Diagnosis in Chinese Medicine

Diagnosis in Chinese Medicine

Giovanni Maciocia

The most complete textbook in English on Chinese Medicine diagnosis, covering diagnosis by observation, interrogation, palpation, hearing and smelling, symptoms and signs, and identification of patterns. Includes all the signs and symptoms, however subtle, with which a modern patient may present in the clinic. Emphasis is placed on "real world" issues and symptoms ' the practice beyond the theory.

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As Giovanni Maciocia says in the preface to this vast and comprehensive textbook "The longer I practise, the more I appreciate the importance of diagnosis to Chinese medicine in particular and to medicine in general. Indeed, one could say that the value of Chinese medicine lies not in its theories of Yin-Yang, Five Elements, Eight Principles, etc., but in diagnosis itself".

Whilst this may seem self-evident, what he is referring to is the extraordinary focus on, and expertise in, the arts of observation and examination that form one of the richest parts of Chinese medicine, and which have so declined in modern western medicine. A traditional medicine, the major part of whose history predates modern biomedical diagnostics, has only the human senses to rely on, and the science and art of Chinese medicine diagnosis concerns itself with everything that can be seen, smelt, palpated, heard and asked about. How comprehensive this knowledge is, is illustrated by the breadth of this monumental work that goes so much further than anything yet published in English on this subject.

The book is divided into 5 major parts: diagnosis by observation, diagnosis by interrogation, diagnosis by palpation, diagnosis by hearing and smelling, and symptoms and signs. Several of these parts are subdivided into sections, and then each section is further subdivided into chapters (there are 111 chapters in the whole book). Thus section one (diagnosis by observation) is subdivided into i. observation of the body, mind and complexion, ii. observation of parts of the body, and iii. tongue diagnosis. The first of these (observation of the body etc.) has chapters on observing body shape (according to yin and yang, according to the five elements, according to prenatal and postnatal influences, according to body build, according to pain and drug tolerance), observing the mind, spirit and emotion (the three aspects of the spirit, the three conditions of the spirit, the spirit and constitution, the spirit and the emotions), observing the complexion and so on.

Section 5, Symptoms and signs, is the largest, and the previous sections frequently refer to it. For example, diagnosis by observation of the neck illustrates and gives brief differentiations of variations in neck length and width, neck rigidity, soft neck, deviated neck etc. Similarly, diagnosis by interrogation covers goitre and pain and stiffness of the neck. In both cases, however, for each disorder or pattern the reader is referred to a chapter in section 5 where a full discussion of the presentation is given (pattern, symptoms and signs, pulse etc.). For a book of this size, it would have been more helpful here to refer readers to the relevant page number in section 5, as it can take a bit of time to track down the right passage in the text.

It is hard in a review to convey the immensity of this book. It can really only be repeated that nothing as ambitious has been attempted in English before, and that it is inconceivable that anyone studying or practising Chinese medicine can afford to be without it.

Peter Deadman

Contents

Foreword xxxv
Preface xxxvii
Acknowledgements xli
Note on the translation of Chinese terms xliii
How to use this book xlv
Index of symptoms and signs xlix
List of abbreviations liii

PART 1

DIAGNOSIS BY OBSERVATION 1
CHAPTER 1
OBSERVATION OF THE BODY SHAPE, PHYSIQUE AND DEMEANOUR 11
INTRODUCTION 11
CHAPTER 2
OBSERVATION OF THE MIND, SPIRIT AND EMOTIONS 31
CHAPTER 3
OBSERVATION OF THE COMPLEXION COLOUR 39
CHAPTER 4
OBSERVATION OF BODY MOVEMENTS 59

CHAPTER 5
OBSERVATION OF HEAD, FACE AND HAIR 69

CHAPTER 6
OBSERVATION OF THE EYES 75

CHAPTER 7
OBSERVATION OF THE NOSE 87

CHAPTER 8
OBSERVATION OF LIPS, MOUTH, PALATE, TEETH, GUMS
AND PHILTRUM 93

CHAPTER 9
OBSERVATION OF THE EARS 105

CHAPTER 10
OBSERVATION OF THE THROAT AND NECK 109

CHAPTER 11
OBSERVATION OF THE BACK 115

CHAPTER 12
OBSERVATION OF WOMEN'S BREASTS 121

CHAPTER 13
OBSERVATION OF THE HEARTBEAT 127

CHAPTER 14
OBSERVATION OF THE HANDS 129

CHAPTER 15
OBSERVATION OF THE NAILS 137

CHAPTER 16
OBSERVATION OF THE CHEST AND ABDOMEN 143

CHAPTER 17
OBSERVATION OF THE GENITALIA 149

CHAPTER 18
OBSERVATION OF THE FOUR LIMBS 153

CHAPTER 19
OBSERVATION OF THE LEGS 159

CHAPTER 20
OBSERVATION OF EXCRETIONS 163

CHAPTER 21
OBSERVATION OF THE SKIN 169

CHAPTER 22

CHAPTER 23
TONGUE DIAGNOSIS 203
CONDITIONS FOR EXAMINING THE TONGUE 203

CHAPTER 24
TONGUE-BODY COLOUR 209

CHAPTER 25
TONGUE-BODY SHAPE 215

CHAPTER 26
TONGUE COATING 221

CHAPTER 27
TONGUE IMAGES AND PATTERNS 227

PART 2
DIAGNOSIS BY INTERROGATION 233

CHAPTER 28
INTRODUCTION 235

CHAPTER 29
PAIN 253

CHAPTER 30
FOOD AND TASTE 261

CHAPTER 31
STOOLS AND URINE 269

CHAPTER 32
THIRST AND DRINK 277

CHAPTER 33
ENERGY LEVELS 281

CHAPTER 34
HEAD 287

CHAPTER 35
FACE 301

CHAPTER 36
THROAT AND NECK 311

CHAPTER 37
BODY 317

CHAPTER 38
CHEST AND ABDOMEN 321

CHAPTER 39
LIMBS 337

CHAPTER 40
SLEEP 347

CHAPTER 41
SWEATING 351

CHAPTER 42
EARS AND EYES 355

CHAPTER 43
FEELING OF COLD, FEELING OF HEAT AND FEVER 361

CHAPTER 44
MENTAL'EMOTIONAL SYMPTOMS 379

CHAPTER 45
SEXUAL SYMPTOMS 391

CHAPTER 46
WOMEN'S SYMPTOMS 395

CHAPTER 47
CHILDREN'S SYMPTOMS 411

CHAPTER 48
DIAGNOSING THE CAUSES OF DISEASE 415
INTRODUCTION 415

CHAPTER 49
PULSE DIAGNOSIS 433

CHAPTER 50
PULSE QUALITIES 465

CHAPTER 51
PALPATION OF PARTS OF THE BODY 509

CHAPTER 52
PALPATION OF CHANNELS 525

PART 4
DIAGNOSIS BY HEARING AND SMELLING 539

CHAPTER 53
DIAGNOSIS BY HEARING 541

CHAPTER 54
DIAGNOSIS BY SMELLING 549

CHAPTER 55
HEAD, HAIR AND FACE 559

CHAPTER 56
FACE COLOUR 575

CHAPTER 57
EARS 581

CHAPTER 58
NOSE 589

CHAPTER 59
THROAT 601

CHAPTER 60
MOUTH, TONGUE, TEETH, GUMS, LIPS, PALATE AND
PHILTRUM 609

CHAPTER 61
EYES 627

CHAPTER 62
NECK, SHOULDERS AND UPPER BACK 653

CHAPTER 63
CHEST 659

CHAPTER 64
LIMBS 671
MUSCLE ACHE IN THE LIMBS 671

CHAPTER 65
ARMS 679

CHAPTER 66
LEGS 693

CHAPTER 67
LOWER BACK 703

CHAPTER 68
BODY 709

CHAPTER 69
DIGESTIVE SYSTEM AND TASTE 717

CHAPTER 70
THIRST AND DRINK 731

CHAPTER 71
ABDOMEN 735

CHAPTER 72
DEFECATION 747

CHAPTER 73
URINATION 753

CHAPTER 74
ANUS 761

CHAPTER 75
MEN'S SEXUAL AND GENITAL SYMPTOMS 765

CHAPTER 76
SWEATING 775

CHAPTER 77
SKIN SIGNS 781

CHAPTER 78
EMOTIONAL SYMPTOMS 791

CHAPTER 79
MENTAL AND EMOTIONAL SYMPTOMS 797

CHAPTER 80
MENTAL DIFFICULTIES 803

CHAPTER 81
SLEEP PROBLEMS 807

CHAPTER 82
FEELING OF COLD, FEELING OF HEAT, FEVER 813

CHAPTER 83
VOICE, SPEECH AND SOUNDS 819

SECTION 2
GYNAECOLOGICAL SYMPTOMS AND SIGNS 823

CHAPTER 84

CHAPTER 85
PROBLEMS AT PERIOD TIME 831

CHAPTER 86
PROBLEMS DURING PREGNANCY 837

CHAPTER 87
PROBLEMS AFTER CHILDBIRTH 843

CHAPTER 88
BREAST SIGNS 849

CHAPTER 89
MISCELLAENOUS GYNAECOLOGICAL SYMPTOMS 855

SECTION 3

CHAPTER 90
CHILDREN'S PROBLEMS 863

PART 6
IDENTIFICATION OF PATTERNS 873

CHAPTER 91
HEART 879

CHAPTER 92
SPLEEN 885

CHAPTER 93
LIVER 891

CHAPTER 94
LUNGS 899

CHAPTER 95
KIDNEYS 905

CHAPTER 96
SMALL INTESTINE 911

CHAPTER 97
STOMACH 913

CHAPTER 98
GALL-BLADDER 917

CHAPTER 99
LARGE INTESTINE 921

CHAPTER 100
BLADDER 925
DAMP-HEAT IN THE BLADDER 925

SECTION 2

CHAPTER 101
IDENTIFICATION OF PATTERNS ACCORDING TO QI,
BLOOD, YANG AND YIN 929

CHAPTER 102
IDENTIFICATION OF PATTERNS ACCORDING TO BODY
FLUIDS 935

CHAPTER 103
IDENTIFICATION OF PATTERNS ACCORDING TO
PATHOGENIC FACTORS 943

CHAPTER 104
IDENTIFICATION OF PATTERNS ACCORDING TO THE
FOUR LEVELS 953

CHAPTER 105
IDENTIFICATION OF PATTERNS ACCORDING TO THE
SIX STAGES 965

CHAPTER 106
IDENTIFICATION OF PATTERNS ACCORDING TO THE
THREE BURNERS 969

CHAPTER 107
RESIDUAL PATHOGENIC FACTOR 973

SECTION 4

CHAPTER 108
IDENTIFICATION OF PATTERNS ACCORDING TO THE
EIGHT PRINCIPLES 983

CHAPTER 109
IDENTIFICATION OF PATTERNS ACCORDING TO THE
12 CHANNELS 993

CHAPTER 110
IDENTIFICATION OF PATTERNS ACCORDING TO THE
EIGHT EXTRAORDINARY VESSELS 997
INTRODUCTION 997

CHAPTER 111
IDENTIFICATION OF PATTERNS ACCORDING TO THE
FIVE ELEMENTS 1007

APPENDICES 1011
Appendix 1 Case histories 1013
Appendix 2 Prescriptions 1025
Appendix 3 History of diagnosis in Chinese
Medicine 1051
Glossary of Chinese terms 1061
Bibliography 1067
Chinese chronology 1069
INDEX 1071

Overview

AuthorGiovanni Maciocia
PublisherChurchill Livingstone
Number Of Pages960
Book FormatHardback
ISBN978-0443064487

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