Guest guest Posted May 19, 2001 Report Share Posted May 19, 2001 Prognosis. It just slips right off the tongue, doesn't it? But it can also land with a thud. Trying to articulate what goes into the making of a meaningful and accurate prognosis is proving a very difficult job. In fact, I can't even find the word appearing in the indices of my textbooks. There are a few things that I can point to to create a prognosis, but my list is woefully short. I'm going to describe a few of the components that I use and would very much appreciate any additions to this list... There's a rule of thumb... for every year you've had a pathology, it will take one month to fix it. So, a six year pathology can take six months to fix. Excess-type pathologies are quicker to respond than deficiencies. Acute pathologies are quicker to respond than chronic. Young persons tend to respond quicker than elderly. Exterior conditions resolve quicker than internal pathologies? Can anybody add anything to this list? Just some general concepts that go into the making of a prognosis. Thanx. -- Al Stone L.Ac. <AlStone http://www.BeyondWellBeing.com Pain is inevitable, suffering is optional. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2001 Report Share Posted May 19, 2001 Here's my two cents re: prognosis - Physical ailments that are actually physical in nature are faster to treat than physical ailments that have a strong emotional component. I was treating a woman, I thought successfully, for a cough she has had for four years. She has not told her physician husband that she's seeing an acupuncturist. She was getting better for three weeks and had a relapse. With some additional probing, I have discovered some emotional baggage that she was not initially comfortable telling me, so now I am treating it as an emotional condition. Jeff (Another example...a woman coming to me for smoking cessation. When asked what her predominant emotion was, she responded " HATE! " Necessarily, I will be seeing her a few times more than I normally see patients seeking to stop smoking. _______________ Get your FREE download of MSN Explorer at http://explorer.msn.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2001 Report Share Posted May 20, 2001 Hi Al In school I was taught " Always! Always! Always! First remove the excess. " It worked some of the time. Acouple of years ago I attended a presenttaion by Bob Flaws at which this precept came up. He said that there 's a second half to the precept which is " ...unless there is deficiency. " I changed my treatment strategy and began nourishing the deficiencies first and the results have been much better than prior to getting the rest of the story. I had a patient with what looked like organic peanut butter (thick and shiny like a still lake covering his entire tongue. He also had night sweats and five palm heat. Clearing the phlegm was slow and frustrating so I consulted one of my teachers. He recommended tonifying the yin. After some convincing, I tried it. The thick coat cleared up in a week. So I suggest " Always! Always! Always! First remove the excess; unless deficiency is present. " JOE Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2001 Report Share Posted May 20, 2001 Why wouldn't you do both at once? Jim Ramholz , " Joseph Balensi " <jlb@t...> wrote: > Hi Al > > In school I was taught " Always! Always! Always! First remove the excess. " > It worked some of the time. Acouple of years ago I attended a presenttaion > by Bob Flaws at which this precept came up. He said that there 's a second > half to the precept which is " ...unless there is deficiency. " I changed my > treatment strategy and began nourishing the deficiencies first and the > results have been much better than prior to getting the rest of the story. > > I had a patient with what looked like organic peanut butter (thick and shiny > like a still lake covering his entire tongue. He also had night sweats and > five palm heat. Clearing the phlegm was slow and frustrating so I consulted > one of my teachers. He recommended tonifying the yin. After some > convincing, I tried it. The thick coat cleared up in a week. > > So I suggest " Always! Always! Always! First remove the excess; unless > deficiency is present. " > > JOE Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2001 Report Share Posted May 20, 2001 Exactly... I was taught ALWAYS ALWAYS ALWAYS take the whole picture into consideration to be able to acurately make a diagnosis and then a treatment plan. Depending on the complexity of the simultaneous patterns (transmuted patterns, knotty diseases, etc.), treating only one aspect of a complicated picture seems to me to be aiming at simplicity. Kip Roseman > [Original Message] > <jramholz > > 5/20/01 1:23:56 AM > Re: Prognosticators unite! > > Why wouldn't you do both at once? > > Jim Ramholz > > > > > , " Joseph Balensi " <jlb@t...> wrote: > > Hi Al > > > > In school I was taught " Always! Always! Always! First remove the > excess. " > > It worked some of the time. Acouple of years ago I attended a > presenttaion > > by Bob Flaws at which this precept came up. He said that there 's > a second > > half to the precept which is " ...unless there is deficiency. " I > changed my > > treatment strategy and began nourishing the deficiencies first and > the > > results have been much better than prior to getting the rest of the > story. > > > > I had a patient with what looked like organic peanut butter (thick > and shiny > > like a still lake covering his entire tongue. He also had night > sweats and > > five palm heat. Clearing the phlegm was slow and frustrating so I > consulted > > one of my teachers. He recommended tonifying the yin. After some > > convincing, I tried it. The thick coat cleared up in a week. > > > > So I suggest " Always! Always! Always! First remove the excess; > unless > > deficiency is present. " > > > > JOE > > > Chinese Herbal Medicine, a voluntary organization of licensed healthcare practitioners, matriculated students and postgraduate academics specializing in Chinese Herbal Medicine, provides a variety of professional services, including board approved online continuing education. > > > > Quote Link to comment Share on other sites More sharing options...
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