INTERNAL CANON OF THE YELLOW EMPERORTHE ZANG-FU SYSTEM AND THE MANIFESTATION – PART 1

Stanley LiangPh.D., R.TCMP, R.Ac

Dr. Stanley, R.TCMP

Text reading

S8 – Discussion on the Secret Canons in Royal Library S9 – Discussion on Six-Plus-Six System and

manifestations of the Viscera S11 – Different Discussion on the Five Zang Organs S21 – Special Discussion on Channels and Vessels S29 – Discussion on Taiyin and Yangming S8L – Basic State of Spirit S18L – The Production and Convergence of Yingqi and

Weiqi S30L – Differentiation of Qi

Dr. Stanley, R.TCMP

What is Zang Xiang (Viscera Manifestation)

Core of the ZangFu theory Focus on manifestation Research on the Zang-Fu and their corresponding

meridians, tissues, and orifices; their physiological rules, and interaction

Five systems respectively centered by heart, lung, liver, spleen, and kidney

To name a meridian in Lingshu: Zang – hand/ foot -Yin/Yang meridian is a system centered by Zang

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Content of Zang Xiang

The five Zang organs + Pericardium (host of heart) The six Fu organs The singular Fu organs Meridians Tissues Orifice Spirits

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Suwen – Chapter 8

Ling-lan (room of orchid): the royal library of the Yellow Emperor

Secret information only exposed to a few people The interactive functions of the 12 organs

Five Zang organs + pericardium Six Fu organs

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The interactive functions of the 12 organs as a administrative system

Analogy of a governmental systemDr. Stanley, R.TCMP

The role of heart

The king organ Control the whole body and other organs Generates and holds the spirit Brain dominates the consciousness? In TCM, the heart SYSTEM control and regulate

consciousness – learn by heart, remember by heart Intestine brain: the peptides produced by the

digestive tract regulate some neural activities

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The role of lung

The prime minister organ To assist the king and to manage Zhijie: managing for Zang-fu, Qi, blood, Ying & Wei To adjust the blood circulation and all vessels Lung is the cover of the heart (on the top of the

heart) The normal circulation of Qi and blood, and normal

interior and exterior movements are propelled by the Qi of lung

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The role of liver

The general organ Maintain the normal emotion & mood Support critical thinking Anger causes liver Qi dysfunction thus disturbs

normal thinking Liver holds blood, controls the spirit of anger Liver disease causes irritable emotion

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Case study

Dr. Stanley, R.TCMP

Female, 30, Schizophrenia, always in high emotion, delirium, insomnia, irritable, conspitation, red face, red tongue with sting and yellow coating, rapid and stringy pulse

Syndrome Treatment principle Formula

The role of gall bladder

The official justice (judge) organ – impartiality Liver governs thinking, gall bladder governs

decision making Typical disorders:

Insomnia Anxiety depression

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The role of pericardium (Shanzhong)

The convey organ, close servant of the king (heart) Governs the emotion of happy, to convey the

feeling of happiness of the heart The castle to protect the king (heart) If the heart is attacked by external evil directly, it

will cause death, so the pericardium is attacked by the evil to project the heart

The basis foundation of Wenbing

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The role of spleen and stomach

The granary organ Digest, absorption, transportation Convert the food into essence Qi to nurish The basis of so-called “post-congenital

functions” The source and generator of Qi and blood

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The role of large intestine

The transportation and conversion organ The relation of large intestine and bladder

The water or fluid is separated into feces and urine in large intestine

Diarrhea / loose feces can cause oliguria Excessive urine can cause constipation

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The role of small intestine

The reception and digestion Further digest the food transferred from the

stomach Separate the clear and turbid from food

Essence of water and grain Waste product of digestion

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The role of kidney

The organ with multiple functions and skills Holds the congenital essence Sufficient congenital essence promote

intelligence Ensure the normal digestion functions to extract

the nutrition from food Ensure normal urination and defecation

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Case study

Dr. Stanley, R.TCMP

45 year old female, right kidney stone, 1cm by ultrasonic scan, back pain on right side, abdominal flatulence on the right, normal urination

Syndrome Treatment principle Formula

The role of Triple Energizer (Sanjiao)

The organ for dredging and water passage Provide the passage for water The Qi of the triple energizer propel the running of

water circulation To distill the water to the Qi status for circulation for

urination and sweat

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The role of bladder

The reservoir for water, propel the Qi and water circulation by the distilling function (Qi Hua)

The functions of the TCM bladder is far more than the bladder in western medicine, including both bladder, kidney, and the excretion system

Connect with the skin and hair of body surface by the Foot-Taiyang meridian of bladder

The distilling or Qi Hua function Promote sweating Promote urination Transfer water to blood

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The important role of the 12 Zang Fu

The functions of the 12 Zang Fu are mutually related

The normality of the heart plays the central role for a clear mental status

If the spirit is abnormal, it will harm the rest 11 Zang Fu

Importance of healthy behavior and mind

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The central role of the heart

Heart is the master of the 5 Zang organs and the 6 Fu organs

Heart cannot be attached by external evil Many herbal formula to recover unconsciousness focus

on cleaning the evils from the pericardium It is important the evaluate the status of spirit when

inspecting the patient for prognosis The spirit should be withhold by the eyes inside the

pupils Voice / sound should be with spirit The pulse should feel with spirit and root

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The complexity of medicine

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The complexity of medicine and the functions of human body

The interaction among human body, environment, climate changes, and prognosis

The details lies in the microcosmic

The medical knowledge can be learned by quantitative analysis, microcosmic observation like modern medicine

Suwen – Chapter 9

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This chapter can be separated into two parts Part one is about the interaction of natural environment

and human body, or the five seasons and six external factors (Wu Yun Liu Qi)

The second part is about Zang Fu manifestation The Yin Yang character of the Zang Fu can be sub-

divided to Tai-Yang, Shao-Yang, Yang-Ming, Tai-Yin, Shao-Yin, Jue-Yin

Zang Fu organs from Yin Yang

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The physical body is formed by the two Qi: Yin and Yang

The diversity of spices is formed by the different quantities of Yin and Yang

Based on the levels of Yin and Yang, they can be named: Tai-Yang, Shao-Yang, Yang-Ming, Tai-Yin, Shao-Yin, Jue-Yin

The five elements and the six Qi

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The five elements at earth: wood, fire, earth, metal, water

The six Qi in the heaven: wind, coldness, summer-heat, dampness, dryness, fire

The generation of the five-yun-six-qi is based on the changing quantity of Yin-Yang

The five colors and five flavors of plants are generated by the changing quantity of Yin-Yang

The Yin-Yang qualities of different Zang Fu gives their different preference

Human body should be fed by the five flavors to nourish different Zang Fu

The heaven Qi and the food flavors

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The heaven Qi has more impact to the Zang Fu functions compared to the food flavors

The five types of Qi response to different Zang Fu organs

The five flavors response different Zang Fu organ preference

The mechanism of the nourishing

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The five Qi enters from nostril, resting on the upper Jiao at the heart and the lung

The sufficiency of heart and lung Qi can reflect on face the voice

The fluid is generated based on harmonized Qi, and maintains the normal spirit

The harmonized Qi also ensures normal Zang Fu functioning

How to identify the Yin Yang character

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Location: upper (chest) – Yang, lower (abdomen) –Yin

Movement tendency Ascend – Yang: heart, spleen, liver (main function) Descend – Yin: lung, kidney (main function) Fu Organ (intestine, stomach, bladder, gall bladder) –

mainly descend

Function of the heart

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Root: life Hosting: spirit (Shen) Manifestation: face Nourish: blood vessles Yin-Yang: Taiyang of Yang Season Qi: summer

Function of the lung

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Root: Qi Hosting: Po (consciousness) Manifestation: body hair Nourish: skin Yin-Yang: Taiyin of Yang Season Qi: autumn

Function of the kidney

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Root: storage Hosting: Jing (essence) Manifestation: hair Nourish: bones Yin-Yang: Shaoyin of Yin Season Qi: Winter

Function of the liver

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Root: exhaustion (tendon) Hosting: hun (thinking and

dreaming) Manifestation: nail Nourish: sinew Yin-Yang: Shaoyang of

Yang Season Qi: spring

Function of the spleen and gall bladder

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Root: granary Hosting: Ying (nutrient-Qi) Manifestation: lips Nourish: muscles Yin-Yang: Zhiyin of Yin Season Qi: the last 18 days

of each season The normal digestion needs

the propelling of the Qi of gall bladder

Summary of Zang Xiang

Dr. Stanley, R.TCMP

Zang Xiang, or organ manifestation is the core theory of Neijing Its main focus is the physiological functions, but it is also related to

the anatomy Different syndrome aspects

Zang Fu – location Meridian – location and interaction Qi, blood, Jin, fluid – depth Six meridian – how the evils are transferred Triple energier / Sanjiao – location Wei-Qi-Ying-blood: the path where the evils invade Yin-Yang

Relation of Zang Fu with season Qi

Chapter 11 – Different discussion of the Five Zang Fu

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Classify the Zang Fu functions by the function of hosting and the function of transferring

The way to observe orifices The theoretical basis of pulse diagnosis

The standard of Zang and Fu

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What is the standard to determine an organ as Zang

What is the standard to determine an organ as Fu

Based on hosting or transferring

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The Qiheng Fu-Organs Generated by the earth-Qi

(yin) but their functions are Yang (Yin-based, Yang functioning)

The five-Fu organ: Yang functioning – transferring food, no withhold

The function of Pomen, or anus – regulated by the normal Qi of Zang

Food waste should not be withheld for too long

The hosting of five Zang and transferring of the six Fu

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The five Zang withhold the Qi, should be full of Qi but not filled by food

The disorders of Zang are more likely to be deficiency

The six Fu transfers food, should be filled with food but not full with Qi

The withhold and transfer functions

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Qi essence is withheld in Zang, the turbid Qi should be discharged

The food is transferred by Fu, but the Fu organs also have their essence

The Qiheng organs is empty inside, but their main function is to withhold the Qi essence

The gall bladder and the uterus with the essence, but meanwhile discharge the overfilled essence

The function of the Pomen (anus)

Dr. Stanley, R.TCMP

The normal function of anus (open/close) affects the Qi circulation of Zang Fu

The Pomen is considered as the envoy of the five Zang organs

The close of Pomen is controlled by the normal function of Qi

Restore normal defecation is a key method to regulate the Qi function of the Zang Fu organs

How Pulse diagnosis works

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Qikou can reflect the conditions of all Zang organs

Stomach of the sea of food and source of Qi and blood

The close relation of the lung meridian and the spleen meridian regarding position and path of the lung meridian

Stuffy nose reflects both lung and heart disease

Why Qikou can manifest all five Zang organs

Dr. Stanley, R.TCMP

Qikou is located on the lung meridian Lung governs all vessels, vessels links the spleen and

stomach for food essence extraction and circulation The lung stomach origins from the middle Jiao, so it

reflects the function of the digestion Cun – Taiyuan(Yuan/Shu point), Chi-Jingqu(Jing point) Reflects spleen, kidney, and spirit:

Wei (Digestion) Shen (Zang Qi) Gen (root)

Case study

Dr. Stanley, R.TCMP

38, female, history of coronary heart disease, occasional breath difficulty, chest tightness

Chapter 21– special discussion on Channels and vessels

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The excessive use of normal functions of Zang Fu will cause disease

The distribution of food essence and the metabolism How the Zang Fu functions affects the meridians

The interaction of behavior and Zang Fu

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Midnight (1AM-3AM), peak of Yin, affects kidney

Kidney cannot withhold Qi from ascending asthma

The Qi disorder affects lung

Falling down harms sinew and tendon harms liver

The interactions (cont.)

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Fear disturbs Qi in upper Jiao, it harms heart and lung Falling down and harms bone, affects kidney Strong person is easy to restore balance of Qi Weak person is difficult to restore the balance Thorough physical examination helps to make correct

diagnosis Eating excessively harms stomach, excessive emotion

harms heart, long jugging harms kidney, rapid running harms liver, over working harms spleen

Abnormal climate in seasons also causes disease

Mental factors

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Patients personality and physical fitness affect prognosis

Doctor’s professionalism also plays an important role Physical resistance Mental stability Carefulness

How disease affects mental status

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The disease affects mental status

Should respect patient’s consent and choice

The impact of patient’s consent and cooperation on efficacy

The excessiveness

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Excessiveness of climate in different seasons Excessiveness of emotion Excessiveness of flavors of food

Diet control Diabetes

Excessiveness of labor Excessiveness of drug administration

The distribution of essence

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Absorbed in stomach Extracted by spleen Distributed by Qi of lung Descended by bladder via the

triple energizer Disseminated and nourish the

body by the meridians of the Five Zang organs

Match the needs of different seasons

The function of Sanjiao

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The channel for water circulation

Propelled by the Qi function of lung

The water is finally sent to bladder

Have both ascending and descending functions

Questions/Discussions

The role of each Zang Fu organs The five Zang-Fu-body system The effect of internal and external evils

to Zang Fu The mental impacts to Zang Fu function The theoretical basis of pulse diagnosis The function of food and water

digestion

Dr. Stanley, R.TCMP