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> My intern clarified this after the incident:

>

> 1)    I made an error in reporting the hematuria case. the clinician did

> acknowledge a blood stasis pattern for hematuria. 

>

> 2)    She said that there didn’t have to be sharp pain, but he had to

> have some discomfort or some kind of pain in that area, of course not

> associated with the urination.  So she did NOT say there had to be SHARP

> pain to dx blood yu, just some pain. 

 

> But one of her points is that the modern concept of blood stasis and

> disease is based on a EXPANDED view meaning, not the fundamental view of

> blood stasis.. She believes that this expanded view is valid but must be

> understood as such because the rx’s for these expanded views are

> different than straight blood stasis patterns… and understanble to so

> extent, because blood stasis usually implies pain , masses etc, and the

> formulas are harsher.. There is a difference, but sometimes the dx can

> be misleading…

 

my comment: since yan de xin has elaborated at great length this broader

conception of blood stasis having classical roots, I think this so-called

" expanded idea " has a much purer pedigree than the latent heat/chronic

viral hypothesis, for comparison's sake. As to the supposed difference in

the formulas, I am confused. In the case in question, we noticed that the

formula chosen for the hematuria was easily adapted to the patient's

chronic leg pain with only slight adjustment. In my experience, the same

type of blood stasis formulas and herbs are used whether there is pain or

not. For example, one might use xue fu zhu yu tang for chest or abdominal

pain, but also for depression and liver cirrhosis.

 

 

 

Chinese Herbs

 

 

" Great spirits have always been violently opposed by mediocre minds " --

Albert Einstein

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