Zang-Fu Physiology

Zang-Fu PhysiologyZang-Fu Physiology

Traditional Chinese Traditional Chinese Internal Medicine (TCM)Internal Medicine (TCM)

Traditional Chinese MedicineTraditional Chinese Medicine

DietDiet ExerciseExercise RestRest AcupunctureAcupuncture Chinese herbal Chinese herbal

formulasformulas

Yin and YangYin and Yang

Basic Opposing Forces of NatureBasic Opposing Forces of Nature• Night & DayNight & Day• Cold & HotCold & Hot• North & SouthNorth & South• Winter & SummerWinter & Summer• Bottom & TopBottom & Top• Back & FrontBack & Front• Left & RightLeft & Right

Mutually SupportingMutually Supporting

TCMTCM

5 Element Theory5 Element Theory• FireFire• EarthEarth• MetalMetal• WaterWater• WoodWood

8 Principles of 8 Principles of DiseaseDisease• Yin & YangYin & Yang• Interior & ExteriorInterior & Exterior• Cold & HotCold & Hot• Deficiency & ExcessDeficiency & Excess

Zang-Fu OrgansZang-Fu Organs• HT/SI -- PC/THHT/SI -- PC/TH• SP/STSP/ST• LU/LILU/LI• KID/BLKID/BL• LIV/GBLIV/GB

Zang-Fu OrgansZang-Fu Organs

55 ZZaanngg OOrrggaannss 66 FFuu OOrrggaannssLLiivveerr ((LLII VV)) GGaallllbbllaaddddeerr ((GGBB))

HHeeaarrtt ((HHTT))PPeerriiccaarrddiiuumm ((PPCC))

SSmmaallll II nntteessttiinnee ((SSII ))TTrriippllee HHeeaatteerr ((TTHH))

SSpplleeeenn ((SSPP)) SSttoommaacchh ((SSTT))

LLuunngg ((LLUU)) LLaarrggee II nntteessttiinnee ((LLII ))

KKiiddnneeyy ((KKII DD)) BBllaaddddeerr ((BBLL))

WoodWood

SoundSound• shoutshout

EmotionEmotion• angeranger

ClimateClimate• windy-warmwindy-warm

SeasonSeason• springspring

DirectionDirection• easteast

OpeningOpening• eyeseyes

Body PartBody Part• ligamentsligaments

Zang/FuZang/Fu• LIV/GBLIV/GB

FireFire

SoundSound• laughlaugh

EmotionEmotion• joyjoy

ClimateClimate• heatheat

SeasonSeason• summersummer

DirectionDirection• southsouth

OpeningOpening• tonguetongue

Body PartBody Part• tonguetongue

Zang/FuZang/Fu• HT/SI - PC/THHT/SI - PC/TH

EarthEarth

SoundSound• songsong

EmotionEmotion• sympathysympathy

ClimateClimate• humidhumid

SeasonSeason• late summerlate summer

DirectionDirection• centercenter

OpeningOpening• lips/gumslips/gums

Body PartBody Part• musclesmuscles

Zang/FuZang/Fu• SP/STSP/ST

MetalMetal

SoundSound• weepingweeping

EmotionEmotion• griefgrief

ClimateClimate• dry-cooldry-cool

SeasonSeason• autumnautumn

DirectionDirection• westwest

OpeningOpening• nosenose

Body PartBody Part• skinskin

Zang/FuZang/Fu• LU/LILU/LI

WaterWater

SoundSound• groaninggroaning

EmotionEmotion• fearfear

ClimateClimate• coldcold

SeasonSeason• winterwinter

DirectionDirection• northnorth

OpeningOpening• earsears

Body PartBody Part• bonesbones

Zang/FuZang/Fu• KID/BLKID/BL

5 Element Constitutions5 Element Constitutions

FireFire – Toy Poodle – Toy Poodle• overjoyed & hyperactiveoverjoyed & hyperactive

EarthEarth – Yellow Lab – Yellow Lab• loyal & trustworthyloyal & trustworthy

Metal -- GreyhoundMetal -- Greyhound• aloof & sadaloof & sad

WaterWater -- Chihuahua -- Chihuahua• timid, scared & fearfultimid, scared & fearful

WoodWood -- Rottweiler -- Rottweiler• aggressive & loudaggressive & loud

Fire

Earth

MetalWater

Wood

Shen (creation) CycleShen (creation) Cycle

The The WoodWood is is burned by burned by FireFire to to create the create the EarthEarth which builds up which builds up into mountains into mountains that contain the that contain the MetalsMetals and and collect the collect the WaterWater which feeds the which feeds the WoodWood..

Ke (control) CycleKe (control) Cycle

The The EarthEarth can dam can dam up the up the WatersWaters which which can dowse the can dowse the FireFire which can melt the which can melt the MetalMetal which can be which can be formed into axes to formed into axes to chop the chop the WoodWood which sends its which sends its roots to hold the roots to hold the EarthEarth..

TCM 24-hour ClockTCM 24-hour Clock

GB 11- 1AM

TH 9- 11 PM

PC 7- 9 PM

KID 5- 7 PM

BL 3- 5 PM SI 1- 3 PM

HT 11- 1 PM

SP 9- 11 AM

ST 7- 9 AM

LI 5- 7 AM

LU 3- 5 AMLIV 1- 3 AM

TCM 8 PrinciplesTCM 8 Principles

Depth of DiseaseDepth of Disease• Exterior -- InteriorExterior -- Interior

Nature of DiseaseNature of Disease• Hot -- ColdHot -- Cold

Relative Strength of Relative Strength of Body vrs. DiseaseBody vrs. Disease• Excess -- DeficiencyExcess -- Deficiency

Overall CharacterOverall Character• Yang -- YinYang -- Yin

Zang/Fu (yin organ/yang Zang/Fu (yin organ/yang organ)organ)

Wife/Husband Wife/Husband pairspairs

Deals with Deals with Internal Internal MedicineMedicine

Mother Mother Child Child• woodwood is mother is mother

of of firefire• earthearth is child of is child of

firefire

Grandparent Grandparent GrandchildGrandchild• waterwater is is

grandparent of grandparent of firefire

Use of TCM TheoryUse of TCM Theory

Balance is the keyBalance is the key Support Support

constitutional needsconstitutional needs Add treatments for Add treatments for

specific problem specific problem (local, meridian or (local, meridian or zang/fu)zang/fu)

Treat master pointsTreat master points

For DeficiencyFor Deficiency -- --Treat parentTreat parent

For ExcessFor Excess -- --Treat Treat grandparentgrandparent

For PreventionFor Prevention - - - Treat - Treat grandchildgrandchild

TCM TCM HEARTHEART PhysiologyPhysiology

Dominates the Dominates the Blood & VesselsBlood & Vessels

Houses the MindHouses the Mind

Controls SweatingControls Sweating

Opens in the Opens in the TongueTongue


Dominates the Dominates the Blood & VesselsBlood & Vessels• Motive force behind Motive force behind

blood circulationblood circulation• Requires proper Requires proper

Heart Qi function for Heart Qi function for normal pulse and normal pulse and mucous membrane mucous membrane colorcolor

• Deficiency leads to Deficiency leads to weak, thready pulse weak, thready pulse and pale tongueand pale tongue


Houses the MindHouses the Mind• Mental activity, Mental activity,

memory, sleepmemory, sleep• Primarily related to Primarily related to

Heart BloodHeart Blood• Deficiency of Heart Deficiency of Heart

Blood leads to Blood leads to restlessness, restlessness, anxiety and shen anxiety and shen disturbancedisturbance


Controls SweatingControls Sweating• Blood carries body Blood carries body

fluid and is fluid and is interchangeable with itinterchangeable with it

• Body fluid is used to Body fluid is used to make up sweatmake up sweat

• Heart deficiency leads Heart deficiency leads to spontaneous to spontaneous sweatingsweating– Night- -YinNight- -Yin– Day- -YangDay- -Yang


Opens in the Opens in the TongueTongue• Controls color and Controls color and

appearance of the appearance of the tongue, particularly tongue, particularly tiptip

• Deficiency in Heart Deficiency in Heart Blood shows pale Blood shows pale (dry) tongue(dry) tongue

• Excess heat in Heart Excess heat in Heart causes dark red causes dark red tongue tongue

TCM TCM PericardiumPericardium Physiology Physiology

Protects the Protects the HeartHeart

In Practice, In Practice, considered the considered the same as the same as the HeartHeart

Treat the sameTreat the same May be more May be more

related to shenrelated to shen

TCM TCM LUNGLUNG PhysiologyPhysiology

Governs Qi & Governs Qi & RespirationRespiration

Dominates Ascending Dominates Ascending & Descending& Descending

Control the Body Control the Body SurfaceSurface

Opens in the NoseOpens in the Nose


Governs Qi & RespirationGoverns Qi & Respiration• Inhales “clear” QiInhales “clear” Qi• Exhales “stale” QiExhales “stale” Qi• Forms Zong Qi from Gu Qi Forms Zong Qi from Gu Qi

& clear Qi& clear Qi• Qi help propel the Blood Qi help propel the Blood

so Lung and Heart work so Lung and Heart work togethertogether

• Stagnation of Lung Qi Stagnation of Lung Qi leads to cough and asthmaleads to cough and asthma


Dominates Ascending Dominates Ascending & Descending& Descending• Distributes defensive Distributes defensive

(wie) Qi and body fluid (wie) Qi and body fluid to entire bodyto entire body

• Helps maintain normal Helps maintain normal descending function, descending function, while receiving the while receiving the ascending water vapor ascending water vapor from the kidneyfrom the kidney


Control the Body Control the Body SurfaceSurface

• Distributes body Distributes body fluid to the tissues fluid to the tissues which in turn helps which in turn helps regulate skin regulate skin moisture and moisture and sweatingsweating

• Provides Wei QiProvides Wei Qi


Opens in the Opens in the NoseNose• Lung is a canopy Lung is a canopy

over the other over the other organs and very organs and very delicatedelicate

• Easily affected Easily affected by pathogens by pathogens (wind, heat, (wind, heat, cold or dryness)cold or dryness)

TCM TCM SPLEENSPLEEN PhysiologyPhysiology

Governs Governs Transportation & Transportation & TransformationTransformation• Food & WaterFood & Water

Controls BloodControls Blood

Dominates the MusclesDominates the Muscles

Opens in MouthOpens in Mouth• Lips & Gums (ST)Lips & Gums (ST)


Governs Governs Transportation & Transportation & TransformationTransformation• Distribution, Distribution,

digestion & digestion & absorption of absorption of nutrients and waternutrients and water

• Dominates post-natal Dominates post-natal lifelife

• SP Qi up- -ST Qi downSP Qi up- -ST Qi down


Controls BloodControls Blood• Keeps blood in Keeps blood in

vessels & vessels & prevents prevents extravasationextravasation

• SP important for SP important for holding holding substancesubstance– BloodBlood– HerniasHernias– ProlapsesProlapses


Dominates the Dominates the MusclesMuscles

• WeaknessWeakness

• Muscle atrophyMuscle atrophy

• EmaciationEmaciation


Opens in MouthOpens in Mouth• Lips (SP) & Lips (SP) &

Gums (ST)Gums (ST)• Chewing and Chewing and

appetite are appetite are related to related to Spleen functionSpleen function

• Poor Spleen Poor Spleen function, poor function, poor appetiteappetite

TCM TCM LIVER LIVER PhysiologyPhysiology

Stores the BloodStores the Blood

Maintains the Maintains the Smooth Flow of Qi Smooth Flow of Qi & Blood& Blood

Controls the SinewsControls the Sinews

Opens in the EyesOpens in the Eyes


Stores the BloodStores the Blood• Acts to regulate Acts to regulate

blood volumeblood volume• Similar to WIM Similar to WIM

function of the liver function of the liver (plus spleen function)(plus spleen function)

• Closely related to Closely related to tolerance to tirednesstolerance to tiredness

• Measure of athletic Measure of athletic performanceperformance


Maintains the Maintains the Smooth Flow of Qi Smooth Flow of Qi & Blood& Blood• Ensuring SP/ST Ensuring SP/ST

digestive functiondigestive function• Maintaining vital Maintaining vital

activities of the bodyactivities of the body• Maintaining smooth Maintaining smooth

flow of water-dampflow of water-damp


Controls the Controls the SinewsSinews• Moistens and Moistens and

nourishes the nourishes the tendons and tendons and ligamentsligaments

• Ensures smooth Ensures smooth joint movementsjoint movements

• Depends upon Depends upon adequate LIV bloodadequate LIV blood


Opens in the Opens in the EyesEyes

• Meridian Meridian connectionconnection

• LIV yin & blood LIV yin & blood deficiency leads deficiency leads to dry eyesto dry eyes

• LIV heat leads to LIV heat leads to red, swollen eyesred, swollen eyes

TCM TCM KIDNEYKIDNEY PhysiologyPhysiology

Stores EssenceStores Essence Governs WaterGoverns Water Controls Reception Controls Reception

of Qiof Qi Dominates the Dominates the

Bones & MarrowBones & Marrow Opens in the EarsOpens in the Ears Controls the 2 Controls the 2

OrificesOrifices


Stores EssenceStores Essence

• Inherited Inherited EssenceEssence– DNA from parentsDNA from parents

• Acquired Acquired EssenceEssence– From food via the From food via the

SpleenSpleen


Governs WaterGoverns Water• Gate that Gate that

regulates waterregulates water• Separates clear Separates clear

from turbid from turbid waterwater

• Clear water is Clear water is boiled to Lungboiled to Lung

• Turbid water is Turbid water is sent to Bladdersent to Bladder


Controls Controls Reception of QiReception of Qi

• Holds down Qi Holds down Qi received from received from the Lungthe Lung

• Kidney Kidney deficiency leads deficiency leads to asthmato asthma


Dominates the Dominates the Bones & MarrowBones & Marrow

• OsteoarthritisOsteoarthritis• TeethTeeth• Brain & Spinal Brain & Spinal

CordCord• Bone Marrow Bone Marrow

(Blood)(Blood)


Opens in the EarsOpens in the Ears

• Associated with Associated with hearing and hearing and deafnessdeafness


Controls the 2 Controls the 2 OrificesOrifices

• UrinationUrination• DefecationDefecation• ReproductionReproduction

Six Fu OrgansSix Fu Organs

GallbladderGallbladder StomachStomach Small IntestineSmall Intestine Large IntestineLarge Intestine Urinary BladderUrinary Bladder Triple HeaterTriple Heater

Extraordinary Fu OrgansExtraordinary Fu Organs

BrainBrain MarrowMarrow BoneBone VesselsVessels GallbladderGallbladder UterusUterus

Overview of Zang-Fu Overview of Zang-Fu PhysiologyPhysiology

HeartHeart Lung Lung SpleenSpleen LiverLiver KidneKidneyy

Dominates Dominates the blood the blood vesselsvessels

Governs Qi & Governs Qi & respirationrespiration

Governs Governs transformatitransformation & on & transportatiotransportationn

Stores the Stores the bloodblood

Stores the Stores the essenceessence

Houses the Houses the mindmind

Dominates Dominates ascending & ascending & descendingdescending

Controls Controls bloodblood

Maintains Maintains smooth flow smooth flow of Qi & bloodof Qi & blood

Governs Governs waterwater

Controls Controls sweatsweat

Controls Controls body surfacebody surface

Dominates Dominates the musclesthe muscles

Controls the Controls the sinewssinews

Controls Controls reception of reception of QiQi

Dominates Dominates the bones & the bones & marrowmarrow

Opens in the Opens in the tonguetongue

Opens in the Opens in the nosenose

Opens in the Opens in the mouth (lips)mouth (lips)

Opens in the Opens in the eyeseyes

Opens in the Opens in the ears and ears and controls the controls the 2 orifices2 orifices

Zang-Fu DisturbancesZang-Fu Disturbances

QiQi YangYang BloodBlood YinYin

SP*SP* KID*KID* LIV*LIV* KID*KID*

LU*LU* SPSP HT*HT* LIVLIV

KIDKID HTHT SPSP LULU

HTHT KIDKID HTHT

SP/(ST*)SP/(ST*)

Documents

Zang-Fu Physiology