tag:blogger.com,1999:blog-52679438651574805502024-03-12T18:31:34.405-07:00Maciocia OnlineGiovanni Maciocia Online Continuing Education Courses for Licensed Acupuncture Practitioners.
Giovanni Maciocia now offers online courses for licensed acupuncture practitioners seeking continuing education units. The CEUs are California Acupuncture Board and NCCAOM approved and cover clinical applications of chinese medicine including tongue diagnostics.Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comBlogger98125tag:blogger.com,1999:blog-5267943865157480550.post-25994578448624307572017-12-19T12:54:00.000-08:002017-12-19T12:54:00.811-08:00CLEAR METAL Remedio de los "Three Treasures" para etapa avanzada de la influenza<!--[if gte mso 9]><xml>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-ansi-language: ES;">Clear
Metal - Video en espa</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ES" style="font-family: "Arial",sans-serif; font-size: 14.0pt; mso-ansi-language: ES;"><span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">ñ</span>ol</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: ES;">Giovanni
Maciocia</span></b></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">Este es un video breve sobre el uso del remedio “Clear
Metal” [Aclarar Metal], de los Tres Tesoros, que se usa para invasiones agudas
de Viento-Calor.</span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">Las invasiones de Viento-Calor pueden ser de dos tipos:
puede ser lo que yo llamo una invasión “simple” de Viento-Calor, o puede ser
una invasión de Viento-Calor del tipo <i style="mso-bidi-font-style: normal;">Wen</i>
<i style="mso-bidi-font-style: normal;">Bing</i>. Por ejemplo: una mononucleosis
aguda sería una invasión de Viento-Calor del tipo <i style="mso-bidi-font-style: normal;">Wen</i> <i style="mso-bidi-font-style: normal;">Bing</i>. </span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">Desde el punto de vista de la patología, son básicamente
iguales, pero las invasiones de Viento-Calor <i style="mso-bidi-font-style: normal;">Wen</i> <i style="mso-bidi-font-style: normal;">Bing</i> son más severas
y potencialmente más dañinas.</span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">El remedio “Clear Metal” puede usarse para ambos tipos de
invasiones. Ya sea que la invasión de Viento-Calor sea o no del tipo <i style="mso-bidi-font-style: normal;">Wen</i> <i style="mso-bidi-font-style: normal;">Bing</i>,
siempre hago un diagnóstico sobre la base de la teoría de los “4 niveles”: <i style="mso-bidi-font-style: normal;">Wei</i>, <i style="mso-bidi-font-style: normal;">Qi</i>,
<i style="mso-bidi-font-style: normal;">Ying</i> y <i style="mso-bidi-font-style: normal;">Xue</i>. Pienso que la teoría de los 4 niveles es absolutamente
esencial para el diagnóstico y tratamiento de las invasiones agudas de
Viento-Calor.</span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">En el nivel <i style="mso-bidi-font-style: normal;">Wei</i>,
el Viento-Calor está en el exterior. El nivel <i style="mso-bidi-font-style: normal;">Wei</i> se caracteriza por una aversión simultánea al frío y fiebre. Es
decir, observas al paciente, quizá es un niño en cama, tiene fiebre y su frente
está muy caliente, pero el niño siente frío. Esta es la sintomatología clásica
del estado agudo de una invasión de Viento-Calor, que sería en el nivel <i style="mso-bidi-font-style: normal;">Wei</i>, de los 4 niveles. <u>“Clear “Metal”
NO es para el nivel <i style="mso-bidi-font-style: normal;">Wei</i></u>. Repito:
No es para el nivel <i style="mso-bidi-font-style: normal;">Wei</i>.</span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">En el nivel <i style="mso-bidi-font-style: normal;">Qi</i>,
el Calor ha penetrado al interior, y la principal diferencia es que el paciente
ya no tiene aversión al frío. Ya no siente frío, sino calor. Está el niño en
cama, vas a revisar al niño, y notas que el niño está sudando, y se ha quitado
de encima los cobertores. Esto significa que el Calor ha penetrado al siguiente
nivel, es decir, al nivel <i style="mso-bidi-font-style: normal;">Qi</i>, en el
que el paciente aún tiene fiebre, pero se siente caliente y tiene sed,
posiblemente está sudando, y, generalmente, en este nivel <i style="mso-bidi-font-style: normal;">Qi</i>, el Calor está en los Pulmones. De manera que hay, ya sea Calor
en Pulmón, o Flema-Calor en Pulmón, y, entonces, habría tos, con o sin
expectoración. El remedio “Clear Metal” es para este nivel, para Calor en el
nivel <i style="mso-bidi-font-style: normal;">Qi</i>, que sería la segunda etapa
de una invasión de Viento-Calor.</span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">Otra característica de las invasiones de Viento-Calor,
especialmente las del tipo <i style="mso-bidi-font-style: normal;">Wen</i> <i style="mso-bidi-font-style: normal;">Bing</i>, es que progresan rápidamente. De
manera que tenemos que ver al paciente más de una vez al día, porque debemos
cambiar el tratamiento tan pronto como el factor patógeno pasa del nivel <i style="mso-bidi-font-style: normal;">Wei</i> al nivel <i style="mso-bidi-font-style: normal;">Qi</i>, lo cual se caracteriza, repito, por el hecho de que el paciente
ya no siente frío, sino que siente calor. Cuando esto sucede, podemos usar
“Clear Metal”, especialmente si el Calor es pronunciado.</span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">“Clear Metal” debe administrarse en una dosis
relativamente alta de, al menos,</span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">9 tabletas al día. Si el paciente tiene síntomas claros
de Flema-Calor en Pulmón, o sea Calor en Pulmón con Flema, entonces el remedio
a usarse, más que “Clear Metal”, sería “Ringing Metal” [Resonando el Metal].
Estos dos remedios son similares en el sentido de que tratan el nivel <i style="mso-bidi-font-style: normal;">Qi</i>, pero “Clear Metal” es mejor si el
Calor es pronunciado: el paciente tiene mucho calor, tiene sed y sequedad en la
boca. Si el paciente tiene tos con expectoración de mucosidad, entonces podemos
usar el remedio de “Ringing Metal”.</span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">En resumen, estos dos remedios son similares, en el
sentido de que ambos tratan el nivel <i style="mso-bidi-font-style: normal;">Qi</i>,
pero “Clear Metal” es especialmente mejor si el Calor es pronunciado, y
“Ringing Metal” es mejor si hay Flema-Calor en los Pulmones. </span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">Por cierto, otra razón para usar “Clear Metal” es que, si
el Calor es pronunciado, también podría progresar hacia el siguiente nivel, es
decir, al nivel <i style="mso-bidi-font-style: normal;">Ying</i>, la cual sería
una progresión mala, porque, potencialmente, podría haber repercusiones serias
en el nivel <i style="mso-bidi-font-style: normal;">Ying</i> o en el nivel <i style="mso-bidi-font-style: normal;">Xue</i>. Así que es muy importante tratar el
Calor en el nivel <i style="mso-bidi-font-style: normal;">Qi</i>, y detenerlo en
el nivel <i style="mso-bidi-font-style: normal;">Qi</i>, con el uso de “Clear
Metal”.</span></div>
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<span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;">Fuente: <a href="https://www.youtube.com/watch?v=GXndBpzn7ic">https://www.youtube.com/watch?v=GXndBpzn7ic</a></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: ES;">Traducción:
Oscar Domínguez Muñoz</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES" style="font-family: "Arial",sans-serif; font-size: 10.0pt; mso-ansi-language: ES;">Noviembre
de 2017</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ES" style="font-family: "Arial",sans-serif; mso-ansi-language: ES;"></span></b></div>
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Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-58060809050966950572017-11-25T09:56:00.000-08:002017-11-25T09:56:21.175-08:00THE KIDNEYS, SADNESS AND TEARS<br /><table border="0" cellpadding="5" cellspacing="0" class="BlockMargin" id="content_LETTER.BLOCK3" style="background-color: white; color: black; margin-bottom: 6px; margin-top: 6px; width: 100%px;" tabindex="0"><tbody>
<tr><td align="left" colspan="1" rowspan="1" style="font-size: 12pt;"><div align="center" style="font-size: 14pt; text-align: center;">
<strong>SU WEN CHAPTER 81 and TEARS</strong><br /></div>
<div style="font-size: 14pt;">
Chapter 81 of the Su Wen has an interesting view of sadness and tears.<br /></div>
<div style="font-size: 14pt;">
<em>The Jing of Water is Zhi and the Jing of Fire is Shen. The interaction of Water and Fire causes sadness of both the Zhi and the Shen and that is why tears run out of the eyes. </em><br /></div>
<div style="font-size: 14pt;">
<em>An old proverb says: "The sadness of the Heart is in fact the sadness of the Zhi." The Jing of the Zhi and Heart accumulate in the eyes. Thus when both Heart and Kidneys are sad, Shen Qi goes to the Heart, Jing rises and does not go to the Zhi so that the Zhi alone is sad. That is why tears run out.</em>1<br /></div>
<div style="font-size: 14pt;">
<span style="font-size: 14pt;">Zhang Jie Bin (also called Zhang Jing Yue) commenting on this chapter says: "</span><em><span style="font-size: 14pt;">In case of sadness Shen Qi is transmitted to the Heart. When it is </span><span style="font-size: 18.6667px;">transmitted</span><span style="font-size: 14pt;"> to the Heart the Jing is not transmitted downwards to the Zhi, the Jing collects above and Zhi is depleted below. As a result the Zhi alone generates sadness and the Jing has nothing to control. Hence the Water is not stored below and the tears appear above</span></em><span style="font-size: 14pt;">." </span><br /><img border="0" height="299" hspace="5" name="ACCOUNT.IMAGE.245" src="https://mlsvc01-prod.s3.amazonaws.com/4af5467b001/7e69d351-3cea-417b-aefc-758b42478d60.jpg" vspace="5" width="171" /></div>
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<img border="0" height="243" hspace="5" name="ACCOUNT.IMAGE.246" src="https://mlsvc01-prod.s3.amazonaws.com/4af5467b001/d5051e22-c746-48cd-800b-90b1567c3bb8.jpg" vspace="5" width="281" /> </div>
<div style="font-size: 14pt;">
This passage from the Su Wen highlights several interesting points. The first is the view that both Fire and Water (and therefore Heart and Kidneys) are transformations of Jing.<br /></div>
<div style="font-size: 14pt;">
The second is that both Heart and Kidneys influence the eyes (and not just the Liver as we would think according to the 5-Element correspondences).<br /></div>
<div style="font-size: 14pt;">
The other very interesting view is that the emotion of sadness is related to Heart and Kidneys and not just the Lungs as we would think according to the 5-Element correspondences.<br /></div>
<div style="font-size: 14pt;">
The fourth point highlighted by this chapter is that tears are a fluid derived from the Kidneys.<br /></div>
<div style="font-size: 14pt;">
Interestingly, my teacher Dr. Shen used to say that, when a person is very sad but does not cry, fluids do not come out in the form of tears and this may injure the Kidneys. </div>
<div style="font-size: 14pt;">
<br /></div>
<div style="font-size: 14pt;">
This may seem strange as, according to 5-Element correspondences, tears are the fluids of the Liver.2 However, this refers first of all to the tears running out when the eyes are exposed to wind, rather than the emotional tears from sadness. Also, the relationship between the Liver and eyes refers to good vision, again, rather than the emotional tears from sadness.3</div>
<div style="font-size: 14pt;">
<br /></div>
<div style="font-size: 14pt;">
<span style="text-decoration-line: underline;">Points</span>:<br />Sadness of the Heart and Kidneys: Ren-15 Jiuwei, HE-7 Shenmen, KI-9 Zhubin, Ren-4 Guanyuan.<br /><br />Sadness of the Lungs: LU-7 Lieque, LU-3 Tianfu<br /><br /><span style="text-decoration-line: underline;">Three Treasures remedies</span>:<br />For the Heart and Kidneys: <em>Strengthen the Root</em> (for Kidney-Yang deficiency), <em>Nourish the Root</em> (for Kidney-Yin deficiency) with <em>Calm the Shen</em></div>
<div style="font-size: 14pt;">
<i><br /></i><span style="font-size: 18.6667px;">For the Lungs: </span><em style="font-size: 18.6667px;">Open the Heart</em><span style="font-size: 18.6667px;"> or </span><em style="font-size: 18.6667px;">Soothe the Shen </em></div>
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<i><br /></i></div>
<div style="font-size: 14pt;">
<i><br /></i><a alt="http://www.three-treasures.com/" href="http://www.three-treasures.com/" shape="rect" style="color: blue;" target="_blank">http://www.three-treasures.com/</a></div>
<div style="font-size: 14pt;">
<br /></div>
<div style="font-size: 14pt;">
<a alt="http://www.acureausa.com/" href="http://www.acureausa.com/" shape="rect" style="color: blue;" target="_blank">http://www.acureausa.com/</a></div>
<div style="font-size: 14pt;">
<br />END NOTES</div>
<div style="font-size: 14pt;">
1. 1979 The Yellow Emperor's Classic of Internal Medicine-Simple Questions (<em>Huang Ti Nei Jing Su Wen</em>). People's Health Publishing House, Beijing, first published c. 100 BC, p. 571.</div>
<div style="font-size: 14pt;">
2. Ibid. p. 22, 31, 70.</div>
<div style="font-size: 14pt;">
<div align="left">
3. 1981 Spiritual Axis (<i style="font-size: 18.6667px;">Ling Shu Jing</i><span lang="JA" style="font-family: "MS Mincho", serif;">灵</span><span lang="JA" style="font-family: "MS Mincho", serif;">枢</span><span lang="JA" style="font-family: "MS Mincho", serif;">经</span><span style="font-size: 18.6667px;">), People</span><span style="font-family: "WP TypographicSymbols";">=</span><span style="font-size: 18.6667px;">s Health Publishing House, Beijing. First published c. 100 BC., p. 49.</span></div>
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Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-42625970802230540752017-07-28T11:32:00.001-07:002017-07-28T11:42:26.515-07:00UNUSUAL HEART FUNCTIONS FROM THE NEI JING<br />
I have been consulting the Nei Jing for 35 years initially in its French translation (by Chamfrault) and later in Chinese. As we all know, the Nei Jing is a mine of information and most of the things we do in practice are in this text.<br />
<br />
It should be stressed that the Nei Jing was written by many different doctors and edited several times notably during the Song dynasty. For this reason besides containing all the familiar theories, the Nei Jing also has many passages that present unusual theories. This clinical tip and subsequent ones will discuss the more unusual aspects of the Nei Jing, the first one being about the Heart.<br />
<b><br /></b>
<b>The Heart and the eyes </b><br />
There are many passages of the Nei Jing that make correlations between a Zang and the sense organ that are different than the usual ones (e.g. Liver and eyes, Lungs and nose, etc.). For example, chapter 81 of the Su Wen correlates the Heart to the eyes. It says “<i>Among the 5 Zang, the Heart is the orifice of the eyes and a good lustre of the eyes is a manifestation of the Heart</i>.”<br />
<br />
As we know from diagnosis the lustre of the eyes is a very important manifestation of the state of the Shen. Eyes with lustre indicate a good state of the Shen while dull, lustreless eyes indicate long-standing emotional problems.<br />
<br />
Apart from the eyes being the orifice of the Heart from a Shen perspective, the Heart also influences the eyes on a physical level. Chapter 11 of the Ling Shu describes the pathways of the Divergent channels and the Heart Divergent channel goes to the inner corner of the eyes. A redness in the inner corner of the eyes often indicates Heart-Fire and not necessarily Liver-Fire as we may be inclined to conclude (given the close relationship between Liver and eyes).<br />
<br />
Another connection between the Heart and eyes is that the Heart Luo channel goes to the eyes.<br />
<br />
To treat eye problems related to the Heart such as redness or blood-shot eyes especially in the inner corner the best point is HE-5 Tongli; if there is Heart Fire I would add HE-8 Shaofu.<br />
<b><br /></b>
<b>The Heart and the nose</b><br />
Of course the nose is the orifice of the Lungs from a 5-Element perspective, but chapter 11 of the Su Wen makes a correlation between the Heart and the nose. It says “<i>The five flavours enter the nose and are stored in the Heart and Lungs. That is why disorders of the Heart and Lungs can cause nasal obstruction.</i>”<br />
In case of nasal obstruction related to the Heart I would use HE-9 Shaochong.<br />
<b><br /></b>
<b>The Heart as the Root of Life</b><br />
We generally refer to the Kidneys as the root of life because they store Jing. Chapter 9 of the Su Wen states that the Heart is the Root of Life. In this context the Heart is considered the root of life because it houses the Shen. In fact this chapter says “<i>The Heart is the Root of Life because it houses the Shen.</i>”<span style="white-space: pre;"> </span><br />
<br />
This is an interesting statement because it relates the Root of Life both to the Kidneys (because they store Jing) and the Heart because it houses the Shen. This highlights the important connection between Fire and Water and between Heart and Kidneys. In other words our constitution depends not only on the Jing of the Kidneys but also on the Shen of the Heart.<br />
<br />
In order to influence the Root of Life of the Heart I would use HE-7 Shenmen and Ren-15 Jiuwei.<br />
<b><br /></b>
<b>The Heart and the ears</b><br />
Chapter 4 of the Su Wen makes an unusual correlation between the Heart and the ears. It says “<i>The Heart opens into the ears and stores Jing in the Heart</i>.”<br />
<br />
Generally, ear problems such as deafness or tinnitus are related to the Kidneys. However such problems maybe related to the Heart especially when there is a deficiency in the Upper Burner with Heart-Qi not rising to the head. We would know this from the pulse being weak in both cun positions. To treat this type of ear problem related to the Heart I would use HE-5 Tongli. <br />
<br />
END NOTES<br />
<div>
<br /></div>
<div>
1. 1979 The Yellow Emperor’s Classic of Internal Medicine-Simple Questions (Huang Ti Nei Jing Su Wen). People’s Health Publishing House, Beijing, first published c. 100 BC, p. 571.</div>
<div>
<br /></div>
<div>
2. Ibid. p. 78.</div>
<div>
<br /></div>
<div>
3. Ibid. p. 60</div>
<div>
<br /></div>
<div>
4. Ibid p. 26</div>
Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-81041938370338719762016-12-07T13:36:00.000-08:002016-12-07T13:41:55.538-08:00THE TREATMENT OF INFLUENZA WITH CHINESE MEDICINE<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: center;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><b>THE TREATMENT OF INFLUENZA IN CHINESE MEDICINE</b><o:p></o:p></span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><b><br /></b></span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">WESTERN MEDICINE VIEW<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><br /></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">INFLUENZA<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12pt;">Influenza spreads
every winter and accounts for a substantial mortality every year. </span><span style="font-family: "times new roman" , serif; font-size: 12pt;">Influenza viruses are characterized
by a high variability and high infection rate. The so-called “Spanish Flu” of
1918 killed an estimated 40-50 million
people world-wide, more than did the
First World War.1 </span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><br /></span>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Two other pandemics occurred in 1957 with 2 million deaths
and 1968 with 1 million deaths (“Asian” and “Hong Kong” Flu
respectively).2 </span><br />
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><br /></span>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The most recent large
epidemic in the United Kingdom was in 1989-1990, when an estimated 26,000
people died in association with influenza.</span><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">3</span></div>
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<br /></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">There are three types of influenza
virus, A, B and C. Influenza A viruses are found in humans and animals, whereas
B and C are found only in human beings.
Infection with influenza produces an immune response with the production
of antibodies in the blood which neutralize the virus. If the person encounters
the same influenza virus again while the antibodies are still present, the body
is protected and the person should not develop the infection. <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">It is a characteristic of influenza
viruses, and especially of the A virus, that they frequently mutate into
sub-types so that the virus is “one step ahead” of the natural immunity created
by the body. It is usually when
sub-types develop that epidemics occur because the antibodies produced will not
protect individuals against an influenza virus in which the surface proteins
have undergone a significant change since the previous infection.<o:p></o:p></span><br />
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><br /></span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">An example of a new subtype a few
years ago was the H5N1 “avian influenza” virus, first isolated in Hong Kong in
May 1997, which previously had only been found in birds and was not associated
with disease in humans. The latest example of a sub-type is the H1N1
virus responsible for the so-called “swine flu”. <o:p></o:p></span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"> <o:p></o:p></span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Influenza viruses spread from
person to person by tiny droplets produced by coughing and sneezing. The
initial site of infection is the lining of the respiratory tract, and the
infection has a short incubation period of up to five days. The virus is shed
in respiratory secretions starting about one day before the onset of the
illness and lasting for about three to five days.</span><span lang="EN-US" style="font-family: "times new roman" , serif; font-size: 12.0pt;"><o:p></o:p></span><br />
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><br /></span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The classic symptoms of influenza
include fever, malaise, headache, aches and pains in the muscles and joints,
and a characteristic dry cough and sore throat. The acute illness usually lasts
for three to five days but recovery may be slow, and cough and tiredness may
persist for two to four weeks post infection. <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Complications may occur in groups
of patients who are particularly at risk (e.g. those with underlying lung
disease or those with defective immune systems), and usually affect the lungs
and the heart. Upper and lower respiratory tract infections are common and
subsequent invasion of the lungs by bacteria may result in the development of
pneumonia.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">CHINESE MEDICINE VIEW<o:p></o:p></span></div>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><br /></span></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Influenza cannot be diagnosed and
treated properly without a thorough understanding of the theory of the 6 Stages
but particularly that of the 4 Levels.
The beginning stages of an acute respiratory infection usually manifest
with symptoms of invasions of exterior Wind.
<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The “Shang Han Lun” by Zhang Zhong
Jing </span><span style="font-family: "times new roman" , serif; font-size: 16px;">(c. AD 220) </span><span style="font-family: "times new roman" , serif; font-size: 12pt;">provided the earliest framework for the diagnosis and treatment of
diseases from exterior Wind-Cold.
Although this classic does also discuss invasions of Wind-Heat and their
treatment, a comprehensive theory of exterior diseases from Wind-Heat was not
developed until the late 1600s by the School of Warm Diseases (Wen Bing). </span></div>
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<br /></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRuiSNWsitcLAVqL5ub4BT5TajoiCkkN2t3IOnkntaEkSrx3VdcpQ6DoTGrK02fqnrAXLs-9qpC6xW2XUyK46tQKGfMXOrdabvZVr_hJ4D-8lpTM0CHxqPfk1lhbqL5HJdYkMun75mVYE/s1600/Zhang+Zhong+Jing+Slide+2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRuiSNWsitcLAVqL5ub4BT5TajoiCkkN2t3IOnkntaEkSrx3VdcpQ6DoTGrK02fqnrAXLs-9qpC6xW2XUyK46tQKGfMXOrdabvZVr_hJ4D-8lpTM0CHxqPfk1lhbqL5HJdYkMun75mVYE/s200/Zhang+Zhong+Jing+Slide+2.jpg" width="167" /></a></div>
<br /></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Thus, the two schools of thought
which form the pillars for the diagnosis and treatment of exterior diseases in
Chinese medicine are separated by about 15 centuries: they are the School of
Cold-induced Diseases (School of <i>Shang Han</i>) based on the “Discussion of
Cold-induced Diseases” (“<i>Shang Han Lun</i>”) by Zhang Zhong Jing and the School of Warm Diseases (<i>Wen Bing</i> School) which started in the late
1600s and early 1700s. <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The main advocates of this school
were Wu You Ke (1582-1652), Ye Tian Shi (1667-1746) and Wu Ju Tong (1758-1836).<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Ye Tian Shi is the author of <i>Wen
Bing Lun</i>, Discussion on Warm Diseases<o:p></o:p></span><br />
<div class="separator" style="clear: both; text-align: center;">
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<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><br /></span>
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">While in Western medicine every external infectious disease is differentiated according to the pathogenic virus or bacteria, in Chinese medicine, they area ll caused by Wind-Heat. </span></div>
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Why does Chinese medicine attribute such importance to external diseases from Wind? The Su Wen says that Wind may be the cause of "100 diseases". I have listed below the main reason why we should pay close attention to diseases from exterior Wind.<br />
<br />
CONSEQUENCES OF WIND INVASION<o:p></o:p></div>
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<br />
<ul>
<li>Can give rise to residual pathogenic
factor: long-lasting cough</li>
<li>Residual pathogenic factor can aggravate
asthma</li>
<li>Residual pathogenic factor can lead to
post-viral fatigue syndrome</li>
<li>In children it can be the start of a Wen
Bing disease, e.g. varicella, morbillus, meningitis, polio</li>
<li>Wen Bing influenza can cause mortality, especially in the elderly</li>
<li>Latent Heat is cause of serious, modern
diseases, e.g. AIDS, leukaemia, auto-immune diseases.</li>
</ul>
<o:p></o:p></div>
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<o:p></o:p></div>
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<o:p></o:p></div>
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<o:p></o:p></div>
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<o:p></o:p></div>
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<o:p></o:p></div>
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<o:p></o:p></div>
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<br /></div>
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<div style="text-align: center;">
<span lang="EN-US">SHANG HAN LUN - THE SIX STAGES</span><span lang="EN-US"> </span></div>
<div style="text-align: center;">
<span lang="EN-US"> </span><o:p></o:p></div>
</div>
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<span lang="EN-US">The symptomatology of Wind-Cold was discussed by Zhang Zhong Jing in the
“Discussion of Cold-induced Diseases” (c. AD 220) where he first elaborated the
theory of the 6 Stages. </span><o:p></o:p></div>
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<span lang="EN-US">The Six Stages are: </span><br />
<span lang="EN-US"> </span><o:p></o:p></div>
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<b><span lang="EN-US">Tai Yang</span></b><br />
Wind-Cold
with prevalence of Cold (“Attack of Cold”)</div>
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<o:p></o:p></div>
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<span lang="EN-US"> Wind-Cold
with prevalence of Wind (“Attack of Wind”)</span><o:p></o:p></div>
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<b><span lang="EN-US">Yang Ming</span></b><br />
Channel
pattern (Stomach-Heat)</div>
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<o:p></o:p></div>
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<span lang="EN-US"> Fu pattern (Stomach-Fire)</span><o:p></o:p></div>
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<b>Shao Yang </b></div>
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<b><span lang="EN-US">Tai Yin</span></b><o:p></o:p></div>
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<b><span lang="EN-US">ShaoYin</span></b><o:p></o:p></div>
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<b><span lang="EN-US">Jue Yin</span></b></div>
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<br />
<br /></div>
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<span lang="EN-US"><br /></span>
<span lang="EN-US">The first stage, Tai Yang, is the only Exterior one. At this stage Wind-Cold is on the Exterior
and only the Lung's Wei Qi portion is affected, not the Interior. The Lung's diffusing and descending of Qi is
impaired and the external Wind is lodged in the space between skin and muscles
impairing the circulation of Wei Qi.
</span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
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<span lang="EN-US">The essential symptoms of the Tai Yang stage are:</span><o:p></o:p></div>
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<span lang="EN-US"><br /></span>
<span lang="EN-US">- aversion to cold or shivering</span><o:p></o:p></div>
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<span lang="EN-US">- occipital headache and/or stiff neck</span><o:p></o:p></div>
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<span lang="EN-US">- Floating pulse</span><o:p></o:p></div>
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<br /></div>
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<span lang="EN-US">“Aversion to cold” indicates the typical cold feeling and shivering
which comes on as a wave in the beginning stages of a cold or influenza. It is characteristic in so far as it is not
relieved by covering oneself. Most
people who experience a bad cold or flu shiver even in bed under the blankets.</span><o:p></o:p></div>
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<br /></div>
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<span lang="EN-US">The occipital headache or stiffness is due to the obstruction of Wei Qi circulation in the Tai-Yang channels (Small Intestine and
Bladder) which flow in that area.</span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
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<span lang="EN-US">The Floating pulse reflects the rushing of Wei Qi towards the Exterior
to fight the pathogenic factor.</span><o:p></o:p></div>
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<span lang="EN-US"> </span><o:p></o:p></div>
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<span lang="EN-US">Besides these three cardinal symptoms there are many others such as a
runny nose, sneezing, possibly a fever, a cough, body aches, itchy throat,
etc. All these are due to the impairment
of the diffusing and descending of Qi by the Lungs and by the obstruction to
the circulation of Wei Qi in the muscles.
<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US">In particular, the aversion to cold occurs simultaneously with “emission
of heat” (<i>fa re</i>), i.e. the patient’s body emits heat and it feels hot to
the touch: please note that the patient may or may not have an actual
fever. </span><br />
<span lang="EN-US"><br /></span>
<span lang="EN-US">Therefore “aversion to cold” is a
<i>subjective</i> cold feeling of the patient while “fever” (or rather
“emission of heat”) is an <i>objective</i> hot feeling of the patient’s body to
the touch.</span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
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<span lang="EN-US">Aversion to cold is caused by the obstruction of the space between skin
and muscles by exterior Wind: as the Wei Qi circulates in this space and warms
the muscles, when it is obstructed by exterior Wind, the patient feels cold:
remember, this can and does happen with Wind-Heat too. </span><o:p></o:p></div>
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<span lang="EN-US">The emission of heat is an expression of the fight between the body’s
Upright Qi and the exterior Wind. </span><o:p></o:p></div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_a2X2RgQhxgiAnfjJDZ__yg7jNNPrim_c02ro-pppnWNod0rLhgpSeyg55lEv__wSgz0Xo1fxHD6kw9xdGOmHjQgQCRSoEFsLRlCuL7OBJMaUhW8sOBgQx-KkwrF9MrN6PqdpEPb9VrI/s1600/Couli+Slide+21.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="208" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_a2X2RgQhxgiAnfjJDZ__yg7jNNPrim_c02ro-pppnWNod0rLhgpSeyg55lEv__wSgz0Xo1fxHD6kw9xdGOmHjQgQCRSoEFsLRlCuL7OBJMaUhW8sOBgQx-KkwrF9MrN6PqdpEPb9VrI/s320/Couli+Slide+21.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Cou Li space</td></tr>
</tbody></table>
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<div style="text-align: center;">
<span lang="EN-US">WARM DISEASES (<i>WEN BING</i>) </span><o:p></o:p></div>
<div style="text-align: center;">
<span lang="EN-US"><br /></span></div>
</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">What does “Warm disease” mean?
This is my own translation of the Chinese term <i>Wen Bing</i>. The above-mentioned doctors from this school
of thought introduced important innovations to the theory of Wind in Chinese
medicine. </span>The School of Warm Diseases postulates that some exterior pathogenic
factors go beyond the natural characters of “Wind”; they are so virulent and
strong that, no matter how strong a person's body's Qi may be, men, women and
children fall ill by the dozen. More
importantly, for the first time in the history of Chinese medicine, these
doctors recognized that some external pathogenic factors are <i>infectious</i>.<br />
<br /></div>
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<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">A further innovative idea stemming from this school was that the
pathogenic factors causing Warm diseases, all of them falling under the
category of Wind-Heat, enter via the nose and mouth, rather than via the skin
as happens for Wind-Cold. <o:p></o:p></span><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">Bearing in mind that Wind-Heat is intended here in a broad sense as it may also manifest as Damp-Heat, Summer-Heat, Winter- Heat,Spring-Heat and Dry-Heat, the essential characteristics of Warm diseases therefore are:</span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">1) They manifest with
the general symptoms and signs of Wind-Heat in the early stages </span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">2) There is always a
fever (not only “emission of heat” but an actual fever)</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">3) They are infectious</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">4) The Wind-Heat
penetrates via the nose and mouth</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">5) The pathogenic factor
is particularly strong and virulent</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">6) The Wind-Heat has a
strong tendency to become interior Heat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">7) Once in the Interior,
the Heat has a strong tendency to dry up body fluids.</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">Thus, although all pathogenic factors contemplated by the School of Warm
Diseases fall under the broad definition of Wind-Heat, not all diseases caused
by Wind-Heat are Warm diseases. Some of
the exterior diseases that start with symptoms of Wind-Heat are Warm diseases
(with all the above-mentioned characteristics) and some are not. </span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"><br /></span>
<span lang="EN-US">Examples of Warm diseases are influenza, measles, chicken-pox, German
measles, poliomyelitis, smallpox, scarlet fever, whooping cough or meningitis.
An influenza epidemic that sweeps the world is always a Wen Bing disease. This is because it is very virulent and has a
strong tendency to enter the Qi level (causing chest infections) very quickly. </span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">Examples of Wind-Heat diseases which are not Warm diseases are common
cold (of the Wind-Heat type), glandular fever (mononucleosis) and any
non-specific upper-respiratory infection manifesting with symptoms of
Wind-Heat. </span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">The distinction between “simple” invasions of Wind-Heat and invasions of
Wind-Heat that are a <i>Wen Bing</i> disease is a very important consideration
in practice: it is possible to stop diseases from “simple” Wind-Heat at the
early stages, but although true Warm diseases may always be alleviated in the
initial stages, they may not always be entirely stopped at the initial stages. </span><br />
<span lang="EN-US"><br /></span>
<span lang="EN-US">In particular, in the case of Warm diseases, even though it may not stop them
at the Exterior level, Chinese medicine can certainly achieve the following
aims:</span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">- Alleviate the symptoms</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">- Shorten the course of the disease</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">- Prevent transmission to the Ying and Blood levels (see below)</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">- Prevent complications</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">- Prevent the formation of residual pathogenic factors<o:p></o:p></span><br />
<span lang="EN-US">- </span>Stop pathogenic factor at Qi Level<br />
- Treat sequelae</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
The treatment of exterior invasions is important because they can have
very serious consequences in children and the elderly. In children, many serious diseases start with
symptoms of invasion of Wind-Heat: in the initial stages one does not know what
disease it might be and it is therefore important to treat the manifestations
early. </div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"><br /></span>
<span lang="EN-US">For example, measles, diphtheria, whooping cough, poliomyelitis, acute
nephritis, scarlet fever and meningitis may all manifest with symptoms of
Wind-Heat in the beginning stage. In the
elderly, exterior Wind may easily penetrate the Interior causing bronchitis and
pneumonia which is often fatal in old age.</span><br />
<br />
<div style="text-align: center;">
THE FOUR LEVELS</div>
</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<b><span lang="EN-US">Wei Level</span></b><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Wind-Heat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Damp-Heat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Summer-Heat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Wind-Dry-Heat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<b><span lang="EN-US">Qi Level</span></b><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Lung-Heat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Stomach-Heat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Stomach
and Intestines Dry-Heat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Gall-Bladder
Heat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Stomach
and Spleen Damp-Heat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<b><span lang="EN-US">Ying Level </span></b><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Heat
in Pericardium </span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> <b> </b> Heat
in Ying <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<b><span lang="EN-US">Blood Level</span></b><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Heat
Victorious agitates Blood</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Heat
Victorious stirs Wind</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Empty-Wind
agitates in the Interior</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> Collapse
of Yin/Yang</span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">The Wei Level concerns the exterior stage of an invasion of Wind-Heat of
the <i>Wen Bing</i> type, the other three Levels describe pathological
conditions which arise when the pathogenic factor penetrates the Interior and
turns into Heat. </span><br />
<span lang="EN-US"><br /></span>
<span lang="EN-US">Although the theory of the 4 Levels arose in application
to <i>Wen Bing</i> diseases, it can and should be applied also to any
invasion of Wind-Heat, whether <i>Wen Bing</i> or not. </span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">The four Levels represent different levels of energetic depth, the first
being the Exterior and the other three being the Interior. The interesting part of this theory is the
distinction, within the Interior, of three different levels, the Qi Level being
the most superficial (within the Interior) and the Blood Level the
deepest. </span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKvZCU_WZIIkDl3rFGpys6GucgIKb26E16LqnP0bNa2tqxR7YwIVZM2gtXfT-U44CBZ9x6q3gYCrBAmHBz6MmlP-SbL2ufkLp-AzRj7enl88oza2Y_hg9qojtdBTSGbWqJaC5t0Khh-QY/s1600/4+LEVELS.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="228" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKvZCU_WZIIkDl3rFGpys6GucgIKb26E16LqnP0bNa2tqxR7YwIVZM2gtXfT-U44CBZ9x6q3gYCrBAmHBz6MmlP-SbL2ufkLp-AzRj7enl88oza2Y_hg9qojtdBTSGbWqJaC5t0Khh-QY/s320/4+LEVELS.jpg" width="320" /></a></div>
</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">The Wei Level of the 4 Levels broadly corresponds to the Tai Yang
Stage of the 6 Stages. The former deals with Wind-Heat and the latter with
Wind-Cold. </span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">The main symptoms of invasion of Wind-Heat at the Wei Level are aversion
to cold, shivering, fever, sore throat, swollen tonsils, headache and
body-aches, sneezing, cough, runny nose with yellow discharge, slightly dark
urine, slightly Red sides of the tongue and a Floating-Rapid pulse. </span><br />
<span lang="EN-US"><br /></span>
<span lang="EN-US">It is worth noting that in Wind-Heat too
there is aversion to cold as this is due to Wind-Heat obstructing the Wei Qi which therefore fails to warm the muscles.
</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<u>Aetiology and pathology</u><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
An invasion of an exterior pathogenic
factor is due to a temporary and relative imbalance between it and the body's
Qi. This imbalance may occur either because the body's Qi is <i>temporarily</i>
and <i>relatively</i> weak or because the pathogenic factor is very strong or
both. The body's Qi may be temporarily and relatively weak due to overwork,
excessive sexual activity, irregular diet and emotional stress or a combination
of these. When the body is thus
weakened, even a mild pathogenic factor may cause an external invasion of Wind.
<o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
“Wind” indicates both an aetiological
factor and a pathological condition. As
an aetiological factor, it literally refers to climatic influences and
especially sudden changes of weather to which the body cannot adapt. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
As a pathological condition, “Wind”
refers to a complex of symptoms and signs manifesting as Wind-Cold or
Wind-Heat. In clinical practice, this is
the most important aspect of the concept of Wind. Thus, the diagnosis of “Wind” invasion is
made not on the basis of the history (no need to ask the patient whether he or
she has been exposed to wind), but on the basis of the symptoms and signs. <o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
If a person has all the symptoms and
signs of “Wind” (aversion to cold, shivering, “fever”, sneezing, runny nose,
headache and a Floating pulse), then the condition is one of exterior Wind, no
matter what climate that person has been exposed to in the previous days or
hours. <o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Indeed, there are also chronic conditions
which manifest with symptoms of “Wind” and are treated as such even though they
have no relation to climatic factors.
For example, allergic rhinitis (due to house-dust mites or pollen)
manifests with symptoms and signs of “Wind” and is treated as such.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Influenza manifests primarily with
symptoms of Wind-Heat. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<u>Simultaneous cold feeling and fever</u><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
The simultaneous fever (or "emission
of heat") and aversion to cold is the most characteristic symptom of the
beginning stages of an invasion of Wind: they indicate that there is an
invasion of an exterior pathogenic factor and that this factor is still at the
Exterior level. As long as there is
aversion to cold, the pathogenic factor is on the Exterior. <o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
I shall now discuss in detail the
pathology and clinical significance of the "aversion to cold" and
"fever" in the beginning stage of invasion of exterior Wind.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<i>Aversion to cold</i><o:p></o:p><br />
<i><br /></i></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
In Exterior patterns, the aversion to
cold and cold feeling is due to the external Wind obstructing the space between
skin and muscles where the Wei Qi circulates; as Wei Qi warms the muscles, its
obstruction by Wind causes the patient to feel cold and shiver (even if the
pathogenic factor is Wind-Heat). Thus,
Wei Qi is not necessarily weak but only <i>obstructed</i> in the space between
skin and muscles. Both Wind-Cold and Wind-Heat cause aversion to cold. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Generally speaking, there are three
aspects to the "cold feeling" in invasions of exterior Wind: <o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l3 level1 lfo2; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->1)<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--> the patients feels cold<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l3 level1 lfo2; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->2)<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--> he or she has "waves" of shivers<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l3 level1 lfo2; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->3)<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--> he or she is reluctant to go out and wants to
stay indoors. <o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Except
in mild cases, the cold feeling is not relieved by covering oneself. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
In conclusion, a feeling of cold in
exterior invasions is due to the obstruction of Wei Qi in the space between
skin and muscles and it indicates that the pathogenic factor is on the
Exterior: as soon as the feeling of cold goes, the pathogenic factor is in the
Interior.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<i>"Fever</i>“<o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
As for "fever“, the Chinese terms <i>fa
shao</i> or <i>fa re</i> do not necessarily indicate "fever". "Fever" is a sign in modern Western
medicine, not in old Chinese medicine.
In old China, there were obviously no thermometers and the symptoms <i>fa
shao</i> or <i>fa re</i> described in the old texts do not necessarily mean
that the patient has an actual fever. <o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
It literally means "emitting
heat" and it indicates that the patient's body feels hot, almost burning
to the touch: the areas touched were the forehead and the <i>dorsum</i> of the
hands (as opposed to the palms).<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
In fact, it is a characteristic of <i>fa
re</i> (so-called "fever") in the exterior stage of invasions of Wind
that the dorsum of the hands feel hot compared to the palms and the upper back
feels hot compared to the chest. This objective hot feeling of the patient's
body may or may not be accompanied by an actual fever although in <i>Wen Bing</i>
diseases it is. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
When the symptoms of shivers and feeling
cold occurs <i>simultaneously</i> with the objective sign of the patient's body
feeling hot to the touch (or having an actual fever), it indicates an acute
invasion of external Wind and it denotes that the pathogenic factor is still on
the Exterior. <o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
In particular, it is the symptoms of
shivering and feeling cold that indicate that the pathogenic factor is on the
Exterior: the moment the patient does not feel cold any longer but feels hot
and, if in bed, he or she throws off the blankets, it means that the pathogenic
factor is in the Interior and it has turned into Heat. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnDE7CqBkuvTTUeaWziyCKrLsdV81IyGnnsdyfRErElobSGRnr7drMwNWURavMXbqIQHXRy-WLbMb9kicPxEmQM2w4bZ84KgHt00MEzVqEb0lk098rW_Aw8jkr30lZrnHJ8gvm0VRTg5M/s1600/Cou+li+invasion.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="316" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnDE7CqBkuvTTUeaWziyCKrLsdV81IyGnnsdyfRErElobSGRnr7drMwNWURavMXbqIQHXRy-WLbMb9kicPxEmQM2w4bZ84KgHt00MEzVqEb0lk098rW_Aw8jkr30lZrnHJ8gvm0VRTg5M/s400/Cou+li+invasion.jpg" width="400" /></a></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
The "fever", or hot feeling of
the body in external invasions of Wind is due to the struggle between the
body's Qi (Zheng Qi) and the external pathogenic factor. Thus, the strength of the fever (or hot
feeling of the body) reflects the intensity of this struggle: this depends on
the relative strength of the external pathogenic factor and the strength of the
Zheng Qi. <o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
The stronger the external pathogenic
factor, the higher the fever (or hot feeling of the body); likewise, the
stronger the Zheng Qi, the higher the fever (or hot feeling of the body).
Thus the fever will be highest when both the external pathogenic factor and the
Zheng Qi are strong.<br />
<br />
Therefore, there
are three possible situations:<o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l4 level1 lfo3; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="EN-US"> Strong pathogenic factor and
strong Zheng Qi: high "fever" (or hot feeling of the body)</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l4 level1 lfo3; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="EN-US"> Strong pathogenic factor with
weak Zheng Qi or vice versa: medium "fever" (or hot feeling of the
body)</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l4 level1 lfo3; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="EN-US"> Weak pathogenic factor and weak Zheng Qi: low "fever" (or hot feeling of the body) or no
"fever"</span> <o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div class="separator" style="clear: both; text-align: center;">
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<span lang="EN-US">However, the relative strength of the pathogenic factor and the <span style="text-indent: -24px;">Zheng </span>Qi is only one factor which determines the intensity of the fever (or hot
feeling of the body). Another factor is
simply the <u>constitution</u> of a person: a person with a Yang constitution
(i.e. with predominance of Yang) will be more prone to invasions of Wind-Heat
rather than Wind-Cold and will be more prone to have a higher fever (or hot
feeling of the body). </span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
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<span lang="EN-US">Indeed, it could be said that the constitution of a person is the main
factor which determines whether a person who falls prey to an invasion of Wind
develops Wind-Cold or Wind-Heat. Were it
not so, in cold, Northern countries nobody should fall prey to invasions of
Wind-Heat which is not the case. This is
also the reason why, in children, invasions of Wind-Heat are far more prevalent
than Wind-Cold: this is because children are naturally Yang in nature compared
to adults. </span><o:p></o:p></div>
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<span lang="EN-US">There are also new, artificial factors which may predispose a person to
invasions of Wind-Heat when succumbing to Wind and these are very dry,
centrally-heated places, hot working conditions (e.g. cooks, metal workers),
etc. </span></div>
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<br />
The tongue often does not change in invasions of Wind-Cold but it does change in invasions of Wind-Heat. The diagrams below indicate the places on the tongue where it might become red or develop red points in invasions of Wind-Heat. The redder the tongue, the more intense the Wind-Heat.<br />
<br />
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<br />
The most important thing to establish
when we see a patient suffering from an acute respiratory infection is whether
the stage of the condition is external or internal, i.e. whether the pathogenic
factor is still on the Exterior or is in the Interior. In terms of levels, this means
distinguishing whether the patient is still at the Wei level or at the Qi
level.<br />
<br />
The differentiation between the
Wei and the Qi level is relatively easy: if the patient has aversion to
cold, he or she is still at the Wei level; if he or she does not suffer from
aversion to cold but, on the contrary, from aversion to heat, the patient is at
the Qi level. Thus, influenza will always start with
manifestations similar to the Wei-Qi level of the 4 Levels. If the pathogenic factor is not expelled at
the beginning stages, it will change into Heat and penetrate into the Interior.<br />
<br /></div>
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<o:p></o:p></div>
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Once the pathogenic factor penetrates
into the Interior, the body's Qi carries on its fight against it in the
Interior: this causes a high fever and a feeling of heat, in marked contrast to
the aversion to cold and the shivering which occur when the body's Qi fights
the pathogenic factor on the Exterior. <o:p></o:p><br />
<br /></div>
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At the exterior level, the internal
organs are not affected and it is only the Lung's Wei Qi portion which is
involved. When the pathogenic factor
becomes interior, the organs are affected and especially the Lungs and/or Stomach
(see below). <o:p></o:p><br />
<br /></div>
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This stage of development in the
pathology of these diseases is crucial as, if the pathogenic factor is not
cleared, it may either penetrate more deeply and cause serious problems (at the
Ying or Blood Level) or give rise to residual Heat which is often the cause of
chronic post-viral fatigue syndrome. <o:p></o:p></div>
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<br /></div>
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In the Interior, the main patterns
appearing will be either the Yang-Ming pattern of the 6 Stages or, more
commonly, one of the Qi-Level patterns within the 4 Levels. In general, at the Qi Level, either the
Stomach or Lung or both are affected. <o:p></o:p></div>
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<br />
In the patients we see, the Lungs are
most commonly affected and the patterns are usually Lung-Heat or Phlegm-Heat in
the Lungs. Sometimes, it may be Dry-Heat
in the Lungs. <o:p></o:p></div>
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<br /></div>
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<u><br /></u>
<br />
<div style="text-align: center;">
WEI LEVEL<o:p></o:p></div>
<u><br /></u></div>
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The Wei level is the beginning stage of
invasions of Wind-Heat: it is the only exterior level, i.e. characterized by
the presence of the exterior Wind on the Exterior of the body. <o:p></o:p></div>
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<br />
The Wei level comprises of four different
patterns according to the nature of the pathogenic factor, i.e. Wind-Heat,
Summer-Heat, Damp-Heat and Dry-Heat. Of
these four, Wind-Heat is by far the most common one.<o:p></o:p></div>
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<o:p></o:p></div>
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The clinical manifestations of invasion
of Wind-Heat at the Wei Level are "fever", aversion to cold,
headache, sore throat, slight sweating, runny nose with yellow discharge,
swollen tonsils, body aches, slight thirst, tongue Red in the front or sides
with a thin-white coating, Floating-Rapid pulse. <o:p></o:p></div>
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The pathology of aversion to cold and
"fever" has already been discussed.
The headache is caused by the obstruction of the channels of the
head by exterior Wind in the same way as for the Tai Yang Stage.<br />
<br />
The body aches, which may be very
pronounced, are caused by the obstruction of the muscles by exterior Wind. The tongue
coating is white because the pathogenic factor is on the Exterior.</div>
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<o:p></o:p></div>
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<br />
A sore throat is due to invasion
of the Wind in the Lung channel in the throat: a sore and red throat is a
distinctive sign of invasion of Wind-Heat as compared to Wind-Cold. <o:p></o:p></div>
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<span lang="EN-US">WEI LEVEL - WIND-HEAT<o:p></o:p></span></div>
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<span lang="EN-US">"Fever", aversion to cold, headache, sore throat, slight
sweating, runny nose with yellow discharge, swollen tonsils, body aches, slight
thirst, tongue Red in the front or sides with a thin-white coating,
Floating-Rapid pulse. </span><o:p></o:p><br />
<span lang="EN-US"><br /></span>
<span lang="EN-US"><br /></span></div>
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<i>THREE TREASURES </i>Remedies<i> </i><br />
<i><br /></i></div>
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<i>EXPEL WIND-HEAT</i> <br />
<o:p></o:p></div>
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<i>Expel Wind-Heat </i>is for invasions of Wind-Heat at the Wei Level. The dosage is at least 9 tablets a day but if
the symptoms are severe, an adult can use up to 12-15 tablets per day. <i>Expel Wind-Heat</i> should be a stand-by
remedy in any household with children.<o:p></o:p><br />
<br />
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<br />
ACUPUNCTURE <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
LU-7 Lieque, L.I.-4 Hegu, T.B.-5 Waiguan,
Du-14 Dazhui, L.I.-11 Quchi, LU-11 Shaoshang (in case of tonsillitis), BL-12
Fengmen with cupping, BL-13 Feishu.<o:p></o:p></div>
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<u><br /></u>
<u><br /></u>
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<div style="text-align: center;">
QI LEVEL</div>
</div>
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<o:p></o:p></div>
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<br />
If the external Wind is not expelled, it
will usually turn into Heat and enter the Interior and most frequently the
Lungs. The main symptoms at this stage
are aversion to heat, a feeling of heat, possibly fever, cough (which may be
dry or productive), slight breathlessness, restlessness, disturbed sleep,
thirst, a feeling of oppression of the chest, Red tongue with yellow coating,
Deep-Full-Slippery pulse. These are
manifestations of the Qi level.<o:p></o:p></div>
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<br /></div>
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The main patterns appearing at the Qi
level are:<o:p></o:p><br />
<br /></div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Lung Phlegm-Heat</span><o:p></o:p></div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="EN-US"> Damp-Phlegm in the Lungs</span><o:p></o:p></div>
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<!--[if !supportLists]-->3.<span style="font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span><!--[endif]--><span lang="EN-US"> Dry-Phlegm in the Lungs</span> <o:p></o:p></div>
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<span lang="EN-US">QI LEVEL - INTERIOR HEAT<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">Aversion to heat, a feeling of heat, possibly fever, cough (which may be
dry or productive), slight breathlessness, restlessness, disturbed sleep,
thirst, a feeling of oppression of the chest, Red tongue with yellow coating,
Deep-Full-Slippery pulse. </span><o:p></o:p></div>
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<br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<i>THREE TREASURES</i> Remedies<o:p></o:p><br />
<u><br /></u></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<i>RINGING METAL</i><o:p></o:p><br />
<i><br /></i></div>
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<i>Ringing Metal, </i>a variation of Qing Qi Hua Tan Tang <i>Clearing Qi and Resolving
Phlegm Decoction</i> can be used for acute chest infections following an
invasion of Wind, i.e. when the pathogenic factor is <u>Phlegm-Heat</u> in the
Lungs at the Qi level. <o:p></o:p><br />
<br />
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<br />
<br /></div>
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<span lang="EN-US">The main manifestations calling for this remedy in this context are: a
cough following a cold or flu, expectoration of profuse sticky-yellow sputum,
slight breathlessness, a feeling of oppression of the chest, fever, thirst, disturbed
sleep, a Full-Slippery pulse, a red tongue with sticky-yellow coating. </span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">Dosage: for adults, take 9-12 tablets a day. Reduce the dosage
for children according to age. </span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
ACUPUNCTURE</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="IT">LU-7 Lieque, LU-10 Yuji, Du-14 Dazhui, L.I.-11 Quchi, LU-5 Chize, BL-13
Feishu, LU-1 Zhongfu, Ren-12 Zhongwan, Ren-9 Shuifen, ST-40 Fenglong. </span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<i>CLEAR METAL</i><o:p></o:p><br />
<i><br /></i></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<i>Clear Metal</i> was formulated to treat the Qi Level of influenza but it does treat the Ying level as well. The most common
patterns at this level are either Lung-Heat of Lung-Phlegm-Heat so that the
patient develops bronchitis or pneumonia.<br />
<i><br /></i>
<i>Clear Metal</i> was formulated to treat primarily<u> Lung-Heat </u>at the Qi Level
when the patient displays the following symptoms: cough, breathlessness, fever,
feeling of heat, thirst, tightness of the chest and upper back, a Red tongue
with yellow coating and a Full-Rapid pulse.<br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<i>Clear Metal</i> has also a strong anti-viral action. Besides treating the Qi Level
primarily, <i>Clear Metal</i> also treats the beginning stages of Ying
Level. The clearest indication that the
Heat is reaching the Ying level is the absence of coating on the tongue. <o:p></o:p><br />
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNMq0MrAeiXlx5osnOanvTXpEHcuwCTWu_EVmh0tkRlPSdNBEJ0H7-XO4NG6dp5zDklU7ExpFvJRnVaZ92DHtjab_YbG9CElaCiC7E-k-L7_oj2-GxnyWO1iXT-H9Xlbj8KUIZ0itAiT4/s1600/Clear+Metal.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNMq0MrAeiXlx5osnOanvTXpEHcuwCTWu_EVmh0tkRlPSdNBEJ0H7-XO4NG6dp5zDklU7ExpFvJRnVaZ92DHtjab_YbG9CElaCiC7E-k-L7_oj2-GxnyWO1iXT-H9Xlbj8KUIZ0itAiT4/s200/Clear+Metal.jpg" width="125" /></a></div>
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
At the first signs of the beginning of
influenza (feeling chills, fever, sore throat) take <i>Expel Wind-Heat</i>. If
one is in doubt whether the symptoms are those of a "simple"
influenza or of those of a more serious type (such as H1N1 influenza), then <i>Expel
Wind-Heat</i> and <i>Clear Metal</i> can be taken simultaneously for a couple
of days until the clinical manifestations reveal what type of virus it is. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
If the symptoms persist and progress
rapidly to the lower respiratory tract causing high fever, cough,
breathlessness, respiratory distress and inspiration crackles, the patient
should stop taking <i>Expel Wind-Heat</i> and take only<i> Clear Metal</i>
immediately at a higher dose.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br />
Please note that this remedy can be
administered concurrently with any Western anti-viral medication or antibiotics.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
The dosage for an adult is at least 9
tablets per day. This dose can be
exceeded in severe cases.</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
ACUPUNCTURE: <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
LU-7 Lieque, LU-10 Yuji, Du-14 Dazhui,
L.I.-11 Quchi, LU-5 Chize, BL-13 Feishu, LU-1 Zhongfu.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div style="text-align: center;">
YING LEVEL<o:p></o:p></div>
<div style="text-align: center;">
<br /></div>
</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
At the Ying Level, the Heat has penetrated
to a deeper energetic layer and it has begun to injure the Yin. At this level, Heat is obstructing the Mind
and the Pericardium causing delirium and even coma. Fever at night is a distinctive sign of the
Ying Level. <o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
The tongue appearance at the Ying Level is an important sign that
differentiates this level from the Qi Level: at the Ying Level, the tongue is
Deep-Red <i>without</i> coating (while at the Qi Level, it is Red with a thick
coating).<o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">YING LEVEL - INTERIOR HEAT</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">Fever at night, dry mouth with no desire to drink, mental restlessness,
mental confusion, insomnia, delirium, incoherent speech or aphasia, body hot,
hands and feet cold, macules, Red tongue without coating, Fine-Rapid pulse.</span><i>Clear Metal</i> may be used for the Ying Level.</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgamNZ1ORNzxCJSduAG4Eorqiv0sHr4jJFRbUsF9FW0zrqw2h1eR7nmKksHwGlqp0rNu-LvcbVIzT9gOUz5Svhe3N5U6nZXgEl7SSSa1koajuKY3r5kF4YDyv4YNv5lBmWTNfJ6WGr3eBc/s1600/4+Levels+Patterns+Ying+Level+Slide+77.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="282" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgamNZ1ORNzxCJSduAG4Eorqiv0sHr4jJFRbUsF9FW0zrqw2h1eR7nmKksHwGlqp0rNu-LvcbVIzT9gOUz5Svhe3N5U6nZXgEl7SSSa1koajuKY3r5kF4YDyv4YNv5lBmWTNfJ6WGr3eBc/s400/4+Levels+Patterns+Ying+Level+Slide+77.jpg" width="400" /></a></div>
</div>
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<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div style="text-align: center;">
BLOOD LEVEL<o:p></o:p></div>
<div style="text-align: center;">
<br /></div>
</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
The Blood Level is the deepest energetic
layer with Heat affecting the Blood.
There are several different patterns with varying clinical
manifestations but the chief clinical features of the Blood Level are as follows:<br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">1. There is Yin deficiency</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">2. Heat is affecting the Blood causing bleeding</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">3. Heat is affecting the Mind causing delirium or coma</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">4. Heat in the Blood causes bleeding under the skin with the appearance
of macules</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">5. Internal Wind may develop causing convulsions and tremors</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">6. Collapse of Yin or Yang may occur</span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">MACULES are a definite sign that Heat has reached the Blood Level. There are five patterns at the Blood Level,
i.e. Heat victorious moving Blood, Heat victorious stirring Wind, Empty Wind
agitating in the Interior, Collapse of Yin and Collapse of Yang. </span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQ_NbnZ06VyYKG8y4CsU8v881YI0tPqGo2O-Wkw24xFiC5_qdR4KRykftbDd7Egn9PWS-3vN793Z4poEGhlQ4f7DzEYaiOLRjnlTgm4Pa5JFHWd6LpLPHUWUuW6FsrROFM6k6rWty-cOs/s1600/Macules.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="130" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQ_NbnZ06VyYKG8y4CsU8v881YI0tPqGo2O-Wkw24xFiC5_qdR4KRykftbDd7Egn9PWS-3vN793Z4poEGhlQ4f7DzEYaiOLRjnlTgm4Pa5JFHWd6LpLPHUWUuW6FsrROFM6k6rWty-cOs/s400/Macules.jpg" width="400" /></a></div>
</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">"Blood" here should be intended as a description of the
deepest energetic level of the body.
When Heat penetrates this level in the context of a Wen Bing disease,
the person may die. </span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">The chief sign of invasion of the Blood Level by Heat is bleeding, which may be in the stools, in the vomit and under the skin. Indeed, the presence of maculae under the
skin always indicate that the Heat has reached the Blood level and the</span><span lang="EN-US"> </span><span lang="EN-US">situation is potentially serious.</span> <o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US">BLOOD LEVEL - INTERIOR HEAT</span> <o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<u><span lang="EN-US">Heat agitates Blood</span></u><span lang="EN-US">: High fever, mental restlessness, manic behaviour, dark macules,
vomiting of blood, epistaxis, blood in stools, blood in urine, Dark-Red tongue
without coating, Wiry-Rapid pulse.</span><o:p></o:p><br />
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<u><span lang="EN-US">Heat stirs Wind</span></u>: <span lang="EN-US">High fever, fainting,
twitching of limbs, convulsions, rigidity of neck, opisthotonos, eyeballs
turning up, clenching of teeth, Dark-Red tongue without coating, Wiry-Rapid
pulse</span> <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div class="separator" style="clear: both; text-align: center;">
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<span lang="EN-US"><br /></span>
</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div class="separator" style="clear: both; text-align: center;">
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div class="separator" style="clear: both; text-align: center;">
</div>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYloFJ0kAGcF4ElR-JrQISqP6Lp825-fElFb-ONQs20wRs9D0z9h9XQsX-re6Gdbo-PTAMCLvHxcu4NgriJv5xGazDCmj-0RUh-2eKmeQEMZh-7W90wrCpQSc64_sabipArTNBTWmwZuw/s1600/Tongue+Wei+level.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="165" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYloFJ0kAGcF4ElR-JrQISqP6Lp825-fElFb-ONQs20wRs9D0z9h9XQsX-re6Gdbo-PTAMCLvHxcu4NgriJv5xGazDCmj-0RUh-2eKmeQEMZh-7W90wrCpQSc64_sabipArTNBTWmwZuw/s400/Tongue+Wei+level.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Red sides = Wei Level</td></tr>
</tbody></table>
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglbLWIxxrdl9K_NKaWAQHQ2wWnaNUcoGIsyqeIwCo73hBeZ3VvwSa2yyDqUWTPGh2RNCupeldVtIeWACDLvZ7nJOUPyO-1gAsUpf0OKfyuHBMhyxi5mmjHo9kOOiwUVgkqGRIceWQPSZQ/s1600/Tongue+Qi+level+slide+86.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="362" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglbLWIxxrdl9K_NKaWAQHQ2wWnaNUcoGIsyqeIwCo73hBeZ3VvwSa2yyDqUWTPGh2RNCupeldVtIeWACDLvZ7nJOUPyO-1gAsUpf0OKfyuHBMhyxi5mmjHo9kOOiwUVgkqGRIceWQPSZQ/s400/Tongue+Qi+level+slide+86.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Red sides = Wei Level</td></tr>
</tbody></table>
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhL86BuXYlz_RmTFeaRyGEhGbkjt-Ap9FjU-2tkd_rGUAGEw90BhSW3Gif6PUL38BZ9opLkZ-64tgAxohV6BLRO0PqOpB4gswKDJyK1ms-pHbki4QqlUxAi8Y2AaURu0dChwh5wE-1Mr3Y/s1600/Tongue++Qi+level+Fire+slide+87.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="182" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhL86BuXYlz_RmTFeaRyGEhGbkjt-Ap9FjU-2tkd_rGUAGEw90BhSW3Gif6PUL38BZ9opLkZ-64tgAxohV6BLRO0PqOpB4gswKDJyK1ms-pHbki4QqlUxAi8Y2AaURu0dChwh5wE-1Mr3Y/s400/Tongue++Qi+level+Fire+slide+87.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Red, thick-black coating = Qi Level - Fire</td></tr>
</tbody></table>
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfQ_3NDcuu9LiZsGm_dYSzccpXlme6rKFN4X152y0_b86lZsJ_L8V6642seGltetK7CUP8p0zXGrBLgvLm5L7K7zcwBZg8wyGwFJRZ0ttoK6DiWKHv7t5sIKE0l5GiIdVpgF0F959oulg/s1600/Ying+level+tongue+slide+88.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="342" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfQ_3NDcuu9LiZsGm_dYSzccpXlme6rKFN4X152y0_b86lZsJ_L8V6642seGltetK7CUP8p0zXGrBLgvLm5L7K7zcwBZg8wyGwFJRZ0ttoK6DiWKHv7t5sIKE0l5GiIdVpgF0F959oulg/s400/Ying+level+tongue+slide+88.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Red, no coating = Ying Level </td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZKj9qLgut88GRVX6vP84tIPPTB-kpXYttP9NJ3H7Olw9byvLy-BQyvLlmxOE-sNdPkW0XLS8E4pWYmXWS9oHbYTAFZBZyiS6Xg8chiYTSwSPdHvP0vC5mYqdssqOmqfzUSm7fOfAaKT4/s1600/Blood+level+tongue+slide+89.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="308" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZKj9qLgut88GRVX6vP84tIPPTB-kpXYttP9NJ3H7Olw9byvLy-BQyvLlmxOE-sNdPkW0XLS8E4pWYmXWS9oHbYTAFZBZyiS6Xg8chiYTSwSPdHvP0vC5mYqdssqOmqfzUSm7fOfAaKT4/s400/Blood+level+tongue+slide+89.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Red, no coating, Purple = Blood Level</td></tr>
</tbody></table>
<br /></div>
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<div class="separator" style="clear: both; text-align: center;">
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
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</div>
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<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div style="text-align: center;">
<span lang="EN-US"><br /></span></div>
<div style="text-align: center;">
<br /></div>
</div>
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<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
HERBAL SENTINEL<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<i>Herbal Sentinel</i> is the remedy to take <i>for <u>prevention</u></i>. It strengthens immunity and resistance to
viruses and bacteria by tonifying Lung- and Kidney-Qi. It is to be taken
continuously as long as the swine flu epidemic continues in dosages of 4
tablets a day (for an adult).<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
There are two <i>Herbal Sentinel</i>
remedies: <i>Herbal Sentinel - Yang</i> and <i>Herbal Sentinel - Yin</i>. The former is for people with a tendency to
Yang deficiency (with a Pale tongue); the latter for people with a tendency to
Yin deficiency (with a tongue lacking in coating completely or partially). <o:p></o:p><br />
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEid9FtVXiDM-I819r7w8Pdo0xPHm0KEijH6a3KpKveIBZIpJKFMSILgyMWKFatkakXMuuSsghn8P8u1RxQl0RodLQhep-S-n4jQ4WxleL4EwD_vOPpcy4l3LTkijelK3wYyQHv5EFxQw7k/s1600/Herbal+Sentinel+Yin.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEid9FtVXiDM-I819r7w8Pdo0xPHm0KEijH6a3KpKveIBZIpJKFMSILgyMWKFatkakXMuuSsghn8P8u1RxQl0RodLQhep-S-n4jQ4WxleL4EwD_vOPpcy4l3LTkijelK3wYyQHv5EFxQw7k/s200/Herbal+Sentinel+Yin.jpg" width="119" /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtnvu7AVAj0NUzEsLYgbXKlS00wIkdRa-eJbabvYE9QwqMM0C8jGrbCn_4BJXMFUSVwKl7jTEwzjEB3uY-ULoxLuM11t2Nw-gFZUWOwaTENY8BWMCIoYj0JKcAr33eKnOhMGkJKfGx-dM/s1600/Herbal+Sentinel.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtnvu7AVAj0NUzEsLYgbXKlS00wIkdRa-eJbabvYE9QwqMM0C8jGrbCn_4BJXMFUSVwKl7jTEwzjEB3uY-ULoxLuM11t2Nw-gFZUWOwaTENY8BWMCIoYj0JKcAr33eKnOhMGkJKfGx-dM/s200/Herbal+Sentinel.jpg" width="123" /></a></div>
<br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
ACUPUNCTURE: <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
LU-7 Lieque, LU-9 Taiyuan, BL-13 Feishu,
Du-12 Shenzhu, Ren-12 Zhongwan, Ren-4 Guanyuan, KI-3 Taixi, BL-23 Shenshu. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
THREE TREASURES<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
ACUTE RESPIRATORY INFECTIONS<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
1. Invasion of Wind-Cold<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Key symptoms and signs: runny nose,
sneezing, aversion to cold, shivering<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Three Treasures remedy: <i>EXPEL WIND-COLD</i><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
2. Invasion of Wind-Heat<o:p></o:p><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFwl2z_wr72-xNcSTWelRU6kYUBk4AHdX8GGWFbGqMA8xHh8gS06mIPpi4cLhkb0lVrIyjgs4qn2QCqFPiHMuXQJ-9VRO91ILRbfIOgXdyYzt10EVFDkCnTbECqe9EWUCxRwP_PvjcF7s/s1600/ExpelWindCold.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFwl2z_wr72-xNcSTWelRU6kYUBk4AHdX8GGWFbGqMA8xHh8gS06mIPpi4cLhkb0lVrIyjgs4qn2QCqFPiHMuXQJ-9VRO91ILRbfIOgXdyYzt10EVFDkCnTbECqe9EWUCxRwP_PvjcF7s/s200/ExpelWindCold.JPG" width="123" /></a></div>
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Key symptoms and signs: influenza
(aversion to cold, fever, body aches, etc.), tonsillitis, laryngitis<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Three Treasures remedy: <i>EXPEL WIND-HEAT<o:p></o:p></i><br />
<i><br /></i>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgKltz8fbvAWuU0XvuPSq9-q2A2MQEsVDgarZ2tF98qVUcrhAZx5bNb8x-El6qCG6V3ryOyOh1KcMInA-pnJ7NP-c1lgGjgAKct2NXwlmcAqBg-KSybhSCzFQim4l-KhVHvw5lunjavTr4/s1600/Expel+Wind+Heat.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgKltz8fbvAWuU0XvuPSq9-q2A2MQEsVDgarZ2tF98qVUcrhAZx5bNb8x-El6qCG6V3ryOyOh1KcMInA-pnJ7NP-c1lgGjgAKct2NXwlmcAqBg-KSybhSCzFQim4l-KhVHvw5lunjavTr4/s200/Expel+Wind+Heat.jpg" width="119" /></a></div>
<i><br /></i></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div style="text-align: center;">
ACUTE BRONCHITIS<o:p></o:p></div>
</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
PHLEGM-HEAT IN THE LUNGS<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Key symptoms and signs: acute cough with
expectoration of profuse, yellow sputum following an upper respiratory
infection, oppression of the chest, thick-sticky-yellow tongue coating,
Slippery and possibly Rapid pulse.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Three Treasures remedy: <i>RINGING METAL </i><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br />
LUNG-HEAT<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Key symptoms and signs: acute dry,
barking cough, with the occasional expectoration of scanty sputum, chest
tightness, Red tongue with yellow coating, Rapid-Full pulse.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Three Treasures remedy: <i>CLEAR METAL</i><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<div style="text-align: center;">
PHARYNGITIS<span lang="EN-US"><o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Traditionally called “Swelling and pain
in the throat”<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
In the past included many different
conditions e.g.:<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 72.0pt; mso-layout-grid-align: none; mso-list: l1 level2 lfo1; tab-stops: list 18.0pt; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Retro-pharangeal
abcess<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 72.0pt; mso-layout-grid-align: none; mso-list: l1 level2 lfo1; tab-stops: list 18.0pt; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Sudden obstruction
of the throat<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 72.0pt; mso-layout-grid-align: none; mso-list: l1 level2 lfo1; tab-stops: list 18.0pt; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Acute tonsillitis<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 72.0pt; mso-layout-grid-align: none; mso-list: l1 level2 lfo1; tab-stops: list 18.0pt; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->diptheria<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
But this is too broad a category to
differentiate.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<u><br /></u></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<u>Aetiology and Pathology </u><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
From Exterior invasion of Wind-Heat
(rarely Wind-Cold) due to:<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->sudden changes of
weather<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Improper
environment<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Weakness of LU-Wei
Qi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Open to invasion of
Wind-Heat<o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
The throat opens on the outside to nose
and mouth, on the inside to LU and ST. LU dominates the skin.<br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Sore throat can be due to two conditions:<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
1.
Wind-Heat penetrating the throat from mouth and nose causing swelling and pain.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
2.
Wind-Cold invades skin, Ying and Wei lose balance, the P.F. cannot be expelled.
It accumulates in the throat causing swelling and pain.<o:p></o:p><br />
<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<u>Treatment</u></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
External attack of Wind-Heat symptoms: <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Symptoms of external attack, acute onset,
short duration and:<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Dry/ itchy throat<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Slightly red<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Swelling<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Pain<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Yellow-sticky
sputum<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo7; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Hoarse voice<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Fever<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Aversion to Wind<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Headache<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Cough<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
If serious the patient also has:<o:p></o:p></div>
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Scanty-yellow urine<o:p></o:p></div>
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Constipation<o:p></o:p></div>
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Red tongue-sides<o:p></o:p></div>
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Thin-Yellow tongue coating<o:p></o:p></div>
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Floating and Rapid pulse<o:p></o:p></div>
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<br /></div>
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<u>Internal Treatment</u> </div>
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Expel Wind, clear Heat <o:p></o:p><br />
<br /></div>
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<u>Prescription: </u>Clear Throat Benefit the Diaphragm Decoction. <i>Qing
Yan Li Ge Tang</i> (Jing Jie, Fang Feng, Bo He, Zhi Zi, Huang Qin, Jin Yin Hua,
Lian Qiao, Xuan Shen, Jie Geng)<o:p></o:p><br />
<br /></div>
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If there is a bad sore-throat with
yellow-sticky mucus add:<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Zhu Ru and Gua Lou to clear ST-LU Heat
and resolve Phlegm<o:p></o:p><br />
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
ACUPUNCTURE: L.I.-4, LU-10, LU-11 , LU-5,
L.I.-1, TB-1, CV-22, TB-5, TB-2<o:p></o:p></div>
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<br /></div>
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<div style="text-align: center;">
TONSILLITIS<o:p></o:p></div>
</div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Inflammation of the
tonsils<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->Red, swollen,
painful throat<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->White and red
pyogenic swellings on the tonsils with pus<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]-->If the tonsils are
very big – as big as silk moths it is called - !!<o:p></o:p></div>
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<br />
Tonsillitis is the most frequently seen
throat condition.<o:p></o:p><br />
<br /></div>
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There are three types:<o:p></o:p></div>
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1.
Wind-Heat<o:p></o:p></div>
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2.
Empty-Heat<o:p></o:p></div>
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3.
Qi and Blood stagnation<o:p></o:p></div>
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<br /></div>
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<u>Aetiology and Pathology</u><o:p></o:p></div>
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Exterior Wind-Heat enters the mouth and
nose invades the LU-WEI stage “infuses” to the throat</div>
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<o:p></o:p></div>
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The pathogenic factor stagnates the clear fluids cannot be transformed they condense into Phlegm. Phlegm-Heat stagnates the tonsils swell and become inflamed
(Toxic Heat). Tonsillitis can also be due to ST-Heat
“hitchhiked” by Wind-Heat.<br />
<br />
The tonsils are swollen, red and have either white spots, or white-yellow pus-filled spots on them, which can break and bleed.<br />
<br />
<div class="MsoNormal" style="line-height: 16.8px;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 16.8px;">
Other symptoms are: Fever, aversion to cold, headache, weary limbs, aching bones, red-sided tongue, White or Yellow tongue coating, Floating and Rapid pulse.</div>
</div>
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<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
<u>Treatment</u> </div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
Expel Wind-Heat, resolve Toxic Heat<o:p></o:p><br />
<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgKltz8fbvAWuU0XvuPSq9-q2A2MQEsVDgarZ2tF98qVUcrhAZx5bNb8x-El6qCG6V3ryOyOh1KcMInA-pnJ7NP-c1lgGjgAKct2NXwlmcAqBg-KSybhSCzFQim4l-KhVHvw5lunjavTr4/s1600/Expel+Wind+Heat.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgKltz8fbvAWuU0XvuPSq9-q2A2MQEsVDgarZ2tF98qVUcrhAZx5bNb8x-El6qCG6V3ryOyOh1KcMInA-pnJ7NP-c1lgGjgAKct2NXwlmcAqBg-KSybhSCzFQim4l-KhVHvw5lunjavTr4/s200/Expel+Wind+Heat.jpg" width="119" /></a></div>
<br />
<br /></div>
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<u>Prescription</u>: Clear the Throat and
Benefit the Diaphragm Decoction (see above).</div>
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<br /></div>
<div class="MsoNormal" style="line-height: 105%; mso-layout-grid-align: none; text-autospace: none;">
ACUPUNCTURE: LU-11, LU-10, L.I.-4,
L.I.-1, TB-5, TB-10<o:p></o:p><br />
<br />
<br />
CHANNELS AND GENERAL POINTS FOR THE FOUR LEVELS</div>
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<br />
To order <i>Three Treasures</i> remedies go to:<br />
<br />
<span class="bold" style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-weight: bold;">Acurea Medical Inc</span><br style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;" /><span style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;">3579 US-50, Ste 311, Carson City, NV 89701 USA</span><br style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;" /><span class="bold" style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-weight: bold;">Tel:</span><span style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;"> (408) 440 1855</span><br style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;" /><span class="bold" style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-weight: bold;">Email:</span><span style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;"> </span><a class="distlinks" href="mailto:monika@acureausa.com" style="background-color: white; color: #a4004c; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;">monika@acureausa.com</a><br style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;" /><span class="bold" style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px; font-weight: bold;">Website:</span><span style="background-color: white; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;"> </span><a class="distlinks" href="http://www.acureausa.com/" style="background-color: white; color: #a4004c; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;" target="_blank">www.acureausa.com</a><br />
<br />
<br />
END NOTES</div>
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<span style="font-family: "times new roman" , serif; font-size: 12pt;">1. WHO website, 2009.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "times new roman" , serif; font-size: 12pt;">2. Ibid.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt;">
<span style="font-family: "times new roman" , serif; font-size: 12pt;">3. Association of Microbiologists (UK) website, 1998.</span></div>
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<span style="font-family: "times new roman" , serif; font-size: 16px;">4. World Health Organization website, July 2009, </span><a href="http://www.who.int/csr/disease/swineflu/frequently_asked_questions/about_disease/en/index.html" style="font-family: "Times New Roman", serif; font-size: 16px;"><span style="color: windowtext; text-decoration: none;">http://www.who.int/csr/disease/swineflu/frequently_asked_questions/about_disease/en/index.html</span></a></div>
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<span style="font-family: "times new roman" , serif; font-size: 16px;">5. Ibid.</span></div>
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Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-10613970061964989382016-06-11T02:34:00.001-07:002016-06-11T02:39:06.323-07:00FEAR AND ANXIETY“Anxiety” is a modern term that does not have an exact equivalent in Chinese medicine.<br />
There is no Chinese medicine term that corresponds exactly to what we call “anxiety” but several ancient Chinese disease entities closely resemble anxiety. The four main disease entities that correspond to Anxiety are:<br />
<br />
“Fear and Palpitations” (Jing Ji) <span style="font-family: "ms song" , serif;">惊</span><span style="font-family: "arial" , sans-serif;"> </span><span style="font-family: "ms song" , serif;">悸</span><span style="font-family: "arial" , sans-serif;"> </span><br />
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<span style="font-family: "arial" , "sans-serif"; mso-fareast-language: EN-US;"> </span>“Panic Throbbing” (Zheng Chong) <span style="font-family: "ms song" , serif;">怔</span><span style="font-family: "arial" , sans-serif;"> </span><span style="font-family: "ms song" , serif;">冲</span><span style="font-family: "arial" , sans-serif;"> </span></div>
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<span style="font-family: "arial" , "sans-serif"; mso-fareast-language: EN-US;"> </span>“Mental restlessness” (Fan Zao) <span style="font-family: "ms song" , serif;">烦</span><span style="font-family: "arial" , sans-serif;"> </span><span style="font-family: "ms song" , serif;">躁</span><span style="font-family: "arial" , sans-serif;"> </span></div>
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<span style="font-family: "arial" , "sans-serif"; mso-fareast-language: EN-US;"> </span>“Agitation” (Zang Zao) <span style="font-family: "ms song" , serif;">脏</span><span style="font-family: "arial" , sans-serif;"> </span><span style="font-family: "ms song" , serif;">躁</span></div>
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<span style="font-family: "arial" , "sans-serif"; mso-bidi-font-family: "MS Song"; mso-fareast-font-family: "MS Song"; mso-fareast-language: EN-US;"><o:p></o:p></span></div>
<br />
Fear is the emotion that pertains to the Kidneys and I would like to make three points. Firstly, “anxiety” does not correspond only to “fear”: it also corresponds to “worry” and “pensiveness” in Chinese medicine.<br />
<br />
Secondly, we normally say that fear depletes Kidney-Qi and it makes Qi descend. The Su Wen in chapter 39 says: “<i>Fear leads to loss of Jing which results in obstruction of the Upper Burner, when this is obstructed Qi cannot return </i>[to it]<i> and this causes distension of the Lower Burner, that is why it is said that Qi sinks</i>.”<br />
<br />
This statement from the Su Wen is interesting in that it says that fear blocks the Upper Burner (resulting in Qi of the Lower Burner to descend): this would imply that fear does not simply “make Qi descend” (as we usually say) but that it also causes some Qi stagnation in the Upper Burner.<br />
<br />
I personally think that fear actually makes Qi rise and fright makes Qi descend. The description of Jing Ji by Zhang Jing Yue implies that, in fear, Qi rises: “<i>In Fear and Palpitations</i> [Jing Ji], <i>the Heart, Spleen, Liver and Kidneys are involved. Yang is connected to Yin and the Heart to the Kidneys.</i> [In this disease] <i>the upper part of the body is restless because it cannot link with the lower part; Heart-Qi is deficient and cannot connect with the Jing </i>[of the Kidneys].”<br />
<br />
Dr Zhang’s description of the pathology of Zheng Chong also implies that fear makes Qi rise: “<i>In Panic Throbbing </i>[Zheng Chong] <i>the heart is shaking in the chest, the patient feels fear and anxiety. There is Yin deficiency and exhaustion; there is Yin deficiency below so that the Zong Qi has no root and Qi cannot return to its origin. For this reason, there is shaking</i> [or throbbing] <i>of the chest above and also throbbing on the sides of the umbilicus.</i>”<br />
<br />
The above statements by Zhang Jing Yue are interesting because they confirm my experience according to which fear makes Qi rise (rather than descend). In fact, in the statement above, Zhang Jing Yue says that in “Fear and Palpitations”, there is restlessness above and a disconnection between the Heart and Kidneys with Qi rising.<br />
<br />
Thirdly, although fear is the emotion pertaining to the Kidneys, other organs also give rise to fear and anxiety and I am presenting below passages from the Su Wen and Ling Shu highlighting connections between fear and organs other than the Kidneys.<br />
<br />
<b>Su Wen chapter 39</b><br />
“<i>Fear leads to loss of Jing which then results in obstruction of the Upper Burner, consequently leading to return</i> [back up] <i>of Qi and distension in the Lower Burner</i>.” <br />
<br />
This passage is actually similar to the passages by Zhang Jing Yue quoted above. It makes the point that fear leads to obstruction of the Upper Burner. It confirms the relationship between fear and Kidneys as it says that it leads to loss of Jing.<br />
<br />
<span style="font-size: x-small;">1979 The Yellow Emperor's Classic of Internal Medicine-Simple Questions (Huang Di Nei Jing Su Wen ), People's Health Publishing House, Beijing, first published ca 100 BC, p. 221.</span><br />
<br />
<b>Su Wen chapter 62</b><br />
“<i>Surplus of Blood leads to rage while insufficiency of Blood results in fear</i>.”<br />
<br />
This passage correlates fear with the Liver saying that Liver-Blood deficiency results in fear. This is an important correlation as it is a common one in practice, especially in women (in whom Liver-Blood deficiency is common).<br />
<br />
The “fear” deriving from Liver-Blood deficiency is related to timidity, lack of initiative, fear of acting, inferiority complex. <br />
<br />
<span style="font-size: x-small;">1979 The Yellow Emperor's Classic of Internal Medicine-Simple Questions (Huang Di Nei Jing Su Wen ), People's Health Publishing House, Beijing, first published ca 100 BC, p. 334.</span><br />
<br />
<br />
<b>Su Wen chapter 19</b><br />
“<i>Excessive fear lead to subjugation [of the Kidneys] by Spleen-Qi</i>.”<br />
<br />
This is an interesting and unusual view according to which fear leading to a deficiency of the Kidneys may be caused by a pathology of the Spleen (Earth overcoming Water). This would occur when the Spleen is affected by pensiveness and worry. This type of fear therefore is close to worry. <br />
<br />
<span style="font-size: x-small;">1979 The Yellow Emperor's Classic of Internal Medicine-Simple Questions (Huang Di Nei Jing Su Wen ), People's Health Publishing House, Beijing, first published ca 100 BC, p. 118.</span><br />
<b><br /></b>
<b>Su Wen chapter 23</b><br />
“<i>The disorder of Heart-Qi causes belching; the disorder of Lung-Qi causes cough; the disorder of Liver-Qi causes excessive talking; the disorder of Spleen-Qi causes acid reflux; the disorder of Kidney-Qi causes yawning and sneezing; the disorder of Stomach-Qi causes rebellious Qi, hiccup and fear</i>.”<br />
<br />
Note by Wang Bing: “<i>When the Stomach is hot, the Qi of the Kidneys is feeble and weak; hence this causes fear. When the Earth harms the Kidneys, the Shen has fear</i>.”<br />
<br />
This is an interesting passage that relates fear to rebellious Stomach-Qi. I think this would be particularly Panic Disorder (panic attacks). The Great Luo of the Stomach (called Xu Li) goes to the heart and it affects it on a physical and mental-emotional level. On a physical level, it may cause palpitations or tachycardia. On a mental-emotional level, it may cause a panic sensation with a feeling of energy rising to the chest and head. ST-40 Fenglong would be the point to use for this. <br />
<br />
<span style="font-size: x-small;">1979 The Yellow Emperor's Classic of Internal Medicine-Simple Questions (Huang Di Nei Jing Su Wen ), People's Health Publishing House, Beijing, first published ca 100 BC, p. 150.</span><br />
<br />
<b>Ling Shu chapter 8</b><br />
“<i>The Liver stores Blood and the Blood houses the Hun. Deficiency of Liver-Qi causes fear while excess of Liver-Qi causes anger. Constant fear and pensiveness will damage the Shen and damage of the Shen in turn will lead to fear and seminal emissions. Excessive fear and fright will scatter the Shen and make it difficult to be contained </i>[to be gathered]<i>. Excessive fear and pensiveness will damage the Shen. Damage of the Shen in turn will lead to deprivation of the ability to control oneself due to fear. Constant fear without relief will damage the Jing and damage of the Jing will cause weakness of bones, impotence and habitual seminal emissions</i>.”<br />
<br />
The first sentence of this passages relates fear to a deficiency of Liver-Qi (chapter 62 of the Su Wen related it to Liver-Blood deficiency). Liver-Qi deficiency does exist and it usually causes depression: therefore, in this case, the person would be anxious and depressed.<br />
<br />
The further sentences of this chapter say that fear damages the Shen and the Jing (and therefore Kidneys).<br />
<br />
<span style="font-size: x-small;">1981 The Yellow Emperor’s Classic of Internal Medicine- Spiritual Axis (Ling Shu Jing), People's Health Publishing House, Beijing, first published ca 100 BC, p. 23.</span><br />
<br />
END NOTES<br />
1. Unschuld P Huang Di Nei Jing Su Wen, University of California Press, Berkeley, 2011, p. 401-2.Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-71732213843222076892016-05-13T08:13:00.001-07:002016-05-16T02:09:54.102-07:00MEMORY IN CHINESE MEDICINE<div class="MsoNormal">
<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">THE SHEN (</span></b><b><span lang="EN-US" style="font-family: "ms gothic"; font-size: 18.0pt; line-height: 107%;">神</span></b><b><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">) OF THE HEART<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The Shen of the Heart plays a prominent role in memory
partly by itself and partly because it coordinates the <i>Yi </i>of the Spleen and the
<i>Zhi</i> of the Kidneys which also play a role in memory.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The <i>Shen</i> of the Heart plays a role in memory in the
sense of memorizing but especially also in intrinsic memory (see below).<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
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<span style="color: #222222; font-size: 14.0pt;">Information that we have to consciously work to
remember is known as <b>explicit memory</b>, while information that we
remember unconsciously is known as <b>implicit memory</b>. Implicit memory is not always unconscious as it includes what we
call “muscle memory” which in psychology is called “procedural memory” (see
below). <o:p></o:p></span></div>
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<b><span style="color: #222222; font-size: 14.0pt;">Explicit
Memory<o:p></o:p></span></b></div>
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<span style="color: #222222; font-size: 14.0pt;">When we are trying to intentionally remember
something (like the names of acupuncture points or a list of dates for a history class), this information is stored in our explicit memory. We use
these memories every day, from remembering information for a test to recalling
the date and time of a doctor's appointment. This type of memory is also known
as declarative memory, since we can consciously recall and explain the
information.<o:p></o:p></span></div>
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<span style="color: #222222; font-size: 14.0pt;">Some tasks that require the use of explicit memory
include remembering what we learned in a class, recalling a phone number, writing
a research paper, and remembering what time we are meeting a friend, etc.<o:p></o:p></span></div>
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<span style="color: #222222; font-size: 14.0pt;">There are two major types of explicit memory:<o:p></o:p></span><br />
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<!--[if !supportLists]--><span style="color: #222222; font-size: 14.0pt;">1.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span style="color: #222222; font-size: 14.0pt;"><span style="color: #222222; text-decoration: none;">Episodic memory</span>:</span></b><span style="color: #222222; font-size: 14.0pt;"> These are our <a href="https://www.verywell.com/what-is-long-term-memory-2795347"><span style="color: #222222;">long-term memories</span></a> of specific events,
such as what we did the day before or our high school graduation.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #222222; font-size: 14.0pt;">2.<span style="font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><b><span style="color: #222222; font-size: 14.0pt;">Semantic memory:</span></b><span style="color: #222222; font-size: 14.0pt;"> These are
memories of facts, concepts, names, and other general knowledge information.<o:p></o:p></span></div>
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<b><span style="color: #222222; font-size: 14.0pt;">Implicit
Memory<o:p></o:p></span></b></div>
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<span style="color: #222222; font-size: 14.0pt;">Things that we do not purposely try to remember are
stored in implicit memory. This kind of memory is both unconscious and
unintentional. Implicit memory is also sometimes referred to as non-declarative
memory, since we are not able to consciously bring it into awareness.<o:p></o:p></span></div>
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<span style="color: #222222; font-size: 14.0pt;"><br /></span></div>
<div class="MsoNormal" style="background: white; line-height: 18.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #222222; font-size: 14.0pt;"><a href="https://www.verywell.com/what-is-procedural-memory-2795478"><span style="color: #222222;">Procedural memories</span></a>, such as how to perform a
specific task like swinging a baseball bat or sewing, are one type of
implicit memory since we do not have to consciously recall how to perform these
tasks. While implicit memories are not consciously recalled, they still have an
influence on how we behave as well as our knowledge of different tasks.<o:p></o:p></span></div>
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<span style="color: #222222; font-size: 14.0pt;">Some examples of implicit memory include singing a
familiar song, typing on our computer keyboard, daily habits, driving a car,
riding a bicycle, sewing.<o:p></o:p></span></div>
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<span style="color: #222222; font-size: 14.0pt;">Riding a bicycle is another great example. Even
after going years without riding one, most people are able to hop on a bike and
ride it effortlessly.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The <i>Shen</i> of the Heart plays a role in both extrinsic
and intrinsic memory but it is especially the one that is responsible for
intrinsic memory, which the <i>Yi</i> of the Spleen and the <i>Zhi </i>of the Kidneys are
not. <o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDv7-JLHHinsIFmzFa8mLeq5Q5vlFGkwmGS5YpE2yFg0bbLu6qORLj9TJGeFguIfkegY6X4_GieCvT-rFTQoKMsZw5wM8U5iL8YEE47r2tpoqFfnG7rNUo0XHiRYrSuLNX4OHpUBGZBoc/s1600/Memory-2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="275" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDv7-JLHHinsIFmzFa8mLeq5Q5vlFGkwmGS5YpE2yFg0bbLu6qORLj9TJGeFguIfkegY6X4_GieCvT-rFTQoKMsZw5wM8U5iL8YEE47r2tpoqFfnG7rNUo0XHiRYrSuLNX4OHpUBGZBoc/s400/Memory-2.jpg" width="400" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZHHw0gRVSuJJ_6uGVTzlWW-IZ2gLtPDDV6o-gHr558aBRkBPaiatMwgJppxEAEH1fHZQFb7o8fOrBfc_H6hSpMh7_EFvKaebnfGz2lj72I_nvCrHHOIBaETZW0BXaLzbcBM17gkJfo_4/s1600/Memory-3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="230" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZHHw0gRVSuJJ_6uGVTzlWW-IZ2gLtPDDV6o-gHr558aBRkBPaiatMwgJppxEAEH1fHZQFb7o8fOrBfc_H6hSpMh7_EFvKaebnfGz2lj72I_nvCrHHOIBaETZW0BXaLzbcBM17gkJfo_4/s400/Memory-3.jpg" width="400" /></a></div>
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<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Heart-Blood deficiency and Heart-Yin deficiency are a common
cause of poor memory.<o:p></o:p></span></div>
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<!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-begin'></span><span
style='mso-spacerun:yes'> </span>SEQ CHAPTER \h \r 1</span><![endif]--><!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-end'></span></span><![endif]--><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold;"><b>HEART-BLOOD DEFICIENCY</b></span><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><b> </b><o:p></o:p></span></div>
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Palpitations, dizziness,
insomnia, dream-disturbed sleep, <b>poor memory</b>, anxiety, propensity to be
startled, dull-pale complexion, pale lips.<o:p></o:p></span></div>
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Tongue: Pale, Thin, slightly
dry.<o:p></o:p></span></div>
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Pulse: Choppy or Fine. <o:p></o:p></span></div>
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<i><span style="font-size: 14.0pt; line-height: 107%; mso-bidi-font-family: "Times New Roman";">Key symptoms</span></i><span style="font-size: 14.0pt; line-height: 107%; mso-bidi-font-family: "Times New Roman";">:
palpitations, insomnia, poor memory, Pale tongue.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-begin'></span><span
style='mso-spacerun:yes'> </span>SEQ CHAPTER \h \r 1</span><![endif]--><!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-end'></span></span><![endif]--><b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Acupuncture</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Points</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">: HE-7 Shenmen,
Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, BL-17 Geshu (with moxa), BL-20
Pishu.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Method</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">: all with
reinforcing method. Moxa can be used.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Herbal formula</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Shen Qi Si Wu Tang <i>Ginseng-Astragalus-Four
Substances Decoction</i>.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Three Treasures</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Calm the Shen</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"> (variation of
Gui Pi Tang).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;line-height:115%;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-begin'></span><span
style='mso-spacerun:yes'> </span>SEQ CHAPTER \h \r 1</span><![endif]--><!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;line-height:115%;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-end'></span></span><![endif]--><b><span style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-weight: bold;">HEART-YIN DEFICIENCY</span><span style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: "Times New Roman";"> </span></b><!--[if gte vml 1]><v:shapetype id="_x0000_t75"
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<![endif]><![endif]--><!--[if !vml]--><!--[endif]--><span style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: "Times New Roman";">Palpitations,
insomnia, dream-disturbed sleep, propensity to be startled, <b>poor memory,</b>
anxiety, mental restlessness, dry mouth and
throat, night sweating. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: "Times New Roman";">Tongue: no
coating, deep midline crack reaching the tip.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<span style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: "Times New Roman";">Pulse: Floating-Empty. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-layout-grid-align: none; text-autospace: none;">
<i><span style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: "Times New Roman";">Key symptoms</span></i><span style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-family: "Times New Roman";">:
palpitations, mental restlessness, night-sweating, tongue without coating. <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-begin'></span><span
style='mso-spacerun:yes'> </span>SEQ CHAPTER \h \r 1</span><![endif]--><!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-end'></span></span><![endif]--><b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Acupuncture</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Points</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">: HE-7 Shenmen,
Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, HE-6 Yinxi, SP-6 Sanyinjiao. <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Method</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">: all with
reinforcing method, no moxa.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Herbal formula</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Tian Wang Bu Xin Dan <i>Heavenly
Emperor Tonifying the Heart Pill</i>.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Women’s
Treasure</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><i>Heavenly Empress</i> (variation of
Tian Wang Bu Xin Dan).<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">THE <i>YI </i>(</span></b><b><span lang="EN-US" style="font-family: "ms gothic"; font-size: 18.0pt; line-height: 107%;">意</span></b><b><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">) OF
THE SPLEEN</span></b><b><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></b></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The Chinese character for the mental aspect of the
Spleen is <i>Yi</i> which can mean “idea”
or “intention”.</span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The <i>Yi</i> resides in the Spleen and is responsible
for applied thinking, studying, memorizing, focusing, concentrating and
generating ideas. </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The Post-Natal Qi and Blood are the physiological
basis for the<i> Yi</i>. Thus if the Spleen
is strong, thinking will be clear, memory good and the capacity for
concentrating, studying and generating ideas will also be good. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">If the Spleen is weak, the <i>Yi</i> will be dull, thinking
will be slow, memory poor and the capacity for studying, concentrating and
focusing will all be weak.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The Spleen is responsible for memory in the sense of
studying, concentrating, focusing and memorizing data in the course of one’s
study or work.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Note that the Chinese character for “<i>Yi</i>” is based on the “heart” radical. This indicates two things. Firstly, it indicates that the memory of the
Spleen depends also on the Heart. Secondly,
it refers to the <i>Shen</i>’s coordinating and integrating function in respect of the
<i>Hun, Po, Yi </i>and <i>Zhi</i>.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-begin'></span><span
style='mso-spacerun:yes'> </span>SEQ CHAPTER \h \r 1</span><![endif]--><!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-end'></span></span><![endif]--><b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">SPLEEN-BLOOD
DEFICIENCY </span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Poor appetite, slight abdominal
distension after eating, tiredness, lassitude, dull-pale complexion, weakness
of the limbs, loose stools, <b>poor memory</b>, thin body, scanty periods or
amenorrhoea.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Tongue: Pale, Thin and slightly
dry.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Pulse: Choppy or Fine. <o:p></o:p></span></div>
<div class="MsoNormal">
<i><span style="font-size: 14.0pt; line-height: 107%; mso-bidi-font-family: "Times New Roman";">Key symptoms</span></i><span style="font-size: 14.0pt; line-height: 107%; mso-bidi-font-family: "Times New Roman";">:
tiredness, slight abdominal distension, scanty periods, Pale tongue.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-begin'></span><span
style='mso-spacerun:yes'> </span>SEQ CHAPTER \h \r 1</span><![endif]--><!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-end'></span></span><![endif]--><b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Acupuncture</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Points</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">: Ren-12 Zhongwan,
ST-36 Zusanli, SP-6 Sanyinjiao, BL-20 Pishu, BL-21 Weishu, Ren-4
Guanyuan, BL-17 Geshu (with direct moxa).<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Method</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">: reinforcing
method. Moxa is applicable.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Herbal formula</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Gui Pi Tang <i>Tonifying the
Spleen Decoction</i>.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Three Treasures</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div class="MsoNormal">
<i><span style="font-size: 14.0pt; line-height: 107%; mso-bidi-font-family: "Times New Roman";">Calm the Shen</span></i><span style="font-size: 14.0pt; line-height: 107%; mso-bidi-font-family: "Times New Roman";">
(variation of Gui Pi Tang).<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">THE ZHI<i> </i>(</span></b><b><span lang="EN-US" style="font-family: "ms gothic"; font-size: 18.0pt; line-height: 107%;">志</span></b><b><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">) OF
THE KIDNEYS</span></b><b><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></b></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The word <i>Zhi</i>
has at least three meanings:</span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">1. it indicates “memory” </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">2. it means “will power “</span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">3. it is sometimes used to indicate the “five <i>Zhi</i>”,
i.e. the five mental aspects Shen, Hun, Po, Yi and Zhi itself. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">In the first sense, the Kidneys influence our capacity
for memorizing and storing data. Some of the ancient doctors even said that the
<i>Yi</i> of the Spleen and the memory of
the Kidneys are almost the same thing, except that the <i>Yi </i>is responsible for memorizing in the course of studying and the <i>Zhi</i> of the Kidneys is responsible for
the storing of data over the long term. </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Tang Zong Hai says: “<i>Zhi indicates Yi with a
capacity for storing </i>[data]”. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The character for <i>Zhi</i>
is indicated below. It is composed of <i>Shi</i> on the upper part and the “Heart” in
the lower part. </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtwLFURG6l3mtwc5hWj9ZOteO9inigA5vhACBBx6KtpTlG8EQgxiN2cUU0hhokkxxmIbjNsKgRs4rnyGp9wjkbEZdMwWH7tc7yXXkWFc3HuP0X3N1BzO-C4UyCbbln2ZBHz4_3TCY_S98/s1600/Memory-6.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="160" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtwLFURG6l3mtwc5hWj9ZOteO9inigA5vhACBBx6KtpTlG8EQgxiN2cUU0hhokkxxmIbjNsKgRs4rnyGp9wjkbEZdMwWH7tc7yXXkWFc3HuP0X3N1BzO-C4UyCbbln2ZBHz4_3TCY_S98/s640/Memory-6.jpg" width="640" /></a></div>
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<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="font-size: 14.0pt; line-height: 107%;"><b>KIDNEY-YIN DEFICIENCY</b><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-begin'></span><span
style='mso-spacerun:yes'> </span>SEQ CHAPTER \h \r 1</span><![endif]--><!--[if supportFields]><span
lang=EN-CA style='font-size:14.0pt;mso-bidi-font-family:"Times New Roman";
mso-ansi-language:EN-CA'><span style='mso-element:field-end'></span></span><![endif]--><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Dizziness,
tinnitus, vertigo, <b>poor memory</b>, hardness of hearing, night-sweating, dry mouth
and throat at night, lower backache, ache in bones, dark-scanty urine,
infertility, premature ejaculation, tiredness, lassitude, slight
anxiety.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Tongue: normal-coloured without
coating.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Pulse: Floating-Empty. <o:p></o:p></span></div>
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<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Key symptoms</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">: backache,
night sweating.<o:p></o:p></span></div>
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<b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Acupuncture</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Points</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">: Ren-4
Guanyuan, KI-3 Taixi, KI-6 Zhaohai, KI-10 Yingu, KI-9 Zhubin, SP-6 Sanyinjiao,
Ren-7 Yinjiao, LU-7 Lieque and KI-6 Zhaohai in combination (opening points of
the Ren Mai).<o:p></o:p></span></div>
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<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Method</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">: reinforcing
method, no moxa.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Herbal fomula</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Zuo Gui Wan <i>Restoring the
Left </i>[<i>Kidney</i>]<i> Pill</i>.<o:p></o:p></span></div>
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Liu Wei Di Huang Wan <i>Six-Ingredient
Rehmannia Pill</i>.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Three
Treasures</span></b><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">Nourish the
Root</span></i><span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman";">
(variation of Zuo Gui Wan).<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">In the sphere of thinking, remembering and memorizing
there is considerable overlap between the <i>Yi</i> of Spleen, the <i>Shen</i>
of Heart and the <i>Zhi</i> of Kidneys. The main differentiating factor is that
the Spleen is responsible for memorizing
data in the course of one's work or study. </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">For example, it is not uncommon for
someone to have a brilliant memory in his or her field of study or research (a
function of the Spleen), and yet be quite forgetful in daily life (a function
of the Heart). <o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The Heart and Kidneys also contribute to this
function, but they are also responsible for the memory of past events and
implicit memory. In particular, the overlap between the<i> Yi</i> and the <i>Shen</i> in
thinking activity is very close, so much so that the “Ling Shu” says in chapter
8: “<i>The Heart function of recollecting is called Yi</i>”. </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">In turn, the memorizing function of the <i>Yi</i> is so closely related to the <i>Zhi</i>
of the Kidneys that the same chapter continues: “<i>The storing </i>[of data] <i>of
the Yi is called Zhi</i>”.</span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 14pt; line-height: 107%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: 14pt; line-height: 107%;">These passages
confirm that <i>Shen, Yi</i> and <i>Zhi </i>are a continuum.</span></div>
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<br /></div>
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<span style="font-size: 18.6667px; line-height: 19.9733px;"><b>Memory and sense of Self</b></span><br />
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">In modern psychology, “memory” is more that just the
ability to store facts and information in our brain. It is actually an essential part in which our
consciousness exists, works and manifests itself and working memory plays an
important role in our consciousness. </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Even the thought “I live in the present” requires
short-term memory. Even the immediate present requires involves memory – what
we know about the one present moment is basically what is in our working
memory. </span><br />
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span>
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Working memory allows us to know
that the “here and now” is “here” and is happening “now”. This insight
underlies the notion, adopted by a number of cognitive scientists, that
consciousness is the awareness of what is in working memory.</span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">LeDoux says: “<i>The self is in part made and
maintained by memory and both implicit and explicit forms are involved.</i>”<a href="file:///C:/Users/Giovanni/Desktop/Memory.docx#_edn1" name="_ednref1" title=""><span class="MsoEndnoteReference"><!--[if !supportFootnotes]--><span class="MsoEndnoteReference"><span lang="EN-US" style="font-family: "calibri" , sans-serif; font-size: 14.0pt; line-height: 107%;">[1]</span></span><!--[endif]--></span></a><o:p></o:p></span></div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXs50qozyyrElAHZl8Qd0zDjBDzEpYxrQRN3imasoV_r6yiRQqXNVIn14vEeuUODZOpiap6pYBRWUpjJnpfFjEtcFQ1_uvXv79SkrARy9WSjY0ApwtqizwQUyAz17BUlUtThkrGe2IAOw/s1600/Memory-4.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="227" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXs50qozyyrElAHZl8Qd0zDjBDzEpYxrQRN3imasoV_r6yiRQqXNVIn14vEeuUODZOpiap6pYBRWUpjJnpfFjEtcFQ1_uvXv79SkrARy9WSjY0ApwtqizwQUyAz17BUlUtThkrGe2IAOw/s400/Memory-4.jpg" width="400" /></a></div>
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<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Thus, in a broader sense, <i>Zhi</i> is much more than
“memory” in the sense of being able to remember past events. The <i>Zhi</i> (together with the <i>Shen</i>) contributes to our working memory
and also to the long-term memory.
Together with the Shen of the Heart, this contributes to creating our
consciousness and sense of self. <o:p></o:p></span></div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYFMR0yBSK59XKuk-Q48LenyTqwkCFAb4-FvTRd9iuS8SPwei4GDlFzUfLodCvYXxF04Y6czVSrRvJV0szyxqAJXzXVtiXS1wRdKaEUpG2EKUdQf8XuWj-Lw2qMPRpp1UxrbRYViDDnl8/s1600/Memory-5.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="168" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYFMR0yBSK59XKuk-Q48LenyTqwkCFAb4-FvTRd9iuS8SPwei4GDlFzUfLodCvYXxF04Y6czVSrRvJV0szyxqAJXzXVtiXS1wRdKaEUpG2EKUdQf8XuWj-Lw2qMPRpp1UxrbRYViDDnl8/s400/Memory-5.jpg" width="400" /></a></div>
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<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><b>Treatment of poor memory</b></span><br />
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Memory can be stimulated by treating:</span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Heart (<i>Shen</i>): HE-7, HE-3, BL-15, BL-44 <i>Shentang</i></span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span><br />
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><i><br /></i></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Kidneys (<i>Zhi</i>): KI-3, BL-23, BL-52 <i>Zhishi</i></span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span><br />
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><i><br /></i></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Spleen (<i>Yi</i>): SP-3, BL-20, BL-49 <i>Yishe</i></span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span><br />
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><i><br /></i></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Du Mai (Brain/Sea of Marrow): SI-3/BL-62, Du-16,
Du-20. <o:p></o:p></span></div>
<div class="MsoNormal">
<b><br /></b></div>
<div class="MsoNormal">
<span style="font-size: 18.6667px; line-height: 19.9733px;"><b>The Du Mai and memory</b></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Another factor in memory is the <b>Du Mai</b> for three
reasons. </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 14.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">1)<span style="font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">It flows through the Heart and
therefore affects <i>Shen</i>. </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 14.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">2)<span style="font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">It originates from the Kidneys and
therefore affects <i>Zhi</i>. </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 14.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">3)<span style="font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">It is the vessel through which the
Kidneys’ Sea of Marrow reaches the Brain. </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">The three main points are Du-11 Shendao, Du-20 Baihui
and Du-24 Shenting. </span><span style="font-size: 14.0pt; line-height: 107%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<b><br /></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><b>The Lungs and memory</b></span><br />
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">However, remember that there are other factors at
work in memory, e.g. the Lungs affect memory by regulating the amount of Qi reaching the
head. Thus LU-7 and LU-3 are important
for poor memory due to Qi not reaching the head. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; line-height: 107%;">The
“Explanation of the Acupuncture Points” says that LU-3 can make Qi rise to
treat forgetfulness, sadness and weeping due to Qi not rising to head.<a href="file:///C:/Users/Giovanni/Desktop/Memory.docx#_edn2" name="_ednref2" title=""><span class="MsoEndnoteReference"><!--[if !supportFootnotes]--><span class="MsoEndnoteReference"><span style="font-family: "calibri" , sans-serif; font-size: 14.0pt; line-height: 107%;">[2]</span></span><!--[endif]--></span></a><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 14.0pt; line-height: 107%;">Forgetfulness
is an important indication for this point: this is forgetfulness due to clear
Qi not rising to the head. According to
the “Explanation of the Acupuncture Points”, this point treats forgetfulness by
stimulating the ascending of Qi of both Lungs and Heart.<a href="file:///C:/Users/Giovanni/Desktop/Memory.docx#_edn3" name="_ednref3" title=""><span class="MsoEndnoteReference"><!--[if !supportFootnotes]--><span class="MsoEndnoteReference"><span style="font-family: "calibri" , sans-serif; font-size: 14.0pt; line-height: 107%;">[3]</span></span><!--[endif]--></span></a><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: inherit; font-size: large;"><b><br /></b></span>
<span style="font-family: inherit; font-size: large;"><b>Phlegm and Blood stasis in memory</b></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Finally, it is important to remember that memory is
affected by Full conditions, especially Phlegm and Blood stasis obstructing the
Brain. This happens especially in the elderly.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">In particular, Phlegm is a common cause of poor
memory: when it is, poor memory is accompanied by dizziness and a feeling of heaviness
and muzziness (fuzziness) of the head.
The tongue is swollen, illustrated below.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">Points for Phlegm obstructing the Brain and affecting memory are: Du-20 Baihui, Du-24 Shenting, ST-40 Fenglong, LU-7 Lieque, Ren-9 Shuifen, Ren-5 Shimen, BL-22 Sanjiaoshu, P-5 Jianshi. </span><br />
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span>
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;">These two tongues are both swollen, indicating Phlegm. </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 14.0pt; line-height: 107%; mso-ansi-language: EN-US;"><br /></span></div>
<div class="MsoNormal">
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<a href="file:///C:/Users/Giovanni/Desktop/Memory.docx#_ednref1" name="_edn1" title=""><span class="MsoEndnoteReference"><!--[if !supportFootnotes]--><span class="MsoEndnoteReference"><span style="font-family: "calibri" , sans-serif; font-size: 10.0pt; line-height: 107%;">[1]</span></span><!--[endif]--></span></a> <span lang="EN-US">Joseph Ledoux, The Emotional Brain, Simon and Shuster, NY, 1996, p. 278.</span><o:p></o:p></div>
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<a href="file:///C:/Users/Giovanni/Desktop/Memory.docx#_ednref2" name="_edn2" title=""><span class="MsoEndnoteReference"><!--[if !supportFootnotes]--><span class="MsoEndnoteReference"><span style="font-family: "calibri" , sans-serif; font-size: 10.0pt; line-height: 107%;">[2]</span></span><!--[endif]--></span></a> <span lang="EN-US">An Explanation of the Acupuncture Points (<i>Jing Xue Jie</i>), pp. 26-7.</span><o:p></o:p></div>
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<a href="file:///C:/Users/Giovanni/Desktop/Memory.docx#_ednref3" name="_edn3" title=""><span class="MsoEndnoteReference"><!--[if !supportFootnotes]--><span class="MsoEndnoteReference"><span style="font-family: "calibri" , sans-serif; font-size: 10.0pt; line-height: 107%;">[3]</span></span><!--[endif]--></span></a> <span lang="EN-US">Ibid., p. 27.</span><o:p></o:p></div>
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Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-77496451505550452292016-01-28T16:04:00.000-08:002016-01-28T16:04:37.216-08:00GERIATRICS IN CHINESE MEDICINEThe thinking about geriatrics in Chinese medicine has been dominated by Kidney deficiency for centuries. As Kidney-Jing declines as we age, the clinical approach to the treatment of the elderly has been based largely on tonifying the Kidneys.
<br />
<br />
However, modern diseases of the elderly that account for 90% of mortality (cancer, heart disease and stroke) are characterized by Fullness. Quite simply, we do not die of Kidney deficiency but of Phlegm, Blood stasis and Internal Wind.
<br />
<br />
The most common pathogenic factors (and those leading to serious diseases) are:
<br />
Phlegm
<br />
Blood stasis
<br />
Internal Wind
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<br />
Apart from the major diseases of the elderly such as cancer, stroke and heart disease, very many symptoms and signs that occur in old age are caused by Phlegm and/or Blood stasis. The following is a partial list.
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<br />
GERIATRIC SYMPTOMS/SIGNS
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•Otosclerosis: Phlegm/Blood stasis
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•Cataract: Phlegm
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•Macular degeneration (vascular, lack of blood nourishment): Blood stasis
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•Dry eyes: may be due to Blood stasis
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•Alzheimer: Phlegm (the neurofibrillary tangles and plaques in the brain are a form of
<br />
Phlegm)
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•Parkinson: Wind
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•Poor memory: is often due to Phlegm
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•Brain muzziness: Phlegm
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•Dizziness: Phlegm
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•Epiretinal membrane: Phlegm
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•Macules: Blood stasis
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•Dry skin: in the elderly may be due to Blood stasis
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•Itching: Phlegm/Wind
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•Numbness: Phlegm/Wind
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•Hair loss: may be due to Blood stasis
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The following three Tables list the major diseases of the elderly with the pathology they are due to.
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<br />
PHLEGM - BLOOD STASIS - WIND
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Heart disease √ √
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Angina √ √
<br />
Arteriosclerosis √ √
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Thrombosis √
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Atheroma √
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Hypertension √ √ √
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<br />
PHLEGM BLOOD STASIS WIND
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Stroke √ √ √
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Cholesterol √
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Chronic bronchitis √
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Cancer √ √
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Diabetes √ √
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Chronic nephritis √
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<br />
PHLEGM BLOOD STASIS WIND
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Prostatic hypertrophy/cancer √ √
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Parkinson √
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Alzheimer √ √
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Trigeminal neuralgia √
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Dizziness √ √
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<br />
Many of the symptoms of the elderly are due to Phlegm:
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Heart: mental confusion, feeling of oppression in the chest
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Gall-Bladder: stones, nausea, inability to digest fats
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Joints: bone deformities, pain, rigidity
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Lungs: cough with mucus, feeling of oppression of the chest, asthma, breathlessness
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Stomach: lack of appetite, digestive problems, hiatus hernia, acid reflux.
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Skin: greasy skin, sweating, yellow moles.
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TONGUE DIAGNOSIS IN THE ELDERLY
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This has already been discussed in a previous blog (April 2010). The major pathogenic factors of the elderly manifest on the tongue with the following signs:
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Phlegm: swollen tongue body, sticky coating
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Blood stasis: purple, stiff body
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Internal Wind: stiff, moving deviated.
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For example, if we see a tongue that is swollen, purple and stiff, it indicates all three pathogenic factors of Phlegm, Blood stasis and internal Wind. When I see a tongue like that in an elderly patient, I actively invigorate Blood and resolve Phlegm for prevention.
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TREATMENT PRINCIPLES IN DISEASES OF THE ELDERLY
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Considering the above, I believe the most important treatment principles in the elderly are:
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1) Invigorate Blood and eliminate stasis
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2) Resolve Phlegm
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3) Extinguish (internal) Wind
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Some people think that eliminating pathogenic factors (with herbal medicine or acupuncture but especially with herbal medicine) may “weaken” the elderly. I have never found that to be true in practice: if an elderly person has Phlegm and Blood stasis, they will not be “weakened” by resolving Phlegm and invigorating Blood. Of course, one does need to adapt one’s doses to age so that dosages of herbs for the elderly should be lower than those for young people.
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<br />Unknownnoreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-47718119011723554602015-11-09T17:03:00.002-08:002016-01-27T10:37:48.112-08:00TREATMENT PRINCIPLES IN EXTERIOR INVASIONSI recently received an email from a colleague asking for a help with a patient suffering from chronic fatigue syndrome. The colleague was asking about the treatment principle to apply. The patient obviously suffered from a deficiency of Zheng Qi, as all patients with chronic fatigue syndrome do. But she also had frequent acute invasions of Wind. <br />
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The colleague was rightly following the principle that, in the presence of an acute invasion of Wind, one must expel pathogenic factors, in this case expelling Wind, and not tonify Zheng Qi. In between invasions of Wind, the correct treatment principle is to tonify Zheng Qi, and this what the colleague was doing.<br />
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However, the problem was that the patient suffered from very frequent invasions of Wind, so that there was hardly any time to tonify Zheng Qi for a prolonged time. She was using Yin Qiao San during the acute invasions of Wind and a Qi tonic<i> </i>to tonify Zheng Qi in between the acute attacks. <br />
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She wrote to me to ask whether taking a Qi tonic during an acute invasion of Wind could strengthen the pathogen. She was also wondering whether one can go on taking Yin Qiao San for prolonged periods as the patient had times when she went from one acute illness to the next, so she could be taking Yin Qiao San for weeks, and my colleague was wondering whether this could deplete her Qi or Yin.<br />
<br />
Her second question was whether taking a Qi tonic during an acute invasion of Wind could strengthen the pathogen.<br />
<br />
I will try and answer here her questions.<br />
<b><i><br /></i></b>
<b><i>1) Can one take a remedy that expels exterior Wind for prolonged periods?</i></b><br />
<b><i><br /></i></b>
The answer is basically: “no”. Remedies that expel exterior Wind (such as Yin Qiao San) by definition should be taken only during an acute invasion of Wind for a few days. After a few days or a week, either the exterior Wind has been expelled or the pathogenic factor has penetrated into the Interior at which time the patient needs a different treatment.<br />
<br />
However, chronic fatigue syndrome presents a different situation and one that is not contemplated in Chinese books. I have never seen a discussion of chronic fatigue syndrome in any Chinese book: indeed, a Chinese journal years ago published a translation of an article I wrote on chronic fatigue syndrome. <br />
<br />
In my experience, chronic fatigue syndrome is characterized by a prolonged course of the disease with deficiency of Zheng Qi and frequent invasions of exterior Wind. However, the exterior pathogen in such patients is “weak” and it is weak precisely because of the prolonged course of the disease and the prolonged deficiency of Zheng Qi. <br />
<br />
So, in such cases, the patient may need to take a remedy that expels exterior Wind frequently, e.g. for a week every few weeks or so. However, because the pathogen is weak, one can use a small dose such as for example only three tablets of <i>Expel Wind-Heat</i> a day.<br />
<br />
<b><i>2) Can tonifying the Zheng Qi also tonify an exterior pathogen?</i></b><br />
<br />
Again, in theory “yes”. However, again, chronic fatigue syndrome is an exception. As the deficiency of Zheng Qi is very prolonged and the pathogen “weak”, during invasions of exterior Wind in chronic fatigue syndrome, I do occasionally combine expelling exterior Wind with Yin Qiao San with a Qi tonic, both in small doses. For example, I might use 3 tablets of Qi tonic in the morning and 3 tablets of Yin Qiao San in the evening.<br />
<br />
<br />
For a discussion of Chronic Fatigue Syndrome see chapter 41 of my book <i>The Practice of Chinese Medicine</i>, 2nd Edition. Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-20931866305957925952015-10-05T11:54:00.003-07:002015-10-05T11:54:33.287-07:00THE SHEN, YI AND ZHI AND NEEDLING IN THE NEI JING<div style="background-color: white; color: #141823; font-family: helvetica, arial, sans-serif; font-size: 14px; line-height: 19.32px; margin-bottom: 6px;">
THE SHEN, YI AND ZHI AND NEEDLING IN THE NEI JING</div>
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The Nei Jing, and especially the Ling Shu, contains very many passages with instructions to acupuncturists as to how to needle. All these passages give instructions as to how to engage the Shen, Yi or Zhi (of the practitioner) when needling.</div>
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Just as a reminder, Yi is the mental faculty of the Spleen which refers to “focusing”, “attention”, “concentrating”, “idea”. Its character is based on the Heart radical which means that this mental faculty relies on the overlapping natures of Yi and Shen (and therefore Spleen and Heart).</div>
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意 Yi<br />心 Xin (heart)</div>
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Zhi of the Kidneys refers to “will power”, “intention”, “resolve”, “commitment” but also “memory”, “will”. Its character is based also on the heart radical together with the character for “Shi” which means scholar, soldier, gentleman, person trained in certain field, general, officer.</div>
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志 Zhi<br />士 Shi (scholar, soldier, gentleman, general, officer)</div>
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What is evident from all these passages is that the results one gets depend on the skill and sensitivity of the acupuncturist deriving from his or her Shen, Yi and Zhi. They are therefore very subjective: two acupuncturists may use the same points but the results may vary depending on the subjective application of the mental faculties of Shen, Yi and Zhi.</div>
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Ling Shu, chapter 1</div>
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“When holding the needle [literally “the Dao of holding the needle”], it should be held straight and not slanting to left or right. The [acupuncturist’s] Shen should be on the tip of the needle and his/her Yi on the disease.” Some translate the last few words as “the acupuncturist should concentrate his/her mind at the needle point and take good notice of the patient”. They therefore interpret the word bing, which means “disease”, as bing ren which means “patient”.1</div>
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Another source translates this as “When inserting the needle, the doctor should concentrate his mind on the patient.” Both these translations sound plausible but both miss the clear reference of the original to text to Shen and Yi as two separate mental faculties. Shen zai qiu hao, shu Yi bing zhe.2</div>
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Both these translations miss the beautiful idea that the “Shen should be on the needle and the Yi on the disease.” This makes complete sense if we consider that the Shen, besides cognition, is responsible for what we might call “muscle memory”. Shen, Yi and Shi, all three are responsible for memory but the Shen is responsible for “intrinsic” memory, i.e. for example remembering how to sew or ride a bike as opposed to remembering events, numbers, names, etc.</div>
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Thus, the Shen being on the tip of the needle refers to the skill, sensitivity and concentration of the acupuncturist. On the other hand, the Yi is responsible also for concentration, but also focusing, cognition, studying. That the Yi should be “on the disease” is a reference to the necessity of a laser-like diagnosis, pathology and treatment of the disease. Our acupuncturist’s skill would be for nothing if our diagnosis and treatment are wrong.</div>
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Ling Shu, chapter 9</div>
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“Concentrate the Shen on one point and the Zhi on the needle.” Notice the distinction between the Shen and the Zhi, similar to that between Shen and Yi of chapter 1. This distinction is completely lost in a modern Chinese translation: “Concentrate the attention and focus the whole mind on needling.”3</div>
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This statement is in the context of the description of the optimum conditions for needling a patient. “Acupuncturists should be in an isolated quite place, carefully observing the mental state [of the patient], close all doors and windows, tranquilize the mind, concentrate the attention.”</div>
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What they translate as “tranquilize the mind” is actually “so that Hun and Po are not scattered”; and what they translate as “concentrate the attention” is actually “focusing on Yi and concentrating the Shen”.</div>
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Ling Shu, chapter 8<br />The famous chapter 8 of the Ling Shu (entitled Ben Shen) is frequently quoted, especially its famous opening sentence. I would like to comment briefly on that sentence and propose a different translation of it.</div>
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The opening sentence of chapter 8 of the Ling Shu is: Fan ci zhi fa, xian bi ben yu shen 凡 刺 之 法 先 必 本 于 神 and the words mean literally “every needling’s method first must be rooted in Shen”. This sentence is usually translated as: “All treatment must be based on the Spirit”. The implication of this sentence is that all treatment must be based on the Spirit (of the patient), whatever interpretation we give to the word “Spirit”.</div>
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I propose an alternative translation with two important differences. Firstly, the text uses the word ci which means “to needle”, not “to treat”. If the text had meant to use the term “to treat”, it would have used the word zhi which does occur a lot in both the Su Wen and the Ling Shu. Thus, the first difference is that the first half of the sentence is “when needling” rather than “when treating”: this is an important difference.</div>
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The second difference is that the “Shen” referred to here may be interpreted as the Shen of the practitioner, not of the patient. Therefore, the whole sentence would mean: “When needling, one must first concentrate one’s mind [Shen]”. If that “Shen” is the Shen of the practitioner, then “Mind” would be a better translation here.</div>
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This interpretation is consistent with two factors. Firstly, the Ling Shu is very much an acupuncture text and therefore the reference to concentrating when needling makes sense. Secondly, the advice to concentrate and focus when needling is also found in many other places in the Nei Jing. Indeed, the word “shen” is even used occasionally to mean “needling sensation”. Chapter16 of the Su Wen says: “In Autumn needle the skin and the space between skin and muscles: stop when the needling sensation [shen] arrives.”</div>
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There are many passages in both the Ling Shu and Su Wen that stress the importance of concentrating one’s mind when needling. Indeed, chapter 25 of the Su Wen contains a sentence that is almost exactly the same as the opening sentence of the famous chapter 8 of the Ling Shu. Chapter 25 of the Su Wen contains this sentence: “fan ci zhi zhen, bi xian zhi shen”. 凡 刺 之 真必 先 治 神]. I would translate this so: “For reliable needling, one must first control one’s mind [shen].” Note the beautiful rhyming of “zhen” with “shen”.</div>
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The English translation of the Su Wen by Li Zhao Guo simply translates this sentence as “The key point for acupuncture is to pay full attention.”4 My interpretation is corroborated by the other paragraphs in that chapter which give advice as to how to practice needling. In fact, it says that the acupuncturist should not be distracted by people around or by any noise.</div>
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Unschuld, in his new translation of the Su Wen, translates this sentence as “For all piercing to be reliable, one must first regulate the spirit.”5 This translation would contradict mine but a footnote in the same book reports the interpretation of Wang Bing (the editor of the Nei Jing): “One must concentrate one’s mind and be calm without motion. This is the central point of piercing.”6 Notice that Unschuld says “piercing” and not “treating.”</div>
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Su Wen, chapter 54<br />This chapter has similar recommendations about concentrating while needling. It says: “Do not dare to be careless, as if one looked down into a deep abyss. The hand must be strong as if it held a tiger. The spirit [Shen] should not be confused by the multitude of things, that is have a tranquil mind [Zhi] and observe the patient, look neither to the left nor to the right.”7</div>
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After this passage, the text says that “one [the acupuncturist] must have a positive mind [Shen] by looking into the patient’s eyes and control his/her mind [Shen] so that Qi flows smoothly.”8</div>
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The modern Chinese translation of this passage is “To keep the mind [of the patient] concentrated means to prevent [the patient] from distracting his or her attention so as to make Qi flow smoothly.” The translator here takes the first reference to “shen” as the Shen of the patient while I interpret it as the Shen of the practitioner that must be concentrated.</div>
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Note how all meaning is lost when the Chinese medicine terms are translated. The distinction between Shen, Yi and Zhi when concentrating in needling is lost when these are translated as “attention”; or translating “so that Hun and Po are not scattered” as “tranquilizing the mind”; or translating “focusing on Yi and concentrating the Shen” as “concentrating the attention”; or translating the beautiful expression “the Shen on the tip of the needle and the Yi on the disease” as “when inserting the needle the doctor should concentrate his mind on the patient”; or translating “Jing-Shen not focused and Zhi and Yi not logical” as “cannot concentrate mind or make logical analysis”9; or “when the essence spirit is not concentrated and when the mind lack understanding”10.</div>
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As for the translation of “Shen” as “spirit” or “mind”, that would require a long dissertation. Suffice to say that in all these passages “Shen” refers to “concentration”, “analysis”, “focusing”. “attention” and therefore “mind” would be a better translation of it.</div>
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Acupuncture and shamanism<br />Shamanism was the form of healing prevalent in China before the Warring States Period (476-221 BC). Disease was caused by invasion of evil spirits (gui) and healing was performed by shamans reciting incantations. Shamans used to do this also fending the air with arrows and spears.</div>
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The character for “medicine” (Yi) in use before the Warring States Period is made up of the radicals for “ancient weapon made of bamboo” (shu), “quiver of arrows” (yi) and “shaman” (wu). During the Warring States Period the radical for “shaman” in the pictograph of “medicine” was replaced by the radical for herbal decoction: the shaman had been replaced by the herbalist.</div>
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医 quiver of arrows<br />殳 bamboo weapon<br />巫 shaman<br />穴 cave, acupuncture point (xue)</div>
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Evil spirits used to reside in “caves” called xue which is the same character as “acupuncture point”. I am of the opinion that shamanism was the origin of acupuncture: I think it is a short step between fending the air with an arrow to drive out evil spirits and actually piercing the body to drive out evil spirits from the “caves” in the body. I stress this is only my intuition and I have never read any corroboration of it.</div>
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The early connection between shamanism and acupuncture in my opinion is mirrored in the many Nei Jing passages describing the skill, intuition and sensitivity of the acupuncturist depending on his/her Shen. We are not shamans but there is a “shamanistic” quality to acupuncture, it is an art and it is very subjective.</div>
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I have noticed this also when I would get excellent results and the patient would feel very much better: whenever I repeated that same acupuncture treatment, it never yielded the same results because the conditions of the first treatment (influenced by subtle, subjective factors due to my Shen and its interaction with the patient’s Shen) could not be reproduced.</div>
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It is interesting that during the Northern Song dynasty (960–1127) there was a strong movement towards establishing medical schools and editing the classics of Chinese medicine (the Nei Jing was edited three times by imperial committees). As part of this “clean-up” of medicine, there was a drive towards eliminating shamans and the shamanism that was prevalent in the South.</div>
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During the Northern Song dynasty, southerners’ medical customs and reliance on shamans were considered almost “barbaric” usually in a degree increasing with their distance from the northern centre. Their deities were labelled “demons” (gui), their religious officiants were labelled shamans (wu) and their healing practices were described as noxious.11</div>
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Song officials’ concern focused on the southerners’ preference for local shamans over physicians which was seen as the root of their ignorance of medicine. In some prefectures, prefects even forced shamans to change occupation and apply themselves to acupuncture! Their shrines were destroyed.12</div>
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If acupuncture has indeed shamanistic qualities (much more than herbal medicine), it may explain the difficulties of conducting acupuncture clinical trials. An acupuncture treatment is subject to very many variables, to the subjective state of the practitioner’s Shen, to the interaction with the patient’s Shen, to the intent, skill and sensitivity of the acupuncturist, all of which may make it difficult to conduct clinical trials, especially if they are based on a standard acupuncture “prescription”. Even in modern China, acupuncture doctors teach about directing the needling sensation simply with the power of Shen. For example, in Nanjing they taught us that, in order to direct the needling sensation downwards along a channel, we should press with the thumb behind the point and visualize with our Shen the downward movement of Qi along the channel.</div>
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END NOTES<br />1. Wu N L, Wu A Q Yellow Emperor’s Canon of Internal Medicine, China Science and Technology Press, Beijing, 1999, p. 495.<br />2. Li Z G, Liu X R, Yellow Emperor’s Canon of Medicine - Spiritual Pivot, World Publishing Corporation, Xi’an, 2008, p. 9.<br />3. Ibid., p. 179.<br />4. Li Zhao Guo (translator) Yellow Emperor’s Canon of Medicine, Library of Chinese Classics, World Publishing Corporation, Xi’an, 2005, p. 335.<br />5. Unschuld P U and Tessenow H, Huang Di Nei Jing Su Wen – An Annotated Translation of the Huang Di’s Inner Classic – Basic Questions, Vol. I, University of California Press, Berkeley, 2011, p. 428.<br />6. Ibid., p. 428.<br />7. Unschuld, p. 19.<br />8. Li Zhao Guo (translator) Yellow Emperor’s Canon of Medicine, Library of Chinese Classics, World Publishing Corporation, Xi’an, 2005, p. 601.<br />9. Ibid., p. 1261.<br />10. Unschuld, p. 681.<br />11. Hinrichs T J, Barnes L L, Chinese Medicine and Healing, Harvard University Press, Cambridge, Massachusetts, 2013, p. 109.<br />12. Ibid., p. 109.</div>
Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-45346184960278912072015-08-02T11:58:00.001-07:002015-08-02T11:58:03.297-07:00THE CLINICAL USE OF THE BACK-SHU POINTS<br />
<span style="font-size: large;">When giving my lectures I am often surprised by the fact that many practitioners do not use the Back-Shu points very much. In this short article I would like to explain how I use the Back-Shu points in practice.</span><br />
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<span style="font-size: large;">The Back-Shu points are mentioned in various chapters of the Nei Jing. Chapter 51 of the "Ling Shu" lists the Back-Shu points of the five Zang.1 </span><br />
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<span style="font-size: large;">Chapter 59 of the "Su Wen" discusses the Back-Shu points of the Fu; in all, the Nei Jing lists 10 Back-Shu points, leaving out BL-22 Sanjiaoshu, first mentioned in the "ABC of Acupuncture" (Jia Yi Jing, AD 282), and BL-14 Jueyinshu, first mentioned in the "1000 Golden Ducats Prescriptions" (Qian Jin Yao Fang, AD 652).2</span><br />
<span class="Apple-tab-span" style="white-space: pre;"><span style="font-size: large;"> </span></span><br />
<span style="font-size: large;">The Chinese character (Shu 俞</span><span style="font-size: large;">) denoting these points means “to transport” indicating that they transport Qi to the inner organs. Each point takes its name from the corresponding organ, e.g. BL-15 Xinshu is “Heart-Shu”. </span><br />
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<span style="font-size: large;">The importance of the Back-Shu points in treatment cannot be over-emphasized. They are particularly important for the treatment of chronic diseases and, indeed, one may go so far as saying that a chronic disease cannot be treated without using these points at some time during the course of treatment. This is essentially how I use them, i.e. to tonify the organs (Yin or Yang) in chronic conditions. </span><br />
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<span style="font-size: large;">The Back-Shu points affect the organs directly and are therefore used in Interior diseases of the Yin or Yang organs. This is a very important aspect of the clinical effect of these points. The way in which they act is quite a different from that of other points. </span><br />
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<span style="font-size: large;">When treating the Internal Organs, other points work by stimulating the Qi of the channel which then flows along the channel like a wave, eventually reaching the Internal Organs. For example, if we needle LIV-3 Taichong we initiate a small wave around the point that flows along the channel, eventually reaching the Liver. If we needle BL-18 Ganshu (Back-Shu point of the Liver) we reach the organ directly without having to go through the channel. </span><br />
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<span style="font-size: large;">In my experience, when we needle the Back-Shu points, Qi goes directly to the relevant organ, not through the intermediary of its channel. For this reason, I usually retain the needle in these points a shorter time than for other body points (usually no longer than 10 minutes when used to tonify). That is because we do not have to wait for the “wave” in the channel to reach the organ. </span><br />
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<span style="font-size: large;">Chapter 67 of the “Nan Jing” says: “<i>Yin diseases move to the Yang</i> [area]; <i>Yang diseases move to the Yin</i> [area]. <i>The Front-Mu points are situated on the Yin surface</i> [and therefore treat Yang diseases]; <i>the Back-Shu points are situated on the Yang surface</i> [and therefore treat Yin diseases].”3 According to this statement, the Back-Shu points would be used to treat “Yin diseases” and the Front-Mu points “Yang diseases”. “Yin diseases” and “Yang diseases” can be interpreted in different ways. </span><br />
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<span style="font-size: large;">One interpretation of “Yin” or “Yang diseases” is that of chronic and acute diseases respectively: in this interpretation, the Back-Shu points would be used for “Yin diseases”, i.e. chronic diseases, and the Front-Mu points for “Yang diseases”, i.e. acute diseases. </span><br />
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<span style="font-size: large;">Although this rule should not be interpreted rigidly, it is certainly valid and finds a widespread clinical application, i.e. using the Back-Shu points for chronic and the Front-Mu points for acute diseases. This is how I use them. </span><br />
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<span style="font-size: large;">Another characteristic of the Back-Shu points is that they are used to affect the sense organ of the corresponding organ. For example, BL-18 Ganshu is the Back-Shu point of the Liver and can be used for eye diseases.</span><br />
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<span style="font-size: large;">Although the Back-Shu points are mostly used to tonify the organs, they can also be used in Full patterns. In particular, they can be used to subdue rebellious Qi and clear Heat. For example, the point BL-21 Weishu can be used to subdue rebellious Stomach-Qi in case of belching, nausea or vomiting. The point BL-18 Ganshu can be used to move stagnant Liver-Qi. BL-15 Xinshu can be used to clear Heart-Fire and BL-13 Feishu to stimulate the diffusing and descending of Lung-Qi and release the Exterior.</span><br />
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<span style="font-size: large;">I personally use the Back-Shu points after needling points on the front of the body. I would usually retain the body points approximately 20 minutes (in an adult), withdraw them, ask the patient to turn over, and then use the Back-Shu points. I generally leave the Back-Shu points in a shorter time, i.e. no longer than 10 minutes (in an adult). I needle the Back-Shu points obliquely towards the midline.</span><br />
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<span style="font-size: large;">If I use the Back-Shu points to tonify Qi, Yang or Blood, I often use direct moxa cones (7 moxa cones).</span><br />
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<span style="font-size: large;">In conclusion, I personally think that using the Back-Shu points is essential to treat chronic diseases. </span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRu9eDUY31HO0Lx8v7q9vXGGJxD9Z-02wqRv8W6cBPV3GEwTWi06wYomF65163-FGaFZ7rnJV8T6CMErFWv-LqfhcTuIkF_r9GfhbsejUxjp8iCr5deaJmBcnjDaq-PHrhrqGEIVFoLiI/s1600/Back-Shu.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRu9eDUY31HO0Lx8v7q9vXGGJxD9Z-02wqRv8W6cBPV3GEwTWi06wYomF65163-FGaFZ7rnJV8T6CMErFWv-LqfhcTuIkF_r9GfhbsejUxjp8iCr5deaJmBcnjDaq-PHrhrqGEIVFoLiI/s400/Back-Shu.jpg" width="187" /></a></div>
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<span style="font-size: large;">END NOTES</span><br />
<span style="font-size: large;">1. 1981 Spiritual Axis (<i>Ling Shu Jing</i>). People’s Health Publishing House, Beijing, first published c. 100 BC. p. 100.</span><br />
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<span style="font-size: large;">2. 1979 The Yellow Emperor’s Classic of Internal Medicine-Simple Questions (<i>Huang Di Nei Jing Su Wen</i>). People’s Health Publishing House, Beijing, first published c. 100 BC, pp. 303-312.</span><br />
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<span style="font-size: large;">3. Nanjing College of Traditional Chinese Medicine 1979 A Revised Explanation of the Classic of Difficulties (<i>Nan Jing Jiao Shi</i>). People’s Health Publishing House, Beijing, first published c. AD 100, p. 146.</span><br />
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Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-62007141849208012592015-07-02T17:19:00.000-07:002016-01-28T15:45:32.751-08:00REBELLIOUS QI OF THE CHONG MAI<div class="MsoNormal">
Rebellious
Qi of the Chong Mai is a relatively common pathology; it is more common in
women than men. In women, I have seen at
all ages, from teenagers to women over 65.
The first mention of Rebellious Qi of the Chong Mai is in chapter 29 of
the Nan Jing: “<i>The pathology of the Chong Mai is rebellious Qi with internal
urgency </i>[li ji].”</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-GB">Li Shi Zhen
says the same thing: “<i>When Qi rebels upwards, there is internal urgency </i>[li ji]<i> and a feeling of heat: this is
rebellious Qi of the Chong Mai</i>.”<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-GB">Therefore,
two symptoms are identified as pertaining to the pathology of rebellious Qi of
the Chong Mai:<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="ES-TRAD">Li
Ji </span><b><span lang="JA" style="font-family: "fangsong"; font-size: 20.0pt;">里</span></b><b><span lang="JA" style="font-family: "fangsong"; font-size: 20.0pt;">
</span></b><b><span lang="JA" style="font-family: "fangsong"; font-size: 20.0pt;">急</span></b><b><span lang="ES-TRAD" style="font-family: "ms gothic"; mso-ansi-language: ES-TRAD; mso-bidi-font-family: "MS Gothic";"><o:p></o:p></span></b></div>
<div class="MsoNormal">
<span lang="ES-TRAD"><br /></span></div>
<div class="MsoNormal">
<span lang="ES-TRAD">Ni Qi </span><b><span style="font-family: "fangsong"; font-size: 20.0pt;">逆</span></b><b><span style="font-family: "fangsong"; font-size: 20.0pt;"> </span></b><b><span style="font-family: "fangsong"; font-size: 20.0pt;">气</span></b><span lang="ES-TRAD"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<i><span lang="EN-GB"><br /></span></i></div>
<div class="MsoNormal">
<i><span lang="EN-GB">LI JI</span></i><span lang="EN-GB"> </span><b><span lang="JA" style="font-family: "fangsong"; font-size: 20.0pt;">里</span></b><b><span lang="JA" style="font-family: "fangsong"; font-size: 20.0pt;"> </span></b><b><span lang="JA" style="font-family: "fangsong"; font-size: 20.0pt;">急</span></b><span lang="EN-GB"><o:p></o:p></span></div>
<div class="MsoNormal">
<i><span lang="EN-GB"><br /></span></i></div>
<div class="MsoNormal">
<i><span lang="EN-GB">Li Ji</span></i><span lang="EN-GB"> is very difficult to translate. <i>Li</i>
means “internal” while <i>Ji</i> means
“urgency, </span>urgent, anxious, impatient, rapid, fast, irritated, annoyed,
violent, hot-tempered, hot-headed.” The
pictograph depicts a hand grabbing the heart. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Most modern Chinese doctors agree that “internal urgency”
refers to “anxiety” and I agree with this view.
However, some think that “li ji” refers to an <span lang="EN-GB">uncomfortable, tight sensation from the lower
abdomen upwards towards the heart. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-GB">Some
translate “li ji” as “tightness” or “abdominal tightness”. This is also an acceptable interpretation as,
with rebellious Qi of the Chong Mai, there may be a tightness of the abdomen
and especially one experienced as propagating from the lower abdomen to the
heart. As it often happens with Chinese
medical terms, they may have simultaneous translations which may be all valid. </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-GB">In general,
I interpret “Li Ji” as a feeling of vague anxiety and restlessness. Indeed, anxiety may manifest (in some cases)
specifically with rebellious Qi of the Chong Mai. If it does, it gives important implications
for treatment because it means we need to subdue rebellious Qi of the Chong Mai
and treat the lower abdomen “stabilizing” the Chong Mai in the lower abdomen. We can do this very simply with Ren-4 Guayuan
and KI-13 Qixue. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<i>NI QI</i> <b><span style="font-family: "fangsong"; font-size: 20.0pt;">逆</span></b><b><span style="font-family: "fangsong"; font-size: 20.0pt;"> </span></b><b><span style="font-family: "fangsong"; font-size: 20.0pt;">气</span></b><o:p></o:p></div>
<div class="MsoNormal">
I translate the word “ni” as “rebellious” as that is its
main meaning in Chinese. Most authors translate it as “counterflow” which
accurately describes the pathology, i.e. Qi flowing against its normal
direction of flow.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I like to keep the translation as “rebellious” because it is
very descriptive of the pathology of Qi going the wrong way and also because
the word “rebellious” reflects the Confucian influence on Chinese medicine. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Confucianism had a profound influence on Chinese medicine,
as big or even bigger than that of Daoism.
Confucianism is a humanist philosophy that sought the best way to ensure
harmony in the family, society and the State.
At the root of this philosophy is the correct behaviour based on <i>ren</i>, <i>yi</i>,
<i>li</i> and <i>xiao</i>. All these terms are
extremely difficult to translate but they are roughly “compassion”, proper
behaviour, rituals and filial piety. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The “proper” behaviour is based on the six relationships,
three in the family and three in society, i.e. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Parents - children<o:p></o:p></div>
<div class="MsoNormal">
Husband - wife<o:p></o:p></div>
<div class="MsoNormal">
Elder brother - younger brother<o:p></o:p></div>
<div class="MsoNormal">
Sovereign - subjects<o:p></o:p></div>
<div class="MsoNormal">
Teacher - student<o:p></o:p></div>
<div class="MsoNormal">
Friend- friend. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Those on the left (in the above list) of these relationships
have a duty of care towards those on the right, e.g. parents caring for the
children. Crucially, those on the right
have a duty of respect and obedience towards those on the left, e.g. children
obeying the parents and subjects obeying the sovereign. When this respect and obedience is lacking,
they are “rebellious”.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
It is interesting that the word “ni” occurs very frequently
in the Nei Jing. The opposite of “ni” is
“shun” i.e. “following the rules, obeying”.
For example, following the seasons is “shun” and not following them is
“ni”. “Ni” brings disharmony and
disease, “shun” brings harmony and health. Thus, in the Confucian perspective,
illness is as much an ethical problem as a medical one. In the context of Qi counterflow, “shun” also
means “going in the same direction as”. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The two pathologies of “Ni Qi”and “Li Ji” cause a feeling of
heat in the head and cold feet. This
feeling of heat is neither Full nor Empty Heat: it is simply a Chong Mai
disharmony. The feet feel cold because,
as Qi is rebelling upwards, there is less Qi going down to the feet in the
descending branch of the Chong Mai. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJEeCsbsv5WQngmb9dAAZKQ0TyHLFK4tLX2fGXIiOWZLQG0Ot5Ny4fdf0TWeh3wKuGQDvCGecoIDoqmvgYIfJBx7_T-VH6PBhMKRyW36-ouj4WDFtzx5_gnfVgT2LIz6HJltkjgnM6dP4/s1600/Rebellious+Qi.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="258" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJEeCsbsv5WQngmb9dAAZKQ0TyHLFK4tLX2fGXIiOWZLQG0Ot5Ny4fdf0TWeh3wKuGQDvCGecoIDoqmvgYIfJBx7_T-VH6PBhMKRyW36-ouj4WDFtzx5_gnfVgT2LIz6HJltkjgnM6dP4/s320/Rebellious+Qi.jpg" width="320" /></a></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The schematic diagrams of the Chong Mai on the left
illustrate the pathway of the Chong Mai: starting in the Lower Dan Tian in the
Uterus area, going down to Ren-1 Huiyin and from here to ST-30 Qichong from
where it goes to KI-11 Henggu and follows the Kidney channel up to KI-21
Youmen. It goes to the chest, scatters in the breast and flows up to the
throat, chin, around the mouth and into the eyes. A branch descends from ST-30
Qichong on the medial side of the leg to the ankle where it separates: one
branch goes to the Kidney channel on the sole of the foot and one to the big
toe and the Liver channel. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgP1Ls3PmtgqCE4GTkWXyoTjAFr3K7VXsa3mopJm4sUviQzH_VDsvkzkKJxobv4lpAL3ESQbGWxeB5erhY98BQxPpv1EFd740d9v1ORX80oOh-rSoMmDNH5c0fyb_xwryT5BSaML-86UyY/s1600/Rebellious+Qi2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgP1Ls3PmtgqCE4GTkWXyoTjAFr3K7VXsa3mopJm4sUviQzH_VDsvkzkKJxobv4lpAL3ESQbGWxeB5erhY98BQxPpv1EFd740d9v1ORX80oOh-rSoMmDNH5c0fyb_xwryT5BSaML-86UyY/s320/Rebellious+Qi2.jpg" width="244" /></a></div>
<div class="MsoNormal">
<o:p><br /></o:p></div>
<div class="MsoNormal">
It should be noted that the rebellious Qi follows the Kidney
channel in the abdomen and all the Kidney points from KI-11 Henggu to KI-21
Youmen but its “rebelliousness” depends a lot on the Liver channel which should
therefore also be treated. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
It is very important to note that, in order to diagnose
Rebellious Qi of the Chong Mai it is not enough to have “Li Ji” and “Ni Qi” but
it is necessary to have various abdominal, chest or breast symptoms at
different levels.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Rebellious Qi of the Chong Mai causes various symptoms at
different levels of the abdomen, chest, breast and throat. It causes primarily fullness, distension or
pain in these areas. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
By plotting the pathway of the Chong Mai, we can list the
possible symptoms of rebellious Qi of the Chong Mai starting from the bottom.
These are illustrated in the Figure below. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcWuELNM1GHuEFrcvquPwKyF9caSFIK-j4ROTD79rRunQSwLKcJjkd7znKIYmBPFpKhUnXVoN1fF9NcXhpOCdtz46xp9ZS5bxYlXPfmMbCWBfKP6uoDzND7Jd71f12x02tLd0dNQ8tkH8/s1600/Rebellious+Qi-symptoms.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="291" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcWuELNM1GHuEFrcvquPwKyF9caSFIK-j4ROTD79rRunQSwLKcJjkd7znKIYmBPFpKhUnXVoN1fF9NcXhpOCdtz46xp9ZS5bxYlXPfmMbCWBfKP6uoDzND7Jd71f12x02tLd0dNQ8tkH8/s400/Rebellious+Qi-symptoms.jpg" width="400" /></a></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<o:p> </o:p>Please note that in order to diagnose Rebellious Qi of the
Chong Mai, there should be at least 3-4 symptoms at different levels, for
example, painful periods, epigastric fullness, breast distension and feeling of
lump of the throat. If, in addition to
these, the patient also has some anxiety, a feeling of heat of the face and cold
feet, we can then diagnose Rebellious Qi of the Chong Mai. If all the symptoms were in the lower
abdomen, e.g. painful periods, abdominal fullness and a feeling of masses, then
this is not Rebellious Qi of the Chong Mai.</div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
A symptom that would be very distinctive of Rebellious Qi of
the Chong Mai is a feeling of energy rising all the way from the lower abdomen
to the throat: however, very few patients report such a symptom. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-GB">What makes
the Qi of the Chong Mai rebel upwards? </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-GB">In my
experience, this may happen for two reasons:</span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 0in; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 9.0pt .25in; text-indent: 0in;">
<!--[if !supportLists]--><span lang="EN-GB">1)<span style="font-size: 7pt; font-stretch: normal;">
</span></span><!--[endif]--><span lang="EN-GB">The
Qi of the Chong Mai can rebel upwards by itself due to emotional stress that
makes Qi rise or stagnate. This condition is Full and I call it “primary”
rebellious Qi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 0in; mso-add-space: auto; tab-stops: 9.0pt .25in;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 0in; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: .25in; text-indent: 0in;">
<!--[if !supportLists]-->2)<span style="font-size: 7pt; font-stretch: normal;"> </span><!--[endif]--><span lang="EN-GB">Qi may also rebel due to a
Deficiency in this vessel (of Blood and/or deficiency of Kidney Yin or Yang) in
the lower abdomen. In such cases, Qi of the lower <i>Dan Tian</i> is weak and
the Qi of the Chong Mai “escapes” upwards. This is a mixed Full/Empty condition
and I call this “secondary” rebellious Qi of the Chong Mai. This is more common
in women. </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The Lei Jing confirms this second aetiology of Rebellious Qi
of the Chong Mai in this passage: <span lang="EN-GB">“<i>The Qi of the Chong Mai rises up to the chest, Qi is not regulated
and therefore it rebels in the diaphragm, Blood is deficient and therefore
there is internal urgency in the abdomen and chest</i>.”</span><span lang="EN-GB"> </span><o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I think that what I call a secondary Rebellious Qi of the
Chong Mai, i.e. the one arising from a deficiency of the Kidneys and of Blood
in the lower abdomen is more common. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
As for what I call the “primary” Rebellious Qi deriving from
emotional stress, this is due to:<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Anger<o:p></o:p></div>
<div class="MsoNormal">
Worry<o:p></o:p></div>
<div class="MsoNormal">
Fear<o:p></o:p></div>
<div class="MsoNormal">
Shock<o:p></o:p></div>
<div class="MsoNormal">
Guilt<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Of course emotional stress plays some role also in what I
call “secondary” Rebellious Qi of the Chong Mai. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Rebellious Qi of the Chong Mai may be a complicating
pathology in various gynaecological conditions, such as premenstrual tension,
painful periods and menopausal problems. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
For example, if a woman suffered from painful periods with
dark and clotted menstrual blood, we would diagnose stasis of Liver-Blood. But
if in conjunction with the painful period, she also experienced epigastric and
breast distension, nausea and anxiety, then we can diagnose that the
Liver-Blood stasis is aggravated by Rebellious Qi of the Chong Mai. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
During the menopause, Rebellious Qi of the Chong Mai is also
a frequent aggravating pathology. Menopausal symptoms are due to the decline of
Kidney-Jing: however, they may be aggravated by Rebellious Qi of the Chong Mai.
Indeed, the onset of the menopause itself may trigger off (not cause)
Rebellious Qi of the Chong Mai, especially in the presence of the
above-mentioned emotional stress. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
This is due to the phenomenon by which the onset of the
menopause “destabilizes” the Chong and Ren Mai in the lower abdomen: as a
result of this, the Qi of the Chong Mai may rebel upwards, especially when it
is stirred by emotional stress. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6Ki9ST4cgeuMs243oX0asgIsp8TaL20wDbRKjonw7mYUXI4qsFvBjz8d643N-X7MSRz1mBjo_EEC-jwy9m-bjvc1WPsrkB-WTdaeMcTaQaWsmY-js3qyW56k16dPXRTwGn2NUs-aGOkQ/s1600/Rebellious+Qi5.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="100" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6Ki9ST4cgeuMs243oX0asgIsp8TaL20wDbRKjonw7mYUXI4qsFvBjz8d643N-X7MSRz1mBjo_EEC-jwy9m-bjvc1WPsrkB-WTdaeMcTaQaWsmY-js3qyW56k16dPXRTwGn2NUs-aGOkQ/s400/Rebellious+Qi5.jpg" width="400" /></a></div>
<div class="MsoNormal">
<o:p><br /></o:p></div>
<div class="MsoNormal">
The acupuncture treatment of Rebellious Qi of the Chong Mai
is illustrated in the two Figures below.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhnjYWaze4w61pmnRLIXsbW3-G2zQdStlIncG96RDYEuefYroytsyGYDUTQMi5PkSJcPokel56qTUEohGpKHy-LiBroHvCmb5ZChM7kUR0gBGh2xJsvLi9cDHkltA1piViwvLNecF-TsWk/s1600/Rebellious+Qi3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="270" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhnjYWaze4w61pmnRLIXsbW3-G2zQdStlIncG96RDYEuefYroytsyGYDUTQMi5PkSJcPokel56qTUEohGpKHy-LiBroHvCmb5ZChM7kUR0gBGh2xJsvLi9cDHkltA1piViwvLNecF-TsWk/s400/Rebellious+Qi3.jpg" width="400" /></a></div>
<div class="MsoNormal">
<o:p><br /></o:p></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_gIntoBl0Fa1WKdXj-ccWjEoWExEbi34L6PmnYWCTnOQm41xndcquJf1VSBIk112NusboIANxklERj8wNHjYTuLsYzjLHMlfWjjYe5AR2QCWyB6GsjX7G3MEI4z1mEMHj8LO36gnYP-o/s1600/Rebellious+Qi4.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="270" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_gIntoBl0Fa1WKdXj-ccWjEoWExEbi34L6PmnYWCTnOQm41xndcquJf1VSBIk112NusboIANxklERj8wNHjYTuLsYzjLHMlfWjjYe5AR2QCWyB6GsjX7G3MEI4z1mEMHj8LO36gnYP-o/s400/Rebellious+Qi4.jpg" width="400" /></a></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The numbers in front of the acupuncture points indicate the order of insertion.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
As for herbal treatment, it is necessary to nourish the
Chong and Ren Mai and subdue Qi. Li Shi
Zhen advocated using animal products to nourish the extraordinary vessel and
for the Chong Mai, he used Gui Ban <i>Plastrum
Testudinis</i> and Bie Jia <i>Carapax Amydae
sinensis. </i>To subdue Qi of the Chong Mai he recommended:<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<!--[if supportFields]><span lang=EN-CA style='mso-ansi-language:
EN-CA'><span style='mso-element:field-begin'></span></span><span lang=ES-TRAD
style='mso-ansi-language:ES-TRAD'><span style='mso-spacerun:yes'> </span>SEQ
CHAPTER \h \r 1</span><![endif]--><!--[if supportFields]><span lang=EN-CA
style='mso-ansi-language:EN-CA'><span style='mso-element:field-end'></span></span><![endif]--><span lang="ES-TRAD">Xiao Hui Xiang <i>Fructus
Foeniculi </i><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-TRAD">Yan Hu
Suo <i>Rhizoma Corydalis</i><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-TRAD">Xiang
Fu <i>Rhizoma Cyperi </i><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-TRAD">He Huan
Pi <i>Cortex Albiziae</i><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-TRAD">Ban Xia
<i>Rhizoma Pinelliae preparatum </i><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-TRAD">Dan
Shen <i>Radix Salviae miltiorrhizae </i><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-TRAD">Hou Po <i>Cortex
Magnoliae officinalis </i><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="ES-TRAD">Zi Su
Ye <i>Folium Perillae<o:p></o:p></i></span></div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="MsoNormal">
<br />
<br /></div>
Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-35622053084088455862015-06-01T00:54:00.001-07:002016-01-27T10:39:50.896-08:00YIN DEFICIENCY AND EMPTY HEATEmpty Heat derives from Yin deficiency and the two pathological conditions (Yin deficiency and Empty Heat) are often considered as one. All modern Chinese books include Empty Heat clinical manifestations under the patterns of Yin deficiency. For example, under the pattern of Lung-Yin deficiency they will have dry throat and dry cough (Yin deficiency) and 5-palm heat (Empty Heat).<br />
<br />
This is not the case in practice as Yin deficiency may last a long time without symptoms or signs of Empty Heat: thus, Yin deficiency and Empty Heat are two separate pathological conditions, even though, of course, the latter derives from the former.<br />
<br />
The symptoms of Yin deficiency vary according to the organ involved but generally they will include night-sweating and symptoms and signs of dryness such as dry throat, dry cough, dry lips, dry eyes, dry mouth, thirst with desire to drink in small sips, tongue without coating possibly with cracks. <br />
<br />
The symptoms and signs of Empty Heat will include feeling of heat (that is worse in the evening), 5-palm heat (a feeling of heat of palms, chest and soles of feet), malar flush, low-grade fever, a red tongue without coating and possibly a rapid pulse.<br />
<br />
The tongue shows conditions of Yin deficiency and Empty Heat clearly. It is important to understand that, although Empty Heat derives from Yin deficiency, it takes time for it to develop. Therefore, a patient may display all the signs of Yin deficiency on the tongue for several years without developing Empty Heat and the tongue shows this clearly by lacking a coating (Yin deficiency) but being of a normal colour (no Empty Heat).<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNgCmNijjpzCqU76LWkC9R9DPDbxngkJcoUJjd-t_LevDcNBAUoqfqwQJIulKWlb9oqftyh3BQwrBrH5EAPsRqCoaaqgOujIuGsZ0FMcTB-xJRwq4SqSgwM5j7mat6795TLOSIUpAlaA4/s1600/YinXuDiagram.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="121" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNgCmNijjpzCqU76LWkC9R9DPDbxngkJcoUJjd-t_LevDcNBAUoqfqwQJIulKWlb9oqftyh3BQwrBrH5EAPsRqCoaaqgOujIuGsZ0FMcTB-xJRwq4SqSgwM5j7mat6795TLOSIUpAlaA4/s320/YinXuDiagram.jpg" width="320" /></a></div>
<br />
In fact, Yin deficiency manifests on the tongue with a lack of coating; therefore, a tongue without coating but of a normal body colour indicates Yin deficiency without Empty Heat. As Yin deficiency aggravates with time, Empty Heat may develop and this turns the tongue red: therefore Empty Heat on the tongue is manifested by a red body colour together with the absence of coating. One often hears that “in Yin deficiency the tongue is red” (a statement that is tempting to make since “in Yang deficiency the tongue is pale”). This is not so: in Yin deficiency, the tongue lacks a coating; in Empty Heat, the tongue lacks a coating and it is red.<br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixOqlcwaO4CTbz-SVtCQGuSRY_VS_jWpZIxZHNnnvtf6xtCUKR7yPWQ_F7i_Gx4rC14SeK24Tu_C5M8iSmppoFoUeTXHoZocS007J2zasjuxuXxiBtw_8VMx9icNmemjCk6rKShytppAU/s1600/NoCoating.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="278" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixOqlcwaO4CTbz-SVtCQGuSRY_VS_jWpZIxZHNnnvtf6xtCUKR7yPWQ_F7i_Gx4rC14SeK24Tu_C5M8iSmppoFoUeTXHoZocS007J2zasjuxuXxiBtw_8VMx9icNmemjCk6rKShytppAU/s320/NoCoating.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">No coating, cracks, normal colour = Yin deficiency</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLbrYl6GdRLPShYDlq-1HLZZm6B-ow4KIbx9TrnhWxq5r-yzr9ThR_WN8SIgWNL44rAy1pyiXI6BYcoTCbc2C7V6dkSsYxrhjIHD9g1SFHKoSivH3sqw1BgkviiM8FvCJGWm2e36gJuZw/s1600/Red-NoCoating.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="296" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLbrYl6GdRLPShYDlq-1HLZZm6B-ow4KIbx9TrnhWxq5r-yzr9ThR_WN8SIgWNL44rAy1pyiXI6BYcoTCbc2C7V6dkSsYxrhjIHD9g1SFHKoSivH3sqw1BgkviiM8FvCJGWm2e36gJuZw/s320/Red-NoCoating.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">No coating, deep red = Yin deficiency with Empty Heat</td></tr>
</tbody></table>
<br />
A tongue without coating indicates Yin deficiency first and foremost of the Stomach: in addition, it may also indicate Yin deficiency of the Kidneys, Liver or Heart.<br />
<br />
That Yin deficiency can occur without Empty Heat is demonstrated by tongue diagnosis as many patients have a tongue that lacks a coating (indicating Yin deficiency) but is not red.<br />
<br />
Yin deficiency and Empty Heat are not formed in a short space of time: it takes years from them to develop (the only exception is the Yin deficiency and Empty Heat that may form in an acute way during an invasion of Wind-Heat with Heat penetrating into the Interior). The tongue shows clearly not only the present condition but also the stage it is at: it therefore also shows where it is developing from and what it may lead to.<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdPwwVxtZOQ1vgY9jG8q8uMLnnuCzAxIzcm_bZWmlOKnAJJHXDqmqJI-B-YWQPQFSWSQmdbVOzAdQQ0cypUkB5zauwi8AwzuS5_-v3L8KkLD_ZlCHGx3Pnuj0YkBJ97CMJwlC8B8sP2lQ/s1600/YinXu-EmptyHeat.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="262" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjdPwwVxtZOQ1vgY9jG8q8uMLnnuCzAxIzcm_bZWmlOKnAJJHXDqmqJI-B-YWQPQFSWSQmdbVOzAdQQ0cypUkB5zauwi8AwzuS5_-v3L8KkLD_ZlCHGx3Pnuj0YkBJ97CMJwlC8B8sP2lQ/s400/YinXu-EmptyHeat.jpg" width="400" /></a></div>
<br />
<br />
The three stages of the formation of Yin deficiency based on the tongue are:<br />
<br />
1) Rootless coating (this is the mildest form of Yin deficiency)<br />
2) Coating partially missing <br />
3) Coating missing completely<br />
<div class="separator" style="clear: both; text-align: center;">
</div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjooYDL30Jt3gGV2JEpGjJfWFdpzJfYoLKqLvoDioDYRtmClRtwaOxcJ0gGJtCf5GfShSD5MuS4Z82Hh1kKRedxtUEhcxdfRHv6_YXzXjHrp3m6HFwXq9DzK2Lfp7tfozppC03TYvSNEy4/s1600/RootlessCoating.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="276" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjooYDL30Jt3gGV2JEpGjJfWFdpzJfYoLKqLvoDioDYRtmClRtwaOxcJ0gGJtCf5GfShSD5MuS4Z82Hh1kKRedxtUEhcxdfRHv6_YXzXjHrp3m6HFwXq9DzK2Lfp7tfozppC03TYvSNEy4/s320/RootlessCoating.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Rootless coating = early stage of Yin deficiency</td></tr>
</tbody></table>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTgoql0SXqjhhZoG2StTOQ8ERg1V9pCI6RiEaBpAxFZUAA4y2ENwP-bD7crngdPq0uFJQ-3anqUst1WoTztVxqlWfWBxNgnXxl4F7glaD3od9Idl8DRtBVvzLe3o6GelrC5ZTh_UfsOno/s1600/Picture40.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTgoql0SXqjhhZoG2StTOQ8ERg1V9pCI6RiEaBpAxFZUAA4y2ENwP-bD7crngdPq0uFJQ-3anqUst1WoTztVxqlWfWBxNgnXxl4F7glaD3od9Idl8DRtBVvzLe3o6GelrC5ZTh_UfsOno/s320/Picture40.jpg" width="304" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Coating partially missing</td></tr>
</tbody></table>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj71Ln1X62ha5D_AVEqNRjcu_hd1X7o7F2KZQTjxDT8Q_0EaH4BW4iYklfYtOyGAXmcdSxDQGwDxcI3XKGkQUFxWQyRr4lIVEBQCewXvEtGSyQa7E_hwodwtVzxVxG-c1lUieV5GiaGboc/s1600/Picture1.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="292" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj71Ln1X62ha5D_AVEqNRjcu_hd1X7o7F2KZQTjxDT8Q_0EaH4BW4iYklfYtOyGAXmcdSxDQGwDxcI3XKGkQUFxWQyRr4lIVEBQCewXvEtGSyQa7E_hwodwtVzxVxG-c1lUieV5GiaGboc/s320/Picture1.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Coating missing completely</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhir2pbwqYV7_JemQooiQNF9-DzQwU48pPuj_YcyJkm0KWsvFLfjNYlbyZ5fx7Q0tgL97e2RekwfHIBAaTRVyK_wE54B35EReu9JgDqmfLDYSY7JZIMrfX8mdH1m2OpHnF1Q0RFZqabfUE/s1600/Picture47.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="319" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhir2pbwqYV7_JemQooiQNF9-DzQwU48pPuj_YcyJkm0KWsvFLfjNYlbyZ5fx7Q0tgL97e2RekwfHIBAaTRVyK_wE54B35EReu9JgDqmfLDYSY7JZIMrfX8mdH1m2OpHnF1Q0RFZqabfUE/s320/Picture47.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Coating missing completely, slightly red</td></tr>
</tbody></table>
Empty Heat may develop at any of these stages but it is more likely to develop at the third when the tongue has no coating and it is red.<br />
<br />
That Yin deficiency and Empty Heat are two separate pathological conditions is clear also from herbal medicine. In fact, the herbs and formulae that nourish Yin are in a separate category than the herbs and formulae that clear Empty Heat.<br />
<br />
For example, Mai Men Dong <i>Tuber Ophiopogonis japonicis</i> and Tian Men Dong <i>Tuber Asparagi cochinchinensis</i> nourish Yin but they do not clear Empty Heat. Qin Jiao <i>Radix Gentianae Qinjiao</i> and Qing Hao <i>Herba Artemisiae annuae</i> clear Empty Heat. When there is Empty Heat of course one combines herbs that clear Empty Heat with those that nourish Yin.<br />
<div>
<br /></div>
Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-90512140286522073762015-04-30T18:57:00.001-07:002016-01-27T10:41:05.771-08:00DYSMENORRHOEA CASE HISTORY<div class="MsoNormal">
<span style="line-height: 18.3999996185303px;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The following is a case history sent by Jason Smith in Madrid</span></span><br />
<span style="line-height: 18.3999996185303px;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></span></div>
<div class="MsoNormal">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><b>Symptoms</b><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">A woman aged 43 seeks treatment
for painful periods. The periods last three days and are extremely painful. </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">She feels cold in general, but
the cold is more intense at period time. </span></div>
<div class="MsoNormal">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">The period is regular (30 days), lasts
3 days, with little bleeding, and the color is dark red with small clots. The
pain is very intense, and is felt around the area of Ren-4/Ren-3. A warm bottle
alleviates the pain along with analgesics. </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The period has always been very painful,
especially after the age of 18.</span></div>
<div class="MsoNormal">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">The tongue has a normal color
with a thin coating with root. However, the sublingual veins appeared very
dark. </span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">This patient was a semi
professional swimmer, practicing intensely around the age of 13-18.</span></div>
<div class="MsoNormal">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">Diagnosis<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">The main pattern is a very
obvious case of Cold in the Uterus (nature of pain, feeling of cold and
alleviation of the pain by a warm bottle). The Cold in the Uterus led to Blood
Stasis, as evidenced by the clots, the dark blood and the dark purple
sublingual veins.<o:p></o:p></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">Treatment<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">Following the four phases of the
menstrual cycle, I decided to center the treatment on phase 4 (pre-menstrual
phase), since this is the best time to expel the pathogenic factor, in this
case Cold, from the Uterus.<o:p></o:p></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">With acupuncture, I used the
Chong Mai, with SP-4 and P-6, and a moxa box around the area of Ren-4.<o:p></o:p></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">With herbal medicine, the patient
was instructed to take four tablets of Wen Jing Tang.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><span style="background: white;"><br /></span></span></div>
<div class="MsoNormal">
<span style="background: white; font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">After the first
period, the pain was reduced by about 50%. After the second period, the pain
was reduced by a further 25%. After the third period, and up to date, the
patient only feels a very slight pain.<o:p></o:p></span><br />
<span style="background: white; font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="background: white; font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">For prevention,
the patient was instructed to use a moxa box before the period every now and
then, to prevent a new invasion of Cold.<o:p></o:p></span><br />
<span style="background: white; font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<b><span style="background: white; font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">Observations<o:p></o:p></span></b></div>
<div class="MsoNormal">
<span style="background: white; font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">This is a very
clear example of how a pathogenic factor can invade the body (after swimming
during her puberty, incidentally a time when Chong, Ren and Du are in a very
vulnerable state), and remain for about 30 years. It also shows how, no matter
how much time has elapsed, pathogenic factors must be expelled. <o:p></o:p></span><br />
<span style="background: white; font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="background: white; font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;">It is also
interesting to note that this patient reported having many times sexual
intercourse without any protection, and despite that, never getting pregnant.
This is probably due to the fact that Cold has been blocking the Uterus, and
thus preventing fertilization: this is infertility from a Shi (Full) condition.<o:p></o:p></span><br />
<span style="background: white; font-family: "georgia" , "times new roman" , serif; font-size: large; line-height: 115%;"><br /></span></div>
<br />Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-39017972745083440902015-04-10T19:34:00.000-07:002016-01-27T10:41:25.885-08:00MEN: A COMMON MENTAL-EMOTIONAL SYMPTOM<div class="MsoNormal">
“<i>Men</i>” <span style="font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US;">is a common symptom in Chinese medicine. The Chinese character shows a door and a
heart inside it</span><span lang="EN-GB" style="font-family: "arial" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">. </span><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "MS Song"; mso-fareast-font-family: "MS Song";">Thus, it would seem to indicate a
heart constricted by a door closing on it.
I translate this symptom as “a
feeling of oppression of the chest”. <i>Men</i> is very difficult to translate and
my translation is an attempt to convey the meaning of this symptom: it
certainly does not claim to be the “correct” translation of <i>men</i> as most Chinese medicine terms have
multiple, simultaneous meanings. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "MS Song"; mso-fareast-font-family: "MS Song";"><br /></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEis0G2EKxarL6cViAvgoBD5_91daZbenjdF34zvaqDB3TwRJTwbinQygQSMLVBThdlFV2xqMRTBdfLjjA7nQDN3mtnD-0c0kCSPAwOo8kcQOr72qoJjAzLqeGTbbePP8urwSYB1X2TomIE/s1600/MEN.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="191" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEis0G2EKxarL6cViAvgoBD5_91daZbenjdF34zvaqDB3TwRJTwbinQygQSMLVBThdlFV2xqMRTBdfLjjA7nQDN3mtnD-0c0kCSPAwOo8kcQOr72qoJjAzLqeGTbbePP8urwSYB1X2TomIE/s1600/MEN.jpg" width="200" /></a></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "MS Song"; mso-fareast-font-family: "MS Song";"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "MS Song"; mso-fareast-font-family: "MS Song";">Chinese
patients will actually use the term <i>men</i>:
they might say, for example, “<i>I sleep
badly, I have a bitter taste and feel men</i>.” In my experience, when a
Chinese patients says that it means they are depressed. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "MS Song"; mso-fareast-font-family: "MS Song";"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;">A feeling of oppression of the chest is purely subjective:
there is nothing to be observed or palpated
(as there is in feeling of fullness or distension). Some patients would describe it as a “feeling
of weight” on the chest. Other patients may use the term “tightness of
the chest.” <o:p></o:p></span></div>
<div class="MsoNormal">
<i><span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;">Men </span></i><span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;">indicates
Phlegm or severe Qi stagnation. <i>Men </i>occurs in the chest or, less
frequently, in the epigastrium; it does not occur in the lower abdomen. </span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;"> <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;">The term <i>men</i> first
appears in chapter 19 of the Su Wen where it is described as a feeling of
fullness of the chest with anxiety and blurred vision.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;">There is another condition characterized by <i>men</i> called “Rising Men Qi” (<i>Men Qi Sheng</i>), a condition that affects
newborn babies. It is characterized by a
feeling of <i>men</i> in the umbilical area,
the baby is not crying and has difficulty breathing.<a href="file:///C:/Users/GIOVANNI/Desktop/Men.docx#_edn1" name="_ednref1" title=""><span class="MsoEndnoteReference"><!--[if !supportFootnotes]--><span class="MsoEndnoteReference"><span lang="EN-GB" style="font-family: "calibri" , sans-serif; font-size: 12pt; line-height: 115%;">[i]</span></span><!--[endif]--></span></a></span><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%;"><br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--></span><i><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "MS Song"; mso-fareast-font-family: "MS Song";"><o:p></o:p></span></i></div>
<div class="MsoNormal">
<i><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "MS Song"; mso-fareast-font-family: "MS Song";">Men</span></i><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "MS Song"; mso-fareast-font-family: "MS Song";"> is rich in meaning and, in my experience, it
describes not only a physical sensation in the chest but also a
mental-emotional state of anguish associated with it. A</span><span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;"> feeling of oppression of the chest
reflects emotional stress especially to do with sadness, grief, worry, shame
and guilt. I find this symptom very
common in the patients we see. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;">Chronic anxiety often manifests with the feeling of <i>men</i> in the chest and depression may also
be accompanied by this symptom. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;">The presence of <i>men</i>
indicates two things: first, that there is Phlegm; secondly, that the Lungs and/or
Heart are involved. <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;">This Phlegm may be of a non-substantial kind and there may
not necessarily be any expectoration of mucus (usually there is not). Its main manifestation is precisely the
feeling of oppression of the chest and possibly a Swollen tongue and a Slippery
pulse. </span></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-t_0TxYS33x5ThqrPaluKTt1jp7aToTnN-ZGaLsELklHK64Sv_Mwz-goyihQfGPxDhzbj20OkYMjD9_JeFTyEYOskDUfogPcANQVrwVXR44IhSUMe7G-IFS4rrjhoDbfouL8tet_QvYE/s1600/Cropped+43.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="156" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-t_0TxYS33x5ThqrPaluKTt1jp7aToTnN-ZGaLsELklHK64Sv_Mwz-goyihQfGPxDhzbj20OkYMjD9_JeFTyEYOskDUfogPcANQVrwVXR44IhSUMe7G-IFS4rrjhoDbfouL8tet_QvYE/s1600/Cropped+43.jpg" width="200" /></a></div>
<div class="MsoNormal">
<span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%;"><br />
<br />
<span style="background: white;">The main points I would use for a feeling of
oppression of the chest are Ren-17 Shanzhong, Ren-15 Jiuwei, P-6 Neiguan, LU-7
Lieque and ST-40 Fenglong.<o:p></o:p></span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-GB" style="background: white; font-size: 12.0pt; line-height: 115%;">The main prescriptions that could be used are Ban Xia Hou Po
Tang (<i>Pinellia-Magnolia Decoction</i>) or
Wen Dan Tang (<i>Warming the Gall-Bladder
Decoction</i>). </span><span lang="EN-GB" style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-family: "MS Song"; mso-fareast-font-family: "MS Song";"><o:p></o:p></span></div>
<br />
<div>
<!--[if !supportEndnotes]--><br clear="all" />
<hr align="left" size="1" width="33%" />
<!--[endif]-->
<br />
<div id="edn1">
<div class="MsoEndnoteText">
<a href="file:///C:/Users/GIOVANNI/Desktop/Men.docx#_ednref1" name="_edn1" title=""><span class="MsoEndnoteReference"><span lang="EN-GB"><!--[if !supportFootnotes]--><span class="MsoEndnoteReference"><span lang="EN-GB" style="font-family: "calibri" , "sans-serif"; font-size: 10.0pt; line-height: 115%;">[i]</span></span><!--[endif]--></span></span></a><span lang="EN-GB"> </span><span lang="EN-GB"> </span><span lang="EN-GB">1980 Concise Dictionary of Chinese Medicine (<i>Jian Ming Zhong Yi Ci
Dian</i> </span><span style="font-family: "mingliu"; mso-bidi-font-family: MingLiU;">简</span><span lang="EN-GB" style="font-family: "chn jsong sg tt" , "serif"; mso-bidi-font-family: Shruti;"> </span><span style="font-family: "ms gothic"; mso-bidi-font-family: "MS Gothic";">明</span><span lang="EN-GB" style="font-family: "chn jsong sg tt" , "serif"; mso-bidi-font-family: Shruti;"> </span><span style="font-family: "ms gothic"; mso-bidi-font-family: "MS Gothic";">中</span><span lang="EN-GB" style="font-family: "chn jsong sg tt" , "serif"; mso-bidi-font-family: Shruti;"> </span><span style="font-family: "ms gothic"; mso-bidi-font-family: "MS Gothic";">医</span><span lang="EN-GB" style="font-family: "chn jsong sg tt" , "serif"; mso-bidi-font-family: Shruti;"> </span><span style="font-family: "ms gothic"; mso-bidi-font-family: "MS Gothic";">辞</span><span lang="EN-GB" style="font-family: "chn jsong sg tt" , "serif"; mso-bidi-font-family: Shruti;"> </span></div>
<div class="MsoEndnoteText">
<span style="font-family: "ms gothic"; mso-bidi-font-family: "MS Gothic";">典</span><span style="font-family: "chn jsong sg tt" , "serif"; mso-bidi-font-family: Shruti;"> </span><span lang="EN-GB">). People<span style="font-family: "wp typographicsymbols";">'</span></span><span lang="EN-GB">s Health Publishing House,
Beijing, p. 476.</span><o:p></o:p></div>
</div>
</div>
Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-2848943771323279882015-01-30T19:55:00.002-08:002015-01-30T19:55:27.483-08:00SEXUALITY IN CHINESE MEDICINE PART 4: SEXUALITY AND EMOTIONAL PROBLEMSThis is the fourth and last part of Sexuality in Chinese Medicine.<br />
<br />
Chinese medicine has always stressed the importance of excessive sexual activity as a cause of disease but not insufficient sexual activity. This has not always been so as, during past dynasties, all sex manuals explicitly say that sexual activity is essential for the health of both men and women. Indeed, sexual abstinence was viewed with suspicion (as Buddhist nuns were). <br />
<br />
The current pruderie of Chinese medicine is clearly a result not so much of the Communist influence but of the Qing dynasty’s Confucian influence. As we have seen, the Confucianists frowned upon sexual activity and believed that it should be carried out in secret and there should be no public display of affection (as in modern China until recently). <br />
<br />
It is important to understand, however, that these rules did by no means imply that sex was a “sin” and woman was the origin of such sin as in the Christian view: nothing could be further from the truth. The Confucianist abhorrence of sexual philandering was determined mainly by the fear that promiscuity might disrupt the sacred family life, and also by their reverence for the process of human procreation, a solemn process that must not be debased by superfluous amorous play. <br />
<br />
Therefore, although the Confucianists considered women as inferior to men, this idea appeared natural to them as that of Earth being inferior to Heaven, thus inferior in a philosophical sense rather than in a concrete sense; it did by no means imply that they hated or despised women, as many medieval Christian thinkers and mystics did. <br />
<br />
Moreover, women had their own vested rights, and one of them was the right to satisfaction of their sexual needs. Although physical contact was strictly limited to the marital bed, there the husband had to give all his women the personal attention he was supposed to deny them as soon as they had left the bed. The Li Ji (one of the Confucian classics) mentions sexual neglect of one of the women as a grave offence; neither age nor beauty should make the husband deviate from the strict protocol set for sequence and frequency of his sexual intercourse with his wives and concubines. <br />
<br />
As we have seen, from the latter part of the Ming dynasty onward, Chinese society became more and more straight-laced and frowning on matters of sex. We have also seen how Chinese doctors considered lack of sex and sexual frustration as a major cause of emotional stress in women: this is all the more likely to happen as, as we have seen, women’s sexuality is more complex than that of men and they therefore need a man who is expert in the sexual art and foreplay. <br />
<br />
Sexual desire depends on the Minister Fire and a healthy sexual appetite indicates that this physiological Fire is abundant. When sexual desire builds up the Minister Fire blazes up and Yang increases: the orgasm is a release of such accumulated Yang energy and, under normal circumstances, it is a beneficial discharge of Yang-Qi which promotes the free flow of Qi. <br />
<br />
When sexual desire builds up, the Minister Fire is stirred: this affects the Mind and, in the terms of organs, specifically the Heat and Pericardium. The Heart is connected to the Uterus via the Uterus Vessel (<i>Bao Mai</i>) and the orgasmic contractions of the uterus discharge the accumulated Yang energy of the Minister Fire.<br />
<br />
When sexual desire is present but does not have an outlet in sexual activity and orgasm, the Minister Fire can accumulate and give rise both to Blood Heat and to stagnation of Qi in the Lower Burner. This accumulated Heat will stir the Minister Fire further and harass the Mind, while the stagnation of Qi in the Lower Burner can give rise to gynaecological problems such as dysmenorrhoea.<br />
<br />
Of course, if sexual desire is absent, then lack of sexual activity will not be a cause of disease. Conversely, if one abstains from sexual activity but the sexual desire is strong, this will also stir up the Minister Fire but without release. Thus, the crucial factor is the mental attitude.<br />
<br />
With regard to sexual frustration, Qing dynasty’s Chen Jia Yuan wrote very perceptively about some women’s emotional longing and loneliness. Among the emotional causes of disease he distinguishes “worry and pensiveness” from “depression”. <br />
<br />
He basically considers depression, with its ensuing stagnation, due to emotional and sexual frustration and loneliness. He says: “<i>In women...such as widows, Buddhist nuns, servant girls and concubines, sexual desire agitates </i>[the mind]<i> inside but cannot satisfy the Heart. The body is restricted on the outside and cannot expand with the mind </i>[i.e. the mind longs for sexual satisfaction but the body is denied it]<i>. This causes stagnation of Qi in the Triple Burner and the chest; after a long time there are strange symptoms such as a feeling of heat and cold as if it were malaria but it is not. This is depression</i>”.<br />
<br />
Although the above thoughts derive from Dr Chen’s clinical experience with servant girls, Buddhist nuns and concubines and should therefore be seen in the social context of the Qing dynasty, they also have relevance to our times as he is essentially talking about sexual frustration and loneliness and his reference to widows confirms this (in old China widows were shunned and seldom remarried). He perceptively refers to sexual craving agitating the Heart and Mind but not finding a satisfaction in the body: besides sexual frustration, he is also referring to emotional frustration and craving for love.<br />
<br />
A constant theme of all this was also SEPARATION: the emotions resulting from separation (sadness and grief) are often at the root of Qi stagnation, not of the Liver, but of the Heart and Lungs and some times development of breast lumps and breast cancer. It is important to realize that stagnation of Qi comes not only from the Liver but also from Lungs and Heart, especially Lungs. In fact, even emotions that cause depletion of Qi such as sadness and grief, may cause stagnation of Qi (of the Lungs) because, when Qi is depleted in the chest, it does not circulate well and therefore stagnates. <br />
<br />
In the particular case of breast lumps, the stagnation of Qi of the Lungs and Heart is particularly relevant because these two organs and channels are situated in the chest. Zhu Dan Xi says: “<i>When a woman is worried and depressed, accumulation develops, Spleen-Qi becomes weak, Liver-Qi rebels horizontally, stagnant Qi turns into nodules like turtle eggs, there is no pain or itching. After 10 years ulcers develop and the disease is called Ru Yan </i>[breast cancer]”. <br />
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<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMGX7d2lUo6LpOJEFPyVvMmR1qSzfPCm9Wys6wug5p2wKW1d1qMn0PQE74xo-hZ6I3xmeErONlr5ZZUnHjaHvsJbMIgHvk33FfP8wcJoFzR4k45qEG4JFptvkdOs5DuDeC7GtNauGRg7E/s1600/Breast.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMGX7d2lUo6LpOJEFPyVvMmR1qSzfPCm9Wys6wug5p2wKW1d1qMn0PQE74xo-hZ6I3xmeErONlr5ZZUnHjaHvsJbMIgHvk33FfP8wcJoFzR4k45qEG4JFptvkdOs5DuDeC7GtNauGRg7E/s1600/Breast.jpg" height="162" width="400" /></a></div>
<br />
This statement clearly points out the emotional influence on the development of the disease and also its long term development. It is important to remember that stagnation of Qi in women is very often secondary and the consequence of a deficiency of the Liver and Kidneys affecting the Ren and Chong Mai. <br />
<br />
The “Orthodox Manual of External Diseases” (Wei Ke Zheng Zong) written by Chen Shi Gong in 1617, says: “<i>Depression injures the Liver, pensiveness affects the Spleen, accumulation develops in the Heart, the channel-Qi stagnates and generates </i>[breast] <i>nodules</i>”.<br />
<br />
The modern doctor Xia Shao Nong thinks that breast cancer is due to widowhood, breaking of relationships, divorce, death of one’s children, bereavement at a young age from the loss of one’s spouse. These events, especially if occurring suddenly, upset the mind and lead to Qi stagnation. It is interesting that all the events this doctor cites have to do with separation.<br />
<br />
The Uterus Vessel (Bao Mai) connects the Uterus to the Heart: since the Heart is always affected by emotional problems (because it houses the Shen), this connection explains the profound influence of emotional stress on the menstrual function. For example, the “Su Wen” in chapter 33 says: “<i>When menstruation does not come, this is due to the Uterus Vessel being blocked. The Uterus Vessel pertains to the Heart and connects with the Uterus; when Qi rebels upwards towards the Lungs, Heart-Qi cannot flow downwards and the periods do not come</i>”. “<i>Qi rebelling upwards towards the Lungs</i>” describes in particular the effect of worry, sadness or grief.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhRdrZmksuXK5o0S02-lJlI9CBtwBCIxgc1lTDxraetl7yC0uCysx79wnbtjsirnUqMBn4BGhJL9BrCTsWy0RWgMU8SW6spN82RaRBbqlxeB-4Fu5r7eFPtzB3Ym6mtgbCKOZZxKvYUvuc/s1600/BaoMai.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhRdrZmksuXK5o0S02-lJlI9CBtwBCIxgc1lTDxraetl7yC0uCysx79wnbtjsirnUqMBn4BGhJL9BrCTsWy0RWgMU8SW6spN82RaRBbqlxeB-4Fu5r7eFPtzB3Ym6mtgbCKOZZxKvYUvuc/s1600/BaoMai.jpg" height="200" width="145" /></a></div>
<br />
<br />
Emotional problems are all the more detrimental in women if they occur around the time of puberty. At this time, a girl’s health is particularly vulnerable and emotional problems will affect her body and mind deeply and with long-lasting effect. In particular, emotional stress at this time will deeply affect the Ren and Chong Mai creating the imbalances that will cause gynaecological problems later in life.<br />
<br />
Emotional stress influences menstruation by affecting the movement of Blood by Qi. In fact, the first effect of emotional stress is to impair or alter the circulation of Qi by depleting Qi, making Qi stagnant or making Qi rebellious. Each of these pathologies will affect Blood which follows Qi and becomes deficient, stagnant or rebellious. <br />
<br />
The “Golden Mirror of Medicine” says: “<i>Women are frequently affected by worry, pensiveness, anger or depression: these make the Blood move, stop, rebel or conform, which is all due to Qi movement</i>”.<br />
<br />
Qing dynasty’s Chen Jia Yuan wrote with regard to worry: “<i>Worry injures the Lungs and pensiveness injures the Spleen, when these two organs are injured Qi and Blood stagnate, there is a feeling of indignation, palpitations, a feeling of oppression of the chest and amenorrhoea</i>”. This passage confirms that stagnation of Qi affects not only the Liver but also that amenorrhoea may occur from stagnation as well as from a deficiency.<br />
<br />
Thus, considering the social position of women in ancient China and the frequency of the above-mentioned emotional and sexual frustrations, it is no wonder that Qi stagnation (not always of the Liver) occupies such a central place in women’s pathology, and we can also conclude that emotional stagnation in women was often the result of sexual frustration, separation and loneliness: these are the recurrent “anger” in Chinese medicine books. <br />
<br />
This is essentially the clinical meaning and application of Xiao Yao San. As sexual frustration in women is fairly common in our society (often deriving from men’s sexual inadequacy or inexperience), Dr Chen’s observations on the influence of sexual frustration on stagnation of Qi and depression acquire particular relevance. This is often a cause of disease somewhat akin to emotional stress.<br />
<br />
However, Xiao Yao San may work less well in modern women who have weaker Kidneys than in the past: there is no point in “moving Qi” is there is no Qi to move. This is, in my opinion, the reason why Xiao Yao San does not work so well in modern women unless it is modified with the addition of some Kidney tonics.<br />
<br />
<span class="Apple-tab-span" style="white-space: pre;"> </span> <b>CONCLUSION</b><br />
<b><br /></b>
What have we got to learn from Daoist sex? One thing that stands out is how the Daoist sex manuals never mention “love”. Sex seems to be an exercise in moving Qi, releasing the Minister Fire and exchanging Yin and Yang essences with the partner. Both the Daoists and the Confucianists removed love for different reasons and never mention love (although the old poems do). The modern Chinese have even removed the “heart” from the “love” ideogram! <br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUIsoueXuDIgca5Qrj-q4G_JXppDyV1kR2EejZLZAKUDs8P7-WqWRUlh0pZ9KMe8ja3J-fArhH9veoVvnv5tt9vhrx62ZUBRUbVAQAsp_vEvBo_P9Rs8gbcbKQSsR5_tTYQFYIMXO_AKg/s1600/Love.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUIsoueXuDIgca5Qrj-q4G_JXppDyV1kR2EejZLZAKUDs8P7-WqWRUlh0pZ9KMe8ja3J-fArhH9veoVvnv5tt9vhrx62ZUBRUbVAQAsp_vEvBo_P9Rs8gbcbKQSsR5_tTYQFYIMXO_AKg/s1600/Love.jpg" height="320" width="156" /></a></div>
<br />
<br />
<br />
Modern character for "love" (<i>ai</i>)<br />
<br />
<br />
<br />
<br />
Old character for "love"<br />
<br />
<br />
<br />
<br />
Heart (<i>xin</i>)<br />
<br />
<br />
<br />
<br />
<br />
However, there are some useful lessons for us:<br />
<br />
1.<span class="Apple-tab-span" style="white-space: pre;"> </span>Differences between men’s and women’s sexuality: many men could learn from that.<br />
2.<span class="Apple-tab-span" style="white-space: pre;"> </span>Importance of women’s orgasm and sexual frustration as cause of Qi stagnation.<br />
3.<span class="Apple-tab-span" style="white-space: pre;"> </span>Importance of men’s expertise in sexual techniques and foreplay.<br />
4.<span class="Apple-tab-span" style="white-space: pre;"> </span>Blow the myth of simultaneous orgasm and the importance of orgasm in men. If the man is particularly experienced, the woman could have multiple orgasms before his.<br />
5.<span class="Apple-tab-span" style="white-space: pre;"> </span>Western sexuality fixed on orgasm, hence Western men often unskilled: this causes female frustration. Modern men can learn from Daoist sex to allow for the difference between Water and Fire and therefore women’s slower response.<br />
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<b>END NOTES</b><br />
1. Chen Jia Yuan 1988 Eight Secret Books on Gynaecology (Fu Ke Mi Shu Ba Zhong). Ancient Chinese Medical Books Publishing House, Beijing, p.152. Chen’s book, written during the Qing dynasty (1644-1911) was entitled Secret Gynaecological Prescriptions (Fu Ke Mi Fang), and published in 1729.<br />
<br />
2. 1979 The Yellow Emperor’s Classic of Internal Medicine - Simple Questions (<i>Huang Di Nei Jing Su Wen</i>), People’s Health Publishing House, Beijing, first published c. 100 BC, p.197.<br />
<br />
3. Golden Mirror of Medicine (<i>Yi Zong Jin Jian</i>), p.9.<br />
<br />
4. Eight Secret Books on Gynaecology, p.152.Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-61000159314667290242015-01-12T16:23:00.001-08:002015-01-12T16:23:57.557-08:00SEXUALITY IN CHINESE MEDICINE - PART 3<b>SEXUALITY AND THE EXTRAORDINARY VESSELS</b><br />
<b><br /></b>
Human sexuality is closely linked to the physiology and pathology of the extraordinary vessels, especially the Du, Ren and Chong Mai.<br />
<br />
The Du and Ren Mai are the expression of Fire and Water respectively with regard to sexuality: the exchange of sexual essences and of Yin and Yang during sexual intercourse takes place through the intertwining of the Du and Ren Mai during intercourse.<br />
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<br />
Both these vessels arise from the space between the Kidneys where the Yuan Qi throbs: they then flow down to the perineum where they separate, one following the spine up to the brain, the other following the front up to the face and eyes. However, internally they intersect and both flow through the heart.<span class="Apple-tab-span" style="white-space: pre;"> </span><br />
<br />
The “Su Wen” in chapter 60 has the following pathway for the Du Mai: it starts near the uterus, goes down to the pubic bone, in women to the vagina. Its Luo channel goes around the vagina, passes to the perineum, then the buttocks, down to meet the Kidney and Bladder channels inside the upper thighs; it then rises up the spine and wraps around the kidneys. In men it goes around the penis and then the perineum. We can therefore see that, besides flowing up the back, the Du Mai flows to the genitals and is therefore stimulated by sexual intercourse. <span class="Apple-tab-span" style="white-space: pre;"> </span><br />
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Chapter 60 of the Su Wen also describes an abdominal branch of the Du Mai that starts in the abdomen, goes up to the umbilicus, past the heart, throat, chin, around lips and reaches the eyes. <br />
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Some see this “main vessel” as being the Ren Mai. In fact, what it means is that the Du and Ren Mai are almost like two branches of the same vessel, one Yang and one Yin, intersecting inside. Li Shi Zhen says: “<i>The Du and Ren Mai are like midnight and midday, they are the polar axis of the body...there is one source and two branches, one goes to the front and the other to the back of the body...we can make connections between them. When we try to divide these, we see that Yin and Yang are inseparable. When we try to see them as one, we see that it is an indivisible whole.</i>”<br />
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Wang Big considered this “main vessel”, not as the Ren Mai but as a branch of the Du Mai flowing with the Ren Mai: “<i>Another branch</i> [of the Du Mai] <i>starts in the lower abdomen, comes up the abdomen, to the centre of the eyes, following the pathway of the Ren Mai. This is why we can say that the Du, Ren and Chong Mai have different names, but are all the same</i>.”<br />
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Thus, the Du Mai embodies the Minister Fire and the Ren Mai Water: the contact of the penis inside the vagina establishes the link between the Du and Ren of the man and woman and therefore the exchange of Yin and Yang sexual essences between them. <br />
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Moreover, if the partners also kiss simultaneously, the communication between the Du and Ren is established not only below but also above as the Du Mai ends on the upper gum and the Ren Mai flows to the mouth, thus completing the circle.<br />
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<b>THE THREE DAN TIAN</b><br />
The three dan tians are of course closely linked to the Du and Ren Mai. <br />
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<b>Upper Dan Tian</b>: this is variously identified as the point Yintang, Du-20, a point between the eyes, the centre of the brain called “ni wan” or the centre of the chest. In any case, all these points are either on the Du or the Ren Mai. <br />
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<b>Middle Dan Tian</b>: on the Ren Mai, Ren-12.<br />
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<b>Lower Dan Tian</b>: generally below the navel, could be Ren-6, Ren-5, Ren-4. <br />
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There are actually three Dan Tian on the same level: one anterior on the Ren, one in the middle on the Chong and one posterior on the Du (Du-4). <br />
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Some Chinese sex manuals give three different locations for women:<br />
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Upper Dan Tian: the breasts.<br />
Middle Dan Tian: the navel itself.<br />
Lower Dan Tian: the uterus.<br />
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<b>THE THREE PASSES</b><br />
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The three passes are also along the Du Mai; they are like energetic bottlenecks through which Qi has to pass in its ascent to the brain. The lower pass is at the coccyx; the middle is in the middle of the thoracic vertebrae; the upper is at the occiput.<br />
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<b>THE NINE ORIFICES</b><br />
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The nine orifices in sex manuals are different than the usual ones (eyes, ear, etc.): they are the three dans tians, the three passes and the three points: these last three are Du-20, Ren-1 and the point called niwan (centre of the brain). The three dan tians, three passes and three points form a circuit which is activated during sexual intercourse.<br />
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In the pre-natal life, the Du and Ren Mai are connected, whilst after birth, they are severed. The connection can be re-established through the two “magpie bridges”, in the mouth (holding pressing the tongue upwards on the palate) and in the anus (by contracting the anal sphincter). Both these manoeuvres are effected during Ba Gua exercises and the first during Tai Ji Quan and Xing Yi.<br />
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<b>THE THREE PEAKS</b><br />
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The Three Peaks are related to the Ren and Chong vessels. In a woman, the Three Peaks are the mouth, breast and vagina: during intercourse, the man can absorb a nourishing Qi and fluids from these three peaks. <br />
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The upper Peak is called Red Lotus Peak and its medicine is called Jade Fountain; the middle Peak is called the Double Lotus Peak and its medicine is called the Peach of Immortality; the lower Peak is called Peak of Purple Agaric, Grotto of the White Tiger or Mysterious Gateway and its medicine is called White Lead or Moon Flower. <br />
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<u>PEAK<span class="Apple-tab-span" style="white-space: pre;"> </span></u> <u>NAME</u><span class="Apple-tab-span" style="white-space: pre;"> </span> <u>MEDICINE</u><br />
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Mouth<span class="Apple-tab-span" style="white-space: pre;"> </span> Red Lotus Peak<span class="Apple-tab-span" style="white-space: pre;"> </span> Jade Fountain<br />
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Breast<span class="Apple-tab-span" style="white-space: pre;"> </span> Double Lotus Peak<span class="Apple-tab-span" style="white-space: pre;"> </span> Peach of Immortality<br />
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Vagina<span class="Apple-tab-span" style="white-space: pre;"> </span> Peak of Purple Agaric White Lead<br />
Grotto of the White Tiger Moon Flower<br />
Mysterious Gateway<span class="Apple-tab-span" style="white-space: pre;"> </span> <br />
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The mouth is related to both Ren and Chong Mai, the breast to the Chong and the vagina to the Ren Mai. It should be clarified here that the man absorbs the vaginal secretions not through fellatio but through his penis. <br />
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The Kidneys and the Ren Mai are related to the salivary glands: the Qi of the Kidneys is stimulated during sexual intercourse, it rises in the Du Mai, flows into the mouth and is transformed into sweet salivary elixir. This saliva is considered to be a Kidney tonic and should be swallowed while mentally directing it to the Lower Dan Tian. For this reason, absorbing the woman’s energy and fluids from the Upper Peak is particularly beneficial.<br />
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<br />Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-10861045803349089662014-12-29T19:36:00.001-08:002014-12-29T19:36:35.702-08:00SEXUALITY IN CHINESE MEDICINE - PART 2 <div style="color: #333333; font-family: Georgia, 'Times New Roman', Times, serif; font-size: 16px; text-align: center;">
<b>DAOIST SEXUAL PRACTICES</b></div>
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The essence of Daoist sexuality is the idea that the sexual act is an exchange of Yin and Yang essences, from the woman and man respectively, which is beneficial to each partner: it represents the harmonious interaction and mutual nourishment of Yin and Yang.<br /><br />Central to Daoist sexuality is the idea that man must conserve its sperm and only ejaculate occasionally: this is because sperm is a direct physical manifestation of Jing and too frequent ejaculation depletes Jing. If sperm is not ejaculated and directed upwards along the Du Mai to the brain, it can be transmuted and then lowered down to the Dan Tian where it nourishes the body and mind.<br /><br />Since excessive ejaculation weakens the Jing, and since sex without ejaculation can replenish the Jing, it follows that Jing lost through sexual activity can be replaced by sexual energy itself, by practising sex without ejaculation.<br /><br />Sexual intercourse was considered to have two aims: first to produce sons who would continue the family (and look after the parents' grave). This was a sacred duty to one's ancestors since the well-being of the dead could only be ensured by regular sacrifices made by their descendants, especially the male ones.<br /><br />The second aim (more relevant to us) was to strengthen a man's vitality by making him absorb the Yin essences of the woman. As a matter of course, these two aims were closely interwoven. </div>
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In order to obtain healthy male children the man's Yang essence should be at its apex when he ejaculates, and ancient sex manuals frequently pointed out the optimal conditions the best conditions for a healthy child: at the time of ejaculation and subsequent conception, the man should not be in a state of exhaustion and should not drink alcohol, for example.<br /><br />To the Daoists, sex was like a process of alchemy, of transformation of the sexual essences into Qi and Jing, through the harmonious intermingling of Yin and Yang. They identified the woman with a crucible and her vital essence with cinnabar (red); they identified the man's white semen with lead; the coitus with the mixing of the elements, and the technique of the coitus with the firing times.<br /><br />Since men had to restrain themselves by not ejaculating whereas women could reach an orgasm whenever they liked, the onus was very much on men to conduct and prolong sexual intercourse by sexual expertise; in fact, because of this, sexual intercourse is often described by the Daoists as a "battle", as "riding a tiger", or as "walking on the edge of a precipice": i.e. man is easily aroused and easily ejaculates and must learn to control his ejaculation to prolong sexual intercourse (see below).<br /><br />There were also social reasons for this as the sexual art was essentially for the upper classes whose men had a wife and concubines and they therefore had to restrain themselves in order to satisfy them all.<br /><br />A constant theme running through Daoist sex manuals is that excessive ejaculation is detrimental to health. This is because too frequent ejaculation leads to a direct loss of Jing and also Minister Fire: thus it depletes both Water and Fire. As we all know, this is very much a theme of modern Chinese medicine books where "excessive sexual activity" features prominently in the aetiology of diseases. As I will explain below, I think that this cause of disease does not apply to women.<br /><br />The role of the Ming Men (Minister Fire) in human physiology should be discussed. The Fire of Ming Men represents the physiological Fire within the Kidneys, it arises from the area between the two kidneys and is closely related to the Yuan Qi from which the Du, Ren and Chong Mai originate. </div>
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Under physiological conditions, the Fire of Ming Men warms the Uterus, the Intestines, the Bladder and the Heart and balances the Yin influences: it makes conception possible and is related to sexual desire. In women, "<em>it is through Kidney-Yang</em> [and therefore the Fire of Ming Men] <em>that the Tian Gui turns red</em> [i.e. it turns into Blood]".1<br /><br />The Fire of Ming Men is the origin of the "formless" Minister Fire which also generates Water, hence the Kidneys are the source of both Water and Fire. This physiological Fire is unique in that, not only it does not dry up Water, but it can nourish Water. </div>
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<br />The Minister Fire is called "formless" because it is a non-substantial Fire which actually generates Water rather than overcoming it. It is a Pre-Natal type of Fire formed at conception on the Du/Ren Mai axis.<br /><br />In fact, the "Golden Mirror of Medicine" (1742) says: "<em>The Pre-Natal Tian Gui originates from the mother and father, the Post-Natal Jing and Blood are derived from food and water, a girl's Tian Gui matures at 14, when the Ren Mai is open, the Chong Mai is flourishing and the periods arrive</em>".2<br /><br />The commentary then explains: "<em>At 7 the Motive Force</em> [Dong Qi] <em>is flourishing. At 14 the Tian Gui matures: this is the Motive Force within the Pre-Natal Water of Tian Gui, crystallizing in a girl's uterus</em>".3<br /><br />"Motive Force" (<em>Dong Qi</em>) is the Yuan Qi. This last passage is interesting as it confirms that the Yuan Qi and the Minister Fire are pre-natal and present before the onset of the periods. It also highlights the close integration of the Minister Fire and the Tian Gui (the Yang and Yin aspects of the Kidneys).<br /><br />Zhang Jing Yue says: "<em>The Ming Men is the Root of the Yuan Qi and the residence of [both] Water and Fire. The Yin of the 5 Zang cannot nourish without it and their Yang cannot develop without it</em>".4 </div>
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This passage clearly shows how the Minister Fire is the Fire within Water, interdependent with Water and inseparable from it. The Emperor Fire (of the Heart) is called "with form", i.e. it is a substantial Fire which overcomes Water, is formed after birth and is therefore post-natal. <br /><br />It is important to note again that the Minister Fire cannot be seen in the context of the Five Elements, it is not like the Fire of the Heart and it is a Fire within Water of the Kidneys that actually nourishes Water.<br /><br /><div _mce_style="text-align: center;" align="center" style="text-align: center;">
<strong>DIFFERENCES BETWEEN WOMEN'S AND MEN'S SEXUALITY</strong></div>
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Women pertain to Water and men pertain to Fire and there are important differences in their sexuality. Women are like water, i.e. slow to bring to the boil and slow to cool down; men are like fire, i.e. easy to arouse and quick to cool down. </div>
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Ever since very early times, Chinese sexual manuals stressed that women like "slowness" and "duration" and abhor "haste" and "violence". This difference is the crux to understand the different sexual behaviour by men and women necessary or a successful sexual life. For this reason, all Daoist texts stressed very much the importance of expert foreplay by the man to arouse his partner and hence the detailed description of the signs of women's arousal.<br /><br />The Five Signs of sexual arousal in a woman are:<br /><br />1) Flushing of the face, indicating arrival of Heart-Qi;<br />2) Hardening of the nipples and sweating around her nose, indicating arrival of</div>
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Liver-Qi;<br />3) Parched throat, dry lips indicating arrival of Lung-Qi;<br />4) Moistness of the vagina, indicating arrive of Spleen-Qi;<br />5) Extreme moistness of the vagina with dripping of thick, viscous fluid, indicating</div>
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the arrival of Kidney-Qi.<br /><br />Others have the Five Signs as follows:<br /><br />1) Flushing of the face: Heart-Qi;<br />2) Moist eyes with an expression of love: Liver-Qi;<br />3) Speechlessness with head lowered: Lung-Qi;<br />4) Pressing her body close to the man's body: Spleen-Qi;<br />5) Dilation and moistness of the vagina: Kidney-Qi.</div>
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The Five Desires are:</div>
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1) "Intent": manifested by short, shallow breathing and a rapid pulse.</div>
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2) "Awareness": she wishes the man to touch and stimulate her genitals: indicated by flared nostrils and parted lips.</div>
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3) When a woman approaches the peak of passion, her entire body shakes and she clutches the man closely.</div>
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4) Occurs during orgasm and is called "Concentration": the woman sweats.</div>
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5) Occurs only in a state of extreme passion and pleasure beyond normal orgasm: her body straightens and grows rigid, her eyes close and she clamps her thighs tightly together around the man.</div>
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Thus, it can be seen that much of the instruction is directed at men, teaching them how to conduct foreplay, how to arouse the woman, how to detect the signs of her arousal and her intentions and how to delay ejaculation. This is because of the above-mentioned biological difference between men and women, i.e. women are "slow to heat up" whilst men are "quick to flare up and become extinguished": thus the onus is very much on men to control themselves to give time to the woman to reach arousal and orgasm.<br /><br />From the point of view of Chinese medicine, there are important differences between men's and women's sexuality. In men, the lower Dan Tian contains the "Room of Sperm" and is, so to speak, "empty"; in women, the lower Dan Tian is, so to speak, "full" as it contains the Uterus and Blood. Excessive sexual activity does not affect women as much as men for various reasons. </div>
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<br />In men, ejaculation is a direct (but temporary) loss of Jing as sperm is derived directly from the Jing. Sperm is Tian Gui whereas Tian Gui in women is menstrual blood and ovarian follicles and eggs. As in sexual activity men lose sperm but women do not lose menstrual blood (unless they have sex during the period which they should not do) or follicles.<br /><br />As there is no comparable loss of Jing in women as there is in men, there is no equivalent depletion after sex. Quite simply, the Kidney-Jing is the origin of sperm in men and of menstrual blood and ova in women: while men lose sperm during sex, women do not lose menstrual blood or ova.<br /><br />Although some practitioners consider the lubricating fluids secreted by the Bartholin's glands during sexual arousal in a woman to be also a manifestation of Jing comparable to sperm, I tend to disagree because such fluids are secreted by glands in the vagina and not by sex organs (such as the ovaries in women or testicles in men): I would therefore consider these fluids precisely as a form of Body Fluids (<em>jin ye</em>) rather than a direct manifestation of Jing. In fact, the Bartholin's glands in the vagina are homologous to the Cowper's glands in men and their function is purely lubricative.<br /><br />In other words, sperm is a direct manifestation of Jing, the equivalent of which would be the ova and menstrual Blood in women: the former is lost in men's orgasm, the latter are not lost in women's orgasm.<br /><br />Furthermore, the Lower Dan Tian in men contains the Room of Sperm which is directly related to Jing, while in women it contains the Uterus which is related to Blood. The Room of Sperm is related to the Kidneys while the Uterus is related also to the Liver and Blood (although also to the Kidneys through the Bao Luo). Because the Lower Dan Tian in women contains the Uterus rather than the Room of Sperm, in women excessive loss of blood after childbirth or excessive loss of blood in menorrhagia would be equivalent to excessive sex for men.<br /><br />In men, the lower abdomen is occupied by the Room of Sperm and it is therefore "empty", also because sperm is easily discharged while Blood is not. </div>
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The book "Elementary Medicine" (1575) says: "<em>The Room of Sperm in men suffers no accumulation or fullness, while the Blood Chamber in women suffers from accumulation and it overflows downwards in the period.</em>...[The Lower Dan Tian] <em>in men stores Jing</em> [=sperm] <em>while in women it stores the Uterus and foetus. Men pertain to Qi and when it mixes with the Abysmal</em> [the trigram corresponding to Water], <em>Qi makes Water steam and produces sperm which is white</em>...<em> Women pertain to Blood, when this mixes with the Clinging</em> [the trigram corresponding to Fire], <em>Blood is transformed into the period which is red</em>".5</div>
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1. Cong Chun Yu 1989 Chinese Medicine Gynaecology (<i>Zhong Yi Fu Ke Xu</i>e), Ancient Chinese Medicine Texts Publishing House, Beijing, p.11.</div>
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2. Wu Qian 1977 Golden Mirror of Medicine (<i>Yi Zong Jin Jian</i>), People's Health Publishing House, Beijing, vol. 3, p.7. First published in 1742.</div>
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3. Ibid., p. 7.</div>
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4. Zhang Jing Yue 1986 The Complete Works of Jing Yue (<i>Jing Yue Quan Shu</i>), Shanghai Science and Technology Press, Shanghai, p.19. First published in 1624.</div>
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5. Elementary Medicine (<i>Yi Xue Ru Men</i> ) 1575 cited in Zhang Qi Wen 1995 Menstrual Diseases (<i>Yue Jing Bing Zheng</i>), People's Hygiene Publishing House, Beijing, p.10.</div>
Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-62986379951299946182014-12-20T12:23:00.000-08:002014-12-20T12:23:31.377-08:00SEXUALITY IN CHINESE MEDICINE - PART 1This article is a discussion of sexuality in Chinese medicine. The first part will deal with the social conditions of women in ancient China. This is drawn primarily from an important book by R. H. Van Gulik, Sexual Life in Ancient China, Barnes and Noble, New York, 1961.<br />
<br />
The second part will discuss Daoist sexuality and the role of the extraordinary vessels in sexuality.<br />
<br />
The topics discussed are:<br />
<br />
1. A brief historical overview of sexual customs in ancient China<br />
2. Daoist sexual practices<br />
3. Differences between men’s and women’s sexuality from the point of view of Chinese medicine<br />
4. Sexuality and extraordinary vessels<br />
5. Sexuality and emotional problems in ancient china<br />
<br />
<span class="Apple-tab-span" style="white-space: pre;"> </span> <b>HISTORICAL OVERVIEW OF SEXUALITY IN ANCIENT CHINA</b><br />
<br />
SHANG DYNASTY (1600-1100 BC)<br />
Old myths and legends credit women with special magical powers and represent women as the guardian of the arcana of sex and repository of all sexual knowledge. All texts on sexual relations introduce a woman as the great initiator and man as the ignorant pupil.<br />
<br />
It should be noted that the term <i>wu</i> (shaman) referred to women shamans. Men shamans were called <i>xi</i>.<br />
<br />
ZHOU DYNASTY (1100-221 BC)<br />
The three major strands of Chinese philosophy, i.e. Confucianism, Daoism and Yin-Yang School, developed during the Warring States Period (576-221 BC).<br />
<br />
The strictly patriarchal system of the Zhou and subsequent dynasties reversed the position that women occupied during the Shang dynasty. The Confucianists especially extol man as the undisputed leader and head of the family, as strong and active, symbol of light and superior to woman who is weak and passive, symbol of darkness. <br />
<br />
Yet, all the centuries of Confucianist doctrine could not succeed in eliminating the mother image from the Chinese subconscious. Throughout the history of Chinese thought and religion one finds a persistent counter-current, later consciously canalized in Daoism, that praises negative as superior to positive, Yin to Yang, inactivity to activity.<br />
<br />
The Dao De Jing in fact frequently refers to the “feminine principle”, to yielding (which is Yin as opposed to Yang) and to the power of water always flowing to the lowest pace but being capabe of eroding the strongest structures. <br />
<br />
Daoist terms for sex organs such as deep vale (for uterus) or mysterious gate (for vulva) derive from the ancient conception of woman as the Earth-Womb. The Earth was thought to harbour cosmic vital essence (see also Native Americans; kiwa). The Zhou rulers would enter underground rooms or caves for celebrating important events. <br />
<br />
The association of Woman-Womb-Earth-Creative Power is older than that of Man-Phallus-Heaven-Creative Power. Perhaps the former association dates back to the times when people had not yet recognized that the coitus is the unique cause of the woman’s conceiving.<br />
<br />
The ruling class believed itself to possess a great amount of <i>De</i>, inherited from their ancestors and passed on to their offspring. This <i>De</i> formed the link between the ancestors and their descendants, it connected the dead with the living. The living had to sacrifice regularly to the ancestors, for if these sacrifices were broken off the de of the ancestors would diminish and they would become malevolent gui, with disastrous results for their living offspring. <i>De</i> here is the <i>De</i> as in <i>Dao De Jing</i>. <i>De</i> is usually translated as "Virtue" but, according to most sinologists it is also "Power". Thus the <i>Dao De Jing </i>would be the "Classic of the Dao and its Power". <br />
<br />
Hence it was every man’s sacred duty to his ancestors and also to himself to produce male children who would continue the sacrifices in the ancestral hall (hence the preference for male children which continues to the present day). The ancestors on their side took part in the life of the living, they kept a benevolent watch over them and the living had to keep them informed of all their doings. The <i>hun</i> as an ancestral spirit is fed by the sacrifices of the descendants on earth. Ancestor cult was the cornerstone of Chinese life until recently and even now.<br />
<br />
Since the king has a maximum of De, he needs a large number of female partners to nourish and perpetuate it through sexual intercourse. The king has 1 queen (<i>hou</i>), 3 consorts (<i>fu ren</i>), 9 wives of the second rank (<i>bin</i>), 27 wives of the third rank (<i>shi fu</i>), and 81 concubines (<i>yu ji</i>). <br />
Special court ladies, called <i>nu shi</i>, regulated and supervised the sexual relations of the king and his wives. <br />
<br />
They saw to it that the king had sex with them on the correct calendar days and with the frequency established by the Rites for each rank. They kept careful note of the sexual unions with special red writing brushes called <i>tong guan</i>; hence throughout the later ages descriptions of the sex life of the ruler are designated in Chinese literature as <i>tong shi</i>, i.e. “Records made with the Red Brush”. <br />
<br />
The general rule was the women of the lower ranks should be copulated with before those of high rank, and more frequently. The king cohabited with the queen only once a month. This rule is based on the belief that during the sexual union the man’s vital force is fed and strengthened by that of the woman, supposed to reside in the vaginal secretions. <br />
<br />
Thus the king copulated with the queen only after his potency has been increased to its maximum by the frequent previous unions with the women of lower rank, and when there was consequently the best chance of the queen conceiving a strong and intelligent heir to the throne.<br />
<br />
Only the consorts of the higher ranks were allowed to spend the whole night with the king. The concubines had to leave the bedroom before dawn. An old poem in the Book of Odes (<i>Shi Jing</i>) describes the resentment of the concubines at these unequal rights. It says:<br />
<br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>Twinkling, twinkling those small stars</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>humbly following Scorpio and Hydra in the East</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>Thus modestly we walk through the dark</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>while night still reigns in the palace.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>Women’s fates are different indeed!</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>Twinkling, twinkling those small stars,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>like those in Orion, in the Pleiads.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>Modestly we walk through the dark,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>carrying our own quilts and coverlets.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>Women’s fates are different indeed!</i><br />
<br />
The title of the poem, “Small Stars” (Xiao Xing), has become a common literary term for “concubine”.<br />
<br />
The girls of the common people had a much fuller and freer sex life than their sisters of the upper classes. Marriages of the common people were arranged and celebrated during spring meetings and festivals. With the advent of spring, the rural communities organised spring festivals where the young men and women performed dances together and sung songs, nearly all of which bore relation to fertility cults and were often of a frankly erotic character. <br />
<br />
During these festivals each young man selected and courted a girl and had sex with her. These relationships continued throughout the summer and autumn and were regularised before families moved back to the winter quarters. Probably the main criterion was whether or not the girl had become pregnant. Both the man and the woman had the freedom to accept or not the other and to change their mind afterwards. Thus, it can be seen that the sexual customs of common people were much freer than those of the ruling classes. Some poems from the Book of Odes bear this out:<br />
<br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>The rivers Chen and Wei</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>see their waters rising!</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>Boys and girls</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>carry armfuls of orchids</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>The girls ask: ‘Did you look there?’</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>The boys answer: ‘We are just back,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>but shall we go again?</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>For on the other bank of the Wei,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>There is a lovely field!’</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>The boys and girls</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>there assemble for their sporting</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>and a peony is the gauge.</i><br />
<i><br /></i>
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>Going out through the east city gate</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I see girls as numerous as clouds.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>But although they are as numerous as the clouds</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>there is none that captivates my heart.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>But she of the white robe and grey headdress,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>She alone gives joy to my heart</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>Going out by the gate tower</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I see many girls as fair as flowers.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>But although they are as numerous as the clouds</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>there is none that captivates my heart.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>But she of the white robe and grey headdress,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>She alone gives joy to my heart.</i><br />
<br />
One poem complains of double morality applying to men and women:<br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>Alas, young women,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>do not take your pleasure with men!</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>If a man takes his pleasure</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>little does it matter who talks about it.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>But if a woman takes her pleasure,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>She cannot afford to be talked about</i><br />
<br />
Another poem talks about nightly visits by a lover to his girl:<br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I beg you , master Zhong,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>don’t climb into our quarters,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>don’t break our willow trees!</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>It’s not that I cherish those,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>but I fear my father and mother.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I do love you, Zhong,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>but what my father and mother say,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I certainly must fear.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I beg you master Zhong,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>don’t climb over our wall.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>don’t break our mulberry trees!</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>It’s not that I cherish those,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>but I fear my cousins.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I do love you, Zhong,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>but what my cousins say,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I certainly must fear.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I beg you, master Zhong,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>don’t climb into our garden,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>don’t break our tan trees!</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>It’s not that I cherish those,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>but I fear the gossip of the people.</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I do love you, Zhong,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>but the people’s gossip,</i><br />
<i><span class="Apple-tab-span" style="white-space: pre;"> </span>I certainly fear.</i><br />
<br />
This poem is interesting for its use of the word “love”, always absent from Daoist sex manuals and also because of the girl’s fear of people’s gossip, i.e. she is worried about what other people will say: nothing has changed in China!<br />
<br />
Widows were called <i>wei wang ren</i>, meaning “persons waiting only for death”, a term still used in Japan bibojin.<br />
<br />
Probably the first record of Chinese doctor indicating excess sex as a cause of disease is from 540 BC. In 540 BC the prince of Jin had fallen ill and various cures did not help. A physician was called in and he attributed the prince’s illness to excessive sexual intercourse. <br />
<br />
He said: “<i>Woman complements the male force (yang) and should be cohabitated with during the night. If one goes to excess in his sexual intercourse with her, an internal fever will develop and the mind becomes affected. You do not practise moderation in the sexual act, engaging in it even during daytime: how could you avoid becoming ill?</i>”1<br />
<br />
The latter half of the Zhou dynasty saw the beginning of the Confucian philosophy and ethics. Confucius assigned a lower place to women. The Confucianist School states that women are absolutely and unconditionally inferior to men. A woman’s first and foremost duty is to serve and obey her husband and his parents, to look well after the household, and bear healthy children. Her biological function is emphasised and her emotional life given secondary consideration.<br />
<br />
Daoism has been much more considerate to women and has given much more thought to her physical and emotional needs than Confucianism ever did. In fact, the general principle of Daoist sex was that both partners should share in the benefits accruing from the sexual discipline.<br />
<br />
Later on, Buddhism too assigned a higher place to women and it is significant that the Indian bodhisattva Avalokitesvara became a female deity in China (<i>Kuan Yin</i>).<br />
<br />
SUI DYNASTY (590-618)<br />
The main reason why handbooks of sex continued to enjoy such wide popularity with both Confucianists and Daoists was that those textbooks of sex answered a real need. Without their guidance, the head of a large family could hardly have managed his numerous womenfolk without becoming a nervous wreck.<br />
<br />
All the sex handbooks lay great stress on the necessity of a man understanding the sexual needs and sexual behaviour of women. They teach the householder the fundamental differences in pre- and post-orgasm experiences of man and woman, using the simile of Water and Fire. <br />
<br />
The texts warn a man again and again not to force himself on one of his women to engage in the sexual act if both partners are not in complete emotional harmony. The texts stress the importance of making the woman reach orgasm during every coitus. Incidentally, the description of the 5 signs of a woman’s sexual arousal described in the ancient texts agrees in all details with that given in A C Kinsey’s “Sexual Behaviour of the Human Female” (see below).<br />
<br />
Early sexual manuals never refer to oral sex, fellatio, cunnilingus, or anal intercourse. Sadism and masochism were practically non-existent until the Qing dynasty. Male homosexuality was particularly common during the Song dynasty but not during other dynasties. Female homosexuality was quite common and viewed with tolerance: this was due to the living conditions of wives and concubines in the women’s quarters. <br />
<br />
Lesbians used to stimulate each other’s genitals, cunnilingus and sexual toys. One described in the texts was made from a short, ribbed stick of wood or ivory with two silk bands attached to the middle: each silk band was tied round each woman’s waist and the stick inserted in each other’s vagina. <br />
<br />
A Ming text says that country women used the plant Suo Yang <i>Herba Cynomorii songarici</i> as a sexual toy which they inserted in their vagina and which swelled as soon as it came into contact with the Yin juices. It was also used internally as an aphrodisiac and the text says that it is better than Rou Cong Rong <i>Herba Cistanchis deserticolae</i>.<br />
<br />
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<br />
<br />
TANG DYNASTY (618-907)<br />
Sun Si Miao had a section on sexual hygiene in his book Qian Jin Yao Fang. Three innovations by Sun Si Miao:<br />
<br />
1) He attached great importance to a man reaching the age of 40 which he considers a turning point in a man’s sexual life and his general physical condition;<br />
<br />
2) For the first time Sun Si Miao advises the pressing of different points to stop ejaculation (instead of Ren-1) and he advises pressing the point Ping Yi, one inch above the right nipple and also a point called San Yang Xue (“Point of the Three Yang”), 8 inches above the external malleolus, with moxa.<br />
<br />
3) Sun Si Miao states that the process of making sperm return to the brain results in union of the male and female principles in the brain of the practitioner (symbolised by a red sun and a yellow moon, symbols probably imported from India).<br />
<br />
SONG DYNASTY (960-1279)<br />
During the Song dynasty Confucianism became established as the dominant philosophy and religion, but only by absorbing elements of Daoism and Buddhism, hence the name Neo-Confucianism.<br />
<br />
During this time, sexual relations became to be restricted by the numerous stringent rules in the classics and free association of men and women frowned upon. The Confucianists re-interpreted all the old classics in the light of their philosophy not without a lot of distortion. <br />
<br />
Zhu Xi (1130-1200), for example, stressed the inferiority of women and the strict separation of the sexes, and forbade all manifestations of love or sex outside the intimacy of the wedded couch. This bigoted attitude manifests itself especially in his commentaries on the love songs of the Book of Odes, which he explains as political allegories, which, of course, they are not.<br />
<br />
<br />
YUAN DYNASTY (1279-1368)<br />
During the Yuan dynasty China was a country occupied by invaders. Confronted with Mongol soldiers billeted near them, Chinese men began to encourage their women to remain in their quarters and now began to appreciate more the Confucianist rule for the seclusion of women. It is possible that it was during this period that the germs of Chinese prudery came into existence, and the beginnings of their tendency to keep their sexual life a secret from all outsiders.<br />
<br />
MING DYNASTY (1368-1644)<br />
Whereas men in general were interested in Confucianism, Daoism and Buddhism alike, women favoured nearly exclusively Buddhism. The Buddhist creed of universal love and compassion, preaching equality of all beings, answered women’s spiritual needs, while the dazzling ceremonies centering around beautiful female deities like Kuan Yin, who helps women in distress and grants children to the childless, lent colour to their rather monotonous daily life. <br />
<br />
Buddhist nuns, who by virtue of their sex, had free access to the women’s quarters, were the favourite counsellors of the ladies of the household. Buddhist nuns gave the ladies of the household advice in personal problems and generally acted as counsellors of a sort. Public opinion regarded nuns and nunneries with disfavour. The idea alone that women abandoned their sacred duty of propagating the family and went to live in self-contained communities where they were not subject to the control of their male relatives, was abhorrent to the Confucianists. <br />
<br />
Writers of Ming novels and short stories were mostly Confucianist literati who had ipso facto a prejudice against everything Buddhist. Buddhist monks and nuns were their favour black sheep. Therefore, when reading this kind of literature one should guard against making generalizations and take the scathing denouncements of the moral turpitude of nuns with a generous pinch of salt. <br />
<br />
Nuns were suspected of having entered religion only to practise unnatural vices. There is an element of truth in this suspicion as many girls became nuns not out of devotion but for various other reasons: sometimes parents forced them to become nuns to ingratiate the ancestors spirits, sometimes girls became nuns to avoid an arranged marriage, sometimes concubines became nuns to escape sadistic husbands or mother-in-laws and sometimes purely because of lesbian tendencies.<br />
<br />
The principles of handbooks on sex were still applied but the sex manuals did not circulate freely any longer.<br />
<br />
A Ming dynasty sex manual makes some interesting observations on women’s psychology in ancient China. It says that women’s lives were monotonous and that sex was their only diversion ad interest. He says: “<i>Wives and concubines are daily occupied with the control of all trifling household chores. Except for attending to their hairdress and their face powder and rouge and engaging in music and card-games, they really have nothing to gladden their hearts but sexual intercourse. Therefore it is the duty of every enlightened householder to acquire a thorough knowledge of the Art of the Bedchamber, so that he can give complete satisfaction to his womenfolk every time he copulates with one of them.</i>”2<br />
<br />
Therefore women’s sexual life was more important to them than to the men as men had many other outside interests that women could not have: this is a new idea never before expressed in sex manuals. The same text then makes the point that a man’s skill in the sexual act means more to most women than his youth or charm; and also that sexual frustration makes women quarrelsome and difficult to handle.<br />
<br />
In fact, the author says: “<i>East of the street lives a young and vigorous man of imposing mien; his women quarrel from morning till night and do not heed him. West of the street lives a greybeard who walks with a stoop; his women do their utmost to serve him obediently. How can this be explained? The answer is that the latter knows the subtle secrets of the Art of the Bedchamber, while the former is ignorant of it</i>.”3<br />
<br />
In the second half of the Ming dynasty the Daoist sexual arts became more and more a secret tradition.<br />
<br />
<span style="font-size: x-small;">END NOTES</span><br />
<span style="font-size: x-small;"><br /></span>
<span style="font-size: x-small;">1. R. H. Van Gulik, Sexual Life in Ancient China, Barnes and Noble, New York, 1961, p. 34.</span><br />
<span style="font-size: x-small;"><br /></span>
<span style="font-size: x-small;">2. Ibid., p. 269.</span><br />
<span style="font-size: x-small;"><br /></span>
<span style="font-size: x-small;">3. Ibid., p. 269.</span>Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-43353242005216754992014-09-03T16:55:00.000-07:002016-01-27T10:46:43.468-08:00THE TREATMENT OF CANCER WITH CHINESE MEDICINE - PART 2This is the second part of the discussion of cancer in Chinese medicine. I am listing below the herbs that are most commonly used in cancer classified according to pattern.<br />
<br />
<b>CANCER HERBS CLASSIFIED ACCORDING TO PATTERN</b><br />
<br />
<b>STASIS OF BLOOD</b><br />
Ru Xiang <i>Gummi Olibanum</i>, Mo Yao <i>Myrrha</i>, San Leng <i>Rhizoma Sparganii stoloniferi</i>, E Zhu <i>Rhizoma Curcumae Ezhu</i>, Di Bie Chong <i>Eupolyphaga</i>, Wang Bu Liu Xing <i>Semen Vaccariae segetalis</i>, Ze Lan <i>Herba Lycopi lucidi</i>.<br />
<br />
<b>PHLEGM </b><br />
Hai Ge Ke <i>Concha Cyclinae</i>, Tian Nan Xing <i>Rhizoma Arisaematis</i>, Shan Jia <i>Squama Manitis Pentadactylae</i>, Ting Li Zi <i>Semen Descurainiae seu Lepidii</i>, Bai Jie Zi <i>Semen Sinapsis albae</i>, Fu Ling <i>Poria</i>, Yi Yi Ren <i>Semen Coicis Lachryma-Jobi</i>, Zhe Bei Mu <i>Bulbus Fritillariae thunbergii</i>, Gua Lou <i>Fructus Trichosanthis</i>, She Gan <i>Rhizoma Belamcandae chinensis, </i>Huang Yao Zi <i>Rhizoma Dioscoreae bulbiferae. </i><br />
<br />
<b>TOXIC HEAT</b><br />
He Huan Pi <i>Cortex Albizziae julibrissin</i>, Bai Hua She She Cao <i>Herba Hedyotis diffusae</i>, Ban Zhi Lian <i>Herba Scutellariae barbatae</i>, Tu Fu Ling <i>Rhizoma Smilacis glabrae</i>, Fu Ling <i>Poria</i>, Shan Dou Gen <i>Radix Sophorae Tonckinensis</i>, Xia Ku Cao <i>Spica Prunellae vulgaris</i>, Da Qing Ye <i>Folium Isatidis</i>, Ku Shen <i>Radix Sophorae Flavescentis</i>.<br />
<br />
<b>DAMPNESS</b><br />
Sha Ren <i>Fructus Amomi</i>, Mu Xiang <i>Radix Aucklandiae Lappae</i>, Ze Xie <i>Rhizoma Alismatis orientalis</i>, Xiang Fu <i>Rhizoma Cyperi rotundi</i>, Fo Shou <i>Fructus Citri sarcodactylis</i>, Tu Fu Ling <i>Rhizoma Smilacis glabrae</i>, Shan Zha <i>Fructus Crataegi</i>, Shen Qu <i>Massa Medica Fermentata</i>, Zhi Ke <i>Fructus Citri aurantii</i>, Zhi Shi <i>Fructus immaturus Citri aurantii</i>, Bian Dou <i>Semen Dolichoris Lablab</i>, Pei Lan <i>Herba Eupatorii</i>, Gui Zhi <i>Ramulus Cinnamomi cassiae</i>.<br />
<br />
<b>XU</b><br />
<u>Qi</u>: Ren Shen <i>Radix Ginseng</i>, Tai Zi Shen <i>Radix Pseudostellariae</i>, Da Zao <i>Fructus Jujubae</i>, Huang Qi <i>Radix Astragali membranacei</i>, Bai Zhu <i>Rhizoma Atractylodis macrocephalae.</i><br />
<br />
<u>Blood</u>: Shou Wu <i>Radix Polygoni multiflori</i>, E Jiao <i>Gelatinum Corii Asini</i>, Long Yan Rou <i>Arillus Euphoriae Longanae</i>, Sang Ji Sheng <i>Ramulus Loranthi</i>, Gou Qi Zi <i>Fructus Lycii. </i><br />
<br />
<u>Yang</u>: Yin Yang Huo <i>Herba Epimedii</i>, Lu Jiao <i>Cornu Cervi</i>, Ba Ji Tian <i>Radix Morindae officinalis</i>, Bu Gu Zhi <i>Fructus Psoraleae corylifoliae</i>, Rou Cong Rong <i>Herba Cistanches deserticolae</i>, Hu Tao Ren <i>Semen Juglandis regiae.</i><br />
<br />
<u>Yin:</u> Sha Shen <i>Radix Adenophorae seu Glehniae</i>, Tian Men Dong <i>Tuber Asparagi cochinchinensis</i>, Shi Hu <i>Herba Dendrobii</i>, Yu Zhu <i>Rhizoma Polygonati odorati</i>, Bai He <i>Bulbus Lilii</i>, Nu Zhen Zi <i>Fructus Ligustri lucidi</i>, Gou Qi Zi <i>Fructus Lycii</i>, Han Lian Cao <i>Herba Ecliptae prostratae</i>, Bie Jia <i>Carapax Amydae sinensis</i>, Wu Wei Zi <i>Fructus Schisandrae chinensis</i>, Ling Zhi <i>Fructificatio Ganodermae</i>.<br />
<br />
<b>SOFTENING HERBS</b><br />
Mu Li <i>Concha Ostreae</i>, Shan Jia <i>Squama Manitis Pentadactylae</i>, Hai Zao <i>Herba Sargassii</i>, Kun Bu <i>Thallus Laminariae seu Eckloniae</i>, Jiang Can <i>Bombyx Batryticatus</i>, Gui Ban <i>Plastrum Testudinis</i>, Bie Jia <i>Carapax Amydae sinensis</i>, Wa Leng Zi <i>Concha Arcae</i>, Ku Shen <i>Radix Sophorae flavescentis</i>, Wu Gong <i>Scolopendra Subspinipes</i>, Yi Yi Ren <i>Semen Coicis Lachryma-Jobi</i>.<br />
<br />
“Softening” herbs are used in case of masses which may be from Blood stasis, Phlegm or a combination of both. The “softening” herbs soften the mass so that it is more easily treated. <br />
<br />
Note how the softening herbs are in different categories and we would choose those from a category of herbs treating the presenting pattern.<br />
<br />
For example, if the mass was from Blood stasis we would choose Shan Jia <i>Squama Manitis Pentadactylae</i>; on the other hand, if the patient has a background of Yin deficiency, we would choose Mu Li <i>Concha Ostreae</i>, Gui Ban <i>Plastrum Testudinis</i>, or Bie Jia <i>Carapax Amydae sinensis</i>.<br />
<br />
I list below some herbs that have a particular anti-cancer effect according to modern research.<br />
<br />
<b>HERBS WITH ANTI-CANCER EFFECT</b><br />
<br />
SHI JIAN CHUAN <i>Herba Salviae chinensis</i><br />
(Other name: Xiao Dan Shen)<br />
Taste: energy: bitter, pungent, neutral<br />
Actions: Clear Heat, resolve Phlegm, move Blood, stop pain.<br />
Indications: Chronic hepatitis, hypochondriac pain, cancer of oesophagus.<br />
<br />
HUANG YAO ZI <i>Rhizoma Dioscoreae bulbiferae</i><br />
Taste, energy: Bitter, pungent, slightly toxic<br />
Channel: HE, LIV<br />
Actions: Dissolve swelling, eliminate Toxin, stop cough, calm asthma, cool Blood, stop bleeding.<br />
Indications: Goiter, scrofula, cough, asthma, cancer of oesophagus, whooping cough, vomiting of blood, epistaxis.<br />
<br />
BAN ZHI LIAN <i>Herba Scutellariae barbatae</i><br />
Taste, energy: bitter, cold<br />
Channel: LIV, ST, LU<br />
Actions: Clear Heat, resolve Toxin, scatter stasis, stop bleeding, benefit urination, resolve cancer.<br />
Indications: Cancer of lungs, liver, intestines, uterus, stomach, appendicitis, hardening of liver, carbuncles, pus, lung abscess, epistaxis, haematemesis, haematuria.<br />
Contraindications: Not in pregnancy<br />
<br />
BAN BIAN LIAN <i>Herba Lobeliae chinensis </i><br />
Taste, energy: pungent, cold<br />
Channel: LIV,KI,LU<br />
Actions: Clear Heat, resolve poison, benefit urination, resolve swelling.<br />
Indications: Sores, acne, swelling, hardening of liver, ascites, kidney-oedema, cancer of liver, intestines, stomach.<br />
<br />
SAN BAI CAO<i> Herba Saururi chinensis</i><br />
Taste, energy: Sweet, pungent, cold<br />
Channel : LIV, GB<br />
Actions: Clear Heat, resolve Toxin, benefit urination, resolve swelling.<br />
Indications: Oedema, cancer of liver, jaundice.<br />
<br />
WEI LING XIAN <i>Herba Clematidis chinensis</i><br />
Taste, energy: Pungent, warm<br />
Channel: BL<br />
Actions: Expel Wind, resolve Dampness, penetrate channels, stop pain, resolve inflammation, scatter accumulation.<br />
Indications: Bi syndrome, cancer of breast, larynx, numbness of legs.<br />
<br />
SHAN DOU GEN <i>Radix Sophorae subprostratae</i><br />
Taste, energy: Bitter, cold<br />
Channel: HE, LU, L.I.<br />
Actions: Clear Heat, resolve Toxin, reduce swelling, stop pain.<br />
Indications: Throat swelling, tonsillitis, cancer of lungs, stomach, bladder, uterus, leukemia.<br />
<br />
SAN LENG <i>Rhizoma Sparganii stoloniferi</i><br />
Taste and energy: bitter, neutral<br />
Channels:LIV, SP.<br />
Actions: Break up Blood, eliminate Blood stasis, move Qi, stop pain.<br />
<br />
LOU LU <i>Radix Rhapontici seu Echinopsis</i><br />
Taste and energy: bitter, cold<br />
Channels: Stomach<br />
Actions: Clear Heat, expel Toxin.<br />
Indications: abscess, oedema, lactation problems.<br />
<br />
TIAN KUI ZI <i>Radix Semiaquilegiae</i><br />
Taste and energy: bitter, cold<br />
Channels: BL, KI.<br />
Actions: expel Toxin<br />
Indications: oedema<br />
<br />
TENG LI GEN <i>Radix Actinidiae argutae</i><br />
Taste and energy: bitter, cold<br />
Channels: LU, LIV, ST, SP and LI<br />
Actions: resolve Toxin, clear Heat, eliminate stasis<br />
Indications: cancer.<br />
<br />
TENG LI GEN <i>Radix Actinidiae argutae</i><br />
Taste and energy: bitter, cold<br />
Channels: LU, LIV, ST, SP and LI<br />
Actions: resolve Toxin, clear Heat, eliminate stasis<br />
Indications: cancer.<br />
<br />
SHI SHANG BAI<i> Herba Selaginellae</i><br />
Taste and energy: bitter, pungent, cold<br />
Channels: LIV, LU, ST.<br />
Actions: clear Heat, resolve Toxin resolve Damp-Heat.<br />
Indications: cough, jaundice, liver cancer, hepatitis, cirrhosis of liver.<br />
<br />
TING LI ZI <i>Semen Descurainiae seu Lepidii</i><br />
Taste and energy: bitter, pungent, cold<br />
Channels: Lungs and Bladder<br />
Actions: clear Heat, resolve Phlegm<br />
Indications: breathlessness, oedema, urinary retention.<br />
Caution: it is a harsh cathartic.<br />
<br />
DI BIE CHONG <i>Eupolyphaga</i><br />
Taste and energy: salty, cold<br />
Channels: Liver<br />
Actions: break up Blood, eliminate Stasis<br />
Indications: Liver cancer<br />
<br />
SHUI ZHI <i>Hirudo</i><br />
Taste and energy: salty, bitter, neutral<br />
Channels: Liver<br />
Actions: break up Blood, eliminate stasis<br />
Indications:<br />
<br />
BAN MAO <i>Mylabris</i><br />
Taste and energy: pungent, cold<br />
Channels: Small Intestine, Large Intestine, Liver<br />
Actions: expel Toxin, invigorate Blood<br />
Indications:<br />
<br />
Lastly, I list below the same herbs listed above but classified according to organ affected.<br />
<br />
CANCER HERBS ACCORDING TO ORGAN<br />
<br />
OESOPHAGUS<br />
Shi Jian Chuan <i>Herba Salviae chinensis</i>, Huang Yao Zi <i>Rhizoma Dioscoreae bulbiferae</i>, Shi Da Chuan<br />
<br />
STOMACH<br />
Bai Hua She She Cao <i>Herba Hedyotis diffusae</i>, Ban Zhi Lian <i>Herba Scutellariae barbatae</i>, Ban Bian Lian <i>Herba Lobeliae chinensis.</i><br />
<br />
INTESTINES<br />
Ku Shen <i>Radix Sophorae flavescentis</i>, Ban Zhi Lian <i>Herba Scutellariae barbatae</i>, Ban Bian Lian <i>Herba Lobeliae chinensis</i>, Bai Hua She She Cao <i>Herba Hedyotis diffusae.</i><br />
<br />
LIVER<br />
Long Dan Cao <i>Radix Gentianae scabrae</i>, Ban Lan Gen <i>Radix Isatidis</i>, Ban Zhi Lian <i>Herba Scutellariae barbatae.</i><br />
<i><br /></i>
NOSE PHARYNX<br />
Xia Ku Cao <i>Spica Prunellae vulgaris</i>, Shi Shang Bai <i>Herba Selaginellae</i>, Kun Bu <i>Thallus Laminariae seu Eckloniae</i>, Gua Lou Pi <i>Pericarpium Trichosanthis</i>, Hai Zao <i>Herba Sargassii.</i><br />
<br />
BREAST<br />
Pu Gong Ying <i>Herba Taraxaci</i>, Ban Bian Lian <i>Herba Lobeliae chinensis</i>, Tian Men Dong Tuber <i>Asparagi cochinchinensis</i>, Wei Ling Xian <i>Radix Clematidis</i>, Wang Bu Liu Xing <i>Semen Vaccariae segetalis.</i><br />
<br />
UTERUS<br />
E Zhu <i>Rhizoma Curcumae Ezhu</i>, Lou Lu <i>Radix Rhapontici seu Echinopsis</i>, Zi Cao <i>Radix Arnebiae seu Lithospermi</i>.<br />
<br />
LARYNX<br />
Shan Dou Gen <i>Radix Sophorae subprostratae</i>, Gua Lou Pi <i>Pericarpium Trichosanthis</i>, Wei Ling Xian <i>Radix Clematidis</i>.<br />
<br />
LIPS<br />
Liang Ge San (Prescription) <i>Cooling the Diaphragm Powder </i>(Lian Qiao, Zhu Ye, Da Huang, Mang Xiao, Gan Cao, Bo He, Shang Zhi Zi, Huang Qin)<br />
<br />
TONGUE<br />
Pu Huang <i>Pollen Typhae</i>, Huai Hua <i>Flos Sophorae japonicae</i>, Zhu Ye <i>Folium Bambusae</i>.<br />
<br />
CHEST CAVITY<br />
Huang Yao Zi <i>Rhizoma Dioscoreae bulbiferae</i>, Xia Ku Cao <i>Spica Prunellae vulgaris</i>, Kun Bu <i>Thallus Laminariae seu Eckloniae</i>, Dan Nan Xing <i>Rhizoma Arisaematis</i>.<br />
<br />
BLOOD (LEUKEMIA)<br />
Qing Dai <i>Indigo Pulverata Levis.</i><br />
<br />
BLADDER<br />
Xia Ku Cao <i>Spica Prunellae vulgaris</i>, Tian Kui Zi <i>Radix Semiaquiligiae</i>, Shi Shang Bai <i>Herba Selaginallae</i>, Lou Lu <i>Radix Rhapontici seu Echinopsis</i>, Teng Li Gen <i>Radix Actinidiae argutae</i>.<br />
<br />
THYROID<br />
Huang Yao Zi <i>Rhizoma Dioscoreae bulbiferae</i>, Zhe Bei Mu <i>Bulbus Fritillariae Thunbergii</i>, Xia Ku Cao <i>Spica Prunellae vulgaris</i>.<br />
<br />
<b>EXAMPLES OF HERBAL PRESCRIPTIONS</b><br />
In order to give examples of herbal prescriptions for patients with cancer, we must distinguish three situations:<br />
<span style="text-indent: -0.38in;">a) Patient with cancer before </span><span style="text-indent: -36.47999954223633px;">chemo-/radio-therapy</span><br />
<span style="text-indent: -0.38in;">b) Patient during chemo- or radio-therapy</span><br />
<span style="text-indent: -0.38in;">c) Patient after surgery and radio-/chemo-therapy</span><br />
<span style="text-indent: -0.38in;"><br /></span>
<span style="text-indent: -0.38in;"><b>a) Patient with cancer before chemo-/radio-therapy</b></span><br />
When treating a patient with cancer before they had Western treatment the first thing to do is to diagnose the Chinese disease (<i>Bian Bing</i>) and the second is identify the patterns (<i>Bian Zheng</i>). We need to diagnose the Chinese disease because it gives us an idea of prognosis, pathology and treatment. I have given a list of Chinese diseases with corresponding type of cancer in the previous blog post. <br />
<br />
For example, carcinoma of the thyroid may be compared to Shi Ying, a type of goiter. If we read about Shi Ying, we can learn something about the pathology and treatment of this condition. Of course, this is important to do but it is not enough because the Chinese disease of Shi Ying would not entail the concept of malignancy. <br />
<br />
Secondly, we need to identify the patterns involved: we cannot formulate a treatment for cancer if we do not identify the patterns. These are also closely linked to the Chinese disease. For example, in the case of Shi Ying, there is always Phlegm and Blood stasis (which makes the goiter feel hard on palpation).<br />
<br />
The next essential step is to diagnose whether the patient's condition is primarily Full or Empty. This guides us to the choice of prescription, i.e. expelling pathogenic factors (in Full conditions) or tonifying the body's Qi (in Empty conditions). As I explained in the previous post, I generally primarily tonify the body's Qi in the beginning stages and primarily expel pathogenic factors in the middle-late stages. <br />
<br />
The emphasis is on the word "primarily" because any prescription I use would simultaneously tonify the body's Qi and expel pathogenic factors albeit in different degrees. Thus, a prescription to expel pathogenic factors would have at least one or two tonics and a prescription to tonify the body's Qi would have some herbs to resolve Phlegm and invigorate Blood, choosing preferably from the herbs that also have an anti-cancer effect from the point of view of modern research.<br />
<br />
Finally, when choosing herbs, we should keep into account the pattern they treat but also modern research. For example, if we need a Qi/Yang tonic, we would prefer Ren Shen or Huang Qi over Lu Rong because the former two herbs have an anti-cancer effect and Lu Rong does not.<br />
<br />
Another example could be that of herbs for Toxic Heat. If we need a herb that resolves Toxic Heat, Shan Dou Gen <i>Radix Sophorae tochinchinensis</i> would be preferable to Qian Li Guang <i><span style="font-family: "georgia" , "times new roman" , serif;">H<span style="background-color: white; font-size: 13px; line-height: 17.68000030517578px;">erba Senecionis Scandens. </span></span></i><br />
<br />
Therefore I would summarize the steps necessary for the choice of a herbal prescription are as follows:<br />
<br />
1) Identify the Chinese disease<br />
2) Identify the pattern<br />
3) Decide whether the condition is primarily Full (in which case we primarily expel pathogenic factors) or primarily Empty (in which case we primarily tonify the body's Qi).<br />
4) Choose a formula that suits the pattern<br />
5) Add some tonics if we are expelling pathogenic factors or some herbs to resolve Phlegm, invigorate Blood and clear Toxic Heat if we are tonifying the body's Qi.<br />
5) Modify it with the addition of herbs that have an anti-cancer effect.<br />
<br />
The following is an example of a prescription for a patient with breast cancer. She is a 45-year old woman who was diagnosed with breast cancer 2 years previously. She had several hard lumps and the skin over the lumps was reddish-purple. Her tongue was swollen with a sticky coating with red points in the chest/breast area. Her pulse was Fine but Wiry on the left and Fine-Weak on the right. <br />
<br />
The clinical signs and tongue give a very clear indication of Phlegm, Blood stasis and Toxic Heat:<br />
Phlegm: swollen tongue with sticky coating, breast lumps.<br />
Blood stasis: hard lumps.<br />
Toxic Heat: reddish-purple skin on breast, red points breast area on tongue.<br />
<br />
The pulse reflects the combination of pathogenic factors (being Wiry) and deficiency (being Fine and Weak on the right).<br />
<br />
There is no doubt in my mind that the condition is primarily Full and that we therefore need to expel pathogenic factors. I chose the formula Ru He Nei Xiao Tang <i>Breast Nodule Inner Dissolving Decoction </i>乳 核 內 消 湯 that moves Qi, invigorates Blood and resolves Toxic Heat. I modified it as follows:<br />
<br />
Qing Pi <i>Pericarpium Citri reticulatae viride</i> (in original formula)<br />
Xiang Fu <i>Rhizoma Cyperi</i> (in original formula)<br />
Yu Jin <i>Radix Curcumae</i> (in original formula)<br />
San Leng <i>Rhizoma Sparganium</i><br />
Dang Gui <i>Radix Angelicae sinensis</i> (in original formula)<br />
Bai Shao <i>Radix Paeoniae alba</i> (Chi Shao in original formula)<br />
Shan Ci Gu <i>Pseudobulbus Cremastrae</i> (in original formula)<br />
Xia Ku Cao <i>Spica Prunellae</i> (in original formula)<br />
Lou Lu <i>Radix Rhapontici</i> (in original formula)<br />
Si Gua Luo <i>Retinervus Luffae fructus </i>(in original formula)<br />
Gua Lou Pi <i>Pericarpium Trichosanthis</i><br />
Bai Hua She She Cao <i>Herba Hedyotis diffusae</i><br />
Ban Xia <i>Rhizoma Pinelliae preparata</i><br />
Huang Qi <i>Radix Astragali membranacei</i><br />
Gan Cao <i>Radix Glycyrrhizae</i> (in original formula)<br />
Lu Lu Tong <i>Fructus Liquidambaris taiwaniani</i><br />
<br />
The formula is well suited to this patient as it moves Qi, invigorates and breaks Blood and resolves Toxic Heat. <br />
<br />
I added San Leng to break Blood;<br />
changed Chi Shao to Bai Shao to nourish Blood (pulse Weak and Fine on the right);<br />
added Gua Lou Pi and Ban Xia to resolve Phlegm;<br />
added Huang Qi to strengthen the immune system;<br />
added Lu Lu Tong to direct the formula to the breast.<br />
<br />
Lu Lu Tong is one of few herbs which are said to "penetrate the breast Luo channels" (<i>tong ru luo</i>). These herbs can be used as messenger herbs to reach the breast but they also remove obstructions from the breast. Additionally, Lu Lu Tong is indicated here because it also invigorates Blood.<br />
<br />
<b>b) Patients with cancer during chemo-/radio-therapy</b><br />
The treatment of cancer patients who are undergoing chemo-therapy and/or radio-therapy is entirely different. During chemo- or radio-therapy we do not treat the patterns underlying the cancer but concentrate on supporting the immune system and minimizing the side-effects of treatment.<br />
<br />
The treatment principle during chemotherapy is to tonify Qi, nourish Yin, cool Blood, resolve Dampness and clear Heat.<br />
<br />
The treatment principle during radiotherapy is to nourish Blood, cool Blood, nourish Yin and invigorate Blood.<br />
<br />
Unfortunately, there is a widespread view among oncologists that patients who are undergoing chemotherapy should not take antioxidants. The reason for this would be that chemotherapy oxidates cancer cells to destroy them and therefore anything that is anti-oxidant would stop chemotherapy from working. I disagree with this view and, in any case, Chinese herbs do not contain antioxidants. <br />
<br />
<b><br /></b>
<b>c) Patients after surgery and radio-/chemo-therapy</b><br />
When treating patients after surgery and radio- or chemotherapy, we need to assess them from a Chinese medicine perspective. We need to evaluate whether the patterns that caused cancer in the first place are still there. <br />
<br />
I base this assessment primarily on the tongue and pulse. The three main patterns in cancer are Blood stasis, Phlegm and Toxic Heat and if the tongue and pulse show signs of these, I consider the cancer still active even if it has been eradicated by surgery and treated by radiotherapy and/or chemotherapy.<br />
<br />
Therefore if the tongue is purple (Blood stasis) and swollen (Phlegm) and the pulse Full, I treat the patient as if the cancer were still there.<br />
<br />
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The tongue on the top is purple (Blood stasis) and swollen (Phlegm). When evaluating whether there is Blood stasis, we should also look at the sublingual veins. The tongue on the bottom shows dark and swollen veins which indicates Blood stasis.<br />
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A purple colour is not the only dangerous sign. If the tongue is red with many red points, it indicates Toxic Heat. Toxic Heat always indicates a poor prognosis because it means the cancer may spread: all the more so if the pulse is rapid.<br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhrUiFFW9Enz_pguUfRKsxU1vMaGp5dprAxAjrA4EYwlNC01Cs8FiypmNUwYEaFcy-Kr_LCPWXZYqnzMEx3dd1E3ekMAIdORUJAJlGB5afhiAOyQ62JCQXrgrCVyIhwb3OEYteob0pxKLM/s1600/Picture1.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="313" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhrUiFFW9Enz_pguUfRKsxU1vMaGp5dprAxAjrA4EYwlNC01Cs8FiypmNUwYEaFcy-Kr_LCPWXZYqnzMEx3dd1E3ekMAIdORUJAJlGB5afhiAOyQ62JCQXrgrCVyIhwb3OEYteob0pxKLM/s1600/Picture1.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Red points</td></tr>
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As for the pulse, a pulse of the Full type (wiry, slippery, firm) indicates that the pathogenic factors that caused cancer are still active. A pulse of the Empty type (weak, fine) indicates that the condition is primarily Empty. <br />
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Therefore, if tongue and pulse show that the pathogenic factors are still active, I give a prescription that primarily eliminates pathogenic factors. I say "primarily" because I would always add some tonic herbs that support the immune system. In addition to that, I would also use some herbs with an anti-cancer effects indicated above.<br />
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If the tongue and pulse show that the pathogenic factors are not active and that there is a pronounced deficiency, I then prescribe a formula that primarily tonifies (Qi, Yang, Blood or Yin). Again, I say "primarily" because the formula would also include 1-2 herbs to expel pathogenic factors and 1-2 herbs with anti-cancer effect.<br />
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The following is an example of a prescription for a patient after treatment with surgery and chemotherapy and with which I primarily expelled pathogenic factors.<br />
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A 63-year-old female patient had ovarian cancer 3 years previously. She had a hysterectomy and oophorectomy followed by chemotherapy. A few months before the consultation they discovered some "lumps" in the abdomen for which she had more chemotherapy. <br />
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Her tongue was reddish-purple and her pulse was wiry and full in general and weak on both Kidney positions. <br />
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I diagnosed severe Blood stasis on the basis of the tongue and pulse with an underlying Kidney deficiency. Based on the tongue and pulse and the recurrence of lumps, I decided that the treatment should be aimed primarily at expelling pathogenic factors, in her case at invigorating Blood.<br />
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I used the following prescription:<br />
Dang Gui <i>Radix Angelicae sinensis </i>(Invigorate Blood)<br />
Chi Shao <i>Radix Paeoniae rubra </i>(Invigorate Blood)<br />
Yi Mu Cao <i>Herba Leonuri heterophylli </i>(Invigorate Blood)<br />
Chuan Niu Xi <i>Radix Cyathulae officinalis </i>(Invigorate Blood)<br />
E Zhu <i>Rhizoma Curcumae Ezhu </i>(Break Blood)<br />
San Leng <i>Rhizoma Sparganii stoloniferi </i>(Break Blood)<br />
Bai Hua She She Cao <i>Herba Hedyotis diffusae</i> (Anti-cancer)<br />
Ban Zhi Lian <i>Herba Scutellariae barbatae</i> (Anti-cancer)<br />
Huang Qi <i>Radix Astragali membranacei</i> (Tonify Qi, support immune system)<br />
Tu Si Zi <i>Semen Cuscutae chinensis</i> (Tonify Kidney-Yang)<br />
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The following is an example of a prescription for a patient after treatment with surgery and chemotherapy and with which I primarily tonified Zheng Qi.<br />
<div>
<br /></div>
This 55-year-old patient had had ovarian cancer 6 years previously. She had a hysterectomy and oophorectomy followed by chemotherapy. Four years after that, she was diagnosed with bowel cancer for which she had surgery followed by chemotherapy. One year after that, she had breast cancer for which she had surgery and radiotherapy. <br />
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This case history is unfortunately an example of a radical Western treatment with surgery and chemo- or radiotherapy and yet the pathogenic factors were obviously still active as the ovarian cancer was followed by bowel cancer and breast cancer.<br />
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Her tongue was pale, slightly swollen with a sticky coating. Her pulse was weak on both Kidney positions.<br />
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As the tongue is pale and the Kidney positions weak, she obviously suffered from a Kidney-Yang and Spleen-Yang deficiency. However, the slight swelling of the tongue shows Phlegm..<br />
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Based on the tongue and pulse, I decided that my primary aim should be to tonify Spleen- and Kidney-Yang and only secondarily to resolve Phlegm. I used the following prescription:<br />
<br />
Huang Qi <i>Radix Astragali membranacei </i>(tonify Qi, support immune system)<br />
Bai Zhu <i>Rhizoma Atractylodis </i>(tonify Qi, support immune system, tonify Spleen-Yang)<br />
Fu Ling <i>Poria</i> (resolve Phlegm)<br />
Chen Pi <i>Pericarpium Citri reticulati </i>(resolve Phlegm)<br />
Tu Si Zi <i>Semen Cuscutae chinensis</i> (tonify Kidney-Yang)<br />
Xu Duan <i>Raadix Dipsaci asperi</i> (tonify Kidney-Yang)<br />
Ban Xia <i>Rhizoma Pinelliae preparatum</i> (resolve Phlegm)<br />
Bai Hua She She Cao <i>Herba Hedyotis diffusae</i> (Anti-cancer)<br />
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I also prescribed the mushroom <i>Coriolus</i>.<br />
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<b>PROGNOSIS</b><br />
When I see a patient who has had cancer and been treated with surgery and radio-/chemotherapy. I formulate a prognosis on the basis Chinese diagnosis based most of all on tongue and pulse.<br />
<br />
<u>Poor prognosis</u><br />
Tongue purple or red with red points, swollen; pulse Full (wiry, slippery, firm, overflowing). The prognosis is particularly unfavourable if the pulse is also rapid.<br />
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<u>Good prognosis</u><br />
Tongue normal or pale, not swollen; pulse weak in general.<br />
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In case of breast cancer, one should pay particular attention to the breast area on the tongue which was discussed in a previous post:<br />
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https://www.blogger.com/blogger.g?blogID=5267943865157480550#editor/target=post;postID=500023099400554790;onPublishedMenu=posts;onClosedMenu=posts;postNum=3;src=postname<br />
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<b>OTHER THERAPIES</b><br />
Of course, for the treatment of cancer we must use other therapies and in particular:<br />
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Diet<br />
Qi Gong<br />
Antioxidants<br />
Mushrooms<br />
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Of the medicinal mushrooms, I particularly use <i>Coriolus. </i><br />
<br />Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-36280672748857276862014-08-29T17:51:00.002-07:002016-01-27T10:48:02.597-08:00THE TREATMENT OF CANCER WITH CHINESE MEDICINE<span style="font-family: "georgia" , "times new roman" , serif;">I am presenting here the Chinese medicine view of cancer with patterns, treatment principle, herbs and herbal formulae. Very many of our patient have or have had cancer (or will have cancer) and, for this reason, I think it is extremely important to understand cancer from the point of view of Chinese medicine, even if we do not actually treat it. Moreover, even if we do not treat cancer itself, we can do our patients who have survived cancer a great service if we can develop treatment strategies to prevent recurrence. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">All Chinese books try to “prove” that the concept of cancer was already in the Nei Jing and other later books. The truth is that, while the ancient books have a fairly comprehensive theory of tumours, there was no concept of malignancy or of differentiation between benign and malignant tumours. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">There are, however, some passages that clearly indicate that, when treating tumours, the ancient doctors were well aware when a condition indicated a poor prognosis. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">For example, a text of the Song dynasty says when describing ru yan, i.e. a hard breast lump: “If it has not broken, the patient can be saved. If it has broken, treatment is difficult. On palpation, it is as hard as a rock, hence the name [ru yan, breast rock]. If treated too late, it will ulcerate and spread to the Zang organs and is fatal.”</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Please note that some of the descriptions of tumours in the ancient books (as the one above) actually describe secondary infections from cancer rather than the cancer pathology itself. The tongue below shows one such case. We will very seldom see such infections because women will seek Western treatment much earlier than ancient Chinese women would have done. </span><span style="font-family: "georgia" , "times new roman" , serif;"> </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
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<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Moreover, the Chinese medicine theory of cancer refers only to masses and therefore </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">does not envisage cancer without masses such as blood tumours (leukemia, </span><span style="font-family: "georgia" , "times new roman" , serif;">myeloma). </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">In spite of the fact that Chinese medicine had no concept of malignancy, I believe it </span><span style="font-family: "georgia" , "times new roman" , serif;">has a lot to offer in four areas:</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">1) Treat the cancer itself without Western treatment</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">2) Treat the cancer in integration with Western treatment</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">3) Treat the side-effects of chemotherapy and radiotherapy</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">4) Prevent recurrence after Western treatment.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Chapter 55 of the Nan Jing introduces the term <i>Ji Ju</i> indicating "masses".</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><i>How to distinguish between Ji</i> [积] <i>and Ju</i> [聚]? <i> Ji</i> [masses] <i>are Yin and Ju</i> [masses] <i>are </i></span><i style="font-family: Georgia, 'Times New Roman', serif;">Yang. Yin is deep and hidden; Yang is superficial and moves. When Qi accumulates </i><i style="font-family: Georgia, 'Times New Roman', serif;">it gives rise to Ji [masses]; when Qi gathers it gives rise to Ju </i><span style="font-family: "georgia" , "times new roman" , serif;">[masses]. </span><i style="font-family: Georgia, 'Times New Roman', serif;">Ji</i><span style="font-family: "georgia" , "times new roman" , serif;"> [masses] </span><i style="font-family: Georgia, 'Times New Roman', serif;">originate from the 5 Zang; Ju</i><span style="font-family: "georgia" , "times new roman" , serif;"> [masses] </span><i style="font-family: Georgia, 'Times New Roman', serif;">originate from the 6 Fu. Ji</i><span style="font-family: "georgia" , "times new roman" , serif;"> [masses] </span><i style="font-family: Georgia, 'Times New Roman', serif;">are made </i><i style="font-family: Georgia, 'Times New Roman', serif;">of Yin Qi and have a fixed location and pain, and have boundaries above and below, </i><i style="font-family: Georgia, 'Times New Roman', serif;">and edges to the right and left </i><span style="font-family: "georgia" , "times new roman" , serif;">[i.e. they have clearly defined borders]. </span><i style="font-family: Georgia, 'Times New Roman', serif;">Ju</i><span style="font-family: "georgia" , "times new roman" , serif;"> [masses] </span><i style="font-family: Georgia, 'Times New Roman', serif;">are made of Yang Qi and seem to start from nowhere, without a boundary above </i><i style="font-family: Georgia, 'Times New Roman', serif;">and below and with a moving pain."</i><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Abdominal masses are called Ji Ju [积 聚]. <i>Ji </i>indicates actual abdominal masses which </span><span style="font-family: "georgia" , "times new roman" , serif;">are immovable; if there is an associated pain, its location is fixed. These masses are </span><span style="font-family: "georgia" , "times new roman" , serif;">due to stasis of Blood. I call them "Blood masses". </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif;"><i>Ju</i> indicates abdominal masses which come and go, do not have a fixed location and </span><span style="font-family: "georgia" , "times new roman" , serif;">are movable; if there is an associated pain, it too comes and goes and changes </span><span style="font-family: "georgia" , "times new roman" , serif;">location. Such masses are due to stagnation of Qi. I call them "Qi masses". </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Actual abdominal lumps therefore pertain to the category of abdominal masses and </span><span style="font-family: "georgia" , "times new roman" , serif;">specifically Ji masses, and are due to Blood stasis. I call them “Blood masses”. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Another name for abdominal masses was <i>Zheng Jia</i> [癥瘕], <i>Zheng</i> being equivalent to </span><span style="font-family: "georgia" , "times new roman" , serif;"><i>Ji</i>, i.e. actual, fixed masses and <i>Jia </i>to <i>Ju</i>, i.e. non-substantial masses from stagnation </span><span style="font-family: "georgia" , "times new roman" , serif;">of Qi. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif;"><i>Zheng Jia</i> is normally used in referring to abdominal masses that generally occur </span><span style="font-family: "georgia" , "times new roman" , serif;">only in women; but they do occur in men as well, though rarely. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">The “Su Wen” in chapter 60 says: “<i>Diseases of the Ren Mai...in women are masses </i></span><i style="font-family: Georgia, 'Times New Roman', serif;">below the waist</i><span style="font-family: "georgia" , "times new roman" , serif;">." </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">In this context, the “Su Wen” uses the term <i>Jia-Ju</i>, i.e. non-substantial masses from </span><span style="font-family: "georgia" , "times new roman" , serif;">Qi stagnation.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">The "Prescriptions of the Golden Cabinet“ [<i>Jin Gui Yao Lue</i>] by Zhang Zhong Jing </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">says: "<i>Ji masses arise from the Yin organs and they cannot be moved; Ju masses arise </i></span><span style="font-family: "georgia" , "times new roman" , serif;"><i>from the Yang organs, they come and go, the pain has no fixed location, and they are </i></span><i style="font-family: Georgia, 'Times New Roman', serif;">easier to treat</i><span style="font-family: "georgia" , "times new roman" , serif;">."</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">The "General Treatise on the Aetiology and Symptoms of Diseases" (AD 610) says: </span><span style="font-family: "georgia" , "times new roman" , serif;">"<i>Abdominal masses are due to cold and heat not being regulated</i> [i.e. exposure to </span><span style="font-family: "georgia" , "times new roman" , serif;">extremes of weather], <i>irregular diet and stagnation of the Qi of the Yin organs. If </i></span><span style="font-family: "georgia" , "times new roman" , serif;"><i>they do not move they are called Zheng; if they are movable they are called Jia. "Jia" </i></span><span style="font-family: "georgia" , "times new roman" , serif;"><i>implies the meaning of "false": this is because these masses can come and go and are </i></span><i style="font-family: Georgia, 'Times New Roman', serif;">not actual masses</i><span style="font-family: "georgia" , "times new roman" , serif;">."</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
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<b style="font-family: Georgia, 'Times New Roman', serif;">Terminology</b><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Liu 瘤 tumour</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Zhong Liu 肿 瘤 tumour, cancer</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Shi Yong 石 痈 Stone Carbuncle, a condition described in the old books that could </span><span style="font-family: "georgia" , "times new roman" , serif;">correspond to some cancers</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Ai 癌 modern word for cancer</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Yan 岩 “rock”, a description of some tumours that are hard and that could correspond </span><span style="font-family: "georgia" , "times new roman" , serif;">to cancer</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Ji Ju (Nan Jing, 55) 积 聚 masses, described in chapter 55 of the Nan Jing</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">Zheng Jia 癥 瘕 gynaecological abdominal masses </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>Aetiology and pathology of cancer</b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><b><br /></b></span>
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<span style="font-family: "georgia" , "times new roman" , serif;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhwg8WII_iqWrQB8IZLU315uBHv2TaELhyXFWX9llXf-9oqjHF-KQmqSmWR9QDt9hcT5gShe4crB1BeW7lEwz_0P2tqZUy8JC7I091m_hqQgXG_lH9WIYqgWsHYh98WP5MONeVr8KRIKfg/s1600/Aetiology.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="165" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhwg8WII_iqWrQB8IZLU315uBHv2TaELhyXFWX9llXf-9oqjHF-KQmqSmWR9QDt9hcT5gShe4crB1BeW7lEwz_0P2tqZUy8JC7I091m_hqQgXG_lH9WIYqgWsHYh98WP5MONeVr8KRIKfg/s1600/Aetiology.jpg" width="320" /></a></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><b><br /></b></span>
<b style="font-family: Georgia, 'Times New Roman', serif;">Patterns</b><br />
<b style="font-family: Georgia, 'Times New Roman', serif;"><br /></b>
<span style="font-family: "georgia" , "times new roman" , serif;">The main patterns appearing in cancer are Blood stasis, Phlegm and Toxic Heat.</span><br />
<b style="font-family: Georgia, 'Times New Roman', serif;"><br /></b>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>Blood stasis</b>: abdominal masses, cancer of colon, carcinoma of breast, ovarian cancer.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>Phlegm</b>: brain tumour, breast carcinoma, lymphoma.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>Toxic Heat</b>: cancers that spread rapidly.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>Dampness</b>: skin cancer (only cancer characterized by Dampness).</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">NOTE: many types of cancer have both Blood stasis and Phlegm. Example: breast, colon, lung, prostate.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">That is why the combination of Blood stasis and Phlegm is particularly serious and, in a patient without cancer, it should be actively treated. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">The tongue is an important factor to diagnose the combination of Blood stasis and Phlegm.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Blood stasis: purple, stiff.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">Phlegm: swollen, sticky coating.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjoUwhq-_qYA5_kb1o7qMlmlmLNZYyTXJok8riDolxpmncAywdNMaUj3MKEO57iyDLG99DCGPo5_WuhiJ64Zmyqm2UISgd_FHSOZzchtLjMVaAK4-i5rcTiEVt6ImbOzOh2B0YqUBBftV8/s1600/Tongue1.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="230" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjoUwhq-_qYA5_kb1o7qMlmlmLNZYyTXJok8riDolxpmncAywdNMaUj3MKEO57iyDLG99DCGPo5_WuhiJ64Zmyqm2UISgd_FHSOZzchtLjMVaAK4-i5rcTiEVt6ImbOzOh2B0YqUBBftV8/s1600/Tongue1.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Purple, swollen</td></tr>
</tbody></table>
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQbq0QjPlCLWY-jriT-DEVRgNi8QgJRsBG0zccUsgwEtRTPbb_GzHn_mw9Rgllv9QXE1q-OL3_4r0nFhUiKkzgOIiduzwpKyUjCQxZdxj1QoWrGVcJJHJ1AmUHzEHyUMP_A-Jf4zwbDGo/s1600/Tongue2.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="294" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQbq0QjPlCLWY-jriT-DEVRgNi8QgJRsBG0zccUsgwEtRTPbb_GzHn_mw9Rgllv9QXE1q-OL3_4r0nFhUiKkzgOIiduzwpKyUjCQxZdxj1QoWrGVcJJHJ1AmUHzEHyUMP_A-Jf4zwbDGo/s1600/Tongue2.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Purple, swollen, sticky coating</td></tr>
</tbody></table>
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhb9G2IJfM9MqnhaFy4Kkb8Ay8Nn5Of8SrVwIYZzE0_Jv1d6CSjBXhFijSv_7xUMOfjPWAQKntZKcrMUaUswcmIM1PwRaBgWtRuVSnPcheGyFs_YpAXj4Nm7UPwoC8mous9gf5S0kyLPOE/s1600/Tongue3.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhb9G2IJfM9MqnhaFy4Kkb8Ay8Nn5Of8SrVwIYZzE0_Jv1d6CSjBXhFijSv_7xUMOfjPWAQKntZKcrMUaUswcmIM1PwRaBgWtRuVSnPcheGyFs_YpAXj4Nm7UPwoC8mous9gf5S0kyLPOE/s1600/Tongue3.jpg" width="315" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Purple, swollen</td></tr>
</tbody></table>
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgT7DOS6lhZD0NQ-4z9cMIpfAtdPZBd8i7BVGfHBtNK5b54IHct9OwmxYGJqaMpKRFzCs4e1AjWBVbWGdUFThg6ic0hCiDmgRZXv-O_cG4DtAHIF-BOpGy7pJqnoHkh0v85AgwVOzlj3oE/s1600/Tongue4.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="290" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgT7DOS6lhZD0NQ-4z9cMIpfAtdPZBd8i7BVGfHBtNK5b54IHct9OwmxYGJqaMpKRFzCs4e1AjWBVbWGdUFThg6ic0hCiDmgRZXv-O_cG4DtAHIF-BOpGy7pJqnoHkh0v85AgwVOzlj3oE/s1600/Tongue4.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Purple, swollen</td></tr>
</tbody></table>
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>TREATMENT STRATEGIES</b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">a) DIFFERENCE BETWEEN CANCER AND OTHER DISEASES: UNDERLYING QI XU</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">b) IDENTIFICATION OF PATTERNS IS BASIS OF TREATMENT BUT NOT ENOUGH</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">c) DIFFERENT APPROACH TO TREATMENT</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">d) INTEGRATE CHINESE DIAGNOSIS WITH WESTERN DIAGNOSIS</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">e) INTEGRATE CHINESE WITH WESTERN TREATMENT</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">f) NOT ALL CANCERS ARE THE SAME CHINESE DISEASE</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>a) UNDERLYING QI XU</b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Cancer is seen differently than any other disease as we can always assume there is an underlying Qi Xu. I mean “Qi” in a general sense of Zheng Qi, therefore including Qi, Yang, Blood or Yin Xu. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">In other diseases, we never assume that there is a Qi Xu. We can assume there is a situation of Qi Xu in cancer as this develops over a long period of time from accumulation of Qi, Blood, Phlegm which cannot occur without an underlying Qi Xu. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Another important difference is that in cancer, the disease itself consumes Qi.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Please note that, just because there is Qi Xu, it does not mean that we tonify Zheng Qi in all cases of cancer. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>b) IDENTIFICATION OF PATTERNS IS BASIS OF TREATMENT BUT NOT ENOUGH</b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">We cannot treat cancer without a pattern differentiation as we do in any other disease. However, pattern identification alone is not enough in cancer.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">One reason is that we can assume there is always Zheng Qi Xu while we should never make such assumptions in other diseases.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Another difference is that the choice of herbs is guided not only by pattern differentiation but also by modern research on anti-cancer effect.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Another factor is surgery for cancer. After surgery for cancer, we cannot entirely diagnose from a Chinese perspective. For example, in breast lumps (benign or malignant) we diagnose from palpation (Phlegm or Blood stasis): this is obviously no longer possible after surgery.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>c) DIFFERENT APPROACH TO TREATMENT</b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">The first difference is that in cancer we can assume that there is a deficiency of Zheng Qi and therefore we must use some tonics in every case. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">The second important difference is that the choice of herbs is guided also by modern research. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">The third important difference is in the treatment principle according to stage of disease. In other diseases, generally in the beginning stage one expels pathogenic factors and in the late stage one tonifies. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">It is the opposite in cancer, i.e. in the beginning stage one primarily tonifies and in the late stage one primarily expels pathogenic factors.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">The emphasis is in the word “primarily” as one always adopts both approaches in each stage. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">An example of another disease might be MS. In the beginning stages, there is invasion of Dampness and the treatment principle is therefore to eliminate Dampness. If the disease progresses, there will be deficiency of Stomach and Spleen and, later, deficiency of Yin of Liver and Kidneys. In late stages therefore one must tonify Zheng Qi.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">In cancer, the beginning stage is characterized by deficiency of Zheng Qi (without which there would not be cancer) and one should therefore primarily tonify to prevent the cancer from growing and spreading. In late stages, the pathology of cancer is characterized by strong pathogenic factors, i.e. Blood stasis, Phlegm and Toxic Heat. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">I repeat, the stress is on the word “primarily” as we always adopt both treatments, i.e. tonify Zheng Qi and expel pathogenic factors but in different proportions according to stage. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><span class="Apple-tab-span" style="white-space: pre;"> </span> BEGINNING STAGE LATE STAGE</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">OTHER DISEASES<span class="Apple-tab-span" style="white-space: pre;"> </span>Expel pathogenic factor Tonify Zheng Qi</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">CANCER<span class="Apple-tab-span" style="white-space: pre;"> </span> Tonify Zheng Qi<span class="Apple-tab-span" style="white-space: pre;"> </span> Expel pathogenic factors</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>d) INTEGRATE CHINESE DIAGNOSIS WITH WESTERN DIAGNOSIS</b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">This is of course very obvious. We should never rely on palpation and a Chinese diagnosis in breast lumps, for example. The same applies to any other cancer. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Another example would be that of prostate cancer. If a man has urinary retention, we should never treat that without a prostate biopsy to ascertain whether there is carcinoma. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Western diagnosis also presents us with new opportunities that ancient Chinese doctors would not have had. For example, when cervical dysplasia is diagnosed with a Pap smear test, we can treat that (usually very successfully) before it may turn into cervical cancer. </span><br />
<b><span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">e) INTEGRATE CHINESE WITH WESTERN TREATMENT</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">In most cases, we need to integrate our treatment with Western treatment, i.e. chemotherapy, radiotherapy and surgery.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">The only times I used only Chinese treatment was when the patient themselves were strongly against Western treatment. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">During chemotherapy and radiotherapy, our attention is not directed at treating the cancer but only at supporting Zheng Qi during such treatments.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">After chemotherapy and radiotherapy, we should make a clear diagnosis as to whether there are still strong pathogenic factors or not in order to decide whether we should primarily tonify or primarily expel pathogenic factors. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><b><br /></b></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><b>f) NOT ALL CANCERS ARE THE SAME CHINESE DISEASE</b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Besides doing a pattern identification [<i>Bian Zheng</i>] we must also identify the disease [<i>Bian Bing</i>] as cancer manifests with a wide variety of Chinese “diseases”. Thus we must be familiar with the aetiology and pathology of the Chinese disease with which cancer manifests. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Thus, although we must treat cancer differently than other diseases, we must also master the aetiology and pathology of the Chinese disease corresponding to the particular type of cancer we are treating. That will give us many indications as to treatment, choice of prescriptions and useful herbs. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">The following Tables illustrate the correspondence between Chinese diseases and types of cancer. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">ZANG TUMOURS</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif;">LOCATION<span class="Apple-tab-span" style="white-space: pre;"> </span>CHINESE<span class="Apple-tab-span" style="white-space: pre;"> </span>PINYIN<span class="Apple-tab-span" style="white-space: pre;"> </span> MEANING<span class="Apple-tab-span" style="white-space: pre;"> </span> POSSIBLE CANCER</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">Liver<span class="Apple-tab-span" style="white-space: pre;"> </span> 干 积<span class="Apple-tab-span" style="white-space: pre;"> </span> Gan Ji<span class="Apple-tab-span" style="white-space: pre;"> </span> Liver accumulation<span class="Apple-tab-span" style="white-space: pre;"> </span> Liver carcinoma</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">Spleen<span class="Apple-tab-span" style="white-space: pre;"> </span> 脾 积<span class="Apple-tab-span" style="white-space: pre;"> </span> Pi Ji<span class="Apple-tab-span" style="white-space: pre;"> </span> Spleen accumulation<span class="Apple-tab-span" style="white-space: pre;"> </span> Carcinoma of pancreas</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">Lung<span class="Apple-tab-span" style="white-space: pre;"> </span> 肺 积<span class="Apple-tab-span" style="white-space: pre;"> </span> Fei Ji<span class="Apple-tab-span" style="white-space: pre;"> </span> Lung accumulation<span class="Apple-tab-span" style="white-space: pre;"> </span> Lung cancer</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">Kidney<span class="Apple-tab-span" style="white-space: pre;"> </span> 肾岩<span class="Apple-tab-span" style="white-space: pre;"> </span> Shen Yan Kidney cancer (“rock”) Kidney cancer</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"></span><br />
<br />
<span style="font-family: "georgia" , "times new roman" , serif;">FU TUMOURS</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">CHINESE<span class="Apple-tab-span" style="white-space: pre;"> </span>PINYIN<span class="Apple-tab-span" style="white-space: pre;"> </span> MEANING<span class="Apple-tab-span" style="white-space: pre;"> </span> POSSIBLE CANCER</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">胃 反<span class="Apple-tab-span" style="white-space: pre;"> </span> Wei Fan<span class="Apple-tab-span" style="white-space: pre;"> </span> Stomach rebellious <span class="Apple-tab-span" style="white-space: pre;"> </span> Liver carcinoma</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">噎 膈<span class="Apple-tab-span" style="white-space: pre;"> </span> Ye Ge<span class="Apple-tab-span" style="white-space: pre;"> </span> Dysphagia<span class="Apple-tab-span" style="white-space: pre;"> </span> Carcinoma of pancreas</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">脑 沙<span class="Apple-tab-span" style="white-space: pre;"> </span> Nao Sha<span class="Apple-tab-span" style="white-space: pre;"> </span> Brain “Sand”<span class="Apple-tab-span" style="white-space: pre;"> </span> Lung cancer</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">鎖 肛 痔<span class="Apple-tab-span" style="white-space: pre;"> </span> Suo Gang Zhi<span class="Apple-tab-span" style="white-space: pre;"> </span> Haemorrhoids<span class="Apple-tab-span" style="white-space: pre;"> </span> Kidney cancer</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">积聚<span class="Apple-tab-span" style="white-space: pre;"> </span> Ji Ju<span class="Apple-tab-span" style="white-space: pre;"> </span>Masses<span class="Apple-tab-span" style="white-space: pre;"> </span> </span><span style="font-family: "georgia" , "times new roman" , serif;">Abdominal masses</span><span class="Apple-tab-span" style="font-family: "georgia" , "times new roman" , serif; white-space: pre;"> </span> <span style="font-family: "georgia" , "times new roman" , serif;">Gynaecological masses</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">腸 痰<span class="Apple-tab-span" style="white-space: pre;"> </span> Chang Tan<span class="Apple-tab-span" style="white-space: pre;"> </span> Intestines Phlegm<span class="Apple-tab-span" style="white-space: pre;"> </span> Colon cancer (ovarian cancer)</span><br />
<div>
<br /></div>
<span style="font-family: "georgia" , "times new roman" , serif;"></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif;">CHANNEL TUMOURS</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">CHINESE<span class="Apple-tab-span" style="white-space: pre;"> </span>PINYIN<span class="Apple-tab-span" style="white-space: pre;"> </span> MEANING<span class="Apple-tab-span" style="white-space: pre;"> </span> POSSIBLE CANCER</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">瘰 疬<span class="Apple-tab-span" style="white-space: pre;"> </span> Luo Li<span class="Apple-tab-span" style="white-space: pre;"> </span> Scrofula<span class="Apple-tab-span" style="white-space: pre;"> </span> Lymphoma</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">痰 結<span class="Apple-tab-span" style="white-space: pre;"> </span> Tan Jie<span class="Apple-tab-span" style="white-space: pre;"> </span> Phlegm accumulation Lymphoma (lipoma)</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">石 疔<span class="Apple-tab-span" style="white-space: pre;"> </span> Shi Ding<span class="Apple-tab-span" style="white-space: pre;"> </span> Stone Boil<span class="Apple-tab-span" style="white-space: pre;"> </span> Skin cancer</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">肉 痳<span class="Apple-tab-span" style="white-space: pre;"> </span> Rou Lin<span class="Apple-tab-span" style="white-space: pre;"> </span> Lumps under skin<span class="Apple-tab-span" style="white-space: pre;"> </span> Lymphoma (lipoma)</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">石 廮<span class="Apple-tab-span" style="white-space: pre;"> </span> Shi Ying<span class="Apple-tab-span" style="white-space: pre;"> </span> Stone Goitre<span class="Apple-tab-span" style="white-space: pre;"> </span> Carcinoma of thyroid</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">妒 乳<span class="Apple-tab-span" style="white-space: pre;"> </span> Du Ru<span class="Apple-tab-span" style="white-space: pre;"> </span> “Jealous Breast”<span class="Apple-tab-span" style="white-space: pre;"> </span> Breast carcinoma</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">失 榮<span class="Apple-tab-span" style="white-space: pre;"> </span> Shi Rong<span class="Apple-tab-span" style="white-space: pre;"> </span> Loss of Lustre (neck lump)<span class="Apple-tab-span" style="white-space: pre;"> </span>Lymphoma, sarcoma</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">石 阻<span class="Apple-tab-span" style="white-space: pre;"> </span> Shi Zu<span class="Apple-tab-span" style="white-space: pre;"> </span> Stone Obstruction<span class="Apple-tab-span" style="white-space: pre;"> </span> Skin cancer</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">恶 核<span class="Apple-tab-span" style="white-space: pre;"> </span> E He<span class="Apple-tab-span" style="white-space: pre;"> </span> Obstinate Nodule<span class="Apple-tab-span" style="white-space: pre;"> </span> Lymphoma</span><br />
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OTHER TUMOURS</div>
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CHINESE<span class="Apple-tab-span" style="white-space: pre;"> </span>PINYIN<span class="Apple-tab-span" style="white-space: pre;"> </span> MEANING<span class="Apple-tab-span" style="white-space: pre;"> </span> POSSIBLE CANCER</div>
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勞 瘵<span class="Apple-tab-span" style="white-space: pre;"> </span> Lao Zhai<span class="Apple-tab-span" style="white-space: pre;"> </span> Consumption Disease<span class="Apple-tab-span" style="white-space: pre;"> </span> Late stage of any cancer</div>
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虛 勞<span class="Apple-tab-span" style="white-space: pre;"> </span> Xu Lao<span class="Apple-tab-span" style="white-space: pre;"> </span> Exhaustion<span class="Apple-tab-span" style="white-space: pre;"> </span> Late stage of any cancer</div>
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熱 癆<span class="Apple-tab-span" style="white-space: pre;"> </span> Re Lao<span class="Apple-tab-span" style="white-space: pre;"> </span> Heat Exhaustion<span class="Apple-tab-span" style="white-space: pre;"> </span> Leukemia</div>
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骨 癆<span class="Apple-tab-span" style="white-space: pre;"> </span> Gu Lao<span class="Apple-tab-span" style="white-space: pre;"> </span> Bone Consumption<span class="Apple-tab-span" style="white-space: pre;"> </span> Bone cancer</div>
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喉 痹<span class="Apple-tab-span" style="white-space: pre;"> </span> Hou Bi<span class="Apple-tab-span" style="white-space: pre;"> </span> Throat Bi<span class="Apple-tab-span" style="white-space: pre;"> </span> Throat cancer</div>
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膈 肿<span class="Apple-tab-span" style="white-space: pre;"> </span> Ge Zhong<span class="Apple-tab-span" style="white-space: pre;"> </span> Diaphragm swelling<span class="Apple-tab-span" style="white-space: pre;"> </span>Carcinoma oesophagus</div>
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石 瘕<span class="Apple-tab-span" style="white-space: pre;"> </span> Shi Jia<span class="Apple-tab-span" style="white-space: pre;"> </span> Stone Masses<span class="Apple-tab-span" style="white-space: pre;"> </span> Carcinoma uterus</div>
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<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif;"><b>APPROACH TO TREATMENT AFTER WESTERN TREATMENT </b></span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;">It is important to have a clear idea how to approach the treatment of a patient after he or she has had Western treatment (chemotherapy, radiotherapy or surgery) as we will see very many patients after such treatment. </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;">The approach depends on the type of treatment they had. Basically, one must decide whether we should primarily tonify the Zheng Qi with the aim of preventing recurrence of the cancer or whether we should still primarily expel pathogenic factors in spite of the Western treatment received. </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;">For example, if a woman had breast cancer from Phlegm and she had a mastectomy, does it make sense to still resolve Phlegm? In some cases, yes. I choose the treatment principle a lot according to tongue and pulse. If the tongue and pulse show a Full condition, then I primarily expel pathogenic factors, but always with the addition of herbs to tonify Zheng Qi and support the immune system.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Tongues indicating a primarily Full conditions: swollen, thick coating, purple, stiff.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Tongues indicating a primarily Empty condition: not so purple, not swollen, thin coating or no coating. </span><br />
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgvp2GwylWMU3J97r_D_XzDA19XkhT0ehTVru1pR8n9n1yU72OpbfogfqoEh3GDPhafcbxHKHNaG5f14xgvIZxtWnXr4Lgd_4I2Ob2EQDEI81FKRIc8XbwNmWhUL1OVXjyfsKQeTE2vsw/s1600/Tongue6.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgvp2GwylWMU3J97r_D_XzDA19XkhT0ehTVru1pR8n9n1yU72OpbfogfqoEh3GDPhafcbxHKHNaG5f14xgvIZxtWnXr4Lgd_4I2Ob2EQDEI81FKRIc8XbwNmWhUL1OVXjyfsKQeTE2vsw/s1600/Tongue6.jpg" width="303" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Purple, thick coating</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhVa7vtiBhJKDJmRbuNbfrhXoOoruwfUEv3pl77HWG3vYL99pjfwYTvMp5XbIf48nRFLxJh-0OUovVZyQjIDlmEcSECBbs4iUrYD2T1HZNQfaw3eQL4kRuHXgbA0lN6dx5Zrref6MoWan4/s1600/Tongue7.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="293" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhVa7vtiBhJKDJmRbuNbfrhXoOoruwfUEv3pl77HWG3vYL99pjfwYTvMp5XbIf48nRFLxJh-0OUovVZyQjIDlmEcSECBbs4iUrYD2T1HZNQfaw3eQL4kRuHXgbA0lN6dx5Zrref6MoWan4/s1600/Tongue7.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Purple, swollen</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHxPu6ROFrTPTjVk3RTztHZMVhUD4KfQHXXaRsQYWgGnUQ0qI8zlJgRgotSOcoG8-bB1N-VLtck2HzXwjXfdphyphenhyphenTW7jcSMAzv6O6z84iu3_RiTFMIlV5fESpWdkSY5HH1cbr67TG2yojI/s1600/tongue8.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHxPu6ROFrTPTjVk3RTztHZMVhUD4KfQHXXaRsQYWgGnUQ0qI8zlJgRgotSOcoG8-bB1N-VLtck2HzXwjXfdphyphenhyphenTW7jcSMAzv6O6z84iu3_RiTFMIlV5fESpWdkSY5HH1cbr67TG2yojI/s1600/tongue8.jpg" width="299" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Red, thick-dry coating</td></tr>
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<span style="font-family: "georgia" , "times new roman" , serif;">A pulse indicating a Full condition is Full, Slippery or Wiry and possibly Rapid.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">A pulse indicating an Empty condition is Weak, Fine or Choppy. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Thus, if the tongue and pulse indicate a primarily Full condition, I treat the patient as if they still had the cancer.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">How to choose the herbal formula? First of all, I refer to the Chinese disease corresponding to that type of cancer in order to see if there is a Chinese formula that can be adapted to the patient. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Apart from the Chinese disease, the formula must also be based on the pattern: therefore a good pattern identification is essential.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">I then modify the formula is three ways:</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span><span style="font-family: "georgia" , "times new roman" , serif;">1) Make additions or subtractions according to the patient’s condition in the same way as I would for any disease. </span><br />
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<span style="font-family: "georgia" , "times new roman" , serif;">2) </span><span style="font-family: "georgia" , "times new roman" , serif;">Add 2-3 herbs that have a proven anti-cancer effect according to modern research. Is there herbs also treat the presenting pattern, even better. For example, Huang Yao Zi has an anti-cancer effect and resolves Phlegm: we would therefore choose that herb if there is Phlegm.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">3) </span><span style="font-family: "georgia" , "times new roman" , serif;">Add 2-3 herbs that tonify Zheng Qi and stimulate the immune system. If they also have an anti-cancer effect, all the better. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
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<span style="font-family: "georgia" , "times new roman" , serif;"><b>APPROACH TO TREATMENT DURING CHEMOTHERAPY AND RADIOTHERAPY TREATMENT</b></span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">During treatment with chemotherapy and radiotherapy, I do not treat the patterns, but only tonify Zheng Qi in order to support the organism during this treatment.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">For chemotherapy, I use the <i>Three Treasures</i> remedy<i> Chemo-Support</i> and for radiotherapy <i>Radio-Support</i>. The treatment principle of<i> Chemo-Support</i> is to tonify Zheng Qi, resolve Dampness and clear Heat. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">For radiotherapy, I use the <i>Three Treasures</i> remedy <i>Radio-Support</i>. The treatment principle of Radio-Support is to nourish, cool and invigorate Blood. </span><br />
<br />
<span style="font-family: "georgia" , "times new roman" , serif;">More information on <i>Chemo-Support</i> can be found on: </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">http://www.three-treasures.com/newsletters/summer05.html</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">More information on<i> Radio-Support</i> can be found on: </span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">http://www.three-treasures.com/newsletters/winter00.html</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">More information on chemotherapy and antioxidants can be found on:</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;">http://www.three-treasures.com/newsletters/spring10.html</span><br />
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif;">Please note that the effects of radiotherapy can be long-lasting and I therefore advocate using Radio-Support for at least 9 months after the end of the treatment. </span><br />
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Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-62035585528233042112014-07-12T02:23:00.000-07:002014-07-12T02:23:44.819-07:00THE SIDES OF THE TONGUE<div class="separator" style="clear: both; text-align: center;">
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As the previous blog on the chest/breast area of the tongue has aroused some questions about the sides of the tongue, I would like to clarify some diagnostic aspects of the sides of the tongue.<br />
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Of course the sides of the tongue reflect the state of the Liver but there are circumstances when they reflect the state of the Spleen.<br />
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The area on the sides reflecting the Liver is long and rather narrow. By “long” I mean that it extends almost from the root to near the tip. A redness of this area is very common and it indicates Liver-Heat. <br />
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<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZK34juv6lRUcKOWffQLV0_-EGKW3UqO_3D_Aal2JcvBziao_bDQUCmd4NMokl9-s_jMSpesqQ79FFirvyJUik7Crhcx2LLgTFLH5oIoAR647sQqE4gB0_TQW1HgfSADb0WJbSE7trhc8/s1600/Liver-sides.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZK34juv6lRUcKOWffQLV0_-EGKW3UqO_3D_Aal2JcvBziao_bDQUCmd4NMokl9-s_jMSpesqQ79FFirvyJUik7Crhcx2LLgTFLH5oIoAR647sQqE4gB0_TQW1HgfSADb0WJbSE7trhc8/s1600/Liver-sides.jpg" height="196" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Liver areas</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbNjr816eXoJLZM-M8FGlhfQIW4mj9lHnGkLG1SGrm9tvh_vi7nad4KN2Cj958g8eOLS315VzpAowDKr6zfIxyBpowR9lE4TA_SAZr6kOtl7_KX_5jwQKmrVGRgMaAF5CguvInuEDxbnw/s1600/Liver-sides-2.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbNjr816eXoJLZM-M8FGlhfQIW4mj9lHnGkLG1SGrm9tvh_vi7nad4KN2Cj958g8eOLS315VzpAowDKr6zfIxyBpowR9lE4TA_SAZr6kOtl7_KX_5jwQKmrVGRgMaAF5CguvInuEDxbnw/s1600/Liver-sides-2.jpg" height="170" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Red sides, Liver area</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiA3HP8cPaszT0_92Pzxxpudxm1xcgx6l3DsiyRdP79xRPqj95LcyS2Rdx8J_bbNlIfC_k3SvWNReuW7Qb9z0Su9f4YobNFBVnC577x0mVxRAhvWzEsOECPWC1SkFJs4dEehKsH8vpdxdo/s1600/Liver-sides-3.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiA3HP8cPaszT0_92Pzxxpudxm1xcgx6l3DsiyRdP79xRPqj95LcyS2Rdx8J_bbNlIfC_k3SvWNReuW7Qb9z0Su9f4YobNFBVnC577x0mVxRAhvWzEsOECPWC1SkFJs4dEehKsH8vpdxdo/s1600/Liver-sides-3.jpg" height="200" width="178" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Swollen sides, Liver area</td></tr>
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The area on the sides reflecting the Spleen differs from that reflecting the Liver in two ways:<br />
1) it is less long, being concentrated in the middle section of the tongue (Middle Burner);<br />
2) it is wider. <br />
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A common change in this area is a swelling which indicates Dampness in the Spleen. It also is often pale, indicating Spleen deficiency. If it is pale and swollen it indicates Spleen-Qi deficiency leading to Dampness. The Spleen area may also be red indicating Spleen-Heat.<br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLUk1xqURLOjsIG4cFQo9naDDhc8-upbU8D_Yf3Da3n1z7-X1vys0VvIOhHhXyWCLnRxK3jtAfoHMroHBpAXX5WSmTmI38advvTQPXIexvfB7UTHIM-s84D0zZ7luWVAMKLhIYAkl6Hlg/s1600/Spleen-sides.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLUk1xqURLOjsIG4cFQo9naDDhc8-upbU8D_Yf3Da3n1z7-X1vys0VvIOhHhXyWCLnRxK3jtAfoHMroHBpAXX5WSmTmI38advvTQPXIexvfB7UTHIM-s84D0zZ7luWVAMKLhIYAkl6Hlg/s1600/Spleen-sides.jpg" height="200" width="196" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Spleen areas<br /></td></tr>
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<tr><td style="text-align: center;"><br /><br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiOLYDxrgbwIgbOjRuJo9IAgY6WRiEys3Xw3Oarmr348VFs-MuNsa2n_TdTlbpDxfBTHiWvwLvMNJyhopiHRAiG1SfofZjllN4Ugv7q9rAH12CGN9tWK9J3Kq9yZBNi9PkJSLwS7c-ipfM/s1600/Spleen-sides-4.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto; text-align: center;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiOLYDxrgbwIgbOjRuJo9IAgY6WRiEys3Xw3Oarmr348VFs-MuNsa2n_TdTlbpDxfBTHiWvwLvMNJyhopiHRAiG1SfofZjllN4Ugv7q9rAH12CGN9tWK9J3Kq9yZBNi9PkJSLwS7c-ipfM/s1600/Spleen-sides-4.jpg" height="157" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Spleen areas</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDr0X0ujiGi8w9EEOUINl3qgt5tDVCUm0dnt9LaF23lrobYjoHAreueFe7Z7wUpaBrDtoug4GsZod92ExxGi-l73mHPxXSNtVV24v1oqPJ-OP2ksPQprkBbx7wXvDmDNK2mnNSMMSs_ss/s1600/Spleen-sides-2.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDr0X0ujiGi8w9EEOUINl3qgt5tDVCUm0dnt9LaF23lrobYjoHAreueFe7Z7wUpaBrDtoug4GsZod92ExxGi-l73mHPxXSNtVV24v1oqPJ-OP2ksPQprkBbx7wXvDmDNK2mnNSMMSs_ss/s1600/Spleen-sides-2.jpg" height="200" width="165" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Swelling Spleen areas</td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSguz8s7PSiBCZAtTynt4jnirhSvd5v2NuNXdcLbfJu_tnhwZ149j7_3k69MIVvYx_KveARtnB8doidbCgQ1r9GQGYCrUCiCPtr7l-Y5KHxEuaCX97oWIfXNIbssptt0nqRUxqZQ5fbtQ/s1600/Spleen-sides-3.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSguz8s7PSiBCZAtTynt4jnirhSvd5v2NuNXdcLbfJu_tnhwZ149j7_3k69MIVvYx_KveARtnB8doidbCgQ1r9GQGYCrUCiCPtr7l-Y5KHxEuaCX97oWIfXNIbssptt0nqRUxqZQ5fbtQ/s1600/Spleen-sides-3.jpg" height="172" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Redness Spleen areas</td></tr>
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Compare this redness on the sides with the redness in the Liver areas above (first picture)<br />
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The chest/breast/ area is completely different being confined to a relatively small area between the middle section of the tongue and the tip.<br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxsgo4MKZrzip-AjcT0geDcIpN7PyKBb7nuvIKIZON5sD-GK0yb9rV-csSqwGtFs4WWHSznWXJSkpmBZeQO7O9_TrZDZepqZFIclRrHN24g63trJ-BOl7c1QkWVZ5COAvOCTDF2r8WNn8/s1600/Chest-area.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxsgo4MKZrzip-AjcT0geDcIpN7PyKBb7nuvIKIZON5sD-GK0yb9rV-csSqwGtFs4WWHSznWXJSkpmBZeQO7O9_TrZDZepqZFIclRrHN24g63trJ-BOl7c1QkWVZ5COAvOCTDF2r8WNn8/s1600/Chest-area.jpg" height="200" width="192" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Chest/breast areas</td></tr>
</tbody></table>
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Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-5000230994005547902014-07-09T09:12:00.001-07:002014-07-09T09:12:41.290-07:00CHEST/BREAST AREA OF THE TONGUEThe “chest/breast” area is on the sides of the tongue, between the centre part and the tip.<br />
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The chest area reflects a pathology of three organs: heart or lungs in men and women or breast in women.<br />
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The chest area reflects pathologies of the lungs, heart or breast but in a Western medical sense. A change in the chest area may involve a change in colour or body shape. In women, how to differentiate when a change in the chest area indicates a problem of the lungs or heart or of the breasts? In women, a change in the chest area indicates a pathology of the breast rather that of lungs/heart when two conditions are fulfilled:<br />
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1) In the absence of an obvious lungs/heart pathology<br />
2) Especially when it is unilateral<br />
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Thus:<br />
Men: lung, heart<br />
Women: lung, heart, breast<br />
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Examples of lung pathology manifesting in the chest area are chronic asthma or chronic emphysema (in which case the chest area would be swollen and possibly purple). An example of heart pathology is chronic coronary heart disease (in which case the chest area would be purple).<br />
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As the area on the sides between the centre and the tip reflects the condition of heart/ lungs/ breast, I call this the “chest area”.<br />
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Changes in this area to look for are:<br />
1) Changes in colour (usually purple or red)<br />
2) Changes in body shape (usually swollen or with teeth marks)<br />
3) Red points<br />
4) Lack of coating<br />
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In women, a purple colour in the breast area indicates Blood stasis in the breast. Blood stasis in the breast may cause masses such as fibroadenoma or carcinoma. <br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhErothILUc7Er_J1XVBzie5EgzefIECDapb4JEs_ioVGlWnU-vYE819gdiR76-blcQfmAD6D8NQfCRiVviwTP-QYQ-s6_Q-zC7FwQ3-Dwv-L2ApRRU_02c2pFFv7mNHQn34hzTTKG-O_Q/s1600/Breast-Blog-6.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhErothILUc7Er_J1XVBzie5EgzefIECDapb4JEs_ioVGlWnU-vYE819gdiR76-blcQfmAD6D8NQfCRiVviwTP-QYQ-s6_Q-zC7FwQ3-Dwv-L2ApRRU_02c2pFFv7mNHQn34hzTTKG-O_Q/s1600/Breast-Blog-6.jpg" height="200" width="195" /></a></div>
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Purple breast area left side<br />
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Purple breast area both sides<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlFWTQiyvS68uhf2Hh2t3sriJoFo6-ZN8r_JwQtez4stxhWPdvUjZ-tPK4BcojuP_3I2l5i4wMlC4liqPZXMc8OMldbxxllB-LjzhFSH3TGpZ_E_gUB0JrnL8yInam1VDPbUhGDqDRkdU/s1600/Breast-Blog-15.jpg.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlFWTQiyvS68uhf2Hh2t3sriJoFo6-ZN8r_JwQtez4stxhWPdvUjZ-tPK4BcojuP_3I2l5i4wMlC4liqPZXMc8OMldbxxllB-LjzhFSH3TGpZ_E_gUB0JrnL8yInam1VDPbUhGDqDRkdU/s1600/Breast-Blog-15.jpg.png" height="200" width="176" /></a></div>
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Purple breast area left side (also without coating)<br />
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Although we should never assume that a purple colour in the breast area indicates carcinoma of the breast, we should always take it seriously and treat it by invigorating Blood in the breast.<br />
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In case of carcinoma of the breast, there is a correlation between the purple colour of the breast area and the prognosis: the darker this area, the worse the prognosis.<br />
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If the breast area on the tongue is purple in women who have not been diagnosed with breast cancer, this sign may indicate a tendency towards the disease before any symptoms manifest; for this reason, observation of the chest/breast area in women is particularly relevant. When I do tongue diagnosis in a woman, I always check the chest/breast area carefully.<br />
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Apart from a purple colour, other possible changes in the chest area are teeth marks that are confined only to the chest area, red points, the absence of coating in the chest area and a swelling.<br />
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In women, teeth marks only in the chest area indicate usually a problem in the breast (possible carcinoma) occurring against a background of severe Qi deficiency.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidUOU9y7dS0M6d87gcEDg_zFhyphenhypheneQ61imtF6g4JPU_mDgEgkDDMEPCQEocbbM4ptjSHb-xzIXmbdA8lA0GL6VdhPMrRkUvyTHGdj5DCLN6SyfRbrEyXt4e39LXhbh_S_tbN7J-nICjiyuU/s1600/Breast-Blog-8.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidUOU9y7dS0M6d87gcEDg_zFhyphenhypheneQ61imtF6g4JPU_mDgEgkDDMEPCQEocbbM4ptjSHb-xzIXmbdA8lA0GL6VdhPMrRkUvyTHGdj5DCLN6SyfRbrEyXt4e39LXhbh_S_tbN7J-nICjiyuU/s1600/Breast-Blog-8.jpg" height="200" width="172" /></a></div>
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Teethmarks breast area right side<br />
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Red points in the chest area indicate Toxic Heat in the lungs or breast.<br />
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Red points chest/breast area right side<br />
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In women, an absence of coating in the chest/breast area indicates a possible problem in the breast occurring against a background of Yin deficiency.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiVoCZKdgq5OZbbdUPFDqQ23NQsk6HBrkH3DH6bK-6w6mmWvHw7NT8akE_ABxwlWpuO58Xwo9Kcp_P-Qk7j9yj6sihO8u99-eOUdmJDTrQR6ZWvOvOq21XMLEwiJwd60Eg7Y6J2wnHj8Zg/s1600/Breast-Blog-3.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiVoCZKdgq5OZbbdUPFDqQ23NQsk6HBrkH3DH6bK-6w6mmWvHw7NT8akE_ABxwlWpuO58Xwo9Kcp_P-Qk7j9yj6sihO8u99-eOUdmJDTrQR6ZWvOvOq21XMLEwiJwd60Eg7Y6J2wnHj8Zg/s1600/Breast-Blog-3.jpg" height="200" width="190" /></a></div>
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No coating breast area left side<br />
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No coating breast area left side<br />
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No coating breast area left side<br />
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In women, a swelling in the breast area indicates Phlegm in the breast (which may cause fibrocystic disease or also contribute to the development of carcinoma of the breast).<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSuE1d5oOGuUoTjBeBvip9X2jkTecAfBPs5ALyBe7MmXEwmYExqOQNdOr15IBcy9dD1qUAz2wEnOpyDTSUye7tb5bNN3O5rKRDvM236FDs_fNPS7-1vKPoPPYR47UA2wgBmzYGFILjvCA/s1600/Breast-Blog-11.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSuE1d5oOGuUoTjBeBvip9X2jkTecAfBPs5ALyBe7MmXEwmYExqOQNdOr15IBcy9dD1qUAz2wEnOpyDTSUye7tb5bNN3O5rKRDvM236FDs_fNPS7-1vKPoPPYR47UA2wgBmzYGFILjvCA/s1600/Breast-Blog-11.jpg" height="161" width="200" /></a></div>
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Swelling breast area both sides<br />
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The <i>Women's Treasure</i> remedy <i>Clear the Moon</i> resolves Phlegm and invigorates Blood in the breast. <br />
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<a href="http://www.three-treasures.com/manual/womens_treasure/page1.html#clearmoon" target="_blank">Clear the Moon</a><br />
<br />Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-59323331067377990482014-06-08T18:10:00.001-07:002016-01-27T10:52:47.197-08:00SPLEEN-YIN DEFICIENCY<span style="font-size: large;">When we study the pathology of the Internal Organs, for the Spleen, we generally emphasize Spleen-Qi and Spleen-Yang deficiency. This is understandable as these two patterns are indeed extremely common. By contrast, when it comes to the Stomach, we do mention Stomach-Yin deficiency. In fact, some people say that this is a well-known contradiction: the Stomach is a Yang organ but it suffers from Yin deficiency while the Spleen is a Yin organ but it suffers from Yang deficiency.</span><br />
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<span style="font-size: large;">All this is true, but in this article, I want to discuss the aetiology, pathology, diagnosis and treatment of Spleen-Yin deficiency. </span><br />
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<b><span style="font-size: large;">Historical development</span></b><br />
<span style="font-size: large;">Although we nowadays emphasize Spleen-Yang deficiency, some of the old classics did often mention Spleen-Yin deficiency. For example, the Su Wen in chapter 3 says that the excessive use of bitter foods or </span><span style="font-size: large;">herbs causes Spleen-Qi not to be “immersed”. Modern doctors interpret “Spleen-Qi not immersed” as Spleen-Yin deficiency. </span><br />
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<span style="font-size: large;">Doctor Wang Lun Ti (Ming dynasty) said that Stomach-Fire may injure Spleen-Yin. Qin Huang Shi (1706) says in Zheng Yin Mai Zhi: “<i>The Spleen may be deficient in Yang or Yin: in Spleen-Yin deficiency, </i></span><i style="font-size: x-large;">there is deficiency of Spleen-Blood and Empty Heat arises</i><span style="font-size: large;">.” </span><br />
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<span style="font-size: large;">Tang Zong Hai, author of “Xue Zheng Lun” bemoaned the fact that, since Li Dong Yuan (author of “Pi Wei Lun”), doctors paid attention to Spleen-Yang but not Spleen-Yin. </span><br />
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<b><span style="font-size: large;">Aetiology</span></b><br />
<span style="font-size: large;">The aetiology of Spleen-Yin deficiency is clearly dietary. It is caused by irregular eating, i.e. eating in a hurry, eating standing up, eating while working at one’s computer, eating late at night, eating while discussing business, eating while in a state of worry, etc. </span><br />
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<span style="font-size: large;">However, besides the dietary causes, Spleen-Yin deficiency may also be caused by emotional stress related to worry and pensiveness and by excessive physical work that depletes the Spleen.</span><br />
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<b><span style="font-size: large;">Clinical manifestations</span></b><br />
<span style="font-size: large;">The main clinical manifestations of Spleen deficiency are:</span><br />
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<span style="font-size: large;">Poor appetite, distension after eating, dry stools, dry mouth and throat, dry lips, thin body, dull complexion without lustre, night-sweating, 5-palm heat (only if there is Empty Heat), bleeding (in small quantity), tongue without coating (red if there is Empty Heat), Fine pulse.1 </span><br />
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<span style="font-size: large;">Please note that Empty Heat does derive from Yin deficiency but someone may have Yin deficiency for years before Empty Heat develops. The tongue is in fact the best clinical sign to distinguish when Yin </span><span style="font-size: large;">deficiency has given rise to Empty Heat: if the tongue lacks a coating but it is not red, there is Yin deficiency without Empty Heat. If the tongue lacks a coating and it is red, then there is Yin deficiency and </span><span style="font-size: large;">Empty Heat (Plates 1 and 2 and Fig. 1).</span><br />
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<tr><td class="tr-caption" style="text-align: center;">Plate 1 (no coating, normal colour)</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Plate 2 (no coating, red colour)</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Fig. 1. Progression of Yin deficiency and development of Empty Heat </td></tr>
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<span style="font-size: large;">The Spleen controls <i>yun hua</i>, i.e. transportation and transformation of food essences. <i>Yun Hua</i> is impaired not only when Spleen-Yang si deficient but also when Spleen-Yin is deficient, hence the lack of appetite. The Yin deficiency causes the loss of weight and therefore thin body. </span><br />
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<span style="font-size: large;">Spleen-Yin includes Blood and Ying and for this reason Spleen-Yin deficiency may cause bleeding such as in the stools, vomit or under the skin. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Please note the sign of dry lips as this is quite a key sign of Spleen-Yin deficiency.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Chinese journals often include symptoms and signs of Empty Heat with Spleen-Yin deficiency and they say that this pattern cause the flaring up of the pathological Minister Fire. I tend to disagree with this </span><span style="font-size: large;">view. In chronic, long-standing cases, Spleen-Yin deficiency can indeed give rise to Empty Heat but, in very many cases, there is just Yin deficiency without Empty Heat (see Fig. 1 and Plates 1 and 2 above).</span><br />
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<b><span style="font-size: large;">Pathology</span></b><br />
<span style="font-size: large;">Dr Hong Guang Huai makes an important differentiation between Stomach-Yin and Spleen-Yin deficiency. He says that in Stomach-Yin deficiency there is a deficiency of fluids while in Spleen-Yin deficiency there is a deficiency of Ying and Blood. They are both Yin deficiency as fluids, Ying and Blood are all part of Yin.2 </span><br />
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<b><span style="font-size: large;">Diagnosis</span></b><br />
<span style="font-size: large;">Dr Mao Jiong divides the clinical manifestations of Spleen-Yin deficiency into three groups and this may help the diagnostic process. The three groups are:</span><br />
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<span style="font-size: large;">- Digestive symptoms: abdominal distension, poor appetite, dry stools.</span><br />
<span style="font-size: large;">- Yin deficiency symptoms (dryness): dry mouth and throat, dry lips.</span><br />
<span style="font-size: large;">- Lack of nourishment signs: dull complexion, thin body, dry skin. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">As mentioned above, dry lips is quite a key, distinctive sign of Spleen-Yin deficiency. Another very distinctive sign are small transversal cracks on the sides of the tongue (Plates 3-4-5). </span><br />
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<tr><td class="tr-caption" style="text-align: center;">Plate 3. Spleen-Yin deficiency cracks</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Plate 4. Spleen-Yin deficiency cracks</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Plate 5. Spleen-Yin deficiency cracks</td></tr>
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<b><span style="font-size: large;">Herbal Treatment</span></b><br />
<span style="font-size: large;">One must nourish Yin, strengthen the Spleen, nourish Ying and “lift” fluids. Doctor Wang Guang Jun summarizes the treatment in four words: sweet, sour, moisten, lift.</span><br />
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<span style="font-size: large;">By “sweet” he means using herbs (and foods) with a sweet taste and the main herbs he advocates are Huang Jing <i>Rhizoma Polygonati</i>, Tai Zi Shen <i>Radix Pseudostellariae</i>, Shan Yao <i>Radix Dioscoreae </i></span><i style="font-size: x-large;">oppositae</i><span style="font-size: large;"> and Bai Bian Dou </span><i style="font-size: x-large;">Semen Dolichoris lablab</i><span style="font-size: large;">. </span><br />
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<span style="font-size: large;">By “sour” he means herbs (or foods) with a sour taste because the sour taste keeps fluids in and it therefore nourishes Yin. Bai Shao <i>Radix Paeoniae alba</i>, Wu Mei <i>Prunus Mume</i>, Wu Wei Zi <i>Fructus </i><i>Schisandrae chinensis</i>, Shan Zha <i>Fructus Crataegi</i>. </span><br />
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<span style="font-size: large;">By “moisten”, he means the use of herbs that are rich in fluids such as Lian Rou (lotus fruit). By “lifting” he means the use of herbs that lift Qi such as Ge Gen <i>Radix Puerariae</i> and Sheng Ma <i>Rhizoma Cimicifugae</i>. </span><br />
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<span style="font-size: large;">Bearing these four principles in mind, Dr Wang recommends the following prescription to nourish Spleen-Yin. </span><br />
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<span style="font-size: large;">Huang Jing <i>Rhizoma Polygonati</i></span><br />
<span style="font-size: large;">Tai Zi Shen <i>Radix Pseudostellariae</i></span><br />
<span style="font-size: large;">Shan Yao <i>Radix Dioscoreae oppositae</i> </span><br />
<span style="font-size: large;">Bai Bian Dou <i>Semen Dolichoris lablab</i></span><br />
<span style="font-size: large;">Bai Shao <i>Radix Paeoniae alba</i></span><br />
<span style="font-size: large;">Shan Zha <i>Fructus Crataegi</i></span><br />
<span style="font-size: large;">Wu Mei <i>Prunus Mume</i></span><br />
<span style="font-size: large;">Ge Gen <i>Radix Puerariae</i> </span><br />
<span style="font-size: large;">Lian Zi <i>Semen Nelumbinis nuciferae</i> </span><br />
<span style="font-size: large;">Da Zao <i>Fructus Jujubae</i></span><br />
<span style="font-size: large;">Gan Cao <i>Radix Glycyrrhizae</i></span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Dr Hong Guang Huai also recommends nourishing Yin and strengthening the Spleen and he says that two important herbs are Ren Shen <i>Radix Ginseng</i> and Tian Hua Fen <i>Radix Trichosanthis</i>. He recommends the following herbs for Stomach-Yin and Spleen-Yin:</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><u>Stomach-Yin</u>: Mai Men Dong <i>Tuber Ophiopogonis</i>, Bei Sha Shen <i>Radix Glehniae</i>, Yu Zhu <i>Rhizoma Polygonati odorati</i>, Shi Hu <i>Herba Dendrobii</i>.</span><br />
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<span style="font-size: large;"><u>Spleen-Yin</u>: Ren Shen <i>Radix Ginseng</i>, Tian Hua Fen<i> Radix Trichosanthis</i>, E Jiao <i>Colla Corii Asini</i>, Sheng Di Huang <i>Radix Rehmanniae</i>.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">He also recommends herbs with a sweet and bland taste for Spleen-Yin such as Shan Yao <i>Radix Dioscoreae oppositae</i>, Lian Rou (lotus fruit), Geng Mi (rice), Mai Ya <i>Fructus Hordei vulgaris germinatus</i>, Tai Zi Shen <i>Radix Pseudostellariae</i>, Xi Yang Shen <i>Radix Panacis quinquefolii</i>, Bei Sha Shen <i>Radix Glehniae littoralis</i>, Ge Gen <i>Radix Puerariae</i>, He Ye <i>Folium Nelumbinis</i>. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">He recommends the following formulae for Spleen-Yin deficiency:</span><br />
<span style="font-size: large;">- Ren Shen Gu Ben Tang <i>Ginseng Consolidating the Root Decoction</i>.</span><br />
<span style="font-size: large;">- Zhi Gan Cao Tang <i>Glycyrrhiza Decoction</i> (without Gui Zhi <i>Ramulus Cinnamomi </i>and with the addition of Bai Shao <i>Radix Paeoniae alba</i>).</span><br />
<span style="font-size: large;">- Yu Quan Wan <i>Jade Spring Pill</i>. </span><br />
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<b><span style="font-size: large;">Acupuncture Treatment</span></b><br />
<span style="font-size: large;">The acupuncture treatment of Spleen-Yin deficiency is based on the following points: Ren-12 Zhongwan, Ren-4 Guanyuan, ST-36 Zusanli, SP-6 Sanyinjiao, LIV-13 Zhangmen. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">As Spleen-Yin deficiency very often occurs in conjunction with Stomach-Yin deficiency, I outline below the clinical manifestations and treatment of Stomach-Yin deficiency.</span><br />
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<b><span style="font-size: large;">Stomach-Yin deficiency</span></b><br />
<span style="font-size: large;">No appetite or slight hunger but no desire to eat, constipation (dry stools), dull or slightly burning epigastric pain, dry mouth and throat especially in the afternoon with desire to drink in small sips, slight feeling of fullness after eating.</span><br />
<span style="font-size: large;">Tongue: without coating in the centre, or with rootless coating, normal body colour.</span><br />
<span style="font-size: large;">Pulse: Floating-Empty on the Right-Middle position (Plates 6-7-8-9). </span><br />
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<tr><td class="tr-caption" style="text-align: center;">Plate 6. Stomach cracks.</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Plate 7. Two patches without coating</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Plate 8. Central Stomach crack</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Plate 9. No coating in the centre. </td></tr>
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<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">If there is Empty Heat, there will be some additional symptoms such as feeling of hunger, night-sweating, 5-palm heat, bleeding gums, feeling of heat in the evening, red tongue without coating in the centre, Floating-Empty pulse on the Right-Middle position and slightly Rapid. </span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Points: Ren-12 Zhongwan, ST-36 Zusanli, SP-6 Sanyinjiao.</span><br />
<span style="font-size: large;"><br /></span>
<b><span style="font-size: large;">Herbal formulae (for Stomach-Yin)</span></b><br />
<span style="font-size: large;">Sha Shen Mai Dong Tang <i>Glehnia-Ophiopogon Decoction</i>.</span><br />
<span style="font-size: large;">Shen Ling Bai Zhu San <i>Ginseng-Poria-Atractylodes Powder</i>.</span><br />
<span style="font-size: large;">Yi Wei Tang <i>Benefiting the Stomach Decoction</i>.</span><br />
<br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Plates 10 and 11 illustrate the difference between Shen Ling Bai Zhu San and Sha Shen Mai Dong Tang.</span><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgzyfdhfyQzoBi6pzZ3h1Pr2tUEoD-iHj6wpxbogm_HYTeZeP1iHfFU8hT_KK10kYJuvJnwISOsRuLok3kN-jN8ZWU9vJ3NUXvSGb3h2aH2t0EvUjNz7qtB3NSe0EHI2F0u4DhA5gR22RI/s1600/Picture10.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgzyfdhfyQzoBi6pzZ3h1Pr2tUEoD-iHj6wpxbogm_HYTeZeP1iHfFU8hT_KK10kYJuvJnwISOsRuLok3kN-jN8ZWU9vJ3NUXvSGb3h2aH2t0EvUjNz7qtB3NSe0EHI2F0u4DhA5gR22RI/s1600/Picture10.jpg" width="275" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Plate 10. Partially without coating. Shen Ling Bai Zhu San</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEim3EmKbwqG8I07PZAF6ojjf0ggVP1kGcssjxTqdZUQGQ29I2ueKtX0vmaf1mtoTI2yksukeTaXAgBs-rFiAYBdUAUYvYxmqfXNzGzq8BWwfX1XrpHrfnIbt70ttUY5Co1YdqL3tRtw4xo/s1600/Picture11.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEim3EmKbwqG8I07PZAF6ojjf0ggVP1kGcssjxTqdZUQGQ29I2ueKtX0vmaf1mtoTI2yksukeTaXAgBs-rFiAYBdUAUYvYxmqfXNzGzq8BWwfX1XrpHrfnIbt70ttUY5Co1YdqL3tRtw4xo/s1600/Picture11.jpg" width="302" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Plate 11. Completely without coating. Sha Shen Mai Dong Tang</td></tr>
</tbody></table>
<span style="font-size: large;"><br /></span>
<span style="font-size: large;"><br /></span>
END NOTES<br />
1. The Symptoms and Treatment of Spleen-Yin deficiency by Wang Guang Jun in Journal of Traditional Chinese Medicine (Zhong Yi Za Zhi), Vol. 31, no. 2, 1990, p. 18.<br />
<br />
2. Concerning the Differentiation between Stomach-Yin and Spleen-Yin Deficiency by Hong Guang Gui Huai in Journal of Traditional Chinese Medicine (Zhong Yi Za Zhi), Vol. 31, no. 7, 1990, p. 4.<br />
<br />
3. Introduction to Research on Spleen-Yin Deficiency by Mao Jiong in Journal of Traditional Chinese Medicine (Zhong Yi Za Zhi), Vol. 32, no. 5, 1991, p. 50.<br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">PRESCRIPTIONS</span><br />
<b><span style="font-size: large;">ZHI GAN CAO TANG</span></b><br />
<i><span style="font-size: large;">Glycyrrhiza Decoction</span></i><br />
<span style="font-size: large;"><b>Zhi Gan Cao</b> <i>Radix Glycyrrhizae uralensis preparata</i> </span><br />
<span style="font-size: large;"><b>Ren Shen</b> <i>Radix Ginseng</i> </span><br />
<span style="font-size: large;"><b>Da Zao</b> <i>Fructus Jujubae</i> </span><br />
<span style="font-size: large;"><b>Sheng Di Huang</b> <i>Radix Rehmanniae</i> </span><br />
<span style="font-size: large;"><b>Mai Men Dong </b><i>Radix Ophiopogonis</i> </span><br />
<span style="font-size: large;"><b>E Jiao</b> <i>Colla Corii Asini</i> </span><br />
<span style="font-size: large;"><b>Hu Ma Ren</b> <i>Semen Sesami indici</i></span><br />
<span style="font-size: large;"><b>Sheng Jiang</b> <i>Rhizoma Zingiberis recens</i> </span><br />
<span style="font-size: large;"><b>Gui Zhi</b> <i>Ramulus Cinnamomi cassiae</i> </span><br />
<span style="font-size: large;"><b>Qing Jiu</b> Rice wine 10 ml (added at the end)</span><br />
<span style="font-size: large;"><br /></span>
<b><span style="font-size: large;">REN SHEN GU BEN TANG</span></b><br />
<span style="font-size: large;"><i>Ginseng Consolidating the Root Decoction</i> </span><br />
<span style="font-size: large;"><b>Ren Shen</b> <i>Radix Ginseng</i></span><br />
<span style="font-size: large;"><b>Shan Yao</b> <i>Radix Dioscoreae oppositae</i></span><br />
<span style="font-size: large;"><b>Sheng Di Huang</b> <i>Radix Rehmanniae</i></span><br />
<span style="font-size: large;"><b>Shu Di Huang</b> <i>Radix Rehmanniae preparata</i></span><br />
<span style="font-size: large;"><b>Tian Men Dong</b> <i>Tuber Asparagis cohinchinensis</i></span><br />
<span style="font-size: large;"><b>Mai Men Dong</b> <i>Tuber Ophiopogonis</i></span><br />
<span style="font-size: large;"><b>Fu Ling</b> <i>Poria</i></span><br />
<span style="font-size: large;"><b>Shan Zhu Yu </b><i>Fructus Corni officinalis</i></span><br />
<span style="font-size: large;"><b>Mu Dan Pi</b> <i>Cortex Moutan</i></span><br />
<span style="font-size: large;"><b>Ze Xie</b> <i>Rhizoma Alismatis orientalis</i></span><br />
<span style="font-size: large;"><br /></span>
<b><span style="font-size: large;">YU QUAN TANG</span></b><br />
<i><span style="font-size: large;">Jade Spring Decoction</span></i><br />
<span style="font-size: large;"><b>Huang Lian </b><i>Radix Coptidis</i></span><br />
<span style="font-size: large;"><b>Ge Gen</b> <i>Radix Puerariae</i></span><br />
<span style="font-size: large;"><b>Tian Hua Fen</b> <i>Radix Trichosanthis</i></span><br />
<span style="font-size: large;"><b>Zhi Mu </b><i>Radix Anemarrhenae asphodeloidis</i></span><br />
<span style="font-size: large;"><b>Mai Men Dong</b> <i>Tuber Ophiopogonis</i></span><br />
<span style="font-size: large;"><b>Ren Shen</b> <i>Radix Ginseng</i></span><br />
<span style="font-size: large;"><b>Wu Wei Zi </b><i>Fructus Schisandrae</i></span><br />
<span style="font-size: large;"><b>Sheng Di Huang</b> <i>Radix Rehmanniae</i></span><br />
<span style="font-size: large;"><b>Lian Rou</b> Lotus fruit</span><br />
<span style="font-size: large;"><b>Wu Mei</b> <i>Prunus Mume</i></span><br />
<span style="font-size: large;"><b>Dang Gui</b> <i>Radix Angelicae sinensis</i></span><br />
<span style="font-size: large;"><b>Gan Cao</b> <i>Radix Glycyrrhizae uralensis</i></span><br />
<span style="font-size: large;">(plus human milk, cow’s milk, lotus juice, pear juice)</span><br />
<div>
<br /></div>
Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-84953384003800344862014-05-18T17:03:00.000-07:002016-01-27T10:53:39.633-08:00ITCHING<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Itching is a symptom that accompanies many diseases and patterns. The main pathogenic factors that cause itching are:</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Heat</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">External Wind</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Wind in the skin</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Dampness</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Blood deficiency</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">For each pathogenic factor I will give the general acupuncture points for treatment. Please note that these are only general points and other points depend on the disease and the part of the body affected. Please note that Baichongwo is an extra point located 1 cun above SP-10 Xuehai. Its name means "100 insects nest", a clear reference to its action on itching that feels as if insects were crawling under the skin. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">In the lists of points, I mention HE-7 Shenmen because, besides calming the Shen, it stops itching.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Heat</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The itching caused by Heat manifests with red skin eruptions of the papular type. It is seen in various diseases such as herpes. In order to diagnose Heat as the cause of itching the tongue is important: it must be red with a yellow coating and possibly red points.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Acupuncture: LI-11 Quchi, SP-10 Xuehai, P-9 Zhongchong, LIV-2 Xingjian, HE-7 Shenmen.</span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHaF8Lp277Z5Cv5LUNt-dVx_LYV6rSKD0Kve6a7tISK_xBMu1TOwcOWEH63MGdKt4jSaaq-ktX5tvsQWSquIIU6ETlb8_QLLCByLegPXaHoIcwp6sJcS2iJJK3IEwMWCCfshVs5cn614k/s1600/RedPapules.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHaF8Lp277Z5Cv5LUNt-dVx_LYV6rSKD0Kve6a7tISK_xBMu1TOwcOWEH63MGdKt4jSaaq-ktX5tvsQWSquIIU6ETlb8_QLLCByLegPXaHoIcwp6sJcS2iJJK3IEwMWCCfshVs5cn614k/s1600/RedPapules.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Red papules</td></tr>
</tbody></table>
<br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2bgvUmbn_WmJF-czLFH0IvlMiT2I7UFjFO9bCIgP4ftj3KZVngW2Mffl_9dA0C0mNzxnNgxLSDa-VJ94x0wZv8RafjuqETBxgCXiOudB-42Lud4kwIYuM78PPFYsHuNR3qwX5UkVhPFI/s1600/Tongue.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2bgvUmbn_WmJF-czLFH0IvlMiT2I7UFjFO9bCIgP4ftj3KZVngW2Mffl_9dA0C0mNzxnNgxLSDa-VJ94x0wZv8RafjuqETBxgCXiOudB-42Lud4kwIYuM78PPFYsHuNR3qwX5UkVhPFI/s1600/Tongue.jpg" width="300" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Red body with red points</td></tr>
</tbody></table>
<b><br /></b>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">External Wind</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">External Wind may cause itching such as itchy throat or itchy nose. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Acupuncture: BL-12 Fengmen, TB-5 Waiguan, LU-7 Lieque, LI-4 Hegu. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Wind the skin</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">By “Wind in the skin” I refer to a type of Wind that is neither internal nor external, but closer to the latter. Wind is a major pathogenic factor in skin diseases and it escapes a classification into internal or external. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Wind in the skin is a major cause of itching in skin diseases. It is characterized by being all over the body or moving from place to place. For example, in urticaria, the intense itching is caused by Wind in the skin. Wind in the skin is also the cause of itching is certain types of eczema. We can diagnose Wind in the skin only when the itching involves the whole body or when it moves from place to place: if the itching is confined to one specific area, it is not Wind. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Another characteristic of itching from Wind is that often there is nothing to be seen on the skin (although of course in urticaria there are bullae and in eczema papules). Wind in the skin is the cause of itching in herpes zoster (but remember that this is also caused by Dampness).</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Acupuncture: GB-31 Fengshi, TB-6 Zhigou, Baichongwo extra point, LIV-3 Taichong, HE-7 Shenmen.</span><br />
<span style="font-size: large;"><br /></span>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5pIs1u3z3-m3cyaoTGnbGwXu-Xf2ZaRS-7kFmWw2wbER2D-SuRXo5H-VqRgVmMBUJb5FV7kBxSbxnWiRCSqqR4ZI-5PiVr9j_qnA_4oQJeh3y_qld4FivyO_G_BdTqslAwNP16a_9Er8/s1600/Urticaria.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5pIs1u3z3-m3cyaoTGnbGwXu-Xf2ZaRS-7kFmWw2wbER2D-SuRXo5H-VqRgVmMBUJb5FV7kBxSbxnWiRCSqqR4ZI-5PiVr9j_qnA_4oQJeh3y_qld4FivyO_G_BdTqslAwNP16a_9Er8/s1600/Urticaria.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Urticaria</td></tr>
</tbody></table>
<br />
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Dampness</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Dampness is a frequent cause of itching. Its main characteristic is that the itching is usually confined to one place. For example, the itching from vaginitis or herpes is confined to the genitals. The itching from Dampness manifests with vesicles or papules. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">When Dampness is combined with Heat, the itching is more intense as it is caused by the combined effect of both Dampness and Heat. Damp-Heat is a major pathogenic factor in eczema: it is very important to treat the itching in eczema because scratching aggravates this disease significantly. Indeed some of the pathology of eczema is caused by the scratching rather than the disease itself. Scratching causes skin erosion and it may facilitate the entry of bacteria that cause skin infections. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Acupuncture: Ren-9 Shuifen, Ren-5 Shimen, BL-22 Sanjiaoshu, SP-9 Yinlingquan, Baichongwo, HE-7 Shenmen.</span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtPNM6BOrDxPnZAELBMMoZqaDxRedEkqoZZH-ruNMgv9YEU3tooHkTA84T-veKI79CC0f1N72f4Q-meZfccBz111a3WwxSx_ZLGeXUSIJtjwP7ah1nwqL_jcF_jFjQ2Go2Cwk8Cv2M6tU/s1600/Zoster.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="208" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtPNM6BOrDxPnZAELBMMoZqaDxRedEkqoZZH-ruNMgv9YEU3tooHkTA84T-veKI79CC0f1N72f4Q-meZfccBz111a3WwxSx_ZLGeXUSIJtjwP7ah1nwqL_jcF_jFjQ2Go2Cwk8Cv2M6tU/s1600/Zoster.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Herpes Zoster (Damp-Heat)</td></tr>
</tbody></table>
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4jBjcNCTvU1wD2D3O55m1YpibSIc5RgX9YMZ1xNTDzMl_KR_ZB2cWZbx_F2Pcfbo618eLmI-Dm89FyroJ3HOKTJeJADkoUTnRMpfuxP7sLtYCeUlQrFSNlZPsKz-2jiKqVTbfbe7aZP0/s1600/Simplex.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="221" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4jBjcNCTvU1wD2D3O55m1YpibSIc5RgX9YMZ1xNTDzMl_KR_ZB2cWZbx_F2Pcfbo618eLmI-Dm89FyroJ3HOKTJeJADkoUTnRMpfuxP7sLtYCeUlQrFSNlZPsKz-2jiKqVTbfbe7aZP0/s1600/Simplex.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Herpes simplex (Damp-Heat)</td></tr>
</tbody></table>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjfiU5hCK-XJFBNgeaAVrafbLBwaPPl0RwylEJqEs33kQ7RUux-XkA_tjt0ek8aWjnO-56utEZzhng6ZYH6rfw-gxRhItkc20c_lul8nkFE41Ujn9IKeKMxima3tZckAVg49OJAf6iXclk/s1600/GeniotalHerpes.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjfiU5hCK-XJFBNgeaAVrafbLBwaPPl0RwylEJqEs33kQ7RUux-XkA_tjt0ek8aWjnO-56utEZzhng6ZYH6rfw-gxRhItkc20c_lul8nkFE41Ujn9IKeKMxima3tZckAVg49OJAf6iXclk/s1600/GeniotalHerpes.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Genital herpes (Damp-Heat)</td></tr>
</tbody></table>
<br />
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Blood deficiency</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">In Blood deficiency the itching is generalized, i.e not confined to a specific area. An important characteristic of itching from Blood deficiency is that is may occur without any skin lesions. Itching from Blood deficiency is seen in chronic eczema (in which case of course there are skin lesions) and in psoriasis. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The itching from Blood deficiency may also be accompanied by other changes in the skin such as dryness and desquamation: this is seen a lot in psoriasis. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Acupuncture: LIV-8 Ququan, Ren-4 Guanyuan, ST-36 Zusanli, SP-6 Sanyinjiao, HE-7 Shenmen.</span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdj9m89Xd8Bt2L-HG1jyt9YOnv7NwQik1lvmOG9QyEbC2y8COwDzmW7_P43xmbgUEfpePqdFe2P2OpMB3TnxrAidh-shMrU1fAmvs398D_TLIC1506O8xfL2uKYbWap1mEHrxofjpbwdM/s1600/Desquamation.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdj9m89Xd8Bt2L-HG1jyt9YOnv7NwQik1lvmOG9QyEbC2y8COwDzmW7_P43xmbgUEfpePqdFe2P2OpMB3TnxrAidh-shMrU1fAmvs398D_TLIC1506O8xfL2uKYbWap1mEHrxofjpbwdM/s1600/Desquamation.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Desquamation</td></tr>
</tbody></table>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_oP_S5HP1W5f170adku1_IFwx3uzGMrvbIRHinAJdlozZNTnYSza23b0wnBx_0c4Z3T2297xy6Ji9g1Xj7foypeW2EVL__PN6nddw8bmLnUgWO7TD8fN-unVX0YZYH1NlLxt2hMc8JEI/s1600/Erosion.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_oP_S5HP1W5f170adku1_IFwx3uzGMrvbIRHinAJdlozZNTnYSza23b0wnBx_0c4Z3T2297xy6Ji9g1Xj7foypeW2EVL__PN6nddw8bmLnUgWO7TD8fN-unVX0YZYH1NlLxt2hMc8JEI/s1600/Erosion.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Erosion</td></tr>
</tbody></table>
<br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Itching may also be classified according to Chinese categories of pathogenic factors as follows:</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Du (Toxin)</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Feng (Wind)</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Jiu (Alcohol)</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Re (Heat)</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Du (Toxin)</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The itching from Toxin manifests with erosion, papules or bullae and it appears suddenly. Contact dermatitis is a good example of it. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Acupuncture: BL-40 Weizhong, SP-10 Xuehai.</span><br />
<br />
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEQfrVfjpMS4BmKn9CZbvxt7IIHhDFdDHHhtWdWTPsQCw8aOD9ZUWLWJXWh19nSzs91fOG1NC1EV4jzWDizSWwGBiF96lyMaVv2i0gpdwB66drdawGuaargBAj-2MOK3jNWx8BfZnr9lo/s1600/Bullae.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEQfrVfjpMS4BmKn9CZbvxt7IIHhDFdDHHhtWdWTPsQCw8aOD9ZUWLWJXWh19nSzs91fOG1NC1EV4jzWDizSWwGBiF96lyMaVv2i0gpdwB66drdawGuaargBAj-2MOK3jNWx8BfZnr9lo/s1600/Bullae.jpg" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Bullae</td></tr>
</tbody></table>
<br />
<b><br /></b>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Feng (Wind)</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The itching from Wind is generalized. It may be from external Wind or Wind in the skin as defined above. It may also be from Internal Wind in which case it would manifest with desquamation. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Acupuncture: GB-31 Fengshi, BL-12 Fengmen, GB-20 Fengchi, Du-16 Fengfu, TB-17 Yifeng.</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Jiu (Alcohol)</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">This is the itching that affects people after drinking alcohol. This occurs in people who are not usual drinkers. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Acupuncture: LIV-3 Taichong, SP-10 Xuehai, HE-7 Shenmen. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Re (Heat)</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">As we have sen above, Heat is a common cause of itching and it may manifest with red bullae or papules. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Acupuncture: LI-11 Quchi, SP-10 Xuehai, P-9 Zhongchong, LIV-2 Xingjian, HE-7 Shenmen.</span><br />
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></b>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">THE PO AND ITCHING</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The Po is the physical soul that resides in the Lungs. It is always contrasted with the Hun that resides in the Liver. The Hun is Yang and survives after death; the Po is Yin and dies with the body. </span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Zhang Jie Bin says: “<i>The Po can move and do things and</i> [when it is active] <i>pain and itching can be felt</i>”. The Po is responsible for sensations and itching and is therefore closely related to the skin through which such sensations are experienced. For this reason, in itching, I also treat the Lungs with LU-7 Lieque. </span><br />
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></b>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">HERBS THAT EXPEL WIND IN SKIN DISEASES</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Fang Feng <i>Radix Saposhnikoviae</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Jing Jie <i>Herba Schizonepetae</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Chan Tui<i> Periostracum Cicadae</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Cang Er Zi <i>Fructus Xanthii</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Bo He <i>Herba Menthae haplocalycis</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Niu Bang Zi<i> Fructus Arctii</i></span><br />
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></b>
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">HERBS THAT RELIEVE ITCHING</span></b><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Chan Tui <i>Periostracum Cicadae</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Ku Shen <i>Radix Sophorae flavescentis</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">She Chuang Zi <i>Fructus Cnidii</i></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Xu Chang Qing <i>Radix Cynanchi paniculati</i></span><br />
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Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.comtag:blogger.com,1999:blog-5267943865157480550.post-34343514098986203942014-04-01T16:37:00.001-07:002016-01-27T10:54:20.044-08:00DIAGNOSTIC DIFFERENTIATION OF DIGESTIVE SYMPTOMS <div class="separator" style="clear: both; text-align: center;">
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In this blog post, I will discuss the diagnostic differentiation between various digestive symptoms and specifically, a feeling of distension, fullness, oppression and stuffiness.<br />
<br />
A feeling of <b>DISTENSION</b> (<i>zhang</i> 胀) indicates stagnation of Qi. This type of sensation will be seldom referred to as "distension" by Western patients: more often than not, patients will call it a feeling of “bloating”, "bursting", "being blown-up", etc.<br />
<br />
A feeling of distension is both subjective and objective. Subjectively, the patient feels bloated, and objectively, it can be seen and palpated. On palpation it feels like an over-inflated balloon, it resists on palpation and “rebounds”.<br />
<br />
A feeling of distension indicates Qi stagnation: it is the cardinal symptom of Qi stagnation which usually affects the Liver. Remember, however, that it affects also other organs: in the context of digestive disorders, it affects the Stomach, Intestines and Spleen.<br />
<br />
Note that Qi stagnation does not always derive from anger (whether repressed or not) but it frequently derives from worry or guilt.<br />
<br />
The pulse reflects where the stagnation is centered. We can distinguish Liver-Qi stagnation, Stomach-Qi stagnation, Spleen-Qi stagnation and Qi stagnation in the Intestines.<br />
<br />
- Liver-Qi stagnation: abdominal and/or epigastric bloating, related to emotional state. Pulse all Wiry or Wiry on left.<br />
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- Stomach-Qi stagnation: epigastric bloating, not much related to emotional state. Alleviated by burping. Pulse Wiry on right Guan.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhT9WT1cp1X_y46kQ5O7TkD-aqYAPooV8vcA4YMz12kJ7_kj976gNb8k12gIjxws6GFrZe94CqqG3UnTi70zHIXIblsUXgmv3BImyZvbUYbHQyfLR1tNGHIkPjHI7xGgV31MBsdAt6I3f0/s1600/Picture2.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="198" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhT9WT1cp1X_y46kQ5O7TkD-aqYAPooV8vcA4YMz12kJ7_kj976gNb8k12gIjxws6GFrZe94CqqG3UnTi70zHIXIblsUXgmv3BImyZvbUYbHQyfLR1tNGHIkPjHI7xGgV31MBsdAt6I3f0/s1600/Picture2.png" width="200" /></a></div>
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- Spleen-Qi stagnation: lower abdominal bloating, loose stools. Alleviated by passing gas and by rest. Pulse slightly Wiry on left and Weak on right.<br />
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- Intestines Qi stagnation: abdominal distension and pain, borborygmi, constipation. Alleviated by passing gas. Pulse Wiry on both Chi position.<br />
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<br />
Distension of epigastrium: Ren-10 Xiawan, Ren-12 Zhongwan, ST-21 Liangmen, ST-34 Liangqiu, ST-40 Fenglong, GB-34 Yanglingquan.<br />
<br />
Distension of lower abdomen: ST-25 Tianshu, SP-15 Daheng, GB-34 Yanglingquan, Ren-6 Qihai.<br />
<br />
A feeling of <b>FULLNESS</b> (<i>man</i> 满 ) indicates retention of food or Dampness. A feeling of fullness is different than a feeling of distension. One literally feels full and slightly nauseous. It may affect the epigastriun or abdomen.<br />
<br />
The feeling of fullness is subjective and objective. Subjectively, the patient feels full and slightly nauseous. It is felt objectively on palpation but not seen on observation. On palpation, the abdomen feels hard but not elastic as in the feeling of distension.<br />
<br />
Epigastric fullness: ST-19 Burong, ST-21 Liangmen, Ren-10 Xiawan, SP-4 Gongsun/P-6 Neiguan (Chong Mai), ST-34 Liangqiu.<br />
<br />
Abdominal fullness: ST-25 Tianshu, ST-27 Daju, SP-4 Gongsun/P-6 Neiguan (Chong Mai), ST-37 Shangjuxu, ST-39 Xiajuxu.<br />
<br />
A feeling of <b>OPPRESSION </b>(<i>men</i> 闷 ) denotes Phlegm or severe Qi stagnation.<br />
<br />
A feeling of oppression is purely subjective and it is experienced mostly in the chest. Some patients would describe it as a “weight” on the chest. A feeling of oppression indicates Phlegm or also more severe stagnation of Qi. The translation of this term cannot adequately convey the image evoked by its Chinese character: this depicts a heart constrained by a door and, besides the physical sensation, it also implies a certain mental anguish associated with this feeling.<br />
<br />
In Western patients too, a feeling of oppression of the chest reflects emotional stress especially to do with sadness, grief, worry, shame and guilt.<br />
<br />
Feeling of oppression of the chest: Ren-17 Shanzhong, P-6 Neiguan, LU-7 Lieque, ST-40 Fenglong.<br />
<br />
A feeling of <b>STUFFINESS</b> (<i>pi</i> 痞) indicates Stomach-Qi deficiency or Stomach-Heat. Contrary to the previous two sensations which can be felt objectively on palpation (e.g. a distended or full abdomen feels so on touch), the sensation of stuffiness is only subjective and the abdomen feels soft on touch.<br />
<br />
The feeling of stuffiness is usually in the epigastrium.<br />
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<div class="MsoNormal" style="line-height: normal;">
<br /></div>
<span style="font-size: x-small;">
</span><br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><span style="font-size: x-small;"><br /></span></td>
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: windowtext windowtext windowtext -moz-use-text-color; border-image: none; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">DISTENSION</span></span></div>
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<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: windowtext windowtext windowtext -moz-use-text-color; border-image: none; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">FULLNESS</span></span></div>
</td>
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: windowtext windowtext windowtext -moz-use-text-color; border-image: none; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">OPPRESSION</span></span></div>
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<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: windowtext windowtext windowtext -moz-use-text-color; border-image: none; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 95.8pt;" valign="top" width="128"><div align="center" class="MsoNormal" style="line-height: normal; text-align: center;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">STUFFINESS</span></span></div>
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</tr>
<tr>
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color windowtext windowtext; border-image: none; border-right: 1pt solid windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Chinese</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Zhang </span><span style="font-family: "ms mincho";">張</span><span style="font-family: "times new roman" , "serif";"></span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Man </span><span style="font-family: "ms mincho";">滿</span><span style="font-family: "times new roman" , "serif";"></span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Men </span><span style="font-family: "ms mincho";">悶</span><span style="font-family: "times new roman" , "serif";"></span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.8pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Pi </span><span style="font-family: "ms mincho";">痞</span><span style="font-family: "times new roman" , "serif";"></span></span></div>
</td>
</tr>
<tr>
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color windowtext windowtext; border-image: none; border-right: 1pt solid windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Subjective/objective</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Both</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Both</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Subjective</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.8pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Both</span></span></div>
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</tr>
<tr>
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<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Objective on what</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Palpation and observation</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Palpation</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><span style="font-size: x-small;"><br /></span></td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.8pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Palpation</span></span></div>
</td>
</tr>
<tr>
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color windowtext windowtext; border-image: none; border-right: 1pt solid windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Symptom</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Bloating</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Feeling full, nausea</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Feeling of weight</span></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.8pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Mildly full</span></span></div>
</td>
</tr>
<tr>
<td style="-moz-border-bottom-colors: none; -moz-border-left-colors: none; -moz-border-right-colors: none; -moz-border-top-colors: none; border-color: -moz-use-text-color windowtext windowtext; border-image: none; border-right: 1pt solid windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Pattern</span></span></div>
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<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 95.75pt;" valign="top" width="128"><div class="MsoNormal" style="line-height: normal;">
<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Qi stagnation</span></span></div>
</td>
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<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Dampness</span></span></div>
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<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Phlegm</span></span></div>
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<span style="font-size: x-small;"><span style="font-family: "times new roman" , "serif";">Deficiency and Stomach-Heat</span></span></div>
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Giovannihttp://www.blogger.com/profile/16358795460499454389noreply@blogger.com