shaoyang anyone?

[Guest guest]

OK I'll bite - very interesting. But.

 

It seems as though people are conflating the issues of signs and symptoms. I have seen it done in previous posts. And it appears as though Chen Rui-chun does when he uses the term signs in the same conceptual framework as symptomatic. (And I have nothing but respect for this man.)

A context of Wind Cold attack with a wiry pulse and one symptom of Shao Yang has proven a very reliable clinical picture for the diagnosis of Shao Yang syndrome and the subsequent prescription of Xiao Chai Hu Tang. Modifications dependent on the concomitants.

 

There is no way such a condition has penetrated into the underworld of the Tai Yin - Shao Yin - Jue Yin. Also, it is not possible that it is in the Yang Ming. The only possibility is Tai Yang, Shao Yang, or the combination thereof. It is a very common practice to treat with Ge Gen Tang and when slight signs of heat begin to emerge, add Xiao Chai Hu Tang rendering a form of Chai Ge Jie Ji Tang.

 

Will

 

In a message dated 1/2/02 4:12:51 PM Pacific Standard Time, writes:

 

 

Reflections on the Clinical Application of Classical Formulae by Chen Rui-chun, Associated Hospital Jiangxi College translated by Craig Mitchell "Students and practitioners take the teaching, “only one sign means that this is the pattern,†(which comes from the original text) and, upon seeing one of these signs, use Xiao Chai Hu Tang. All the while, they praise [the merits of] pattern identification to determine medicinal usage and believe that they have obtained a deep understanding of the mysteries of Zhang Zhong-jing. In fact, it is not this way. If a physician sees one sign and then uses Xiao Chai Hu Tang, it constitutes symptomatic medicinal use;"

[Guest guest]

This quote is from the Winter 2002 Blue Poppy Online Journal (to which

everyone should , IMO)

Reflections on the Clinical Application of Classical Formulae

by Chen Rui-chun, Associated Hospital Jiangxi College

translated by Craig Mitchell

"Students and practitioners take the

teaching, “only one sign means that this is the pattern,” (which comes

from the original

text) and, upon seeing one of these signs, use Xiao Chai Hu Tang. All the

while, they

praise [the merits of] pattern identification to determine medicinal usage

and believe that

they have obtained a deep understanding of the mysteries of Zhang Zhong-jing.

In

fact, it is not this way. If a physician sees one sign and then uses

Xiao Chai Hu Tang, it

constitutes symptomatic medicinal use;"

 

 

-- ,

 

 

FAX:

 

[Guest guest]

In a message dated 1/2/02 9:50:12 PM Pacific Standard Time, writes:

 

 

This again raises the issue of whether feverish diseases caused by cold always have fever.

 

I am not suggesting fever, merely Wind Cold attack.

 

Will

[Guest guest]

In a message dated 1/2/02 9:50:12 PM Pacific Standard Time, writes:

 

 

This again raises the issue of whether feverish diseases caused by cold always have fever. It seems logical that they do.

 

However - in practice they don't necessarily.

 

Will

[Guest guest]

, WMorris116@A... wrote:

 

>

> A context of Wind Cold attack with a wiry pulse and one symptom of Shao Yang

> has proven a very reliable clinical picture for the diagnosis of Shao Yang

> syndrome and the subsequent prescription of Xiao Chai Hu Tang. Modifications

> dependent on the concomitants.

 

Will

 

Have you read the article I quoted? It states that understanding the

pathomechanism is the key to prescribing XCHT. So in the context of a

wind-cold, we have one of the pathomechanisms of XCHT at play (i.e.

cold damage). You are right, if it started with cold damge, what else

could it be besides shaoyang with any one of these symptoms? This

again raises the issue of whether feverish diseases caused by cold

always have fever. It seems logical that they do. However, when

applying this formula to internal damage (where there may be no fever/

heat effusion), the author says that one must understand the internal

pathomechanisms and that one sx alone is not sufficient UNLESS one has

identifed the correct pathomechanisms. I think we have all really

agreed on this point, yet it has not been stated explicitly yet. To

quote again from Mitchell's translation, here are the pathomechanisms

attributed to the XCHT:

 

" There is disharmony between exterior and interior, disharmony of

construction and defense, irregularity of the spleen and stomach, and

inhibition of the liver and gallbladder. Furthermore, there is non-

diffusion of lung qi, inhibition of the chest qi, loss of balance

between yin and yang, and loss of regulation between qi and blood. In

summary, [this pathomechanism] is inhibition of the triple burner and

failure of movement in the pivot. "