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The Traditional Chinese Medicine Approach to Treatment 


R
OOTS & BRANCHES

A general summary of Traditional Chinese Medicine's treatment strategies describes their common elements in terms of a tree.   The condition that brought the patient to the practitioner (which we call the presenting complaint) is one of the branches.  The other branches are the other signs and symptoms of the condition.  The underlying cause, the illness itself, is the main root of the illness.  Contributing factors are often also roots.

This gives three possible types of treatment.

  • Treating the branches - making the patient comfortable.
  • Treating the root - restoring health.
  • Treating both the root and the branch - the branches are interfering to the
    point that reducing their effects is a high priority.

Health Care Treatment is a Cooperative Effort. 

The acupuncturist brings expertise and experience to the effort and the patient brings values and circumstances.  Together, the two develop a shared understanding of the patient's condition and life circumstances.  Next, they compare the patient's treatment goals with the acupuncturist's assessment of what is needed to reach those goals. 

From the acupuncturist's point of view there are three categories of results. 

  • Resolution or Remission - The state of absence of disease; temporary or permanent.
  • Management - The slowing or halting of the progression of disease and minimizing the condition's interference with life. 
  • Palliative care - Treatment that minimizes or relieves suffering. but does not affect the progression of a disease.

Then they develop and agree on a treatment plan.  The plan will address the pain of course, but it will also address the secondary issues; calling for either treatment or a referral to appropriate services.  These range from educating the patient about secondary issues (such as increased frustration and irritability) to  recommending the patient see his/her medical social worker for assistance in coordinating the services needed for healing.

A Hierarchy of Healing Methods

A look at TCM's  hierarchy of healing methods shows the cooperative and comprehensive nature of the treatment process (see Chart Below). Sources vary (as they do in any field of study and practice which is several thousand years old) but most commonly the hierarchy has seven or eight healing methods which are ranked by two factors. First, the degree of invasiveness. Second, the performer of the healing task.  Use of the techniques is not limited to moving from one step to the next in consecutive order.

The realities of an imbalance (illness) often require different levels of treatment simultaneously and they may be not even be adjacent to each other in the hierarchy. The chart below displays one version of the hierarchy.

Self-Administered

Meditation (right-thinking or not-thinking but alert & being)

 

Exercise which cultivates Qi

 

Exercise

 

Diet - Nutrition

 

Practitioner Administered

Cupping and other manual manipulative techniques

 

Moxibustion - burning herbs

 

Acupuncture

 

Herbal medicines


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