Guest guest Posted March 24, 2003 Report Share Posted March 24, 2003 Here is a sample of deke kendall's ideas taken from congressional testimony that may affect our profession: Promoting a Common Physiological Base "One of the most fundamental problems facing Oriental medicine and acupuncture concerns the Western confusion on what constitutes the physiological basis of this medical system. The ancient Chinese texts, especially the Yellow Emperor's Internal Classic (Huangdi Neijing (600-300 BC), provides details on postmortem and physiological studies. The Chinese discovered blood circulation some 2600 years before William Harvey's experiments in 1628. Ancient Chinese physicians: identified and named all the major blood vessels, correctly noting which were veins and arteries; provided the first rudimentary description of the body's defensive system and lymphatics; identified and correctly noted the function of the internal organs, including the critical function of the lungs in breathing in vital air needed to support metabolic processes; and provided weight and size measurements of the organs. Additionally, they identified all the muscles in the body, including skeletal origins and insertions of the muscles, and identified the brain, spinal cord, and critical neurovascular connections in the body, including those to the optic nerves and to the heart. Although the ancient Chinese described features that are descriptions of brain and neural function, including propagated sensations provoked by needling, and sensory functions, they never described the peripheral nerves in any detail · "·This physiologically rational concept suffered a tragic misfortune during the 1930s-1950s when the blood vascular system described by the Chinese in terms of "jingluo" was mistranslated by the West as "meridians." Even the word "mai," which clearly means vessel, was translated as meridian. This resulted in the vascular system to be replaced by imaginary or invisible pathways. The problem was further complicated by mistranslating vital air (qi) as "energy" for lack of a better word. Nutrients, defensive substances and other vital substances were also categorized as energy as well. The net result was a Western view of Oriental medicine that involves incomprehensible and physiological incorrect ideas. The idea of energy meridians casts Oriental medicine in a metaphysical light and has been responsible for years of misdirected research and education. It has also been responsible for much criticism of Oriental medicine with practitioners being accused of practicing metaphysical rituals (Ulett, Han, Han 1998) or participating in a religion (Breivik 1998). Some medical practitioners are so frustrated with the state of affairs they are reinventing acupuncture as medical acupuncture (Mann 1992, 1998; Filshie, White 1998)." Question: Given the significant (often conflicting) philosophical diversity among the multiplicity of schools or forms of acupuncture, how has OPEIU/the Guild contributed to the improved access to and delivery of not only acupuncture in particular, but also Oriental medicine in general? "· The NGAOM has sought out participating members that have invested much time and scholarship into understanding the basic Chinese theories and explaining these in modern biomedical terms. This has involved investigation of the real world aspect of Chinese medical theories, including a comprehensive biomedical explanation on how acupuncture works. Setting the record straight on the true physiological basis of Chinese/Oriental medicine is a major goal of the NGAOM. Any medical system must have a defensible understanding and application of the accepted basis of human physiology. Incorporating these ideas into practitioner training will lead to improved access and delivery of Oriental medicine, including acupuncture. It is our position that the public is best served by practitioners trained in Oriental medical theory and application that is consistent with the real world of physiology, and to render service as a primary health care provider · Eventually, over time, all practitioners would be educated at the primary health care provider level and be able to efficiently work within the conventional care environment, render a diagnosis that is consistent with Western biomedical understanding, have the ability to utilize Oriental medical modalities, (be) knowledgeable as to when Western treatment is either necessary or more effective, and (have) the ability to communicate effectively with all other medical professionals. It does not include, nor does it need to include, the practice of modalities unique to Western medicine. The ability to formulate a diagnosis consistent with Western biomedical understanding is essential for patient safety, improved communication within the health care system, and development of future research, to improve overall service delivery." -- Chinese Herbs voice: (619) 668-6964 fax: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2003 Report Share Posted March 24, 2003 Here is a sample of deke kendall's ideas taken from congressional testimony that may affect our profession: Promoting a Common Physiological Base and All, "Sounds" like a good idea, but ... Not to put too fine a point on this, but I've taught human anatomy to medical students, masters degree physical therapists and O.T.s at Univ. of Texas and undergraduates at San Francisco State Univ. and other colleges around San Francisco all since 1986. I have never taught as a part of the anatomy curriculum any of the anatomy points taught in CM college. Nor have I taught an anatomical feature that traces the paths of the "meridians". I have on occasion rationalized to pre-CM students why kidneys and gonads are considered by CM the same system .... for embryological reasons, they are indeed. I don't know what to make of all this ... except the advent of perfectly shattered pieces of paradigm that we can carefully observe slipping back into the larger reality from which they had been gathered. Perhaps those with "clear vision" would get a most picturesque view. Maybe eventually after the "big bang", paradigm harmony will be a possibility. Emmanuel Segmen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2003 Report Share Posted March 24, 2003 One of the most fundamental problems facing Oriental medicine and acupuncture concerns the Western confusion on what constitutes the physiological basis of this medical system. The ancient Chinese texts, especially the Yellow Emperor's Internal Classic (Huangdi Neijing (600-300 BC), provides details on postmortem and physiological studies. The Chinese discovered blood circulation some 2600 years before William Harvey's experiments in 1628. Ancient Chinese physicians: identified and named all the major blood vessels, correctly noting which were veins and arteries; provided the first rudimentary description of the body's defensive system and lymphatics; identified and correctly noted the function of the internal organs, including the critical function of the lungs in breathing in vital air needed to support metabolic processes; and provided weight and size measurements of the organs. Additionally, they identified all the muscles in the body, including skeletal origins and insertions of the muscles, and identified the brain, spinal cord, and critical neurovascular connections in the body, including those to the optic nerves and to the heart. Although the ancient Chinese described features that are descriptions of brain and neural function, including propagated sensations provoked by needling, and sensory functions, they never described the peripheral nerves in any detail · >>>A bit of stretch Alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 2003 Report Share Posted March 24, 2003 From what I've seen of Deke Kendall's and Ji Shenghan's writings, is the working hypothesis that the points and channels access the nervous system and send specific signals to the brain. While this is interesting, it is in early stages of research and development. The more extreme points of view such as George Ulett's dismiss the 'metaphysical' Chinese concepts altogether. I have great respect for Deke, I've studied with the man and he is a sincere indvidual. We just disagree on our basic understandings of what the Nei Jing was trying to say. But his ideas are based on years of study and research. It is interesting that 'medical acupuncture' books, such as the " Acupuncture Energetics' text of Joseph Helms and the works of Maurice Mussat, use channel theory, yin yang, five phase, extraordinary vessel and divergent vessels. While they discuss them in a mathematical-physics context, they don't dismiss them as 'metaphysical constructs'. The channels do not automatically follow the neurological or circulatory systems. While mai may be translated as vessels, and may have correlations with the flow of blood through the blood vessels, it is not an exact equivalent. They correspond to flows of phenomena and information along an informational grid, using depth, direction, quality and time to construct a model of human life and its interactions with the greater environment. The model is coherent, consistent and clear. And, yes, it varies over time with different authors and eras. Retranslating Chinese medical concepts into the limitations of physiology and anatomy may be convenient for political and professional reasons, but it is not entirely accurate. These ideas cannot explain pulse diagnosis, emotional resonances with channels and points, or pattern diagnosis. Also, I am wondering how Deke and like-minded people will explain the workings of herbal medicine with this model. I think using an 'in-progress' model as a basis for legislative change potentially limits the development of the profession. Qi is neither physical or 'spiritual/metaphysical'. The Asian mind did not separate the mental and physical universe in this way. Just as atomic models don't show 'real' atoms, or orbits exist as physical entities, but are useful to describe the atoms or pathways of planets, qi and channels describe phenomena that exist at an informational level. One definition of 'metaphysics' is fundamental beliefs about the world. In " The Geography of Thought " , Richard Nisbett states that " European thought rests on the assumption that the behavior of objects -physical, animal and human - can be understood in terms of straightforward rules. Asians, in contrast, attend to objects in their broad context. " What appears 'real' in our Eurocentric world is not necessarily 'real' in Tibetan or Korean realms of thought. And, who can say that the relationship of the South American shaman to the world is 'false'? The debate of 'metaphysical' vs. physiological brings us into the realm of the epistemological. This metaphysical vs. physical argument is a false one, if metaphysical means the conceptual tools of qi, channels, and points. We are just needlessly dividing phenomena that are basically complimentary if looked at in a different perspective. On Monday, March 24, 2003, at 04:01 PM, Emmanuel Segmen wrote: > Here is a sample of deke kendall's ideas taken from congressional > testimony that may affect our profession: > > Promoting a Common Physiological Base > > and All, > " Sounds " like a good idea, but ... > Not to put too fine a point on this, but I've taught human anatomy > to medical students, masters degree physical therapists and O.T.s at > Univ. of Texas and undergraduates at San Francisco State Univ. and > other colleges around San Francisco all since 1986. I have never > taught as a part of the anatomy curriculum any of the anatomy points > taught in CM college. Nor have I taught an anatomical feature that > traces the paths of the " meridians " . I have on occasion rationalized > to pre-CM students why kidneys and gonads are considered by CM the > same system .... for embryological reasons, they are indeed. > I don't know what to make of all this ... except the advent of > perfectly shattered pieces of paradigm that we can carefully observe > slipping back into the larger reality from which they had been > gathered. Perhaps those with " clear vision " would get a most > picturesque view. Maybe eventually after the " big bang " , paradigm > harmony will be a possibility. > Emmanuel Segmen > > <image.tiff> > > > 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...
Guest guest Posted March 24, 2003 Report Share Posted March 24, 2003 , " " <zrosenbe@s...> wrote: > > Qi is neither physical or 'spiritual/metaphysical'. The Asian mind did > not separate the mental and physical universe in this way. Just as > atomic models don't show 'real' atoms, or orbits exist as physical > entities, but are useful to describe the atoms or pathways of planets, > qi and channels describe phenomena that exist at an informational > level. I agree completely. However many in our field still think about qi solely metaphysically and others solely phsysologically. However the idea of inormation and connectivity (ken's term) seems to make the most sense to me. In some respects, folks like Deke are reacting viscerally to the very public image of our profession as having a metaphysical bent. I am sure this also drives me to some degree. But I try not to be too zealous, at least over time. :-) One definition of 'metaphysics' is fundamental beliefs about > the world. while that is true in the strict philosophical sense, it is not what I meant. This term is also used to distinguish between what can be discerned by the physical senses and what cannot. The metaphysical idea of qi is that it is something distinct from the workings of biochemistry, some higher or deeper level of regulatory force that controls the grosser forces of matter. An idea similar to the idea of etheric and physical bodies in hindu yogic thought. first, this reduces qi to one thing. Yet the concept is multivalent. My (admittedly gut an uneducated) sense is that qi is kind of like emotions. What we call qi is the holistic perception of the fluctuations in one's bodymind. The uneducated mind just feels anger when threatened. But you can also perceive this anger in terms of qi flow (upwards). And you can also measure distinct biochemical changes associated with states of anger. Qi is as real as anger, but also as elusive. It cannot be measured as a thing,yet still exists, but not apart from the world. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 , " " wrote: > Retranslating Chinese medical concepts into the limitations of physiology and anatomy may be convenient for political and professional reasons, but it is not entirely accurate >>> I think they have quite the opposite attitude as we do---that the limitations and inaccuracies are those of CM. Keep in mind that Deke called it a " tragic misfortune " that the blood vascular system was translated as " meridians " and qi as anything other than " vital air. " This movement is a correction and update of that. While I often see things in CM as you do, considering Deke's argument as " not entirely accurate " is probably the same response used during the transition away from shamanism. Culturally dictated politics are shaping the direction this profession is headed in; not intellectual debate over terms. My worry is that their politics will reshape CM and reduce it a subset of WM, using acupuncture and herbs as its modality. In 5-10 years, will insurance companies pay acupuncturists/herbalists who study in traditional settings or only MDs and doctorates from their organization? <<< . . . Also, I am wondering how Deke and like-minded people will explain the workings of herbal medicine with this model. >>> If it's a biomedical model, then it's simple enough---already done in fact. Herbs contain active ingredients or combinations thereof that can be extracted, synthesized, and patented. Isn't that where the pharmaceutical industry is putting its money? Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 , " " wrote: But you can also perceive this anger in terms of qi flow (upwards). And you can also measure distinct biochemical changes associated with states of anger. Qi is as real as anger, but also as elusive. It cannot be measured as a thing, yet still exists, but not apart from the world. >>> : I would think that Deke's response (correct me if I'm wrong) is that 'no you can't feel your qi flow upwards during anger.' You feel the blood rushing to your face caused by specific and well known physiological processes. Not being able to scientifically measure qi means that it does not exist---because there is nothing there to measure. It is imagined or metaphysical---or, at best, mistaken for some other process. You are being " too Chinese " in trying to find a middle ground between these positions and truthes in opposing opinions so that the two can exist harmoniously. Whereas, Western thought tries to obliterate the opposing opinion or thesis. The biochemical model simply says " you're wrong. " Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 , " ALON MARCUS " wrote: > [Deke Kendall said] One of the most fundamental problems facing Oriental medicine and acupuncture concerns the Western confusion on what constitutes the physiological basis of this medical system. The ancient Chinese texts, especially the Yellow Emperor's Internal Classic (Huangdi Neijing (600-300 BC), provides details on postmortem and physiological studies. [Alon replied] Bit of a stretch.>>> It seems that this is a " new and improved " history if Deke Kendall is implying that the Suwen lays out the details. In The Expressiveness of the Body and the Divergence of Greeekand Chinese Medicine, Shigehis Kuriyama writes that if we compare Hua Shou's Shisijing fahui (1341) with Vesalius' Fabrica (1543)---both anatomical drawings---the differences of CM and WM are obvious. Chinese doctors lacked even a specific word for " muscle " . " Muscularity was a pecularily Western preoccupation. On the other hand, the tracts and points of acupuncture entirely escaped the West's anatomical vision of reality. Thus, when Europeans in the seventeen and eighteenth centuries began to study Chinese medical teachings, the descriptions of the body they encountered struck them as 'phantastical' and 'absurd,' like tales of an imanginary land. ...Moreover, it is only over the course of the twentieth century, with the spread of Western ideas, that muscles have become a familiar part of Chinese thinking about the body. " Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 At 6:53 PM -0800 3/24/03, wrote: >I have great respect for Deke, I've studied with the man and he is a >sincere indvidual. We just disagree on our basic understandings of >what the Nei Jing was trying to say. But his ideas are based on >years of study and research. -- Years of study, but of what, and with what abilities. When I encountered Deke Kendall, in about 1985, he didn't speak or read Chinese. At that time he presented a model that relied entirely on other peoples research, for the most part Pomeranz as far as I could tell. It seems to me that Deke early on got this idea into his head, and has spent his time since then trying to rationalize it, ignoring evidence to the contrary. It is telling that at the time I knew him, he told me that he restricted his clinical activities to ear acupuncture for addiction control. Rory -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 Whatever one's philosophy about Chinese or Western medicine, is it really the basis for modeling licensing agencies or certification bodies? That is my biggest problem here. Our profession suffered greatly in the past from the artificial 'five elements vs. eight principles' war between the schools and practitioners. I witnessed an all-out battle for control of the acupuncture board in one state twenty-two years ago between students, practitioners and proponents of differing philosophies of Chinese medicine played out in a state assembly setting. It is a miracle that they just didn't throw out the licensing board altogether. Z'ev ROsenberg On Tuesday, March 25, 2003, at 01:47 AM, James Ramholz wrote: > While I often see things in CM as you do, considering Deke's > argument as " not entirely accurate " is probably the same response > used during the transition away from shamanism. Culturally dictated > politics are shaping the direction this profession is headed in; not > intellectual debate over terms. My worry is that their politics will > reshape CM and reduce it a subset of WM, using acupuncture and herbs > as its modality. In 5-10 years, will insurance companies pay > acupuncturists/herbalists who study in traditional settings or only > MDs and doctorates from their organization? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 Kurayama's book is a good source text, Jim, to dispel the point that the Chinese and Greeks had the same views on physiology. Clearly they didn't. If anything, the argument for the Nei Jing as a source text of modern physiology is flawed, because the information is incomplete and could never be used as a basis for a full-blown physiology as has been developed in the West. There are clearly differences in how the Chinese and Europeans see the body, and that is what makes the interface between Chinese and Western medicine interesting and exciting. On Tuesday, March 25, 2003, at 02:33 AM, James Ramholz wrote: > , " ALON MARCUS " wrote: >> [Deke Kendall said] One of the most fundamental problems facing > Oriental medicine and acupuncture concerns the Western confusion on > what constitutes the physiological basis of this medical system. The > ancient Chinese texts, especially the Yellow Emperor's Internal > Classic (Huangdi Neijing (600-300 BC), provides details on > postmortem and physiological studies. > > [Alon replied] Bit of a stretch.>>> > > > It seems that this is a " new and improved " history if Deke Kendall > is implying that the Suwen lays out the details. In The > Expressiveness of the Body and the Divergence of Greeekand Chinese > Medicine, Shigehis Kuriyama writes that if we compare Hua Shou's > Shisijing fahui (1341) with Vesalius' Fabrica (1543)---both > anatomical drawings---the differences of CM and WM are obvious. > Chinese doctors lacked even a specific word for " muscle " . > > " Muscularity was a pecularily Western preoccupation. On the other > hand, the tracts and points of acupuncture entirely escaped the > West's anatomical vision of reality. Thus, when Europeans in the > seventeen and eighteenth centuries began to study Chinese medical > teachings, the descriptions of the body they encountered struck them > as 'phantastical' and 'absurd,' like tales of an imanginary > land. ...Moreover, it is only over the course of the twentieth > century, with the spread of Western ideas, that muscles have become > a familiar part of Chinese thinking about the body. " > > > Jim Ramholz > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 > I agree completely. However many in our field still think about qi > solely metaphysically and others solely phsysologically. However the > idea of inormation and connectivity (ken's term) seems to make the > most sense to me. Just to clarify my use of " connectivity " (which is not actually " mine " per se but a good old standard English word that means " The quality or condition of being connected or connective " according to dictionary.com): I principally use four English words as the likeliest suspects for a " translation " of qi4, especially when they are taken together to form a single conceptual unit. These four words are: connectivity, or the extent to which interconnection takes place within a system (either in the body or without); change; communication; and movement. This is just to say that, as described in some detail in our book on the subject of qi4, if you summarize what the Chinese have been talking about when using this word, particularly in the context of Chinese medicine, for the past two or three thousand years, you can get big chunks of the idea with these four words. The discussion as to whether or not such considerations are or should be considered metaphysical always leaves me scratching my chin. I just can't quite figure out what it matters. And, as always, when discussing this I feel it's important to point out that " energy " is in no way a suitable candidate to serve as an English equivalent of qi4. Whereas, depedning on the meaning of energy one has in mind it might well be suitable to say that energy is qi4, it seems absurd to me under any circumstance to imagine that what the Chinese have meant with the use of the word qi4 is energy. Ken Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 Rory, my major concern in all this is playing out philosophical stances at the regulatory level. Priebe's group has been lobbying in Washington to set up alternative educational standards for our colleges. While I agree with the idea of an entry-level doctorate, I don't want to see our cirriculi redesigned on the basis of a flawed philosophy. On Tuesday, March 25, 2003, at 05:01 AM, Rory Kerr wrote: > > Years of study, but of what, and with what abilities. When I > encountered Deke Kendall, in about 1985, he didn't speak or read > Chinese. At that time he presented a model that relied entirely on > other peoples research, for the most part Pomeranz as far as I could > tell. It seems to me that Deke early on got this idea into his head, > and has spent his time since then trying to rationalize it, ignoring > evidence to the contrary. It is telling that at the time I knew him, > he told me that he restricted his clinical activities to ear > acupuncture for addiction control. > > Rory Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 , " " wrote: > Whatever one's philosophy about Chinese or Western medicine, is it > really the basis for modeling licensing agencies or certification > bodies? >>> In this case, it seems to be the sole motivation. There's probably a significant doctorate market for persons who would like to use acupuncture and herbal modalities if it wasn't for all that mumbo- jumbo. Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 , " dragon90405 " wrote: > And, as always, when discussing this I > feel it's important to point out that > " energy " is in no way a suitable candidate > to serve as an English equivalent of qi4. Ken: What about translating qi4 as " vital air " ? Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 , " James Ramholz " <jramholz> wrote: > > Ken: > > What about translating qi4 as " vital air " ? > > > Jim Ramholz ironically, that is Deke Kendall's preferred translation of qi. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 , " " wrote: > I witnessed an all-out battle for control of the acupuncture board in one state twenty-two years ago between students, practitioners and proponents of differing philosophies of Chinese medicine played out in a state assembly setting. It is a miracle that they just didn't throw out the licensing board altogether. >>> I tend to see this pessimistically as a new front to fight. If herbs are going to be controlled in the future by FDA and a new doctorate is in political alignment with Western MDs and medical acupuncturists, how does that change our profession? Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 , " James Ramholz " <jramholz> wrote: > I tend to see this pessimistically as a new front to fight. at least the battle lines have been drawn for those who perceive this as a battle If herbs > are going to be controlled in the future by FDA Did I miss something. this will never happen as long as republicans control at least 40 votes in the US senate. It is mainly democrats who are the hysterics on this matter. I don't envision a democratic supermajority in congress ever again in my lifetime (for better and worse, alas). We can easily sidestep most of the concerns by supporting generals bans on herbs like ma huang with exemptions for us. There is zero public support for just allowing unrestricted sales of ephedra, so fighting that angle is a guaranteed loss. and a new doctorate > is in political alignment with Western MDs and medical > acupuncturists, how does that change our profession? I don't think these folks are aligned with medical acus. They believe in extensive training, one profession, no lower routes of entry. They even have a very fair degree upgrade for current master degree holders (similar to what was done in pharmacy in the 80's) I bet they would oppose medical acus altogether. As for aligning with MD's, I only see a problem if the grads from these schools use something other than the four exams to plan TCM therapy. I see no evidence that this is the case. The call for meeting biomedical primary care standards is a separate issue from TCM studies. These folks do not think you should use lab tests to plan TCM treatment. They think we should be able to make BOTH TCM and western dx. This is because one reading of California law says we are permitted (and possibly required) to do this. It really comes down to whether the material is presented in a new age metaphysical oriented background or a biomedical one (I actually think this has already happened at Mercy college). I know this is not what Ken really meant, but in the same vein, it probably makes no difference whether one tries to explain away TCM ideas using metaphysics or physiology. As long as one teaches the TCM methodology, any so-called explanation for qi, etc. is just icing. One can use the medicine effectively without ever considering any of this debate. the one point I do agree on is that the american public in general is turned off by eastern metaphysics. If one wants to reach the masses, one should really consider how metaphysical TCM really is. Did the chinese conceive it that way themselves or did they consider qi part of nature? If TCM is not metaphysical at its core, then it is no sellout to present it as a pragmatic medicine. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 , " " wrote: > ironically, that is Deke Kendall's preferred translation of qi. : No irony here. Kendall, in part, justifies what he thinks on what he says are the mistranslations of the French---mai, jinglou, qi. These wrong translations take CM in a direction away from the scientific basis it was, according to him, sympathetic with or seeking. I am asking Ken's opinion as to the reliablity of Kendall as a translator in these terms. Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 , " " wrote: They believe in extensive training, one profession, no lower routes of entry. They even have a very fair degree upgrade for current master degree holders (similar to what was done in pharmacy in the 80's) I bet they would oppose medical acus altogether. As for aligning with MD's, I only see a problem if the grads from these schools use something other than the four exams to plan TCM therapy. I see no evidence that this is the case. The call for meeting biomedical primary care standards is a separate issue from TCM studies.>>> : I hope you are correct. Having grown up in Chicago, I often think that everything is about backroom politics and power. Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 It really comes down to whether the material is presented in a new age metaphysical oriented background or a biomedical one (I actually think this has already happened at Mercy college). It looks like I'm going to be teaching at Mercy College beginning next fall, and Mercy has just started using our DL classes for independent study. They have a very interesting program which I have been watching closely for several years now. Their students do/will be doing their clinical work in three different hospitals in the NY metro area. However, their current director wonders whether there really is a viable market yet for a more medically mainstream training in acupuncture and Chinese medicine. Their program is having trouble competing against more " new agey " programs. There seem to be less potential students who want the more rigorous clinical education. This may also be a function of their marketing and advertising which is not, IMO, that great. In my experience, students at Mercy apply Chinese medicine according to Chinese medical theory and principles. However, they do have to be able to talk to Western medical professionals and function in Western medical health care facilities. In terms of that, their students compare very favorably to the Western med students with whom they often work along side. Bob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 > " · Any medical > system must have a defensible understanding and application of the > accepted basis of human physiology. ... It is our position that the > public is best served by practitioners trained in Oriental medical > theory and application that is consistent with the real world of > physiology.... · > Eventually, over time, all practitioners would ....render a diagnosis that is > consistent with Western biomedical understanding.... " A cardiologist invited me to provide a written report on a patient she referred to me. She enthusiastically told me: " just put it in English. I don't care about what points you use or stuff like that, but just tell me what you did. " The problem is, the points I used ARE what I did - the treatment plan was based on Chinese medical diagnosis, not on biomedical diagnosis. It's not just random " stuff, " it is our medicine. The closer I get to graduation, the more I find myself becoming offended by the suggestion that Chinese medical concepts are only legitimate when expressed in terms an MD would use. While I'm fascinated by ongoing inquiries into CM - biomed correlations and believe we all have much to gain from such investigations, I also feel it is wrong to try and shape the Chinese medical model to fit the parameters and language of another. Both are legitimate models. If we bow as a profession and enslave our terminology and methodology to biomedical concepts, we are in a sense confirming the perspective that sees our medicine as less than or junior to what is practiced by MDs. It's a bit like playing professional baseball but being told by ESPN that we must speak in football terms or no one will validate what we do as a legitimate sport. Baseball is not football. It has never needed to be. Chinese medicine is not biomedicine. It has never needed to be. I'm not suggesting we should defy all attempts to communicate between the professions - and I'm also not implying we shouldn't try to speak in terms that other medical professionals can understand and appreciate. I am, however, suggesting that we be mindful of our confidence and authority in our own profession and maintain its legitimacy as a parallel to other medical practices. --Laurie Burton Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 Their program is having trouble competing against more "new agey" programs. There seem to be less potential students who want the more rigorous clinical education. This may also be a function of their marketing and advertising which is not, IMO, that great. >>>That is why we need to push the schools. Its natural for people to choose the path of least resistance ie the easy programs Alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 Jim, > > I am asking Ken's opinion as to the reliablity of Kendall as a > translator in these terms. > Sorry, no opinion to give. I've not read his work. Only heard him talk once more than a dozen years ago, so I have no basis for any judgment or opinion. Ken Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2003 Report Share Posted March 25, 2003 Jim, > > > Ken: > > What about translating qi4 as " vital air " ? > The English phrase " vital air " doesn't mean anything at all to me. It also seems to rely on a presumption that there is some other kind of air, a " non-vital " variety? I'm not referring to the existence, ever more prevalent in the world, of toxic or simply malevolent air, largely generated by human beings. But adding the modifier " vital " in front of " air " really begs the question of the functionality of qi. It thus doesn't translate much of the functional meaning, and so much of what the meaning of qi is all about centers on functionality...instrumentality. There's more on this in A Brief History of Qi for anyone who's interested. Qi definitely has a range of meanings and usages that describe atmospheric phenomena, and, importantly for its meanings and usages in Chinese medicine, these atmospheric metaphors enfolded in qi are useful in describing the connection and communication of influences that pass back and forth between the body and its environment. At best, I'd rate " vital air " as a surface rendering of a body of meaning with a profound depth. At worst, it is so surface that it skips right off the meanings and passes by having given no insight into what we mean when we say qi. Ken Quote Link to comment Share on other sites More sharing options...
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