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Zang-Fu Physiology-Condensed

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Zang-Fu Physiology

Traditional Chinese Internal


Medicine (TCM)
Traditional Chinese Medicine

 Diet
 Exercise
 Rest
 Acupuncture
 Chinese herbal
formulas
Yin and Yang

 Basic Opposing Forces of Nature


• Night & Day
• Cold & Hot
• North & South
• Winter & Summer
• Bottom & Top
• Back & Front
• Left & Right
 Mutually Supporting
TCM
 5 Element Theory  8 Principles of Disease
• Fire • Yin & Yang
• Earth • Interior & Exterior
• Metal • Cold & Hot
• Water • Deficiency & Excess
• Wood
 Zang-Fu Organs
• HT/SI -- PC/TH
• SP/ST
• LU/LI
• KID/BL
• LIV/GB
Zang-Fu Organs

5 Zang Organs 6 Fu Organs


Liver (LIV) Gallbladder (GB)
Heart (HT) Small Intestine (SI)
Pericardium (PC) Triple Heater (TH)
Spleen (SP) Stomach (ST)
Lung (LU) Large Intestine (LI)
Kidney (KID) Bladder (BL)
Wood

 Sound  Direction
• shout • east
 Emotion  Opening
• anger • eyes
 Climate  Body Part
• windy-warm • ligaments
 Season  Zang/Fu
• spring • LIV/GB
Fire

 Sound  Direction
• laugh • south
 Emotion  Opening
• joy • tongue
 Climate  Body Part
• heat • tongue
 Season  Zang/Fu
• summer • HT/SI - PC/TH
Earth

 Sound  Direction
• song • center
 Emotion  Opening
• sympathy • lips/gums
 Climate  Body Part
• humid • muscles
 Season  Zang/Fu
• late summer • SP/ST
Metal

 Sound  Direction
• weeping • west
 Emotion  Opening
• grief • nose
 Climate  Body Part
• dry-cool • skin
 Season  Zang/Fu
• autumn • LU/LI
Water

 Sound  Direction
• groaning • north
 Emotion  Opening
• fear • ears
 Climate  Body Part
• cold • bones
 Season  Zang/Fu
• winter • KID/BL
5 Element Constitutions
 Fire – Toy Poodle
• overjoyed & hyperactive
 Earth – Yellow Lab
• loyal & trustworthy
 Metal -- Greyhound Fire
• aloof & sad
 Water -- Chihuahua
• timid, scared & fearful Wood Earth
 Wood -- Rottweiler
• aggressive & loud

Water Metal
Shen (creation) Cycle

 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

 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 1-3 AM
LU 3-5 AM

LI 5-7 AM
GB 11-1AM

TH 9-11 PM ST 7-9 AM

PC 7-9 PM SP 9-11 AM

KID 5-7 PM HT 11-1 PM

BL 3-5 PM SI 1-3 PM
TCM 8 Principles

 Depth of Disease
• Exterior -- Interior
 Nature of Disease
• Hot -- Cold
 Relative Strength of Body
vrs. Disease
• Excess -- Deficiency
 Overall Character
• Yang -- Yin
Zang/Fu (yin organ/yang organ)

 Wife/Husband  Grandparent 
pairs Grandchild
 Deals with • water is
Internal Medicine grandparent of
fire
 Mother  Child
• wood is mother of
fire
• earth is child of
fire
Use of TCM Theory

 Balance is the key  For Deficiency


 Support --Treat parent
constitutional needs  For Excess
 Add treatments for --Treat
specific problem grandparent
(local, meridian or  For Prevention - -
zang/fu) Treat grandchild
 Treat master points
TCM HEART Physiology

 Dominates the Blood


& Vessels

 Houses the Mind

 Controls Sweating

 Opens in the Tongue


TCM HEART Physiology

 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

 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

 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

 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

 Protects the
Heart
 In Practice,
considered the
same as the Heart
 Treat the same
 May be more
related to shen
TCM LUNG Physiology

 Governs Qi & Respiration

 Dominates Ascending &


Descending

 Control the Body Surface

 Opens in the Nose


TCM LUNG Physiology

 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

 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

 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

 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

 Governs Transportation &


Transformation
• Food & Water

 Controls Blood

 Dominates the Muscles

 Opens in Mouth
• Lips & Gums (ST)
TCM SPLEEN Physiology

 Governs
Transportation &
Transformation
• Distribution, digestion
& absorption of
nutrients and water
• Dominates post-natal
life
• SP Qi up- -ST Qi down
TCM SPLEEN Physiology

 Controls Blood
• Keeps blood in
vessels & prevents
extravasation
• SP important for
holding substance
– Blood
– Hernias
– Prolapses
TCM SPLEEN Physiology

 Dominates the
Muscles

• Weakness

• Muscle atrophy

• Emaciation
TCM SPLEEN Physiology

 Opens in Mouth
• Lips (SP) & Gums
(ST)
• Chewing and
appetite are
related to Spleen
function
• Poor Spleen
function, poor
appetite
TCM LIVER Physiology

 Stores the Blood

 Maintains the Smooth


Flow of Qi & Blood

 Controls the Sinews

 Opens in the Eyes


TCM LIVER Physiology

 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

 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

 Controls the Sinews


• Moistens and
nourishes the tendons
and ligaments
• Ensures smooth joint
movements
• Depends upon
adequate LIV blood
TCM LIVER Physiology

 Opens in the Eyes

• Meridian connection
• LIV yin & blood
deficiency leads to
dry eyes
• LIV heat leads to
red, swollen eyes
TCM KIDNEY Physiology

 Stores Essence
 Governs Water
 Controls Reception of
Qi
 Dominates the Bones &
Marrow
 Opens in the Ears
 Controls the 2 Orifices
TCM KIDNEY Physiology

 Stores Essence

• Inherited Essence
– DNA from parents

• Acquired Essence
– From food via the
Spleen
TCM KIDNEY Physiology

 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

 Controls Reception
of Qi

• Holds down Qi
received from the
Lung
• Kidney deficiency
leads to asthma
TCM KIDNEY Physiology

 Dominates the
Bones & Marrow

• Osteoarthritis
• Teeth
• Brain & Spinal
Cord
• Bone Marrow
(Blood)
TCM KIDNEY Physiology

 Opens in the Ears

• Associated with
hearing and
deafness
TCM KIDNEY Physiology

 Controls the 2
Orifices

• Urination
• Defecation
• Reproduction
Six Fu Organs

 Gallbladder
 Stomach
 Small Intestine
 Large Intestine
 Urinary Bladder
 Triple Heater
Extraordinary Fu Organs

 Brain
 Marrow
 Bone
 Vessels
 Gallbladder
 Uterus
Overview of Zang-Fu Physiology

Heart Lung Spleen Liver Kidney


Dominates the Governs Qi & Governs Stores the Stores the
blood vessels respiration transformation blood essence
&
transportation
Houses the Dominates Controls blood Maintains Governs water
mind ascending & smooth flow of
descending Qi & blood
Controls sweat Controls body Dominates the Controls the Controls
surface muscles sinews reception of Qi

Dominates the
bones &
marrow
Opens in the Opens in the Opens in the Opens in the Opens in the
tongue nose mouth (lips) eyes 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

HT KID HT

SP/(ST*)

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