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Z'ev

 

I definitely agree with the most part of what you are saying... but

my point was more along the lines of the definition of latent qi

(evil, heat or whatever) specific from the wenbing era. Just because

something lurks in the body can we call it LP? I do not believe so.

If so, any real meaning of the term is lost. This 'mistake' I feel

is done too often in our western TCM community. 'We' label

everything from herpes to AIDS to MS, and now BOTOX to wenbing

lurking pathogen... It gets ridiculous because Western Medicine have

proven that hundreds of virus's lurk in the body until an opportune

time to attack. One could say that almost anything is a lurking

pathogen, where does this get us? I think an adequate test to see if

the theory holds is if the treatment principles and formulas for LP

pan out for these diseases.. as we have talked about before they DO

NOT the majority of the time...but also, how does it PRESENT! Mixing

western & eastern etiologies (latent viruses etc) only complicates

the matter. These numerous `new' diseases might sometimes present in

a wenbing LP style, but we have to understand what that means to

recognize it. Also, I believe the most important thing is if one is

going to start applying theoretical concepts to new diseases or

situations one should be VERY educated in the topic. Dr. Liu is very

well qualified for this. But is the average westerner? This is where

it hurts, when one does not have the education & experience to MSU….

Obviously people don't understand their limitations because I have

read some really out there stuff from westerners that just like to

MSU without any grounding in Chinese or sometimes basic theory…

I ask again, what about BOTOX gives people the impression that it

will present like a LP? You say " How can there be

> anything wrong with using models to suggest that new phenomena may

have

> a long-term effect on health? "

 

This seems fine on the surface... but all of sudden we have ourselves

saying botox might create LPs, ... But were is the proof, either

theoretical or practical??? why LP? We must be grounded somewhere?

Bensky's & Dr. Liu's examples (below) are grounded in not only

clinical observation, but both of them are extremely educated in the

past theory that they discuss.

 

and correct me if I'm wrong, but all the major theoretical leaps

(wenbing, SHL etc), were not from theoretical thinking, but from

practical experience... This is what works, and now we have the

theory. I still believe that practice, the majority of the time,

precedes the theory... It is that way in music, art etc. I am

curious what you think, when is someone able to MSU?

 

-

 

, , " "

<zrosenbe@s...> wrote:

> Jason,

> Theoretical constructs are designed for speculation, as long

as

> people recognize they are using working models. How can there be

> anything wrong with using models to suggest that new phenomena may

have

> a long-term effect on health? It is like trying out different

> equations with various theories in physics. It is part of the

learning

> and teaching process. Without it, there cannot be growth.

> In Dr. Liu's Warm Disease text, he offers the possibility that

many

> drugs such as antidepressants may cause latent qi. And Dan Bensky

> pointed out in his CHA lecture that while we may not use

precipitating

> medicinals such as da huang in modern practice for exterior

disorders,

> antibiotics can cause diarrhea in many patients, allowing the

pathogen

> to sink inwards. While these ideas are 'speculative', with time

> clinical experience will determine what will work and what will

not.

> We shouldn't take it as gospel, but we shouldn't reject it either.

The

> botox phenomenon may well lead to a form of latent qi or transmuted

> pattern. Time will tell.

>

> For me, the latent qi model has a more specific application, as in

chun

> wen/spring warmth disease, and more broad application, to

suppression

> of disease factors deep in the yin interior.

> Remember that Jin-Yuan physicians also applied classical theory

in

> new ways.

> Are we up for that task? Perhaps not, but I don't think it

will

> hurt to try, as long as our limitations are understood.

>

>

> On Monday, June 23, 2003, at 05:40 PM, wrote:

>

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Jason,

 

I have a bit of a challenging time with the harsh wording of your post. We are merely exploring thoughts and concepts, that is the point of this forum, to allow a space for us to communicate ideas.

 

I agree with you - ideas must be grounded in practice and the effects of botox and other new phenomena like it will reveal itself as time goes on. Your thinking and research shows your passion for the medicine and I am glad to see your attitude of "sticking with what we know from practice". chinese medicine over the years evoloved from constant openness and integration of new ideas and situations as they presented themselves.

 

lets maintain the spirit of cordial respect between practitioners on this list.

 

Eti < wrote:

Z'evI definitely agree with the most part of what you are saying... but my point was more along the lines of the definition of latent qi (evil, heat or whatever) specific from the wenbing era. Just because something lurks in the body can we call it LP? I do not believe so. If so, any real meaning of the term is lost. This 'mistake' I feel is done too often in our western TCM community. 'We' label everything from herpes to AIDS to MS, and now BOTOX to wenbing lurking pathogen... It gets ridiculous because Western Medicine have proven that hundreds of virus's lurk in the body until an opportune time to attack. One could say that almost anything is a lurking pathogen, where does this get us? I think an adequate test to see if the theory holds is if the treatment principles and formulas for LP pan out for

these diseases.. as we have talked about before they DO NOT the majority of the time...but also, how does it PRESENT! Mixing western & eastern etiologies (latent viruses etc) only complicates the matter. These numerous `new' diseases might sometimes present in a wenbing LP style, but we have to understand what that means to recognize it. Also, I believe the most important thing is if one is going to start applying theoretical concepts to new diseases or situations one should be VERY educated in the topic. Dr. Liu is very well qualified for this. But is the average westerner? This is where it hurts, when one does not have the education & experience to MSU…. Obviously people don't understand their limitations because I have read some really out there stuff from westerners that just like to MSU without any grounding in Chinese or sometimes basic theory…I ask again, what about BOTOX gives people the impression that

it will present like a LP? You say "How can there be > anything wrong with using models to suggest that new phenomena may have > a long-term effect on health?"This seems fine on the surface... but all of sudden we have ourselves saying botox might create LPs, ... But were is the proof, either theoretical or practical??? why LP? We must be grounded somewhere? Bensky's & Dr. Liu's examples (below) are grounded in not only clinical observation, but both of them are extremely educated in the past theory that they discuss.and correct me if I'm wrong, but all the major theoretical leaps (wenbing, SHL etc), were not from theoretical thinking, but from practical experience... This is what works, and now we have the theory. I still believe that practice, the majority of the time, precedes the theory... It is that way in music, art etc. I am curious what you think, when is someone able to

MSU?-, , "" <zrosenbe@s...> wrote:> Jason,> Theoretical constructs are designed for speculation, as long as > people recognize they are using working models. How can there be > anything wrong with using models to suggest that new phenomena may have > a long-term effect on health? It is like trying out different > equations with various theories in physics. It is part of the learning > and teaching process. Without it, there cannot be growth.> In Dr. Liu's Warm Disease text, he offers the possibility that many > drugs such as antidepressants may cause latent qi. And Dan Bensky > pointed out in his CHA lecture that while we may not use precipitating > medicinals such as da huang in modern practice for

exterior disorders, > antibiotics can cause diarrhea in many patients, allowing the pathogen > to sink inwards. While these ideas are 'speculative', with time > clinical experience will determine what will work and what will not. > We shouldn't take it as gospel, but we shouldn't reject it either. The > botox phenomenon may well lead to a form of latent qi or transmuted > pattern. Time will tell.> > For me, the latent qi model has a more specific application, as in chun > wen/spring warmth disease, and more broad application, to suppression > of disease factors deep in the yin interior.> Remember that Jin-Yuan physicians also applied classical theory in > new ways.> Are we up for that task? Perhaps not, but I don't think it will > hurt to try, as long as our limitations are

understood.> > > On Monday, June 23, 2003, at 05:40 PM, wrote:> 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.

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It gets ridiculous because Western Medicine have proven that hundreds of virus's lurk in the body until an opportune time to attack. One could say that almost anything is a lurking pathogen, where does this get us? I think an adequate test to see if the theory holds is if the treatment principles and formulas for LP pan out for these diseases..

 

>>>>The only meaning test

Alon

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Dr. Liu is very well qualified for this. But is the average westerner? This is where it hurts, when one does not have the education & experience to MSU….

>>>To me this is less important if one can show it clinically in a reliable setting. Sometimes it takes a more shallow (of different) understanding to make a breakthrough. These however must be real and not just sound good or logical

Alon

 

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This seems fine on the surface... but all of sudden we have ourselves saying botox might create LPs, ... But were is the proof, either theoretical or practical??? why LP?

>>>If i had to make a guess it probably result in local damage from poor nourishment. As i see it much of Jing-nourishment may travel via nerves (trophic factors) which botox blocks

Alon

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Jason,

It was never my idea that botox was a latent pathogen. If someone

proposes the idea, it should be discussed in light of the Chinese

literature, thought out, and then observed in patients. This is the

Chinese version of the 'scientific method'.

As I said in an earlier post, my present understanding of latent qi

is a suppressed response of the body to an exterior attack caused by

wrong treatment, weak correct qi, or abnormal seasonal weather changes.

It is not based on a particular virus, drug, or tissue particularly.

Therefore, I am interested in potential long-term effects of botox

treatment. . . .no matter what anyone calls it.

 

 

On Monday, June 23, 2003, at 07:02 PM, wrote:

 

> I definitely agree with the most part of what you are saying... but

> my point was more along the lines of the definition of latent qi

> (evil, heat or whatever) specific from the wenbing era. Just because

> something lurks in the body can we call it LP? I do not believe so.

> If so, any real meaning of the term is lost. This 'mistake' I feel

> is done too often in our western TCM community. 'We' label

> everything from herpes to AIDS to MS, and now BOTOX to wenbing

> lurking pathogen... It gets ridiculous because Western Medicine have

> proven that hundreds of virus's lurk in the body until an opportune

> time to attack.

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I think it always has been a combination of the two. . .what my friend

David Weininger, a chemist, calls the Chinese version of the scientific

method. That is to observe a problem, apply theory, develop a

methodology, and execute (clinical treatment). It is a seamless and

beautiful unity between theory and clinical practice. That is one of

the things I love about Chinese medicine.

 

I don't think one can say that theory preceded practice or practice

preceded theory. It is classic chicken or egg dilemma. They develop

together, organically. The existence of the problem of the disease is

tackled through the combination of the two.

 

Chinese medicine is a rational medicine, based on application of theory

to phenomena. It is not empiricism per se, where accidently treatments

are found that 'work'. One applies the laws of yin and yang to the

scope of human health in the context of clinical practice (you can say

the laboratory of Chinese medicine) and observes results. Theory and

practice are a unity, yin and yang, that nurture each other.

 

I have recently been studying and translating the damp-warmth section

of " Wen bing tiao bian/Systematic Differentiation of Warm Disease as

part of my medical Chinese studies in collaboration with Dr. Fred Wong.

I must say I am very impressed at the thinking process of the author

(Dr. Wu Ju-tong) and how he ties the internal and internal environment,

season, theory and treatment together.

 

Just as Dr. Wu applied his tools of thought, theory and clinical

practice to his time and place (Southern China in the late 18th

century), we need to do this in our time as well. Are we qualified to

do so? Time will tell. But the effort must be made.

 

 

On Monday, June 23, 2003, at 07:02 PM, wrote:

 

> and correct me if I'm wrong, but all the major theoretical leaps

> (wenbing, SHL etc), were not from theoretical thinking, but from

> practical experience... This is what works, and now we have the

> theory. I still believe that practice, the majority of the time,

> precedes the theory... It is that way in music, art etc. I am

> curious what you think, when is someone able to MSU?

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Eti,

 

I greatly apologize if you and others found my words harsh... I too

am exploring this idea, and just encouraging everyone to a) use the

terms / ideas in a 'somewhat' Chinese/ standard way. b) at least

give some justification for the statements made... I did not mean

this to be constricting, so I am sorry... I am just curious why the

LP idea is used. also at the same time explore what we really mean my

LP, and maybe the way that it is being used is not the best...

Finally, I want to emphasize that I am not taking the stance that we

must only do what we know from practice, or that we must only do what

we have been taught... We must also explore and try new things, there

is just a fine line when one presents ideas from a purely theoretical

concept, without any clinical proof, or strong theory to support

it... Maybe there is both of these, that is why I am asking... thanx

for keeping me straight eti,

 

-Jason

 

 

, Eti Domb <etidomb>

wrote:

> Jason,

>

> I have a bit of a challenging time with the harsh wording of your

post. We are merely exploring thoughts and concepts, that is the

point of this forum, to allow a space for us to communicate ideas.

>

> I agree with you - ideas must be grounded in practice and the

effects of botox and other new phenomena like it will reveal itself

as time goes on. Your thinking and research shows your passion for

the medicine and I am glad to see your attitude of " sticking with

what we know from practice " . chinese medicine over the years

evoloved from constant openness and integration of new ideas and

situations as they presented themselves.

>

> lets maintain the spirit of cordial respect between practitioners

on this list.

>

> Eti

>

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, " "

<zrosenbe@s...> wrote:

> Jason,

> It was never my idea that botox was a latent pathogen. If

someone

> proposes the idea, it should be discussed in light of the Chinese

> literature, thought out, and then observed in patients.

 

 

I agree and never meant to say that it was your idea... It very well

may create a lurking pathogen... Just not sure right now...

 

This is the

> Chinese version of the 'scientific method'.

> As I said in an earlier post, my present understanding of

latent qi

> is a suppressed response of the body to an exterior attack caused

by

> wrong treatment, weak correct qi, or abnormal seasonal weather

changes.

> It is not based on a particular virus, drug, or tissue

particularly.

> Therefore, I am interested in potential long-term effects of botox

> treatment. . . .no matter what anyone calls it.

>

 

Me too... So the question is has anyone seen or read anything so far?

 

-JAson

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, " Alon Marcus "

<alonmarcus@w...> wrote:

> Dr. Liu is very

> well qualified for this. But is the average westerner? This is

where

> it hurts, when one does not have the education & experience to

MSU..

> >>>To me this is less important if one can show it clinically in a

reliable setting. Sometimes it takes a more shallow (of different)

understanding to make a breakthrough. These however must be real and

not just sound good or logical

> Alon

 

Yes I agree... but Let me ask you, z'ev and anyone else... IF there

is no clinical experience or observation, and person A has not enough

theortical understanding to explore a topic like LP... What do you

think if they start expanding upon this theory for a new disease? and

then I write about it? and put it on the internet? Does this benifit

the thinking of our medicine, or start to confuse it for others? I

actually am not sure of the answer and am trying to ask this question

in an open way....

 

-JAson

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I must say I am very impressed at the thinking process of the author (Dr. Wu Ju-tong) and how he ties the internal and internal environment, season, theory and treatment together.>>>Z'ev are you sure that he did not first "came upon" treatments and than filled in the theory. Who knows

Alon

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A resource I can recommend, Alon, is Marta Hansen's " Inventing a

Tradition in " , about the development of the Warm

Disease school out of previous concepts in the Shang Han Lun, adapting

them to changing times and conditions. From his writings, it seems

that Dr. Wu had the SHL in mind in developing his observations and

prescriptions.

 

An interesting topic, theory and treatment and their relationship.

Harris Coulter's Divided Legacy in four volumes is on just this dynamic

throughout the history of medicine in the West.

 

 

On Tuesday, June 24, 2003, at 07:46 AM, Alon Marcus wrote:

 

> I must say I am very impressed at the thinking process of the author

> (Dr. Wu Ju-tong) and how he ties the internal and internal environment,

> season, theory and treatment together.

> >>>Z'ev are you sure that he did not first " came upon " treatments and

> than filled in the theory. Who knows

> Alon

>

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use the terms / ideas in a 'somewhat' Chinese/ standard way.

>>>I also anchorage people to use terms/ideas in a new way that is at some way comes from their OM training. I do not believe we need to justify everything from Chinese literature, new or old

Alon

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What do you think if they start expanding upon this theory for a new disease? and then I write about it? and put it on the internet? Does this benifit the thinking of our medicine, or start to confuse it for others? I actually am not sure of the answer and am trying to ask this question in an open way....

>>>The only benifit is that somebody may actually test it and then hopefully share. I would however hope that people would write only often some clinical real life feedback. Otherwise it is only more theory.I think we have quite a lot of that

Alon

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Shang Han Lun, adapting them to changing times and conditions. From his writings, it seems that Dr. Wu had the SHL in mind in developing his observations and prescriptions

>>>I am sure that is true, but what came first clinical observation or theory? Do we know?

Alon

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