Diagnosis And Yi

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Main features of Diagnosis from the Eastern standpoint. The rol of Yi, and the profound implications in the treatment.

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Diagnosis And Yi

  1. 1. Barcelona, July 4, 2009 D i a g n o s i s: an integrative process
  2. 2. Goals and procedures Goals and procedures D i a g n o s i s D i a g n o s i s
  3. 3. Diagnosis: goals and procedures W E S T E R N M E D I C I N E E A S T E R N M E D I C I N E . Physical, chemical and image examination 4 Methods: Description of: Specific pattern or set of patterns To determine treatment To define the illness RESULTING IN PROCEDURE GOAL <ul><li>Looking </li></ul><ul><li>Listening & smelling </li></ul><ul><li>Asking </li></ul><ul><li>Touching </li></ul>b) “objective” pathogen a) Body condition Physician & patient progressively get further away Physician & patient progressively come together DISTANCE
  4. 4. Diagnosis: goals and procedures E A S T E R N M E D I C I N E . Pattern determination function of BA GANG TX FUNCTION OF EMPHASIS ON “ Objective” data <ul><li>Immediate, contact therapy </li></ul><ul><li>Acupuncture & Touch. tech. </li></ul><ul><li>Akashi </li></ul><ul><li>Qi Xue right vs. pathological conditions </li></ul><ul><li>Meridian theories </li></ul><ul><li>Meridian disturbances </li></ul><ul><li>Etiology </li></ul><ul><li>Long term, indirect therapy </li></ul><ul><li>Herbs & life style recomend. </li></ul><ul><li>Syndrome differentiation </li></ul><ul><li>Zang Fu theory </li></ul><ul><li>Qi Xue condition </li></ul><ul><li>Meridian / Qi theories </li></ul><ul><li>Etiology </li></ul><ul><li>Zang Fu condition </li></ul><ul><li>Qi Xue condition </li></ul><ul><li>Previous knowledge (books, etc.) </li></ul><ul><li>Qi Xue & Meridian condition </li></ul><ul><li>Perception (touch) abilities </li></ul><ul><li>Resonance Therapist’s Qi & Patient’s Qi </li></ul><ul><li>Illness </li></ul><ul><li>Patient condition </li></ul>W E S T E R N M E D I C I N E
  5. 5. Diagnosis: goals and procedures E A S T E R N M E D I C I N E . Healthy state Pathological state Correction by herbal medicine From inside to outside Return to the healthy state Return to the healthy state Correction by acupuncture From outside to inside Healthy Zang Fu Healthy channels Altered channels Altered Zang Fu
  6. 6. Diagnosis: goals and procedures E A S T E R N M E D I C I N E . Not immediate W E S T E R N M E D I C I N E <ul><li>Immediate, contact therapy </li></ul><ul><li>Acupuncture & touch. Tech. </li></ul><ul><li>Diagnosis intimately linked to treatment, simultaneous with it. </li></ul><ul><li>Focus on Qi Xue pathological condition </li></ul><ul><li>Long term, indirect therapy </li></ul><ul><li>Herbs & life style recomend. </li></ul><ul><li>Diagnosis prior to treatment </li></ul><ul><li>Focus on the patient’s condition & disturbances (symptoms) </li></ul>Not immediate Short term (immediate) <ul><li>Diagnosis prior to treatment </li></ul><ul><li>Focus on the “objective” pathology / illness </li></ul>TX FEEDBACK Difficult, long term Difficult, not immediate Easy, immediate CORRECTION OF MISTAKEN ACTIONS RELATIONSHIP DIAGNOSIS / TX
  7. 7. Diagnosis: goals and procedures E A S T E R N M E D I C I N E . Contact therapy: DATA GATHERING AND ARRANGEMENT Using the 4 methods With two [mental/Shen] tools to process data REASONING PERCEIVING Gather information in orderly way Gather information in orderly more global way Compare this information with previous learned knowledge Check how the data resonates within oneself Deduct the pattern Remain open and alert Decide the correct action Decide the correct action. Give a name to that action. Western Medicine Herbal Medicine / dietary recommendations
  8. 8. Diagnosis: goals and procedures Contact therapy: DATA GATHERING AND ARRANGEMENT E A S T E R N M E D I C I N E . Western Medicine Herbal Medicine / dietary recommendations REASONING All diagnosis theories and models Theoretical support
  9. 9. Diagnosis: goals and procedures LING SHU chapt. 1 Contact therapy: DATA GATHERING AND ARRANGEMENT Theoretical support E A S T E R N M E D I C I N E . PERCEIVING The crude attend to the form, the superior attend to the spirit. The crude attend to the junctures and the superior attend to the dynamic The movement in the dynamic is not separate from its empty spaces The dynamic within this empty space is clear, still and subtle Those who understand the way of the dynamic, will not impede it and thus it manifests Western Medicine Herbal Medicine / dietary recommendations If one clearly understands the contrary and normal [flow of Qi], then you can act correctly without doubt or question
  10. 10. Diagnosis: goals and procedures Whether meeting it or following it, by means of one’s attention, one harmonizes it. Whether meeting it or following it, by means of one’s attention, one harmonizes it. This is all there is to say with regard to the way of needling. LING SHU chapt. 1 Contact therapy: DATA GATHERING AND ARRANGEMENT Theoretical support E A S T E R N M E D I C I N E . PERCEIVING By meeting it and taking it away, how could one not achieve depletion [of Qi] By pursuing and assisting it, how could one not achieve repletion [of Qi] Western Medicine Herbal Medicine / dietary recommendations
  11. 11. Diagnosis: goals and procedures Correct reasoning capacities Access to organized knowledge (bibliography) Good memory Contact therapy: DATA GATHERING AND ARRANGEMENT Requires & entails E A S T E R N M E D I C I N E . Western Medicine Herbal Medicine / dietary recommendations REASONING
  12. 12. Diagnosis: goals and procedures Contact therapy: DATA GATHERING AND ARRANGEMENT Requires & entails E A S T E R N M E D I C I N E . PERCEIVING Western Medicine Herbal Medicine / dietary recommendations REASONING Deep understanding of Qi Ji Deep understanding of the relation among Xie and Zheng Qi Be and remain open Correct reasoning capacities Access to organized knowledge (bibliography) Good memory
  13. 13. Diagnosis: goals and procedures Yi Brain hemispheres work together [DTI: Diffusion Tensor Imaging] Contact therapy: DATA GATHERING AND ARRANGEMENT E A S T E R N M E D I C I N E . PERCEIVING Western Medicine Herbal Medicine / dietary recommendations REASONING Organized intelligence Awareness
  14. 14. Diagnosis: goals and procedures Contact therapy: DATA GATHERING AND ARRANGEMENT E A S T E R N M E D I C I N E . PERCEIVING Western Medicine Herbal Medicine / dietary recommendations REASONING Start gathering info Start calming reasoning Approaching Approaching Reasoning & data arrangement Opening and resonating Reason helps to produce awareness Awareness helps to guide reason CORRECT WAY OF ACTION expressed as DIAGNOSIS Organized intelligence Awareness
  15. 15. Diagnosis: goals and procedures Contact therapy: DATA GATHERING AND ARRANGEMENT E A S T E R N M E D I C I N E . PERCEIVING Western Medicine Herbal Medicine / dietary recommendations REASONING
  16. 16. Diagnosis: goals and procedures Contact therapy: DATA GATHERING AND ARRANGEMENT E A S T E R N M E D I C I N E . PERCEIVING Western Medicine Herbal Medicine / dietary recommendations REASONING Start gathering info Start calming reasoning Approaching Approaching Reasoning & data arrangement Opening and resonating Reason helps to produce awareness Awareness helps to guide reason CORRECT WAY OF ACTION Expressed as diagnosis Organized intelligence Awareness
  17. 17. Diagnosis: goals and procedures Contact therapy: DATA GATHERING AND ARRANGEMENT E A S T E R N M E D I C I N E . Western Medicine Herbal Medicine / dietary recommendations LING SHU, chapt. 1, line 3: to the form to the spirit The crude attends The superior attends
  18. 18. Diagnosis: goals and procedures Contact therapy: DATA GATHERING AND ARRANGEMENT E A S T E R N M E D I C I N E . Western Medicine Herbal Medicine / dietary recommendations LING SHU, chapt. 1, line 3: to the form to the spirit The crude attends The superior attends
  19. 19. Diagnosis: goals and procedures Western Medicine Herbal Medicine / dietary recommendations Contact therapy: DATA GATHERING AND ARRANGEMENT E A S T E R N M E D I C I N E . Embrace the random Find the pattern Know the difference
  20. 20. Barcelona, July 4, 2009 Script & Direction: Manuel Rodríguez Realization & graphics : Rayén Antón Thanks for the graphics of: V. Van Gogh P. Picasso H. Matisse S. Birch Scientific American

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