LIVER DOMINATING SPLEEN

Dr J.P. Fossion

This Free Paper oral presentation for Washington/ ICMART 2006 is endorsed by projection in Microsoft PowerPoint. The sequence is presented as a dialogue (with animation effect) between a Western Medical Professor and a Chinese Imperial Official.

A scientific model is presented which could explain two major clinical signs pathognomonic for Liver dominating the Spleen and the three Yang-Qi deficiencies, namely postprandial epigastric distension and loose stools resp.

The model contains a graphic presentation with animation of the fossa rhomboidea with projection of the dorsal vagal nucleus and the nucleus of the solitary tract.

Two essential differentiating stress-coping mechanisms in neuroscience are concisely explained: avoidable or escapable stress acting on CRF2-receptors and unavoidable or inescapable stress activating CRF1-receptors in the dorsal vagal complex.

Both stress-coping mechanisms are demonstrated with animation separately. They are endorsed by sequences between somatostatin, urocortin and CRF. The notions of frustrative dysphoria, reward deficiency syndrome, learned helplessness and (neurotic) major depression are revisited.

Urotensin, as model for stagnant Blood in our previous Free Paper, is presented again with respect to the above stress-coping styles.

The presentation ends with the Chinese Clinical Synopsis, but with the sequential addition of the presented neurotransmitters and receptors to the final overview.


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