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Zang-Fu Physiology Traditional Chinese Internal Medicine (TCM)

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Presentation on theme: "Zang-Fu Physiology Traditional Chinese Internal Medicine (TCM)"— Presentation transcript:

1 Zang-Fu Physiology Traditional Chinese Internal Medicine (TCM)

2 Traditional Chinese Medicine b Diet b Exercise b Rest b Acupuncture b Chinese herbal formulas

3 Yin and Yang b Basic Opposing Forces of Nature Night & DayNight & Day Cold & HotCold & Hot North & SouthNorth & South Winter & SummerWinter & Summer Bottom & TopBottom & Top Back & FrontBack & Front Left & RightLeft & Right b Mutually Supporting

4 TCM b 5 Element Theory FireFire EarthEarth MetalMetal WaterWater WoodWood b 8 Principles of Disease Yin & Yang Interior & Exterior Cold & Hot Deficiency & Excess b Zang-Fu Organs HT/SI -- PC/THHT/SI -- PC/TH SP/STSP/ST LU/LILU/LI KID/BLKID/BL LIV/GBLIV/GB

5 Zang-Fu Organs

6 Wood b Sound shoutshout b Emotion angeranger b Climate windy-warmwindy-warm b Season springspring b Direction east b Opening eyes b Body Part ligaments b Zang/Fu LIV/GB

7 Fire b Sound laughlaugh b Emotion joyjoy b Climate heatheat b Season summersummer b Direction south b Opening tongue b Body Part tongue b Zang/Fu HT/SI - PC/TH

8 Earth b Sound songsong b Emotion sympathysympathy b Climate humidhumid b Season late summerlate summer b Direction center b Opening lips/gums b Body Part muscles b Zang/Fu SP/ST

9 Metal b Sound weepingweeping b Emotion griefgrief b Climate dry-cooldry-cool b Season autumnautumn b Direction west b Opening nose b Body Part skin b Zang/Fu LU/LI

10 Water b Sound groaninggroaning b Emotion fearfear b Climate coldcold b Season winterwinter b Direction north b Opening ears b Body Part bones b Zang/Fu KID/BL

11 5 Element Constitutions b Fire – Toy Poodle overjoyed & hyperactiveoverjoyed & hyperactive b Earth – Yellow Lab loyal & trustworthyloyal & trustworthy b Metal -- Greyhound aloof & sadaloof & sad b Water -- Chihuahua timid, scared & fearfultimid, scared & fearful b Wood -- Rottweiler aggressive & loudaggressive & loud Fire Earth MetalWater Wood

12 Shen (creation) Cycle b The Wood is burned by Fire to create the Earth which builds up into mountains that contain the Metals and collect the Water which feeds the Wood.

13 Ke (control) Cycle b The Earth can dam up the Waters which can dowse the Fire which can melt the Metal which can be formed into axes to chop the Wood which sends its roots to hold the Earth.

14 TCM 24-hour Clock

15 TCM 8 Principles b Depth of Disease Exterior -- Interior b Nature of Disease Hot -- Cold b Relative Strength of Body vrs. Disease Excess -- Deficiency b Overall Character Yang -- Yin

16 Zang/Fu (yin organ/yang organ) b Wife/Husband pairs b Deals with Internal Medicine b Mother  Child wood is mother of firewood is mother of fire earth is child of fireearth is child of fire b Grandparent  Grandchild water is grandparent of firewater is grandparent of fire

17 Use of TCM Theory b Balance is the key b Support constitutional needs b Add treatments for specific problem (local, meridian or zang/fu) b Treat master points b For Deficiency -- Treat parent b For Excess -- Treat grandparent b For Prevention - - Treat grandchild

18 TCM HEART Physiology b Dominates the Blood & Vessels b Houses the Mind b Controls Sweating b Opens in the Tongue

19 TCM HEART Physiology b Dominates the Blood & Vessels Motive force behind blood circulationMotive force behind blood circulation Requires proper Heart Qi function for normal pulse and mucous membrane colorRequires proper Heart Qi function for normal pulse and mucous membrane color Deficiency leads to weak, thready pulse and pale tongueDeficiency leads to weak, thready pulse and pale tongue

20 TCM HEART Physiology b Houses the Mind Mental activity, memory, sleepMental activity, memory, sleep Primarily related to Heart BloodPrimarily related to Heart Blood Deficiency of Heart Blood leads to restlessness, anxiety and shen disturbanceDeficiency of Heart Blood leads to restlessness, anxiety and shen disturbance

21 TCM HEART Physiology b Controls Sweating Blood carries body fluid and is interchangeable with itBlood carries body fluid and is interchangeable with it Body fluid is used to make up sweatBody fluid is used to make up sweat Heart deficiency leads to spontaneous sweatingHeart deficiency leads to spontaneous sweating –Night- -Yin –Day- -Yang

22 TCM HEART Physiology b Opens in the Tongue Controls color and appearance of the tongue, particularly tipControls color and appearance of the tongue, particularly tip Deficiency in Heart Blood shows pale (dry) tongueDeficiency in Heart Blood shows pale (dry) tongue Excess heat in Heart causes dark red tongueExcess heat in Heart causes dark red tongue

23 TCM Pericardium Physiology b Protects the Heart b In Practice, considered the same as the Heart b Treat the same b May be more related to shen

24 TCM LUNG Physiology b Governs Qi & Respiration b Dominates Ascending & Descending b Control the Body Surface b Opens in the Nose

25 TCM LUNG Physiology b Governs Qi & Respiration Inhales “clear” QiInhales “clear” Qi Exhales “stale” QiExhales “stale” Qi Forms Zong Qi from Gu Qi & clear QiForms Zong Qi from Gu Qi & clear Qi Qi help propel the Blood so Lung and Heart work togetherQi help propel the Blood so Lung and Heart work together Stagnation of Lung Qi leads to cough and asthmaStagnation of Lung Qi leads to cough and asthma

26 TCM LUNG Physiology b Dominates Ascending & Descending Distributes defensive (wie) Qi and body fluid to entire bodyDistributes defensive (wie) Qi and body fluid to entire body Helps maintain normal descending function, while receiving the ascending water vapor from the kidneyHelps maintain normal descending function, while receiving the ascending water vapor from the kidney

27 TCM LUNG Physiology b Control the Body Surface Distributes body fluid to the tissues which in turn helps regulate skin moisture and sweatingDistributes body fluid to the tissues which in turn helps regulate skin moisture and sweating Provides Wei QiProvides Wei Qi

28 TCM LUNG Physiology b Opens in the Nose Lung is a canopy over the other organs and very delicateLung is a canopy over the other organs and very delicate Easily affected by pathogens (wind, heat, cold or dryness)Easily affected by pathogens (wind, heat, cold or dryness)

29 TCM SPLEEN Physiology b Governs Transportation & Transformation Food & WaterFood & Water b Controls Blood b Dominates the Muscles b Opens in Mouth Lips & Gums (ST)Lips & Gums (ST)

30 TCM SPLEEN Physiology b Governs Transportation & Transformation Distribution, digestion & absorption of nutrients and waterDistribution, digestion & absorption of nutrients and water Dominates post-natal lifeDominates post-natal life SP Qi up- -ST Qi downSP Qi up- -ST Qi down

31 TCM SPLEEN Physiology b Controls Blood Keeps blood in vessels & prevents extravasationKeeps blood in vessels & prevents extravasation SP important for holding substanceSP important for holding substance –Blood –Hernias –Prolapses

32 TCM SPLEEN Physiology b Dominates the Muscles WeaknessWeakness Muscle atrophyMuscle atrophy EmaciationEmaciation

33 TCM SPLEEN Physiology b Opens in Mouth Lips (SP) & Gums (ST)Lips (SP) & Gums (ST) Chewing and appetite are related to Spleen functionChewing and appetite are related to Spleen function Poor Spleen function, poor appetitePoor Spleen function, poor appetite

34 TCM LIVER Physiology b Stores the Blood b Maintains the Smooth Flow of Qi & Blood b Controls the Sinews b Opens in the Eyes

35 TCM LIVER Physiology b Stores the Blood Acts to regulate blood volumeActs to regulate blood volume Similar to WIM function of the liver (plus spleen function)Similar to WIM function of the liver (plus spleen function) Closely related to tolerance to tirednessClosely related to tolerance to tiredness Measure of athletic performanceMeasure of athletic performance

36 TCM LIVER Physiology b Maintains the Smooth Flow of Qi & Blood Ensuring SP/ST digestive functionEnsuring SP/ST digestive function Maintaining vital activities of the bodyMaintaining vital activities of the body Maintaining smooth flow of water-dampMaintaining smooth flow of water-damp

37 TCM LIVER Physiology b Controls the Sinews Moistens and nourishes the tendons and ligamentsMoistens and nourishes the tendons and ligaments Ensures smooth joint movementsEnsures smooth joint movements Depends upon adequate LIV bloodDepends upon adequate LIV blood

38 TCM LIVER Physiology b Opens in the Eyes Meridian connectionMeridian connection LIV yin & blood deficiency leads to dry eyesLIV yin & blood deficiency leads to dry eyes LIV heat leads to red, swollen eyesLIV heat leads to red, swollen eyes

39 TCM KIDNEY Physiology b Stores Essence b Governs Water b Controls Reception of Qi b Dominates the Bones & Marrow b Opens in the Ears b Controls the 2 Orifices

40 TCM KIDNEY Physiology b Stores Essence Inherited EssenceInherited Essence –DNA from parents Acquired EssenceAcquired Essence –From food via the Spleen

41 TCM KIDNEY Physiology b Governs Water Gate that regulates waterGate that regulates water Separates clear from turbid waterSeparates clear from turbid water Clear water is boiled to LungClear water is boiled to Lung Turbid water is sent to BladderTurbid water is sent to Bladder

42 TCM KIDNEY Physiology b Controls Reception of Qi Holds down Qi received from the LungHolds down Qi received from the Lung Kidney deficiency leads to asthmaKidney deficiency leads to asthma

43 TCM KIDNEY Physiology b Dominates the Bones & Marrow OsteoarthritisOsteoarthritis TeethTeeth Brain & Spinal CordBrain & Spinal Cord Bone Marrow (Blood)Bone Marrow (Blood)

44 TCM KIDNEY Physiology b Opens in the Ears Associated with hearing and deafnessAssociated with hearing and deafness

45 TCM KIDNEY Physiology b Controls the 2 Orifices UrinationUrination DefecationDefecation ReproductionReproduction

46 Six Fu Organs b Gallbladder b Stomach b Small Intestine b Large Intestine b Urinary Bladder b Triple Heater

47 Extraordinary Fu Organs b Brain b Marrow b Bone b Vessels b Gallbladder b Uterus

48 Overview of Zang-Fu Physiology HeartLungSpleenLiverKidney Dominates the blood vessels Governs Qi & respiration Governs transformation & transportation Stores the blood Stores the essence Houses the mind Dominates ascending & descending Controls blood Maintains smooth flow of Qi & blood Governs water Controls sweat Controls body surface Dominates the muscles Controls the sinews Controls reception of Qi Dominates the bones & marrow Opens in the tongue Opens in the nose Opens in the mouth (lips) Opens in the eyes Opens in the ears and controls the 2 orifices

49 Zang-Fu Disturbances QiYangBloodYin SP*KID*LIV*KID* LU*SPHT*LIV KIDHTSPLU HTKIDHT SP/(ST*)


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