tcm student study guide

8/10/2019 TCM Student Study Guide

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TCM Methodology

Bian Zheng Lun Zhi= Treatment is based on pattern discrimination

Yi Bing, Tong Zhi-Tong Bing, Yi Zhi=Different diseases, same treatment Same disease, different treatment...

Pattern discrimination: In multi-organ patterns, the st element stated is the most important

Treatment principles: st element in pattern should be mirrored in st element in treatmentprinciples

Guiding Formula: must be ta!en from the category of formulas corresponding to the st element

in the treatment principles

Additions & subtractions:depend on the e"act presenting signs # symp.

Pattern discrimination

Must ha$e a firm grasp of the basic %statements of fact%

Must memori&e the signs and symptoms of each simple patternSearch for the signs and symptoms in a focused 'ay

( )attern is *++ established based on a single sign or symptom

///// 0y it1s $ery name, pattern means more than a single thing

In comple", real-life cases, there 'ill be more than one pattern in$ol$ed. 2ne 'ill not see all of thesigns # symptoms gi$en in the boo!. Therefore, it is crucial to study 3+4 signs for each pattern.

Treatment principles

These are theoretical statements about 'hat needs to be done to rectify the imbalance implied by

the name of the pattern

Most of the time, treatment principles are addressed to the ben or root of the imbalance implied in

the pattern1s nameSometimes the biao or branch must also be addressed and are stated in the treatment principles. 5or

e"ample, $omiting in$ol$es a loss of fluids, the finest essence of the digestate, and 6i. Therefore,

$omiting is a branch symptom that must be dealt 'ith. So, one must add: %stop $omiting%

Treatment principles are the bridge bet'een the pattern discrimination and the treatment plan.

They are 6uite important 4ou 'ill al'ays be e"pected to gi$e them to me

isease !ausing Factors

In TCM theory, health is seen as dynamic mo$ement and transformation in a balanced and

harmonious manner. 7e see the $arious stages of opposition and interdependence seen in 4in -

4ang relationships.

7hen a person is in dynamic harmony 'ith the en$ironment, there is health. 7hen this harmony is

lost, there is disease. Those factors that cause this imbalance are 0in 4in 8disease causing factors9

These factors can be 'eather changes, epidemic 6i, emotional, dietary, ta"ation, sprain # strain,

'eapon inuries, insect;animal bites.

)athological changes result from these causati$e factors and can become ne' causati$e factors.


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"istor#

*ei ight Dar!ness Sun Moon

(cti$ity est

ea$en +arth Time Space

Immaterial Material

+nergy 5orm;Matter Insubstantial Substantial (scending Descending

5ire 7ater

Transformation Storage estless Buiet

@ Aspectso'YinFYang9 2pposition

G9 Interdependence

H9 Mutual consumption

@9 Inter-transformation

In the human body, 4in is represented by the 0lood....4ang by Bi

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A 0C - Shang Dynasty

(gricultural

(nimal # )lant 'orld(nimal F respected, but also !illed # eaten

3illed, consumed, 'orn as clothes

>ead to a co$enant bet'een human # animalFF Ji$e life through ta!ing life

)lant F also !illed and eaten

*++*F(AT+Seasonal festi$als

*2T to control nature

0ring us I* (CC2D 7IT *(TK+

To bring forth the fruits of nature, one li$es properly in relation to 'hat has to be done

!*.)!*++

igh ci$ili&ation

7riting

Mathematics(stronomy

+"treme attention to the cycle of the planets through the constellationsCombination of these allo'ed !no'ledge to be passed from generation to generation

>ead to the notion of a C2SMIC 2D+

Cycle of the ea$ens

Idea to bring society into accord '; ea$en

ea$enly signs are signs of spiritual 'orld

Something transcends our e"istence

Something dri$es the cycles of natureThe deities are manifestation of this transcendent

T"A*There is something obscure'hich is complete before hea$en and earth aroseL

tran6uil, 6uiet,

standing alone 'ithout change,

mo$ing around 'ithout peril.It could be the mother of e$erything.

I don1t !no' its name,

and call it D(2.

The great D(2 flo's e$ery'here...

...(ll things depend on it to e"ist,

5rom Dao arises 2ne, from 2ne arises T'o, from T'o arises Three, from Three arises Ten

Thousand allN things

The ao that can be spo/en o' is not the Absolute ao

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.u %en 6

Yin is tran)uilityYang is agitation

Yang gives lifeYin stimulates growth

Yang transforms )iYin completes physical appearance.

The clear yang is heaven*

The turbid yin is earth

"ater is yin

%ire is yang

Yang is )i

Yin is wei +flavor

.u %en 4

That which leaves is yin* that which arrives is yang.That which is )uiet is yin* that which moves is yang.

That which is retarded is yin* that which is accelerated is yang.

.u %en 8

(peaking of the yin and yang of -an,Then the outside is yang, the inside is yin.

(peaking of the yin and yang of the human body,Then the back is yang, the abdomen is yin.

(peaking of the yin and yang among the viscera and bowels'

Then the viscera are yin and the bowels are yang

The liver, the heart, the spleen, the lung, and the kidneys

All these viscera are yin

The gallbladder, the stomach, the large intestine,

the small intestine, the bladder and the triple burnerall these / bowels are yang.

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.u %en 7

Those in the outer region, they are yangThose inside, they are yin.

.u %en 1

The people of high anti)uity, those who knew the "ay

They modeled their behavior after yin and yang

In high anti)uity there were the true men.

They upheld the patterns of heaven and earth, and

They grasped the regularity of yin and yang

.u %en 96

The physical appearance of human life,It doesn0t leave yin and yang.

.u %en 8

In yin is yin* in yang is yang.%rom dawn to noon, this is the yang of heaven*

It is the yang in the yang.

%rom noon to dusk, this is the yang of heaven*It is the yin in the yang.

%rom early evening to the crowing of the cocks, this is the yin of heaven*

It is the yin in the yin.%rom the crowing of the cocks to dawn, this is the yin of heaven*

It is the yang in the yin

.u %en 8

The back being yang, the yang in the yang is the heart.

The back being yang, the yin in the yang is the lung.The abdomen being yin, the yin in the yin are the kidneys.

The abdomen being yin, the yang in the yin is the liver.

The abdomen being yin, the e!treme yin in the yin is the spleen.

"uang di nei ing tai su

In yin there is yang, in yang there is yin.

"hen one is knowledgeable about yin and yang, he can apply needle treatment methodically.

"hen the origins of illness have been comprehended, the application of needles can be carried out

on the basis of the proper principles.

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1arefully assess the causes of the affliction and the correspondences to the four seasons.

The human body consists of an inner region, comprising of the viscera and the si! bowels, and an

outer region, containing sinews, bones and skin.Thus yin and yang are present in both inner and outer regions.

In the inner region the five viscera belong to the yin and the si! bowels to the yang.

In the outer region, the sinews and bones belong to yin and the skin to yang.

Medicinals

.u %en 6

That which is of strong flavor is yin*

That with weak flavor is yang of yin.

That which is of strong )i is yang*

That with weak )i is yin of yang.

Acrid flavor and sweet flavor effuse and disperse and are yang,(our flavor and bitter flavor cause gushing up and outflow and are yin.

.u %en 6

Yin and yang, they are

The way of heaven and earth,The fundamental principles governing the myriad beings

%ather and mother to all changes and transformations

The source and origin of generating and killingThe palace of spirit brilliance

Lao ;i

The Dao that can be e!pressed is not the unchanging Dao*

The name that can be defined is not the eternal name.

&ence the wise man depends on non2action +wu wei

1ontinues teaching his lessons of silence

Yet the multitudinous creatures are influenced by him*&e does not re3ect them.

&e nurtures them, but claims no possession of them,

4versees them, but puts no pressure on them.Accomplishes his purpose, but does not dwell on his achievements*

And precisely because he calls no attention to his actions

&e is not banished from the completion of his tasks.

5othing under heaven is weaker and softer than water,

Yet nothing surpasses it in battling the hard and strong.

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Look at it, but one sees nothing,

It is called illusory.

Listen to it, but one hears no sound,It is called undetectable.

%eel for it, but one touches a void,

It is called minuscule.These three, because they elude us,

-eld to become one.

6!istence and non2e!istence are dependent on each other,

Difficult and easy give rise to the same concept,

Long and short are derived by comparison,

&igh differs from low only by position,(ound and echo blend into one harmony

%ront and back follow one another se)uentially

Thirty spokes are 3oined at the nave to build a wheel,7ut it is the space between the wheels that provide the function.

1hunks of clay are fashioned into a vessel,7ut is it the emptiness within that renders it useful.

"indows and doors are cut to build a room,

7ut it is the enclosure that furnishes shelter.

As we benefit from that which e!ists,Let us recogni8e the utility of that which does not.

Lao ;i

(omething nebulous and yet compositely formed,

6!isting before heaven and earthInaudible and limitless,

Independent and never changing

9residing over all constantly,(he may be regarded as the :mother of everything;

I do not know it0s name

Dao is what I call it.

If pressured to assign it a titleI dub it


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Zhuang ;i

&ow do I know that wanting to be alive is not a great mistake=&ow do I know that hating to die is not like thinking one has lost one0s way, when all the time one

is on the path that leads to home=

"hile a man is dreaming, he does not know that he dreams* nor can he interpret a dream till the

dream is done.

It is only when he wakes, that he knows it was dream.5ot till the great wakening can he know that all this was one great dream'

atesummer corresponds to earth, so that the spleen is ascribed to the attribute of earth

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TAL

%Metal is the 'or!ing of change% ha$ing the 6ualities of purification, elimination, and reform

>ung-Metal: The physiologic characteristic of the lung is that it thri$es by purity and go$erns

do'nbearing. It is li!ened to the clear fresh air and purifying frost frosts of autumn, 'hen nature is'ithdra'ing into itself 5or this reason, it is ascribed the attribute of metal

=AT+

%7ater is the moistening and descending to lo' places% ha$ing the 6ualities of moistening,

do'n'ard mo$ement, and coldness

3idney-7ater: The !idney has the physiologic function of storing essence and of go$erning fluids.It is associated 'ith the bitter cold of 'inter, 'hen nature is dormant

The five phases,

The first is water,

The second is fire,The third is wood,

The fourth is metal,The fifth is earth.

"ater is moistening that which is below.

%ire is flaming upward.

"ood is bent and straight.-etal is compliance and resistance.

6arth, then, is sowing and reaping.

-oistening that which is below generates salty flavor.

%laming upward generates bitter flavor

7ent and straight generates sour flavor.1ompliance and resistance generates acrid flavor.

(owing and reaping generates sweet flavor.

.u %en 8

The eastern region* green2blue color.

&aving entered, it communicates with the liver*Its orifice opens in the eyes.

It stores essence in the liver.

Its flavor* sour*

Its class> herbs and tress*

Its anima> chicken*Its grain> wheat.

Its correspondence with the four seasons, above it is ?upiter.

&ence the )i of spring is in the head.

&ence one knows that its diseases are located in the sinews.


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.u %en 6

The east generates wind*

"ind generates wood.

"ood generates sour flavor.(our generates the liver.

The liver generates the sinews.

The sinews generate the heart.The liver rules the eyes.

The spirit,

In heaven it is wind,

4n the earth it is wood,In the body it is sinews.

Among the 8ang it is the liver*

Among the color it is )ingAmong the voices it is shouting*

Among the changes and movements of the body it is grasping*Among the portals it is the eyes

Among the flavors it is sour*

Among the states of mind it is anger.

If anger causes harm, it harms the liver* sadness dominates anger.

If wind causes harm, it harms the sinews* dryness dominates wind.

If sour flavor causes harm, it harms the sinews* acrid flavor dominates sour

.u %en 96

"hen wood meets metal, it is felled."hen fire meets water, it is e!tinguished.

"hen earth meets wood, it is penetrated.

"hen metal meets fire, it is destroyed."hen water meets earth, it is interrupted in its flow.

These five processes apply to the interactions among all the myriad beings*

Their validity is never e!hausted.

.u %en 1>

If a massive depletion results from 3oy,

Then the )i of the kidneys takes advantage.%rom anger,

The then )i of the liver takes advantage

%rom sadness,Then the )i of the lung takes advantage

%rom fear,

Then the )i of the spleen takes advantage

%rom an!iety,


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Then the )i of the heart takes advantage

.u %en 76

In the case of a heart disease, first the patient e!periences heartache.

After one day he coughs.

"ithin the ne!t three days the flanks e!perience propping fullness and pain"ithin the ne!t five days there is obstruction +no passage, the body aches and the limbs are heavy.

If the disease has not ended within the ne!t three days the patient will die,

.u %en >

The heart,

Its fullness manifests in the vessels

The lung,Its fullness manifests in the skin

The kidneys,

Its fullness manifests in the bones

The liverIts fullness manifests in the sinews

The spleenIts fullness manifests in the muscles

.u %en 12

The tissue of the heart is the vessels,Its splendor appears in the comple!ion

The tissue of the lung is the skin,

Its splendor appears in the body hairThe tissue of the liver is the sinews,

Its splendor appears in the nails

The tissue of the spleen is the flesh,Its splendor appears in the lips

The tissue of the kidneys is the bones*

Its splendor appears in the head hair.

.u %en 93

The heart generates sweat.The lung generates snivel.

The liver generates tears.

The spleen generates saliva.The kidneys generate spittle.

.u %en 11

As for the so2called five 8ang,

They store the essence )i and do not drain it.

&ence, even if they are full, they cannot be replete.

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As for the si! fu,

They transmit and transform things but do not store them.

&ence they may be replete, but they cannot be full.The reason is as follows.

"hen water and grain enter the mouth,

Then the stomach is replete and the intestines are empty."hen the food moves down,

Then the intestines are replete and the stomach is empty.

&ence the te!t states* :replete but not full, full but not replete.;

.u %en 14

The vessels, they are the mansion of the blood.The head, it is the mansion of essence brilliance.

The back, it is the mansion of that which is in the chest.

The lower back, it is the mansion of the kidney.

The knees, they are the mansion of the sinews.The bones, they are the mansion of the marrow.

ong Zhong .hu 014>-128 B!5

"ithin the universe e!ists this )i of yin and yang in which man is constantly immersed, 3ust as fishare immersed in water. The only difference between )i and water is that water is visible whereas )i

is not. 7ut man0s e!istence is as much dependent on this )i as fish0s life is dependent on water. @i is

found everywhere in the universe but is less visible than water. Thus, although the universe seemsto be empty, yet there is substance at the same time. -an is engulfed in this vorte! and, regardless

of whether he is orderly or disorderly, is carried along on and on, in a common current.

Tang +ang !huan 01?76-1>1? !5

A person0s body is composed of nothing outside of yin and yang, and the two words yin and yang

mean water and fire, respectively.%urther, the two words water and fire in terms of the human body mean )i and blood, for water

transforms the )i and fire transforms the blood.

4ne might ask, how can it be that water transforms the )i=

@i resides in all material things, and all revert to water.

The 0asic Concept of Bi, it1s 5ormation, Mo$ement and Classification

9 Basic concept o' @iBi is the basic substance by 'hich all mo$ement and all mutations of phenomenon in the

uni$erse ariseBi means all of the physiological functions or acti$ities of the internal organs and channels

and net'or! $essels

G9 The'ormationo'@i

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5ormer ea$en Bi is inherited from our parents, it is finite in amount and treasured by the

!idneys

>atter ea$en Bi is transformed by the Spleen from the 'ater and grains consumed daily.H9 @imoement= @ii

The dynamic of 6i is its capacity to underta!e the four primary mo$ements that occur in the

organs and channels: upbearing, do'nbearing, out'ard # in'ard mo$ement Su 7en %there isno organ in 'hich upbearing, do'nbearing, out'ard and in'ard mo$ement of original 6i does not

occur% 7hen this mo$ement stops, life ceases.

In a healthy normal situation, the Bi mo$ement is harmoni&ed and balanced, other'ise,pathological mo$ement = Bi stagnation, Bi counterflo', central 6i fall, etc

@9 i''erent'ormso'original@i, mani'estingasph#siologicalactiit#2rgan Bi : each organ has its o'n 6i, 'hich is the basis of its physiologic acti$ity and manifests as

a maor aspect of its physiologic function.

!hannel@i: mo$ement is seen in the channels1 functions of transmission and con$eyance

!onstruction@i: the 6i that forms the blood and flo' 'ith it in the $essels, helping to nourish theentire body

e'ense@i: flo's outside the $essels ... it is fierce, bold and uninhibited, so it cannot be contained

by the $essels. Its main function in the chest and abdomen is to 'arm the organs. Its function on the

e"terior is to flo' through the s!in and flesh, regulate the opening and closing of the interstices8cou li9, protect the e"terior, !eep the s!in lustrous and healthy, and pre$ent in$asion of e"ternal

e$ils

Ancestral@i: gathers in the chest, the %sea of 6i% 86i hai 9. It ascends to the trachea and descendsinto the 6i thoroughfare.

Ling.hu: %ancestral)iaccumulatesinthechest, issuesthroughthethroat,goesthroughtheheart

andvessels, andmovesrespiration%Main 5unctions: enters the respiratory tract and controls breathing: its health is reflected in the

strength of respiration and in the $oice. It also causes the 6i deri$ed from the breath to descend into

the 6i thoroughfare. 0reath control in 6igong ma!es use of this function.(ncestral 6i penetrates the heart and $essels, dri$ing the heart and regulating the pulses. Thus, the

circulation of 6i and blood and the temperature and mo$ement of the limbs are largely dependent

on it.

A9 5unctions of Bi -- A 5" are interrelated

(cti$ation: human gro'th and de$elopment, physiologic acti$ity and metabolism, are

manifestations of the acti$ation of 6i

=arming: body temperature and the ability of the organs and tissues to perform their functional

acti$ities are dependent on the 'arming action of 6i

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e'ense: Bi is the outer defense of the body and pre$ents e$il influences from entering.

Trans'ormatieaction: formation of blood and fluids, distribution of fluids, and con$ersion offluids into s'eat and urine are all the result of the transformati$e action of 6i.

!ontainment: e"tra$asation of blood or loss of body fluids is pre$ented by the containing functionof 6i.

O9 Pathologieso'Ci... main pathologies are 6i $acuity and 6i stagnation

@iacuit#: may be caused by enduring illness, old age, 'ea! constitution, malnutrition, or ta"ation

fatigue. Characteri&ed by fatigue, 'ea!ness and loss of strength but affects each of the $iscera and

bo'els differently>ungs = shortness of breath and a faint $oice

Spleen-Stomach = poor appetite and loose stools

3idneys = fre6uent, long $oidings of clear urine

@istagnation: normally the 6i flo's smoothly and freely throughout the body. If the 6i dynamic is

disturbed, it is !no'n as 6i stagnation. It may be caused by emotional constraints, dietaryirregularities, contraction of e"ternal e$ils, and e"ternal inury.

The main signs are local distention and possibly pain, feelings of oppression or distending

pain of fluctuating intensity and unfi"ed location.>i$er channel there may be distention and pain in the rib-side, premenstrual breast distention and

pain or perhaps pain and hea$iness in the lateral aspects of the lo'er abdomen

@i!ounter'lo%denotes stagnation and counterflo' ascent of 6i that normally bears do'n'ard.>ungs shortness of breath, panting or cough

Stomach nausea, belching or $omiting

!entral@i'all: The Bi of the spleen normally bears up'ard. If the spleen becomes $acuous and

'ea!, it may fail in its duty to upbear the clear yang 6i and may lead to di&&iness, enduring

diarrhea, prolapse of the rectum or uterus

.P)+)T- ."(: The spirit is 'hat normally ma!es us conscious and alert during the day. It is'hat becomes inacti$e during sleep.

Thus, the spirit is abundant 6i in the eart....

%The &eart stores the spirit%

Storage is a yin function 8R9, it is primarily the eart 0lood and yin that ha$e the function of

nourishing the eart and pro$iding the material basis for the eart to house the spirit8R9

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)(- Z"): )resence of mind or concentration po'er

The mind is the e"perience of Bi and the mo$ement of BiIt is similar in meaning to the spirit shen, 'ith 'hich it is often combined to form shen &hi

Shen disturbances: insomnia, profuse dreaming, dream disturbed sleep,forgetfulness, feeble-mindedness, $e"ation and agitation, irritability, etc

Fullcondition= something %harassing the heart spirit%

mpt#condition= %eart failing to !eep its abode%

FullD+epleteDeEcess $s mpt#D$acuousDde'icient

Full characteri;ed b# the presence o' a pathogenic 'actor o' an# /ind

mpt# characteri;ed b# %ea/ness o' the bod#Hs @i

Issence is the basis o' the bod#%0road Sense: 0lood, Bi # 5luids

AcCuired essence Latter heaen essence

That 'hich is essential to maintain life

(bsorbed by the body after birth

Synonymous 'ith %essence of 'ater # grain%.. nutrients absorbed by Sp;St

*arro' Sense: stored by 3idneys and controls birth, gro'th, aging # death

+eproductie essence:

7hat male # female combine to produce offspring!ongenital essence Former heaen essence

ecei$ed from parents

5rom birth it1s gradually strengthened by

A!@)+ ..(!0ody gro's to full stature # reproducti$e maturity

(fter )rime essence 'ains.....body decays

BL** F*+AT)*(

5rom essential Bi from food deri$ed by Spleen;Stomach

0ecomes red blood after transformation by constructi$e Bi

0lood flo's through the $essels and is pumped around the 'hole body by the heart

0lood is treasured and regulated by the >i$er

0lood is pre$ented from spilling out of the $essels by the containing po'er of the Spleen

BloodHs relationship to internal organs

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eart go$erns the blood # $essels

>ungs go$ern BiFF %Bi is the commander of blood%

Spleen is the latter hea$en root of engenderment and transformation of Bi # 0lood

Spleen %manages% or contains blood in the $essels

The >i$er treasures 0lood and regulates its $olume

3idneys are the former ea$en root of the engenderment and transformation of 0lood

3idneys Treasure


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)(I* stabbing, fi"ed, boring in character and fi"ed in location

Masses fi"ed, palpable

0leeding recurrent, purple;blac! 'ith clots Jynecology

Comple"ion dull, dar! facial comple"ion

Tongue static macules on the tongue

S!in spider ne$i -- bruises -- %dry lusterless s!in%

%...in curious diseases, thin! of stasis....%

%ne' diseases are in the channels, enduring diseases are in the net'or! $essels

Blood acuit#Di&&iness

)alpitations

PALsallo' comple"ion tongue, lips, nails

5ine pulse

5lo'ery $ision 8blurry9

ypertonicity 8stiffness, tension, spasms9

+YFs!in... lifeless hair

Blood heat%primarily% due to febrile disease

%primarily% due to >i$er eat

Blood .tasis%!noc!s # falls% = Trauma

0leeding

Bi Stagnation

Bi $acuity 8emptiness9

0lood Cold

0lood eat

Blood $acuit#ea$y 0lood loss

Diminished production


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5ailure to eliminate stasis # engender ne' 0lood

Blood "eat+ection of bright, red 0lood

Maculopapular eruptions

e"ation 8pGO9

Crimson Tongue

Delirious Mania

Coma

Fluids in Ye

(ll normal fluid substances flo'ing 'ithin the human body

S'eat, sali$a, stomach uice, urine, etc

F(!T)*(.

M2IST+* -- organs, sine's, flesh, s!in, mucous membranes, orifices>K0IC(T+ --


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*+GA(.

>ung

Spleen3idney

=ater.%elling

Impairment of >u 5" of Diff. # Do'nbearImpairment of Sp 5" of Mo$e # D

Impairment of transformati$e action of 3idney Bi

affects the upbearing of the clear # the do'nbearing of the turbid# the production # discharge of urine

Phlegm+heumCauses are similar to 'ater s'elling

%The spleen is the source of phlegm engenderment and the lungs are theplace 'here phlegm is stored%

Pathologieso'inYe

Damage to


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%... A $iscera store essential 6i and do not discharge 'aste. Thus they are full, but cannot be filled.

The si" bo'els process and con$ey matter, and do not store. Thus, they are filled, but are not full%

O +ET(2DI*(4 2J(*S

0(I*, M(27, 02*+S, +SS+>S, KT+KS, J0

DISTI*JKIS+D 52M T+ 027+>S I* T(T T+4 D2 *2T D+C2M)2S+ 522D (*DC2*+4 7(ST+.

DISTI*JKIS+D 52M T+ ISC+( I* T(T T+4 D2 *2T

)2DKC+ (*D ST2+ +SS+*C+.

J0 Is an e"ception and is classed as both a bo'el and an e"traordinary organ.

It plays a role in the processing and con$eyance of food, and stands in an interior-e"terior

relationship 'ith a $iscus, the li$er. The bile that it produces is regarded as a %clear fluid% ratherthan as 'aste.

L)FGATF)+= The basic fire of life

>i$es 'ithin 3idney 4in/The basis of se"ual and reproducti$e function

7arms and nourishes the A $iscera and O bo'elsIntimately in$ol$ed in gro'th, de$elopment, and aging

The Spleen re6uires the 'arming action of lifegate fire to perform its1 function of mo$ing

and transforming

@ioements%...yang floats..% -- 4ang by nature upbears and effuses 8ascends and thrusts out'ards9

%...yin sin!s...% -- 4in by nature is turbid and hea$y and do'nbears or descends%...yang descends...% Interaction of ea$en and earth, yin#yang... classical Chinese

anatomical position...yang channels descend. eart fire must descend to interact 'ith 3idney 'ater

%...yin ascends..% 4in channels ascend the body...3idney 'ater ascends to interact 'ith eart fire

Zang-FuSpleen upbears the clear 4ang -- Stomach descends the turbid>ungs diffuse and do'nbear Bi -- >g Int. con$eys dregs do'n'ard

3idney Bi contains # astringes -- K0 descends for e"cretion

>i$er Bi bears up# out li!e branches of a tree -- J0 R

eart 6i descends -- Sm Int. descends

.pleen- .tomach

%the latter hea$en root of the engenderment of Bi # 0lood%%spleen upbears the finest essence of food and drin! to the >ungs # eart 'here it is

transformed into Bi # 0lood%

%Stomach rottens and ripens the food and drin! ta!en in and descends the turbid do'n theSm Int... it is the source of body fluids

G


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Patholog#o'@iTrans'ormationSpleen upbears the clear, if the spleen is $acuous and 'ea!, it may fail its1 duty and the clear

'ill descend mi"ed 'ith the turbid. 2, if a yin turbid substance 8e$il damp, phlegm, etc9 obstructsthe flo' of 6i, it may also cause a failure of the arisal of the clear.

Stomach descends the turbid, if, for any reason, the 6i mechanism of the stomach is

inhibited, it may counterflo' up'ard 8belching, acid regurg., etc9>i$er go$erns free coursing and discharge of the Bi, if the li$er is damaged, it may fail in

its1 duty and counterflo' up'ard to the lungs or hori&ontally to the Sp; ST

The lungs diffuse and do'nbear the Bi. If, for any reason, the 6i mechanism of the lungs isinhibited, the lung 6i may counterflo' 8cough, hasty panting9

The 3idney yin is supposed to chec! heart yang and maintain the proper balance bet'een

heart fire and !idney 'ater. 0eing $acuous, !idney yin fails in that function and heart fire may

conse6uently become e"uberant. eart fire flares up'ard in the upper


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to free 8the li$er or digesti$e tract of 6i stagnation and depression9

to eliminate 8e$ils such as 'ind in the e"terior9

to free 8the e"terior of channels from e$ils such as 'ind9Chinese Character contains a picture of 'ater and is used in the combination shu un to

dredge...course = freeing the course of 6i

Eie= spontaneous or induced out'ard 8or do'n'ard9 mo$ementVcoursing the >i$er # rectifying the Bi shu gan li 6iW

restoring the normal free coursing of li$er 6i in the treatment of li$er

depressionVThe >i$er thri$es on orderly reaching 8tiao da9 W

VThe >i$er go$erns upbearing effusion 8sheng fa9 W

>i$er 6i bears up'ard #out'ard li!e the branches of a tree stretch up and out

GallBladder

Gall Bladder holds the o''ice o' ustice, 'rom %hich decision emanates

The ability to maintain balanced udgement in the face of ad$ersity

Gall Bladder stands in eEterior-interior relationship %ith the LierGall Bladder goerns secretion o' Bile

The gallbladder is a %curious organ% since it1s 0ile is considered a %clear fluid%

HEART>ing Shu Chapter XThe heart holds the office of lord and sovereign. The radiance of the spirit

stems from it.;

The "eart goerns blood and essels

The "eart stores the spirit

The "eart opens at the tongue

The "eart stands in interior-eEterior relation %ith the .mall )ntestine

The "eart goerns the tongue

The "eart goerns speech

The "eart goerns s%eat

The "eart, itHs bloom is in the 'ace

The "eart is aerse to heat

Small Intestine>ing Shu Chapter XThe small intestine is responsible for receiving and making things thrive.

Transformed substances stem from it;

The .mall )ntestine goerns separation o' the clear and the turbid

Diseases of the small intestine are attributable to failure to separate the clear and the turbid,manifesting as stool and urinary disturbances

It recei$es 'ater and grain that has been decomposed in the stomach.It transforms this food further, e"tracting nutrients for the body.

It passes 'aste on to the large intestines and %clear% to the bladder

SPLEEN

GH


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>ing Shu Chapter XThe spleen and stomach are responsible for the storehouses and granaries.

The five tastes stem from them;

5rom 7ang 3entang and 7u Mian"ue, The !ompendium o' Traditional iagnosis 0Gu Jin

Yitong Zhengmai Quanshu5, O:

The .pleen goerns moement and trans'ormation

The .pleen is the latter heaen root

Shenghuazhiyuan the source o' engendering trans'ormation

The basis o' Ci and blood

The .pleen goerns upbearing o' the clear

The .pleen goerns the management o' the Blood

The .pleen goerns the 'lesh and limbs

The .pleen stands in interior-eEterior relation %ith the .tomach

The .pleen opens at the mouth

The .pleen, itHs bloom is in the lips

The .pleen is aerse to dampnessThe .pleen 'orms drool

StomachThe .tomach goerns inta/e

The Stomach recei$es ingested foods and perform the initial stage of digestion

The .tomach goerns rotting and ripening(llo's the essence to be e"tracted by the Spleen

The .tomach goerns do%nbearing o' the turbidThe Stomach sends food do'n to the Small Intestine

The Clear is upborne by the Spleen, the turbid is do'nborne by the Stomach

LUNGLing .hu !hapter ?XThe lung holds the office of minister and chancellor. The regulation of thelife2giving network stems from it.;

G@


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The Lung goerns @i

The Lung goerns di''usion

The Lung goerns depuratie do%nbearing

The Lung goerns regulation o' the %ater%a#s

The Lung goerns the eEterior o' the entire bod#

The Lung goerns the s/in & Jbod#K hair

The Lung goerns the oice

The Lung stands in interior-eEterior relation %ith the Large )ntestine

The Lung is the delicate iscus

The Lung is the 'lorid canop#

The Lung opens at the nose

The Lung, itHs bloom is in the Jbod#K hair

The Lung is aerse to cold

The Lung 'orms sniel

LargeIntestineLing .hu !hapter ?Xthe large intestine is responsible for transit. The residue from transformationstems from it.;

The Large )ntestine goerns cone#anceThe >arge Intestine con$eys 'aste do'n'ard and out of the body, transforming it into stool

as it does so

The Large )ntestine goerns liCuids(bsorbs fluid from the food 'aste to form firm stool

The Large )ntestine hold the o''ice o' cone#ance, %hence trans'ormation

emanates

KIDNEYSLing .hu !hapter ?Xthe kidneys are responsible for the creation of power. (kill and ability stem

from them;5rom >i ?hong&i, A Primer o' edical *becties8Yizong Bidu9, OHP:

GA


26/39

The


27/39

ungs go$ern 6i !idneys go$erns 6i absorptionW

The spleen is the source of phlegm engenderment and the lungs are the receptacle that holds the

phlegm

This relationship centers around fluid distribution. The spleen go$erns the mo$ement andtransformation of body fluids and the lungs ensure the regulated flo' of fluids through the

'ater'ays.

>i$er 6i influences spleen-stomach mo$ement and transformationThe normal function of the stomach and spleen is related to the li$er1s go$erning of free coursing.

%7hen there is li$er disease, first treat the spleen%

3idney yang influences spleen-stomach mo$ement # transformationThe normal acti$ities of the spleen and stomach are greatly dependent upon yang 'hich is

supposed to supply 'armth and mo$ement. The process of digestion in Chinese medicine is a

process of 'arm transformation li!ened to coo!ing and distillation.

The li$er stores blood and the heart go$erns bloodThe blood is produced by the spleen, stored by the li$er and propelled throughout the body by the

heart.

Mental-emotional disturbances 'ear the blood ta"ing the spleen.Spleen $acuity may cause an insufficiency of blood leading to heart blood $acuity not nourishing

the spirit leading to shen disturbances

The li$er can only function, ie, only course and discharge, as long as it recei$es sufficientnourishment from blood. Therefore, li$er depression and blood $acuity mutually reinforce one

another.

%7hen there is li$er disease, first treat the spleen%

The li$er stores the blood and the !idneys store essence.

GP


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0lood and essence share the same source. >i$er and !idneys share the same source.

The !idneys are the former hea$en root of the engenderment and transformation of the blood. It

ta!es essence to ma!e blood.>i$er diseases such as hyperacti$ity of li$er yang or li$er fire may consume yin blood and,

ultimately, the !idney essence

The li$er go$erns free coursing and the !idneys go$ern storageManifest as menstruation in females and discharge of semen in males

!ategoriesP@ C+ iu 4in -- O e$ils...'ind, cold, heat, summerheat, dry , damp

(ei Yin= P emotionsBu (ei Bu =ai Yin-- Diet, tal!ing;shouting, $iolence, strains, anything beyond human control

=ai Yin= >iu 4in ... under normal conditions, these are simply O Bi. 7hen these 6i happen toosuddenly, too strongly, out of season or the personZs righteous 6i is empty and 'ea!, the normal 6i

become pathologic.

O e$ils are mostly en$ironmental... dry diseases in autumn, dry diseases 'hen li$ing in a dessert

etc.

O e$ils are promiscuous and may attac! in combinations..'ind-cold.... damp-heat...etcO e$ils may transform into each other... cold D heat etc

O e$ils attac! from the surface.... s!in, nose, mouth

Z"(G s M)Zheng 9 True 6i -- especially in opposition to disease

G9 The acti$e aspect of all components in maintaining health and resisting disease

including: ?ang-5u, Eue,


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0 tends to be of $acuity type or mi"ed $acuity and repletion

95 +elationship bet%een disease and the Cualit# o' the Mie

(9 If Eie is 4ang type, it 'ill tend to inure the body1s 4in09 If Eie is 4in type, it 'ill tend to inure the body1s 4ang

( tends to manifest as replete heat type

0 tends to manifest as replete cold type or damp-cold type35 +elationship bet%een disease and the degree o' the Mie(9 If Eie is $irulent, the disease is more serious

09 If Eie is not, the disease is easier to treat

85 +elationship bet%een disease and the location

(9 Most Eie ha$e a tropism to certain areas of the body

=)( 7ind is a 4ang e$il 'hich is opening # discharging by nature.... it is light # buoyant and

most easily in$ades the upper # outer parts of the body.

7ind is s'ift #changeable. 7ind diseases are characteri&ed by changeability # symptoms

of unfi"ed location.

7ind is blusterous, $iolent, and impetuous it can cause se$ere damage 'ithin a short time.

7ind, although associated 'ith mo$ement, has the po'er to chec! normal mo$ement. 7ind

diseases may cause stiffness li!e facial paralysis

7ind is a promiscuous e$il and readily combines 'ith other e$ils.

=ind isease

1-(ature 7ind is a 4ang e$il 'hich is opening # discharging by nature.... 7ind is light and

buoyant by nature and most easily in$ades the upper body and the fleshy e"terior.

Area Tends to affect the head and face, causing (, di&&y, red s'ollen face and eyes

2ften first in$ades the lung = nasal congestion, sore pharyn" # cough

9 - (ature- 7ind is s'ift and changeable by nature... 'ind diseases are characteri&ed bychangeability and symptoms of unfi"ed location

.igns 'andering pain in the muscles and oints, itching of unfi"ed loc., fluctuating papular

outthrusts

3 - (ature 7ind is blusterous, $iolent, and impetuous...cn cause se$ere damage 'ith short

space of time....

.igns De$iated mouth and eyes, clenched a', rigidity of limbs....

S!in is tissue of the >ung...7 e$ils often in$ade mouth # nose 'hich connect '; >u. If 7congests in >u may D eat =force Bi to mo$e frenetically 7ind is nothing more than frenetic Bi.

If it forces the 6i in # out through the interstices =itchy s!in

r#ness %7hen dryness pre$ails, there is aridity% In (utumn, the 'eather is dry and dry air entering

the lung can cause damage to the li6uid 8


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Signs;symptoms = dry cough 'ith no phlegm or scant stic!y phlegm dry lips, tongue,

pharyn" and nose

.ummerheat (>7(4S from e"ternal cause

Summerheat - heat ---- associated 'ith torrid 'eather... basically heat stro!e or sun stro!e

Signs;symptoms = high fe$er, thirst, heart $e"ation, absence of s'eat surging pulse 8ong

mai9

/// igh fe$er... %5ire eats Bi% # damages


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desire for 'armth

a$ersion to cold

pronounced lac! of 'armth in the e"tremitiescold and pain in the lo'er abdomen

Differentiate in$asion of cold e$il and insufficiency of yang 6i

APDampness is hea$y and turbid --

"ea#-- %(ll hea$y sensations are ascribed to dampness%

e.g. hea$y-headedness, general hea$iness, poss. general aches and soreness

Turbid-- e"cretions and discharges associated 'ith dampness are turbid or unclear

e.g. abnormal discharges of the facial orifices, diarrhea or 0M 'hen it is stic!y, cloudy

urine, $aginal discharge, 'eepy s!in rashes

ampnessisa Yinpathogen-- Damp is hea$y, turbid and it1s nature is 'atery...all attributed to

4in

.ubstantial-- 4in pathogens are substantial and 'ill obstruct the Bi


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)hlegm and dampness are yin turbid e$ils and are, by nature, hea$y and stic!y. If phlegm and

dampness accumulate in the middle burner, they may encumber the spleen and obstruct or depress spleen

yang. if the spleen is encumbered, it 'ill engender less 6i and blood, thus pro$iding the limbs...

I5 spleen yang is encumbered and depressed, the clear yang...Therefore, if there is phlegm and

dampness encumbering the spleen, dro'siness...

O depressions: 6i, blood, damp, food, phlegm, fire. Since Bi is responsible for the

mo$ement and transformation of blood, damp, phlegm, and food, if 6i becomes depressed, this mayresult in the stoppage and accumulation of any of these other @. (ny of these @ yin substances

accumulate and obstruct the flo' of 6i 'hich is yang, this 'ill tend to transform into heat. Bi andblood as the G most important. Bi and therefore blood flo' is closely related to emotions. Treat

diseases by ie yu resol$ing depression.

P"LG-+"

TanYinTan= Phlegm 7ider meaning than 7estern idea of sputum

Denotes a $iscus fluid that can accumulate any'here in the body causing a $ariety of disease

Yin= +heum

Denotes a thinner, clearer form of accumulated fluid

Production--

9 Impaired mo$ement and transformation of fluids associated 'ith disease of the >ung, Spleen #;or 3idney%The spleen is the root of phlegm engenderment%

)hlegm heum 8tan yin9 usually arises from dietary irregularities or $acuous yang 'hich

fails to transform dampness.

G9 epressie'ire8a!a transformati$e fire9 %ste'ing or boiling the uices% 8body fluids9 may formphlegm but not rheum

O depressions all transform 5ire

2$ereating spicy, hot, fried foods 'hich ferment dampness, engender heat, and damage

the spleen may lead to formation of phlegm 5ire may %ste' the uices% causing them to congeal into phlegm

Phlegm-+heuminclinic

(ny form of rheum arising as a result of disturbances of the lung, spleen #;or !idneypre$enting the mo$ement and transformation of fluid

Treatment =

7arming # supplementing the spleen # !idney 8root9

Disinhibiting 'ater # e"pelling tan yin 8branch9The method of transforming phlegm ta!es different forms depending on the location and cause

of the phlegm patternTransform phlegm and suppress cough

Diffuse the >ung and transform phlegmDry Damp and transform phlegmDispel cold and transform phlegm

Clear heat and transform phlegm

Disperse phlegm and soften hardnessTreatment'orampnessispelampness= Bu Shi

(ny method used to eliminate dampness... each


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iddle= Dry DampnessLo%er= Disinhibit DampnessTrans'ormampnessua Shi -- treat Damp +$il 'ith aromatic medicinalsr#ampness?ao Shi -- drying Damp +$il 'ith dry bitter medicinalsisinhbitampness>i Shi -- cause Damp +$il to pass out in the urine by the use of dampness-percolating 'ater-

disinhibiting medicinals

Yin & Yang4in = interior, cold, emptiness 8$acuity9

4ang = e"terior, heat, fullness 8repletion94in )attern = (ny interior, cold #;or $acuity pattern

4ang )attern = (ny e"terior, 'arm #;or repletion pattern

4in +$il = (ny e$il that is yin in nature e.g. cold, dry, damp, phlegm4ang +$il = (ny e$il that is yang in nature e.g. 'ind, heat, summerheat

4in +"uberance 'ith 4ang debility = +"uberant yin cold 'ith resulting debilitation of yang 6i.

(9 7ater-damp damaging yang09 +"cessi$e use of cold or cool medicinals

4in +"uberance 'ith 4ang $acuity = +"uberant internal yin cold 'ith emptiness of yang 6i

Characteristic signs = a$ersion to cold, cold limbs, diarrhea, 'ater s'elling 8R9 and

pale glossy tongue

Yang $acuit#

)nsu''icienc# o' Yang @i. This is a reduction of the 'arming and acti$ating po'er of the body

.igns& .#mptoms

5atigue

>ac! of strengthShortage of Bi # la&iness to spea!

5ear of Cold

Cold >imbs

Spontaneous S'eat)ale comple"ion

>ong $oidings of clear urine

Sloppy stoolTongue: pale, tender

)ulse: large, empty or faint,fine

Treatment Principle 7arming yang and boosting 6i

*ccassionall# %ater# diarrhea The spleen is the latter hea$en root and the 3idneys are the

former hea$en root. The former hea$en 'arms and steams the spleen yang, promoting its function

of dispersing and transforming 'ater and grains. Thus, if, for any reason, !idney yang becomes$acuous and 'ea!, then the spleen 'ill not be 'armed and steamed sufficiently and it 'ill not be

able to disperse and transform properly. In that case, clear and turbid 'ill not be separated but 'ill

pour do'n'ard into the intestines. Since 3idney yang also plays a role in the mo$ement andtransformation of 'ater fluids, a !idney yang $acuity 'ill only ma!e such 'ater dampness all the

'orse. In addition, the !idney 6i seals and stores, opens and closes, and go$erns the G lo'er yin. If

3idney 4ang 6i becomes $acuous and 'ea!, the !idneys may lose control of the securing andastringing of the rear yin or anus. Thus for all of these reasons, there may be diarrhea

HH


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>ong, clear urination Krine is a form of body fluids. It is a turbid fluid not needed by the body and

thus e"creted. the formation and distribution of fluids depend mainly on the spleen and lungs, 'hile

the e"cretion of the fluids depends mainly of the !idneys. %the !idneys are the 'ater $iscus andgo$ern the li6uids% It is the 6i transformation of !idney 6i and yang that steams and e$aporates

li6uids, di$iding them into the clear and the turbid. The e$aporated clear flo's along 'ith 6i to

moisten the body, 'hile the turbid remainder is e"creted as urine. Thus, if for any reason, the!idney yang becomes $acuous and 'ea!, it may not be able to e$aporate the clear,. This then 'ill

be e"creted together 'ith the turbid, gi$ing rise to long, clear urination.

5ear of Cold 4ang $acuity usually de$elops from constitutional insufficiency, aging, enduringdisease, etc. 4ang is responsible for 'arming the body. Therefore, if yang becomes $acuous and

insufficient, it may not be able to 'arm the body, thus leading to a fear of cold. %4ang acuity

causes e"ternal cold%

Fatigue 4ang 6i is responsible for acti$ity, mo$ement and 'arming. If, for any reason, theyang 6i becomes $acuous, the functions of the ?ang 5u lessen and the spirit and the body are not

supported. This then leads to fatigue

!old hands & 'eet 4ang is supposed to 'arm the body.% The spleen go$erns the @ limbs% and

the !idneys are 'here the original yang stays. I5 there is yang $acuity, the hands and feet 'on1t getsufficient 'armth

=hite compleEion 4ang 6i is responsible for promoting the mo$ement of blood. If there is ayang $acuity, the blood circulation 'ill conse6uently lac! its dynamism and cannot circulate

normally.

.omnolence If yang is $acuous 'hile yin is e"uberant, yang 'ill be repressed and cannot beupborne to 'arm the spirit light, (s it is said, %4ang e"uberance leads to insomnia, 'hile yin

e"uberance leads to hypersomnia%

disinclination to spea/ %the spleen is the source of 6i and blood engenderment and

transformation% Therefore, if there is spleen 6i $acuity, 'ater and grain can1t be transformed intoessence. 7ithout the finest essence of 'ater and grain, there is nothing from 'hich to ma!e the 6i

and blood. %the lungs go$ern 6i and control breathing% if there is lung 6i $acuity, there 'ill be

'ea! breathing and a disinclination to spea!

loss o' strength in the 8 limbs %the spleen go$erns the @ limbs -- the stomach is the sea of the

fi$e $iscera and si" bo'els and is responsible for nourishing the sine's% The spleen # stomach are

the latter hea$en root of the engenderment of 6i and blood...if the spleen and stomach become$acuous and 'ea! there 'ill be insufficient 6i and blood leading to 'ea!ness of the @ limbs

Yin $acuit#

The manifestation of insufficiency of the yin aspect and depletion of li6uids and blood

.igns & .#mptoms

>o'-grade fe$er

eat in the hearts of the palms and soles)ostmeridian heat effusion

emaciation

night s'eatingdry mouth and throat

short $oidings of %reddish% urine

Tongue: red 'ith little or no coat

)ulse: 5orceless, fine, rapid

H@


35/39

Treatment Principles+nrich 4in 8clear heat9

$eEation & agitation 4in $acuity easily leads to effulgent yin $acuity fire if $acuous yin

fails to chec! yang. I5 this $acuity fire flames up'ard and disturbs the heart spirit, $e"ation andagitation 'ill occur.

night s%eats yin $acuity arises from the loss of blood #;or essence, enduring disease, e"cessi$e

se"ual acti$ity or aging. %yin $acuity causes internal heat, and o$er-strong yang causes failure toconstrain% If internal heat is strong enough to cause non-constrainment of the interstices and forces

fluids out, s'eating may occur. 4ang flo's out'ard 'hen a'a!e and in'ard 'hen sleeping.

Therefore, yin $acuity 'ith internal heat may cause night s'eats because any internal heat 'illbecome e$en stronger 'hen yang flo's in'ard at night...%the !idneys store the original yin

/eEatious heat in the 6 centers 4in is responsible for controlling yang. If yin becomes

$acuous and 'ea!, yang typically becomes hyperacti$e, thus gi$ing rise to internal heat. The palms

of the hands, soles of the feet and the heart and chest all pertain to yin and the interior from thepoint of $ie' of Chinese anatomy. Therefore, $e"atious heat due to yin $acuity manifests in those

areas described as anatomically yin

/ chronic dr# sore throat May be due to congenital insufficiency, se"ual ta"ation, chronic

disease or aging. I5 there is !idney yin $acuity, the throat 'ill not be sufficiently nourished. Inaddition, yin $acuity fire may ascend, congesting in and burning the throat. Therefore sore s'ollen

throatIf there is !idney yin $acuity, yang 'ill not be chec!ed properly ad the frenetic

mo$ement of ministerial fire may ensue. If this fire flames up'ard and burns the throat, fluids there

'ill be damaged and thus a dry throat may occur./ %asting & thirsting disorder If for any reason, yin becomes $acuous, yang may become

hyperacti$e, gi$ing rise to internal heat. eat is a yang e$il 'hich may consume and damage yin. If

internal heat continuously consumes already $acuous fluids, yin fluids 'ill become e$en more

$acuous. Therefore, doubly damaged yin fluids 'ill be e$en less able to control yang and hencegi$e rise to e$en more effulgent yin $acuity fire. This then forms a pathological loop or cycle --

heat damages yin gi$ing rise to more heat 'hich damages yin e$en more. 0lood and fluids share

the same source, and both are responsible for nourishing and moistening the flesh. If the abo$epathological chain reaction continues to deteriorate, yin fluids 'ill become e"hausted, and the flesh

'ill not recei$e sufficient nourishment and moistening, thus emaciation may occur.

P))! @) & F)+ T*M)(.

+pidemic disease - transmissible disease affecting many in a community

)estilential Bi - any disease that is highly contagious... formerly belie$ed to be the result of

abnormal 'eather conditions.

5ire To"in - +$il Bi due to 5ire that causes painful reddening and s'elling, suppuration, or 'eepingdischarge

HA


36/39

)nternal amage b# 4 A''ects

Angercauses Bi to rise 8is Bi rising9 # damages the >i$er>i$er 6i thri$es by orderly reaching and is a$erse to repression. +"cessi$e emotional stimulus

$iolates the doctrine of the mean and damages the li$er causing it to fail to perform it1s duty of

coursing and discharge.Signs # Symptoms Those of li$er depression 6i stagnation gan yu 6i &hi

Treatment )rinciples Course the li$er rectify the 6i # +>(E

Fearcauses Bi to precipitate # damages the !idney 8"ia93idneys go$ern securing and astringing the t'o lo'er yin. 5ear causes precipitation of 6i and

damages !idney 6i.

Signs # Symptoms Those of 3idney 6i $acuity shen 6i "u

Treatment )rinciples Supplement # 0oost 3idney Bi

Frightcauses derangement of Bi # damages the eart # 3idneys 8luan9

5right upsets the 6i dynamic and thro's 6i # blood into disorder causing dis6uietude of the heart

spirit and e$en mental derangement

Signs # Symptoms # Treatment )rinciples depends on the damageo#causes 6i to slac!en and damages the heart 8huan9

+"cessi$e oy leads to a dissipation of the essence-spiritSigns # Symptoms Those of heart 6i $acuity "in 6i "u

Treatment )rinciples Supplement # 0oost heart Bi

.orro%disperses 6i and damages the lung 8"iao9+"cessi$e sorro' and grief cause depression in the upper burner that transforms into heat, 'hich

disperses and 'ears the lung 6i

Signs # Symptoms crying, heat $e"ation and agitation, insufficient spirit 6i

Treatment )rinciples clear depressi$e heat in the lungs

Thought# %orr#bind the 6i and damage the spleen # lungs 8ie9

+"cessi$e thought causes binding depression of spleen 6i, affecting mo$ement and transformationIn TCM, e"cesses of the P affects is seen to cause disturbances of the 6i and depletion of the true

yin of the $iscera # bo'els 8?ang5u9 causing heat signs... %the A minds transform fire% 'u &hi hua

huo

GO

HO


37/39

)T

Former"eaenssence-- finite amount recei$ed from parents determines the length and 6uality of life

Latter"eaenssence-- manufactured from the food and drin! ingested and bolsters the 5ormer ea$en(t night, 'hen 'e sleep, the e"cess 6i and blood that 'as not consumed during the day is

con$erted to latter hea$en essence and stored in the !idneys. This is 'hy proper diet and good

digestion as 'ell as proper rest and sleep are so importantigestion-- The stomach is li!e a coo!ing pot 'here the food %rottens and ripens% The spleen is

the fire beneath the pot and the %distillation mechanism% to 'hich the pot is attached.

The clear 86ing9# the turbid 8&huo9 The spleen %distills% the purest part of food and drin! and sendsthis up'ards. The pure of foods goes to the lungs and the pure part of the li6uids goes to the heart.

The stomach descends the turbid part of the food to the large intestine for further absorption and theturbid part of the li6uids to the small intestine for further separation of the clear and the turbid.

The stomach is aerse to dr#ness-- the stomach 'ants to create a soup in the pot

The spleen is aerse to dampness-- too much 'ater or dampness can douse the fire

!oo/eds+a%!oo/ingis predigestion and ma!es food more digestible. Most people, most of

the time, should eat coo!ed food. This begins the %rottening and ripening%

!old'ood# drin/s-- (ll transformation in the body is 'arm transformation as the host 6i of the

body is 'arm. Thus, to %coo!% the mash in the stomach, the spleen must e"pend more Bi to 'armthe cold food to the proper temperature. This 'ea!ens the spleen;stomach 'hich then fail to

ade6uately mo$e and transform foods and li6uids and a type of sludge accumulates. This sludge isstagnated food and dampness.

amp# Phlegm-- Too large portions, too much cold food and drin!s or too much difficult to digest foods causethe spleen;stomach to 'ea!en and lead to accumulation of stagnant food in the stomach.

The stomach heats up in an attempt to burn off the accumulation and may become chronically hot. This heat inthe stomach is sensed as hunger.

The stagnant food tends to obstruct the 6i i of the spleen, further 'ea!ening the spleen 'hich may fail in it1s duty to

mo$e and transform body fluids. These body fluids may accumulate to form e$il dampness and 'hen combined 'ith

heat 8perhaps from the stomach9 may then congeal to form e$il phlegm.

@i# =ei(ll foods 8all things9 are a combination of 6i and 'ei. Bi is the light, airy, aromatic and

yang part of a thing. 7ei literally means taste and refers to the hea$ier, more substantial, morenourishing, yin aspect

Dairy products, meats, nuts, eggs, oils and fats are rich is 7ei and thus can nourish the yin aspect of

the body. In e"cess, they damage the spleen and lead to the accumulation of e$il dampness and

phlegm.

Flaors# .pices-- 7e thin! of all things as a combination of A fla$ors: s'eet, acrid, salty, bitter,

sour...sometimes 'e ac!no'ledge a Oth fla$or = bland

Small amount of s'eet is good and supplements Bi 8nobody does this either9Most spices are acrid and 'arm or hot. In moderation, they aid digestion by strengthening the

middle burner fire

Goodones= cardamom, cinnamon, ginger, nutmeg, mace, clo$es

Spices are rich in Bi and less 'eiModerate use is good for the spleen....o$eruse heats up and dries the stomach 8doesn1t li!e it9

Sum it up -- umans are omni$oires and should consume a 'ide $ariety of foods. +at mostly

$egetables and grains and small amounts of e$erything elseDietary Therapy --

9Treat based on the )(TT+*

G9 )rotect and promote the Spleen # StomachH9 ($oid prohibited foods

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amage b# the 6 TaEations

)rolonged $ision damages the blood

)rolonged lying damages the Bi)rolonged sitting damages the 5lesh

)rolonged standing damages the bones

)rolonged 'al!ing damages the sine'samage b# the 6 FlaorsToo much sour causes the li$er 6i fullness 'ith conse6uent spleen 6i "u

Too much salt ta"es the 6i of the large bones and 'ither the flesh in addition to repressing the heart6i

Too much s'eet causes the heart 6i to be full and stuffy, the facial color blac!ish, and the !idney 6i

not balanced

Too much bitter causes the spleen 6i to lose its moisture and the stomach 6i to become too broad8distended9

Too much acrid causes the sine's to be slac! and the $essels stopped up 'hile the essence spirit

suffers disaster.

4 amagesJreat o$ereating damages the spleen

Jreat anger and 6i counterflo' damages the li$er+"ertion or lifting hea$y 'eights and long sitting on 'et ground damages the !idney

Cold in the body and cold drin!s damage the lung

(n"iety, 'orry, and thought and cognition damage the heart7ind, rain, cold and summerheat damage the body

Jreat fear damages the mind

Loss o' harmon# o' Ci & blood: the main cause o' diseaseBi # 0lood disharmony of the heart = palpitations and shortness of breath aggra$ated by

mo$ement. The heart spirit 'ill not be 6uiet and there 'ill be insomnia, poor memory, ande"cessi$e dreamsBi # 0lood disharmony of the lungs = cough and panting 'ith copious phlegm 'orse 'ith

mo$ement as 'ell as spontaneous s'eat

Bi # 0lood disharmony in the spleen = sallo' yello' comple"ion, 'ea!ness and fatigue of the @limbs, abdominal distention after eating, loose stools, poss. uterine bleeding or bloody stools

Bi # 0lood disharmony of the li$er = emotional depression, timidity, dry eyes or diminished

$ision, numbness in the e"tremities, lusterless nails, and spasms of the sine's and $esselsBi # 0lood disharmony of the !idney = lo' bac! soreness, 'ea! !nees, tinnitus, deafness, poor

memory

>oss of harmony of the 6i and blood manifests pathologically as disease 'ithin the human body

and loss of regulation of $iscera and bo'els. These both ha$e a close relationship 'ith theproduction of $arious pathological metabolic products, such as blood stasis and phlegm turbidity0y coursing, freeing the flo', regulating, and harmoni&ing the 6i and blood, one can regulate the

functions of the $iscera and bo'ls and the body1s tissues, disperse and eliminate static blood,phlegm turbidity and other such e$ils and con$ert a pathological situation into normal

@i & Blood acuit# %ea/ness

Bi $acuity is a diminishment of the function of the ?ang5u and a lo'ering of the resistance todisease. The production and spread of 6i are closely related to the lungs, spleen and !idneys

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0lood $acuity means an insufficiency of constructing and nourishing blood in the body.

)athological changes in the blood are most prominent in the li$er, spleen and !idneys

Bi # 0lood $acuity 'ea!ness refers to the pathological condition of blood $acuity caused by 6i$acuity...the $acuous 6i is unable to engender blood

@i acuit# & Blood stasis

Bi $acuity results in the mo$ement of the blood being inhibited. Bi $acuity is the root and bloodstasis is merely a branch symptom, this is repletion in the midst of $acuity.

(fter ta"ation and fatigue, the symptoms of blood stasis become 'orse. The o$er-ta"ation

aggra$ates the 6i $acuity, ma!ing it more difficult to propel the blood

@i stagnation & blood stasis

There is not only 6i stagnation leading to blood stasis...but also blood stasis leading to 6i

stagnation. Commonly obser$ed to do 'ith loss of the li$er1s coursing and discharge. >i$er

depression leads to 6i stagnation. If 6i stagnation endures, it 'ill lead to the formation of bloodstasis

@i counter'lo% & Blood counter'lo%

There is confusion and chaos of the 6i mechanism. The 6i mechanism counterflo's and does not

flo' normally 'hich results in pathological symptoms of rec!less mo$ement of the blood. Thismostly manifests as diseases of the cerebral blood $essels

@i not containing the Blood

acuous 6i in not able to contain and restrain the blood 'hich e"its causing $arious types of

hemorrhagic conditions. This in mostly due to enduring illness damaging spleen 6i.

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