Giovanni Maciocia - Diagnosis in Chinese Medicine: A Comprehensive Guide
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First Edition
Giovanni Maciocia, CAc (Nanjing)
Acupuncturist and Medical Herbalist, UK
Visiting Associate Professor at the Nanjing University of Traditional Chinese Medicine, Nanjing
Foreword by
Julian Scott, PhD, BAc, MBAcC
Private Practitioner, Bath, UK
CHURCHILL LIVINGSTONE
Churchill Livingstone
An imprint of Elsevier Science Limited
2004 Elsevier Limited. All rights reserved.
The right of Giovanni Maciocia to be identified as author of this book has been asserted by him in accordance with the Copyright, Designs and Patents Act 1988
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without either the prior permission of the publishers or a licence permitting restricted copying in the United Kingdom issued by the Copyright Licensing Agency, 90 Tottenham Court Road, London W1T 4LP. Permission may be sought directly from Elseviers Health Sciences Rights Department in Philadelphia, USA: phone (+1) 215 238 7869, fax (+1) 215 238 2239, e-mail: ), by selecting Customer Support and then Obtaining Permissions.
First published 2004
ISBN 0 443 06448 2
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress
Notice
Medical knowledge is constantly changing. Standard safety precautions must be followed, but as new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current product information provided by the manufacturer of each drug to be administered to verify the recommended dose, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Neither the Publisher nor the author assumes any liability for any injury and/or damage to persons or property arising from this publication.
The Publisher
For Churchill Livingstone:
Publishing Manager: Inta Ozols
Associate Editor: Karen Morley
Project Manager: Samantha Ross
Designer: Andy Chapman
Illustration Manager: Bruce Hogarth
Printed in China
For 16 years Giovanni Maciocia has been the one author in the field of oriental medicine whose books have become the essential study and practice texts for an entire generation in the West. With this long-awaited comprehensive book on diagnosis and differentiation of symptoms, he adds to this impressive body of work and no student nor practitioner will want to be without it.
Peter Deadman, Editor, Journal of Chinese Medicine, Author of A Manual of Acupuncture
Maciocia has yet again made another very significant contribution to our field. His Diagnosis in Chinese Medicine is incredibly comprehensive, clearly written with supporting examples from his vast clinical experience, and an important and very useful text for both students and seasoned practitioners.
Peter Valaskatgis, Chair of the Chinese Acupuncture Studies Dept.
New England School of Acupuncture
Maciocia draws on his many years of meticulous clinical observation and long and thorough study of the classics to provide a series of profound insights into human pathology and differential diagnosis that are invaluable to the modern practitioner of Chinese medicine.
Jeremy Ross Dr. Ac, BSc, MNIMH
Articulated and precise, the text by Giovanni Maciocia maps out for the inexperienced reader a safe path through clinical symptoms and signs; for those who are experts in the art, it is a most useful manual for consultation. This book is indispensable both for students and for practitioners of all levels.
Massimo Muccioli, Professor of Acupuncture and Diet Therapy, Director of Faculty of Chinese Herbal Medicine, Scuola Matteo Ricci, Bologna, Italy
Giovanni Maciocia has consistently provided the West with precise knowledge and profound clarity concerning Eastern medicine. This new work continues his unique scholarpractitioner tradition of teaching and writing that simultaneously supplies immediately practical information with direct clinical application with theoretical insight and wisdom that makes one consider and ponder and see the Eastern tradition from new perspectives. This is an invaluable addition to what can only be described as the ongoing Maciocia transmission.
Ted Kaptchuk, OMD, Assistant Professor of Medicine, Harvard Medical School
Maciocias new book on diagnosis brilliantly fills a gap in the existing literature. It appears encyclopedic yet is surprisingly useful in daily practice. While it is solidly based on Chinese medicine, this book guides the reader in applying the principles of traditional diagnosis to present-day Western patients. Physician acupuncturists will especially appreciate the books easy access to discover the significance of symptoms and signs they encounter in their practices. Its a remarkably good book.
Joseph M. Helms, M.D., President, Helms Medical Institute, Founding President, American Academy of Medical Acupuncture
Maciocias Diagnosis in Chinese Medicine is an indispensable tool for the interpretation of symptoms and signs. It is the first text that helps the practitioner to understand the significance of symptoms and signs making diagnosis and treatment strategies easier and more logical.
Dr Carlo Maria Giovanardi, President Italian Federation of Acupuncture Societies, Director Acupuncture College of Matteo Ricci Foundation, Bologna, Italy
It gives me great pleasure to write a foreword to this book, the latest in the series on the fundamentals of Chinese medicine. It follows the same high standard that we have come to expect. Here we see the principles of diagnosis presented clearly in relation to the differentiation of syndromes, one of the great theories of Chinese medicine.
Mr Maciocia was the first to attempt any book in the English language on diagnosis, with his excellent book on tongue diagnosis. That still remains the best textbook on the subject. Now he has succeeded in writing a more complete book on the whole subject. Presented for the first time are all the little details observable in clinic, which, when put together, form a complete whole. Some of this information comes from his tireless translation of Chinese texts, which are inaccessible to most Western practitioners; and part comes from his clinical experience with patients in the West. This makes the book all the more valuable, as the lifestyle in the West is so different from the Chinese lifestyle, that many of the clinical signs point in a different direction.
The practice of medicine is about relieving suffering. Human nature is complex and so the diseases and ailments which cause this suffering are also complex. When trying to unravel complexities of this nature, one needs a frame of reference on which to base understanding. The basis for understanding them is a philosophy which helps to understand life, and how people come to suffer in the first place. One of the glories of Chinese medicine is its foundation in a rich and holistic philosophy which incorporates all of human experience. Above all, it is a philosophy that recognizes the vast complexity of human nature. At its heart is the YinYang theory, together with the theory of Five Transformations. But this is only the foundation. There are a multitude of other theories built on this the theory of penetration by Cold, the theory of Warm Diseases, the theory of tonifying the Earth, to name but a few. At times some of these theories seem mutually incompatible.
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