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Traditional Chinese Internal Medicine (TCM)

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Presentation on theme: "Traditional Chinese Internal Medicine (TCM)"— Presentation transcript:

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

2 Traditional Chinese Medicine
Diet Exercise Rest Acupuncture Chinese herbal formulas

3 Yin and Yang Basic Opposing Forces of Nature Mutually Supporting
Night & Day Cold & Hot North & South Winter & Summer Bottom & Top Back & Front Left & Right Mutually Supporting

4 TCM 5 Element Theory 8 Principles of Disease Zang-Fu Organs Fire Earth
Metal Water Wood 8 Principles of Disease Yin & Yang Interior & Exterior Cold & Hot Deficiency & Excess Zang-Fu Organs HT/SI -- PC/TH SP/ST LU/LI KID/BL LIV/GB

5 Zang-Fu Organs

6 Wood Sound Emotion Climate Season Direction Opening Body Part Zang/Fu
shout Emotion anger Climate windy-warm Season spring Direction east Opening eyes Body Part ligaments Zang/Fu LIV/GB

7 Fire Sound Emotion Climate Season Direction Opening Body Part Zang/Fu
laugh Emotion joy Climate heat Season summer Direction south Opening tongue Body Part Zang/Fu HT/SI - PC/TH

8 Earth Sound Emotion Climate Season Direction Opening Body Part Zang/Fu
song Emotion sympathy Climate humid Season late summer Direction center Opening lips/gums Body Part muscles Zang/Fu SP/ST

9 Metal Sound Emotion Climate Season Direction Opening Body Part Zang/Fu
weeping Emotion grief Climate dry-cool Season autumn Direction west Opening nose Body Part skin Zang/Fu LU/LI

10 Water Sound Emotion Climate Season Direction Opening Body Part Zang/Fu
groaning Emotion fear Climate cold Season winter Direction north Opening ears Body Part bones Zang/Fu KID/BL

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

12 Shen (creation) Cycle 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 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 Depth of Disease Nature of Disease
Exterior -- Interior Nature of Disease Hot -- Cold Relative Strength of Body vrs. Disease Excess -- Deficiency Overall Character Yang -- Yin

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

32 TCM SPLEEN Physiology Dominates the Muscles Weakness Muscle atrophy

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

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

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

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

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

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

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

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

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

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

43 TCM KIDNEY Physiology Dominates the Bones & Marrow Osteoarthritis
Teeth Brain & Spinal Cord Bone Marrow (Blood)

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

45 TCM KIDNEY Physiology Controls the 2 Orifices Urination Defecation

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

47 Extraordinary Fu Organs
Brain Marrow Bone Vessels Gallbladder Uterus

48 Overview of Zang-Fu Physiology
Heart Lung Spleen Liver Kidney 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 Qi Yang Blood Yin SP* KID* LIV* LU* SP HT* LIV

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