. Biomedical terminology is just as arbitrary and conditioned, and non-interpretive as " Wiseman terminology " . It is in the application of terminology that new ideas can be entertained, without losing sight of the meaning of what is being discussed. I constantly think about and propose theoretical possibilities for the endocrine system, hormones, etc. in my thoughts and discussions on medicine. There are definite possibilities for reinterpreting biomedical data within the broad framework of Chinese medicine. This is something that will take much time, peer review, and, hopefully accumulation of data. But first, we need to lay the groundwork. This is to accurately teach Chinese medicine as close as possible to the way it was intended to be transmitted. This includes more accurate and usable translations of Chinese material, both modern and classical. Otherwise we will be creating hybrid theories that will not survive the test of time. (Todd:) But I do not see TCM or any form of CM moving into the future as a complete independent body of medical thought that exists alongside modern medicine, separate but equal. I predict an interplay that will result in an integrative 21st century medicine that is rooted in the best of both, but is really neither in their current forms. One more thought about the concept of integrative medicine. I remember the opinion of Harris Coulter, perhaps our finest medical historian and the author of " Divided Legacy " . When asked about integrative medicine, he responded by asking who was going to be doing the integration? Western medicine has the power world-wide, and will dictate integration at any practical level. What we see in China is the tendency for WM/CM hybrids to be dominated by biomedical testing and diagnostics at the expense of traditional Chinese methods, which has weakened CM overall. While I have no problem with the interface of Chinese and biomedicine, or any other medicine for that matter, I do have problems with hybrids that lose the integrity of either system. What you are describing, as a future 21st century medicine is one possibility, it is certainly not the only one. Western medicine may well be facing its own revolution through the integration of quantum physics. Jim, you and I have discussed the compatability of Chinese medicine and quantum physics, and I feel here is where one possible interface will happen. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2001 Report Share Posted May 4, 2001 Z'ev: I don't think I've misrepresented him. Wiseman himself says that " English terms that are literal renderings of the Chinese are usually the best choice because they enable readers familiar with Chinese to recognize the original terms " (CAOM, p.34); and just before that, " a terminology that reflects the East Asian concepts rather than some interpretation of them " (CAOM, p.33). Exclusively using a literal translation solves one set of problems but creates a new set of problems; especially when the source texts for the termonology were written before the 20th century. The different varieties of Chinese medical translation strategies are laid out in Unschuld's Approaches to Traditional Chinese Medical Literature: Proceedings of an International Symposium on Translation Methodologies and Terminologies. But you might prefer George Steiner's After Babel (Oxford University Press, 1975)---especially the chapter " The Claims of Theory " ---for a more general discussion of translation strategies and intertextuality. When dealing with translations of classical texts, the literal translation has certain advantages. But when applying those terms and concepts to contemporary medicine, being restricted to a literal translation limits and obscures what you can say. The dictionary doesn't offer us contemporary medical (Western) terminology, it offers a consistant and standard way of translating classical texts. It avoids translations of terms that might encourage readers to attach any modern Western ideas to them. So, it's utility regarding nonclassical and nonstandard material, for example, in discussions with patients and Western medical practitioners, is severely limited. Do you tell a client they have a " foxy mounting " (hu shan) or a hernia? How many times have you entered terms from the dictionary on an insurance form? Misunderstanding arises when people think that arguing against a standardized dictionary is arguing against the act of translating the classics altogether. It is not; we are simply arguing about the effeciency of translation methods. But, applying Chinese medical theories to Western concepts will be an interpretive act. Like you, I believe there is a rich amount of detail in Chinese medicine that reflects Western medicial concepts. The Korean system of acupuncture I studied has already incorporated many Western medical ideas in clinica practice---the example posted earlier of distinguishing hypoglycemia from diabetes in the pulse being one of them. There are ideas in Chinese medicine and western science that are, at root, twin images. I will write about some of them in more detail later. Jim , " Z'ev Rosenberg " <zrosenberg@e...> wrote: > Responses to Todd and James: > > > >> > I think this is a misrepresentation of " Wiseman terminology " , Jim. Using reasonable English terms as a translation standard doesn't mean that one cannot address issues from a more technological medicine. > Biomedical terminology is just as arbitrary and conditioned, and > non-interpretive as " Wiseman terminology " . It is in the application of terminology that new ideas can be entertained, without losing sight of the meaning of what is being discussed. > > > I constantly think about and propose theoretical possibilities for the endocrine system, hormones, etc. in my thoughts and discussions on medicine. There are definite possibilities for reinterpreting > biomedical data within the broad framework of Chinese medicine. This is something that will take much time, peer review, and, hopefully accumulation of data. > > But first, we need to lay the groundwork. This is to accurately teach Chinese medicine as close as possible to the way it was intended to be transmitted. This includes more accurate and usable translations of Chinese material, both modern and classical. Otherwise we will be creating hybrid theories that will not survive the test of time. > > (Todd:) > > But I do > not see TCM or any form of CM moving into the future as a complete > independent body of medical thought that exists alongside modern > medicine, separate but equal. I predict an interplay that will result > in an integrative 21st century medicine that is rooted in the best of > both, but is really neither in their current forms. > > One more thought about the concept of integrative medicine. I remember > the opinion of Harris Coulter, perhaps our finest medical historian and > the author of " Divided Legacy " . When asked about integrative medicine, > he responded by asking who was going to be doing the integration? > Western medicine has the power world-wide, and will dictate integration > at any practical level. What we see in China is the tendency for WM/CM > hybrids to be dominated by biomedical testing and diagnostics at the > expense of traditional Chinese methods, which has weakened CM overall. > While I have no problem with the interface of Chinese and biomedicine, > or any other medicine for that matter, I do have problems with hybrids > that lose the integrity of either system. What you are describing, > as a future 21st century medicine is one possibility, it is > certainly not the only one. Western medicine may well be facing its own > revolution through the integration of quantum physics. Jim, you and I > have discussed the compatability of Chinese medicine and quantum > physics, and I feel here is where one possible interface will happen. > > Quote Link to comment Share on other sites More sharing options...
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