By Hannahman, Mitchell, Cross
Read Online or Download Medstudy The 13th Edition Internal Medicine Core Curriculum - Book 2 PDF
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Extra resources for Medstudy The 13th Edition Internal Medicine Core Curriculum - Book 2
With that in mind, we cannot stress enough the importance of first accurately gathering signs and symptoms, then analyzing them individually, and eventually synthesizing them to reveal their Chinese medical meaning. To use an example already given above, a bowstring or wiry pulse most commonly indicates liver depression qi stagnation, more commonly abbreviated to just liver qi. A bowstring pulse plus a rapid pulse equals heat plus stagnation. Just in that way, we first take apart all the individual signs and symptoms and then add the indications back up again to arrive at what is most commonly a complex, multifaceted pattern discrimination.
As mentioned above, these include vomiting, sweating, diarrhea, bleeding, loss of essence such as from spermatorrhea or abnormal vaginal discharge, and relatively severe pain. All these are seen as very debilitating and harmful to the long-term health of the patient. They need to be stopped as quickly as possible. Therefore, ingredients are added to the formula which are known to have a powerful, pronounced effect on the particular symptom. For instance, excessive bleeding during menstruation may be due to depressive heat entering the blood aspect.
This is especially so if I stick with a repertoire of the most standard, best known Chinese medical formulas. Within the qi-rectifying category of formulas, I next look only at those formulas which course the liver, since that is the other principle stated for the treatment of liver qi. Out of the total of qi-rectifying formulas, this narrows down my choices even more. Now I have only a small handful of formulas from which to chose. If the pattern is truly this simple, I would next look for the formula which not only rectifies the qi and courses the liver but which is known through empirical experience to treat the disease or signs and symptoms of the patient before me.