Do you know what is meant by the difference between a structural/organic as opposed to a problem in qi transformation? In the Applied Channel theory book they talk about this on page 203.
“…I used the “inner line” of back shu points closer to the spine when there were physical or structural problems with the internal organs. This is in contrast to problems with what Chinese medicine calls the qi dynamic, which are often best treated by using the five transport points… A kidney infection, for example, might call for use of BL23, while kidney qi deficiency is better treated with KI3.”
I am really not sure what is meant by this. It seems that in this case he is talking about conditions which have a noticeably physical effect on the organs, i.e. with a kidney infection I suppose that the inflammation would more noticeably affect the kidney’s physical matter. On the other hand, he writes on page 87, that
immune system disorders often fall into this category
They will also have a lot of inflammation going on which will markedly affect the body’s physical structure. It seems that the line between a structural vs qi dynamic problem will be very blurred, if such a separation is at all valid anyway.
Would the ancient Chinese have been able to make such a distinction anyway, as they did not have modern knowledge of pathology?
Just hearing the terms without an explanation of their meanings, I suppose I would think of structural/organic disorders as a disease which is deep in your body, profoundly affecting your yin organs, but on the other hand, on p.87 Dr Wang says
this is not to say that qi transformation disorders are not serious
Autoimmune diseases like type 1 diabetes, hyperthyroidism and multiple sclerosis certainly do seem very serious. (though perhaps they wouldn’t class THOSE autoimmune disorders as problems with qi transformation?)
Dear Eliaz, a physical or structural problem always involves tissue changes (i.e. from inflammatory conditions like pleurisy to neoplasia). Please note that this does not involve the yin organs (zang) only but also the yang (fu). In the case discussed by Wang Ju Yi, the problem is not structural but functional. In this instance it is the mechanism of Qi (Qi dynamic) that is disrupted. Examples of functional disruption can be seen in E-motional disturbances (as the sleep-walking boy reported in the book), Head Aches, some menstrual disorders, as well as some forms of Bi-syndromes.
In regard to the autoimmune disorders, it is certainly true that ancient doctors were not aware of them; however, Wang Ju Yi is a modern Chinese doctor and therefore knows the disease. The reason why he defines autoimmune disorders as related to Qi dynamic (functional) resides in the fact that autoimmunity can be seen as a disruption of Wei Qi attacking the constitutional level (Yuan Qi/Jing). It can still be argued that the end result, being an inflammation, will also be a structural problem; however, what Wang Ju Yi is telling us is that
- in case of autoimmunity we should try to act on the functional cause of the problem
- Qi dynamics do not take place only on a superficial level but at any level (also deeper) in the body (i.e. Wei Qi going deep at night – Yuan Qi and Ying Qi movement etc…) and can create complex pathological patterns.
Finally, as explained in several passages of the SuWen, there is a generative (sheng) continuum between the energetic/functional and structural level:
The east generates wind;
wind generates wood;
wood generates sour;
sour generates the liver;
the liver generates the sinews;
the sinews generate the heart