Dear Andrea, in your PDF script, slides 55 and 56, you listed deficiency and excess patterns according TCM (reference Maciocia). I miss the point. Can we conclude straightforward that :
- deficiency patterns are equivalent to a JG treatment
- excess patterns are equivalent to SG treatments.
Right ?
It can't be so straightforward. As an example : if I have a patient with a wind-cold lung invasion that is an excess pattern, I could decide to support the upright qi with a Lung JG treatment instead of a SG treatment, right ?
Merci Andrea.
Dear Karine,
I made my point during my presenation but naturally not all what I said can be put into the slides in an explicit way: I just put in the Maciocia diagnosis categories for illustration. As I said we cannot simply look in (for example Maciocia's) table of diagnoses, see what is put in the defciency or excess diagnosis cathegory and mechanically apply JG or SG for it.
Generally speaking as you wrote:
"- deficiency patterns are equivalent to a JG treatment
- excess patterns are equivalent to SG treatments."
1) ...as long as you are diagnosing and treating at a ZangFu disease category level (not at Six Qi imbalance model level).
2) You should consider the general function and targeting of JG and SG at the ZangFu level as I have discussed in my presentation (JG = correcting/ strenghening Upright Qi / SG = removing pathogenic Qi).
3) You should consider the relatively broad and "forgiving" (as I said) range of application of both JG and SG (but especially JG since it is targets the Upright Qi in general). Their effect is overlapping to some extent. This means that you may apply for example JG also to conditions or diagnoses that are seen in standard TCM more as an excess problem. For example (simple) Qi stagnation can be treated by using JG even if (e.g.) Liver Qi stagnation, Percardium Qi stagnation, Stomach Qi Stagnation, Heart Qi stagnation (like in the Hwa Byeong condition) can alls be well targeted by using JG even if they are in Maciocia's table in the excess column. It is really about what the target of your treatment with every individual condition and patient should be according to the JG and SG effect.
4) See also slides 59, 60 and 65, 66 of my presenation.
4) You should integrate the climatic effect of the point combination on the Six Qi balancing model and consider it's climatic effect in relation to the pathogenic mechanism in a ZangFu diagnosis. Especially if the pathogenic mechanism is in a clearly contraindication state to the climatic effect it most propably is not good to simply use the related JG or SG strategy. In your example : "if I have a patient with a wind-cold lung invasion that is an excess pattern, I could decide to support the upright qi with a Lung JG treatment instead of a SG treatment, right ?" >> Yes you can do this, as long as the signs and symptoms of your patient do not show extreme Cold combined with Dampness (or only one of these two pathogenic / climatic factors) because if you apply LU JG it has a cooling and dampening effect. So you can for example well treat a simple Wind-Cold invasion like in a beginning cold or flu using LU JG. But if your patient is freezing heavily for an extended time or the patient has hypothermia, and there is a lot of clear, whitish mucus in the respiratory tract (Phlegm condition) LU JG is contraindicated. In a Six Qi level we would diagnose this as a Cold-Phlegm excess (in our case in the Lungs - but anyway) so Lu JG will worsen this condition from it's climatic effect. In that case you need to find a better fitting treatment (maybe Lu SG).
Apply general logic of Yin-Yang, Five Element and six pathogenic factors to Saam acupuncture. It will need some time to get acustomed to the added logic of the climatic Six Qi model. But it will come naturally as you get more used to it.
Andreas
Merci Andreas ! I am going to chew all these explanations.
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