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Bulletin of Clinical Acupuncture & Natural Healing Volume IX Issue 214 Jul 2013

DR. Homi J E Kaikobad MBBS, DPH Dip Ac NCCAOM LAc Editor in Chief & Clinical Director CAROL ANDRADE PHD LAC Editor & Creative Director Vera H J Kaikobad Editor & Researcher

Basics of 5 Element Diagnosis Part II

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Basics of 5 Element Diagnosis

Dr. Holmes Keikobad
MBBS DPH DIP AC NCCAOM LAC Bachelor of Medicine & Surgery. Diplomate in Public Health. Diplomate in Acupuncture National Board Certified. Licensed Acupuncturist Scope of this discussion is entirely educational.

[excerpted from live workshops

When you diagnose in a 5 elemental way, you are always looking for an: Aggressor element Usually when one sees a case one tends to think in terms of symptoms and that sets a trap, because one may end up treating the symptoms and not the basic 5 elemental design which treats cause. Example: Woman, 45, administrator in a large company, complains of headaches, stress related, comes off and on, one sided. Accompanying symptoms involve ST [dyspepsia, acidity, indigestion, heartburn, nausea, pain at REN 17]. Looks very much like a case of migraine. And we will think of taking care of her with a tried and tested acupuncture protocol: SJ 5 - GB 41 LV 3, LV 2. GB 34 Taiyang, Ying Tang etc Now the horror of the situation. Pt gets well but relapses in 3 months. So you look up notes, treat again, pt remains well for 4 months and relapses again. And asks you that interesting question, Doctor, why do I get this again and again?.

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So why did she have relapses? Because her Wood LV is under duress by a silent and sinister ... Aggressor element And who can this be? Well lets discuss: 1. Wood cannot be Woods Aggressor 2. Fire is Woods child, hardly a danger 3. Earth is actually controlled by Wood, cant return favor 4. Metal is capable of controlling Wood. Hmm, needs a second look. 5. Water is Woods mother, cannot go counter to trditional reputation

So who is it? Metal, a controller who can turn renegade and become Aggressor. Fie upon controllers in general. From the roof tops: In migraines Metal can be the Aggressor So if this is the case, in the matter of relapses one should check out Metal? Yes, one should establish with signs and symptoms, a LU Deficiency which later aggressed upon LV and became a LV Excess. Whenever LU Qi went down, LV Qi went up, literally to temples. Just treating LV was a stop gap, now treat LU and there are no relapses.

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How does this profile look on the 5 e chart?? First check out the chart below for 5 e basics and then go to next page: KEY Green is Wood, yin LV and yang Gall Bladder Red is Fire, yin HT and yang Small Intestine Yellow is Earth, yin SP and yang Stomach White is Metal, yin LU and yang Large Intestine Black is Water, yin K and yang Urinary Bladder In health: Wood controls Earth Earth controls Water Water controls Fire Fire controls Metal Metal controls Wood
Illnesses arise when control becomes injury. The main reason for that is a yin def in the controlling element

In illness: Wood injures Earth Earth injures Water Water injures Fire Fire injures Metal Metal injures Wood

5 element diagnostics work with these 3 Qi dynamics Nourishing Qi Controlling Qi Injuring Qi Nourishing Qi runs all the time whether person is healthy or sick. Controlling Qi runs as long as there is no yin deficiency in any element. Injuring Qi runs when there is yin deficiency in controlling element. At this time Controlling Qi becomes Injuring Qi. All illnesses occur when Injuring Qi begins to flow.
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Now the 5 e profile of the condition seen on 5 e chart: LU is Aggressor element on LV

The Qi dynamics

... Step 2. LV Qi went up

Step 1. Because LU Qi went down ...

The 5 e picture

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5 e diagnosis = finding root cause Finding root cause = finding exact treatment Finding exact treatment = comprehensive healing with no relapses Another example: Man, 35, athlete, sprains L ankle on a regular basis, no bony or muscular problems on tests. Symptomatic treatment: GB 41, , GB 34, ST 36, ST 44, ear points Helps, man pain free, after a few months, a relapse. 5 e pattern: Ankle > left > tendons > ruled by LV > on GB > ? What is Aggressor on LV? LU. Next step: establish with signs and symptoms, a LU Deficiency which later aggressed upon LV and became a LV Excess. Treatment: Reinforce these LU 9 Earth point on LU vessel LI 3 Wood point on LI vessel LU 7 Extraordinary channel point Reduce or sedate these LV 3 GB 34 Ear point LU left The 5 e chart and Qi energetics are the same as for migraine on page. Sturdy healing, fewer sessions, no relapses.
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Return to cover page

Bones of the Foot

Dr. Holmes Keikobad
MBBS DPH DIP AC NCCAOM LAC

Here are bones of the foot, a complex joint with nearly a limited range of movement. Study these and then turn to next page to take a small test. Best way to remember these is by the sequence number 1 to 8.

Calcaneum or heel bone

Talus

Cuboid

Navicular Lateral cuneiform

5 metatarsal 4 metatarsal 3 metatarsal

Medial cuneiform Medial cuneiform

2 metatarsal 1 metatarsal

Phalanges

Source image Grays Anatomy

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Self-Test
Name bones of the foot. Its OK to refer to previous page.

Source image Grays Anatomy

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One Picture, One Diagnosis

Dr. Holmes Keikobad
MBBS DPH DIP AC NCCAOM LAC

Often conditions seen in real life, or in an image, lead to a diagnosis. Study the picture, think it out and then see panel below:

Copyright: Benojeda at en.wikipedia

ANSWER: EA case of flat feet or Pes Planus. Occurs due to falling of arche in the foot 33% of people have this to a varying degree. Condition silent but can cause serious remote illnesses such as hip knee and shoulder pain.

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Image: British_Museum_Asia_17.jpg: Gryffindor

Buddhas Question
So many everywhere asked, Master, what did you teach?. Perhaps the better question was, Seekers, what did you learn?.

Words Dr. Homi J E Kaikobad

This concludes this Issue. We plan to continue the series on 5 element diagnostics and the next issue should be out by middle of September 2013.

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