03 zangfu 02 · 2017‐10‐03 6 summary dr. stanley, r.tcmp yang tends to be excessive yang...
TRANSCRIPT
2017‐10‐03
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INTERNAL CANON OF THE YELLOW EMPERORTHE ZANG-FU SYSTEM AND THE MANIFESTATION – PART 2
Stanley LiangPh.D., R.TCMP, R.Ac
Dr. Stanley, R.TCMP
Text reading
S8 – Discussion on the Secret Canons in Royal Library
S9 – Discussion on Six‐Plus‐Six System and manifestations of the Viscera
S11 – Different Discussion on the Five Zang Organs
S21 – Special Discussion on Channels and Vessels
S29 – Discussion on Taiyin and Yangming
S8L – Basic State of Spirit
S18L – The Production and Convergence of Yingqi and Weiqi
S30L – Differentiation of Qi
Dr. Stanley, R.TCMP
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The Difference of Yin Yang of the stomach and spleen
The qualitative difference
The difference in vulnerability to pathogens
The difference of meridian paths
The difference of organ characteristics
Dr. Stanley, R.TCMP
Locations and Pathways
Dr. Stanley, R.TCMP
Location
Yin – Yang character
Response to seasons
Directions: ascend – Ni (opposite), descend –Cong (default)
Yang - external, Yin –internal
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Yang – Excessiveness, Yin - Deficiency
Dr. Stanley, R.TCMP
Yang – Excessiveness, Yin - Deficiency
Dr. Stanley, R.TCMP
Yang – external heaven qi excessiveness
Yin – internal earth qi deficiency
The syndrome relevant to stomach is more likely to be excessive
The syndrome relevant to spleen is more likely to be deficient
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The vulnerability to different pathogens
Dr. Stanley, R.TCMP
External pathogens are likely to attack Yang and stomach
Internal pathogens (diet / behavior disorders) are likely to attack Yin and spleen
Regarding Zang-Fu transmission and prognosis: Yang pathogens attack the six Fu, Yin pathogens attack the five Zang
Symptoms of Fu: fever, unable to lie down, difficulty of breathing Yang
Symptoms of Zang: abdominal obstruction (Qi), diahreaand loose feces, frequent bowel disorders
Difference of larynx and pharynx
Dr. Stanley, R.TCMP
Larynx guided by the heaven qi Yang
Pharynx guided by the earth qi Yin
Larynx clean Qi vulnerable to turbidity
Pharynx turbid Qi likes food
Yang vulnerable to the Qi of wind stomach infection
Yin vulnerable to the Qi of humidity spleen
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The Yin-Yang character of meridian pathway
Dr. Stanley, R.TCMP
The pathway of the Taiyin (spleen & lung) meridians are both connected to the middle Jiao (stomach)
The pathway of the Yangming (Large intestine & stomach) are both collected to the head and they stretches to limbs
The preference of Yin & Yang pathogens
Dr. Stanley, R.TCMP
The Yang pathogen (wind) is likely to attacks the upper
The Yin pathogen (dampness) is likely to attacks the lower
Upper – Taiyang, head, back, and shoulder – can transfer interiorly to attack Yin
Lower – Taiyin, middle Jiao, spleen, kidney – can transfer exteriorly to attack Yang
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Summary
Dr. Stanley, R.TCMP
Yang tends to be excessive Yang characters, gender (male), sex normality,
Premature ejaculation – dysfunction of withhold function
Yin tends to be deficient Yin characters, gender (female), menstruation normality,
menstrual disorder – dysfunction of generation
Vulnerable Locations Based on similarity Yang pathogens – likely to attack Fu Yin pathogens – likely to attack Yin
Summary
Dr. Stanley, R.TCMP
Zang disease – likely to be deficient - tonify Fu disease – likely to be sufficient – decrease / surpress For Xie (decrease), needs to protect the stomach Qi
The white tiger decoction vs Da Cheng Qi decoction
To tonify, uses the warm methods Li Zhong decoction
For excessiveness, treat the Yangming, For deficiency, treat the Taiyin
Yang – attacked by wind, Yin – attacked by dampness Yang – itching, symptoms at upper position Yin – detain the rising of clear Yang: fatigue, edema (swollen),
dull pain
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Spleen disorder and the dysfunction of limbs
Dr. Stanley, R.TCMP
Spleen disorder and the dysfunction of limbs
Dr. Stanley, R.TCMP
Spleen dominates muscle and motion
The muscles (limbs) arenourished by the nutrition generated by the spleen-stomach system
The stomach runs the fluid(nutrition) for the spleen
If the spleen Qi is weak, the muscles are insufficiently nourished degenerative disorders
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The dominating time of spleen
Dr. Stanley, R.TCMP
The spleen illness cause muscular (limbs) degeneration
The muscles are nourished by Wei Qi (nutrition from stomach)
The nutrition of stomach reaches the muscles only when it is promoted by spleen ->spleen propels / converts the Wei Qi for nourishing
Spleen is the center of the Five Zang, dominates the last 18 days of each month – chronological medicine
How TCM meets western medicine
Dr. Stanley, R.TCMP
Award the discovery ofArtemisinin, 2015Award the discovery of
telomeres and telomerase, 2009
Award the discovery ofthe cellular mechanism for circadian rhythms
• The theories from Neijing will be proved by science soon• Wisdom comes from many source, science can only prove it but
not to discover it
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The nourishing function of spleen
Dr. Stanley, R.TCMP
The spleen function motivate the stomach nutrition Stomach generates the nutrition, spleen disseminates
the nutrition which matches its earth character The Qi of spleen should cover every part of the
body The meridian link: the Yin meridians connects at
pharynx; The stomach is the sea of Zang Fu, its Qi circulates in the Yang meridians
Stomach is the basis of nutrition generation, by thenutrition is disseminated by the spleen Qi
The relation of spleen and stomach
Dr. Stanley, R.TCMP
For anatomic structure: they are connected by meridians / membrane – spleen transfers the stomach Qi to the 3 Yin meridians, stomach transfers the spleen Qi to the 3 Yang meridians
Physiological: spleen is wet earth but likes dryness, stomach is dry earth but likes wetness; Spleen Qi favors ascending, stomach Qi favors descending
The Key feature of muscular degenerative disorder is spleen Qi and stomach heat: the heat in Yangmingblockades the generation of nutrition fluid
Spleen and stomach is the basis of Houtian (after-born)
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The spleen & stomach functionality for treatment
Dr. Stanley, R.TCMP
Wei Zheng (degenerative disease): heat in Yangmingand Taiyin – smoothing lung and cleaning stomach and tonify spleen Acupuncture: Lieque(LU7), Yuji(LU10), Zusanli(ST36),
Huaroumen(ST24), Wailing(ST26), Liangqiu(ST34), Huaroumen, Chongyang(ST42), Jiexi(ST41), Sanyinjiao(SP6), Yinlingquan(SP9)
Shigao, Zhimu, Sangye, Maidong, Huomaren, Cangzhu, Huangbai, Niuxi, Huangqi, Shengma
Importance to protect stomach Qi: the herbal formula should focus on stomach Qi and fluid protection
The importance of spirit
Dr. Stanley, R.TCMP
• The key point for the effectiveness of acupuncture is use spirit to adjust spirit
• The spirit is nourished by blood and Qi withheld by Zang
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The disorders of spirit
Dr. Stanley, R.TCMP
The spirit should be well withheld, the over consumption of spirit causes disorder
Spirit supports vitality and energy
For pulse diagnosis: stomach, spirit, root
Normal sleep relies on the withholding of spirit
Types of spirit:
Shen: generated by essence, the origin of spirit
Hun: mind, imagination
Po: consciousness, neural reaction
Xin: sense, capacity of learning
Yi: memory, will
Zhi: determination, decision-making
Si: thinking
Lu: logical thinking and planning
Zhi: wisdom and knowledge
Adjusting spirit for health maintenance
Dr. Stanley, R.TCMP
Following the timing and seasons
Control emotion and ambition
Withhold from over sexuality
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Summary
Dr. Stanley, R.TCMP
The concept of spirit or Shen The mechanism of nature The high-level abstraction of life activities Consciousness, mind, will, and emotion
The mechanism of thinking Dominated by heart, coordinated by the five Zang organs
The spirit for acupuncture treatment The practitioner should focus on operation The patient should concentrate and following the instructions Focus on the sense transferred from the needle, hold it and
guide it
The disorder relevant to spirit
Dr. Stanley, R.TCMP
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The disorder relevant to spirit (cont)
Dr. Stanley, R.TCMP
Summary
Dr. Stanley, R.TCMP
All emotional disorders are attributed to the harm of spirit
Fear attacks the heart and the kidney
ED and premature ejaculation is attributed to the dysfunction of kidney Qi relevant to fear
Over sorrow harms the Zang organs
Over happy disturbs the spirit concentration
Over worry obstructs the Qi circulation that related to spleen Qi and accompanied by many digestive symptoms
The vital essence is held by the five Zang and should not be harmed. Over emotion will cause consumption of the vital essence
Acupuncture regulates the flow of Qi and spirit, but it cannot make up for the loss of spirit
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The essence withheld by different Zang
Dr. Stanley, R.TCMP
The homogenous origin of liver and kidney The excessive syndrome
of the liver-kidneysystem, reduce the live
The deficient syndromeof the system, mainly tonify the kidney
The spleen function tothe muscle and otherZang Fu organs
Continue
Dr. Stanley, R.TCMP
The heart governs the blood circulation and spirit
The lung governs breathing, regulate the nostril
The kidney withhold both Yin and Yang essence Yin deficiency – kidney-heart-lung
Yang deficiency – kidney-spleen-lung
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The role of the protective Qi and nourishing Qi
Dr. Stanley, R.TCMP
The relation of protective Qi and nourishing Qi
Dr. Stanley, R.TCMP
Protective (Wei) Qi-Yang Nourishing (Ying) Qi – Yin Both originates from the stomach
nutrition Qi Wei: turbid and aggressive – Yang Ying: clear and nourish – Yin Both runs with the vessels, Wei runs
externally, Ying runs internally The Ying and Wei circulates
respectively, and meet every 50 circles
When the Qi enters the vessels, it becomes Ying, when the Qi exit the vessels, it becomes Wei
The Ying and Wei are interchangable
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The functions of Ying and Wei
Dr. Stanley, R.TCMP
The Qi runs 25 circles in daytime, and another 25 circles at night
When awake, the Qi is external, thus the defence is strong; when asleep, the Qi is internal, thus the defence is weak
The circulation of Ying starts from the Lung (Taiyin) meridian
The circulation of Wei starts from the Bladder (Taiyang) meridian
The Ying reaches the peak at midnight, and the minimum at the dawn
The Wei reaches the peak at noon, and the minimum atnightfall
Merging of Ying and Wei
Dr. Stanley, R.TCMP
The Ying and Wei meets at Yin at midnight Should sleep because the Wei is entering the Yin
portion
The Yin Qi reaches the minimum at dawn, the Wei exits
The mechanism of insomnia
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The circulation pathway of Ying Wei
Dr. Stanley, R.TCMP
lung Large intestine stomach
spleenheartSmall intestine
bladder kidney pericardium
Tripple JiaoGall bladderliver
Male
Female
12 regular meridian * 2 = 24The Ren meridian and Du meridian = 2Male: Yang Qiao meridian * 2 = 2Female: Yin Qiao meridian * 2 = 2In total: 28 meridian form the circle
Circle 1: The Ying and Wei run in parallelCircle 2: The circulation of Wei Qi, Wei Qi is fed when it runs to the Zu Shaoyin kidney meridianCircle 3: Distribution of Wei Qi to warm the sinew, collateral, and body surface
The meeting of Ying and Wei
Dr. Stanley, R.TCMP
The meeting of Ying: starts from lung meridian and meets again at lung meridian
The meeting of Wei: circulate at Yang meridians in daytime, at Yin meridians at night, starts from the bladder meridian and meets again at bladder meridian
The meeting of Ying and Wei1. Interacts along the vessels external / internal
2. Meeting and exchange at midnight in lung meridian
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Treat insomnia by adjusting Ying Wei
Dr. Stanley, R.TCMP
Harmonize the stomach Qi
Restore the Ying Wei interaction and exchange
Focus on the Yangming meridians, and YaoQiaomerididians
Focus on adjusting the spleen-stomach system
The functions of triple Jiao
Dr. Stanley, R.TCMP
The Ying circulation starts from the middle Jiao
The lung meridian originates from the middle Jiao – the first meridian of Ying circulation
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The functions of triple Jiao
Dr. Stanley, R.TCMP
The Wei originates from the lower Jiao The bladder meridian is the first one for Wei circulation Some scholars hold that the Wei should originate from
the upper Jiao The location of the three Jiao
Upper Jiao – above the stomach Middle Jiao – from stomach to umbilicus (navel) Lower Jiao – below the navel
The stomach Qi is distributed via the diaphragm Externally, the Wei Qi follows the lung meridians at
armpit and enter the large intestine meridian to tongue
The Wei Qi and sweat
Dr. Stanley, R.TCMP
Wei Qi governs the pores
Sweat is the manifestation of Wei dysfunction
After attacked by external evil, skin becomes loose and lets the Wei Qi easier to escape
Sweating mechanism The aggressive quality of Wei Qi
The attack by external pathogens
The stimulation by heat food
Forms the treatment principle for superficial syndromes
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The Ying Qi and blood
Dr. Stanley, R.TCMP
Ying Qi originates and is distributed from middle Jiao
The clear part of the essence is sent to the lung and becomes the Qi of blood
It becomes red by the spirit of the heart
It is the essence to nourish the body
The same origin of Ying and Blood
Dr. Stanley, R.TCMP
Blood is the product of Ying transferred by the spiritof heart
Ying is the active part (Yang) of blood
The sweat and blood have the same origin Loss of blood produces sweat
Excessive sweating causes loss of blood
For treatment, when over-sweat, tonify the blood
Loss of blood with excessive sweating is dangerous(shock)
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The same origin of Ying and Blood
Dr. Stanley, R.TCMP
Precaution in treatment Menstrual disorder: cannot use sweating formula
Sweating disorder: cannot use removing blood stasis formula
Functions of Lower Jiao
Dr. Stanley, R.TCMP
Responsible for discharge Differentiate water and
solid waste, and respectively transfer to large intestine and bladder
Upper Jiao is like fog Middle is like a reaction
region Lower Jiao is like the
drainage
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Different types of Qi – 30L
Dr. Stanley, R.TCMP
Essence: congenital, forms body
Qi: being generatedafter born, nutritions
Different types of Qihave different nutrition functions
Dr. Stanley, R.TCMP
• All Qi originates from the nutrition of food
• In TCM, Qi denotes four aspects:1. The essence flowing through the
body2. The activities of the Zang Fu
organs3. The pathological changes4. The pathogens
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Applications
Dr. Stanley, R.TCMP
Deaf due to essence deficiency Tonify kidney
dredge the liver-gall bladder
Open the orifice
Vision dysfunction due to Qi deficiency vision is the manifestation of Qi
Adjusting the liver is the handle Tonify the liver blood and smooth the liver Qi
Acupuncture and Moxibustion
Questions/Discussions
The relation of Taiyin (spleen) and Yangming (Stomach)
The role of spirit
The role of Ying and Wei
The functions of the Triple Jiao
The denotations of Qi
Dr. Stanley, R.TCMP