Guest guest Posted June 19, 2001 Report Share Posted June 19, 2001 , juliej8@a... wrote: > Heiko wrote: > > << > > If I only treated patients who wanted me to be > > experienced in treating such and such western medical disease label I > > wouldn't have had many patients. > >> > Julie writes: > > I agree. Someone called the other day to ask if I had specifically treated > Graves disease (I had not). I explained to her that we treat patterns, and it > is quite likely I had treated a pattern similar to what she would exhibit. Chinese medicine treats bing (diseases) and zheng (patterns). Modern TCM includes traditional and modern bing. It is incorrect to state that we treat patterns and not diseases. All chinese internal medicine texts make bing and zheng diagnoses. We treat the patterns underlying specific diseases. The disease dx gives us information that aids in our treatment. Liver qi constraint manifesting as major depression is treated quite differently than liver qi constraint manifesting as dysmenorrhea. the modern disease dx also tells us something about course and prognosis that is not contained in the pattern dx. for instance, graves disease and silent thyroiditis can both manifest as hyperthyroid conditions, but silent thyroiditis often remits spontaneously and permanently after a few months, while graves disease is chronic and progressive with many serious complications. A pituitary tumor may also be the cause of hyperthyroidism. Without familiarity with the unique disease process, one is likely to mistake their treatment of the disease for cure when it is actually spontaneous remission or mere palliation of symptoms. Grave's disease may be curable. Chinese research suggests this is possible about in 20% of cases. another 60% of cases get varying degrees of relief, but will generally require lifelong treatment with herbs to control. Another 20% of cases are resistant to herbal treatment. Successful treatment of this disease requires far more than correct pattern dx in my opinion. I do not think that graves disease can be successfully treated by referring only to the treatment of patterns of heart palpitations, for example, just because this is one of the chinese bing associated with grave's disease. Unless one knows to look carefully for signs of the blood stasis that modern chinese physicians believe is central to most cases of this illness, one will merely address branches and never get to the root. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2001 Report Share Posted June 20, 2001 Todd I see your points but ..... " Unless one knows to look carefully for signs of the blood stasis that modern chinese physicians believe is central to most cases of this illness, one will merely address branches and never get to the root. " So it still comes back to treating the blood stasis or phlegm or yang xu etc. I am sure you could tackel a case of Graves disease with TCM without ever having seen a case of it before, and you would probably get better sucess than the GP Graves Disease specialist who only sees that disease. This is the point I am trying to make .I would refer a patient with bipolar to you even if I knew you NEVER saw one in your life. Are there TCM doctors in China who for example ONLY see MS, or only see Graves Disease or Bipolor .?I know some specialise in gyno , infertility etc. Heiko Quote Link to comment Share on other sites More sharing options...
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