Professional Documents
Culture Documents
Dr Paul Kalnins, ND LAc
D P l K l i ND LA
David Berkshire LAc
NCNM Nov 14‐15, 2009
Core concepts aligned with
all natural medicine
y Suppression leads to deeper illnesses
y Health is centrifugal
y All illness is biologically useful
y All treatment needs to facilitate opportunity for
‘learning’ or evolution of the mind, body and spirit.
y Self awareness/consciousness building
Terrain
Landscape Tendency
Our reflection of nature that predisposes us to certain patterns
Constitutional Structure (Different than CF!)
I HAVE
The entire potential of the inner being that must be developed
Temperament
I DO
Social and biological behavior
Diathesis
I BECOME
The mode by which we function as we react to the environment
The information collected about miasm are my limited understanding based on the
teachings of Dr. Gerard Gueniot, MD.
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11/13/2009
Miasm
y Hahnemann’s explanation of chronic disease
y Original focus was pathology more than physiology
y Originally:
y Psora – Scabies
y Sycotic – Gonorrhea/Figwart Disease
y Luetic/Syphillitic – Syphilis
y Tuberculinic Miasm introduced later‐ JH Allen
How is Miasm determined
y Familial history
y Reaction to illness/toxins
y Suppression of certain natural processes
y Stunting natural maturation of immune system
y Stunting natural maturation of emotional and/or
glandular system
Diathesis ‐‐ Miasm
y Determined to see how a patient reacts to toxins and
illness.
y Important because will tell us how an illness
developed and where it is headed (pathogenesis)
y If we focus on the pathogenesis and physiology rather
than the pathology, we will know how to treat.
y Mode of eliminating toxins
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11/13/2009
Psora
y Scabies (Psorinum)
y Key: Elimination that improves
y Hyperergy
y Toxins come in, toxins get pushed back out. (fever,
vomiting, diarrhea, etc)
y Focused on the future, fear of the present
y Centrifugal
y Essence of life: physical pleasure, enjoyment.
Psora Etiology
y Auto‐intoxication
y sedentary
y Diet
y Excessive exercise
y Hereditary
y Hetero‐Intoxication
y Alcohol, Meds, Tobacco (don’t want to suffer)
y Emotions‐Stress‐Conflict‐Neurosis
y Parasites
y Pollution
Physiopathology
y Stage One: Sthenic Phase
y Cetrifugal
y Can change emunctories
y recurrent
y Stage Two: Fixation and Aggravation of Phase One
St T Fi ti d A ti f Ph O
y Alternation less frequent and slower
y Phase Three: Decompensation
y Lack of vitality, can’t regain energy
y Abnormal hunger
y Organs get involved
y External elimination is hindered and sycosis develops
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11/13/2009
Psoric Areas of Concern
y Skin
y Feel worse with suppression
y Disorders of thermoregulation
y Intestinal reactions‐diarrhea, constipation,
hemorrhoids, parasites
y Respiratory allergies due to intoxication
y Abnormal hunger
Sycotic
y Gonorrhea (Meddorhinum)
y Key: Elimination by overflowing
y Deposits toxins rather than eliminating (tumors,
warts, cysts, lympomas, growths)
t t l th )
y Hypoergy
y Afraid of the present, turn to the past
y Centripetal (goes internal)
y Essence of life: difficulty assimilating past
experience. (obsessive tendencies)
Sycotic Etiology
y Gonococci VD, E.Coli, Yeast, Fungi, Malaria
y Suppression of elimination (pill)
y Gynecologic (miscarriage, multiple preg) – this
could also be luetic‐pay attention to why…
ld l b l ti tt ti t h
y Vaccine (TB also), Antibiotics, hormones (TB
also), cortisone, transfusion
y Immuno‐suppressive med intervention
y Med intervention on RES‐appendectomy,
splenectomy or tonsilectomy‐anything that causes
lesion to RES
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11/13/2009
RES involvement
y Stage One: Wet Sycosis (DAMP)
y Hydrogenoidism – Na/K pump‐ retention, edema,
swelling, cellulite – hold water to dilute the
concentration of toxins
y Stage Two: Wet turning to Dry (PHLEGM)
y Internal Construction – eliminates internally to protect
yourself = cell construction/toxin trap
y Stage Three: Dry Sycosis (DRYNESS)
y Drying out – tissular sclerosis
Psychological Symptoms
y Changing mood‐according to atmosphere
y Depressive tendency better with movement
y Obsessive behavior‐retains everything including
thoughts
h h
y cenesthesia disorders
cenesthesis: the general feeling of inhabiting one's body that arises from multiple stimuli from various bodily organs
y Hyper organized mentally
Symptomology
y Chronic/repeated infections
y Hydrogenoidism‐
y Hypersensitive to humidity
y Diarrhea tendency
y Overflow elimination through mucosa, rhino pharyngeal, uro‐genital, skin
and intestines
y Constructive cell reactions
y Benign tumors, sometimes malignant
y Obesity
y Sclerosis‐Fibrosis
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11/13/2009
Localization of Symptoms
y Uro‐genital tract
y Rhino pharynx
y Left, descending colon
y Skin
Tuberculinic
y Disease of the Renaissance (age of Aquarius –
spiritual puberty of humanity)
y Key: Elimination that exhausts
y Anergy (inefficient fevers, inefficient eliminations)
y Refuses to deal with the present, seeks to escape
(dreams, drugs, travel, idealic world in their head)
y Demineralizing, dematerializing
y Essence of life: intellectual pleasure, research of an
ideal
The Actual Tuberculosis Infection
y Aspecific mode of defense = anergy
the immune system is not used leading to:
y Hepatic insufficiency
y (primary protector‐general ordering the troops –
( l d h uses mucosa to eliminate)
l )
y Lymph and lymph node reaction‐infection
y (secondary protector – Chinese related to lung (wei qi) and liver processing)
y Tissue Stage
y (once bypasses the weak lymph goes to the lungs and gnaws creating cavern)
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11/13/2009
Tuberculinic Etiology
y Tuberculosis
y BCG Vaccine or intradermo reaction
y Vaccine that ‘sneaks’ by part of the immune reaction,
insufficient fight occurs.
i ffi i fi h
y Emotions
y Anergizing diseases
y Demineralising Factor
Characteristic Symptomology
y Inefficient natural immunity
y Immaturity of self
y Who am I?
y Problems with communication/others
y There is an ideal to strive for
y Romantic/Artists
Physical Symptomology
y Stage One
y Defense‐Sthenic (active) stage with a decompensated
hepatic phase
y Stage Two
y Lymph Node stage
y Stage Three
y Tissue Stage
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11/13/2009
Tuberculinic Areas of Concern
y Emotional hyper‐sensitive
y Variability of symptoms
y Peripheral congestion
y Tendency to low‐grade fever
d l d f
y Mucous and Serous elimination that does not
improve
y Demineralization
y Tendency to constipation/IBS
y Sluggish adrenals and hyperactive thyroid
Luetic
y Syphillis (Luesinum)
y Elimination illogical – anarchy
y Dysergy (destructive approach to elimination)
y Paradox, Metastasis
d
y No past, no reference point.
y Go against the norm, against structure
y Essence of life: absence of past and references, who
cares about the body.
y Ulcers, Colitis, Sclerosis, End of life
Luetic
y A lesional diathesis which leads to tissue attacks
y Inflammatory process leads to sclerosis or ulceration
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11/13/2009
Luetic Etiology
y Hereditary or acquired syphilis
y Hereditary alcoholism or drug addiction
y Growth and formation problems
y Prematurity
y Unexplainable repeated infections
y Undernourishment
y Rickets‐true vitamin resistant
y Scarlet fever
y Repeated strep throat
y Late case of the mumps 45+
y Acetone crisis is a sign (liver immature)
y Convulsions after 6 months
y Premature education (TV=info before one is mature) – could be TB also
y AIDS
y Kids with no roots
Symptomology – “Abnormal”
y Dis‐rhythmia
y Lives at night, sleeps during the day
y Dies early
y Self‐sabotage/destruction with time management‐no sense of time
y Distortion
Di t ti
y Can’t find the reference point, no past/future
y Dissymmetry
y Physical‐ie scoliosis
y Thinking – destructive one sided
y Paradoxical
y Anarchistic
Luetic Areas of Concern
y Vascular‐microcirculation
y Attack on support of elastic tissue
y Attack on bone tissue – deep structure of
individual (TB is demineralizing, not attacking)
y Attack on nervous tissue
y Attack on mucosal membranes and the skin
y REMEMBER SCLEROSIS OR ULCERATION
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11/13/2009
Miasm and Temperament
Phlemagtic/Lymphatic‐ Melancholic/Nervous‐
Sycotic Luetic/Syphillitic
6 Confirmations
y Chpt 7 Su Wen: Position in the body/relation to yang
y Tai Yang: (Greatest Yang)Bl/SI meridians expansive
y Shao Yang: (Lesser Yang)TW/GB meridians pivot
y Yang Ming: (Brightest Yang)ST/LI meridians internal
Y Mi (B i h Y )ST/LI idi i l
y Tai Yin: (Greatest Yin) Sp/Lu meridians expansive
y Shao Yin: (Lesser Yin) Liv/PC meridians pivot
y Jue Yin: (Extreme Yin) PC/Liv meridians internal
6 Confirmation in relationship to
state of Yang Qi
y Yang Qi:
y Bright side of hill
y Ability within the body to REACT
y Could be related to vital/dynamic force in homeopathy
C ld b l d i l/d i f i h h
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11/13/2009
Zhang Zhong‐Jing‐ Shang Han Lun
y Progression of Cold Damage/Disease
y Taiyang: Superficial
y Yangming: Still within Yang, but internal
y Shaoyang: ½ in, ½ out
Sh ½ i ½
y Taiyin: Internal
y Shaoyin: Deeper internal
y Jueyin: Yin and Yang begin to separate
Taiyang basic symptomology
y Pulse that is floating
y Stiffness & Pain of the head and nape
y Aversion to cold
y Feeling like you have a fever
y Sweating or absence of sweating
Yangming basic symptomology
y Aversion to heat
y Afternoon tidal fever
y Spontaneous sweating
y Thirst with desire to drink water
y Abdominal fullness, distension and pain
y Constipation‐dry stool
y Delirious Speech
y Yellowing
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11/13/2009
Shaoyang basic symptomology
y Bitter taste in mouth, dry throat, dizzy vision
y Alternating fever and chills
y Chest and rib‐side fullness
y No desire to drink or eat or to speak
y Irritability
y Frequent retching
y Pulse: fine and stringlike
Taiyin basic symptomology
y Abdominal fullness with periodic pain
y Inability to get food down
y Absence of thirst
y Vomiting
y Spontaneous diarrhea
y Pulse: moderate and weak
y Yellowing
Shaoyin basic symptomology
y No sensation of fever and an aversion to cold
y Pulse: faint and fine
y Desire only to sleep
y Limbs cold
y Diarrhea with undigested food
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11/13/2009
Jueyin basic symptomology
y Upper heat and lower cold
y Thirst
y Qi surging up to heart
y Hunger with no desire to eat
y Vomiting of roundworms
Dr Reckeweg, MD
y Developed principles of homotoxicology in 1952
y Trying to bridge conventional medicine with
homeopathy
Dr Reckweg’s 6 stage theory
y Excretion Phase (Taiyang)
y Inflammation Phase (Yangming)
y Deposition Phase (Shaoyang)
y ‐‐Biological Division– (Moving yang to yin)
y Impregnation Phase (Taiyin)
y Degeneration Phase (Shaoyin)
y Dedifferentiation Phase (Jueyin)
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11/13/2009
Psoric/Excretion/Taiyang
y Psoric: Hyperergy‐ direct to the outside
y Excretion phase: This phase contains
manifestations of increased physiological
excretion mechanisms. (Heel handbook)
i h i (H l h db k)
y Taiyang: Exogenous pathogenic factors attack the
body surface injuring the defensive yang qi causing
an aversion to cold. Fever is due to the obstruction
of yang qi. (tcmbasics.com)
Sycotic/Impregnation/Taiyin
y Sycotic: Hypoergy – depositing toxins
(dampness to dilute)
y Impregnation phase: Diseases in this phase are characterized by
the presence of toxins which become a part of the connective tissue and
the matrix, along with changes in the structural components and their
function. The typically increasingly severe symptoms of this phase
demonstrate damage of the organ cells.
y Taiyin diseases are mostly due to pathogenic cold directly
attacking the middle jiao of a constitutionally weak
patient, or due to delayed treatment of diseases of the three
yang channels thus damaging the yang of the middle jiao.
TB/Deposition/Shaoyang
TB: Anergy: vital force can’t fully push out toxins
Deposition phase: In this phase the excretion
mechanisms of the body are overworked and toxins are
deposited in the matrix. This phase often progresses with
few symptoms (heel handbook)
f t (h l h db k)
Shaoyang diseases are usually due to unrelieved Taiyang
exterior syndromes that have been transmitted into the
interior. There may be cases which have Taiyang diseases
at the onset, so pathological changes are neither on the
Taiyang exterior nor in the Yangming interior, but stay in
between. They are known as semi‐exterior/interior
syndromes. (tcmbasics.com)
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11/13/2009
Luetic/Degeneration/Shaoyin
y Luetic: Dysergy (Destruction/Lesions)
y Degeneration phase: During this phase, courses of
disease cause serious damage, and destruction of
larger cell groups of an organ occur.
larger cell groups of an organ occur
Shaoyin
y Shaoyin diseases may be due to direct attack of the Shaoyin
by exogenous pathogenic factors when the body has yang
deficiency and cold; or due to the transmission of
p
pathogenic factors from other channels into the Shaoyin; or
g y
due to treatment employing a strong diaphoretic action
that injures the yang. After invasion of the Shaoyin by
pathogenic factors causing yin symptoms, a change into
cold may occur. If yang symptoms occur they may
transform into heat. Therefore Shaoyin diseases can be
divided into Shaoyin syndromes of cold transformation
and Shaoyin syndromes of heat transformation.
Psoro‐Sycotic/YM/Impregnation
y Psoro‐Sycotic: Suppression of the psoric expression so that
it is trapped internally
y Yang‐ming: Yangming diseases are usually caused by
exogenous pathogenic wind and cold which convert to heat
and transmit directly into the interior, attacking the
Yangming. (tcmbasics.com) Heat trapped internally dries
( b ) d ll d
and damages the fluids.
y Inflammation phase: Illnesses of this phase are marked by
an exudative inflammation that enables an accelerated
excretion of toxins from the body. After initial damage to
stomach qi and the heat begins to damage internally:
Impregnation Phase
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11/13/2009
TB‐Luetic
y Anergy leading to dysergy
y Shaoyang shifting to shaoyin then finally leading to
jueyin
y Dedifferentiation Phase
D diff i i Ph
y With no self identity (TB) and willingness to kill
yourself (Luetic) the yin and yang can separate.
Jueyin and Dedifferentiation
y Jueyin diseases indicate the last stage of disease
transformation of the six channels. This disease condition
is complex with syndromes of extreme heat or extreme
y
cold, or syndromes of alternate cold and heat.
y Dedifferentiation (neoplasm) phase: Diseases of this phase
are characterized by the development of undifferentiated,
non‐specialized cell forms. Malignant diseases stand at the
end of this phase.
Therapeutics
y 4 Pillars of Health:
Terrain:
Elimination Miasm/Diathesis,
Drainage, Respiration, Temperament, Constitutional
Exercise Structure, Elemental
Structure Elemental
Structure
HEALTH
Nutrition Mental:The 3 ‘Brains’:
Natural, Organic, Adapted Impulses, Emotions, Intellect
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11/13/2009
Individual
Spirit
Individual
y
Way of life Terrain Body Soul
Behavior Diathesis
Lifestyle Terrain
Nervous System:
Dr G’s Homeostatic
System: Brain
Adapted Chpt 11 SuWen:
6 Extraordinary Fu Immune System:
Metabolic System: Marrow
Gallbladder/Bile
Circulatory
Endocrine/Hormona System:
l System: Blood Vessels
Uterus
Electrolytic System:
Bone
• Centrifugal • Resolve
• Excretion exterior
relieves • Harmonize
ying and
wei
•Sulfur •Gui Zhi Tang
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11/13/2009
Nervous System:
Psoric Psychosis, neurosis
Immune System:
Metabolic System: Allergies
Liver
Circulatory
Endocrine/Hormonal System:
System: Arterial
Hyperadrenal congestion
tendency Electrolytic System:
Arteriosclerosis,
arthritism
Treatment Approach
• Centripetal • Warm the
• Teach how to interior
move and (spleen)
excrete • Dry Damp
accumulation
•Thuya •Fu Zi Li Zhong Wan
Nervous System:
Sycotic Obsession
Immune System:
Metabolic System: Reticulo‐endothelial
Hepato‐renal immunocomplexes
Circulatory
Endocrine/Hormona System:
l System: Lymphatic, water
Hyperadrenal, trapping glue
hypothyroid Electrolytic System: Drain through
Aberrant calcifications liver and
intestines, not
renal
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11/13/2009
Treatment Approach
TB Shaoyang Sanguine
• Anergy • Harmonize
• Support • Usually
inefficient avoid
reaction to sweating
react and
purging
•Phosphorus •Xiao Chai Hu Tang
Nervous System:
TB Emotivity, ANS
dystonia
Immune System:
Metabolic System: Anergy
Hepatic insufficiency
Circulatory System:
Endocrine/Hormona Venous
l System: insufficiency/perip
Hyperactive thyroid heral congestion
Electrolytic System:
Hypoactive adrenal
Demineralisation,
Ovarian imbalance‐ electrolytic
hyperestrogenic management
Treatment Approach
Luetic Shaoyin Melancholic
• Dysergy • Warm the
• Drain body of interior
toxic load (kidney and
through spleen yang)
appropriate • Through
routes (renal) warming the
interior yang
qi can move
freely
•Mercury •Si Ni Tang
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11/13/2009
Nervous System:
LUETIC Not finished dividing
up ‐ immature
Immune System:
Metabolic System: Paradoxical defenses
dysmetabolism
Circulatory System:
Endocrine/Hormonal microcirculation
System:
Pituitary Gland
Electrolytic System:
Destruction, loss of
substance
Treatment Approach
Choleric‐
Psora‐Sycotic Yangming
Phlegmatic
• Turning • Clear heat
l h
centripetal • Purge
• Purge intestines
through • Moisten
Psoric routes intestines
of intestines
•Graphites •Bai Hu Tang
•Cheng Qi Tang
•Ma Zi Ren Wan
Treatment Approach
Sanguine‐
TB‐Luetic Jueyin
Melancholic
• Usually drain • Address
through renal Cold‐Heat
functions Complex
• Pay attention • Nourish
to mineral blood and
balance warm
congealing
cold
•Arsenicum Album •Wu Mei Wan
•Dang Gui Si Ni Tang
20