Guest guest Posted July 16, 2003 Report Share Posted July 16, 2003 , " seacell1 " <seacell@n...> wrote: > > > So I asked the question initially what was needed to make the ideal > text book for a STUDENT since the majority of texts used in our > schools today are criticized by most graduates and students Dave Da Feng's book is not a textbook. So Bensky still is the ideal textbook (until someone does something as comprehensive in wiseman terms). I also like xu and wang's chinese materia medica. As for bullets flying, I feel very strongly that the oldtimers on the list are very careful to attack ideas and not people in most cases. Newcomers are more likely to cross this line as has happened several times in the past month as the list and volume have grown dramtically. However, I am subject to more personal attacks than anyone else on this list. I believe I was called a racist earlier today. I typically turn the other cheek because I don't want to be perceived as guiding the list according to my emotional whims. I will also rescue anyone who deserves rescuing and chastise anyone who deserves chastising. So be bold in your questioning, but be clear that many statements will be challenged vigorously because anything less would be a shirking of our collective responsibility. And don't be too attached to your current thoughts. My mind has changed so many times in the past 16 years, it makes my head spin. Consider evidence and be prepared for bluntness. We know each other personally from back in the day, so you can be sure anything I write is meant with your interests at heart. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2003 Report Share Posted July 16, 2003 <<< Steve wrote: They don't understand how frustrating and unclear the current default, poorly written English references and terminology is as they still think in Chinese. I believe this " thinking " explains infinitely more in their own minds that is not deemed necessary to translate or too difficult to with their current TCM English vocabulary. >>> Steve: While using Wiseman terminology settles some problems of translation, it is not a guarantee of meaning. If you look at Steven Birch's Winter 2003 article in EJOM, " What is the Sanjiao, Triple Burner? An Exploration, " you can see the wide variety and conflicting ideas regarding the definition of " Sanjiao; " some of the theories do not even have any clinical application that matches the theory. Another example: the controversy started in the 7th century regarding whether it is correct to say 'defensive qi' has its origin in the lower burner has not be resolved. Su Si-mo claimed that the term 'xia/lower' was a textual error made in transcribing the Ling Shu; it should have read 'shang/upper.' This controversy, disputing part of the very foundation of CM, may never be resolved. It certainly has not been resolved in Chinese terms in many centuries. But perhaps it could be if we weren't exhorted and convinced to ignore biomedical terms and ideas. Some major componenets of the immune system (IMO, we can equate this with wei qi function)---white blood cells and platelets---grow from a single precursor cell known as a hematopoietic stem cell prduced by the bone marrow, and some lymphocytes mature in bone marrow. So we can say that wei qi is produced or begins its development in the lower jiao, since other components of the immune system develop in the thymus (an endocrine gland associated with spleen). So, while in one sense wei qi is produced in the lower jiao, it is also produced or developed in the middle jiao. Then expressed by the lung. Most contact between antigens and lymphocytes occurs in the lymphoid organs---the lymph nodes, spleen, and tonsils, as well as specialized areas of the intestine, and lungs. So, the answer to the dispute is more complex than the Chinese anticipated in the 7th century, in that it takes all 3 jiaos. Following the lead of neurophysiology and Complexity Theory, the basic unit is now networks and dynamic interactions; not parts acting in isolation. Some will say that I am mixing apples and oranges, but I think the parallel is practical and helps resolves the dispute. We certainly can't ignore WM---the Chinese don't. Birch sums up his article by saying: " Looking at the various descriptions above, how should we select one set of ideas and not others? By what criteria should we make such judgments? In the end, it is probably best to acknowledge that our understanding of this difficult historical entity is limited. It is best not to believe that how we each use it individually in the context of our practices is the whole picture. It is better to remain open to the possibilities of different ways of understanding what the triple burner might be. Furthermore it is probably useful to acknowledge that choosing to believe and utilize certain models makes them neither 'right' nor 'wrong', just valuable in the context of how each of us practices. " By using Wiseman we can budge the door open a little, but it will not be a panacea or ultimate solution. Just thinking out loud. Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2003 Report Share Posted July 16, 2003 Hi James, Your points are well taken. I fully realise that Wiseman terminology is not a panacea; it is just the best solution I can see for the problems we all face with learning TCM in English at this time. Especially at the basic foundation level. For example, translating the entire curriculum of actual basic TCM texts used in china into Wiseman terminology would serve as a good basis for our own professional education. They would form a credible foundation similar to the default in china. Really, that is all I guess I am hoping for at this stage. This may very well be a pipe dream at this stage due to the colossal work involved and the limited financial incentive for undertaking such a task......it would be a labour of love rather then for monetary gain. Such a sacrifice of time and talent would certainly be gratefully appreciated by the western student community and a generous legacy to the growth of TCM in the west. With texts such as “Fundamentals of ” by Wiseman and “Practical Diagnosis in Traditional ” by Marnae Ergil we have a great start in this pursuit. Unfortunately, they have limited use in professional TCM programs in the west at this stage in a true reference fashion......to my eyes they are often on the reference text list without concern for what this actually means.i.e they are not given the respect the term “reference” infers if any difference of opinion is expressed by a Chinese teacher. The issue of definitions of concepts which have a controversial history is not at all what I am talking about when suggesting Wiseman terminology would clear much of the learning problems/text issues up. But even in these cases, having an English equivalent for each term/character used in these arguments would allow those of us without Chinese reading ability to more fully understand and consider these controversies for ourselves. Best wishes Steve my general suggestion is On 16/7/03 7:08 PM, " James Ramholz " <jramholz wrote: <<< Steve wrote: They don't understand how frustrating and unclear the current default, poorly written English references and terminology is as they still think in Chinese. I believe this " thinking " explains infinitely more in their own minds that is not deemed necessary to translate or too difficult to with their current TCM English vocabulary. >>> Steve: While using Wiseman terminology settles some problems of translation, it is not a guarantee of meaning. If you look at Steven Birch's Winter 2003 article in EJOM, " What is the Sanjiao, Triple Burner? An Exploration, " you can see the wide variety and conflicting ideas regarding the definition of " Sanjiao; " some of the theories do not even have any clinical application that matches the theory. Another example: the controversy started in the 7th century regarding whether it is correct to say 'defensive qi' has its origin in the lower burner has not be resolved. Su Si-mo claimed that the term 'xia/lower' was a textual error made in transcribing the Ling Shu; it should have read 'shang/upper.' This controversy, disputing part of the very foundation of CM, may never be resolved. It certainly has not been resolved in Chinese terms in many centuries. But perhaps it could be if we weren't exhorted and convinced to ignore biomedical terms and ideas. Some major componenets of the immune system (IMO, we can equate this with wei qi function)---white blood cells and platelets---grow from a single precursor cell known as a hematopoietic stem cell prduced by the bone marrow, and some lymphocytes mature in bone marrow. So we can say that wei qi is produced or begins its development in the lower jiao, since other components of the immune system develop in the thymus (an endocrine gland associated with spleen). So, while in one sense wei qi is produced in the lower jiao, it is also produced or developed in the middle jiao. Then expressed by the lung. Most contact between antigens and lymphocytes occurs in the lymphoid organs---the lymph nodes, spleen, and tonsils, as well as specialized areas of the intestine, and lungs. So, the answer to the dispute is more complex than the Chinese anticipated in the 7th century, in that it takes all 3 jiaos. Following the lead of neurophysiology and Complexity Theory, the basic unit is now networks and dynamic interactions; not parts acting in isolation. Some will say that I am mixing apples and oranges, but I think the parallel is practical and helps resolves the dispute. We certainly can't ignore WM---the Chinese don't. Birch sums up his article by saying: " Looking at the various descriptions above, how should we select one set of ideas and not others? By what criteria should we make such judgments? In the end, it is probably best to acknowledge that our understanding of this difficult historical entity is limited. It is best not to believe that how we each use it individually in the context of our practices is the whole picture. It is better to remain open to the possibilities of different ways of understanding what the triple burner might be. Furthermore it is probably useful to acknowledge that choosing to believe and utilize certain models makes them neither 'right' nor 'wrong', just valuable in the context of how each of us practices. " By using Wiseman we can budge the door open a little, but it will not be a panacea or ultimate solution. Just thinking out loud. Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2003 Report Share Posted July 16, 2003 Jim, I certainly am interested in complexity theory and its applications to Chinese medicine, but I don't know if we can lump biomedicine together with complexity theory (it hasn't theoretically caught up yet), or Chinese medical concepts with biomedical concepts. In saying that, I am not implying that we shouldn't examine traditional CM phenomena with the tools of anatomy and physiology as you describe here. I find many of your analogies and those of Emmanuel Segman very eloquent and well thought out. It is just that it is going to take some time, study, and clinical application to figure it out, and we shouldn't draw premature conclusions. For me, Chinese medicine and biomedicine are like parallel universes that sometimes intersect. Determining those coordinates, Captain Jim , is the challenge. On Wednesday, July 16, 2003, at 02:08 AM, James Ramholz wrote: > This controversy, disputing part of the very foundation of CM, may > never be resolved. It certainly has not been resolved in Chinese > terms in many centuries. But perhaps it could be if we weren't > exhorted and convinced to ignore biomedical terms and ideas. Some > major componenets of the immune system (IMO, we can equate this with > wei qi function)---white blood cells and platelets---grow from a > single precursor cell known as a hematopoietic stem cell prduced by > the bone marrow, and some lymphocytes mature in bone marrow. So we > can say that wei qi is produced or begins its development in the > lower jiao, since other components of the immune system develop in > the thymus (an endocrine gland associated with spleen). So, while in > one sense wei qi is produced in the lower jiao, it is also produced > or developed in the middle jiao. Then expressed by the lung. Most > contact between antigens and lymphocytes occurs in the lymphoid > organs---the lymph nodes, spleen, and tonsils, as well as > specialized areas of the intestine, and lungs. So, the answer to the > dispute is more complex than the Chinese anticipated in the 7th > century, in that it takes all 3 jiaos. Following the lead of > neurophysiology and Complexity Theory, the basic unit is now > networks and dynamic interactions; not parts acting in isolation. > > Some will say that I am mixing apples and oranges, but I think the > parallel is practical and helps resolves the dispute. We certainly > can't ignore WM---the Chinese don't. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2003 Report Share Posted July 16, 2003 I certainly am interested in complexity theory and its applications to Chinese medicine, but I don't know if we can lump biomedicine together with complexity theory (it hasn't theoretically caught up yet), or Chinese medical concepts with biomedical concepts.>>>>In the social and psychiatric literature (especially in Europe) you can start seeing very complex multifactorial statistical methods used. These can be used to study CM quite well. Alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2003 Report Share Posted July 16, 2003 , " " wrote: I certainly am interested in complexity theory and its applications > to Chinese medicine, but I don't know if we can lump biomedicine > together with complexity theory (it hasn't theoretically caught up > yet), or Chinese medical concepts with biomedical concepts. >>> Z'ev: There's a number of books already available about complexity theory as it is applied to physiological and even to psychological processes; so the material is already there waiting. In clinic, when viewed from the perspective of pulse diagnosis, theory and clinical application are never far apart. For example, we can see how complex the interacting elements of a system are when we examine the pulses-- -which is like, as I am always fond of saying, examining Phase Space. All the possibilities of the system can be mapped out in the pulses---not necessarily in basic TCM-style, but certainly in the Shen/Hammer and Dong Han styles. > It is just that it is going to take some time, study, and clinical application to figure it out, and we shouldn't draw premature conclusions. >>> What exactly are we waiting for? Complexity Theory has matured sufficiently to begin development and deeper speculation. By using Complexity Theory, more sophisticated models of pulse diagnosis, 5- Elements, and biochemical terms together we can make some interesting bridges between them. Much has already been figured out. Jim Ramholz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2003 Report Share Posted July 16, 2003 Emmanuel,Thanks for you wise and kind words; I certainly hope to make some contribution to TCM education and standards in the future......once I feel I have the full ability to do so at a professional level.Steve It seems like you've got a running start, and you still retain a lot of energy. It's my feeling that you will succeed in making plenty of contributions. Emmanuel Segmen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2003 Report Share Posted July 18, 2003 , " " <@i...> wrote: >I believe that the curriculum at schools such as PCOM and SIOM >(sorry, I don't know what's up elsewhere --please chime in), which >is based on modern curriculum design is so more effective than the >old style rote learning. I agree that utilizing case studies and pursuing a more active classroom approach can be very beneficial. Regarding SIOM, my understanding from discussions with Paul and Dan is that their teaching model won't work with more than 12-15 students, which is why they limit the incoming class to 15 (they usually enroll fewer). This is the first I've seen anyone compare themselves to SIOM in a curricular context. What is a typical Theory class size at PCOM? I'm curious how case based learning can be truly effective with large class sizes. I have no doubt that PCOM is a fine school, yet it is one of the larger schools as well isn't it? In my experience SIOM type case discussions can be rather unruly with even 12 students. Pardon the pun, but do you know some ancient Chinese secret? On a different note, regarding required textbooks in class: My individual herbs class with Guohui Liu offers a nice way to " force " students to do outside reading. He gives homework assignments that combine, theory, herbs, and case studies. Our most recent assignment required us to read a chapter in the Shang Han Lun, and a chapter in his Wen Bing text. We then had to extrapolate from our class notes, and those readings in order to recommend herbs and justify our position (he required approximately 2 pages typed). I think assignments like this are a great idea. -Tim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2003 Report Share Posted July 18, 2003 In a message dated 7/16/2003 3:58:44 PM Eastern Standard Time, alonmarcus writes: > In the social and psychiatric literature (especially in Europe) you can start seeing very complex multifactorial > statistical methods used. These can be used to study CM quite well. Alon - can you please cite a model that might be submitted to the Office of Integrative Medicine? They are requesting what we use for study models for our medicine. Will Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2003 Report Share Posted July 18, 2003 Alon - can you please cite a model that might be submitted to the Office of Integrative Medicine? They are requesting what we use for study models for our medicine. >>>>>>>> Will here are some that I know off hand. I am sure there are others. if you need more info let me know. Here are 3 books that i have that can be useful. Multiple scaling. The theory and application of partial order sclagram analysis. Samuel Shye. Elsevier Science Publishing NY 1985 Multi Dimensional Data Representations: When and Why. Ed: Ingwer Borg. Mathesis Press. Ann Arbor Mi 1981. Geometric Representation of Relational Data Ed: Lingoes Roskam and Borg. Mathesis Press 1979. These are just 2 books i have. Look up Multidimensional Scaleogram Analysis (MSA) Or Partial Order Scaleogram Analysis with Coordinate (POSAC) on the net. These two are by Louis Guttman that I know personally. They are well excepted in Europe but not in US. And can handle very complex problems Also look up Logistic Regressions Alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 20, 2003 Report Share Posted July 20, 2003 In a message dated 7/18/2003 9:02:06 PM Pacific Daylight Time, alonmarcus writes: Multiple scaling. The theory and application of partial order sclagram analysis. Samuel Shye. Elsevier Science Publishing NY 1985 Multi Dimensional Data Representations: When and Why. Ed: Ingwer Borg. Mathesis Press. Ann Arbor Mi 1981. Geometric Representation of Relational Data Ed: Lingoes Roskam and Borg. Mathesis Press 1979. These are just 2 books i have. Look up Multidimensional Scaleogram Analysis (MSA) Or Partial Order Scaleogram Analysis with Coordinate (POSAC) on the net. These two are by Louis Guttman that I know personally. They are well excepted in Europe but not in US. And can handle very complex problems Also look up Logistic Regressions Alon - Do you know of any published OM studies using these models? best regards - Will Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 20, 2003 Report Share Posted July 20, 2003 Do you know of any published OM studies using these models? >>>>None. It would be very expensive to do such studies as you can truly look at very sophisticated complex questions. Most studies on OM or biomedical studies are about simple outcome verses a simple control. I have never seen an OM study that tried to control for complex questions and influences. I think these tools would be especially useful to study the potential of preventative OM applications as you can do very complex longitudinal evaluation. Alon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 20, 2003 Report Share Posted July 20, 2003 This stuff is very interesting. I'm going to take a closer look over the next few weeks. On Sunday, July 20, 2003, at 09:24 AM, Alon Marcus wrote: > Do you know of any published OM studies using these models? > > >>>>None. It would be very expensive to do such studies as you can > truly look at very sophisticated complex questions. Most studies on OM > or biomedical studies are about simple outcome verses a simple > control. I have never seen an OM study that tried to control for > complex questions and influences. I think these tools would be > especially useful to study the potential of preventative OM > applications as you can do very complex longitudinal evaluation. > Alon > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 21, 2003 Report Share Posted July 21, 2003 Here at NESA the Research and Library Departments have started a collegium journal club. We get about 20-25 staff/professors/students together every 6 weeks. One of our big topics that’s become apparent form discussing articles together this year is the resistance of biomedicine to embrace 20th century scientific discoveries -- particularly physics. While this sounds like a lumping, blanket statement and would be thus hard pressed to be true… The majority of research being done seems methodologically old-fashioned. As one student put it, most clinical trial-type research relating to A/OM seems to avoid modern science from “from Niels Bohr on…” There has always been a lag between science and technology, and similarly science and medicine. More so than science, both medicine and technology have a more dependent relationship to production, distribution and consumption systems. One of my favorite examples is the delay in getting the flush toilet out to the masses – it seems we just didn’t have the sewer systems in place – it’s all about distribution mechanisms! I wonder how much the distribution systems affects the shift in research we’re talking about? In my own experience doing research, it’s much harder to get funding for methodologically creative studies. Does anyone have citations for any medical research articles that apply complexity theory? Thanks, Della Della Lawhon, MAOM, LAc, Dipl CH (NCCAOM), Kelly Library New England School of Acupuncture 40 Belmont St Watertown, MA 02472 617-926-3969 dlawhon www.nesa.edu/library.html ALON MARCUS [alonmarcus] Wednesday, July 16, 2003 4:59 PM To: Re: Re: TCM text book I certainly am interested in complexity theory and its applications to Chinese medicine, but I don't know if we can lump biomedicine together with complexity theory (it hasn't theoretically caught up yet), or Chinese medical concepts with biomedical concepts. >>>>In the social and psychiatric literature (especially in Europe) you can start seeing very complex multifactorial statistical methods used. These can be used to study CM quite well. Alon 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. Your use of is subject to the Terms of Service. Quote Link to comment Share on other sites More sharing options...
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