The Clinical Picture from the Chinese Medicine (TCM) Point of View
Diagnosis and Therapy
A condition of a successful therapy is the comprehensive insight into the individual desease constellation. The physician will therefore offer an abundance of questions, which go far beyond rheumatology. He must know how the pain is exactly constituted since the symptomatology changes for instance with the seasons or with psychological strains.
Main topics of the anamnesis are therefore:
(1) How did the body deal so far with infects for example of the respiratory system?
(2) Do pain and tiredness depend on ingestion or are there food incompatibilities?
(3) How does the menstruation influence the feeling of the female FMS patient? Are there changes during this period which can be described by the woman?
After the discussion with the patient the investigation of the pulse and the tongue is another basic tool of the Chinese medicine with amazing significance confirming, supplementing or correcting spoken words.
The way how the organism is defending against infects is the key-note of the analysis of the pathogenesis - it forms also the thread for the therapy. The use of medicinal plants is the core of the Chinese medicine. With the help of dispensing from plant materials, which are composed for the individual patient, wrong directed activities of the immune system can be corrected. First, scoriaceous substances, which are deposited inside the organism, have to be reactivated, mobilized and then released as mucous. Hereby, first alleviation for the patient can occur. The next step of the treatment constitutes in detecting often far in the past lying, aborted infects. This can lead to the fact that after years the patient develops an acute inflammation of the mid ear, bronchitis or a cystitis suddenly again. This catching up - or reactivating - of the old infects should be controlled with the help of chinese acute formulas in such a way that the cold does not go any longer inward, but becomes the main force in order to eliminate the rheumatic process and excreting it over the mucous membranes.
All other therapeutic procedures assemble around this central therapy-axis. The therapeutic dialog is of high importance. It serves to clarify the circumstances of the disease and its emergence. Furthermore, it has to guide the patient to understand for its situation as well as for the therapy process and to train him to necessary and inevitable changes in his lifestyle as well as in his diet.
A various offer of "exterior" therapies helps with the direct abatement of symptoms and supports the plant medicine therapies. This includes acupuncture, moxibustion and cupping. Furthermore, diverse massage techniques such as shiatsu, tuina, psychotonic after Glaser and foot reflex zone treatment. Such therapies also have to replace the acupuncture completely in the case of extreme pain sensitivity of a patient.
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