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	<title>Comments on: Rules of Thumb</title>
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	<description>Classic Formulas</description>
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		<title>By: Wade De Loe</title>
		<link>http://www.junkyarddaoist.com/rules-thumb/comment-page-1/#comment-10887</link>
		<dc:creator>Wade De Loe</dc:creator>
		<pubDate>Sat, 17 Dec 2011 17:35:15 +0000</pubDate>
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		<description>this is helpful information.  Thank you!</description>
		<content:encoded><![CDATA[<p>this is helpful information.  Thank you!</p>
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		<title>By: Michael Max</title>
		<link>http://www.junkyarddaoist.com/rules-thumb/comment-page-1/#comment-9707</link>
		<dc:creator>Michael Max</dc:creator>
		<pubDate>Sat, 22 Oct 2011 19:46:14 +0000</pubDate>
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		<description>Indeed the differences between &quot;meaning&quot; and &quot;understanding&quot; can be quite vast. And you are so right that abdominal patterns and pulses speak their own direct language, for those who know how to listen.</description>
		<content:encoded><![CDATA[<p>Indeed the differences between &#8220;meaning&#8221; and &#8220;understanding&#8221; can be quite vast. And you are so right that abdominal patterns and pulses speak their own direct language, for those who know how to listen.</p>
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		<title>By: liu zhigang</title>
		<link>http://www.junkyarddaoist.com/rules-thumb/comment-page-1/#comment-9701</link>
		<dc:creator>liu zhigang</dc:creator>
		<pubDate>Sat, 22 Oct 2011 14:44:37 +0000</pubDate>
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		<description>The discussion is very impressive.In clinical practice in China, this kind of things often happen to me.The patient from different provinces sometimes responds variously to same question.As a doctor, you should know the dialect of your patient and understand correctly of words used by your patinet. If you do not, sometimes you can try abdonimal diagnosis,for example fullness in the chest and hypochondrium, this can not be misunderstood.</description>
		<content:encoded><![CDATA[<p>The discussion is very impressive.In clinical practice in China, this kind of things often happen to me.The patient from different provinces sometimes responds variously to same question.As a doctor, you should know the dialect of your patient and understand correctly of words used by your patinet. If you do not, sometimes you can try abdonimal diagnosis,for example fullness in the chest and hypochondrium, this can not be misunderstood.</p>
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		<title>By: Michael Max</title>
		<link>http://www.junkyarddaoist.com/rules-thumb/comment-page-1/#comment-4230</link>
		<dc:creator>Michael Max</dc:creator>
		<pubDate>Wed, 31 Mar 2010 02:49:31 +0000</pubDate>
		<guid isPermaLink="false">http://classicformulas.com/?p=823#comment-4230</guid>
		<description>@ Adina  Indeed, the Chinese also have a rather acute awareness of cold in particular. That being said, I have asked the question of both Chinese and Westerners (well, Americans for the most part) and the Chinese while they may &quot;fear cold&quot; if they are not sensitive to wind or drafts, they will say so. 

Your point is well taken that there are cultural predispositions and biases. Which is one more reason that when working out our differential diagnosis it is best to not rely on one symptom, but collaborate it against the other signs and symptoms.

Thanks for the reminder that cultural habits do play their part in a patient&#039;s experience of themselves!</description>
		<content:encoded><![CDATA[<p>@ Adina  Indeed, the Chinese also have a rather acute awareness of cold in particular. That being said, I have asked the question of both Chinese and Westerners (well, Americans for the most part) and the Chinese while they may &#8220;fear cold&#8221; if they are not sensitive to wind or drafts, they will say so. </p>
<p>Your point is well taken that there are cultural predispositions and biases. Which is one more reason that when working out our differential diagnosis it is best to not rely on one symptom, but collaborate it against the other signs and symptoms.</p>
<p>Thanks for the reminder that cultural habits do play their part in a patient&#8217;s experience of themselves!</p>
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		<title>By: Adina Stanescu</title>
		<link>http://www.junkyarddaoist.com/rules-thumb/comment-page-1/#comment-4229</link>
		<dc:creator>Adina Stanescu</dc:creator>
		<pubDate>Tue, 30 Mar 2010 15:59:30 +0000</pubDate>
		<guid isPermaLink="false">http://classicformulas.com/?p=823#comment-4229</guid>
		<description>Hmmm, what about a cultural predisposition toward being sensitive to drafts? I think it is not an exaggeration to say that all East Europeans are brought up to be aware of the nefarious potential of drafts. I speak from personal experience. You will find all kinds of people, big, small, cold, hot etc running to close any window that might be &quot;pulling the draft&quot;. When I moved to Canada at age 12, I was stunned to see that sensitivity to drafts was by no means part of the human condition, and here, even babies were carelessly left to perish in the drafts!
Thirty years later, I continue to suffer from this condition, even though constitutionally I am anything but a gui zhi type. Same goes for the East European obssession about avoiding any chill to the lumbar area - a sensitivity to cold in the kidneys, or a mind body symptom of cultural indoctrination?
Having said all this, I do believe one can still tease out the truly sensitive from the rest, but still, I find it fascinating to compare such cultural symptomology :)</description>
		<content:encoded><![CDATA[<p>Hmmm, what about a cultural predisposition toward being sensitive to drafts? I think it is not an exaggeration to say that all East Europeans are brought up to be aware of the nefarious potential of drafts. I speak from personal experience. You will find all kinds of people, big, small, cold, hot etc running to close any window that might be &#8220;pulling the draft&#8221;. When I moved to Canada at age 12, I was stunned to see that sensitivity to drafts was by no means part of the human condition, and here, even babies were carelessly left to perish in the drafts!<br />
Thirty years later, I continue to suffer from this condition, even though constitutionally I am anything but a gui zhi type. Same goes for the East European obssession about avoiding any chill to the lumbar area &#8211; a sensitivity to cold in the kidneys, or a mind body symptom of cultural indoctrination?<br />
Having said all this, I do believe one can still tease out the truly sensitive from the rest, but still, I find it fascinating to compare such cultural symptomology <img src='http://www.junkyarddaoist.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
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