Daniel: May 28, 2020, 2:27am
As I understand it, we are to consider supplement Small Intestine as the main Sa’am Treatment for Moving Blood
(with supplementing Liver as a lesser option in that regard).
What would be considered the main and secondary treatments for Moving Qi in Sa’am?
michaelmax: May 28, 2020, 3:46am
Daniel:
What would be considered the main and secondary treatments for Moving Qi in Sa’am?
As I understand it +LU will boost the qi, which can help movement as there is now enough to circulate. So if there
lack of movement due to deficiency, you can consider that.
+ST moves qi downward, so there is movement there and a clear directionality.
I seem to think that +SJ can move the qi, but I’m foggy on that one. @KristinWisgirda, you probably have a
better read on this one. What’s your sense of qi movement and supplementing the SJ?
KristinWisgirda: May 28, 2020, 10:25am
My take on Saam is that it doesn’t address “qi stagnation” in a general way because it is more concerned with the
where and why the mechanism is blocked. Sometimes channel, sometimes quality proves to be very useful way to
frame the analysis and treatment.
SJ+ moves qi by warming and opening outward to let the light in, with an affinity for the SJ and Liver channel
organ units.
Daniel: May 28, 2020, 1:41pm
yes, that was my thinking . . . . it just came to me that we do, in fact, have a ‘pearl from the teacher’ with regard to
Blood Stasis and Pain that recommends one particular treatment (SI supplementation) regardless of the ‘sometimes
channel, sometimes quality’ dictum . . . so that got me thinking, if the Qi stagnation is particularly pronounced, is23/01/2024, 12:11Treatments for Moving Qi? – Sa’am Clinical Questions – Qiological Community
https://forum.qiological.com/t/treatments-for-moving-qi/1063/print2/2
there an equivalent overriding particular treatment we would consider? It seems not really – they all ‘move Qi’ and
what is appropriate as you say, depends on where the blockage is (which channel) or what is the corrupted /
distorted quality that is blocking the Qi (dampness, dryness, contraction, expansion, heat, cold, etc). . . . . . so one
way of interpreting that . . . . when it is the movement of Qi that is primarily blocked, consideration of which
channel and which quality are involved remains primary . . . . by the time it is the movement of Blood that is
primarily blocked, there are overriding treatments regardless of channel that need to be employed . . . of perhaps its
fair to say, by the time we are talking about Blood Stasis – that is a ‘Quality’ (like dampness, etc) and SI
supplementation is the treatment for addressing that Quality issue . . . . sorry, just riffing out loud here . . .
michaelmax: May 29, 2020, 2:56am
It’s a poignant riff @Daniel, one of my frustrations with Chinese medicine is when we say things like “pain from
stasis” or “the qi needs to move.” These are fine starting statements, but they are not where you finish.
I know sometimes I’m lazy in my Dx and so I’ll think “it’s qi stasis” and then take that as justification to do what I
think I want to for a patient. But that really is not clear Dx and rarely effective treatment. We need to know all of
what you riffing on above. Why is there blockage. What kind of blockage? Where? What else is it engendering?
Sometimes Channel, Sometimes Quality is a good way for me to remind myself to “think again!” And to be clear
with what I’m seeing.
Lately I’ve found that instead of trying to “proof” my diagnosis to myself… which can easily lead to confirmation
basis. I try to disprove the diagnosis to myself. I find that keeps the mind a bit more open.