Innovation in Chinese Medicine
Transcript of Innovation in Chinese Medicine
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Innovation in Chinese Medicine
Adapting ancient insights to contemporary clinical practice
Will Maclean
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Innovation
• Adapting models from first principles to better describe contemporary clinical reality
הבעלות והאחריות על המידע והתכנים המופיעים במצגת שייכים לכותב בלבד ואין חברת ברא צמחים אחראית
.התוויה רפואיתאו והם אינם מהווים ייעוץ מקצועי , למהימנותם או לדיוקם של תכנים אילו
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Chinese medicine is build around models
• Yin Yang
• Organ system (zang fu)
• Six divisions; four levels; triple burner
• Qi, blood and fluids
• Channels and collaterals
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Two types of innovation
• Integrative
• Internal
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Excess heat Cold deficiency
Better response to bitter cold antibiotics
Poor response
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Mastitis
• Ms J 30, several days postpartum with red sore tender breast
• fever and chills, red tongue, fast pulse
• Ms T 33, 6 weeks postpartum, persistent mastitis; 4 courses of antibiotics
• pale complexion and tongue, exhausted, weak pulse
Clear heat (kill pathogen)
Excess heat Cold deficiency
Strengthen body and immune response
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Homeostasis Fight and flight Sympathetic dominance
Parasympathetic NS
Sympathetic NS
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Internal innovation
• Lingering pathogens; chronic infection
• Chronic inflammation
• Endocrine dysfunction• Diabetes
• Hyperthyroid
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Lingering pathogens
• Persistent abnormal immune response
• Defined by core group of features• Objective evidence of immune activity
• Abnormal heat
• Abnormal sweating
• Dryness
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Sources
• Discussion of Cold Induced Disorders Disease • Shang Han Lun (Han dynasty ~ 200 CE)
• Six divisions
• Discussion of Warm Heat Pathogen Disorders• Wen Re Lun (Qing dynasty, 1766)
• Four levels
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Defensive Tai yang
Shao yangYang ming
Tai yin
Shao yinJue yin
Qi
NutritiveBlood
Surface
Mid level
Deep level
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Chronic inflammation
T2DM
CV disease
Pulmonary
Neurological
Cancer
Autoimmune
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Diabetes mellitus type 2
Tai yang
Shao yang
Yang ming
Tai yin
Shao yin
Jue yin
Gastrointestinal
Cardiovascular
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Australian experience
• APHRA (Australian Health Practitioner Regulation Agency)
• University level education• Good pathway to higher degrees and research; integrative
approach encouraged
• Reasonable funding
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• Integrate basal body temperature into CM framework
• Energetics of infertility drugs
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Yin phase Yang phase
Day 1
Day 14Day 28
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• Synthesis of constitutional and anatomical models
• Compensates for strengths and weaknesses of each approach
• Improved understanding and management of musculoskeletal pain