INTRODUCTION TO PATTERN DISCRIMINATION-TCM II

1. Course Number: 200B



2. Course Title: PRINCIPLES AND THEORIES OF TCM II



3. David M. Cohen, L. Ac.,



4. PURPOSE



The purpose of this course is to broaden and deepen the student’s understanding of the principle theories of TCM Differential Diagnosis: Differentiation of Syndromes.



5. OBJECTIVES FOR STUDENTS



By the completion of the term, the student will be expected to know how to identify the basic patterns (Bian Zheng) and the basis of treatment according to Pattern Discrimination. These patterns include the following: the Eight Principles, all the syndromes of Vital Substances ( Qi, Blood, BF), Pathogenic factors, as well as some aspects of Five Element differentiation, Jing Luo theory and the Six Phases, Four Levels and Three Jiaos. The student is required to know the symptomotology of each syndrome, as well as appropriate treatment principle and treatment which includes herbal pharmacopoeia and herbal prescriptions, as well as miscellaneous other relevant treatment, most noticeably diet.



6. REQUIRED TEXTS



Maciocia, The Foundations of Chinese Medicine



Class Outline





7. RECOMMENDED TEXTS



Clavey, Steven, Fluid Physiology and Pathology in Traditional Chinese Medicine



Deng, Tietao, Practical Diagnosis in Traditional Chinese Medicine





Wiseman and Ellis, Fundamentals of Traditonal Chineses Medicine



Wiseman and Feng, A Practical Dictionary of Chinese Medicine



8. Recommended Reading



READING LIST: The Required text for this class may be either Wiseman and Ellis, Fundamentals of Chinese Medicine, or Macicoccia, Foundations of Chinese Medicine. It is further recommended that the student read from as many of the following recommended texts as possible.



* indicates strongly recommended)



( Beijing Foreign Press) , Chinese Acupuncture and Moxibustion



* Bensky, Dan, Formulas and Strategies



Dharmananda, Subhuti, Your Nature, Your Health



Flaws, Bob, Statement of Fact in Chinese Medicine,



Flaws, Bob, and Finney, Daniel, A Compendium of TCM Patterns & Treatments



Hammer, Leon, Chinese Pulse Diagnosis: A Contemporary Approach,



Huang Bing-Shan, Syndromes Of Traditinal Chinese Medicine



Jarrett, Lonnie, Nourishing Destiny



Kaptchuk, Ted, The Web That Has No Weaver



* Li Shih Zhen, Pulse Diagnosis



• Liu, Guohui, Warm Pathogen Diseases

•

Maciocia, Giovanni, The Foundations of Chinese Medicine



* Macioccia, Giovanni, Tongue Diagnosis



Porkert, Manfred, The Essentials of Chinese Diagnosis





9. Course Requirements



Attendance and participation are mandatory to obtain a grade of A.

The final and midterm compose two-thirds of the grade and class participation

in quizzes, homework and case studies will comprise the other third.









10. Evaluation Criteria:



Exams 67%



Quizzes and Classwork 33%



- Passing is 70% and is equivalent to a grade of C. Anything below that is not acceptable for credit to this class. Anyone missing more than three classes can not receive a passing grade in this course.





11. Presentation Methods



This class is primarily lecture, but a section of each class is reserved for questions or review in a question and answer format. Students are encouraged

ask questions, but only after reflecting upon the material.



12. Key Knowledge Presented



The emphasis is on developing skill at Pattern Identification. This includes mastery of the Eight Principles, fundamental knowledge of tongue and pulse diagnosis, functional differentiation of syndromes of vital substances. We will also introduce the differentiation for Shang Han Lun and Wen Bing, theories of Fevers.



13. Required Level of Comprehension



While still an introductory level course Students are required to have a working knowledge of Principles and Theories I or the equivalent, as it is expected that fundamental principles must be clearly understood when applying them to diagnosis. While it is not required for this course, it is also strongly recommended that the student be conversant with the principles of Acupuncture and herbal pharmacopoeia as well.



SYLLABUS AND CLASSS OUTLINE



Week 1- General Introduction to Pattern Discrimination



Differentiation, Treatment principles, methods

- Eight principles revisited



READING: Deng, Practical Diagnosis, p 165-185

Macioccia, Foundations, 417-442

Flaws, Compendium, pp 1-7

Wiseman and Ellis, Fundamentals, 127-143





Week 2- Diagnostic Method Overview I



-Four Methods

-Tongue Examination



READING: Deng, Practical Dx, 33-55

Macioccia, Foundations, 310-316

Macioccia, Tongue Dx, 12-35

Wiseman and Ellis, 89-116



Week 3- Diagnostic Method Overview II



-Intro to Pulse Diagnosis



READING: Deng, 83-155

Kaptchuk, 155-177

Macioccia, 353-361

Li Shih Zhen, Pulse Dx, 102-115

Acupuncture and Moxibustion, 267-271

Wiseman and Ellis, 116-126



Week 4- Pattern Discrimination According to Qi, Blood, and Body Fluids I



Introduction to Differentiation of Syndromes according to

Vital Substances



READING:

Deng, 253-267

Macioccia, 445-455

Flaws, 137-152; 153-167

Wiseman, Ellis, 145-152



Week 5- Pattern Discrimnation according to Qi, Blood, and Body Fluids II



Dampness and Phlegm Patterns, etiology and symptomotology.





READING



Clavey, Fluid Physiology and Pathologyin TCM,

1-17; 151-257, 397- 443 ( You don’t have to…but you’ll wish you did!)



Week 6- Pattern Discrimination according to Five Phases



READING: Dharmananda, Your Nature Your Health

Kaptchuk, 343-354

Macioccia, 775-778




Week 7- MIDTERM EXAM/ Review of Exam





Week 8- Pattern Discrimination According To Pathogenic Factors I:Wind



READING:

Deng, 185-210

Maciocia, 681-687; 687-707

Wiseman & Ellis, 187-223


Week 9- Pattern Discrimination According to Pathogen II: Hot and Cold



Week 10- Pattern Discrimination According to Six Phases



Fundamentals of Shang Han Lun; strong and weak presentations





READING:

Deng, 211-229

Maciocia, 709-719

Wiseman and Ellis, 225-248

Abigail Surasky, writing on Ni Yi Tian-handout



Week 11- Pattern Discrimination According Theory of Warm Diseases





Reading: Liu, 5-101

Wiseman and Ellis, 348-370

Maciocia, 721-741

Week 12- Principles and Methods of Treatment



- Summarizing various treatment principles and methods in the context of Differentiation



READING: Wiseman and Ellis, 249-292

Bensky, Formulas and Strategies, 9-14





Week 13- Diagnostic Method revisited; organization of patterns



READING: Deng, 325-342



Week 14- Practical Application of Pattern Discrimination



-Unifying the miscellaneous diseases



Week 15 FINAL EXAMINATION