Zang-Fu Physiology

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Zang-Fu Physiology

• Traditional Chinese Internal Medicine (TCM)

2
Traditional Chinese Medicine

• Diet
• Exercise
• Rest
• Acupuncture
• Chinese herbal formulas

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Yin and Yang

• Basic Opposing Forces of Nature
• Night Day
• Cold Hot
• North South
• Winter Summer
• Bottom Top
• Back Front
• Left Right
• Mutually Supporting

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TCM

• 5 Element Theory
• Fire
• Earth
• Metal
• Water
• Wood

• 8 Principles of Disease
• Yin Yang
• Interior Exterior
• Cold Hot
• Deficiency Excess

• Zang-Fu Organs
• HT/SI -- PC/TH
• SP/ST
• LU/LI
• KID/BL
• LIV/GB

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Zang-Fu Organs
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Wood

• Sound
• shout
• Emotion
• anger
• Climate
• windy-warm
• Season
• spring

• Direction
• east
• Opening
• eyes
• Body Part
• ligaments
• Zang/Fu
• LIV/GB

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Fire

• Sound
• laugh
• Emotion
• joy
• Climate
• heat
• Season
• summer

• Direction
• south
• Opening
• tongue
• Body Part
• tongue
• Zang/Fu
• HT/SI - PC/TH

8
Earth

• Sound
• song
• Emotion
• sympathy
• Climate
• humid
• Season
• late summer

• Direction
• center
• Opening
• lips/gums
• Body Part
• muscles
• Zang/Fu
• SP/ST

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Metal

• Sound
• weeping
• Emotion
• grief
• Climate
• dry-cool
• Season
• autumn

• Direction
• west
• Opening
• nose
• Body Part
• skin
• Zang/Fu
• LU/LI

10
Water

• Sound
• groaning
• Emotion
• fear
• Climate
• cold
• Season
• winter

• Direction
• north
• Opening
• ears
• Body Part
• bones
• Zang/Fu
• KID/BL

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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

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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.

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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.

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TCM 24-hour Clock
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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

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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

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Use of TCM Theory

• 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

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TCM HEART Physiology

• Dominates the Blood Vessels
• Houses the Mind
• Controls Sweating
• Opens in the Tongue

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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

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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

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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

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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

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TCM Pericardium Physiology

• Protects the Heart
• In Practice, considered the same as the Heart
• Treat the same
• May be more related to shen

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TCM LUNG Physiology

• Governs Qi Respiration
• Dominates Ascending Descending
• Control the Body Surface
• Opens in the Nose

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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

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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

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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

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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)

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TCM SPLEEN Physiology

• Governs Transportation Transformation
• Food Water
• Controls Blood
• Dominates the Muscles
• Opens in Mouth
• Lips Gums (ST)

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TCM SPLEEN Physiology

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

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TCM SPLEEN Physiology

• Controls Blood
• Keeps blood in vessels prevents extravasation
• SP important for holding substance
• Blood
• Hernias
• Prolapses

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TCM SPLEEN Physiology

• Dominates the Muscles
• Weakness
• Muscle atrophy
• Emaciation

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TCM SPLEEN Physiology

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

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TCM LIVER Physiology

• Stores the Blood
• Maintains the Smooth Flow of Qi Blood
• Controls the Sinews
• Opens in the Eyes

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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

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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

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TCM LIVER Physiology

• Controls the Sinews
• Moistens and nourishes the tendons and ligaments
• Ensures smooth joint movements
• Depends upon adequate LIV blood

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TCM LIVER Physiology

• Opens in the Eyes
• Meridian connection
• LIV yin blood deficiency leads to dry eyes
• LIV heat leads to red, swollen eyes

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TCM KIDNEY Physiology

• Stores Essence
• Governs Water
• Controls Reception of Qi
• Dominates the Bones Marrow
• Opens in the Ears
• Controls the 2 Orifices

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TCM KIDNEY Physiology

• Stores Essence
• Inherited Essence
• DNA from parents
• Acquired Essence
• From food via the Spleen

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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

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TCM KIDNEY Physiology

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

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TCM KIDNEY Physiology

• Dominates the Bones Marrow
• Osteoarthritis
• Teeth
• Brain Spinal Cord
• Bone Marrow (Blood)

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TCM KIDNEY Physiology

• Opens in the Ears
• Associated with hearing and deafness

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TCM KIDNEY Physiology

• Controls the 2 Orifices
• Urination
• Defecation
• Reproduction

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Six Fu Organs

• Gallbladder
• Stomach
• Small Intestine
• Large Intestine
• Urinary Bladder
• Triple Heater

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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
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Zang-Fu Disturbances
Qi Yang Blood Yin
SP KID LIV KID
LU SP HT LIV
KID HT SP LU
HT KID HT
SP/(ST)