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Hunyuan Medicine – by Yaron Seidman DAOM Chinese medicine has been treating disease for thousands of years, yet all throughout it was unable to cure one disease; the disease of the doctor. Century upon century, doctors have become ever more dependent upon following texts and words of others to justify their actions, give credibility to their thinking, and prove their theories. Over time, this has created a crippling gap where the ability to form ideas based in principle should be. This is the most significant disease from which Chinese medicine suffers. Questions about knowledge versus belief arose for me as early as my TCM education, and as I made my way into practice, the realization of the disease of the doctor and Chinese medicine became more unsettling. For example, our textbooks depict the paths of the meridians, explain the effects of acupuncture points and we believe their words and images must be accurate because it is printed on the page, but what if they are wrong? Throughout school we were told that centuries of experience and trial and error had proven its efficacy and accuracy. I find that this notion, however, has limitations. The theories are abstract, even illogical, therefore the only way to lean the medicine is to have faith and memorize. Being unsettled in these explanations, I took up the study of Classical Chinese medicine to look for more answers. Here, I found that rather than blind belief in abstract theories in textbooks, the focus was on blind belief in the words of the so-called ‘enlightened’ doctors such as Zhang Zhongjing and Bian Que. These ‘enlightened’ doctors are said to transcend the human ability to understand medicine and life and see a truth that others cannot see, thus those unenlightened doctors must blindly believe their words. What I discovered after all the education was the most prominent disease of Chinese medicine, the flawed pairing of ‘medicine’ and ‘belief’. So my path for truth in medicine took me on to research the history of Chinese medicine from ancient times through today, during which the disease causation was finally unveiled. Throughout ancient and modern times Chinese medicine has been lacking a principle, or rather the coherent understanding of that principle. Principle is not the same as theory. Chinese medicine has always been full of theories, most of which, wrong or right notwithstanding, required blind belief. Believing in something means that there is no true understanding , the actual knowledge is not within. Thus in order to justify a theory, we say “The Neijing said it”, or “Zhang Zhongjing said it”. The theory is without principle, instead there is only a theory with reference to other sources or people as justification. After identifying the disease and the causation, I came to a resolution, one that will require vast effort, dedication and time to realize. I resolved to find a Chinese medicine principle, to understand how human life works and affects the function and health of our www.ChineseClassics.org Hunyuan Research Institute for Chinese Classics

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Hunyuan Medicine – by Yaron Seidman DAOM

Chinese medicine has been treating disease for thousands of years, yet all throughout it

was unable to cure one disease; the disease of the doctor. Century upon century,

doctors have become ever more dependent upon following texts and words of others to

justify their actions, give credibility to their thinking, and prove their theories. Over time,

this has created a crippling gap where the ability to form ideas based in principle should

be. This is the most significant disease from which Chinese medicine suffers.

Questions about knowledge versus belief arose for me as early as my TCM education,

and as I made my way into practice, the realization of the disease of the doctor and

Chinese medicine became more unsettling. For example, our textbooks depict the paths

of the meridians, explain the effects of acupuncture points and we believe their words

and images must be accurate because it is printed on the page, but what if they are

wrong? Throughout school we were told that centuries of experience and trial and error

had proven its efficacy and accuracy. I find that this notion, however, has limitations.

The theories are abstract, even illogical, therefore the only way to lean the medicine is

to have faith and memorize. Being unsettled in these explanations, I took up the study

of Classical Chinese medicine to look for more answers. Here, I found that rather than

blind belief in abstract theories in textbooks, the focus was on blind belief in the words

of the so-called ‘enlightened’ doctors such as Zhang Zhongjing and Bian Que. These

‘enlightened’ doctors are said to transcend the human ability to understand medicine

and life and see a truth that others cannot see, thus those unenlightened doctors must

blindly believe their words.

What I discovered after all the education was the most prominent disease of Chinese

medicine, the flawed pairing of ‘medicine’ and ‘belief’. So my path for truth in medicine

took me on to research the history of Chinese medicine from ancient times through

today, during which the disease causation was finally unveiled. Throughout ancient and

modern times Chinese medicine has been lacking a principle, or rather the coherent

understanding of that principle. Principle is not the same as theory. Chinese medicine

has always been full of theories, most of which, wrong or right notwithstanding, required

blind belief. Believing in something means that there is no true understanding , the

actual knowledge is not within. Thus in order to justify a theory, we say “The Neijing said

it”, or “Zhang Zhongjing said it”. The theory is without principle, instead there is only a

theory with reference to other sources or people as justification.

After identifying the disease and the causation, I came to a resolution, one that will

require vast effort, dedication and time to realize. I resolved to find a Chinese medicine

principle, to understand how human life works and affects the function and health of our

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body. With a clear and defined principle, we can shift the Chinese medicine paradigm

from believing to knowing. In this article, since the pages are short, I will attempt to be

concise to describe my or the Hunyuan principle clearly, and then further expand to

introduce diagnosis and treatment.

Hunyuan Principle

The Hunyuan principle begins with the image of a circle, the circle exemplifies the

cyclical patterns of nature and the human being. The natural cycles we see around us,

the four seasons, the day-night cycle, the astrological changes throughout the year,

these cycles repeat over and over indefinitely, and the circle represents this action.

Looking at the 24-hour cycle, we have day and night and the apexes of midday and

midnight which I call separation and unification, respectively. At nighttime, everything

goes into unification, the sun disappears as the energy of daytime goes into storage and

it becomes dark, and the temperature drops. This correlates to the time of sleep and in

the state of sleep there is stillness and quietness, which we call unification. To the

contrary, in the morning when we wake up everything goes out of unification and into

separation, we start thinking, eating, talking, the sun rises and shines and warms the

air, we call this state separation. Within the context of the circle, unification or midnight

is at the bottom of the circle, separation or midday is at the top of circle; the right side of

the circle is the movement inward toward unification, while the left side is the movement

out of unification toward separation. This cycle is same with the four seasons: spring,

summer, autumn, winter. In the winter, at the bottom of the circle, we have unification as

energy goes into storage underground, there are very few leaves and flowers, the days

are short and the nights long. Then spring arrives and the earth wakes up, new sprouts

and buds appear, this time resides on the left side of the circle moving away from

unification and toward separation. Arriving at the top of the circle is the season of

summer, flowers are open to their fullest, the temperature is the warmest and the days

are the longest, this is the time of separation. Continuing clockwise around to the right

side of the circle comes autumn, the leaves turn color and fall from the trees, fruits

ripen, the days begin to shorten as winter and unification approaches again.

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To take this to a deeper level, let us examine why sleep is so important for health, why

rest alone isn't enough to recharge the body and spirit. The emphasis here is that

unification happens during the night, at the bottom of the circle, this is the time our body

and spirit can recharge to the fullest extent. As we go about our day working and being

active in separation, we use up our energy and by evening time we feel tired. At this

point we start our sleep going into unification and when we wake the next day we feel

refreshed, we've recharged our batteries, our spirit comes back and we are revived. If

we don't sleep at night and don't go into unification, recharging doesn't happen, our

spirit doesn't come back and we don't feel refreshed. Consider those who suffer

insomnia, they lie in bed all night without much sleeping, often their eyes are open for

much of the night remaining in separation mode, unification doesn't happen in this case,

even when lying completely still and quiet. When the morning comes, they are still tired

instead of refreshed.

Unification means the body’s ability to recharge. Recharging takes place not only with

sleeping, but every time we bring nature into our body we are undergoing an act of

recharging; when we eat, drink and breath, absorb sunlight etc. Our body cannot

sustain life on its own, without energy from nature, for more than 2 minutes. The 100

years of life we have are actually only 2 minutes plus endless energy borrowed from

nature. When we live and die the energy supply in nature does not change, only our

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ability to absorb it changes. The difference between being alive, and a lifeless cadaver,

is the ability or inability to absorb energy from nature. In the classics, the ancients called

this ‘submerging heaven principle in the body’ or ‘man contains heaven’ and ‘man

conforms to heaven, he reacts to the sun and the moon’ these all describe, the same

principle explained here.

These are the foundation blocks for understanding the Hunyuan principle and Chinese

medicine. If we depart from this principle and instead start with the human body, Zangfu

organs, meridians etc, than forever it remains a theory and not a principle. Forever, we

have to keep believing in it and not knowing it.

Life was created at conception, before there was a body. Life is a cyclical motion of

unification and separation that the embryo has without the physical body yet. But this

embryo cannot survive in nature for more than 2 minutes. It has no body to borrow

energy from nature and make it its own, no lungs for air, no stomach for food etc. If you

remove the living embryo from the mother’s body than it has only 2 minutes to live.

However, if the baby has fully developed and after 9 months it comes out to the world,

then it will borrow energy from nature for many, many years to come. The function of

the body is to capture nature’s energy and cycle it throughout the body using all the

different organs and systems to create an appropriately timed cycle of

unification/separation, reaching out to nature in separation, and bringing energy in for

unification.

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When we diagnose in Hunyuan medicine, asking about the exterior symptoms as well

as the interior, the organs, the pulse, the tongue, we are in the pursuit of information

about the state of unification and separation. It is not anymore about Liver Qi

stagnation or kidney Qi deficiency, which are concepts that stem from the body being

the source point of our life, excluding our connection to nature. These are theories

without principle, for if we ask: “What is kidney Qi deficiency?” There is no possible

answer to this in the know realm, there can only be a belief answer.

Advancing with our principle a step farther, one realizes that unification-separation is not

an action derived from the body itself, but rather a conforming action to nature’s cycles.

When heaven and earth create unification-separation than my body conforms to it. This

in Hunyuan medicine we call being on time. When all the different organs and systems

in the body conform on time, a person is pain free and disease free. I wake up, I go to

sleep, I eat, I drink, I feel, I act, all happen smoothly without hindrances. I simply feel

well. On the other hand when the body is not on time, the Heart recognizes a sense of

disharmony. Not being able to sync with nature’s cycles ultimately reduces the body’s

ability to recharge, which means life becomes shorter. The reason that we are able to

feel pain, which is perceived by the heart, is to send an alert that life is now becoming

shorter. It is not simply to alert that, for example, the head is hurting. A headache is not

a head problem but rather a life problem. This is where Chinese medicine is different

than modern Western medicine.

In researching Chinese medicine modern history, it appears that a group of practitioners

in favor of modernizing Chinese medicine to make it scientific had actually very similar

attitude to mine. They wanted to know, rather than believe. Yet for lack of principle,

political pressures and other, not related to medicine circumstances, opted to Western

scientific principle. In other words, they wanted to make Chinese medicine like Western

medicine, which then stripped Chinese medicine of its own principle. In Hunyuan

medicine we discover our own unique Chinese medicine principle, but we still don’t

allow ‘beliefs’ to enter. Remarkably so, I learned that there are many parallels between

Hunyuan principle and Shang Han Lun principle. I find the Shang Han Lun to be not a

book of formulas for various and unrelated symptoms, but descriptions of a principle to

be grasped and followed. Unfortunately, in the past centuries in China, they did not see

the need to further develop the Shang Han Lun principle and make it coherent to

modern practitioners. ‘Believing’ in it was just fine, thus it is often still seen as a text to

be memorized and copied. However ‘believing’ in it is inadequate. It has to become

tangible coherent principle, not one only reserved to the “enlightened” ones. Medicine is

for the people, and it is done by doctors who know what they are doing, not one’s that

copy what others are doing.

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For me personally, developing Hunyuan is a process of humility. At the beginning I

knew it all, then by luck I started realizing that I don’t know and I shouldn’t blindly

believe it, only then did the real learning start, at least so it was for myself.

Hunyuan Treatment

Now that the principle is becoming clear we can proceed to treatment. The treatment

principle is forever one; restore harmony. Harmony means that my body’s organs and

system need to work on time, they need to sync with nature on time. Even though there

are many details we cannot go into within a short article, the principle is clear. If the

system works on time the person feels well. Therefore when a person complains of

pains and aches and other ailments, it means that his/her system involving unification

and separation does not work on time. For not working on time there are only two

possibilities; it is either too fast or too slow.

The human unification-separation action is divided into six parts, not surprisingly the

same parts one finds in the Shang Han Lun; Shao Yang, Tai Yang, Yang Ming, Tai Yin,

Shao Yin and Jue Yin. These six parts, in reality, are not stand alone entities but rather

six segment composing the whole. The different organs, meridians and actions within

are nothing but a part of the puzzle. They compose together one picture we call human

life, a unification-separation action.

Each one of the six parts can act too fast or too slow, which will present itself in clinic as

different symptoms. Facing the patient, this is what the Hunyuan doctor diagnoses. After

the diagnosis is established, and the parts out of sync are identified, then comes the

treatment. But before selecting the specific treatment there is one more step. We call

this in Hunyuan question number one and question number two. All the symptoms that

the patient describes mostly point to the state of the entire circle and its six parts. It

shows which part of the unification-separation process does not work on time, this we

call question number two. What the doctor then must ask himself/herself is: how is the

state of recharging within the patient? How much did all the symptoms in question

number two impact the ability to live and recharge? This is our question number one.

This means that we bring all the superficial symptoms pains and aches that the patient

experiences, and we boil down to one question, what impact does it have on the

patient’s life short and long term?

This is again, the difference between Chinese and Western medicine. Without question

number one, no matter how much we use Yin Yang, Zangfu, meridians and other

foreign language terminology, the theory remains in the image of Western medicine.

Treatment in Hunyuan follows the ARC principle, standing for Adding, Resolving and

Conserving. We use adding when question number one demonstrates a lack of

recharging. In these cases, we use unification style formulas to add recharging ability to

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the body. Resolving we use when question number two demonstrates that the six parts

are too fast or too slow, the treatment is to adjust the speed of any of the six parts and

restore its timeliness. Conserving relates to treating the Heart and what we call Xinfa or

Heart method. The Heart and Xinfa is a topic of its own and outside the short scope of

this article, but in one sentence, if the Heart constantly loses too much energy so that

the unification ability is impaired, we teach the patient a training method for the Heart to

repair this problem and Conserve their energy.

Acupuncture and herbs

Contrary to TCM coming out of the People’s Republic of China, in Hunyuan we don’t

think that acupuncture is a ‘cure all’ treatment modality. Following the ancient

perspective that acupuncture treats the exterior, while herbs the interior, we realize that

acupuncture is a good modality to treat the separation principle of the body, while herbs

are better choice for treating the unification principle. Herbs, like food, enter the body

through the mouth and assimilate into the body via the unification instrument, which

includes Yang Ming, Tai Yin and Shao Yin systems and organs. Acupuncture stimulates

the exterior separation aspect; skin, flesh, muscles, tendons and bones, into further

separation. Keeping in mind that restoring harmony means regulating the speed of

separation and unification, acupuncture and herbs need to be applied accordingly.

When separation is too slow one needs to increase the speed of separation and strong

acupuncture stimulation might be a good option. When separation is too fast, then

slowing down separation is the best approach, however reaching this effect with

acupuncture is rather difficult, and generally, strong stimulation is discouraged.

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Herbs, on the other hand, enter the unification instrument and instigate a reaction within

the body. Individual herbs each have a unique impact upon the six segments of the

unification-separation process. Some herbs increase the speed of separation or

unification, while other herbs slow it down. In Hunyuan we investigated, contemplated

and experimented with a small group of herbs, selecting only the optimal herbs that

behave according to our understanding of the principle. With these selected group of

herbs we can tell exactly which herbs, for example, slow down Jue Yin and which speed

it up, which herbs slow down Yang Ming and which ones speed it up. With a small

group of herbs we are able to reach the ultimate strategy of slowing down or speeding

up each one of the six parts, according to the patient’s needs: Shao Yang, Tai Yang,

Yang Ming, Tai Yin, Shao Yin and Jue Yin, and thus resolve our question number two,

namely all obstructions on the circle causing pains and aches.

However, this is not sufficient to call it medicine until question number one has been

addressed. It is only after assessing the strength of recharging that we can determine

the course of treatment, and on this point one can differentiate success from failure. For

example, if the patient suffers cold injury at the exterior, then this means that their Tai

Yang moves too slow. If we only consider question number two then the answer is to

speed up Tai Yang with acupuncture and herbs like Ma Huang, which speeds up Tai

Yang. However, if we add question number one, and now we also assess the patient’s

ability to recharge, and we find out that this is very weak, then this completely changes

the strategy. Depending of the severity of the recharging deficiency we may choose only

to Add and not to Resolve, or do both simultaneously. These calculations are clearly

described in the Shang Han Lun, for instance examining the principle behind the uses of

Ma Huang Tang versus Ma Huang Fu Zi Xi Xin Tang or Ma Huang Gan Cao Fu Zi

Tang. One easily can see that Zhang Zhongjing held onto this principle and was not

dispensing herbs in random to target symptoms.

When we calculate question number one and question number two then as doctors we

can reach optimal result, not only short term but also long term. Let me give another

example. Say a patient presents painful menses with many blood clots. Just for

comparison purpose, in modern TCM this may be considered blood stagnation, in

Hunyuan we call it slow down of Jue Yin. If we only consider question number two, then

the two approaches will possibly use similar herbs, one resolves blood stagnation while

the other speeds up Jue Yin. One will call it blood moving strategy, while the other will

call it speeding up Jue Yin strategy. Different name for the same treatment strategy. In

Hunyuan we add question number one and this makes a significant difference that may

impact the patient’s life further. First, if the recharging is diminished then speeding up

Jue Yin will exhaust it further, and prevent the body from fully recovering. In clinic this is

seen when the patient seems to recover but then deteriorates again. Second, even if

the recharging is strong, considering question number one means that we know that

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using speeding up Jue Yin herbs over long time will deplete the recharging ability, and

therefore the Hunyuan strategy will take a different course, speeding up Jue Yin

temporarily and thereafter strengthening unification. Without this consideration one will

encourage Jue Yin separation (or blood moving) and continue to speed up separation

again, convinced that if it was successful the first time, it should be successful again,

meanwhile, unknowingly exhausting the patients recharging capability. The Hunyuan

doctor always goes back to question number one, evaluating the recharging ability of

the person and it is the adherence to this principle first and always that makes Chinese

medicine distinct. Here I call it Hunyuan medicine, an identifiable unique, principle of

Chinese medicine.

Hunyuan Herbs

Like everything else in Hunyuan we make things simple, simple yet superior. In modern

day and age one gets accustomed to the notion that complex is superior, while simple is

inferior. In reality, this is not the case. The mere fact that something is complex does not

make it superior, and at best it makes it confusing. I personally don’t think that making a

topic so complex that no one else can understand is beneficial. To the contrary being

able to truly grasp ‘1 thing’ is far superior to being unable to grasp ‘10 things’. Hunyuan

herbal medicine is rather simple. We normally use no more than 25 different kinds of

herbs, and most frequently 8-10 herbs. Rather than quantity, we have found that the

quality of the herbs, their preparation and the dosage used is paramount. The difference

between using 10 grams Bai Shao versus 150 grams Bai Shao in exactly the same

formula is very significant. The method of modifying the dosage and why is all within the

Hunyuan treatment principle.

When we treat patients who are older than 30 years old, most often we use unification

style formula with modifications, but we don’t have thousands of formulas. It is however

clearly defined when to use unification and when not to use unification. Every single

herb in a formula is clearly and easily defined. Therefore if there is a reaction to a

certain formula, the Hunyuan practitioner clearly and easily knows which herb is

responsible. For example, if there is Bai Zhu in a unification formula and suddenly the

patient presents a Yang Ming slow down symptom, like thirst, feeling hot etc, the

practitioner knows that this one herb needs to be removed, or modified with the addition

of another herb to speed up Yang Ming. The modifications of the formulas become clear

as day and night. It is not guessing anymore, no longer trying to match formulas to

symptoms, there is no more jumping from one formula to the other in a ‘trial and error’

kind of an experiment, instead it is simply based on the principle.

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In Hunyuan style herbal medicine, herb quality is very important. My meaning of quality

goes beyond the herbs being organically grown, pesticides free etc, but also their

clinical efficacy and action must be proper and accurate. For example, in Hunyuan we

cannot use regular grade honey fried Zhi Gan Cao, even if it is pesticide free, because

the stickiness of the honey obstructs the Tai Yin ability to assimilate energy. In modern

style of Chinese medicine Zhi Gan Cao is often used in 5 gram dose as an agent to

‘harmonize all other herbs’. In Hunyuan we may use up to 100 grams in a formula as a

submerging fire agent. Honey fried Zhi Gan Cao in such high doses cannot be tolerated,

it immediately obstructs the actions of the other herbs and the person feels bloated.

Instead we prepare our own organic molasses baked Gan Cao, which is not sticky thus

high doses combined with cinnamon and other fiery herbs a person can easily tolerate.

The same goes for the other herbs. As long as the dose is small then one can get by

unnoticed, but if one were to increase the dose to high level, herbs of uncontrolled

quality or not properly prepared will result in side effects and poor results.

When one understands the principle of the medicine and the actions of the herbs then

one can develop the medicine further. One does not need to copy others anymore, nor

does one have to “believe” in the herbs actions. One example is our Si Ni Bei and Fire

Water development.

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In the past following the fire spirit originator Zheng Qinan I have often used Fu Zi

(Aconite) in my unification formulas. I went to great lengths to research the Fu Zi quality,

production, preparation methods etc. Its effect on unification if combined properly in a

unification formula with proper quality herbs is excellent. However, at one point I had to

think it over, what if Fu Zi is not available anymore, like for example when the

earthquake in Sichuan struck in 2008. Will my medicine have to perish without this

herb? I first contemplated, according to our principle, what is the action of Fu Zi in

unification? It is fiery, so it goes in and then rises, creating agitation of the Heart.

However if submerged with proper Zhi Gan Cao (not the sticky kind) and stimulated with

fresh ginger, then after going in the fiery action does not rise anymore. Then it becomes

a submerging fire. It is not simply an herb containing aconitin alkaloids, which cannot be

substituted. I therefore researched the topic and experimented with different

combination of herbs with the potential to yield a similar action. The result was two

different kinds of cinnamon, Ceylon and Vietnamese (Lan Gui and An Gui respectively).

Both have fire quality, though the Ceylon cinnamon does not rise as much as the

Vietnamese, but neither could match the aconite fierce rising, and so I added the best

candidate, Gan Jiang, which when combined with cinnamon has a fierce rising action.

Rising fire here is only half the story, this fire also needs to submerge in the formula and

when combined with proper Zhi Gan Cao it does indeed submerge. Following the

Hunyuan principle that after adding a lot one must also subtract a little, I added Xiao Hui

Xiang to complete the Si Ni Bei preparation. This preparation is a very effective

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substitute to Fu Zi, but it is not perfect. It turned out that when Yang Ming had a

tendency to slow down, Si Ni Bei caused it slow-down more than Fu Zi, making Si Ni

Bei somewhat inferior to Fu Zi. After further investigation and experiments I found out

that if I soak the Si Ni Bei (powder) in pure organic alcohol and extract it, this Si Ni Bei

extraction does not instigate Yang Ming slow down, and compared to the powder is also

more appropriate during cold injury as a Fu Zi substitute in formulas like Fu Zi Ma

Huang Gan Cao Tang.

After all of the research, questioning and experimenting, I suddenly realized that

Chinese medicine is not a dead art that must only be copied and can never be

developed. To the contrary this medicine is alive and must be developed. In the past I

was at the epicenter of Fu Zi-using-practitioners, now I am not using it anymore. I only

use Si Ni Bei and Fire Water in the unification formulas. My medicine did not change, it

only improved.

Conclusion

People always say that I am a mellow and soft-spoken guy, I have to agree. But, when it

comes to Chinese medicine the softness disappears. I ask my students nothing more

and nothing less than what I demand from myself. In the years of developing Hunyuan

medicine I have encountered many difficult moments confronting myself, trying to

decide if what I am doing is true or not. Sometimes I had to decide against myself,

namely realizing that past actions were wrong. This was the only way for me to improve.

The easy, ego-satisfying method is to always think that I am right, that I can never be

wrong. But in my experience this is the method of staying still, never progressing. In this

article at times I might be too direct, maybe uncomfortable, but this is the reality of what

I have been directing at myself, the tough questions and the hard realizations. This is all

part of Hunyuan. It is simple, yet not simple at all. So let me finish in a very Chinese

manner. If there are any errors in this article, it is all my fault. I hope that Chinese

medicine scholars who can see my deficiencies will point me in the right direction.

In Connecticut, USA

July 2014

Yaron Seidman

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