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INTERNAL CANON OF THE YELLOW EMPERORTHE ZANG-FU SYSTEM AND THE MANIFESTATION – PART 2

Stanley LiangPh.D., R.TCMP, R.Ac

Dr. Stanley, R.TCMP

Text reading

S8 – Discussion on the Secret Canons in Royal Library

S9 – Discussion on Six‐Plus‐Six System and manifestations of the Viscera

S11 – Different Discussion on the Five Zang Organs

S21 – Special Discussion on Channels and Vessels

S29 – Discussion on Taiyin and Yangming

S8L – Basic State of Spirit

S18L – The Production and Convergence of Yingqi and Weiqi

S30L – Differentiation of Qi

Dr. Stanley, R.TCMP

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The Difference of Yin Yang of the stomach and spleen

The qualitative difference

The difference in vulnerability to pathogens

The difference of meridian paths

The difference of organ characteristics

Dr. Stanley, R.TCMP

Locations and Pathways

Dr. Stanley, R.TCMP

Location

Yin – Yang character

Response to seasons

Directions: ascend – Ni (opposite), descend –Cong (default)

Yang - external, Yin –internal

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Yang – Excessiveness, Yin - Deficiency

Dr. Stanley, R.TCMP

Yang – Excessiveness, Yin - Deficiency

Dr. Stanley, R.TCMP

Yang – external heaven qi excessiveness

Yin – internal earth qi deficiency

The syndrome relevant to stomach is more likely to be excessive

The syndrome relevant to spleen is more likely to be deficient

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The vulnerability to different pathogens

Dr. Stanley, R.TCMP

External pathogens are likely to attack Yang and stomach

Internal pathogens (diet / behavior disorders) are likely to attack Yin and spleen

Regarding Zang-Fu transmission and prognosis: Yang pathogens attack the six Fu, Yin pathogens attack the five Zang

Symptoms of Fu: fever, unable to lie down, difficulty of breathing Yang

Symptoms of Zang: abdominal obstruction (Qi), diahreaand loose feces, frequent bowel disorders

Difference of larynx and pharynx

Dr. Stanley, R.TCMP

Larynx guided by the heaven qi Yang

Pharynx guided by the earth qi Yin

Larynx clean Qi vulnerable to turbidity

Pharynx turbid Qi likes food

Yang vulnerable to the Qi of wind stomach infection

Yin vulnerable to the Qi of humidity spleen

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The Yin-Yang character of meridian pathway

Dr. Stanley, R.TCMP

The pathway of the Taiyin (spleen & lung) meridians are both connected to the middle Jiao (stomach)

The pathway of the Yangming (Large intestine & stomach) are both collected to the head and they stretches to limbs

The preference of Yin & Yang pathogens

Dr. Stanley, R.TCMP

The Yang pathogen (wind) is likely to attacks the upper

The Yin pathogen (dampness) is likely to attacks the lower

Upper – Taiyang, head, back, and shoulder – can transfer interiorly to attack Yin

Lower – Taiyin, middle Jiao, spleen, kidney – can transfer exteriorly to attack Yang

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Summary

Dr. Stanley, R.TCMP

Yang tends to be excessive Yang characters, gender (male), sex normality,

Premature ejaculation – dysfunction of withhold function

Yin tends to be deficient Yin characters, gender (female), menstruation normality,

menstrual disorder – dysfunction of generation

Vulnerable Locations Based on similarity Yang pathogens – likely to attack Fu Yin pathogens – likely to attack Yin

Summary

Dr. Stanley, R.TCMP

Zang disease – likely to be deficient - tonify Fu disease – likely to be sufficient – decrease / surpress For Xie (decrease), needs to protect the stomach Qi

The white tiger decoction vs Da Cheng Qi decoction

To tonify, uses the warm methods Li Zhong decoction

For excessiveness, treat the Yangming, For deficiency, treat the Taiyin

Yang – attacked by wind, Yin – attacked by dampness Yang – itching, symptoms at upper position Yin – detain the rising of clear Yang: fatigue, edema (swollen),

dull pain

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Spleen disorder and the dysfunction of limbs

Dr. Stanley, R.TCMP

Spleen disorder and the dysfunction of limbs

Dr. Stanley, R.TCMP

Spleen dominates muscle and motion

The muscles (limbs) arenourished by the nutrition generated by the spleen-stomach system

The stomach runs the fluid(nutrition) for the spleen

If the spleen Qi is weak, the muscles are insufficiently nourished degenerative disorders

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The dominating time of spleen

Dr. Stanley, R.TCMP

The spleen illness cause muscular (limbs) degeneration

The muscles are nourished by Wei Qi (nutrition from stomach)

The nutrition of stomach reaches the muscles only when it is promoted by spleen ->spleen propels / converts the Wei Qi for nourishing

Spleen is the center of the Five Zang, dominates the last 18 days of each month – chronological medicine

How TCM meets western medicine

Dr. Stanley, R.TCMP

Award the discovery ofArtemisinin, 2015Award the discovery of

telomeres and telomerase, 2009

Award the discovery ofthe cellular mechanism for circadian rhythms

• The theories from Neijing will be proved by science soon• Wisdom comes from many source, science can only prove it but

not to discover it

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The nourishing function of spleen

Dr. Stanley, R.TCMP

The spleen function motivate the stomach nutrition Stomach generates the nutrition, spleen disseminates

the nutrition which matches its earth character The Qi of spleen should cover every part of the

body The meridian link: the Yin meridians connects at

pharynx; The stomach is the sea of Zang Fu, its Qi circulates in the Yang meridians

Stomach is the basis of nutrition generation, by thenutrition is disseminated by the spleen Qi

The relation of spleen and stomach

Dr. Stanley, R.TCMP

For anatomic structure: they are connected by meridians / membrane – spleen transfers the stomach Qi to the 3 Yin meridians, stomach transfers the spleen Qi to the 3 Yang meridians

Physiological: spleen is wet earth but likes dryness, stomach is dry earth but likes wetness; Spleen Qi favors ascending, stomach Qi favors descending

The Key feature of muscular degenerative disorder is spleen Qi and stomach heat: the heat in Yangmingblockades the generation of nutrition fluid

Spleen and stomach is the basis of Houtian (after-born)

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The spleen & stomach functionality for treatment

Dr. Stanley, R.TCMP

Wei Zheng (degenerative disease): heat in Yangmingand Taiyin – smoothing lung and cleaning stomach and tonify spleen Acupuncture: Lieque(LU7), Yuji(LU10), Zusanli(ST36),

Huaroumen(ST24), Wailing(ST26), Liangqiu(ST34), Huaroumen, Chongyang(ST42), Jiexi(ST41), Sanyinjiao(SP6), Yinlingquan(SP9)

Shigao, Zhimu, Sangye, Maidong, Huomaren, Cangzhu, Huangbai, Niuxi, Huangqi, Shengma

Importance to protect stomach Qi: the herbal formula should focus on stomach Qi and fluid protection

The importance of spirit

Dr. Stanley, R.TCMP

• The key point for the effectiveness of acupuncture is use spirit to adjust spirit

• The spirit is nourished by blood and Qi withheld by Zang

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The disorders of spirit

Dr. Stanley, R.TCMP

The spirit should be well withheld, the over consumption of spirit causes disorder

Spirit supports vitality and energy

For pulse diagnosis: stomach, spirit, root

Normal sleep relies on the withholding of spirit

Types of spirit:

Shen: generated by essence, the origin of spirit

Hun: mind, imagination

Po: consciousness, neural reaction

Xin: sense, capacity of learning

Yi: memory, will

Zhi: determination, decision-making

Si: thinking

Lu: logical thinking and planning

Zhi: wisdom and knowledge

Adjusting spirit for health maintenance

Dr. Stanley, R.TCMP

Following the timing and seasons

Control emotion and ambition

Withhold from over sexuality

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Summary

Dr. Stanley, R.TCMP

The concept of spirit or Shen The mechanism of nature The high-level abstraction of life activities Consciousness, mind, will, and emotion

The mechanism of thinking Dominated by heart, coordinated by the five Zang organs

The spirit for acupuncture treatment The practitioner should focus on operation The patient should concentrate and following the instructions Focus on the sense transferred from the needle, hold it and

guide it

The disorder relevant to spirit

Dr. Stanley, R.TCMP

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The disorder relevant to spirit (cont)

Dr. Stanley, R.TCMP

Summary

Dr. Stanley, R.TCMP

All emotional disorders are attributed to the harm of spirit

Fear attacks the heart and the kidney

ED and premature ejaculation is attributed to the dysfunction of kidney Qi relevant to fear

Over sorrow harms the Zang organs

Over happy disturbs the spirit concentration

Over worry obstructs the Qi circulation that related to spleen Qi and accompanied by many digestive symptoms

The vital essence is held by the five Zang and should not be harmed. Over emotion will cause consumption of the vital essence

Acupuncture regulates the flow of Qi and spirit, but it cannot make up for the loss of spirit

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The essence withheld by different Zang

Dr. Stanley, R.TCMP

The homogenous origin of liver and kidney The excessive syndrome

of the liver-kidneysystem, reduce the live

The deficient syndromeof the system, mainly tonify the kidney

The spleen function tothe muscle and otherZang Fu organs

Continue

Dr. Stanley, R.TCMP

The heart governs the blood circulation and spirit

The lung governs breathing, regulate the nostril

The kidney withhold both Yin and Yang essence Yin deficiency – kidney-heart-lung

Yang deficiency – kidney-spleen-lung

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The role of the protective Qi and nourishing Qi

Dr. Stanley, R.TCMP

The relation of protective Qi and nourishing Qi

Dr. Stanley, R.TCMP

Protective (Wei) Qi-Yang Nourishing (Ying) Qi – Yin Both originates from the stomach

nutrition Qi Wei: turbid and aggressive – Yang Ying: clear and nourish – Yin Both runs with the vessels, Wei runs

externally, Ying runs internally The Ying and Wei circulates

respectively, and meet every 50 circles

When the Qi enters the vessels, it becomes Ying, when the Qi exit the vessels, it becomes Wei

The Ying and Wei are interchangable

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The functions of Ying and Wei

Dr. Stanley, R.TCMP

The Qi runs 25 circles in daytime, and another 25 circles at night

When awake, the Qi is external, thus the defence is strong; when asleep, the Qi is internal, thus the defence is weak

The circulation of Ying starts from the Lung (Taiyin) meridian

The circulation of Wei starts from the Bladder (Taiyang) meridian

The Ying reaches the peak at midnight, and the minimum at the dawn

The Wei reaches the peak at noon, and the minimum atnightfall

Merging of Ying and Wei

Dr. Stanley, R.TCMP

The Ying and Wei meets at Yin at midnight Should sleep because the Wei is entering the Yin

portion

The Yin Qi reaches the minimum at dawn, the Wei exits

The mechanism of insomnia

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The circulation pathway of Ying Wei

Dr. Stanley, R.TCMP

lung Large intestine stomach

spleenheartSmall intestine

bladder kidney pericardium

Tripple JiaoGall bladderliver

Male

Female

12 regular meridian * 2 = 24The Ren meridian and Du meridian = 2Male: Yang Qiao meridian * 2 = 2Female: Yin Qiao meridian * 2 = 2In total: 28 meridian form the circle

Circle 1: The Ying and Wei run in parallelCircle 2: The circulation of Wei Qi, Wei Qi is fed when it runs to the Zu Shaoyin kidney meridianCircle 3: Distribution of Wei Qi to warm the sinew, collateral, and body surface

The meeting of Ying and Wei

Dr. Stanley, R.TCMP

The meeting of Ying: starts from lung meridian and meets again at lung meridian

The meeting of Wei: circulate at Yang meridians in daytime, at Yin meridians at night, starts from the bladder meridian and meets again at bladder meridian

The meeting of Ying and Wei1. Interacts along the vessels external / internal

2. Meeting and exchange at midnight in lung meridian

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Treat insomnia by adjusting Ying Wei

Dr. Stanley, R.TCMP

Harmonize the stomach Qi

Restore the Ying Wei interaction and exchange

Focus on the Yangming meridians, and YaoQiaomerididians

Focus on adjusting the spleen-stomach system

The functions of triple Jiao

Dr. Stanley, R.TCMP

The Ying circulation starts from the middle Jiao

The lung meridian originates from the middle Jiao – the first meridian of Ying circulation

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The functions of triple Jiao

Dr. Stanley, R.TCMP

The Wei originates from the lower Jiao The bladder meridian is the first one for Wei circulation Some scholars hold that the Wei should originate from

the upper Jiao The location of the three Jiao

Upper Jiao – above the stomach Middle Jiao – from stomach to umbilicus (navel) Lower Jiao – below the navel

The stomach Qi is distributed via the diaphragm Externally, the Wei Qi follows the lung meridians at

armpit and enter the large intestine meridian to tongue

The Wei Qi and sweat

Dr. Stanley, R.TCMP

Wei Qi governs the pores

Sweat is the manifestation of Wei dysfunction

After attacked by external evil, skin becomes loose and lets the Wei Qi easier to escape

Sweating mechanism The aggressive quality of Wei Qi

The attack by external pathogens

The stimulation by heat food

Forms the treatment principle for superficial syndromes

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The Ying Qi and blood

Dr. Stanley, R.TCMP

Ying Qi originates and is distributed from middle Jiao

The clear part of the essence is sent to the lung and becomes the Qi of blood

It becomes red by the spirit of the heart

It is the essence to nourish the body

The same origin of Ying and Blood

Dr. Stanley, R.TCMP

Blood is the product of Ying transferred by the spiritof heart

Ying is the active part (Yang) of blood

The sweat and blood have the same origin Loss of blood produces sweat

Excessive sweating causes loss of blood

For treatment, when over-sweat, tonify the blood

Loss of blood with excessive sweating is dangerous(shock)

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The same origin of Ying and Blood

Dr. Stanley, R.TCMP

Precaution in treatment Menstrual disorder: cannot use sweating formula

Sweating disorder: cannot use removing blood stasis formula

Functions of Lower Jiao

Dr. Stanley, R.TCMP

Responsible for discharge Differentiate water and

solid waste, and respectively transfer to large intestine and bladder

Upper Jiao is like fog Middle is like a reaction

region Lower Jiao is like the

drainage

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Different types of Qi – 30L

Dr. Stanley, R.TCMP

Essence: congenital, forms body

Qi: being generatedafter born, nutritions

Different types of Qihave different nutrition functions

Dr. Stanley, R.TCMP

• All Qi originates from the nutrition of food

• In TCM, Qi denotes four aspects:1. The essence flowing through the

body2. The activities of the Zang Fu

organs3. The pathological changes4. The pathogens

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Applications

Dr. Stanley, R.TCMP

Deaf due to essence deficiency Tonify kidney

dredge the liver-gall bladder

Open the orifice

Vision dysfunction due to Qi deficiency vision is the manifestation of Qi

Adjusting the liver is the handle Tonify the liver blood and smooth the liver Qi

Acupuncture and Moxibustion

Questions/Discussions

The relation of Taiyin (spleen) and Yangming (Stomach)

The role of spirit

The role of Ying and Wei

The functions of the Triple Jiao

The denotations of Qi

Dr. Stanley, R.TCMP