Where do CM theory come from: Empirical clinical experience ST 36 - energy boast - Chinese army walking for 3 mile Blood

letting from finger tips for manic emotions Sociology Confucianism Naturalistic Observation Yin /yang Wu Xing ( 5 phase) Observing animals in nature Psychology and Biology No separation of mind/body Yin Down Feet (down) Organs Muscles Bones Front (anterior) Medial Solid LU SP HT KI LIV PC Slow pulse Deep Pulse Weak Pulse Cold sensation Internal Disease Chronic Inferior Structure Blood Ying Qi Listless Pale complexion Stretched Weak voice Yang Up Head (up) Muscles Skin Tendons Back (Posterior) Lateral Hollow LI ST SI UB GB SJ Rapid Pulse Superficial Pulse Overly Strong Pulse Hot Sensations External Acute Superior Function Qi Wei Qi Restless Red complexion Curled Loud voice Yin Shady side of the hill Night Dark Rest Earth Cold Flat West North Right 6pm-6am Material Substantial Energy Contraction Descending Below Interior Introverted Depression Deficiency Soft (supple) Yang Sunny side of the hill Day Light Activity Sky Heat Round East South Left 6am-6pm Immaterial Insubstantial Matter Expansion Rising Above Exterior Extraverted Manic Excess Hard (Rigid)

Yin LU ↓ SP HT ↓ KI PC Liv → ← → ← → ←

Yang LI ST SI UB SJ GB ↓ ↓ ↓

Yin and Yang are qualities of things and not things in themselves. They are adjectives (descriptive aspects) and not nouns. Study of Yin/Yang is study of relationships Always define exactly the context (or what is being compared) Four Aspects The opposition of Yin/Yang Yin/Yang are opposite stages of cycle or state All things contain both yin/yang characteristics Yin/yang can be divided infinitely Opposition creates balance Not static but dynamic Interdependence of Yin/Yang Can not exist without each other Mutual consumption of Yin/Yang Inter-transformation Yin/Yang will change into each other Not at random, conditions and timing must be right Four Imbalances Full cold (Excess/Replete Yin) Full Heat (Excess/Replete Yang) Empty/weak Cold (Deficient/vacuous Yang) Empty/weak Heat (Deficient/vacuous Yin)

WU-XING Physiological Cycles Generating Cycle Controlling Cycle Pathological Cycles Over-acting / over controlling Insulting Cycle

Fire State Movement Season active up

Earth Neutral stable

Metal Decline contract

Water rest down Winter

Wood growth Expand spring

Summer Last 18 days Fall of summer or every season Red Yellow /orange White Grief / Loss Sorrow Crying Dryness

Color Emotions

Blue/ black Fear

Green Anger

Elation Worry / over Joy / Thinking / Over Joy anxiety Laughter Singing Heat Dampness

Sounds Pathogen

Groaning Cold

Shouting Wind

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Qi and Xue
SP Qi Ascends


Descends Descends Ascends and Descends All direction
Yuan Qi acts on Gu Qi in HT

Pathologies of Qi 1. Xu - deficiency / vacuity - Fatigue, dizziness, SOB worse on exertion, pale face, weak spirit 2. Stasis – dull, moving pain/ache 3. Sinking - Qi deficiency signs with down bearing sensation in abdomen a/or prolapse of organs 4. Rebellious Lung qi – not descending Coughing Spleen qi – not Ascending Diarrhea, prolapsed organs, bleeding Stomach qi – not Descending Vomiting, nausea, reflex Liver – not moving in all directions Obstructing other organs of qi Liver qi rebelling lungs qi - anxiety hyperventilation
Qi Functions Transforming Qi Dynamic Food -> Qi/ Xue (blood) Waste into fecal matter Transportation Movement / activity Transporting fecal matter (bowel movement) Holding Controlling quality Hold yin things in place Regulates pores Regulates sweating Regulates sphincters Holds xue in mai (xue vessels) Raising / Ascending / Uprising Hold organs in place Prolapsed bladder, uterus Diarrhea Excessive urination Raising the clear yang to head / vertex Protection Qi fights of pathogen (Wei Qi) Wei qi circulates in the area between skin and muscles Warming Warms the entire body


Types of Qi Yuan Qi - Original Qi, source Qi Definition Essence converted to Qi Relates to both yin/yang Replenished by post-natal jing Functions Motive Force Activities of all organs Link between jing and qi Basis of Ki functions Plays role in production of qi and xue Gu Qi - Food or Grain Qi Definitions Food enters stomach Stomach "rots and ripens" Spleen distils Gu Qi and transports up to lungs Goes to lungs combines with Kong (air ) qi becomes Zong Qi) Goes to lungs does not combine Kong Qi pushes to heart, in heart combines with Yuan Qi builds blood Functions Can't be used as it is - must be transformed or combined with other Qi Zong Qi - gathering qi, ancestral qi, essential qi, qi of the chest Definition Gu Qi + Kong (air) Qi = Zong Qi Functions promotes the functions of heart & lungs Circulations of qi and xue (blood) Controls speech and strength of voice Zhen Qi - True qi, Definition Zong qi + yuan Qi Most usable form of qi in body Last stage of refinement Types - Ying Qi and Wei Qi Wei Qi - defensive qi Yang, Defensive, Coarse Circulates outside the channels Related to lung Functions – protects from ext attach Opening and closing of pores Ying qi – nutritive qi Yin, nutritive Refined Circulates inside internal organs Related to Xue (blood) Functions – nutritive

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Jing Essence , Refined, Distilled, Potential, like Manifest (Ship's manifest) Underlying substance that provide s the 'fuel' for all of our bodies' processes When it is used up -> you die | "As you age, you trade Jing for wisdom.“ Two origins 1. Pre-heaven (pre-natal) • Three components: 1. Mixing Mother's + Father's Jing @ conception 2. Mother's Jing during gestation 3. Mixed with Qi of the time and place of conception • Determines vitality, constitution, strength, intelligence • Stored in Kidneys • After birth it can not be increased, helped in two ways: 1. Slow the rate of loss - Not living at extremes, (all excess will consume more jing) 2. Improve the quality - Tai Ji, Yoga, emotional hygiene 2. Post Heaven ( Post-natal) • Qi in our bodies comes from Food and air, surplus at night, while sleeping some of that can be refined as post natal Jing • Stored in Kidney • SP-ST (primary organ ) pull qi from food • Often equated with Kidney essence Four Functions: 1. Governs growth and development Reproduction, sexual maturity, conception, pregnancy Signs and symptoms of Jing Xu (Deficiency) Congenial immune weakness Delayed sexual maturity Infertility and impotence Repetitive miscarriage Abnormal or increased / rapid aging Mental development issues Women are in 7 year cycles and Men are in 8 year cycles 2. Basis of Kidney Qi Jing is the fuel behind kidney functions 3. Produces marrow (substance encapsulated in bones) Marrow : bone marrow, spinal cord and brain Brain disorders relate to Jing deficiency Concentration issues, memory loss 4. Basis of our physical constitution Since jing is fuel for all our processes, it determines many of our characteristics. Mal formation - birth defects, cleft palate

Xue Production: Two Sources 1. Kidney Jing • Directly produces marrow - > Marrow produces blood • Not the primary way of xue production 2. SP + ST o ST - rots and ripens -> SP - Distills what is useful (Gu Qi) to LU o Lu - pushes Gu Qi over to HT -> combines Yuan Qi with Gu Qi = xue Three Functions 1. Nourishes the body • Xue + Qi nourishes the body 2. Moistens the Body • Organs, eyes, sinews, muscles,... Dry, brittle hair or nails is sight of Xue xu 3. Foundation of the shen and xin (mind) • Xue is yin and anchors shen Irritable, insomnia, mental restless, anxiety Three Pathologies 1. Xu • Not enough nourishment in the system S/S - Pale - lips, nail, pale complexion, dry eyes, floaters in eye Scanty and light flow of menses, amenorrhea, 2. Stasis - stagnation • Xue must flow otherwise there will be stasis; Xue is yin in rel. to Qi • Xue stasis is marked accumulation the qi stasis S/S - Xue stasis = Pain is fixed , stabbing, sharp. Palpable mass. Purple tongue and complexion, clots and painful menses, darker purple blood flow, irregular Qi stasis = pain moves and dull/achy 3. Xue heat • S/S - generation of heat Skin disorders (red around edges of eczema/psoriasis), red eruptions, mouth soars, bleeding issues, excessive menstrual flow. Red tongue, rapid pulse Organs related to Xue HT - produces and circulates SP - produces Gu Qi; SP Qi holds blood in vessels (prevents hemorrhage) KI - Jing - Marrow - Xue; Yuan Qi catalyses blood in HT LU - send Gu Qi over to heart; lungs infuse Qi into blood vessels to push blood LV - stores xue ; Uterus also stores Xue Key facts: SP – holds (in vessels) / controls (formation of) xue LV – Stores xue | HT – Governs xue San Jiao Upper Jiao (LU)- "Mist“ | Middle (ST/SP) - "Muddy pool“ Lower Jiao (SI/LI/BL/KI) - "Drainage Ditch" SP - controls T&T of fluids; Always treated in fluid pathology LU - regulates water pathways KI - steam fluids sends them all over the body, and up to LU; provides heat to SP for T&T BL - separates pure/impure; pure as sweat; impure as urine (Yang added to yin is sweat) Jin : Clear light thin ; Yang Ye: Heavy, dense; Yin Circulates with ying qi interior, closely rel. to SP, KI Functions Moistens, joints, spine, brains, and bone marrow Examples : CSF, synovial Phlegm: Congealing from stagnated fluids Substantial: With form; Sputum, nodules, palpable mass Insubstantial: w/o form; Numbness after stroke; Phlegm misting or obstructing the mind ; cont., to next page…


Circulates with wei qi exterior b/w skin and muscles; related to LU Functions: Moistens & somewhat nourishes skin & muscles Can become component of xue Added to xue for thinning Examples: Sweat, saliva, tears Xu: Dehydration; dry skin; mouth; dry cough; often from sweating, diarrhea, vomiting. Can come from chronic conditions .

Dampness: Accumulation of fluids; Fluids have not been moving.

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Phlegm can have various effects on the body: Phlegm in the LU: thick mucus, cough, asthma Phlegm in the "mind": many times called "phlegm misting the mind", depression, psychosis, epilepsy, manic depression Phlegm stagnation: lumps, swellings, fibroids, gallstones, kidney stones Phlegm blocking Qi flow to the head: dizziness, blurred vision Phlegm blocking the meridians: numbness, stroke

Patterns Jin-Ye Xu

Signs Dryness in the body, scanty urination, thirst, constipation/dry stools Poor appetite, fatigue, dizziness, edema, cough

Tongue Red w/no coat

Pulse thin, rapid

Jin-Ye Accumulation Qi Yang Immaterial Warming

Wet w/white coat Xue

slippery, wiry

Relationships of Qi, Xue and Jin-Ye
Xue and Qi Can not be separated. One can become the other Dependent on each other Qi is the commander of blood Xue is the mother of Qi Four aspects of relationships Qi generates Xue Gu Qi component of Xue LU Qi pushes Gu Qi w/o strong qi , Xue will not be produced Qi deficiency will lead to blood deficiency Qi moves the blood Without Qi, blood will be inert substance "when qi moves blood flows" Qi xu -> Xue Xu Qi holds the blood Primarily Sp qi Holds blood in the blood vessels Preventing bleeding or hemorrhage Xue nourishes Qi w/o nourishment of blood Qi will Xu Xue nourishes all organs -> which in turn generate Qi Qi needs an anchor -> Xue Blood and Jin-Ye • Mutually nourishing • Both are fairly yin • Both nourish and both moistens • Jin enters the Blood from the area between skin and muscles to the thin the Xue • Xue is necessary to nourish and engender Jin-Ye • Xue loss -> fluid loss - "dryness" • Tx examples "Do not sweat someone who is Xue deficient" "Do not bleed someone who is excessively sweating”

Yin Physical / material / dense Cooling / opposes the warming factor of qi

Xue and Jing Mutual Engenderment • Jing -> Yuan qi + Gu Qi -> Xue • Jing - > Marrow / Bone Marrow - > Xue • At the end of day, extra Xue (Qi) - > Refined and stored in Kid as post natal Jing Xu of one will lead to Xu of other Qi and Jin-Ye Similar in origin Both come from food and drink Both circulate through the body TnT of fluid is completely dependent on QI Four aspects of Qi / Jin-Ye relationship Qi TnT Fluids Xu Qi will make Jin-Ye Xu Dampness and phlegm SP Qi is the primary Qi in the body for TnT of fluids Qi holds Jin-Ye Regulates sweat Controls the pores Urine Qi and Jin-Ye mutually nourishing (at some level) Loss of fluids will result in loss of Qi Qi circulates along with Jin-Ye Excessive sweating - Qi Xu Vomiting / diarrhea - Qi Xu Qi Xu-> Jin-Ye xu Excess of Jin-Ye impedes Qi flow Dampness / Phlegm will impede Qi flow

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Lungs (fei) Facts Lung loathes “dryness” (B. Damone) [ lung is averse (loathes) to cold (fei wu han) - G. Macocia and N. Wiseman lung defenses dryness heat (fei wei zao re) - N. Wiseman] Seven Function Governs Qi and Respiration Inhales "pure qi", & exhales "impure qi" air qi (Kong qi) - brought in by the lungs GU Qi => Zong Qi Controls strength of voice Promotes circulation of Qi and Xue Spread Qi all over the body to nourish and promote all physiological processes (Qi distribution is closely related to LU) Controls meridians and blood vessels LU governs Qi => Qi pushes Xue to xue mai Controls dispersing and descending Dispersing Spread body fluids => between skin and muscles Spread wei qi => between skin and muscles Circulation in the limbs Send qi to the exterior of the body Bring warmth Descending Lungs are "lid" of the body Descends fluids and Qi Regulates waterways (passages) LU sends pure fluids => mists to skin Evenly distributed LU send fluids down to KI KI steams fluids back up to LU Controls skin and body hair Fluids and Qi dispersed to skin by LU Opens to Noise Houses the Po Giovani - allows for sharp and clear sensation and movement Po - connection of self to non-self (Earthly) Pathology LU Qi Xu Fatigue Cold hands/foot/limbs Blocked nose, stuffy, weak or no smell LU heat => nose bleeds Strong LU Qi => warm (not hot) hands If LU is not dispersing Qi => no defense @ skin Pathogens can easily enter Body may not regulate pores - spontaneous sweating Edema => just under the skin => specially head/face If LU is not descending Qi Qi accumulate in chest => Cough If LU not able to evenly distributed fluids => Edema If LU can not send down to KI then UB can not excrete waste LU not able to control Fluid and Qi Lack of luster in skin and hair Lack of Wei qi circulation under skin Not able to control pores Po => (attachment to past), loss and grief Facts

Heart (Xin) Emperor of the body In order for Xin to be damaged another organ has to be damaged before Most yang of yin organs Always in motion; creating motion Xin is the Sun (Daoist) Land - SP; Water KI Connection to the moment (or present) Cadence of life "HT loathes heat" Excess or xu heat Six Functions Governs Xue Generation and Movement Gu Qi + Yuan Qi => Xue (in Xin) HT Qi xu leads to Xue xu HT Qi xu => Xue stasis Controls/Governs the blood vessels State of blood vessels reflects in state of xue mai HT xu => feeble pulse HT excess => excess pulse Houses the Shen/xin Giovani - whole sphere of emotional, mental and spiritual aspects of a human being Mental activity Conciseness Memory Thinking Sleep Relation between Shen / Xue Shen is yang, needs to be rooted HT Xue is yin and anchors Shen Week HT Xue xu => anxiety, insomnia, restlessness Manifests in the complexion Blood vessels (mai) nourish the complexion HT Xu => pale & lusterless HT stasis => dark/purple Heat in HT => opens to tongue Opens to the tongue All organs can be reflected/relates to tongue Controls sweat Xue and Jin-Ye has common origin Can mutually transform Jin circulates with wei qi (between muscles and skin) Loss Xue case loss of jin-ye HT Qi xu => spontaneously sweating HT yin => night sweats Pathology examples Learning disability (HT Xue Xu Insomnia (Shen not able to root) Lack of happiness Speech difficulty – stuttering

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Liver (Gan) Facts "General" of the body Maintaining order and proper of flow of Qi Creation and execution of strategy and planning GM: "organ of courage & resoluteness" Liver loathes wind Six Functions Stores Xue Physical activity Body @ rest => Xue stored in liver Body active => Liver releases Xue to circulate in muscles and organs In the liver Xue is revitalized/tonifies => restores the energy of the person If LV can not store Xue properly => Fatigue Menstruation LV's function of storing Xue - closely relates to functions of Uterus If LV can not store Xue properly => Often the uterus can not either LV Xue Xu => Scanty; amenorrhea LV Xue stagnation => clots (purplish, darkish) Moistening eyes and tendons LV Xue Xu => dry eyes, floaters, vision issues (worse with fatigue) Ensures the smooth flow of : Qi GM: "to flow, to let out, to disperse, extend, loosen, relax, circulate, make smooth and free, and stop extremes" Emotions If emotions can not flow smoothly => LV (Qi) stasis Depression, frustration, irritability, resentment, anger Physical Signs and symptoms (S&S) Plum pit qi, hypochondriac (below the ribs and side) pain, breast distension Digestion LV can invade or attack three organs: SP, ST and LU ST => normally descends LV Qi stasis obstructing ST Qi => ST Qi may ascends Heart burn, nausea, vomiting (worse with emotional disturbances), IBS SP => normally ascends LV stasis obstructing SP Qi => diarrhea, gas/ bloating, IBS Bile LV Qi stasis => Jaundice, bitter taste in the mouth, belching Controls the Sinews (tendons, ligaments, and cartilage) Sinews often related to our ability to move (ie, contract and relax), relates to the movement of joints or movement of muscles. LV is related to control of movement LV (xue) nourishes and moistens sinews Creates suppleness and ability to control and relax Tics, tremors, twitches, spasms, cramps, convulsions Manifests in the nails "nails are a by product of the sinews" LV Xue Xu - dry, brittle nails, dark, cracked Opens to the eyes LV is primary organ to nourish the eyes and vision All organs are related to vision LV Xue Xu => dry eyes, floaters (worse on fatigue), Houses the Hun Hun is more yang aspect of the spirit Related to planning our life with wisdom and vision Relates to resoluteness If LV Xue is weak => more difficult to plan and execute

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