Creativity, Classical Chinese Medicine and our right to be wrong

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The impact of this video should be experienced by everyone. How does it relate to Classical Chinese Medicine? How does it relate to this blog? Where do I begin?

All over the planet, there are people who think like I do. There are people who find a sense of hope in Classical Chinese Medicine, its way of treating human beings and its way of opening our minds to a perception of reality alternate to the one most of us are schooled within. I’m not talking about anything you can dismiss rapidly, so please, let rest your assumptions. For 20 years, I’ve been frustrated by the oppressive, soul killing, pervasive worldview that so dominates everything one sees through the mass media and through public education. This worldview says that the left brain is where it’s at, that logic (narrowly defined as it is in most University philosophy departments) should always rule, that there are no ghost or fairies or spirits, that something isn’t real or useful if it can’t be tested placebo-controlled and double blind and that intuition is a chemical reaction and nothing more. I’ve been frustrated by this worldview, but also enticed by it.

Why?

Because it brings the promise of security. Of safety. Of making the chaotic and gut-wrenching world into something that can be calculated, predicted, understood and dealt with. Also, because some of the most dynamic and interesting people in my life have been ruled by this worldview. Only sometimes I forget that they are dynamic and interesting despite their religious fervor for the elements of this worldview as described above. I’ve also variously drawn close to this worldview because sometimes the alternatives make me ill. It seems, at times, that the only choice is between what I’ve described and a kind of dreamy-eyed, crystal worshipping, close your eyes tightly and hope for a better future kind of stance. Neither is an option for me, and I guess the former seems more likely to be productive of something worth having.Yin Yang symbol and Ba gua paved in a clearing outside of Nanning City, Guangxi province, China.

Chinese medicine, for me, opens the door for an alternate interpretation. The world is both chaos and order. Both predictable and unpredictable. We predict with caveat and we accept unpredictability with tools to deal with the result of that unpredictability. We embrace chaos while seeing the beauty of the order within. We calmly respect order while allowing space for the chaos that whirls in the eddies of the human soul. We breathe in, we breathe out. We dream. We memorize. We try and fail. We fail and get back up again. I have learned all of these things and so many more in my brief three or four years seriously seeking to understand Chinese philosophy and its flowering in the most complex and promising medical system ever to grace our planet.

I know that for some of you all of this is easy to dismiss. But, I’ve grown tired of caring. I’ve grown tired of stifling myself for the sake of avoiding conflict with people who simply don’t think like me. Rest assured, this is not the abandoning of logic. It never has been, not for me. Watch that video again. Does that seem like a guy who has abandoned reason? Do his arguments ramble with no sense? Sure, you could probably find a way to logically refute his arguments - but what does that feed? Where does that go? I think we can all see where the worldview I have described is leading us. I refuse to walk that path.

Classical Chinese Medicine rests firmly on a scientific basis that accepts contradiction, embraces the totality of human experience and - perhaps most of all - makes a real difference in the lives of real human beings. It resonates deeply with the essence of the TED lecture linked above and, really, the essence of the entire TED project. That creativity and inspired intelligence are the deepest inheritance of humankind, that these traits are what will save our species and take us into a beautiful tomorrow. That color and sound and movement, art and introspection and perception, that THESE THINGS are what will lead us towards cures for disease - regardless of what else is necessary. That the symbols contained within Chinese characters are instructive, that symbolism in general is a language we can all understand. All of this I take to be self evident.

On a more personal level, I really feel that this lecture has unlocked the last little bit of reservation I have had about stepping into my power as a scholar, as a clinician, as a blogger and as a person. As you know from reading some of my recent posts, I’ve been struggling with what to write. This struggle has come primarily from my worry that others would attack me, would call me “wrong,” that I would make my teachers and my program look bad - a pervasive perfectionism shaped by a misguided sense of self preservation. I cannot always be right, and neither can you. But those of us who care about the world, who care about human beings, who love the beauty and the power of Classical Chinese Medicine (and, of course, other modalities) need to speak out, speak freely, and be willing to be wrong.

It’s our responsibility and our right.

Eric

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Experiments in Chinese herbalism : on the dangers of Yin Qiao-itis

errors_in_chinese_medical_thinkingWhat follows is a guest post by my friend and comrade in Shang Han Lun love, G. Michael Reynolds over at the Lifegiving Sword.  I think it demonstrates a couple of things.

  1. That experimenting with herbs can - obviously - bring mixed results.  :)
  2. That there’s real peril in standardized systems of medicine.  I believe, in general, they tend to make lazy practitioners.  I mean, seriously, do you see Yin Qiao in that tongue?
  3. The power of Classical formula principles.

For any members of the general public currently reading, please don’t become too alarmed by this story. In all systems of medicine, there are ok practitioners, good practitioners, great practitioners and a few folks who shouldn’t but somehow DO make it into the practitioner pool.  The difference between Chinese and allopathic medicine in this regard is that Chinese medicine is highly unlikely to kill people even when practiced badly, while allopathic medicine is somewhat less blessed.

This is one reason I am so passionate about the style of Chinese medicine that I am learning.  In my experience the kinds of mistreatment problems described below are far less likely to happen within Classical styles.  Enjoy this fun read.

Eric

__________________________________________________________________

From Michael:  “This story involves a whole host of mistakes, the first and second of those made by me personally, the rest made by three different supervisors in the school clinic. The 3 doctors who led me down the wrong path will remain nameless, however I will point out that the doc who set things to rights is none other than our own Abdallah Stickley.  Make what you will of it!”

So here’s the story. On a Sunday evening, I get suddenly sick right before bed.  I mean instantaneously sick. My ear started kind of hurting, throat bothering me a little, was sort of dizzy, a slightly productive cough appeared, and some urethral pain (which i have sporadically anyway, but it changed quality a little and intensified). I went to bed determined to do something about it in the morning.

In the morning all the symptoms were the same, but with a little added intensity and a headache that would only appear at pinpoint locations on the GB channel (like GB-2, GB-14, GB-20) and only on one side.  Also some retching, mostly due to the cough.  I checked my pulse as best I could (always dodgy when you’re sick) and it seemed to me like it could have been considered (in TCM pulse parlance) rapid, slippery, and a bit tight, but also a bit deep at the same time. A mid level pulse, not coming up to the Qi level.  So, determined to handle this via SHL style medicine, i wrote the following formula:

Chai Hu
Huang Qin
Gan Jiang
Ban Xia
Bai Shao
Zhi Gan Cao
Fu Ling
Wu Wei Zi

At this point I made a fateful mistake which this whole story turns on. I probably could have booted the whole thing out of my system had I added Gui Zhi. However, I panicked and did not put my full faith in the method I was using. Instead of thinking “quick onset, minor ear and throat irritation=Taiyang, Urethra and bladder pain=Water inhibition=Shaoyang,” I thought “TCM says ear pain is treated with Long Dan Cao. It also treats Liver channel issues like urethral pain. The throat part is covered by the Shaoyang part of this formula” and instead added Long Dan Cao. This formula was made with Teacher #1’s blessing.

That evening I woke up with the same symptoms more or less (adding in sneezing), except now I was getting some dark urine, a tiny bit of dark phlegm, and my pulse was now showing superficial, rapid, and slippery over all. I really panicked at this point, as I begin to think that I did the whole thing wrong.  I started to think that the pathogen had time to turn into a heat condition,  that despite evidence to the contrary, SHL formulas cannot treat Heat conditions, Wen Bing is right, TCM is right, and a whole other host of lunatic thoughts brought on by someone with Phlegm-Fire problems getting hit by a phlegm producing illness and waking up in the middle of the night….

In my panic I made my second mistake. I took a big hit of Yin Qiao Pian. It will not surprise you to know that within an hour I found myself on the couch thinking “wow…im FREEZING now…” In the morning, I took another YQP dose but half that of the previous one and trotted off to school, feeling worse. I decided that I’d swallow my pride and find a clinic supervisor to look me over and tell me what they thought, because clearly I had blown my own diagnosis and treatment.  So, Teacher #2 gave me a looking over and suggested that I stick with the YQP, as it sounded like a heat condition due to the rapid pulse (which was now back down to the Blood depth again) and the dark urine in the morning coupled with the small amount of yellow phlegm. I complied and finished off my YQP that night.

The next morning, I felt worse
(keep in mind that I’d already felt bad enough to leave school after an hour or two on both Monday and Tuesday). While in the truck, I got the Missus to take a picture of my tongue, which I present here:



(It may be hard to tell since this is a photo, but that coat-outside of the back area-is definitely a WHITE coat)

I went to school again, toughed it out for my half day class, arranged to be absent from my clinic shift the following day, came home, crashed.  The next day, I was still worsening. By the end of the day, I broke down and went back to the clinic hoping to find another supervisor to evaluate. I managed to catch one on her way out the door and Teacher #3 gave me 10 minutes worth of diagnosis and prescription.  She wrote a formula which I dont have in front of me, but which I think goes something like this:

Huang Qin
Long Dan Cao
Yu Xing Cao
Xing Ren
Gui Zhi
Wu Wei Zi
Ban Xia
Bai Shao

(It actually had 13 herbs, but these are the only ones i can remember. I’ll get the full list off my chart tomorrow. Basically its a cold, cold formula.)

So I filled this one, took it, next morning woke up feeling like I was going to suffocate. i had to cough for about 5 minutes solid to establish normal breathing. Not happy. However, continued to take the formula. Over the course of the next few days (Fri-Mon) I got marginal improvement at best but still felt horrendous. On Tuesday, I had class followed by clinic. By Clinic time I felt like I was going to die, so I threw myself on the mercy of Dr. Stickley, who did the diagnostics and Rx’ed the following formula:

Chai Hu
Huang Qin
Gan Jiang
Bai Shao
Ban Xia
Fu Ling
Wu Wei Zi
Gan Cao (we were out of Zhi gan Cao in the pharmacy)
Jie Geng

I took a dose in the clinic and then went home afterwards and went to bed.

Next morning, 75% improvement.

So there you have it. I still haven’t finished kicking this thing but I’ve only been on the sensible formula for a day. I’m thinking it may need a little Gui Zhi at some point if it doesnt resolve itself.

G. Michael Reynolds

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