CLASSICAL CHINESE MEDICINE

Discussion on Cold-Induced Disorders []

Shng Hn Ln to injure; hurt; wound; pain; suffering; mental/emotional disorder cold; freezing debate; discuss; discourse; criticize; criticism; classic

Oldest surviving Chinese medical text devoted to externally-contracted diseases (wi gn bng []) Written by the Eastern Han physician Zhng J [], Zhng Jng [], 150-219 AD, as a means to explain the origins of illness Theory of text rooted in the philosophy of the Hung D Ni Jng [], Nn Jng [], and Shn Nng Bn Co Jng [] Most, if not all, of this ancient text has been lost, especially its original form as the Shng Hn Z Bng Ln []

The Six Stages Li Jng []

Yin Stages
GREAT YIN Hand Foot Hand Foot Hand Foot
Lung (3-5AM) Spleen (9-11 AM) Heart (11-1PM) Kidney (5-7PM) Pericardium (7-9PM) Liver (1-3AM) Large Intestine (5-7AM) Stomach (7-9AM) Small Intestine (1-3PM) Urinary Bladder (3-5PM) Triple Burner (9-11PM) Gall Bladder (11-1AM)

Yang Stages
Hand Foot Hand Foot Hand Foot YANG BRIGHTNESS

ti yn
LESSER YIN

yng mng
GREAT YANG

sho yn
EXTREME YIN

ti yng
LESSER YANG

ju yn

sho yng

Nn Jng [] - Difficult Issue Number Seven

Chinese Pin Yin Pulses Full, big, long Superficial, big, short Alternating big/small or short/long Tight, big, long Tight, thin/fine, minute Deep, short, thick Solar Phases 121st-180th day 61st-120th day Winter Solstice to the 60th day 181st 240th day 241st 300th day 301st-360th day

ti yng yng mng sho yng ti yn sho yn ju yn

David C. Mainenti, L.Ac., C.A., Dipl. OM

Eco-Med LLC 1999-2009

CLASSICAL CHINESE MEDICINE

Ni Jng S Wn [] Analysis of the Six Stages

Chinese Pin Yin Ch. 79 Images Father; primordial, dynamic beginning; spreads along back, trunk, and limbs Defender; traverses the front of the trunk and limbs Bridge between interior and exterior, where the qi makes its way into the deeper layers of the body Mother; the great nurturer; outermost yin channel Gatherer; moves qi into the deep reservoirs of the body Transition between yin and yang; maintains the delicate balance inside the body Ch. 24 Contents Ch. 6 Differentiation On the surface; open and expansive; the outside Ch. 31 Exterior Disorders Day One: headache; stiff neck and pain in lumbar region of the back and spine Day Two: hot sensations in the body; eye and cheek pain; dry nose; inability to lie down; fever Day Three: rib/flank pain; eye pain; headache; pain along the gall bladder channel; earache; deafness; tinnitus Day Four: abdominal fullness, swelling, and distension; dry throat Day Five: dry mouth and tongue; thirst Ch. 24 Needling Can bleed to disperse evil energy, but protect the qi from escaping Can bleed or sedate the qi to disperse evil energy Ch. 16 Collapse Rigidity and stiffness of the back; spasms; paleness; spontaneous sweating Facial paralysis; delirium; yellow face; swelling, numbness, stiffness; muscular spasms; immobility Deafness; joints and bones will become loose and disjointed; eyes will malfunction Abdominal distension; fullness; stagnation; difficulty breathing; sighing; burping; vomiting Face turns black; gums recede; teeth rot; abdomen distends and stagnates Feverish in chest; dry throat; frequent urination; restlessness; irritability; stiff tongue; genital contraction Ch. 68 Influences Ch. 49 Time/Space

ti yng

Cold yn (1st month)

More blood; less qi


Dryness w (5th month)

yng mng

More qi; abundance of blood

Internal; stores and holds the outside together

/
Fire x (9th month)

sho yng

Less blood; more qi

Hinge/switch that connects the exterior with the interior

Can disperse evil qi, but protect the blood


Dampness z (11th month)

ti yn

More qi; less blood

Most superficial of the yin channels Hinge/switch that connects tai yin and jue yin Deepest area of the yin; stores and holds the inside together

Can disperse evil qi, but protect the blood

sho yn

More qi; less blood

Can disperse evil qi, but protect the blood


Heat shn (7th month)


Wind chn (3rd month)

ju yn

More blood; less qi

Day Six: irritability; agitation; genital contraction; qi stagnation

Can bleed to disperse evil energy, but protect the qi from escaping

Ni Jng Lng Sh [] Analysis of the Six Stages

Chinese Pin Yin Ch. 5 Images Gates Ch. 5 Pathologies Superficial invasion Weakness, due to excess Weak bones and joints, loss of balance Qi deficiency Heart/kidney disharmony Mental imbalance Ch. 9 Terminal State Eyes roll up, spinal rigidity, spasms, convulsions, white skin Twitching of lips/eyelids, nervousness and fear, confused speech, yellow skin, fullness Deafness, loose joints, eye weakness, green skin Swollen abdomen, shortness of breath, vomiting Black face; rotten teeth, swollen abdomen, stagnation Chest pain and heat, dry throat, frequent urination, stiff tongue, contracted genitals Ch. 65 Axioms Eyebrows; much blood, little qi Facial hair: much blood and much qi Whiskers and sideburns: much qi, little blood Much blood, little qi Much qi, little blood Much blood, little qi Ch. 78 Needling Needle to let out blood and protect qi Needle to let out blood and evil qi Needle to let out qi and protect blood Needs to let out blood and protect qi Needle to let out qi and protect blood Needle to let out blood and protect qi Ch. 78 Paired Stage Shao Yin

ti yng yng mng sho yng ti yn sho yn ju yn

Inner door

Tai Yin

Pivot Gates Pivot Inner door

Jue Yin Yang Ming Tai Yang Shao Yang

David C. Mainenti, L.Ac., C.A., Dipl. OM

Eco-Med LLC 1999-2009

CLASSICAL CHINESE MEDICINE Shng Hn Ln [] Disease and Formula Overview

Disease Etiology General Symptoms Major Diseases Exterior Wind Invasion Floating pulse; stiff neck and shoulders; headache; aversion to cold Exterior Cold Invasion Specific Symptoms Fever, sweating, aversion to wind, moderate pulse Aversion to cold; generalized body pains; nausea; tight pulse Fever, thirst, no aversion to cold, floating pulse, spontaneous sweating, heaviness; tiredness, snoring, difficulty speaking Floating/tight pulse, dry throat, bitter taste in mouth, abdominal fullness, generalized heaviness Large/big/full pulse, thirst with desire to drink, irritability Mild constipation, irritability; dry yellow tongue moss Constipation, abdominal distension and fullness, tidal fever, delirious speech Extreme constipation, abdominal distension and fullness, hardness and pain, tidal fever, delirious speech Loss of hearing in either ear, red eyes, chest/rib pain, irritability Wiry/fine pulse, headache, fever Xio Chi H Tng [] Minor Bupleurum Decoction Major Herbal Prescription Gu Zh Tng [] Cinnamon Twig Decoction and Feng Chi / Feng Fu M Hung Tng [] Ephedra Decoction Zh Z Ch Tng [] Gardenia and Fermented Soybean Decoction Variations

ti yng bng

Evil Qi invading the exterior layers of the body from the outer environment, disrupting the channels

Exterior Wind-Heat Invasion

Constrained heat; heart/spleen/kidney yang deficiency; yin/yang deficiency; water accumulation

Exterior Wind Invasion

Zh Z Ch Tng [] Gardenia and Fermented Soybean Decoction Bi H Tng [] White Tiger Decoction Tio Wi Chng Q Tng [] Regulate the Stomach and Order the Qi Decoction Xio Chng Q Tng [] Minor Order the Qi Decoction Damp-heat; heat in the blood; deficiency-cold

yng mng bng

Evil Qi progressing into the interior of the exterior layers of the body, invading the Stomach and turning to heat

Excess Heat Fever; spontaneous sweating, aversion to heat Excess Dryness

D Chng Q Tng [] Major Order the Qi Decoction

sho yng bng

Evil Qi moving between the interior (Yang Ming) and exterior (Tai Yang)

Bitter taste in the mouth, dry throat, dizziness, vertigo, alternating chills and fever; no desire to eat or drink Abdominal fullness and pain, vomiting, no desire to eat, diarrhea

Exterior Wind Invasion

Exterior Cold Invasion

Concurrent interior excess, dampness, or mania; unresolved exterior pattern

ti yn bng

Evil Qi disrupting a weakened interior, depleting the Spleen Evil Qi disrupting the integration of water and fire, depleting both

Exterior Wind Invasion Interior Cold

Floating pulse Spontaneous diarrhea, no thirst, moderate/weak pulse Deep/slow pulse, cold limbs, diarrhea, nausea and vomiting, aversion to cold Irritability; palpitations, insomnia Weak pulse, cold skin, agitated mood but also quiet at times, vomiting of roundworms, diarrhea Yin/yang imbalance, fever, cold extremities, slippery pulse Yin/yang imbalance, cold fingers, diarrhea, fine pulse

Gu Zh Tng [] Cinnamon Twig Decoction Formulas that Warm the Interior and Dispel Cold

Concurrent exterior pattern; abdominal pain

sho yn bng

Fine/minute pulse, desire only to sleep

Deficiency Cold Deficiency Heat

S N Tng [] Frigid Extremities Decoction or moxibustion Hung Lin Jio Tng [] Coptis and Ass-Hide Glue Decoction W Mi Wn [] Mume Pill Bi H Tng [] White Tiger Decoction Dng Gu S N Tng [] Angelica Decoction for Frigid Extremities

Concurrent exterior pattern; sore throat

ju yn bng

Evil Qi invading the extreme interior

Voracious thirst, chest pain, palpitations, hunger with no desire to eat, nausea/vomiting of roundworms

Heat Above/Cold Below Extreme Heat Extreme Cold

Phlegm obstruction; stomach deficiency; diarrhea; hiccups

David C. Mainenti, L.Ac., C.A., Dipl. OM

Eco-Med LLC 1999-2009