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One other thought on this, Doug.

 

" Or put another way, (I believe I am quoting Al Stone) the body can't correct

a pathology with a pathology "

 

I believe that this statement is not exactly correct. There are numerous

" reactive " responses that the body generates to pathology. In addition to this

one we are discussing, what about scar tissue formation? What about lymphatic

accumulation? This isn't even exploring the emotional mechanism of " blocking "

traumas which Upledger calls " energy cysts " , this is a very real pathogenic

reaction, and as with the first two cases, is well intended but ultimately a

pathogenic response to pathology.

 

Respectfully,

 

Yehuda

 

 

 

 

 

 

 

 

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Yehuda-

 

Can you give an example of this in TCM theory (not related to Jeffrey

Yuen) to back up your assertion? Where else in TCM does the body

produce a pathology to counteract another pathology?

 

-Steve

 

On Jun 26, 2007, at 4:42 PM, yehuda frischman wrote:

 

> One other thought on this, Doug.

>

> " Or put another way, (I believe I am quoting Al Stone) the body

> can't correct a pathology with a pathology "

>

> I believe that this statement is not exactly correct. There are

> numerous " reactive " responses that the body generates to pathology.

> In addition to this one we are discussing, what about scar tissue

> formation? What about lymphatic accumulation? This isn't even

> exploring the emotional mechanism of " blocking " traumas which

> Upledger calls " energy cysts " , this is a very real pathogenic

> reaction, and as with the first two cases, is well intended but

> ultimately a pathogenic response to pathology.

>

> Respectfully,

>

> Yehuda

>

>

>

>

>

>

>

> Choose the right car based on your needs. Check out Autos

> new Car Finder tool.

>

>

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Guest guest

Hi Steve,

 

The examples that I give are empirically obvious: The body clearly reacts (or

more precisely overreacts) to the presence of pathogens, as is clear from the

examples I listed. I am far from a scholar of Chinese medical literature, and

would ask others in the group to help me answer your question, but I will give

you one example: Li Dong yuan's concept of Yin fire, which to my understanding

of the Pi Wei Lun, is the body's response to to damp accummulation in the

presence of Spleen xu. This combination of factors disturbs the Ming Men,

causing a pathogenic upward flaring of this " Yin Fire " , damaging the spleen

and the Zhong Qi, and leaving the Kidneys void of Yang Qi, and therefore, cold.

In this case, this pathogenic Yin Fire was the result of the body's reaction to

a pathogenic accumulation of dampness, a reaction which actually pathogenically

vacated the Ming Men. Is this not such an example?

 

Respectfully,

 

Yehuda

 

Stephen Bonzak <stephenbonzak wrote:

Yehuda-

 

Can you give an example of this in TCM theory (not related to Jeffrey

Yuen) to back up your assertion? Where else in TCM does the body

produce a pathology to counteract another pathology?

 

-Steve

 

On Jun 26, 2007, at 4:42 PM, yehuda frischman wrote:

 

> One other thought on this, Doug.

>

> " Or put another way, (I believe I am quoting Al Stone) the body

> can't correct a pathology with a pathology "

>

> I believe that this statement is not exactly correct. There are

> numerous " reactive " responses that the body generates to pathology.

> In addition to this one we are discussing, what about scar tissue

> formation? What about lymphatic accumulation? This isn't even

> exploring the emotional mechanism of " blocking " traumas which

> Upledger calls " energy cysts " , this is a very real pathogenic

> reaction, and as with the first two cases, is well intended but

> ultimately a pathogenic response to pathology.

>

> Respectfully,

>

> Yehuda

>

>

>

>

>

>

>

> Choose the right car based on your needs. Check out Autos

> new Car Finder tool.

>

>

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Yehuda,

 

 

 

Just curious how you treat the below (yinfire) scenario you describe?

 

 

 

-Jason

 

 

 

 

 

_____

 

 

On Behalf Of yehuda frischman

Sunday, July 01, 2007 11:44 PM

 

Re: pathogenic reactions to pathology

 

 

 

Hi Steve,

 

The examples that I give are empirically obvious: The body clearly reacts

(or more precisely overreacts) to the presence of pathogens, as is clear

from the examples I listed. I am far from a scholar of Chinese medical

literature, and would ask others in the group to help me answer your

question, but I will give you one example: Li Dong yuan's concept of Yin

fire, which to my understanding of the Pi Wei Lun, is the body's response to

to damp accummulation in the presence of Spleen xu. This combination of

factors disturbs the Ming Men, causing a pathogenic upward flaring of this

" Yin Fire " , damaging the spleen and the Zhong Qi, and leaving the Kidneys

void of Yang Qi, and therefore, cold. In this case, this pathogenic Yin Fire

was the result of the body's reaction to a pathogenic accumulation of

dampness, a reaction which actually pathogenically vacated the Ming Men. Is

this not such an example?

 

Respectfully,

 

Yehuda

 

Stephen Bonzak <stephenbonzak@ <stephenbonzak%40comcast.net>

comcast.net> wrote:

Yehuda-

 

Can you give an example of this in TCM theory (not related to Jeffrey

Yuen) to back up your assertion? Where else in TCM does the body

produce a pathology to counteract another pathology?

 

-Steve

 

On Jun 26, 2007, at 4:42 PM, yehuda frischman wrote:

 

> One other thought on this, Doug.

>

> " Or put another way, (I believe I am quoting Al Stone) the body

> can't correct a pathology with a pathology "

>

> I believe that this statement is not exactly correct. There are

> numerous " reactive " responses that the body generates to pathology.

> In addition to this one we are discussing, what about scar tissue

> formation? What about lymphatic accumulation? This isn't even

> exploring the emotional mechanism of " blocking " traumas which

> Upledger calls " energy cysts " , this is a very real pathogenic

> reaction, and as with the first two cases, is well intended but

> ultimately a pathogenic response to pathology.

>

> Respectfully,

>

> Yehuda

>

>

>

>

>

>

>

> Choose the right car based on your needs. Check out Autos

> new Car Finder tool.

>

>

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Guest guest

To quote Li Dong Yuan: " Then how to treat this? The only choice is to emplly

acrid, sweet warm ingredients to supplement the center and upraise yang along

with sweet cold to drain fire...Warm can eliminate intense heat. " So we would

dry dampness by aromatically transforming it, while at the same time

regulating the qi, nourishing the blood, and supplementing and raising the

stuck Yang qi thus allowing the Yin fire to calm and drain downward, in other

words, Bu Zhong Yi Qi Wan.

 

Yehuda

 

wrote:

Yehuda,

 

Just curious how you treat the below (yinfire) scenario you describe?

 

-Jason

 

_____

 

 

On Behalf Of yehuda frischman

Sunday, July 01, 2007 11:44 PM

 

Re: pathogenic reactions to pathology

 

Hi Steve,

 

The examples that I give are empirically obvious: The body clearly reacts

(or more precisely overreacts) to the presence of pathogens, as is clear

from the examples I listed. I am far from a scholar of Chinese medical

literature, and would ask others in the group to help me answer your

question, but I will give you one example: Li Dong yuan's concept of Yin

fire, which to my understanding of the Pi Wei Lun, is the body's response to

to damp accummulation in the presence of Spleen xu. This combination of

factors disturbs the Ming Men, causing a pathogenic upward flaring of this

" Yin Fire " , damaging the spleen and the Zhong Qi, and leaving the Kidneys

void of Yang Qi, and therefore, cold. In this case, this pathogenic Yin Fire

was the result of the body's reaction to a pathogenic accumulation of

dampness, a reaction which actually pathogenically vacated the Ming Men. Is

this not such an example?

 

Respectfully,

 

Yehuda

 

Stephen Bonzak <stephenbonzak@ <stephenbonzak%40comcast.net>

comcast.net> wrote:

Yehuda-

 

Can you give an example of this in TCM theory (not related to Jeffrey

Yuen) to back up your assertion? Where else in TCM does the body

produce a pathology to counteract another pathology?

 

-Steve

 

On Jun 26, 2007, at 4:42 PM, yehuda frischman wrote:

 

> One other thought on this, Doug.

>

> " Or put another way, (I believe I am quoting Al Stone) the body

> can't correct a pathology with a pathology "

>

> I believe that this statement is not exactly correct. There are

> numerous " reactive " responses that the body generates to pathology.

> In addition to this one we are discussing, what about scar tissue

> formation? What about lymphatic accumulation? This isn't even

> exploring the emotional mechanism of " blocking " traumas which

> Upledger calls " energy cysts " , this is a very real pathogenic

> reaction, and as with the first two cases, is well intended but

> ultimately a pathogenic response to pathology.

>

> Respectfully,

>

> Yehuda

>

>

>

>

>

>

>

> Choose the right car based on your needs. Check out Autos

> new Car Finder tool.

>

>

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Guest guest

Ok, this is my aversion to the sentence below, " the body's response

to damp accumulation " ... I would see CM as using the tendencies of the

five elements that creates the mechanisms of change. This " body's

response " to me is the " wild-card " and not a factor in CM.

Doug

 

 

wrote:

>

> Hi Steve,

>

> The examples that I give are empirically obvious: The body

clearly reacts (or more precisely overreacts) to the presence of

pathogens, as is clear from the examples I listed. I am far from a

scholar of Chinese medical literature, and would ask others in the

group to help me answer your question, but I will give you one

example: Li Dong yuan's concept of Yin fire, which to my

understanding of the Pi Wei Lun, is the body's response to to damp

accummulation in the presence of Spleen xu. This combination of

factors disturbs the Ming Men, causing a pathogenic upward flaring

of this " Yin Fire " , damaging the spleen and the Zhong Qi, and leaving

the Kidneys void of Yang Qi, and therefore, cold. In this case, this

pathogenic Yin Fire was the result of the body's reaction to a

pathogenic accumulation of dampness, a reaction which actually

pathogenically vacated the Ming Men. Is this not such an example?

>

> Respectfully,

>

> Yehuda

> >

> >

>

>

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Guest guest

Yehuda-

 

I think what I meant to ask was give me an example of a pathological

response that the body uses to " correct " another pathology. For

instance, Jeffrey Yuen talks about the cold and damp that is

engendered in the body during cancer as being a pathological, but

helpful, response. The cold is supposed to be slowing the

progression of the fire and the damp is an attempt to hold onto yin.

He suggests that even though one might see signs and symptoms from a

TCM perspective of yang vacuity, one should not moxa or use warming

medicinals as this is going against the body's attempt to " correct "

the pathology. In your example, the yin fire is a direct result,

from a TCM perspective, of the congestion from the SP vacuity. Even

though the heat is present, it is not a pathological response of the

body to " correct " the pathology as in the above example.

 

-Steve

 

On Jul 2, 2007, at 12:44 AM, yehuda frischman wrote:

 

> Hi Steve,

>

> The examples that I give are empirically obvious: The body clearly

> reacts (or more precisely overreacts) to the presence of pathogens,

> as is clear from the examples I listed. I am far from a scholar of

> Chinese medical literature, and would ask others in the group to

> help me answer your question, but I will give you one example: Li

> Dong yuan's concept of Yin fire, which to my understanding of the

> Pi Wei Lun, is the body's response to to damp accummulation in the

> presence of Spleen xu. This combination of factors disturbs the

> Ming Men, causing a pathogenic upward flaring of this " Yin Fire " ,

> damaging the spleen and the Zhong Qi, and leaving the Kidneys void

> of Yang Qi, and therefore, cold. In this case, this pathogenic Yin

> Fire was the result of the body's reaction to a pathogenic

> accumulation of dampness, a reaction which actually pathogenically

> vacated the Ming Men. Is this not such an example?

>

> Respectfully,

>

> Yehuda

>

> Stephen Bonzak <stephenbonzak wrote:

> Yehuda-

>

> Can you give an example of this in TCM theory (not related to Jeffrey

> Yuen) to back up your assertion? Where else in TCM does the body

> produce a pathology to counteract another pathology?

>

> -Steve

>

> On Jun 26, 2007, at 4:42 PM, yehuda frischman wrote:

>

> > One other thought on this, Doug.

> >

> > " Or put another way, (I believe I am quoting Al Stone) the body

> > can't correct a pathology with a pathology "

> >

> > I believe that this statement is not exactly correct. There are

> > numerous " reactive " responses that the body generates to pathology.

> > In addition to this one we are discussing, what about scar tissue

> > formation? What about lymphatic accumulation? This isn't even

> > exploring the emotional mechanism of " blocking " traumas which

> > Upledger calls " energy cysts " , this is a very real pathogenic

> > reaction, and as with the first two cases, is well intended but

> > ultimately a pathogenic response to pathology.

> >

> > Respectfully,

> >

> > Yehuda

> >

> >

> >

> >

> >

> >

> >

> > Choose the right car based on your needs. Check out Autos

> > new Car Finder tool.

> >

> >

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Y,

 

 

 

I thought you would say BZYQT, therefore my next question is how does the

pathomechanism you describe help inform your herbal prescribing. From my

point of view the pathomechanism you describe is not reflected in the herbs

in BZYQT. I am not saying that BZYQT does not treat this pattern, only that

the elaborate pathomechanism is not reflected in the formula. I am curious

how people use these stories clinically. I agree with Eric that keeping it

simple is really the best way, meaning qi xu heat, end of story, otherwise

at least to me all the other stuff makes little clinical sense. Comments?

 

 

 

-Jason

 

 

 

 

 

 

 

_____

 

 

On Behalf Of yehuda frischman

Monday, July 02, 2007 10:48 AM

 

RE: pathogenic reactions to pathology

 

 

 

To quote Li Dong Yuan: " Then how to treat this? The only choice is to emplly

acrid, sweet warm ingredients to supplement the center and upraise yang

along with sweet cold to drain fire...Warm can eliminate intense heat. " So

we would dry dampness by aromatically transforming it, while at the same

time regulating the qi, nourishing the blood, and supplementing and raising

the stuck Yang qi thus allowing the Yin fire to calm and drain downward, in

other words, Bu Zhong Yi Qi Wan.

 

Yehuda

 

<@chinesemed

<%40Chinese Medicine> icinedoc.com> wrote:

Yehuda,

 

Just curious how you treat the below (yinfire) scenario you describe?

 

-Jason

 

 

 

 

 

 

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Doug,

 

I agree, and apologize for mixing paradigms. Indeed, we need to think like Li

Dong-yuan, and understand the mechanism by which the damp accumulation and

weakness in the MJ has blocked the Yang Qi, has engendered this flaring up and

has vacated the Ming Men, leaving the LJ vacuitous and cold. And like Li, we

need to view this transformation using the 5 phases as our guide to understand

this process. Indeed, he addresses this process in Book 3, chapters 2 and 3,

of Pi Wei Lun.

 

Yehuda

 

 

wrote:

Ok, this is my aversion to the sentence below, " the body's response

to damp accumulation " ... I would see CM as using the tendencies of the

five elements that creates the mechanisms of change. This " body's

response " to me is the " wild-card " and not a factor in CM.

Doug

 

wrote:

>

> Hi Steve,

>

> The examples that I give are empirically obvious: The body

clearly reacts (or more precisely overreacts) to the presence of

pathogens, as is clear from the examples I listed. I am far from a

scholar of Chinese medical literature, and would ask others in the

group to help me answer your question, but I will give you one

example: Li Dong yuan's concept of Yin fire, which to my

understanding of the Pi Wei Lun, is the body's response to to damp

accummulation in the presence of Spleen xu. This combination of

factors disturbs the Ming Men, causing a pathogenic upward flaring

of this " Yin Fire " , damaging the spleen and the Zhong Qi, and leaving

the Kidneys void of Yang Qi, and therefore, cold. In this case, this

pathogenic Yin Fire was the result of the body's reaction to a

pathogenic accumulation of dampness, a reaction which actually

pathogenically vacated the Ming Men. Is this not such an example?

>

> Respectfully,

>

> Yehuda

> >

> >

>

>

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Steve,

 

I have to be careful, as my previous post pointed out, not mixing paradigms.

Though I can't specifically think of examples of the body reacting

pathogenically to pathogens, and using that pathogenic process to prevent

greater illness, when necessary, isn't that exactly what physicians do to

treat illness: by treating with substances that are toxic and even lethal for

a healthy person, the pathogenically afflicted patient's body utilitizes this

extreme substance to pull the body toward balance. But concerning the body

itself, I know of no specific mechanism by which a pathogenic response is used

to defend against a pathogen.

 

Yehuda

 

Stephen Bonzak <stephenbonzak wrote:

Yehuda-

 

I think what I meant to ask was give me an example of a pathological

response that the body uses to " correct " another pathology. For

instance, Jeffrey Yuen talks about the cold and damp that is

engendered in the body during cancer as being a pathological, but

helpful, response. The cold is supposed to be slowing the

progression of the fire and the damp is an attempt to hold onto yin.

He suggests that even though one might see signs and symptoms from a

TCM perspective of yang vacuity, one should not moxa or use warming

medicinals as this is going against the body's attempt to " correct "

the pathology. In your example, the yin fire is a direct result,

from a TCM perspective, of the congestion from the SP vacuity. Even

though the heat is present, it is not a pathological response of the

body to " correct " the pathology as in the above example.

 

-Steve

 

On Jul 2, 2007, at 12:44 AM, yehuda frischman wrote:

 

> Hi Steve,

>

> The examples that I give are empirically obvious: The body clearly

> reacts (or more precisely overreacts) to the presence of pathogens,

> as is clear from the examples I listed. I am far from a scholar of

> Chinese medical literature, and would ask others in the group to

> help me answer your question, but I will give you one example: Li

> Dong yuan's concept of Yin fire, which to my understanding of the

> Pi Wei Lun, is the body's response to to damp accummulation in the

> presence of Spleen xu. This combination of factors disturbs the

> Ming Men, causing a pathogenic upward flaring of this " Yin Fire " ,

> damaging the spleen and the Zhong Qi, and leaving the Kidneys void

> of Yang Qi, and therefore, cold. In this case, this pathogenic Yin

> Fire was the result of the body's reaction to a pathogenic

> accumulation of dampness, a reaction which actually pathogenically

> vacated the Ming Men. Is this not such an example?

>

> Respectfully,

>

> Yehuda

>

> Stephen Bonzak <stephenbonzak wrote:

> Yehuda-

>

> Can you give an example of this in TCM theory (not related to Jeffrey

> Yuen) to back up your assertion? Where else in TCM does the body

> produce a pathology to counteract another pathology?

>

> -Steve

>

> On Jun 26, 2007, at 4:42 PM, yehuda frischman wrote:

>

> > One other thought on this, Doug.

> >

> > " Or put another way, (I believe I am quoting Al Stone) the body

> > can't correct a pathology with a pathology "

> >

> > I believe that this statement is not exactly correct. There are

> > numerous " reactive " responses that the body generates to pathology.

> > In addition to this one we are discussing, what about scar tissue

> > formation? What about lymphatic accumulation? This isn't even

> > exploring the emotional mechanism of " blocking " traumas which

> > Upledger calls " energy cysts " , this is a very real pathogenic

> > reaction, and as with the first two cases, is well intended but

> > ultimately a pathogenic response to pathology.

> >

> > Respectfully,

> >

> > Yehuda

> >

> >

> >

> >

> >

> >

> >

> > Choose the right car based on your needs. Check out Autos

> > new Car Finder tool.

> >

> >

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No need to apologize, I just needed to write down for myself what

button that was pushing.

doug

 

 

wrote:

>

>

> Doug,

>

> I agree, and apologize for mixing paradigms. Indeed, we need to

think like Li Dong-yuan, and understand the mechanism by which the

damp accumulation and weakness in the MJ has blocked the Yang Qi, has

engendered this flaring up and has vacated the Ming Men, leaving the

LJ vacuitous and cold. And like Li, we need to view this

transformation using the 5 phases as our guide to understand this

process. Indeed, he addresses this process in Book 3, chapters 2 and

3, of Pi Wei Lun.

>

> Yehuda

>

 

>

>

>

>

>

> Shape in your own image. Join our Network Research Panel today!

>

>

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Guest guest

Using BZYQT and Yin fire is a bit unfair as the mechanisms are often

stretched. Personally, I prefer the small car going up the big hill story.

Doug

 

, " "

wrote:

>

> Y,

>

>

>

> I thought you would say BZYQT, therefore my next question is how

does the

> pathomechanism you describe help inform your herbal prescribing. From my

> point of view the pathomechanism you describe is not reflected in

the herbs

> in BZYQT. I am not saying that BZYQT does not treat this pattern,

only that

> the elaborate pathomechanism is not reflected in the formula. I am

curious

> how people use these stories clinically. I agree with Eric that

keeping it

> simple is really the best way, meaning qi xu heat, end of story,

otherwise

> at least to me all the other stuff makes little clinical sense.

Comments?

>

>

>

> -Jason

>

>

>

>

>

>

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Guest guest

D,

 

 

 

Sorry I am missing your point here. Small car???

 

 

 

But my question stands, if one is going to use such an elaborate

pathomechanisms as Yehuda, I think it fair to ask how that translates into

practice. Personally I think many pathomechanisms are stretched, but we

still can determine and discuss their usefulness (or lack of). We can start

one by one. Therefore, if one cannot explain how yinfire's elaborate

pathomechanism translates into a clinically useful understanding and hence

treatment, then IMO it is nothing more than hot air. I am all ears.

 

 

 

-Jason

 

 

 

_____

 

 

On Behalf Of

Monday, July 02, 2007 9:57 PM

 

Re: pathogenic reactions to pathology

 

 

 

Using BZYQT and Yin fire is a bit unfair as the mechanisms are often

stretched. Personally, I prefer the small car going up the big hill story.

Doug

 

@ <%40>

, " "

wrote:

>

 

 

 

 

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Guest guest

Well, I don't think we need or want to go through every pathomechanism

one by one. I wouldn't mind knowing each of them though. There are

books out there that elaborate each of one in detail and I appreciate

that. Without case studies, however they remain as only words on

paper. And I've seen pretty disastrous results when applied in the

clinic with this kind of knowledge. I think this is what you are

saying, among other things. Certainly I look forward to being able to

say I have a vast amount of knowledge that I can then say I have the

leisure to simplify.

 

You seem to be 3 steps ahead of us here. If I had the experience to

abandon the pathomechanisms then I would. However, now I still like

having the blueprint. One can and probably should go back to the Nei

Jing, but perhaps we only understand that by understanding

pathomechanisms.

I guess I'm reiterating what Sharon had said better earlier.

 

One could look at pathomechanisms as the " why " of bianzheng -

identifying the pattern. When the " why " becomes the justification for

treatment then one (I have!) start to get in trouble.

 

Doug

 

 

, " "

wrote:

>

> D,

>

>

>

> Sorry I am missing your point here. Small car???

>

>

>

> But my question stands, if one is going to use such an elaborate

> pathomechanisms as Yehuda, I think it fair to ask how that

translates into

> practice. Personally I think many pathomechanisms are stretched, but we

> still can determine and discuss their usefulness (or lack of). We

can start

> one by one. Therefore, if one cannot explain how yinfire's elaborate

> pathomechanism translates into a clinically useful understanding and

hence

> treatment, then IMO it is nothing more than hot air. I am all ears.

>

>

>

> -Jason

>

>

>

> _____

>

>

> On Behalf Of Douglas

 

> Monday, July 02, 2007 9:57 PM

>

> Re: pathogenic reactions to pathology

>

>

>

> Using BZYQT and Yin fire is a bit unfair as the mechanisms are often

> stretched. Personally, I prefer the small car going up the big hill

story.

> Doug

>

> @ <%40>

> , " "

> <@> wrote:

> >

>

>

>

>

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Guest guest

Why not? Plus, who says we shouldn't modify the formula based on a real

patient, not just a pattern? Let's look at the picture I described: Damp

accumulation and Spleen Qi Xu or collapse, Yin fire manifested as increased

fever after exertion, intermittant low-grade fever, especially AM, temperature

higher on the palm of the hand higher than the back, spontaneous sweating,

thirst with desire for warm drinks, SOB, lassitude, hates cold, and loose

stool. So what do we use: 1. aromatically move the blocked qi(Chen Pi) 2. Dry

dampness (Bai Zhu. Chen pi)3. Stop sweating (Huang Qi,Ren Shen, Bai Zhu) 4.

strengthen the spleen(Huang Qi, Ren Shen, Bai Zhu, Zhi Gan Cao). 3.nourish the

blood(Dang Gui, Huang Qi) 4. Supplement and raise the stuck Yang Qi (Huang Qi,

Sheng Ma, Chai Hu) 5. Calm the Yin fire down(Ren Shen).

 

wrote: Y,

 

I thought you would say BZYQT, therefore my next question is how does the

pathomechanism you describe help inform your herbal prescribing. From my

point of view the pathomechanism you describe is not reflected in the herbs

in BZYQT. I am not saying that BZYQT does not treat this pattern, only that

the elaborate pathomechanism is not reflected in the formula. I am curious

how people use these stories clinically. I agree with Eric that keeping it

simple is really the best way, meaning qi xu heat, end of story, otherwise

at least to me all the other stuff makes little clinical sense. Comments?

 

-Jason

 

_____

 

 

On Behalf Of yehuda frischman

Monday, July 02, 2007 10:48 AM

 

RE: pathogenic reactions to pathology

 

To quote Li Dong Yuan: " Then how to treat this? The only choice is to emplly

acrid, sweet warm ingredients to supplement the center and upraise yang

along with sweet cold to drain fire...Warm can eliminate intense heat. " So

we would dry dampness by aromatically transforming it, while at the same

time regulating the qi, nourishing the blood, and supplementing and raising

the stuck Yang qi thus allowing the Yin fire to calm and drain downward, in

other words, Bu Zhong Yi Qi Wan.

 

Yehuda

 

<@chinesemed

<%40Chinese Medicine> icinedoc.com> wrote:

Yehuda,

 

Just curious how you treat the below (yinfire) scenario you describe?

 

-Jason

 

 

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Doug--

 

We never see perfect textbook patients, but we ALL have seen patients with

symptoms of Yin fire. So in such a case, is it not intelligent to START from

BZYQT, and adapt to the individuality of the patient ? When we start with

classic formulas, we build with the benefit of thousands of years and billions

of patients experience. Nothing succeeds like success. So why would you want

to create something new if this formula works? I don't understand.

 

Yehuda

 

wrote:

Using BZYQT and Yin fire is a bit unfair as the mechanisms are often

stretched. Personally, I prefer the small car going up the big hill story.

Doug

 

, " "

wrote:

>

> Y,

>

>

>

> I thought you would say BZYQT, therefore my next question is how

does the

> pathomechanism you describe help inform your herbal prescribing. From my

> point of view the pathomechanism you describe is not reflected in

the herbs

> in BZYQT. I am not saying that BZYQT does not treat this pattern,

only that

> the elaborate pathomechanism is not reflected in the formula. I am

curious

> how people use these stories clinically. I agree with Eric that

keeping it

> simple is really the best way, meaning qi xu heat, end of story,

otherwise

> at least to me all the other stuff makes little clinical sense.

Comments?

>

>

>

> -Jason

>

>

>

>

>

>

 

 

 

 

 

 

 

 

 

 

 

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Jason,

 

One more thought--

 

In response to your statement, " I agree with Eric that keeping it

simple is really the best way, meaning qi xu heat, end of story, otherwise

at least to me all the other stuff makes little clinical sense. "

 

I respectfully disagree, based on patients I have seen. I think that there is

more to Yin fire than just Qi xu heat, and that has a lot to do with the

pathogenesis, meaning the damp stagnation which contributed to it. Plus, I

don't think you can discount the element of the Ming Men clearing out out and

leaving the Kidneys empty and cold! This is collapse, not just xu.

 

 

 

wrote:

Y,

 

I thought you would say BZYQT, therefore my next question is how does the

pathomechanism you describe help inform your herbal prescribing. From my

point of view the pathomechanism you describe is not reflected in the herbs

in BZYQT. I am not saying that BZYQT does not treat this pattern, only that

the elaborate pathomechanism is not reflected in the formula. I am curious

how people use these stories clinically. . Comments?

 

-Jason

 

_____

 

 

On Behalf Of yehuda frischman

Monday, July 02, 2007 10:48 AM

 

RE: pathogenic reactions to pathology

 

To quote Li Dong Yuan: " Then how to treat this? The only choice is to emplly

acrid, sweet warm ingredients to supplement the center and upraise yang

along with sweet cold to drain fire...Warm can eliminate intense heat. " So

we would dry dampness by aromatically transforming it, while at the same

time regulating the qi, nourishing the blood, and supplementing and raising

the stuck Yang qi thus allowing the Yin fire to calm and drain downward, in

other words, Bu Zhong Yi Qi Wan.

 

Yehuda

 

<@chinesemed

<%40Chinese Medicine> icinedoc.com> wrote:

Yehuda,

 

Just curious how you treat the below (yinfire) scenario you describe?

 

-Jason

 

 

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Guest guest

Y,

 

 

 

What in BZYQT is supplementing the kidneys and dispelling cold from the

lower burner? But I see no use in saying that the Ming Men is clearing out,

actually this is why many Chinese descriptions of the pathomechanism of

BZYQT / yinfire, completely leave this out, i.e. the heat is coming about

from constraint. To summarize, if you are going to make such a big deal

about the kidneys then I would hope the treatment would address it.

Comments?

 

 

 

-Jason

 

 

 

_____

 

 

On Behalf Of yehuda frischman

Tuesday, July 03, 2007 2:59 AM

 

RE: pathogenic reactions to pathology

 

 

 

Jason,

 

One more thought--

 

In response to your statement, " I agree with Eric that keeping it

simple is really the best way, meaning qi xu heat, end of story, otherwise

at least to me all the other stuff makes little clinical sense. "

 

I respectfully disagree, based on patients I have seen. I think that there

is more to Yin fire than just Qi xu heat, and that has a lot to do with the

pathogenesis, meaning the damp stagnation which contributed to it. Plus, I

don't think you can discount the element of the Ming Men clearing out out

and leaving the Kidneys empty and cold! This is collapse, not just xu.

 

 

 

 

 

 

 

 

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_____

 

 

On Behalf Of

Tuesday, July 03, 2007 12:03 AM

 

Re: pathogenic reactions to pathology

 

 

 

Well, I don't think we need or want to go through every pathomechanism

one by one. I wouldn't mind knowing each of them though. There are

books out there that elaborate each of one in detail and I appreciate

that. Without case studies, however they remain as only words on

paper.

 

 

 

Yes I have a few of these books in Chinese, and you are right we need

examples / case studies. It is interesting that I have never seen a

Pathomechanism book with case studies. I unfortunately do not have the

English language, " Pathomechanism of the Heart Book. " Does this contain case

studies?

 

-Jason

 

 

 

 

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I don't remember any. I am finishing the Liver one from Paradigm. It

was really good but no case studies.

Doug

 

:

> Well, I don't think we need or want to go through every pathomechanism

> one by one. I wouldn't mind knowing each of them though. There are

> books out there that elaborate each of one in detail and I appreciate

> that. Without case studies, however they remain as only words on

> paper.

>

>

>

> Yes I have a few of these books in Chinese, and you are right we need

> examples / case studies. It is interesting that I have never seen a

> Pathomechanism book with case studies. I unfortunately do not have the

> English language, " Pathomechanism of the Heart Book. " Does this

contain case

> studies?

>

> -Jason

>

>

>

>

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Guest guest

Doug,

 

 

 

If you have time can you give us your impression of this book and its

strengths? I have not seen them, but have heard that they are not really

clinically oriented books, but more a historical perspective of

pathomechanisms. Does it present different author's interpretations of the

way they see things occurring?

 

 

 

-Jason

 

 

 

_____

 

 

On Behalf Of

Tuesday, July 03, 2007 8:37 AM

 

Re: pathogenic reactions to pathology

 

 

 

I don't remember any. I am finishing the Liver one from Paradigm. It

was really good but no case studies.

Doug

 

 

 

 

 

 

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I have the book and think it is great. Simply, it teaches a way of

thinking, and catalogues images of patterns in a way that is largely

traceable to source texts.

 

 

On Jul 3, 2007, at 7:46 AM, wrote:

 

> Doug,

>

> If you have time can you give us your impression of this book and its

> strengths? I have not seen them, but have heard that they are not

> really

> clinically oriented books, but more a historical perspective of

> pathomechanisms. Does it present different author's interpretations

> of the

> way they see things occurring?

>

> -Jason

>

> _____

>

>

> On Behalf Of Douglas

>

> Tuesday, July 03, 2007 8:37 AM

>

> Re: pathogenic reactions to pathology

>

> I don't remember any. I am finishing the Liver one from Paradigm. It

> was really good but no case studies.

> Doug

>

>

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Z'ev,

 

 

 

Any good examples you can quote us? Does it offer multiple views on

pathomechanisms throughout the ages?

 

 

 

-Jason

 

 

 

 

 

 

 

_____

 

 

On Behalf Of

Tuesday, July 03, 2007 9:10 AM

 

Re: Re: pathogenic reactions to pathology

 

 

 

I have the book and think it is great. Simply, it teaches a way of

thinking, and catalogues images of patterns in a way that is largely

traceable to source texts.

 

 

On Jul 3, 2007, at 7:46 AM, wrote:

 

> Doug,

>

> If you have time can you give us your impression of this book and its

> strengths? I have not seen them, but have heard that they are not

> really

> clinically oriented books, but more a historical perspective of

> pathomechanisms. Does it present different author's interpretations

> of the

> way they see things occurring?

>

> -Jason

>

> _____

>

> @ <%40>

 

> [@ <%40>

] On Behalf Of Douglas

>

> Tuesday, July 03, 2007 8:37 AM

> @ <%40>

 

> Re: pathogenic reactions to pathology

>

> I don't remember any. I am finishing the Liver one from Paradigm. It

> was really good but no case studies.

> Doug

>

>

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Guest guest

I have the book here so I'll answer briefly. For example, each mechanism has

what they

call Literature Review or 2 or 3 quotes from other books.

 

For Liver Depression Transforming into Fire from the Su Wen

In cases of liver heat disease... when qi moves counterflow, the result is

headache and

dizziness, and heat that follows the liver vessel upward to surge into the head

 

There are other qotes from sheng ji zong lu (sages salvation records) on

nosebleed...

The liver stores blood and governs qi. When qi and blood have both contracted

heat, this

causes qi spillage and as a result, frenetic blood movement. This manifests in

nosebleed.

 

and Dan Xi Shou Jing (Dan-xi hand mirror) on rib-side pain

anger can cause severe counterflow and lever depression and wood exuberance,

alternatively, indecisive stategizing and preoccupation can cause wind to strike

the liver.

Both of these lead to wood exuberance engendering fire and to acute pain in the

liver from

fire exuberance.

 

each of these is followed by a short " explanation "

 

the whole book has the Chinese above the English... should be perfect for you,

Jason.

 

 

Doug

 

 

> Z'ev,

>

>

>

> Any good examples you can quote us? Does it offer multiple views on

> pathomechanisms throughout the ages?

>

>

>

> -Jason

>

>

>

>

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Guest guest

Thanks Doug..

 

 

 

_____

 

 

On Behalf Of

Tuesday, July 03, 2007 10:34 AM

 

Re: pathogenic reactions to pathology

 

 

 

I have the book here so I'll answer briefly. For example, each mechanism has

what they

call Literature Review or 2 or 3 quotes from other books.

 

For Liver Depression Transforming into Fire from the Su Wen

In cases of liver heat disease... when qi moves counterflow, the result is

headache and

dizziness, and heat that follows the liver vessel upward to surge into the

head

 

There are other qotes from sheng ji zong lu (sages salvation records) on

nosebleed...

The liver stores blood and governs qi. When qi and blood have both

contracted heat, this

causes qi spillage and as a result, frenetic blood movement. This manifests

in nosebleed.

 

and Dan Xi Shou Jing (Dan-xi hand mirror) on rib-side pain

anger can cause severe counterflow and lever depression and wood exuberance,

 

alternatively, indecisive stategizing and preoccupation can cause wind to

strike the liver.

Both of these lead to wood exuberance engendering fire and to acute pain in

the liver from

fire exuberance.

 

each of these is followed by a short " explanation "

 

the whole book has the Chinese above the English... should be perfect for

you, Jason.

 

Doug

 

> Z'ev,

>

>

>

> Any good examples you can quote us? Does it offer multiple views on

> pathomechanisms throughout the ages?

>

>

>

> -Jason

>

>

>

>

 

 

 

 

 

 

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