Etiology onset of disease and Pathogenesis

The condition is characterized by a balance between Yin and Yang. Old

Chinese proverbs say:
"In the presence of Yin and Yang equanimous secret, health is
guaranteed" (Bing Yin Yang Mi), or
"When Yin and Yang are in harmony, health is preserved" (Yin Yang
Tiao He). Imbalance
Yin and Yang lead to the onset of disease.
This appearance is also related to the existence of two processes:
1. Loss of body resistance by reducing the vital energy or Qi Zheng,
also called Qi
Correct or Qi Law and simply "The Correct" or "The Law"
2. Influence of a pathogen in the body. This pathogen is called Xie Qi or
energy
Perverse or Noxious Energy, or in short "The Pervert" or "The Harmful".
The emergence and development of the disease will reflect the struggle
between "The Correct" (Le Droit) and
"The Perverse" (The Harmful).
Chinese medicine attaches great importance to the presence of Correct
which determines the state of
health. Liu Wen Shu Northern Song in Su Wen Yi Pian said: "When the
Fair is inside the
Perverse can not reach "and the Su Wen (Chapter 33) said:" The
Perverse flows where there is vacuum Correct. "
The strength or weakness of Correct is determined by the existence of
many factors that are
particular:
physical constitution,
state of mind,
the surrounding medium,
food,
resistance acquired by training.

The physical constitution is related to heredity; characteristics

transmitted from parents to their offspring
the form of the individual specificity.

The Ling Shu (chapter 6) reported the existence of individual differences

in innate qualities: "In life
human resistance there or not, weakness or strength, longevity or
brevity, Yin Yang or. "

The mental state has an immediate effect on the functional activity of qi

and blood organs, and thus a
effect on the strength or weakness of Correct. Humans to the solid
mental "good about yourself" activity
bodies is regular, Qi and blood circulate well, the Fair is abundant and
easily pushes
Perverse.
Humans mentally disorganized "ill at ease", the organs do not function
in harmony, Qi
and blood are impeded, the Fair is weakened and the Perverse easily
absorbed into the body by triggering
diseases.

The surrounding environment and lifestyle have an influence on the

occurrence of diseases. A life
or wanton excesses lead to disturbances of the physiological activity
detrimental to the strength of
Correct.

Diet and physical training are important in enhancing the state of OK. A
combined with a regular exercise reasonable diet increase the Qi and
blood, the force
Physical develops, diseases will be rare.
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However, wanton power associated with a sedentary lifestyle, weaken
the Correct, blood and energy
circulate evil, resistance Pervers be reduced and disease appear.
The place given to Correct in triggering the disease does not remove
the role provided
important given the Qi Pervers in this phenomenon.
In cases of epidemics or diseases caused by external reached, the
same element is Perverse
principal. In this context, the Su Wen Yi Pian, on the prevention of
infectious diseases

teaches that we must not only maintain the strength of Qi right to the
body, but also perform
prevention work "that avoids Qi poisoned."
This chapter will address the pathogenesis in the first part of the various
factors
determine the onset of disease (etiology), a second part will study the
formation and evolution
disease (pathogenesis).
Etiology
Su Wen (Chapter 66):
"Heaven has 5 elements that govern 5 thrones for generating Cold,
Heat,
Drought, Humidity, Wind.
The man has the guts to develop 5 5 breaths that produce joy. Anger,
Worries, Sadness, Fear. "
History etiologic classifications
In the Nei Jing, diseases are divided according to the theory of Yin
Yang. The Su Wen (Ch. 62)
said: "The disruption that occurs in the Yang is due to Wind, the Rain,
the Cold or Heat. That
which occurs in the Yin is sexual or emotional residential foodborne,. "

In 219, Zhang Zhong Jing (Zhang Ji) in the book "summarized

Prescriptions of the Golden Box" (Jin Gui Yao
Lue) establishes a tripartite classification of diseases:
"First the meridian system (Jing Luo) is affected by a pathogen enters
organs; origin is within
Second, from the four members and nine openings there transmission
vessels
Blood (Xue May) which are blocked, there is achieved by the outer skin.
Thirdly it will damage by fatigue, animals and insects, knives. "

In 1l74, Chen Wu Ze, inspired by the work of Zhang Zhong Jing, wrote
his treatise "of the three categories
pathogenic factors and symptoms "(San Yin Ji Yi Bing Zheng Fan Mon)
and stared - as external causes,
six climatic pathogenic excess as internal causes, "emotions" of the five
bodies, as causes
neither internal nor external, diet, fatigue, dislocations, fractures,
wounds white arms,
attacks by insects and animals.

The taxonomy used in this work is similar to that of Chen Wu Ze. Among
all etiologies,
some have nowadays of paramount importance, they are treated in a
more
Detailed. These are:
6 Excess Wind, Fire, Heatwave, Humidity, Dryness, Cold
7 feelings: Anger, Joy, Fear, Worry, Sadness, Worry and Fear
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Particular emphasis will be given to diseases originating in pathogenic
productions
developed during the first illness, such as phlegm and mucus (Yin Tan),
the
Blood stasis (Yu Xue), and diseases from the defective functional
activity of an organ such
the internal fire, internal humidity ...
Other causes of diseases, epidemics, food, fatigue, external injuries and
abuses by
animals and insects, will be described briefly.
Three categories of causes (San Yin)
(1) External Causes
(2) Internal Causes
(3) Causes or external or internal
Pathogen Classification Factors
1)
With external (Wai Gan) associated directly or by analogy to:
Six Excess (Liu Yin) climatic origin
Epidemiological diseases
2)
External injuries (Shang Wai)
Trauma and injury
Parasitological origin.
3)
Internal injuries (Nei Shang)
Overflows September Feelings (Qi Qing)
Drinks - food,
Work - inactivity.
4)

On the other hand, the study of the etiology also comprises

analyzing phenomena productions
pathogens, primarily:
Phlegm (Yin Tan)
The Blood Stasis (Yu Xue).
Six Excess (Liu Yin)
General characteristics

Origin
Wind, Cold, Fire, Moisture, Drought, Heat Wave, climate changes are
normal, they
6 called Qi (Liu Qi). Men are able to adapt to their variability, 6 Qi are
therefore
not pathogenic.
But sudden or abnormal climatic variations or a decrease in resilience of
the body can make these harmful energies 6 which become pathogens
attack the body and
produce disease.
In this case, the 6 Qi are called excess 6 (6 Yin), and because they are
abnormal Qi, is incorrect
are also called "6 flawed", the "incorrect 6" (Xie). These are the
pathogenic factors of external origin
greatest.
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It should be noted that these outdoor conditions, even extreme, may be
causes of diseases such as
the body is weakened or unbalanced. Thus the state of the previously
healthy energy body (Zheng
Qi) which determines from when Liu Qi Liu Yin become.

Common characteristics
1) The disease is related to the climate of the season or with the
surrounding environment.
In spring it is often disease of the Wind.
In summer, diseases of the Dog (Shu): Summer heat.
An extended (Chang Xia), or early fall, or after an extended stay in a

moist, often appear diseases Humidity.

At the heart of the fall is the most frequently encountered diseases
Drought.
In winter, diseases of Cold.
2) Excess 6 may either act alone or join two or more to cause disease.
In flu symptoms (Gan Mao), it will attack by Wind and Cold.
In diarrhea, association Moisture and Heat.
In rheumatism, attack by Wind, Cold and Dampness.
3) During the evolution of the disease, 6 excess can not only interact
with each other,
but may also be transformed into each other.
Xie and Refrigeration entering inside (Li) can be transformed into heat.
The Heatwave Humidity-lasting drought can become hurt and Yin.
4) The disease entering the body either through the nose or mouth or
through the muscular envelope,
or by these two channels together are called "original External
Diseases. "

Syndromes related to access 6

A number of conditions, although they are not directly produced by
disturbances
climate, are classified as Liu Yin:
Many acute infectious diseases.
Some pathologies of physico-chemical origin.
In these cases, the determination of the pathogen is not so much from a
reasoning
etiological semiological. For example, many diseases are categorized
"Wind-Heat", although the patient was not exposed to the Wind, or the
heat or to any source
of hot moving air. Just to talk about Wind-Heat, he has the same
symptoms
those traditionally described as coming from an external achieved due
to the combination of Wind and

Heat (eg, fever, swollen and painful throat, fear of wind, superficial and
rapid pulse ...
).
On the other hand, some internal disease may have similarities with
those due to
Six external Excess. Thus, there are internal pathologies Wind (Nei
Feng), Cold internal (Nei Han)
internal humidity (Nei Shi), internal Drought (Nei Zao) and internal Fire
(Huo Nei). They do not fall
However, not Liu Yin, but imbalances of Yin / Yang, Qi and Blood, or
activity
Viscera. They should not be confused with external diseases, despite
the
similarity of name, because their clinical presentation and treatment
strategies they claim are
completely different.
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1)
The Wind (Feng)
Wind is the main spring Qi, but it can occur in all seasons. Its pathogen
may be either an external Wind or internal Vent.
Wind is the external cause of a disease of the body to attack using a
factor derived from
the physical environment.
For internal Wind, the cause is a malfunction of the Liver.
The Su Wen (Chapter 42) said: "Qi Wind is contained in the skin, when
the openings in the skin (Neck
li) open there Refrigeration and when they close there is the Hot and
oppressed. "It explains
same (Chapter 74): "All Winds belong to the Liver."
This is the first Wind externally and internally Wind.
U Nature and characteristics of the pathogen Wind
(1) The Wind is at the root of many diseases
Wind is the main pathogenic factor of 6 too. Cold, Humidity, Drought,
Heat
attack the body by pressing the Wind and form syndromes: Wind-Cold,
Wind-Heat, WindHumidity, Wind-Dry. So much so that WIND HARMFUL became the
generic term for factors

external pathogens.
(2) The Yang Wind is a factor, its nature is to "open up and flow"
Wind is the nature of the movement. It does not stay in place, rises and
goes to the outside, this is why
Yang is a factor. Wind characteristics are often adversely affects the
upper part (head and upper
body) and muscle envelope (Piao Ji). The Su Wen (Chapter 29) said:
"When one is injured by the Wind
First up is affected. "
As the Wind "opens and flow", skin, hair and skin openings (Neck li)
open
and will spread. Observed sweat and fear of the Wind.
(3) The nature of the Wind is to move and transform
"Move, move" (Xing Shan) means a disease caused by the Wind is
erratic. Thus in
rheumatism (Bi Zheng) caused by Wind, there are often joint pain that
move, the pain is not fixed, it is a manifestation of an immoderate
abundance Qi Wind.
This is why these are called rheumatism "Bi flowing" or "Bi Wind".
"Transforming Repeatedly" (Shu Bian) means a disease caused by the
Wind is subject to
irregular fluctuations and is growing rapidly. Eg "Buttons Wind" (Feng
Zheg)
(Infant eruptive diseases) are characterized by itching of the skin,
without precise location,
that appear and disappear suddenly. At the same time because the
Wind is the external disease
guide others, the outbreak of the disease is sudden and rapid change. It
is also the internal disease
(Zhong Feng) which show signs of sudden syncope, sudden outbreak.
The Su Wen (Chapter 42) summarizes the properties saying: "The Wind
moves and transformations
repeat ".
(4) The Wind's natural movement
The term agitation "(Dong) indicates that a disease caused by the Wind
is characterized by restlessness.
Common symptoms such as arc, dizziness, tremors, spasms of the
limbs, and even
stiff neck and opisthotonos are pathologies of the Wind.
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U Syndromes of Wind
Diseases of external Wind
Wind enters through the external skin or respiratory tract, disrupting the
defensive energy and
generating symptoms such as fever, sweating, fear of wind, pulse rapid
and Fu
(Superficial).
Reached by the Wind: fever, fear (Wu) Wind, sweat, pulse slow and
superficial, or sore throat
cough, stuffy nose.
Wind-Cold: see chapter "External Cold disease."
Wind-Heat: see "External heat illness."
Wind-Humidity: see chapter "External Humidity disease."
Joint pain erratic Feng Bi, Bi Xing.
Edema Wind (Feng Shui). Acute manifestations: fever, fear of the Wind,
generalized edema,
significant in the face, oliguria, bones and painful joints.
Urticaria (Feng Zhen Kuai): "itchy skin", pruritus moving without fixed
point of onset
and rapid disappearance.
Diseases Internal Wind
Main symptoms: glare, dizziness, spasms of the limbs, loss of
consciousness
brutal, eyes and mouth deflected hemiplegia.
Causes:
(1) "Liver Yang becomes Wind
Production of internal Wind is essentially a manifestation of the
pathology of liver.
That is why it is called "internal agitation of Liver-Wind." Indeed, the liver
has

function to keep the blood shed in the eyes Jing, Qi broadcast in

tendons and play
a role in mental activity.
(2) "Blood Empty produces Wind
Internal Wind may also have the following causes: "Empty Yin, lack of
Blood"
"Wind and Yang disturb the Top", "Tendons and vessels are not fed."
(3) "the Heat to its extreme product of Wind
Internal Wind may also be due to excessive abundance of heat that
burns the meridian
Liver Wind and puts in motion.
And current clinical cases that are "Liver Yang becomes Wind", "Blood
Empty product
the Wind, "" Heat to its extreme product of the Wind ", are to be
classified in the category of internal Winds
giving rise to symptoms such as dizziness, spasms, convulsions,
paralysis and loss of
knowledge.
2) Cold (Han)
Cold is the essential Qi winter. However, it may meet during the other
seasons, but this
time, it is not as strong as that of winter.
We distinguish the pathology of the external and the internal Cold Cold.
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External Cold Cold refers to the pathogen from the outside
world. According to its effects
we differentiate pathological Shang Han and Han Zhong. Shang Han
Xie Cold corresponds to that
injured muscle envelope, Zhong Han Xie Cold directly affected organs.
Domestic refrigeration is produced by a deficiency of Yang Qi in the
body.
Although separate, external and internal Cold Cold are in constant
contact and influence each other.
People whose blood is in vacuum state and have an internal Cold easily
catch a Cold
externally. If the external Cold enters the body, it accumulates, it often
damages the Yang Qi

body and causes the appearance of internal Cold.

U Nature and characteristics of the pathogen Cold
(1) The Cold Yin is a factor, it has the power to hurt Yang
Cold is the manifestation of an abundance of Yin Qi, Yin nature being
so, we can say:
"Abundance of Yin gives the Cold".
By itself can transform into Yang Yin, but an overabundance of Yin and
manifest Cold
a weakening of Yang Qi: he is not only unable to hunt Yin-Cold, but
the more it is "against-dominated" (despised Wu) by Yin-Cold hence the
formulation: "When Yin is abundant
there disease Yang ".
Yang Qi is reduced can not maintain its normal function of warming and
mutation of Qi,
hence the appearance of Cold diseases due to decreased activity of the
organism.
If the external Cold enters the muscle envelope, Yang Wei is congested
and can be
feel the fear of the Cold.
If reaching the Cold bears directly on the Spleen and Stomach, Spleen
Yang is
damaged and reaction is observed: stomach cavity and stomach cold
and painful,
vomiting and diarrhea.
If Yang Spleen and Kidney is empty, the ability to "warm and transport"
is
insufficient, there is decreased functional activity, where symptoms such
as fear
Refrigeration, cold limbs, cold and painful lower back and spine, edema,
ascites (Fu
Shui), diarrhea of undigested food, polyuria.
The Su Wen (Chapter 74) summarizes these symptoms, saying: "All
diseases where liquid
organic (Shui Ye) that are clear and expenses belong to the Cold. "
(2) The Cold Cold occlusions product types (Zhi Ning)
"Zhi Ning" is the obstruction, stuffy way.
Uninterrupted and unimpeded circulation of qi, blood and fluids Jin (Jin
Ye) depends Yang.

If Yang is empty, Yin and excessive Cold, appear the following events
described by the Su
Wen (Chapter 39). "If the Cold enters a meridian, there causes a
slowdown and a contraction
blocking traffic. If installed outside the vessel there lack of blood. If it fits
within,
stopping the flow of Qi causes acute pain "And further:". Refregeration
can be installed outside
vessel, it cools and curling. It retracts its small vessels causing
sudden pain that warming can stop immediately. "
These signs are due to a judgment of Qi and blood in the vessels in the
presence of Yin and energy
pathogenic Cold in excess. Yang Qi can happen to contain.
All diseases clinically manifested by obstruction accompanied by Cold
pain, as have great therapeutic principle of Yang warm and disperse
Cold.
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(3) produces contractions Cold Cold Type (Shou Yin)
"Shou Yin" has the meaning of a contract, shoot. When Xie Cold enters
the body, it causes contraction of Qi
and causes pain that shoots. If Cold enters the muscle envelope, hair
orifices
contract, the protector Yang (Yang Wei) is blocked, and this causes: fear
of Cold, fever, lack of
sweat, pain in the head and body, tight pulse (Jin).
If Cold is in the meridians and collaterals (Jing Luo) and joints,
meridians (Jing
May) are torn, which may cause paresis of the limbs, or a brutal Cold
(Leng Ni) which
paralyzes. "When there is Cold, Qi contracts" says Su Wen (Chapter
39).
U Syndromes of Refrigeration
External disease Cold
Wind-Cold: Fear (Wu) Refrigeration (this fear of Refrigeration is not
enhanced by heat)
no sweat, fever, head and body aching, painful joints.
Arthritis Cold (Han Tong Bi or Bi): severe pain in the joints subsided by

heat, exacerbated by Cold. Sometimes spasms, difficulty moving

members.
Cold injures Rate-Stomach (Pi Wei Shang Han) causing stomach pain
and stomach,
vomiting, loss of appetite, intestinal rumbling, diarrhea; symptoms
sometimes accompanied
Fear of Cold and aching body.
Disease or internal Cold Cold Empty
Main symptoms: fear (Wei) Refrigeration (this fear of Refrigeration is
improved by the heat), the
Cold up in the limbs, vomiting of clear fluids, undigested food diarrhea,
polyuria, fatigue, attitude lying curled up, cold and localized pain.
Causes:
When the Yin Yang is abundant is empty and can no longer perform its
function of warming,
Cold so born inside. These manifestations of "declining Yang, Qi
vacuum" in other words
decreased functional activity are also known for it "Cold-Blank".
According to Su Wen (Ch. 74) "All contractions Cold belong to Kidney.
3) Fire (Huo) and Heat (Re)
Heat (Re) and Fire (Huo) are produced by the abundance of Yang. May
be used both
names, however, these energies are not absolutely identical. There are
two differences:
(I) As regards the evil Qi (Xie Qi)
Heat (Re) generally for external excess Yang category, as
Wind-Heat, Heat, Heat Wave, Damp-Heat.
Fire mainly takes birth inside the body giving: "The Heart of Fire ignites
top "," The Liver Fire rises flourishing "," Fire Gallbladder goes against
sense. "
(Ii) As regards the correct Qi (Zheng Qi), Fire is correct when Qi is
contained in
organs (Zang Fu) and he role of heat and produce transformations
for. There is
Yang Qi. Nei Jing is called, "Young Fire" (Huo Shao).
If Yang is too abundant, it turns into burning fire, it weakens and scatters
the correct Qi

and becomes a pathogenic factor. Nei Jing is called "Fire Adult" (Huo
Zhuang). This is
This phrase expresses the Su Wen (Chapter 5): "The Zhuang Qi Huo
consumes .... Shao Huo
Product Qi. "Heat (Re), however not for the correct body Qi.
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Finally, there is a type of heat (Heat Wen) of the same nature as the Fire
(Huo) and Heat (Re). The
Heat Wen term means, but compared to Re has firstly a connotation of
humidity (could
Wen compare to the "Warm" and Re in "Heat" in English), and secondly
it is considered less
Re violent than For example, if Wen is associated with the heat of
spring, Re is associated with the full
summer. As the heat Re is a pathogenic factor of "hot" diseases
externally, on the
therefore brings together often.
For Fire and Heat are distinguished internal and external pathology
pathology.
The external condition is due to an attack by harmful agent (Xie) of heat
(Wen, Re).
Internal pathology from a malfunction of Zang Fu, Yin Yang, or the Blood
and
Qi.
The Su Wen (Chapter 62) states: "The vacuum Yin produces internal
heat. abundance Yang
product of external heat, "and even" Fire is none other than the excess
of Qi ".
Finally an attack by a 5 excess (Wind, Heat Wave, Humidity, Dryness,
Cold) externally or
good mental excitation called "excess of five emotions" (Wu Zhi), can be
transformed into light. We
then said, "The 5 Qi turn into Fire", "5 emotions turn into Fire."
U Nature and characteristics of the pathogen Heat-Fire (Re-Huo)
(1) Heat-Fire belongs to Yang. its nature is to ignite and rise
The Su Wen (Chapter 5) said: "When Yang is flourishing there Heat
(Re)."
Yang governs movement, pushes up, the nature of fire is heat burn,
burn

and rise in flames, so it belongs to Yang.

With its result in the following symptoms: fever, fear of heat, thirst and
restlessness
(Fan Ke), sweating, wide pulse (Hong) and precipitate (Shuo). If it
attacks the spirit (Shen Ming) can
observe anxious agitation (Xin Fan), insomnia, agitated dementia
(Kuang Zao). mental confusion, delirium
verbal.
That is why the Su Wen (Chapter 74) said: "All outpatient delusions
depend on Fire" Diseases
it causes occur especially in the upper body.
As follows:
"The Heart of Fire ignites High, is a source of ulcers (Chuang) in the
mouth and on the
language.
"The Fire of the Stomach and abundant hot" leads to swelling and pain
in the gums.
"The Liver Fire broke up", causes headache, red eyes, swollen and
painful.
(2) Heat-Fire consumes the Qi and injures the body fluids
"The Zhuang Qi Huo consumes."
Xie Fire-Heat consumes Yin fluids and causes body fluids to leak
outside. And it causes a loss of Yin and Jin whose symptoms are thirst,
desire to drink, drought
mouth, dry hard stools, oliguria.
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(3) Fire produced the Wind, stirred the blood
Upon entering the body, Xie Fire-Heat burns the Liver meridian and
depletes fluids Yin.
The is no longer irrigated muscle-tendon meridians, internal agitation
appears Liver-Wind,
manifestation of "Heat to its extreme product of Wind".
The symptoms are: fever, loss of consciousness, verbal delirium,
spasms of the limbs,
eyepiece cap, stiff neck, opisthotonos.

The Su Wen (Chapter 74) said: "All cases of heat, glare, spasms,
belong to the Fire."
Xie Fire Heat can simultaneously accelerate blood flow. It will wander
and
cause bleeding such as hematemesis, epistaxis, enterroragies,
hematuria, rash,
exanthema, rash, and women, meno-metrorrhagia.
(4) Fire tends to cause swelling and abscess
Within the layer of Blood, Fire, Heat perverse can also collect in places,
corrupt
flesh and blood and cause anthrax (Yong), tumors (Zhong), buttons
(Chuang), abscess (Yang).
The Ling Shu (chap. 8 January) said: "A large heat does not cease,
eventually corrupt the flesh, the
give flesh corrupt pus, which is why it is called Yong. "
The Su Wen (Chapter 74) also says: "All Yong, itching, pimples, belong
to
Heart "here denoting the Heart of Fire Heart meridian.
U Syndromes Fire Heat (Hao Re)
Fire Heat illness external (Wai Gan)
The signs usually occur in diseases "Hot" (Wen Re). At the initial phase
is
observed: fever, slight fear of Wind and Cold, headache, swollen and
painful throat, dry mouth and
thirst; subsequently occur: fever without chills, large thirst, drinking.
When the heat penetrates the layer of nourishing the blood and energy
(Ying Qi) is produced of
anxious agitation and insomnia can cause "the wind that stirs the
blood."
Disease Internal Fire Heat (Nei Shang)
Diseases related to heat internally are essentially the manifestation of
increased
Yang excessive or exaggerated vacuum Yin organs.
Increased Yang belongs to the fullness of Fire (Huo Shi) and manifests
itself in
pathological changes of the Fire Heart, Liver, Lung, Stomach.
Symptoms: ulceration of the tongue and mouth, red eyes, bitterness in
the mouth,

anxious agitation, dry and sore throat, thirst, desire to drink, cold, dried
feces,
oliguria, red urine.
The items belong to the Yin Fire in vacuum state (Xu Huo) and reflects
changes
Kidney disease, the Heart, Liver and Lung.
The symptoms are: feeling of warmth to the palms, soles and chest
(Wu Xin Fan Re), insomnia, night sweats, dry mouth, dry eyes,
dizziness, ringing
Earrings
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4) Humidity (Shi)
The humidity is the main "summer that extends" Qi (long summer) (Xia
Chang). This season is
the junction of the summer and fall. Heat Yang decreases, the water
vapor rises and warms the Qi
the water rises. As humidity is abundant, it is the season where Qi
Moisture is the most important.
There are a pathogenic factor of external humidity and another internal
humidity.
The pathology of external moisture is due to the aggression of the body
by the external humidity Xie,
in a humid climate, after crossing the water, wetting by rain, or a
dwelling place
wet.
The internal humidity occurs because the Spleen no longer performs its
function of "strength and transport" (Jian
Yun) and Water-Humidity collects.
The two pathologies (external and internal humidity Humidity) react
upon each other, often at the stage of
onset.
When he wound it by Humidity external origin, Xie Moisture obstructs
the proper
functioning of the Spleen which can not perform its function of "strengthtransport" and Humidity
develops in the body.
-

If the Spleen Yang is empty and weak, Humidity-Water (Shui Shi) can
not transform what
easily generates aggression by external moisture.
U Nature and characteristics of the pathogen Humidity
(1) Humidity is heavy nature and disorder
The terms "heavy", "heavy" mean in general that during a disease
caused by the Life
Humidity, the head and body are heavy, the aching limbs, powerless
and heavy.
When the external moisture gets into the muscle envelope, pure Yang
(Yang Qing) can rise,
Ying (feeder) and Wei (guard) are not in harmony, causing heavy head,
tired body and
powerless members aching. If the humidity stays Xie Jing Luo and in
the joints,
Yang Qi can spread and paresthesia was observed (muscles and skin
as numb) and
painful joints and heavy. For this, Bi The Humidity (Shi Bi) are also
called Bi
heavy (Bi Zhuo).
"Zhuo" means "unclean", but also "trouble", "dirty". When the evil energy
of the Humidity
is the origin of disease, various impure symptoms occur as impurities on
the face
wax in the eyes, tarry stools (Tang Xie). Eczema (Shi Zhen).
(2) Humidity is "sticky" nature and "stagnant"
The terms "sticky" and "stagnant", show the property that the Xie
external humidity
stay in the body. Diseases it causes are long lasting, difficult to cure and
Change is long. Examples: rheumatism due to humidity, eczema, fevers
typhoid and paratyphoid (Shi Wen Bing).
(3) Moisture, Yin pathogen, easily stops the Qi and Yang Qi hurts
The pathogen of humidity is heavy, cloudy, viscous, stagnant, it is of the
same nature as
water and belongs to Yin.
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When it enters the body, it stagnates in the organs (Zang Fu). Luo Jing
and meridians where it can

easily block the operation of Qi, disrupting the activity up and down, and
prevent
passage through the Jing Luo.
The following symptoms: chest tightness, oliguria and dysuria,
constipation,
sensation "ball" in the Stomach (Pi subjective sensation of "balls" or
"mass" in the abdomen
or stomach, relative stagnation of Qi.)
Moisture is Yin in nature, in entering the body weakens the Yang
Qi. Spleen agent
"Transportation and transformation" of water and humidity like drought
and fears humidity.
The permanent moisture hinders Rate, the Yang Qi is weakened in turn,
and loses its ability to transtransformation,
Water and Humidity pile up, causing diarrhea, oliguria, edema, ascites.
The Su Wen (Chapter 71) said: "When the humidity prevails and soaks
it oozes so much so that the water is
stopped and there is edema. "
(4) Humidity tends to descend and easily attack the Yin position
Pathologies arising frequently involve the lower body and moving in this
direction
(Lower limb edema, vaginal, gastrointestinal disorders ...). However,
despite this
choice, the humidity can be found in all parts of the body.
U Syndromes Humidity
Disease of the external humidity (Wai Shi)
Humidity-Wind (Symptom surface Biao) fever that rises in the afternoon
(cyclic fever
Vespers), which does not dissipate perspiration fever, fear of the Wind,
heavy head and body and
embarrassed, aching limbs.
Rheumatism Moisture (Shi Bi) (Bi Zhuo): painful joints, courbatures,
heavy,
fixed pain, difficulty moving, sometimes paresthesia muscles and skin.
Disease of the inner humidity (Nei Shi)
Main symptoms: lack of appetite, slurred speech, lack of thirst, chest
tightness,

nausea, stomach and abdominal fullness sensation with mass and

internal ball (Pi), head and body
heavy and embarrassed, paste or liquid diarrhea, edematous skin,
yellow face, cloudy urine,
leucorrhoea.
Cause: Internal moisture is the manifestation of a disorder of the activity
of "transformation-transport" the
Rate. When the Spleen is in a state of items it can not circulate body
fluids that collect and
accumulate point become edema. Su Wen (Chapter 74): "All the
swelling associated with
Moisture vary depending Rate. "
5)
Drought (Zao)
Drought is the main Qi full fall. In this season the lack of air humidity and
water,
days begin to be cool or cold and the weather becomes extremely dry.
There is a pathogenic factor and another external Dryness internal
dryness.
The pathology of the external aggression is Dryness by Life on Dryness
the climatic environment. The General Life enters the nose and mouth
disease often begins
the Lung and Wei Qi (protective Qi).
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13
Violations by Drought can be Hot or Cold (Liang), because in autumn
there is Qi
Heat of summer that usually causes Drought Hot, but Qi Cold winter
close
can sometimes occur in creating the Cold Drought.
Internal Dryness most often comes too abundant exemptions (urine,
feces) or
excessive sweating. Blood and Jing (petrol) were attacked inside (Nei
Jing Xue Duo), which
causes loss of fluids Yin (Yin Jin) of the body.
U Nature and characteristics of the pathogen Drought
(1) Drought is a dry state and astringent, and damages very easily
Ye Jin
Drought is the Xie Qi purification fall (Lian Su). It is dry and astringent
and therefore lese

Jin easily body fluids, giving rise to the syndrome of "lessening of

liquids Yin "(Yin Jin Kui Xu) characterized by the nose and dry mouth,
dry throat, thirst, skin
cracked, dull hair, hard stools and dehydrated, oliguria.
(2) Drought easily damages the lung
Lung likes to be purified and humidified, but he can not endure the
humidity and even less support the
Drought.
In the presence of humidity there training Yin (phlegm), associated with
drought is a decrease
liquid (Jin).
Lung governs respiration and communicates with the Great Breath (Da
Qi: cosmic energy).
The external connection is located in the skin and hair.
When Xie Drought assaults someone, it usually enters through the
mouth and nose and reached
Lung easily. The latter affected by the drought is no longer dampened
by Jin in a decline
its main functions deployment-distribution of Qi and purification-descent.
Symptoms of this condition will Lung dry cough with little phlegm (Tan),
sputum
viscous (Tan), difficult to expectorate, or blood in the sputum (Tan),
asthma, chest
painful.
U Syndromes Drought
Diseases of the external Drought (Wai Zao)
Hot drought (Wen Zao)
Symptoms: fever, fear (Wu) Light Wind and Cold, sore head, low sweat,
thirst,
anxiety, dry nose and throat, dry cough with little phlegm (Tan), or
presence of blood in
phlegm, cough that does not relieve.
Cold drought: (Liang Zao)
Fear (Wu) of Cold, fever, headache, lack of sweating, dry cough with
little phlegm
(Tan), dry mouth and nose.
Disease Internal Drought (Nei Zao)
Main symptoms: dry mouth and throat, dry and rough skin; hair dry and
dull hair

weight loss, oliguria, dry and hard stools.

Causes this disease reflects a state of diminution of body fluids, which
did
also name "Jin exhausted" or "dry blood."
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14
Internal drought is often caused by an abundance of heat decreases
liquids or
by Jin consecutive losses to profuse sweating, vomiting, exemptions
excessive or blood spoliation. Injury Jing and blood during a chronic
disease
may also give birth.
6) Heatwave (Shu: Summer heat)
The Heatwave (Shu: Summer heat) is the main summer Qi.
It follows from the transformation of Heat and Fire (Huo Re).
The Su Wen (Chapter 67) says: "Heat in heaven, on earth gives the
Fire."
The heatwave has a clear seasonality, and is found only in summer. The
Su Wen (Chapter 31) states
that "before the summer solstice occur the scorching diseases."
The heat wave is a pathogen only external energy source, the theory
of internal Heatwave
does not exist.
U Nature and characteristics of the pathogen Heatwave
(1) Heatwave belongs to Yang, his nature is exacerbated Heat
The Heatwave is produced by the breath (Qi) of the Heat Fire summer.
Heat is Yang Fire, the Dog is a pathogenic Yang energy.
Symptoms corresponding to it are: high fever, thirst and restlessness
(Fan Ke), sweating, pulse
wide (Hong).
(2) The characteristic of the Dog is to deploy (San Sheng), its
function injuring Jin and exhaust
Qi
The Heatwave uses the power of Yang to rise, as it enters the body it
rises and
spreading. She will open the pores of the skin causing profuse
sweating. Sweating
Jin Ye excessive dries causing thirst, drinking, chest tightness and
heated, oliguria.

Qi is removed by sweat along the liquid; a state of deficiency of Qi

moves causing
asthenia, dyspnea, and even loss of consciousness and syncope.
For the Su Wen (Chapter 39): "The Heatwave opens cutaneous orifices,
active circulation Ying
(Feeder) and Wei (protective) spreads sweats that cause leakage of
Qi. "
(3) Heatwave is often mixed with Humidity
It rains a lot during the hot season and the humidity is high. Heat raises
the temperature
Humidity of which is set in motion and increases the humidity of the
air. Both affected by
the Dog and the humidity are often associated and symptoms of fever
and frequent thirst
accompanied by fatigue 4 members, chest tightness, nausea, diarrhea.
U Syndromes Heatwave
Injury by Heatwave (Shang Shu)
High temperature, profuse sweating, anxiety, thirst, desire to drink,
asthenia, red urine.
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15
Insolation (Zhong Shu)
In mild cases dizziness, nausea, chest tightness, vomiting.
In severe cases: syncope, sudden loss of consciousness, rapid
breathing noisy, hands and feet
suddenly frozen.
Damp-heat wave (Shu Shi)
Symptoms: Cold and heat alternate, anxiety, thirst, chest tightness,
nausea, anorexia, asthenia,
diarrhea, oliguria.
Seven Feelings and Emotions Or 5 (Qi Zhi Qing Wu)
"Apart from any external perversion ... this is a serious breach for a
doctor to ignore the state
affective sick "Su Wen (Ch. 77).
7 sentiments represent the modifications of the mind in response to the
perception of messages
emotional transmitted by the environment. They are part of the normal
sphere of activity of the mind and
are not in themselves pathogens.
Seven Sentiments are:

1) Joy (Xi)
2) Anger (Nu)
3) Worry (You)
4) Excess Reflection (Si)
5) Sadness (Bei)
6) Fear (Kong)
7) Emotional Impact (Jing)
But after mental stress, brutal, extreme, violent, or prolonged iterative,
they can
cause a functional disorder of qi or blood of Zang Fu and cause the
appearance of a
disease.
The pathogenic action of the Seven Senses, unlike that of excess Six,
do not need to enter
the body, it therefore bears directly on organs (Zang), which is why we
consider seven
feelings as the main factors of internal disease (Nei Shang).
In the theory of five movements, the seven feelings relate to the five
elements and wear
behalf of five emotions (Wu Zhi): Joy, Anger, Thinking, Sadness and
Fear.
As well as the Six Energies climate (Liu Qi), emotional reactions, when
they
not exceed certain limits, are part of the normal operation of the human
being. But, as a result of
sudden disturbances, extreme, prolonged, or repeated, they can take
abnormal proportions
and disrupt the body. While external pathogenic energy must enter the
body by
skin or respiratory tract, the Seven Feelings can directly affect the
organs, inducing
diseases or promoting their development. Organs most commonly
affected by excess
emotional are the Heart, Liver and Spleen.
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Report of the five emotions with organs (Zang)
Mental activity requires the Jing Qi organs (Zang) as base material. The
Su Wen (Chapter 5)

said: "The man has five bodies developing five breaths (Qi) which
generate Joy, Anger, Sadness, the
Thought and Fear. "
The emotion of Heart's Joy,
Rate is that of Thought,
the Lung is the Sadness
the Kidney is Fear
Liver is one of Wrath.
An excess of emotion hurts the body that corresponds to it. "Excessive
anger damages the liver, excess Joy
injures the Heart, excess Thought injures the Spleen, excessive
sadness injures the lungs, excess harms the Fear
Kidney, "says Su Wen (Chapter 5).
Five movements
Wood
Fire
Earth
Metal
Water
Five Bodies
Liver
Heart
Spleen
Lung
Kidney
Climate : Six Excess
Wind
Heatwave, Heat
Humidity
Drought
Cold
Emotions : September Feelings
Anger
Joy, Fear
Thought
Sadness, Worry

Fear
Pathological mechanism of Five Emotions
(1) The five emotions excess injure the circulation of Qi Zang
Excess emotion hurts the body, primarily affects its functional activity,
resulting in a
disruption of the "rise and descent of Qi" and creates a mess between
Qi and blood. Su Wen
(Chapter 77): "The Sadness, Fear, Joy, Mind, Anger, empty the five
organs, Qi and blood
lose composure. "
Manifestations of disordered Qi result for each emotion as follows:

"With Anger rises Qi"

This means that excess Anger causes a disorder of the drainage
function, Liver-Qi rises
misinterpretation. Following the Qi, blood spill light "pure openings",
resulting in loss of consciousness
which can be brutal.

"With Joy, Qi dissolves"

Excessive Joy often causes dispersion of Heart Qi, the mind can not
concentrate.

"With Sadness, Qi is reduced"

Excess Sadness causes depression of spirit, Lung Qi is reduced,
making say
"With Sadness, Qi disappears."

"With Thought, Qi is tied"

Excessive worry causes a stop of Spleen Qi who has not the strength to
perform its function
transport, where the expression: "With concern, Qi is blocked."

"With Frightening Qi down"

Excess Fear produces a decrease in the strength of Kidney Qi, there is
relaxation of sphincters
and urinary and anal incontinence, where "Fear lowers the Qi. "
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17

(2) A malfunctioning organ can be revealed by a corresponding

feeling disorder
The manifestation of emotion reveals the nature of the disorder (excess
or deficiency) which affects the body.

Spleen Qi in state items: depression, mental fatigue.

Spleen Qi in a state of fullness: obsession, obsession.

Kidney Qi in state Empty: indecision, fear.

Kidney Qi in a state of fullness: authoritarianism, extravagance.

Lung Qi in a state of items: anxiety.

Lung Qi in a state of fullness: excitement.

The Ling Shu (chapter 8) said;
"When the Liver Qi is in a state of items, there is fear.
When the Liver Qi is in a state of fullness, there is anger.
When the Heart Qi is in a state of items, there crying.
When the Heart Qi is in a state of fullness, there are uninterrupted
laughter. "
(3) An uncontrolled excess of five emotions can turn into fire (Wu
Huo Zhi Hua)
Joy, Anger, Sadness, Worry, Fear uncontrolled, disturb the natural flow
of Qi and give birth to
Fire symptoms such as irritability, insomnia, bitter mouth, chest pain,
cough,
hmoptisie.
Common diseases caused by five emotions
Every emotion can cause illness in the body that corresponds to
it; However, most organs
often affected are:
The Heart governs the mind.
Liver governs the congestion and drainage.
Spleen governs the processing and transport of Jing Qi.
There are symptoms affecting one organ and combined symptoms.
Mere symptoms

The Heart governs the mind. During illness, the signs are all find in
neuropsychological sphere:
palpitations, insomnia, plenty of dreams, confused mind, agitation
disorderly laughter and crying without cause,
mental disorders.
Liver governs the congestion-drainage. Liver disease resulting in mental
signs
accompanied by physical signs:
thymie depressed or agitation and irritability, throat tightness, as
knotted;
flanks swollen and painful, irregular periods, swollen breasts, often with
nodules.
Spleen directs the processing and transport, in particular that of Jing
Qi. During diseases
Spleen, psychic signs accompanying physical signs.
neurasthenia, sadness, amnesia,
loss of appetite or anorexia, painful gastric repletion, irregular bowel
movements.
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Complex symptoms
In the "combined" conditions where the disease of an organ that causes
another body, the
symptoms reveal emotions of both bodies. For example;
When "the Heart and Kidneys have no trade", observed:
nervousness, insomnia, agitation (Heart)
fear, dizziness (Rein).
When excessive thoughts and reflections tired and the Heart Rate and
both lead
a vacuum state:
insomnia, palpitations, plenty of Dreams (Heart)
amnesia (Rate).
As a result of anger, "Liver and Spleen are no longer in harmony"

temperament won (Liver)

thymie depressed emission sighs (Rate)
Joy (Xi)
This term shall also be understood in its broadest sense. Obviously, joy
itself is
not a disease factor. In fact, Chapter 39 Questions Simple, he says:
"Joy makes the Spirit
serene and relaxed, it promotes the Nutritive Qi and Qi protector, it
allows the Qi to relax and
take your time. "
Chapter 2 Questions Simple, we read: "The Heart ... control the Joy, Joy
injures the Heart, Fear
neutralizes Joy ".
What is meant here by "Joy" is obviously not beneficial for the welfare
state, but a
state of excessive excitement that can injure the Heart. To understand
this, we can compare the crisis
migraine triggered by the sudden excitement that accompanied the
announcement of good news. "
The joy becomes illness when excessive, as is the case with people
who are
in a state of permanent mental excitement (even if they are not
complacent) and are constantly
supercharged. In other words, living "a hundred miles an hour." The
result is that excessive stimulation of the Heart,
subsequently leads to a Fire Heart or Empty Heat the Heart, depending
on the circumstances.
It weakens the lungs but also affects the Heart. In fact, according to
Simple Questions, this is
through the Heart sadness affects the lungs. Chapter 39 says: "Sadness
and tightens
stirred Heart which relies on the lobes of the lungs, Heater Superior is
then blocked, Qi
Provider and protector Qi can not move freely, the heat builds up and
dissolves Qi ".
If you believe this quote, sadness first affects the Heart and Lung
through
Accordingly, because the Heart and Lung are both located in the heater
Superior.
Lung governs Qi and sadness depletes the Qi. This often results in the
pulse is

then lower the two positions "Inch" (Heart and Lung). In particular it is a
pulse that is "flat" and
does not extend to the thumb gently.
Sadness causes Empty Lung Qi and can result in various symptoms
such as
shortness of breath, fatigue, depression or crying. In women, the items
of Lung Qi
often leads to Empty Blood and amenorrhea.

Case Study
A patient of 63 years complained of anxiety, depression, night sweats, a
feeling of
heat in the palms and chest, and insomnia (she wakes up several times
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19
during the night). The tongue is dry and slightly peeled. The pulse is
Floating and items, especially the position
"Inch", and it is flat.
On examination, we find that all these symptoms in a very short time
after
three successive bereavement (death of her mother, her father and her
husband).
In this case, the sadness felt by the patient "dissolved" Qi lung and
resulted in
After a certain time-Yin Lung. This is what clearly reflect the sweating
night, and Floating Low pulse, feeling of heat in the palms and
chest, and slightly peeled language.
Wrath (Nu)
The concept of "anger", perhaps more than any other emotion, must
here be taken in its broadest sense
broad and cover many other emotions associated with it such as
resentment, anger
upset, irritability, frustration, anger, indignation, animosity, bitterness, ...
All these emotional states, without exception, can affect the liver if they
are durable because they cause
qi stagnation or Liver-Blood, a rise of Liver Yang or Liver-Fire. These are
the
Liver imbalances three most commonly caused by emotions above.
Anger (in the broad sense mentioned above) raises the Qi so that the
most symptoms

manifest at the head and neck: headache, tinnitus, dizziness, rash on

the front side
neck, red face, thirst, red tongue, bitter taste in the mouth. Headache
are the
symptom most frequently encountered in diseases caused anger.
Chapter 39 Questions Simple, we read: "Anger raises the Qi and
causes vomiting
Blood and diarrhea. "It causes vomiting blood because it raises the Liver
Qi
and Liver Fire, and it causes diarrhea because the Liver Qi then invades
the Spleen.
Of course, an angry person may very well not present these symptoms,
but be
possibly depressed, pale and listless. In particular, sustained depression
is often
due to repressed anger or resentment. The emotional state that is
spontaneously associated with a
person suffering from depression is obviously sad, but in fact, this
emotion occurs only
rarely. When the emotion involved is anger rather than sadness, it
becomes clear that the language
red or dark red, dry, and the pulse is Rope (both signs being in
contradiction with
the appearance of the person). This type of depression is most likely
due to an old resentment,
generally fed against a family member of the patient.
Anger often also affects the Stomach and Spleen Liver more. This is
explained by the fact that the Qi
Liver is blocked, then invades the Stomach and Spleen. This condition
occurs more readily when the
person gets angry at mealtimes. This is what unfortunately happens
quite regularly
in some families, because mealtime is the only time when all family
members are
combined.
The Marigolds (You) and Excess Reflection (Si)
The term "Excess Reflection" means thinking too much, too study or
work too intellectually. This
Rate weakens and causes fatigue, anorexia and loose stools.
This is a cause very common disease in our society, both in school and

students, and adults who have a very fascinating intellectual

profession. Very often, the items of
Rate produced by excessive intellectual work causes disruption of the
function of transformation
and transport of the Spleen and the formation of mucus. This condition
is more likely that
the person eats at irregular hours, or too quickly, at his place of work, or
about his
work while eating.
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20
Worries exhausted and knot both Spleen and Lung. Marigolds are also
an emotion that
is very common in our civilization. They are different from one person to
another, but
living in industrialized societies involves a multitude of areas where
problems such as
financial problems, job insecurity, family problems, etc ...
Worries deplete the Spleen Qi and cause the same kind of disturbances
that overwork
intellectual. In addition, they also forge the Lung Qi and generate
anxiety, shortness of breath,
stiff neck and shoulders. Shortness of breath is the physical
manifestation of the constriction
the Body Soul engendered ongoing concern. Many patients have
hunched shoulders or
be increased from a stiff neck and shallow breathing, signs that
characterize a Lung Qi knotted
Following constant worries.
Sadness (Bei)
Sadness is the emotion Lung, excess Sadness night Lung.
Sadness decreases Qi. When the Lung Qi is reduced respiratory
function
altered and the overall energy of the body is exhausted (shortness of
breath, faint voice, cough, dyspnea,
general weakness, physical and mental exhaustion, ...).
Moreover, Sadness can ultimately harm the Heart (palpitations, loss of
concentration, ...) Liver

(Spasms, rib pain, ...) and Rate (abdominal distension, weakness of all
four limbs, ...).
Fear (Kong)
Fear depletes the Kidney Qi and Qi revealed. Chapter 39 Questions
Simple, we read: "the
fear depletes the Essence, it blocks the heater Superior, which lowers
the Qi Heater
Lower ".
But fear has different effects depending on whether it occurs in children
or adults. In
children, she revealed the Qi, which causes bedwetting. This is a
problem that we
frequently encountered and which comes from a sense of fear or
insecurity due to family circumstances.
Adults against by the fear and anxiety cause chronic, most often-Yin of
Kidney and a rise in heat Empty Heart, accompanied by a sensation of
heat at the
face, night sweats, palpitations, a throat and a dry mouth.
Emotional Shock (Jing)
The emotional shock suspends the Qi and affects the Kidney and
Heart. It depletes suddenly Heart Qi and can
cause palpitations, shortness of breath and insomnia. It is often
reflected in the pulse form
a pulse called "Stirring", that is to say that a pulse is short, slightly
slippery and fast "vibrates"
when pulsations.
Chapter 39 Questions Simple, he says: "The emotional shock affects
the Heart and deprives
residence, the Spirit has no home and can not rest, so that Qi becomes
chaotic. "
The emotional shock also affects the kidney to the extent the body must
use the Kidney Essence to fill
the sudden exhaustion of Qi. That is why the emotional impact can
cause symptoms such as
night sweats, dry mouth, dizziness and tinnitus.
Pathogens productions mucus-mucus and Blood Stasis
Phlegm-phlegm (Yin Tan) and Stasis of Blood (Xue Yu) are pathological
productions
consecutive to a malfunction of organs, but as these formations may,
directly or

indirectly attack the viscera (Zang Fu) and tissues, they can be
considered
as true pathogenic factors.
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21
Phlegm (Tan) and phlegm (Yin)
Phlegm and mucus are the products of a partial shutdown of the
metabolism of body fluids
causing condensation moods. We used to call Phlegm (Tan) which is
thick and
Phlegm (Yin) which is fluid. On the other hand, called "phlegm and
mucus without physical appearance"
(Wu Xing Zhi Yin Tan) pathological events with symptoms such as
dizziness,
glare, nausea, vomiting, shortness of breath, palpitations, dementia,
loss of consciousness,
mental confusion, without signs of externalizing mucus or phlegm.
Three possible formation of phlegm and mucus causes:

A propensity for alcohol and rich foods (sweet and fat) raises the
moisture will condense
mucus and mucus in under the influence of heat.

An internal injury. caused by emotions can cause stagnation of Liver

Qi. This
stagnation will turn into Fire, which detract focus and body fluids in the
transforming phlegm and mucus in.

The functional activity of organs, Lung, Spleen and Kidney, may be

embarrassed by the traffic lane water
Triple Burner may be obstructed, affecting the distribution and drainage
of body fluids.
In fact:
If the lungs no longer performs its function of "diffusion-down" body
fluids can
be distributed and will raise.
If the Spleen no longer performs its activity "transport-transformation",
water and moisture

move more and amass.

If the kidneys no longer fulfill their role in the control of water, it can no
longer be
processed and will accumulate.
If the triple heater no longer maintains its activity passage, water and
stagnant Qi and
congregate.
In all cases, the concentration of water and moisture will turn into
phlegm and mucus.
These productions of phlegm and mucus can be achieved in all parts of
the body and create
disorders in all organs or impede the normal functioning of Qi. This is
what reveals
aphorism: "The diseases are often due to a disorder caused by phlegm
and mucus. "
These symptoms are gathered in two tables below:
Depending on their locations, Phlegm cause symptoms that
differ. However, so-called
Yin Phlegm generally stagnant in the Lung, Stomach, Intestines, flanks,
and Shui
Phlegm staying under the skin or in the abdomen.
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Table of Phlegm (Tan) and symptoms according their location
U Region or bodies
U symptoms
Heart
1)
Chest tightness with pain up to unconsciousness,
palpitations
2)
Mind confused, lost, dementia (madness stirred).
Lung
Coughing wheezing, coughing up phlegm, wheezing.
Throat
Feeling throat blocked, unable to spit or swallow.
Stomach
Nausea, vomiting, feeling of fullness stomach sometimes feel

"Balls" or "masses."
Flesh and bone
1)
Bone abscesses, lymphangitis, lymph inflamed, adenitis, including parts
genital.
2)
Flow sanious including urethritis.
Collateral vessels and
Paresthesia of the limbs, hemiplegia.
Table of Phlegm (Yin) and symptoms according their location
U Region or bodies
U Symptoms
Lung
Coughing, wheezing breathing, plenty of fluids and frothy mucus,
edema
face, unable to lie.
Heart
Breast and flanks swollen stomach, heart palpitations, shortness of
breath, shallow,
dizziness.
Intestine
Dizziness, coughing, as the pelvis is contracted, agitation subumbilical,
urination
painful.
Sides
Chest and flanks very painful, the pain is aggravated by coughing is
productive.
Tachypnea, inability to lie on one side.
Skin
Feeling pain and heaviness in the limbs and body, oliguria, edema
Member
Blood stasis (Yu Xue)
Stasis of blood are produced by a slowing of blood flow or by a
extravasation of blood.
Formation of blood Stasis
Two sets of causes govern the formation of blood Stasis.
U External Causes.
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23
This is the achievement of a pathogenic organism by the factor:


External injuries such as bumps, sprains, fractures, wounds that will
cause external flows,
but also internal effusions of blood.

Attacks by harmful Cold or Heat perverse.

Cold enters the vessels, they shrink and cause a slower
bloodstream.
Heat penetrating the blood, causing agglomeration of the latter,
therefore Stasis of
blood.
U Internal Causes
They are the translation of a malfunction or the general Qi, or the
activity of an organ.

Qi empty or stagnant. "Qi is the general blood" and "blood flows if the Qi
flows." If the Yang Qi
diminished, it loses its ability to move blood, and blood flow is slowed.

If there is a malfunction of the activity of one of the three organs Heart,

Liver, Spleen, there will be
a slowing of blood flow. either bleeding or internal extravasation.
The six characteristics of Yu Xue
Diseases caused by blood Stasis are many, but they share six
characteristics.
1) Pain : pongitive, localized, fixed, oppressive, increased by
pressure. If disease is
severe pain can be poignant, such as angina pectoris, of a "blood stasis
of the Heart."
2) localized swelling : The swelling is fixed, non mobilized to palpation.
The Stasis of blood represent a significant percentage of the causes of
swollen bodies
(In the abdominal cavity, when the swelling is noticeable on the surface
of the body, they are
a red color purple, violet, turning yellow before disappearing).
3) Color : In addition to its presence in the swelling, the color purple is
visible on
lips and nails, and above all it is reflected in the language of purplish
spots, localized sclerosis
or streaking, bringing their location assistance in locating the Stasis of
blood.

4) Loss of blood : When Yu Xue clog vessels, blood can flow and
overflow. The
black and blood clots are used to connect these to Stasis of blood loss
blood. Example: menstruation black with clots, melaena, coughing up
blood.
5) localized Mortification : gangrene, gangrene where the tissues are
black and withered, whose cause is
an arterial occlusion are matchable to Yu Xue.
6) The Pulse is fine (Xi), rough (Se) or tied (Jie), intermittent (Dai),
tense (Xian) or deep (Chen)
depending on the precise nature of the disease and its location.
Blood stasis can occur in all parts of the body and by their presence
create
disorders in organs or impair the operation of Qi. Depending on their
location, Yu Xue
lead to different symptoms summarized in the following table:
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Table of Stagnation, symptoms appear based localization
U or Region
bodies
U Symptoms
Heart
1)
Tightness in the chest, severe pain radiating to the shoulders, purplish
lips.
2)
Dementia.
Lung
Chest pain with fever, purulent sputum mixed with blood dark.
Abdomen
Sensation mass sometimes forming protuberance or palpable. Pain
pongitive gravative pain or a portion of the abdomen.
Uterus
Irregular menstruation or amenorrhea or uterine bleeding. Menstrual
blood dark or
mixed with blackish clots.
Pongitives pain in the abdomen or pain with sensation of distension.
After childbirth, or persistent lochia flow sanious.
Skin

Hematomas.
Dry gangrene actual pressure at the ends of the members.
The power supply (Yin Shi)
Spleen and Stomach function is to receive food, transform and extract
the essence
Jing Qi to bring to the organization.
However, a faulty power supply, can be qualitatively or quantitatively
because of
diseases. Similarly improper food consumption can cause diseases
parasitic, infectious or toxic.
Influence of feeding the quantitative point of view

Insufficient food or weakness of the Spleen and Stomach will result in a

deficiency of
Qi and blood,

"Overfeeding hurts Bowel and Stomach" (Su Wen, chap. 43) resulting in
a lack of Qi
Spleen and decreased functional activity of the median Qi. The
symptoms are: swollen abdomen and
painful, the pain is aggravated by pressure, disgusting smells of food,
belching, heartburn,
diarrhea foul.
Influence of feeding the qualitative point of view
The food must be balanced qualitatively.

Food too greasy and too rich or alcohol abuse generate heat, humidity
and mucus,
causing stasis of Qi and blood.

A raw and cold food produce Cold and internal humidity and weaken the
Spleen Yang.

"The raw material of Yin (five flavors extracted from food) must be
balanced, so as not
hurt his five homes (this is the 5 organs). Excessive acidity broke the
Liver and Spleen dries. Too
salt retracts the flesh, fatigue large bones and slows the Heart. Abuse
softness and stifles Heart
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25
imbalance in the Kidney darkening complexion. The abuse of bitterness
dries Spleen and thickens the emanation of
Stomach. Abuse pungency relaxes muscles and vessels, upsets
gasoline and minds. "
Also does it carefully dosed flavors that bones are straight and flexible
muscles, for
the breath and blood and fluids are the lineaments are coapts; then the
breath of bone (body)
be subtle. Compliance Dao guarantees a long destiny. " (Su Wen, chap.
3).
Do not confuse the taste and flavors of the metabolic action, as will
more flavors
generate Shen feeding the viscera.
Taste that cause the Qi chest organs are Saveurs Yang
sweet, spicy
Taste that cause the abdominal organs are Jing Taste Yin
salty, sour, bitter
Five flavors
Acid
Bitter
Sweet - Sweet
Spicy
Salt
Five movements
Wood
Fire
Earth
Metal
Water
Five colors
Blue-green or cyan
Red
Yellow
White
Black
Yin / Yang
Yin
Yin
Yang
Yang

Yin
4 items
SKY
FIRE
CENTRE
EARTH
WATER
Five seasons
Spring
Summer
End of Summer
Fall
Winter
Work and inactivity (Lao Yi)
Work or normal physical training and a reasonable mental activity are
beneficial
health. It is the excess is harmful.

The Su Wen (Chapter 39) said: "The physical fatigue depletes the
Qi"; resulting lack of strength, shortness of breath,
muscular weakness, fatigue of mind, silence, dyspnea aggravated by
movement.

Extra thoughts and reflections (Lao Shen) causes a depletion of qi and

blood. Shen of the Heart
is no longer maintained, appear palpitations, insomnia, amnesia, plenty
of dreams.

Too much sexual activity depletes Jing, Kidney causing fatigue and
weakness of the loins and
knees, glare and dizziness, tinnitus, mental fatigue, and humans
spermatorrhea, premature ejaculation, in women, irregular periods and
vaginal discharge.
It is natural for human beings alternating phases of activity and
rest. However, excess of one or
the other is detrimental to health.
The overdrive can be physical, mental or sexual. Excessive physical
activity causes
depletion of Qi Viscera with symptoms such as fatigue

members, physical and mental fatigue, weight loss, shortness of breath,

fatigue ... Excess
mental activity depletes IQ Spleen and Blood of Heart, which can lead
to the syndrome
"Empty Heart and Spleen" (Xin Xu Liang Pi) or produce symptoms such
as palpitations,
memory loss, loss of appetite and sleep, abdominal distension ...
The sexual overdrive
exhausts mainly Kidney Jing producing tinnitus, dizziness, weakness
lower back and knees, and a decrease in sexual energy.
Conversely, excess inactivity or prolonged immobility disrupt the flow
of Qi and
Blood, weaken the tendons and bones, weaken the body and the Spirit,
impair the functions of the
Spleen and Stomach, produce edema or obesity, palpitations ...
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26
Pathogenesis
Scheme: the conception of disease in Chinese medicine
Pathogenesis is the study of the mechanism that causes deleterious
affect the body for
produce a disease. Pathogenesis depends on two elements:
Physical and mental constitution of the patient determined by its vital or
healthy energy (Zheng
Qi).
The pathogenic factor itself (Qi Xie).
When a pernicious agent hit a body, the Correct resist him; their struggle
destroyed the balance of Yin
and Yang of the body and causes a disruption of the "rise and fall" of the
Qi of the organs, and
alterations of Qi and Blood.
The pathogenesis of all diseases can be circumscribed in the process:
struggle between the vital energy (Zheng Qi) in the body and
pathogenic Qi (Qi Xie)
imbalance of Yin and Yang;

Page 27

27
disruption of the "up-down" Qi organs.
1) Fight between the correct Qi (Zheng Qi) and pathogenic Qi (Xie
Qi)
1-1) Phenomena of emptiness and fullness
The confrontation of the Fair (Law) and Perverse (Harmful) always
results in an increase of at
detriment of the other. When the Correct increases, decreases the
Perverse. When Pervers increases, the Fair
decreases.
The Su Wen (Chapter 28) said: "When the Qi Harmful is flourishing,
there Fullness. When the Essential Qi (Jing
Qi) fades, there items. "The fullness is an overabundance of harmful Qi
(Xie Qi). Void a
failure of Essential Qi (Qi Jing).

Consummation occurs mainly in phases beginning and middle of the

diseases caused by 6
excess (6 Yin) externally, and diseases due to stagnation, for example:
abundance of phlegm (Tan).
heap of unprocessed food (Shi Ji)
stasis of blood (Xue Yu) that block inside
Humidity-Water that spreads in the body.
Symptoms of fullness
High fever.
Agitated dementia (Kuang Zao).
Breath harsh and noisy.
Painful stomach, rimmed by gentle pressure.
Stop exemptions (feces and urine).

Wide pulse (Hong).

The items displayed on organizations to brittle or weak constitution in

the final stages of disease
serious diseases in which exercise vital energy (Qi Jing), for example:
significant sweating,
vomiting and diarrhea,
major bleeding that weaken the Yang Qi and Yin fluids and cause a
decrease in
vital energy
Symptoms Empty
Mental and physical fatigue.
Mine defeat.
Palpitations, dyspnea.
Sweating, night sweats.
Heat on the palms of the hands, soles of the feet and in the precordial
region (Wu Xin Fan Re:
oppression of 5 Hearts).
Fear of Cold, cold limbs.
Pulse vacuum, without strength.
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28
Diseases where Empty Fullness and mix
These complex diseases occur in two main cases:
For chronic diseases, where Qi Harmful remains in the same place and
weakens Correct.
-

Correct congenitally when in a state of items do not have the strength to

hunt Pernicious Qi.
These cases are causing obstructions by mass of mucus. mucus, blood,
water.
There are also:
a condition where the appearance of a real fullness Empty Cache,
where a pervert in
Fullness clog vessels and prevents the spread of Qi and Blood,
a condition where the appearance of fullness hides a real items when
bodies rnanquant Qi
Blood and do not have the strength to perform their duties.
1-2) Aggravation and regression of the disease
In the clash of vital energy and pathogenic factor, if the win goes to
Correct the disease
evolving favorably toward healing.
Conversely, if the Pervert wins and the Correct weakens, the disease
progresses to an aggravation.
If both Qi are of equal strength, the disease can remain stable for some
time.
Correct the wins, the Pervert back
When the Fair is abundant and very durable, the Pervert's hard to
develop; the disease is mild
and it evolves rapidly towards healing.
Qi and Blood organs are starting to circulate normally. Yin and Yang
found a
new equilibrium.
And in diseases of external origin due to excess 6 (6 Yin), the pervert
enters the body through the
skin or mouth and nose. If the law is abundant, it resists Harmful, the
disease remains confined to
muscular envelope and vessels, and the Perverse quickly
repressed; sweating enough to
reject.
The muscle envelope is released, the Feeder (Ying Qi) and Protector
(Wei Qi) find their
harmony and disease disappears.
The Pervert wins the Correct back
If the Perverse is strong while the Fair is weak and empty, it can not
resist the

damage becomes increasingly important, Qi and Blood bodies are

constrained and disease
becomes increasingly severe.
Ultimately, if the Fair is totally exhausted face a flourishing Perverse, Qi
and blood organs
have no further business, the Yin and Yang disappear, vital activity
comes to an end.
2) Loss of balance of Yin / Yang
It is a state of breaking the natural cycle of growth and decay of Yin and
Yang in
wherein each of the control aspects not more other, which leads to an
extension of the imbalance and Qi
Blood, Organ and Guts, the Meridians and Ramifications, to foster
energy and defensive
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29
and four movements of Energy (up, down, externalizing and
internalizing). The
imbalances of Yin / Yang manifest in five forms:
(1) Apogee Yin or Yang (Yin Yang Sheng Pian).
(2) Decline of Yin or Yang (Yin Ya Pian Shuai g).
(3) reciprocal decrease of Yin and Yang (Yin Yang Hu Sun).
(4) Discharge of Yin or Yang (Yin Yang Ge Ju).
(5) Exhaustion and loss of Yin and Yang (Yin Yang Wang Shi).
(6) Transformation of Yin and Yang (Yin Yang Hua Zhuan).
2-1) Apogee Yin or Yang (Yin Yang Sheng Pian)
This is a medical condition due to excess of Yang (Yang Sheng) or
excess Yin (Yin Sheng) in
part of a syndrome caused by the fullness of a pathogen penetration
Yang (which joins the
Yang of the body and increases) or Yin (Yin who joins the body and
increases). Excess of Yang generates
the Heat (fullness), which secondarily affects the Yin and causes its
relative failure (not
confused with essential items Yin). Excess Yin Cold generates (fullness)
that affects
Yang and secondarily causes its relative insufficiency.
2-2) Decline of Yin or Yang (Yin Yang Shuai Pian)
This is a condition due to inadequate Yang (Yang Xu) or Yin deficiency
(Yin Xu)

as part of a syndrome items. The Yang items corresponds to a decrease

of the activity
functional, which generates Cold (Empty) due to the relative valuation of
Yin. The-Yin is
decreased Jing, organic liquids and Blood, which generates heat (items)
due to
relative valuation Yang.
The Empty mainly Kidney Yang (Fire Ming Men) Rate and sometimes
the heart. The
Empty Yin mainly Liver and Kidney, Lung sometimes.
2-3) reciprocal decrease of Yin and Yang (Yin Yang Hu Sun)
Reaching the Yin or Yang can lead, ultimately, impaired development of
another aspect
which leads to a simultaneous-Yin and Yang (Yin Yang Liang Xu).
The Yin deficiency (organic liquids, for example) lese Yang because it
disperses and
dissociates from one who can not anchor. Inadequate Yang (metabolic
energy) lese Yin because
it can no longer be produced, processed and mobilized by one ...
In both cases, the end result is-Yin and Kidney Yang , because this
body is
the origin of the true Yin (Yin Zhen) and the original Yang (Yang Yuan).
2-4) Discharge of Yin or Yang (Yin Yang Ge Ju)
Every aspect, under the influence of certain factors, can become so
excessive that clumps,
accumulates inside the other and pushes outward appearance, which
leads to dissociation of
Yin / Yang and the emergence of complex and paradoxical clinical
pictures.
When Yin Yang pushes the excess , Cold accumulates inside and little
heat
remaining is distributed on the surface. This corresponds to the situation
"real Cold Heat
apparent "with paradoxical symptoms, such as red face, thirst with
desire to drink
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30
hot, absence of fear but of Refrigeration desire to be covered, but warm
skin sensation

cooling of the four members, large pulse (Da) but thin (Wei), and clear
urine
abundant, pale tongue with white coating.
When Yang Yin excess pushes the heat compresses inside and can
not be
distributing on the surface. This corresponds to the situation "real Heat,
Cold apparent" with
paradoxical symptoms such as cooling and contraction of four
members, with slight
Cold but fear of tightness and Heat in the chest and abdomen, pulse
deep (Chen), but fast (Shuo) and strong (You Li), agitation, irritability,
dry mouth and throat,
thirst for cold drinks, oliguria, constipation (or hot dysentery), coated
with red tongue
yellow.
2-5) Exhaustion and loss of Yin and Yang (Yin Yang Wang Shi)
This very critical disease stems from the loss of one of the two aspects.
The disappearance of Yang is a sudden loss of Qi Yang , resulting in
severe disruption of functions throughout the body. This may be due to
an Energy
particularly potent pathogen, a constitution favoring Empty Yang or a
important spoliation Blood or body fluids (Qi and Yang follow Liquids
and
Yin that disperse). The main symptoms are profuse sweating, ends
cold or icy, physical and mental exhaustion, and in severe cases, coma.
The disappearance of Yin is a sudden loss of body fluids , which leads
to
severe disruption of functions throughout the body. This may be due to
a heat
particularly potent pathogen having consumed the Yin and body fluids or
very
Big theft thereof. The main symptoms are constant sweating, hot
and sticky, thirst with desire for cold drinks, a warmth of four limbs, skin
wrinkled, withered body and shriveled.
The loss of one of the two aspects generally results in the short term of
the second depletion of
Because of their interdependence and reciprocal engendering.
2-6) Transformation of Yin and Yang (Yin Yang Hua Zhuan)

Each of the two aspects can be transformed into each other during
illness, when the concerned look
reached its peak.
When the fullness of Yang is extreme, can become Yang Yin ; this is
observed in severe febrile syndromes, followed by a sudden collapse of
the temperature
cooling body with four limbs, cold and profuse sweating.
When Fullness is extreme Yin, Yin can transform into Yang ; this is
observed
when, following an attack of external Cold, appears high fever with
sweating, thirst, irritability,
red tongue, yellow coating and rapid pulse (Shuo).
3) Disruption of the movements of ascent and descent,
internalizing and externalizing
These disturbances are sometimes classified as failures Qi. However,
movements
ascent and descent, internalizing and externalizing are so important in
the activity
functional innards, they deserve to be studied separately. They
represent an aspect of activity of the
transformation of Qi (Qi Hua).
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31
3-1) Disruption movements up and down
The activity of the Qi (Qi Hua) characterized by the functions of RiseFall, Exit-Entry is the basis of
Reciprocating movement of the organs (Zang and Fu), the Jing Luo, Yin
and Yang, Qi and blood.
The organization, to work and establish a balanced relationship
between all its physical parts and
mental absolutely dependent of Rise-Fall and input-output Qi (Qi Hua).
This activity Qi is manifested mainly by:
Distribution Purification-Descent of the Lung.
The rise of the Pure Rate, the descent of the Unclean by the Stomach.
The exchange between the Yin and Yang.
Mutual support between Water and Fire in the Heart and Kidney.

As the activity of organs, Luo Jing, Qi and Blood, Yin and Yang, is linked
to that of Qi
(Qi Hua), a disruption of Rise-Fall, input-output, may affect the Zang and
Fu, outside
and lining (Biao Li), inside and outside the body (Nei Wai) members and
openings
somatic.
It should be noted as follows:
Chest tightness, cough, wheezing when the lungs no longer performs its
function
Distribution Purification-Fall.
Eructations foul, nausea, stomach when no longer performs its function
and harmonization
descent.
Pasty diarrhea (Bian Tong) and diarrhea (Xie Fu) when the Spleen no
longer ensures Monte
Purification.
Fainting when Yin and Yang, Qi and Blood flow against the tide.
Yang solitary in the upper part of the body (Gu Shang Yang Yue) due to
a deficiency of Yang
Kidney. This is a case of internal Cold with false superficial
manifestation of heat when
Kidney Qi can not receive.
Qi status items that collapses when the pure Yang does not rise.
Qi Water that freezes the Heart, when the Heart and Kidneys no longer
exchanges.
The Su Wen described in Chapters 3 and 5 of this disorder Rise-Fall:
Chapter 3: "In a
tantrums, Qi body is exhausted and Blood focuses on high, causing
syncope. "
Chapter 5: "When the pure Qi (Qi Qing) is down, it causes diarrhea of
undigested food,
when impure Qi is at the top, it causes "swelling". Yin and Yang act in
reverse, the

the following in their disease against the current. "

Of all the organs, are the Spleen and Stomach which activity Rise-Fall
more
important vis--vis the Hua Qi of the body because the Spleen and
Stomach are the root of the Acquis (Jing acquired).
They are located on the heater Middle, are communicating the Upper
and Lower, and are the axis of the Rise and
the Descent.
When the activity of the Spleen and Stomach is regular, physiological
functions are performed
harmoniously. Thus: "The pure Yang exits through the upper openings,
impure Yin fate by
lower openings, pure Yang spreads in the intradermal space (Cou Li),
impure Yin
flows through the 5 Zang organs, pure Yang fills the 4 members, Yin Fu
organs back to 6. "
Other organs are related to the Spleen and Stomach to realize their
movement Monte
Descent:
And the Liver for Up-Stream,
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32
Lung-Down for Purification,
for lowering the Heart of Fire,
Kidney for the rise of the water,
Lungs and Kidneys to the expiry of Qi and receipt of Qi.
Disordered functions Rise-Fall, Input-Output Spleen and Stomach,
influence
the activity of the whole organism, as in this case:
Pure Yang Qi can not spread,
Jing acquired can be stored,
Qi pure food can enter and wastes may not be expelled.
3-2) Disturbances movements internalizing and externalizing
While most of the internal disturbance (Nei Shang) affect the upward
movements

and fall, diseases caused by external pathogenic factors (Gan Wai)

sound on
internalizing and externalizing movements. This is however not an
absolute rule. First, the
External damage can also act on the movements of raising and lowering
(e.g., in
Lung acute symptoms with cough, there is impaired function of
descent). On the other hand, there has
such entanglement between movements rise and fall and movements of
internalizing and
externalizing that we can not always separate these two classes of
phenomena.
External interfere with internalizing and externalizing movements when
Energy
pathogen by attacking the surface, tends to penetrate into the interior of
the body, while the sound energy tent
to repel. The relative strength of Xie Qi and Zheng Qi and efficiency
greater or lesser Wei Qi
(Defensive energy) determines the preponderance of internalizing or
externalizing movements.
When internalization is excessive, Xie Qi penetrates easily and hangs
inside the body.
When externalizing is excessive, Zheng Qi easily escapes with
perspiration