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Emotions, Five Souls and Their Specific Acupuncture Points
Emotions, Five Souls and Their Specific Acupuncture Points
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Fruehauf H: http://www.itmonline.org/5organs/heart.htm
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Talking about Shen shn - spirit basically at least three aspects should be considered:
o Shen as a substance is the most volatile of the Three Treasures: The most substantial
treasure is essence jng , which is transformed by the action of the middle burner into
the active substance qi . Shen is transformed from qi every day of life, as soon as we
open our eyes. When we are falling asleep shen is re-transformed into qi, and while we are
sleeping qi is re-transformed into shen. This aspect shows on the one hand the importance
of sleep for bewaring essence jing; on the other hand it shows that shen is a very individual substance, receiving its characteristics from the prenatal jing or yuan qi, combined
with aspects of every days intake of food, drinks and air. Furthermore the fact, that shen
is such a volatile, gas-like substance should remind us that acupuncture works very strong
on shen: With our needles we can hardly move essence jing. But if we move qi we always as well move shen even more than qi, because shen is more volatile. So we have to
be very cautious if acupuncturing psychotic patients. It is not advisable to leave such patients alone after acupuncture treatment!
o The five shen is an expression for five different souls (plural!): In contrast to the Christian Idea of one unique immortal human soul Chinese philosophy presumes five souls
wu shen w shn . Each of these souls is housed or stored by one of the solid organs and is concerned with the management of emotions: the liver stores hun, the lung po,
the spleen yi, the kidney zhi, and the heart houses shen.
o Shen, the spirit of the heart, is the conductor in the concert of the five souls, the chief
soul. Shen is in charge with the common sense. Shen is primarily concerned with environmental impressions and with emotions. The former reach the shen via the gates of the
heart (the sensory organs). Concerned with emotions shen delegates the reaction on them
to the other souls, finally reflecting them by facial expression and involuntary body language.
Furthermore the shen of the heart has to control the action of the four other souls and their
reactions. This may be difficult sometimes, especially concerning the soul of the liver
hun, with its tendency to violence.
xn cng shn
gn cng hn
The lung stores the body-soul: autonomous nerve system, skin fi cng p
The spleen houses the idea: digestion, calculation
p cng y
shn cng zh
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Wuqing
(Five Emotions)
Liuqing
(Six Emotions)
Liji
(3rd century B.C.E.)
Xunzi
(3rd century B.C.E.)
Hanshu (1st century)
Baihu tongyi 1st century)
Chinese Buddhist
scriptures
(3rd-6th century)
Hai lu suishi
(12th century)
Zhuzi yulu
(The teachings of the neoConfucian philosopher
Qiging
(Seven Emotions)
excitement (xi), anger (nu),
sorrow (ai), panic (ju),
affection (ai), hate (wu),
desire (yu)
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Source
Wuqing
(Five Emotions)
Liuqing
(Six Emotions)
Qiging
(Seven Emotions)
desire (yu)
Zhu Xi,
1130-1200)
Major medical texts
featuring the presentday version of the seven
emotions:
Sanyin jiyi bingzheng
fanglun (1174), Shiyi
dexiao fang (1176),
Jisheng fang (1253),
Puji fang (1406), Binhu
maixue (1564), Zhengzhi
zhunsheng (1602),
Jingyue quanshu (1636),
Yizong jinjian (1742)
Nevertheless all emotions influence the flow of qi, some more, some less focusing on the organ related
with the respective element or with the qi flow in general.
Starting studying TCM the different nomenclature and the ambiguous classification of the emotions
may cause major difficulties. First of all it is clear that some emotions are absolutely physiological and
thus may be taken as normal impulse-givers for the movement of qi. But there are several emotions
without any obvious physiological effect, e.g. grief and melancholy. Secondary even the positive emotions may turn into bad if the conditions are like written above.
So let us try to work out the effect of emotions on their respective organ, its qi and therewith its soul.
Table 3: Emotions and Their Effect On Organs/ Qi/ Souls
Emotion
Joy
Anger/ rage
Grief
Melancholy
Physiology
Joy slows down
the heart qi
Anger/ rage aggression makes
liver qi rise
0
0
Anxiety,
overthinking
Fear
Fright
Pathology
Excessive joy makes the qi
sluggish
Rage causes the liver qi to
flow adversely upward
pn yn
x z q hun
n z q shng
bi z q xio
yo z q y
s z q ji
kng z q xi
jng z q lun
Just to show how difficult it is to work out a universally valid concept of the seven emotions,
their effect and their respective organs, please see the following table.
Table 4: Emotions and organs presented by different authors
piWiseman Class.
nyin
1 x joy
joy
(heart)
(heart)
Liu Yanchi
Class.
CAM
Liu Yanchi
F/Z
x z q hun
excessive joy makes the
qi sluggish
joy causes
the qi to
move slowly
joy
joy (heart) if normal: encourages circu- (heart)
lation of qi and blood.
Over-joy scattering
of heart qi, inability to
concentrate
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piWiseman Class.
nyin
2 n anger
anger,
(liver)
rage
(liver)
3 bi sorrow
(lung)
4
yu
anxiety
(lung)
5 s
thought
(spleen)
6
fear
kng (kidney)
7
jng
fright
(kidney)
Class.
CAM
Liu Yanchi
F/Z
n z q shng
rage causes the liver qi
to flow adversely upward
anger causes
the qi to rise
up
anger (liver)
anger
(liver)
melancholy
drastically
consumes qi
sorrow -)Qi
(lung)
bi z q xio
sorrow makes the qi (of
the lung) consumed
melan-
choly
n z q y
(lung)
melancholy makes the
qi stagnated
anxiety
(spleen
s z q ji
)
anxiety makes the qi depressed (often resulted
in indigestion)
fear
(kidkng z q xi
ney)
fear causes qi to sink
(incontinence, seminal
discharge)
fright
(kidjng z q lun
ney)
fright makes the qi (of
the heart) disturbed
anxiety
(lung or
spleen)
fear
(kidney)
fright causes
it to be deranged
fright (kidney)
heart qi wander
about, adhering to
nothing
fright
(kidney)
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The Five Points of the Souls on the Exterior Branch of the Bladder Channel on the Back
There are five points, situated lateral to the back-shu points of the solid or zang organs
named according to the five souls. Their indications are ambiguous: Maciocia and Platsch are
very enthusiastic about their psychological effect. But reviewing my acupuncture textbooks
there was a great disillusion. The table below shows that the Chinese approach is by far less
psychological and emphasizes mainly on the physical aspect. Deadman/Al-Kafaji: According to the Essential Questions the five outer Bladder points level with the five zang back-shu
points drain heat from the five zang, an action shared by the back-shu points.
Bl 43 gao
huang (Vital Region
Shu)
Bl 44
shen tang
(Hall of the
Spirit)
Bl 47 hun
men (Gate
of the Ethereal Soul)
Bl 49 yi
she (Abode
of Thought)
Maciocia: Foundations
Mental aspect: the pont is
associated with the corporeal soul po, which referring to the mental-spiritual
aspect of the lung. Therefore Bl 42 is used for emotional problems, related
with the lung, primarily for
depression, grief and sorrow. The point has a pronounced effet in calming
the mind and it nourishes
qi, whenever it has been
used up by a longer lasting
phase of depression or grief
Invigorates the spirit via
essence jing, which is
nourishing the brain. Thus
it promotes the power of
memory and clears up the
mood, primarily after a
long phase of illness
The point is primarily used
for emotional and psychic
problems, referring to the
heart. Optimum use is together with Bl 15, especially for anxious vexation,
sleeping disorders and depression
Roots the ethereal soul
hun6. We use this point for
emotional problems, related to the liver, including
depression, frustration and
long lasting grudge (Groll)
Platsch Psychosomatik/ 5E
Is linked to the psychic
and emotional properties of the lung network (disturbances of
body perception,
oversensitivity, pain
and loss of rhythm of
life)
Li Ding
CAM
Deadman/AlKafaji
Three corpse
possession
disorder
Liu Gongwang
Referring to
Bl 13 fei
shu: Mental
Diseases:
Manicdepression,
epilepsy and
clonic convulsion
Poor
memory,
seminal
emission
poor
memory
calmes the
spirit
Amnesia,
sleeplessness,
vertigo, dizziness
Calms the
mind
Vexation, insomnia
Mental
diseases,
removes
stagnation
of liver qi
Referring to
Bl 18 gan
shu: mental
diseases, epilepsy
Spleen
problems
and those
disorders
associated
with the
emotions
0/ wasting
and thirsting
disorder
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Exterior BPoint
Bl 52 zhi
shi (Residence of the
Will) or jing
gong (Palace of Essence)
Maciocia: Foundations
Strengthens the powers of
will and decision: both of
them are mental-spiritual
phenomena linked to the
kidney. Very useful for the
treatment of various forms
of depression, combined
with disorientation and lack
of willpower and thus lack
of mental strength of selfhealing
Platsch Psychosomatik/ 5E
Tonifies and stores essence and willpower
(for deficiency of endurance, determination
caused by lack of willpower)
Li Ding
CAM
Deadman/AlKafaji
0
Liu Gongwang
Insomnia,
amnesia,
dreaminess
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Nevertheless, applied over a longer period, it can stimulate the producers of qi, blood and yin
(stomach, spleen and kidney). One of my favorites in this category is the qi and blood tonifying formula: Gui pi tang Return Spleen Decoction:
Tonifying qi: containing the whole formula si jun zi tang
Tonifying blood: Astragalus und Angelica sin. with pronounced blood producing and invigorating effect
Calming the spirit: Polygalae Radix yuan zhi and Longan arillus long yan rou
Substances helping digestion: Saussureae Radix xiang mu and Zingiberis Rhiz. Trecens
sheng jiang
Apart from these basic conditions there are two different techniques to calm an irritated shen,
resembling the possibilities to keep a teenager at home:
One possibility is to make it very comfortable for the shen to stay in its respective organ
by nourishing its qi, blood and yin. The specific substances are summarized under the category of heart nourishing and shen calming herbs, e.g. Ziziphi spinosae Semen (suan zao
ren), Longan Arillus (long yan rou), Biotae Semen (bai zi ren), Polygalae Radix (yuan zhi)
etc.
The second possibility becomes actual if shen is gravely irritated so that the condition is
close to psychosis: Heavy settlers, which hold the spirit down, have to be used, e.g. Fossilia Ossis Mastodi (long gu), Ostreae Concha (mu li), Ferri frusta (sheng tie luo), Margarita
(zhen zhu) and mother of pearl (zhen zhu mu) etc.
There are special formulas for any abnormal mental condition, working amazingly well.
One of my favorites is a very simple prescription, which proved to be most efficient in
treating hysteria, neurosis and even the early stage of schizophrenia: Gan mai da zao tang
licorice, light wheat and Chinese date soup, or to say it a bit more expertly decoction.
Although the single ingredients almost look like foodstuff and none of them is a spirit
calming drug, together they manage to nourish the heart, calm the spirit, harmonize the
digestive system and relax hypertonicity.
Summary
In contrast ro the Christian theory of one unique immortal soul, the Chinese theory focuses on
five shen souls or spirits, the chief of which is the shen of the heart. The five souls are
stored in the five solid zang organs, where they only stay if there is no irritation by pathogens
or emotions. Mental peace clinches on the even qi movement and the solid attachment of the
five shen to their related organs.
It is the task of the liver to keep the flow of qi and blood smooth and easy. Some emotions
work on the qi flow and thus may disturb the liver in fulfilling its task. Furthermore the frequently necessary suppression of emotions may induce liver qi stagnation, respectively liver
qi depression, an expression which is sometimes used as a synonym for liver qi stagnation.
Longer lasting, this condition can manifest as depression in the psychological sense of the expression or as other emotional disturbances, i.e. neurosis, hysteria and even psychosis.
Acupuncture is very helpful stimulating the flow of qi. Nevertheless the reason of any qi stagnation has to be found and removed. Otherwise acupuncture can aggravate already given
symptoms in this case, because substantial impediments have to be removed by medication
before acupuncture. Otherwise the invigorated qi movement can cause more pain because it is
blocked. Another condition requiring medication before acupuncture is qi deficiency. To obtain an acupuncture effect there must be enough qi to be moved.
Summarizing I dare saying: My personal impression that the Chinese approach to psychic
conditions goes via the physical aspect, was confirmed by the analysis of the five points
named in accordance with the five shen, situated on the lateral branch of the bladder channel
on the back: While authors outside China enthusiastically emphasize on their mental aspect,
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10
Chinese textbooks for foreigners give absolute priority to their effect on physical conditions.
From the practical point of view, applied TCM can not replace modern psychotropic drugs totally. Used with profound background knowledge of TCM and respective precaution acupuncture and Chinese Herbal Therapy have amazing effects in treating psycho-emotional abnormalities without causing negative side effects and therefore can be warmly recommended for
the treatment of psycho-emotional disorders.
References
Bensky D./Clavey S./ Stger E. (2004, Erstauflage 1986) Chinese Herbal Medicine Materia Medica,
3rd Edition 2004. Eastland Press Incorporated, Seattle, Washington. ISBN: 0-939616-4-24
Cheng Xinnong (Hg.) (1987) Chinese Acupuncture and Moxibustion. Foreign Language Press, Beijing.
ISBN: 0-8351-2109-7, 7-119-00378-X
Deadman P. / Al-Khafaji M. with Baker K. (1998) A Manual of Acupuncture. Eastland Press # D
Vista, California USA. first published by Journal of Chinese Medicine Publications (1998). ISBN
0 9510546 7 8
Feit R. / Zmiewski P. (1989) Acumoxa Therapy Volume I. Paradigm Publications, Brookline, Massachusetts. ISBN: Vol I: 0-912111-22-4;
Fruehauf H: All Disease Comes From the Heart: The Pivotal Role of the Emotions in Classical Chinese Medicine. Found under http://www.scribd.com/doc/17849966/Emotions-Fruehauf
Fruehauf H: http://www.itmonline.org/5organs/5organs.htm
Li Ding (1991) Acupuncture, Meridian Theory and Acupuncture Points. Foreign Language Press, Beijing. ISBN: 0-8351-2221-2 and 7-119-00405-0
Liu Gongwang (1998) Acupoints and Meridians. Huaxia Publishing House, Beijing (first edition
1996), ISBN: 7 5080 1429 4
Liu Yanchi (1988) The Essential Book of Traditional Chinese Medicine. Volume I and II. Columbia
University Press, New York. ISBN10: 0231065183; ISBN13: 9780231065184
Maciocia G. (1994) Die Grundlagen der Chinesischen Medizin. Verlag fr Traditionelle Chinesische
Medizin Dr. Erich Whr, Ktzting, Bayer. Wald. (Englische Erstausgabe 1989). ISBN: 3-92734407-9. A Translation of Maciocia G.(1989) The Foundations of Chinese Medicine: A Comprehensive Text for Acupuncturists and Herbalists, Churchill Livingstone, London
Maciocia G.(1997) Die Praxis der Chinesischen Medizin. Verlag fr Traditionelle Chinesische Medizin Dr. Erich Whr, Ktzting, Bayer. Wald. (Englische Erstausgabe 1989). ISBN: 3-927344-17-6
Platsch K-D. (2005) Psychosomatik in der chinesischen Medizin. Elsevier GmbH, Urban & Fischer,
Mnchen. ISBN:3-437-56111-1
Platsch K-D. (2009) Die fnf Wandlungsphasen: Das Tor zur chinesischen Medizin. Elsevier GmbH,
Urban & Fischer, Mnchen. ISBN:3-437-56711-7
Scheid V. / Bensky D./ Ellis A. / Barolett R (2009) Formulas and Strategies, 2nd Edition. Eastland
Press, Seattle, Washington, USA. ISBN:978-0-039616-67-1
Xie Zhu-Fan/ Lou Zhi-Cen/ Huang Xiao-Kai (1994) Classified Dictionary of Traditional Chinese Medicine. New World Press, Beijing. , Beijing. ISBN: 7-80005-226-5
Abbreviations
Abbreviation
Bensky Materia
Medica 2004
CAM
Class
Deadman /AlKhafaji
F/Z
Fruehauf
Fruehauf
Reference
Bensky D./Clavey S./ Stger E. (2004, Erstauflage 1986) Chinese Herbal Medicine Materia
Medica, 3rd Edition 2004. Eastland Press Incorporated, Seattle, Washington. ISBN: 0-939616-4-24
Cheng Xinnong (Hg.) (1987) Chinese Acupuncture and Moxibustion. Foreign Language Press, Beijing. ISBN: 0-8351-2109-7, 7-119-00378-X
Xie Zhu-Fan/ Lou Zhi-Cen/ Huang Xiao-Kai (1994) Classified Dictionary of Traditional Chinese
Medicine. New World Press, Beijing. , Beijing. ISBN: 7-80005-226-5
Deadman P. / Al-Khafaji M. with Baker K. (1998) A Manual of Acupuncture. Eastland Press # D
Vista, California USA. first published by Journal of Chinese Medicine Publications (1998). ISBN 0
9510546 7 8
Feit R. / Zmiewski P. (1989) Acumoxa Therapy Volume I. Paradigm Publications, Brookline, Massachusetts. ISBN: Vol I: 0-912111-22-4;
Fruehauf H: http://www.itmonline.org/5organs/5organs.htm
Fruehauf H: All Disease Comes From the Heart: The Pivotal Role of the Emotions in Classical Chinese Medicine. Found under http://www.scribd.com/doc/17849966/Emotions-Fruehauf
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Abbreviation
Li Ding
Liu Gongwang
Liu Yanchi
Maciocia:
Foundations
Maciocia: Practice
Platsch 5E
Platsch Psychosomatik
Scheid/Bensky
et al: Formulas
11
Reference
Li Ding (1991) Acupuncture, Meridian Theory and Acupuncture Points. Foreign Language Press,
Beijing. ISBN: 0-8351-2221-2 and 7-119-00405-0
Liu Gongwang (1998) Acupoints and Meridians. Huaxia Publishing House, Beijing (first edition
1996), ISBN: 7 5080 1429 4
Liu Yanchi (1988) The Essential Book of Traditional Chinese Medicine. Volume I and II. Columbia
University Press, New York. ISBN10: 0231065183; ISBN13: 9780231065184
Maciocia G. (1994) Die Grundlagen der Chinesischen Medizin. Verlag fr Traditionelle Chinesische
Medizin Dr. Erich Whr, Ktzting, Bayer. Wald. (Englische Erstausgabe 1989). ISBN: 3-927344-079. A Translation of Maciocia G.(1989) The Foundations of Chinese Medicine: A Comprehensive
Text for Acupuncturists and Herbalists, Churchill Livingstone, London
Maciocia G.(1997) Die Praxis der Chinesischen Medizin. Verlag fr Traditionelle Chinesische Medizin Dr. Erich Whr, Ktzting, Bayer. Wald. ISBN: 3-927344-17-6 (First Published in English: Maciocia G (1989) The Practice of Chinese Medicine: The Treatment of Diseases with Acupuncture and
Herbal Therapy.
Platsch K-D. (2009) Die fnf Wandlungsphasen: Das Tor zur chinesischen Medizin. Elsevier GmbH,
Urban & Fischer, Mnchen. ISBN:3-437-56711-7
Platsch K-D. (2005) Psychosomatik in der chinesischen Medizin. Elsevier GmbH, Urban & Fischer,
Mnchen. ISBN:3-437-56111-1
Scheid V. / Bensky D./ Ellis A. / Barolett R (2009) Formulas and Strategies, 2nd Edition. Eastland
Press, Seattle, Washington, USA. ISBN:978-0-039616-67-1