Dr. Wang Mi Qu on TCM Psychology

topic posted Mon, February 4, 2008 - 3:39 PM by  Amondala
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Dr. Wang Mi Qu 王米蕖
post doc teacher @ Chengdu University
grad of Beijing Uni – graduate w/Dr. Fu here @ACTCM
1979: - Ping Wu wrote insomnia study w/ him, as well as study about ? insomnia

72 kinds of differences betw. male & female

1970-1980 TCM psychology made surge of development: involved branch of TCM, but not systemized.

next year: psychology conference in Beijing: invitation to go

dr. Wang: more focused on genetics now
: 7 emotions: how impair internal emotions
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research case: animal research on fear/KI (cats&rats)
-scared rat (from cat); (?cat also scared of rat?)- research how scared next generation of rat’s Yang def.
-use Jing gui san qi wan- usually used to tx KI yang def.

fear: cause qi ji to go down: rat has freq. incontinence (test if sudden bright light scares & check for incontinence)
-measure urination/BM freq/amount
-after formula, comes back down to normal (proof Jing gui san qi wan helps KI qi def.)

-measure thickness of brain layer (cerebral cortex?)- back to normal after
-presences of gene (∅ structure) changed – tonifies KI def.
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psychology tx started before acupuncture or herbs developed!!, but most immature of modalities
-research is more high level (physiological, mechanical low level more research)
-mental dev. more complicated
character of medicine: Yi: lower portion morphed from shaman to alcohol (shaman tx more psych. issues)

Ling shu: speaks of psychol. tx
Shang Han Lun:
Sun Si Mao’s:
Yi Tian Shi (Wen Bing related)

TCM psychol. tx: narrow meaning – just use words (psychotherapy?)
- just hearing famous doctor’s name is beginning of tx (already getting a little better)

relationship w/ dr. & px: in every interaction
-negative emotions possible: anxiety, fear, cautious, dependence, hopeless, depression, suicidal tendencies, anger, grief…
-what px want: best doctor for them, respect for them, need understand, accept, comfort, someone they can depend on, need information on their health, feel safe, in good hands
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Key points of success
-Ling shu: teaching chapter: use of language to help px: how educate, comfort, give guidance
1) trust/faith in doctor
2) communication w/ doctor

in dr. wang’s reseach: 100 cases of mental DO: 73.8% male px!! (hard to get women to get tx)
-50% anger related
-next: overthinking, terror, sadness, grief, fear, overjoy

TCM: consulation is tx, tx is consultation
when get consultation: mental DO is not very severe yet



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-TCM psychol. related to general TCM fundamental theories
basic characteristics of TCM?? –
1) holistic --tx body, spirit, environment (human body w/ nature & society)
2) differentiation – indiviual’s specific case

TCM TREATMENT METHODS
1) talking to people – basic method
dx: key points: what cause wrong: educate, then advice

2) 7 emotions & 5 element relation to tx
-use controlling relationship

A) case: King has depression/SP: dr. Wen zi to come: use anger/LV to tx
-doctor healed, but burned to death by King

B) dr. Zhang zi he: TCM psychol. dr.
px ds by fear (robbed @ hotel): wife (husband ∅ respect dr., but other dr. ∅ help)
-dr. Zhang agreed ∅ use any herbs: she scarred, ∅sound: even little sound gives palpitations
-wood bells: woman to concentrate, then banged on bell loudly, then repeated it; px gradually get more calm
-@ night: got someone to knock on window: then told her that sent someone to
-earth control water: get px to think.. (patient not even scared of loud thunder!!)

dr. Wo be: behaviour tx
: systematic desensitization

C) uncontrolled laughing:
D) joy control sadness (got tumor: get playful doctor to cure tumor)
E) anger control sadness
-concubine pretend to have distress – doctor tell her

3) Yang vs. Yin treatment
Huang di neijing

Yin - Yang
Joy - Anger
Neg – Positive

F) dr. Zhang zi he: woman anger easily: husband powerful, but she has low appetite (get her very happy: get two comedians to make her laugh); 2 comedians also eat with her a lot;

E) opposite will transform to other > schizophrenia:

4) tx method: neijing: transform your focus
-since childhood: chest pain, SOB, cough, asthma: works @sea
-parents very care: repeatly constant: px thinks more about own disease
-dr.: nothing wrong with your chest: pbx in your ear: bleed ear, very painful (get px to focus on ear, not chest)
-did use chest point on ear, so chest did get better
-px transform focus on ear, gradually chest pain got better

transmit & transform into something else

-use cold/hunger to treat memory
-use funny talk to tx diarrhea

5) pretend to use acupuncture & herbs: hint/suggestive treatment
case: parasite in abdomen (px thinks so)
-drunk: confused & went back home; thirsty & drink water from pool
-saw lots of worms in pool (think abdomen has so many parasites)

dr. wu: says he does believe px: I can take care of you
-gave real herbs (purging)
-dr. had poo in pot (already prepared w/worms in it, to show BM gone)

dr. use method: to HINT curing (think needle kill worm)

6) dream analysis
TCM: according to Yin/Yang & 5 element theory
vs. Frued (subconscious & sexual desire)
-dreams indicates, water/fire, yin/yang
-if dream of fire/red=yang excess (rel. to heart)
-dr. wang px: always dream of water; T= pale: def. cold, cold extremities
-use fu zi: very warming
-a diff. dr. had treated, ∅ good results, but still think px needs them.
-use diff. method: use tea to soak feet (∅ intake): heavy dosage (30 qian each) 2x a day (evening & morning)
-after this, much less dreaming about water: extremities gradually warmer

px: carbuncles (yang excess ds): cold herbs
dream: lots of research still need (theories diff. than freud)
-dream: higher level
-need lotsa method

7) change the environment method
-good environment: help good emotions/mental activiites
-natural: high mountian, sea, travel
-society: family, work

case: stress/anxiety:
high official: lotsa competition/stres: ∅ like job; dr. shen zi tell him to give up job

case: woman: over 30 yrs. old (∅ married): depression, lotsa of vomit)
herbs: qi go down > ∅ help with vomit
got husband to marry her

8) meditation
Tai qi, qi gong, imagination?, prayer, Buddist tx
-calm, peace, can control hyperactivity

case: high offical px: lost his power/favor from boss > got mental DO, HA, dizzy, disconnected, ↓appetite, insomnia
-Buddhist monk told him his past life (have to experience this): advise to do meditation: gradually got better

SPECIFIC METHODS: TX MENTAL/EMOTIONAL DO
1) Huan Hen Dao Yin Gong (book: how to )
-related to anger, (also sadness, overthinking )
Huan: “suffer from” (huan bing: suffer disease)
Hen: anger
(both have HT radical)
-general characteristics: all go to Heart
> regulates qi
> if have anger or other mental DO: can blow qi out
dr. wang: one day @ school: female px: husband in car accident & died (very loud belching, ∅ sleep, ↓ appetite, hypchondriac distention)
: TCM: partner:? 100 points to cause mental DO
> ST qi ji rebelling
> dr. wang taught her to blow out the qi (belching got less); she feel hypchondriac discomfort better
> also taught how to make abdominal breathing, & one prescription: but she didn’t take the two bags, she didn’t think she needs them; now she’s much better.
>> all emotinal stemmed from qi ji DO
neijing/su wen: pathologies from qi dysfunction > regulate qi

breathing
1) before : lower lips more forward than upper.
2) lift up arms: level w/ shoulder, facing same direction as qi blowing out
3) use abdominal breathing, contract to make qigo out
4) posture slightly leaning forward

Qi character: original meaning=breath
gigong: use for regular maintenaince
10-15x /session
-how long/frequent depend on severity of case (5-6x for severe case)
-usually twice a day (morning & afternoon)

case: schizophrenia
group 1: 22% (11 people): gigong
group 2: just arm exercise (same movement)
-nurse guides
-monitor: 70 days
-16 specific signs: dislike speech, hypochond. pain, plum pit qi…
-3 points: 0-4: ∅ sx, low, mid, high severity
> signif. difference betw. groups : esp. hypochondriac pain & plum pit qi
> emotional signs/sx? – delerium or excessive talking, quiet, hypoactivity, abnormal behaviour,dull complexion, anger easily, vexation, meloncholy, grief, crying, low energy, insomnia, hallucinations, compulsive behavior,
posted by:
Amondala
SF Bay Area
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