Transcript An Introduction to Acupuncture

Zang-Fu Physiology
Traditional Chinese Internal
Medicine (TCM)
Traditional Chinese Medicine
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Diet
Exercise
Rest
Acupuncture
Chinese herbal
formulas
Yin and Yang
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Basic Opposing Forces of Nature
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Night & Day
Cold & Hot
North & South
Winter & Summer
Bottom & Top
Back & Front
Left & Right
Mutually Supporting
TCM
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5 Element Theory
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Fire
Earth
Metal
Water
Wood
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8 Principles of Disease
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Yin & Yang
Interior & Exterior
Cold & Hot
Deficiency & Excess
Zang-Fu Organs
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HT/SI -- PC/TH
SP/ST
LU/LI
KID/BL
LIV/GB
Zang-Fu Organs
5 Z ang O rgans
6 Fu O rgans
L iv e r ( L I V )
G a llb la d d e r ( G B )
H e a r t (H T )
S m a ll I n t e s t in e ( S I )
P e r ic a r d iu m (P C )
T r ip le H e a t e r ( T H )
S p le e n ( S P )
S to m a c h (S T )
L u n g (L U )
L a r g e I n t e s t in e (L I )
K id n e y (K I D )
B la d d e r ( B L )
Wood
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Sound
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• shout
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Emotion
• east
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• anger
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Climate
Season
• spring
Opening
• eyes
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• windy-warm
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Direction
Body Part
• ligaments
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Zang/Fu
• LIV/GB
Fire
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Sound
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• laugh
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Emotion
• south
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• joy
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Climate
Season
• summer
Opening
• tongue
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• heat
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Direction
Body Part
• tongue
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Zang/Fu
• HT/SI - PC/TH
Earth
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Sound
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• song
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Emotion
• center
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• sympathy
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Climate
Season
• late summer
Opening
• lips/gums
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• humid
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Direction
Body Part
• muscles
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Zang/Fu
• SP/ST
Metal
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Sound
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• weeping
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Emotion
• west
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• grief
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Climate
Season
• autumn
Opening
• nose
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• dry-cool
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Direction
Body Part
• skin
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Zang/Fu
• LU/LI
Water
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Sound
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• groaning
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Emotion
• north
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• fear
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Climate
Season
• winter
Opening
• ears
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• cold
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Direction
Body Part
• bones
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Zang/Fu
• KID/BL
5 Element Constitutions
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Fire – Toy Poodle
• overjoyed & hyperactive
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Earth – Yellow Lab
Fire
• loyal & trustworthy
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Metal -- Greyhound
• aloof & sad
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Earth
Water -- Chihuahua
• timid, scared & fearful
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Wood
Wood -- Rottweiler
• aggressive & loud
Water
Metal
Shen (creation) Cycle
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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.
Ke (control) Cycle
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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.
TCM 24-hour Clock
LIV
GB
TH
1-3 AM
LU
3-5 AM
11-1AM
9-11 PM
PC
7-9 PM
KID
3-5 PM
SI
AM
ST
7-9 AM
SP
9-11 AM
HT
5-7 PM
BL
LI 5-7
1-3 PM
11-1 PM
TCM 8 Principles
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Depth of Disease
• Exterior -- Interior
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Nature of Disease
• Hot -- Cold
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Relative Strength of Body
vrs. Disease
• Excess -- Deficiency
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Overall Character
• Yang -- Yin
Zang/Fu (yin organ/yang organ)
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Wife/Husband
pairs
Deals with
Internal Medicine
Mother  Child
• wood is mother of
fire
• earth is child of
fire
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Grandparent 
Grandchild
• water is
grandparent of
fire
Use of TCM Theory
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Balance is the key
Support
constitutional needs
Add treatments for
specific problem
(local, meridian or
zang/fu)
Treat master points
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For Deficiency -Treat parent
For Excess -Treat grandparent
For Prevention - Treat grandchild
TCM HEART Physiology
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Dominates the Blood
& Vessels
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Houses the Mind
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Controls Sweating
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Opens in the Tongue
TCM HEART Physiology
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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
TCM HEART Physiology
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Houses the Mind
• Mental activity,
memory, sleep
• Primarily related to
Heart Blood
• Deficiency of Heart
Blood leads to
restlessness, anxiety
and shen disturbance
TCM HEART Physiology
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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
TCM HEART Physiology
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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
TCM Pericardium Physiology
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Protects the
Heart
In Practice,
considered the
same as the Heart
Treat the same
May be more
related to shen
TCM LUNG Physiology
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Governs Qi &
Respiration
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Dominates Ascending &
Descending
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Control the Body
Surface
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Opens in the Nose
TCM LUNG Physiology
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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
TCM LUNG Physiology
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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
TCM LUNG Physiology
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Control the Body
Surface
• Distributes body fluid
to the tissues which in
turn helps regulate
skin moisture and
sweating
• Provides Wei Qi
TCM LUNG Physiology
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Opens in the Nose
• Lung is a canopy
over the other
organs and very
delicate
• Easily affected by
pathogens (wind,
heat, cold or
dryness)
TCM SPLEEN Physiology
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Governs Transportation
& Transformation
• Food & Water
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Controls Blood
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Dominates the Muscles
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Opens in Mouth
• Lips & Gums (ST)
TCM SPLEEN Physiology
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Governs
Transportation &
Transformation
• Distribution, digestion
& absorption of
nutrients and water
• Dominates post-natal
life
• SP Qi up- -ST Qi down
TCM SPLEEN Physiology
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Controls Blood
• Keeps blood in
vessels & prevents
extravasation
• SP important for
holding substance
– Blood
– Hernias
– Prolapses
TCM SPLEEN Physiology
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Dominates the
Muscles
• Weakness
• Muscle atrophy
• Emaciation
TCM SPLEEN Physiology
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Opens in Mouth
• Lips (SP) & Gums
(ST)
• Chewing and
appetite are
related to Spleen
function
• Poor Spleen
function, poor
appetite
TCM LIVER Physiology
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Stores the Blood
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Maintains the Smooth
Flow of Qi & Blood
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Controls the Sinews
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Opens in the Eyes
TCM LIVER Physiology
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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
TCM LIVER Physiology
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Maintains the Smooth
Flow of Qi & Blood
• Ensuring SP/ST
digestive function
• Maintaining vital
activities of the body
• Maintaining smooth
flow of water-damp
TCM LIVER Physiology
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Controls the Sinews
• Moistens and
nourishes the tendons
and ligaments
• Ensures smooth joint
movements
• Depends upon
adequate LIV blood
TCM LIVER Physiology
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Opens in the Eyes
• Meridian connection
• LIV yin & blood
deficiency leads to
dry eyes
• LIV heat leads to
red, swollen eyes
TCM KIDNEY Physiology
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Stores Essence
Governs Water
Controls Reception of
Qi
Dominates the Bones &
Marrow
Opens in the Ears
Controls the 2 Orifices
TCM KIDNEY Physiology
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Stores Essence
• Inherited Essence
– DNA from parents
• Acquired Essence
– From food via the
Spleen
TCM KIDNEY Physiology
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Governs Water
• Gate that
regulates water
• Separates clear
from turbid water
• Clear water is
boiled to Lung
• Turbid water is
sent to Bladder
TCM KIDNEY Physiology
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Controls Reception
of Qi
• Holds down Qi
received from the
Lung
• Kidney deficiency
leads to asthma
TCM KIDNEY Physiology
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Dominates the
Bones & Marrow
• Osteoarthritis
• Teeth
• Brain & Spinal
Cord
• Bone Marrow
(Blood)
TCM KIDNEY Physiology
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Opens in the Ears
• Associated with
hearing and
deafness
TCM KIDNEY Physiology
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Controls the 2
Orifices
• Urination
• Defecation
• Reproduction
Six Fu Organs
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Gallbladder
Stomach
Small Intestine
Large Intestine
Urinary Bladder
Triple Heater
Extraordinary Fu Organs
Brain
 Marrow
 Bone
 Vessels
 Gallbladder
 Uterus
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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
Zang-Fu Disturbances
Qi
Yang
Blood
Yin
SP*
KID*
LIV*
KID*
LU*
SP
HT*
LIV
KID
HT
SP
LU
KID
HT
HT
SP/(ST*)