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    The Medi-Chi TCM Textbook · Part 5 — The fifteen traditions
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    22. Why the traditions differ

    流派

    Fifteen treatment traditions, three kinds of authority behind them, and an honest account of what each kind of authority can and cannot claim.

    Key terms

    Trial evidence
    Supported by randomised controlled trials or systematic reviews.
    Classical text
    Derived from named, traceable classical sources.
    Lineage transmission
    Taught practitioner to practitioner, with little or no published trial base.

    Same points, different logic

    The traditions do not disagree much about where the points are. They disagree about how to choose them. One reasons from organ patterns, another from the five phases, another from mirrored anatomy, another from the pulse under the practitioner's fingers, another from a family transmission that was never written down until recently.

    Medi-Chi models fifteen of them, and every treatment output the platform generates is tagged with the kind of authority it rests on. A Cochrane review and a lineage transmission are both legitimate inputs; they are not the same claim, and blurring them is how a profession loses its credibility.

    The three bases

    Trial evidence means point selection has been tested in controlled studies — scalp acupuncture in stroke rehabilitation, wrist-ankle needling in post-operative pain, Jin's three-needle protocols in neuro-rehabilitation. Quality still varies study by study.

    Classical text means the selection is traceable to a named source: the Nàn Jīng for five-phase point rules, Lǐ Shízhēn for the eight extraordinary vessels, the rGyud bZhi for Tibetan practice. Textual authority is documented and checkable, and it is not evidence of effect.

    Lineage transmission means the source is the teaching itself — Richard Tan's Balance Method, Tung family points, Toyohari, Diện Chẩn, Mikio Sankey's esoteric patterns. Say so plainly to patients rather than dressing it in the language of trials.

    In the treatment room

    • Tell patients which tradition you are using and what it rests on. It takes one sentence and it is a compliance asset.
    • Comparing two traditions on the same case is a genuinely useful teaching exercise — the platform's multi-style comparison exists for exactly that.

    Chapter quiz

    3 key terms from this chapter. Your best score is kept on this device and shown in the study plan.

    Read alongside

    From the Medi-Chi library — included with an annual subscription.

    • Front cover of The Modern Nèi Jīng

      The Modern Nèi Jīng

      Sù Wèn — all 81 chapters

      Almost every tradition claims descent from the Nèi Jīng; reading it shows what they each took.

    • Front cover of The Modern Líng Shū

      The Modern Líng Shū

      The Divine Pivot — all 81 chapters

      The Líng Shū is the shared root of the channel-based systems.

    Sources

    • Medi-Chi tradition evidence model
    • STRICTA reporting standards