Professional Documents
Culture Documents
Shuran Ma
Beijing University of Chinese Medicine
• Basic concept of yin-yang
stand for two opposite things or phenomena, but • Shady side or sunny side of a hill
also can be used to analyze two opposite aspects
• North side or south side of a
within one thing, which represents the principle
river
of the unity of two opposites.
into two.”
Principle:本质,本义;根源
Evolution of basic concept of yin-yang
At first only means towards and back of sunlight:
the sunny side--yang,the shady side --yin
mountain south--yang
mountain north----yin
Evolution of basic concept of yin-yang
daytime -----yang
dark at night-----yin
yang yin
Evolution of basic concept of yin-yang
• 《Plain Questions》:“yin and yang serve as the law of the heavens and
the earth, the fundamental principle of all things, the parents of changes,
the beginning of birth and death and the storehouse of spirits(shenming
). ” (shenming:intrinsic power of an object responsible for the movement and
transformation of an object)
• Yin-yang theory holds that the world is material; everything in the world
contains two opposites----yin and yang. The world is the outcome of the unity
of opposites of yin and yang and their contradictory movement.
Features of Yin and Yang
• Relevance(相关性)--one category, one level
tem hu brig
prope tim sea
location pera mid htne State of motion Functional status
rty e son
ture ity ss
Spri
ng, m hype
u outs le sout heav war qui excit gasi
yang day su dry light rise ov rfun
p ide ft h en m ck e fy
mm e ction
er
Aut
d
ri um sil
o insi nort nig moi dro slo inhib rece for
yin g earth n, cold dark en
w de h ht st p w it ssion m
ht win ce
n
ter
Features of Yin and Yang
• Generality (普遍性)-- various changes of all the different
kinds of things can be generalized by the law of unity of
opposites between yin and yang
Generality refers to the fact that differentiating things by yin
and yang are not limited to specific things, but exists
generally in various things which are both opposite and
complementary to each other in the natural world
《Plain Questions》:“yin and yang serve as the law of the
heavens and the earth, the fundamental principle of all
things, the parents of changes, the beginning of birth and
death and the storehouse of shenming. ”
Features of Yin and Yang
• Relativity (相对性)-- --the property of yin and yang is not
absolute and unchangeable, but rather it is relative and
changeable
Different comparison object,different property of yin and
yang:water-ice,water-vapour
mutual transformation:yin and yang can be mutually
transformed into its opposite under certain circumstances.
Such as:The cold abundance results in heat and the heat
abundance results in coldness,Yang in its extreme gives
rise to yin,yin in its extreme will give rise to yang.
infinite divisibility :yang within yin, yin within yang,yin-yang
can be divided among yin-yang
Infinite divisibility of yin-yang
√ The interaction between yin and yang is the prerequisite for the generation
√ Ancient Chinese philosophers hold that the generation and changes of all things
on earth depend on the interaction between yin and yang.
√ 《荀子•礼论》 : “when the heaven and the earth conjoin, the myriad things are
begot; when the yin and yang principles combine, transformations and
transmutations are produced ““天地合而万物生,阴阳接而变化起。
Interaction and Inter-accommodation between Yin and Yang交感互藏
√ The inter-accommodation of yin and yang is the motivational source of the interaction
between yin and yang.
√ That is to say, one object or phenomenon pertains to yin, but it also contains elements
of yang; while another object or phenomenon pertains to yang, but it can also contain
elements of yin.
√ The hidden elements of yin within yang and yang within yin have important regulating
and controlling functions on the tendency of an object to move in a certain way.
Interaction and Inter-accommodation between Yin and Yang交感互藏
heaven-qi
For example,
√ heaven-qi pertains to yang, and the reason
why it has a tendency to fall downward
yang-qi yin-qi
instead of rising up is that heaven-qi contains
yin-qi, and when the yin-qi accumulates to a will drop in the form of rain
certain degree, it will drop in the form of rain.
√ Conversely, earth-qi pertains to yin, and the rise to form clouds
reason why it has a tendency to rise up instead
of falling downward is that when the yang-qi
contained in it accumulates to a certain degree
it will rise to form clouds.
yang-qi yin-qi
earth-qi
Opposition and Restriction between Yin and Yang
• Concepts
Opposition:means contrary,such as:cold and heat、light and dark、
water and fire and so on
Restriction:yin and yang with opposite properties suppress and restrict
mutually in one unit
• Meanings
√achieve a dynamic equilibrium through mutual restriction and mutual
struggle
√ Such as:“treating cold with hot drugs,treating hot with cold drugs”
√ 《Doctor Change in A Supplement in Classification Classic》 《类经附翼·医
易》“Those being too dynamic should be restrained by stillness, and
those of yin predominance can be overcome by yang”
Mutual Rooting and Reciprocity of Yin and Yang
• Concept
Mutual rooting:Yin and yang are mutually rooting. Yang is rooted in yin, and yin is
rooted in yang
For example, the upper belongs to yang and the lower to yin, without the lower there
would be no upper because there is no point of reference for comparison
Take qi and blood as an example, qi pertains to yang while blood belongs to yin. Qi can
promote the production of blood and is also contained in blood.
Waning means to decrease and decline, and waxing means to increase and rise.
• Forms:opposition and restriction between yin and yang:yin decreases and yang increases,
mutual rooting and reciprocity of yin and yang causes:yin decreases and yang
• Such as:The cold abundance results in heat and the heat abundance results in coldness,
Yang in its extreme gives rise to yin,yin in its extreme will give rise to yang
《Plain Questions》:““The extreme yin will turn into yang and the extreme yang will
turn into yin. So yin dominates over cold and yang dominates over heat. That is why
extreme cold leads to heat and vice versa. That is why it is said that cold generates heat
and heat produces cold. This is the mutual transformation of yin and yang.”
Mutual Transformation between Yin and Yang
Yin stored in yang, mutual rooting and reciprocity of yin and yang, yang is likely to
transform into yin
Solitary Solitary
yang yang yin
yang yin yin
• body surface(yang)
the upper part of the body pertains to yang while the lower part to yin
the left part of the body pertains to yang while the right part to yin
the body surface pertains to yang while the interior of the body to yin
back--yang
back, waist--yang
waist--yin
Chest, back, waist, abdomen
chest--yang
chest, abdomen--yin
abdomen--yin
Explaining the Structure of the Body
• In the body(yin)
five zang-viscera--yin(internal,store essential and spiritual qi)
(1)zang-and-fu viscera
rise、out(yang)
interdependence between ascending and
The basic form of
descending
life activity
,opposite and complementary to each other
drop、in(yin)
Explaining Pathological Changes
1. Illustrating the nature of disease and yin-yang attributes of healthy-qi and evil-qi
1. Illustrating the nature of disease and yin-yang attributes of healthy-qi and evil-qi
Yang-qi qi-Yang
Yin-yang Basic
property of qi substanses
healthy-qi
Yin-qi Essence,fluid, blood-Yin
Explaining Pathological Changes
1)Superiority of yang:Superiority of yang resulting in heat, or predominance of yang making yin suffer
concept : the pathological changes caused by a yang pathogen invading the human body or
“pathogenic factors transforming into heat” which is manifested as a superabundance of yang-heat.
causes: a yang pathogen invading the human body ; pathogenic factors transforming into heat ;five
emotions causing fire ; qi depression 、 phlegm, blood stasis 、 dyspepsia( 消 化 不 良 ) 、 parasitic
malnutrition(寄生虫营养不良) transform into heat
(1)Superiority of yin or yang:the pathological state that either yin or yang has
exceeded so as to go beyond the physiological limit.
2)Superiority of yin:Superiority of yin resulting in cold, predominance of yin making yang suffer
concept:the pathological changes caused by a yin pathogen invading the human body or
“pathogenic factors transforming into cold” which is manifested as a superabundance of
yin-cold
Performance a cold body and limbs,no sweating-- superiority of yin resulting in coldness
Max
Min
(2)Inferiority of yin and yang: the pathological changes resulting from the
decline of yin or yang of human body to varying degrees but below the normal
level
1) Inferiority of yang :Deficiency of yang leading to cold
concept:deficiency of yang-qi of body, deficient yang fails to restrain yin
with a relative exuberance of yin-cold
Characteristics:Deficiency of yang leading to cold——virtual cold syndrome
Causes: Be congenitally deficient先天不足;acquired fails to be nourished—
disorders of eating,overwork;prolonged illness
Performance: pale complexion,extreme chilliness
diarrhhea,spontaneous sweating
Fuzilizhong pills
Explaining Pathological Changes
(2)Inferiority of yin and yang: the pathological changes resulting from the decline of yin
or yang of human body to varying degrees but below the normal level
concept: Deficiency yin cannot restrain yang, so that the yang functions become
relatively hyperactive, so there appears the signs of heat.
Causes:long period of heat disease injures yin;five emotions causing fire injuring yin;
prolonged illness injures yin
Performance:hot flashes, night sweats, feverish sensation over the five centers of
the body , a dry mouth, a reddened tongue with very little tongue fur and a
Zhibaidihuang pills
Explaining Pathological Changes
Deficiency of
Inferiority yang leading deficiency- tonifying yang
to cold and cold
of yang for the virtual
hyperactivity cold
of yin syndromes
reinforcing
Inferiority of the
yin and yang deficiency
Deficiency of
deficiency
Inferiority yin leading to tonifying yin
-heat
of yin heat and for the virtual
hyperactivity heat
of yang syndromes
Explaining Pathological Changes
Max
Min
(3)Mutual Impairment of Yin and Yang:Owing to the mutual rooting and morning
mutual promotion between yin and yang, when yin or yang deficiency reaches a
certain degree, yin impairment involving yang, or yang impairment involving yin
will appear.
Impairment Yang
of Yang impairment
involving
Mutual Impairment yin
of Yin and Yang Deficiency of Nourish
Yin yin-yang yin-yang
Impairment impairment
of Yin involving
yang
Reinforcing Reinforcing
Yang from Yin Yin from Yang
Explaining Pathological Changes
Max
Min
(4)Transformation of Yin and Yang:the pathogenic changes such as superiority of yin and
yang, inferiority of yin and yang, and mutual impairment of yin and yang, under certain
conditions, may transform itself into its opposite
lowering of the temperature, extreme cold limbs, and a faint pulse hardly detected(Dushen
soup独参汤)
Listening: loud, deep, rich voice ,high tone, talkativeness ,restlessness ——yang;
• 《Chapter of Discussion on the Most Important and Abstruse Theory in Plain Questions》
“To observe carefully where the disorder of yin and yang affect, and to regulate it, in
order to achieve the goal of re-establishing the balance.“
• regulate yin-yang
tonifying yin , must reinforce yin from yang , then yin generated
infinitely due to the help of yang”
《Jing-yue complete works 》(《景岳全书》)
• Such as:yougui pill —suitable for syndrome of kidney-yang deficiency
Nourish yang(tusizi、lujiaojiao、duzhong、fuzi、rougui)
kidney-yin deficiency
Nourish yin(shudi、shangyao、shanyu、gouqi、dangui)
zuogui pill —suitable for syndrome of kidney-yin deficiency
Nourish yin (shudi、shanyao、shanyu、gouqi 、guiban)
Nourish yang (tusizi、lujiaojiao、chuanniuxi)
Guiding Treatment of Diseases
The five flavors : acrid, sweet and bland——yang ;sour, bitter and salty——yin
medlar
Scallion——acrid
枸杞—— sweet Poria cocos ——bland
Guiding Treatment of Diseases
belong to yin
Guiding Treatment of Diseases
to treat a disease
In summary, to treat a disease, one must first
first determine the therapeutic determine the therapeutic principle