This article originally appeared in The Lantern, Volume 7, No.3 September 2010.
by Jason Blalack
Continue readingStudying Chinese medicine case records is an invaluable way to enhance one’s clinical skills beyond basic textbook knowledge.
Further thoughts on understanding Ye Tian-Shi’s case records.By: Jason Blalack
Ye Tian-Shi is quite arguably one of the most important clinicians in Chinese medical history. His most important contribution, Case Records as a Guide to Clinical Practice (lin zheng zhi nan), is a compilation of case records by his students. It should be noted that, for a period of time in the Qing Dynasty that doctors/students would only study this book while ignoring the “classics.” Although criticized for this by their teachers, it definitely demonstrates the impact that Ye’s case records had on medicine.
Continue readingBy: Charles Chace
The first systematic discussion of the extraordinary vessels in Chinese herbal medicine appears in Li Shizhen’s 李時珍Exposition on the Eight Extraordinary Vessels (Qijing bamai Kao 奇經八脈考, circa, 1576).In our forthcoming translation and commentary on this text, Exposition on the Extraordinary Vessels, Acupuncture, Alchemy and Herbal Medicine, Eastland Press, 2009, my co-author Miki Shima and I describe Li’s approach to herbal prescribing as an overarching “meta-diagnosis” encompassing a wide range of possible zangfu presentations. For instance, Li Shizhen considers any disease characterized by masses or accumulations in the lower burner that presents in conjunction with an ascending counterflow to the upper burner to be a disorder of the chong vessel. This might present in the context of number of possible disease or zangfu patterns, but for Li the simultaneous presence of stagnation in the lower burner and counterflow extending to the upper burner define it as chong vessel problem. This is, I believe, the most pragmatic way to make use of the extraordinary vessels in herbal medicine
Continue readingBy: Bob Damone
According to Wiseman and Feng (1998), Vacuity Detriment (xū sǔn虚损) is “any form of severe chronic insufficiency of yīn-yáng, qì-blood, and bowels and viscera arising through internal damage by the seven affects, taxation fatigue, diet, excesses of drink and sex, or enduring illness.” (p.646) I have found this Chinese disease category helpful in evaluating and formulating treatment strategies for patients with enduring diseases such as Chronic Fatigue Syndrome, Depression, and Fibromyalgia.[1] These patients invariably have many concurrent, complicated, and apparently contradictory symptoms, and always present a formidable challenge to the clinician. Vacuity Detriment is a useful conceptual template in such circumstances precisely because it provides the Chinese medical context in which to understand not only the complexities of serious and multiple vacuities but also their complications. As such, it gives clinicians insight into available conceptual models and treatment strategies for deeply vacuous patients. And when treating patients with complex diseases such as Vacuity Detriment, strategy often emerges as the decisive factor for attaining good clinical results.
Continue readingBy: Jason Blalack
Ye Tian-Shi was one of the most influential doctors in Chinese medical history in developing clinical applications of the eight extraordinary channel herbal theory. Following is a translated excerpt that summarizes some of the core ideas that he used. Following this piece will be numerous case studies demonstrating these principles in action.