Zang-Fu Physiology

1. Zang-Fu Physiology Traditional Chinese Internal Medicine (TCM)

2. Traditional Chinese Medicine • Diet • Exercise • Rest • Acupuncture • Chinese herbal formulas

3. Yin and Yang • Basic Opposing Forces of Nature • Night & Day • Cold & Hot • North & South • Winter & Summer • Bottom & Top • Back & Front • Left & Right • Mutually Supporting

4. 5 Element Theory Fire Earth Metal Water Wood 8 Principles of Disease Yin & Yang Interior & Exterior Cold & Hot Deficiency & Excess TCM • Zang-Fu Organs • HT/SI -- PC/TH • SP/ST • LU/LI • KID/BL • LIV/GB

5. Zang-Fu Organs

6. Sound shout Emotion anger Climate windy-warm Season spring Direction east Opening eyes Body Part ligaments Zang/Fu LIV/GB Wood

7. Sound laugh Emotion joy Climate heat Season summer Direction south Opening tongue Body Part tongue Zang/Fu HT/SI - PC/TH Fire

8. Sound song Emotion sympathy Climate humid Season late summer Direction center Opening lips/gums Body Part muscles Zang/Fu SP/ST Earth

9. Sound weeping Emotion grief Climate dry-cool Season autumn Direction west Opening nose Body Part skin Zang/Fu LU/LI Metal

10. Sound groaning Emotion fear Climate cold Season winter Direction north Opening ears Body Part bones Zang/Fu KID/BL Water

11. Fire Wood Earth Water Metal 5 Element Constitutions • Fire – Toy Poodle • overjoyed & hyperactive • Earth – Yellow Lab • loyal & trustworthy • Metal -- Greyhound • aloof & sad • Water -- Chihuahua • timid, scared & fearful • Wood -- Rottweiler • aggressive & loud

12. 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.

13. 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.

14. TCM 24-hour Clock

15. 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

16. Zang/Fu (yin organ/yang organ) • Wife/Husband pairs • Deals with Internal Medicine • Mother  Child • wood is mother of fire • earth is child of fire • Grandparent  Grandchild • water is grandparent of fire

17. Balance is the key Support constitutional needs Add treatments for specific problem (local, meridian or zang/fu) Treat master points For Deficiency --Treat parent For Excess --Treat grandparent For Prevention - - Treat grandchild Use of TCM Theory

18. Dominates the Blood & Vessels Houses the Mind Controls Sweating Opens in the Tongue TCM HEARTPhysiology

19. TCM HEARTPhysiology • 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

20. TCM HEARTPhysiology • Houses the Mind • Mental activity, memory, sleep • Primarily related to Heart Blood • Deficiency of Heart Blood leads to restlessness, anxiety and shen disturbance

21. TCM HEARTPhysiology • 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

22. TCM HEARTPhysiology • 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

23. TCM Pericardium Physiology • Protects the Heart • In Practice, considered the same as the Heart • Treat the same • May be more related to shen

24. Governs Qi & Respiration Dominates Ascending & Descending Control the Body Surface Opens in the Nose TCM LUNGPhysiology

25. TCM LUNGPhysiology • 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

26. TCM LUNGPhysiology • 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

27. TCM LUNGPhysiology • Control the Body Surface • Distributes body fluid to the tissues which in turn helps regulate skin moisture and sweating • Provides Wei Qi

28. TCM LUNGPhysiology • Opens in the Nose • Lung is a canopy over the other organs and very delicate • Easily affected by pathogens (wind, heat, cold or dryness)

29. Governs Transportation & Transformation Food & Water Controls Blood Dominates the Muscles Opens in Mouth Lips & Gums (ST) TCM SPLEENPhysiology

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

31. TCM SPLEENPhysiology • Controls Blood • Keeps blood in vessels & prevents extravasation • SP important for holding substance • Blood • Hernias • Prolapses

32. TCM SPLEENPhysiology • Dominates the Muscles • Weakness • Muscle atrophy • Emaciation

33. TCM SPLEENPhysiology • Opens in Mouth • Lips (SP) & Gums (ST) • Chewing and appetite are related to Spleen function • Poor Spleen function, poor appetite

34. Stores the Blood Maintains the Smooth Flow of Qi & Blood Controls the Sinews Opens in the Eyes TCM LIVER Physiology

35. 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

36. 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

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

38. TCM LIVER Physiology • Opens in the Eyes • Meridian connection • LIV yin & blood deficiency leads to dry eyes • LIV heat leads to red, swollen eyes

39. Stores Essence Governs Water Controls Reception of Qi Dominates the Bones & Marrow Opens in the Ears Controls the 2 Orifices TCM KIDNEYPhysiology

40. TCM KIDNEYPhysiology • Stores Essence • Inherited Essence • DNA from parents • Acquired Essence • From food via the Spleen

41. TCM KIDNEYPhysiology • Governs Water • Gate that regulates water • Separates clear from turbid water • Clear water is boiled to Lung • Turbid water is sent to Bladder

42. TCM KIDNEYPhysiology • Controls Reception of Qi • Holds down Qi received from the Lung • Kidney deficiency leads to asthma

43. TCM KIDNEYPhysiology • Dominates the Bones & Marrow • Osteoarthritis • Teeth • Brain & Spinal Cord • Bone Marrow (Blood)

44. TCM KIDNEYPhysiology • Opens in the Ears • Associated with hearing and deafness

45. TCM KIDNEYPhysiology • Controls the 2 Orifices • Urination • Defecation • Reproduction

46. Six Fu Organs • Gallbladder • Stomach • Small Intestine • Large Intestine • Urinary Bladder • Triple Heater

47. Extraordinary Fu Organs • Brain • Marrow • Bone • Vessels • Gallbladder • Uterus

48. Overview of Zang-Fu Physiology

49. Zang-Fu Disturbances