Treating Patients Well: Formulation Principles and Formula Selection
Part 3. From Diagnosis to Formula Concepts for Diseases/Disorders
A series of discussions with Subhuti Dharmananda, Ph.D.
After Hours with Subhuti
Date: Thursday, March 24, 2016
Time: 7:00 pm - 9:00 pm
Place: Stadium Overlook Room
in the Fred Meyer Stadium Store
100 NW 20th Place, Portland, Oregon 97209
Cost: FREE, purchase food and drink in the Fred Meyer
If you are not an OAAOM member, you can join at the event and receive the CEUs and other member benefits
It is a universal principle among scholars of Chinese herbal medicine that a proper diagnosis is the key to getting the right formula for a patient. But, what constitutes a “proper” diagnosis and how does one move from the diagnosis to a formula? In this third discussion of the series, we will examine how TCM doctors working in China frequently describe this process and then turn to a formulators approach as an alternative. Basically, the commonly employed method of TCM begins with the description of disease conditions and symptoms that are already associated with a well-known traditional formula, then determine which patients more or less fit that description. The traditional formula is prescribed and slight adjustments may be made according to particular manifestation of the disease or disorder. Here, the formulators approach will also be presented: begin with determining one thing to change for the patient and use that as the basis for choosing the core part of the formula comprised of a small number of herbs. Then, make additions or adjustments to fit the manifestation of the disorder as it relates to that core component, rather than including herbs to treat every symptom and sign. A new prescription results and it is focused instead of becoming diffuse and ineffective. Whether choosing a traditional formula or a modern formula or designing a formula, understanding the diagnostic features of concern and seeing formula development will help practitioners better serve their patients.