Etiology onset of disease and Pathogenesis

Etiology onset of disease and PathogenesisThe 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).ImbalanceYin 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 QiCorrect 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 energyPerverse 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 ofhealth.Liu Wen Shu Northern Song in Su Wen Yi Pian said: "When the Fair is inside thePerverse 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 areparticular:-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 offspringthe form of the individual specificity.The Ling Shu (chapter 6) reported the existence of individual differences in innate qualities: "In lifehuman 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 aeffect on the strength or weakness of Correct.Humans to the solid mental "good about yourself" activitybodies is regular, Qi and blood circulate well, the Fair is abundant and easily pushesPerverse.Humans mentally disorganized "ill at ease", the organs do not function in harmony, Qiand blood are impeded, the Fair is weakened and the Perverse easily absorbed into the body by triggeringdiseases.The surrounding environment and lifestyle have an influence on the occurrence of diseases.A lifeor wanton excesses lead to disturbances of the physiological activity detrimental to the strength ofCorrect.Diet and physical training are important in enhancing the state of OK.Acombined with a regular exercise reasonable diet increase the Qi and blood, the forcePhysical develops, diseases will be rare.

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2However, wanton power associated with a sedentary lifestyle, weaken the Correct, blood and energycirculate evil, resistance Pervers be reduced and disease appear.The place given to Correct in triggering the disease does not remove the role providedimportant given the Qi Pervers in this phenomenon.In cases of epidemics or diseases caused by external reached, the same element is Perverseprincipal.In this context, the Su Wen Yi Pian, on the prevention of infectious diseasesteaches that we must not only maintain the strength of Qi right to the body, but also performprevention work "that avoids Qi poisoned."This chapter will address the pathogenesis in the first part of the various factorsdetermine the onset of disease (etiology), a second part will study the formation and evolutiondisease (pathogenesis).EtiologySu 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 classificationsIn 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.Thatwhich 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 YaoLue) establishes a tripartite classification of diseases:"First the meridian system (Jing Luo) is affected by a pathogen entersorgans;origin is withinSecond, from the four members and nine openings there transmission vesselsBlood (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 categoriespathogenic 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 causesneither 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 moreDetailed.These are:-6 Excess Wind, Fire, Heatwave, Humidity, Dryness, Cold-7 feelings: Anger, Joy, Fear, Worry, Sadness, Worry and Fear

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3Particular emphasis will be given to diseases originating in pathogenic productionsdeveloped during the first illness, such as phlegm and mucus (Yin Tan), theBlood stasis (Yu Xue), and diseases from the defective functional activity of an organ suchthe internal fire, internal humidity ...Other causes of diseases, epidemics, food, fatigue, external injuries and abuses byanimals and insects, will be described briefly.Three categories of causes (San Yin)(1) External Causes(2) Internal Causes(3) Causes or external or internalPathogen Classification Factors1)With external(WaiGan)associated directly or by analogy to:Six Excess (Liu Yin) climatic originEpidemiological diseases2)External injuries(ShangWai)Trauma and injuryParasitological origin.3)Internal injuries (Nei Shang)OverflowsSeptember Feelings(Qi Qing)Drinks - food,Work - inactivity.4)On the other hand, the study of the etiology also comprises analyzingphenomenaproductionspathogens,primarily:Phlegm(Yin Tan)TheBlood Stasis(Yu Xue).Six Excess (Liu Yin)General characteristicsOriginWind, Cold, Fire, Moisture, Drought, Heat Wave, climate changes are normal, they6 called Qi (Liu Qi).Men are able to adapt to their variability, 6 Qi are thereforenot pathogenic.But sudden or abnormal climatic variations or a decrease in resilience ofthe body can make these harmful energies 6 which become pathogens attack the body andproduce disease.In this case, the 6 Qi are called excess 6 (6 Yin), and because they are abnormal Qi, is incorrectare also called "6 flawed", the "incorrect 6" (Xie).These are the pathogenic factors of external origingreatest.

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4It should be noted that these outdoor conditions, even extreme, may be causes of diseases such asthe body is weakened or unbalanced.Thus the state of the previously healthy energy body (ZhengQi) which determines from when Liu Qi Liu Yin become.Common characteristics1) 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 amoist, 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 6A number of conditions, although they are not directly produced by disturbancesclimate, 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 reasoningetiological semiological.For example, many diseases are categorized"Wind-Heat", although the patient was not exposed to the Wind, or the heat or to any sourceof hot moving air.Just to talk about Wind-Heat, he has the same symptomsthose traditionally described as coming from an external achieved due to the combination of Wind andHeat (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 toSix 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 fallHowever, not Liu Yin, but imbalances of Yin / Yang, Qi and Blood, or activityViscera.They should not be confused with external diseases, despite thesimilarity of name, because their clinical presentation and treatment strategies they claim arecompletely different.

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51)The Wind (Feng)Wind is the main spring Qi, but it can occur in all seasons.Its pathogenmay 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 fromthe 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 (Neckli) open there Refrigeration and when they close there is the Hot and oppressed. "It explainssame (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 diseasesWind is the main pathogenic factor of 6 too.Cold, Humidity, Drought, Heatattack the body by pressing the Wind and form syndromes: Wind-Cold, Wind-Heat, Wind-Humidity, Wind-Dry.So much so that WIND HARMFUL became the generic term for factorsexternal 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 whyYang is a factor.Wind characteristics are often adversely affects the upper part (head and upperbody) and muscle envelope (Piao Ji).The Su Wen (Chapter 29) said: "When one is injured by the WindFirst up is affected. "As the Wind "opens and flow", skin, hair and skin openings (Neck li) openand 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 inrheumatism (Bi Zheng) caused by Wind, there are often joint pain thatmove, 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 toirregular 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 diseaseguide 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 transformationsrepeat ".(4) The Wind's natural movementThe 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 evenstiff neck and opisthotonos are pathologies of the Wind.

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6U Syndromes of WindDiseases of external WindWind enters through the external skin or respiratory tract, disrupting the defensive energy andgenerating 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 throatcough, 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 onsetand rapid disappearance.Diseases Internal Wind-Main symptoms: glare, dizziness, spasms of the limbs, loss of consciousnessbrutal, eyes and mouth deflected hemiplegia.-Causes:(1) "Liver Yang becomes WindProduction 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 hasfunction to keep the blood shed in the eyes Jing, Qi broadcast in tendons and playa role in mental activity.(2) "Blood Empty produces WindInternal 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 WindInternal Wind may also be due to excessive abundance of heat that burns the meridianLiver Wind and puts in motion.And current clinical cases that are "Liver Yang becomes Wind", "Blood Empty productthe Wind, "" Heat to its extreme product of the Wind ", are to be classified in the category of internal Windsgiving rise to symptoms such as dizziness, spasms, convulsions, paralysis and loss ofknowledge.2) Cold (Han)Cold is the essential Qi winter.However, it may meet during the other seasons, but thistime, 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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7-External Cold Cold refers to the pathogen from the outside world.According to its effectswe differentiate pathological Shang Han and Han Zhong.Shang Han Xie Cold corresponds to thatinjured 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 Coldexternally.If the external Cold enters the body, it accumulates, it often damages the Yang Qibody 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 YangCold 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 Colda weakening of Yang Qi: he is not only unable to hunt Yin-Cold, butthe more it is "against-dominated" (despised Wu) by Yin-Cold hence the formulation: "When Yin is abundantthere 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 befeel the fear of the Cold.-If reaching the Cold bears directly on the Spleen and Stomach, Spleen Yang isdamaged 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" isinsufficient, there is decreased functional activity, where symptoms such as fearRefrigeration, cold limbs, cold and painful lower back and spine, edema, ascites (FuShui), diarrhea of undigested food, polyuria.The Su Wen (Chapter 74) summarizes these symptoms, saying: "All diseases where liquidorganic (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 SuWen (Chapter 39)."If the Cold enters a meridian, there causes a slowdown and a contractionblocking 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 outsidevessel, it cools and curling.It retracts its small vessels causingsudden 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 energypathogenic Cold in excess.Yang Qi can happen to contain.All diseases clinically manifested by obstruction accompanied by Coldpain, as have great therapeutic principle of Yang warm and disperse Cold.

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8(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 Qiand causes pain that shoots.If Cold enters the muscle envelope, hair orificescontract, the protector Yang (Yang Wei) is blocked, and this causes: fear of Cold, fever, lack ofsweat, pain in the head and body, tight pulse (Jin).If Cold is in the meridians and collaterals (Jing Luo) and joints, meridians (JingMay) are torn, which may cause paresis of the limbs, or a brutal Cold (Leng Ni) whichparalyzes."When there is Cold, Qi contracts" says Su Wen (Chapter 39).U Syndromes of RefrigerationExternal 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 byheat, 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 accompaniedFear of Cold and aching body.Disease or internal Cold Cold EmptyMain symptoms: fear (Wei) Refrigeration (this fear of Refrigeration is improved by the heat), theCold 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 wordsdecreased 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 bothnames, 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, asWind-Heat, Heat, Heat Wave, Damp-Heat.Fire mainly takes birth inside the body giving: "The Heart of Fire ignitestop "," 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 inorgans (Zang Fu) and he role of heat and produce transformations for.There isYang 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 Qiand becomes a pathogenic factor.Nei Jing is called "Fire Adult" (Huo Zhuang).This isThis phrase expresses the Su Wen (Chapter 5): "The Zhuang Qi Huo consumes .... Shao HuoProduct Qi. "Heat (Re), however not for the correct body Qi.

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9Finally, there is a type of heat (Heat Wen) of the same nature as the Fire (Huo) and Heat (Re).TheHeat Wen term means, but compared to Re has firstly a connotation of humidity (couldWen compare to the "Warm" and Re in "Heat" in English), and secondly it is considered lessRe violent than For example, if Wen is associated with the heat of spring, Re is associated with the fullsummer.As the heat Re is a pathogenic factor of "hot" diseases externally, on thetherefore 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 andQi.The Su Wen (Chapter 62) states: "The vacuum Yin produces internal heat.abundance Yangproduct 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 orgood mental excitation called "excess of five emotions" (Wu Zhi), can be transformed into light.Wethen 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 riseThe Su Wen (Chapter 5) said: "When Yang is flourishing there Heat (Re)."Yang governs movement, pushes up, the nature of fire is heat burn, burnand 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) canobserve anxious agitation (Xin Fan), insomnia, agitated dementia (Kuang Zao).mental confusion, deliriumverbal.That is why the Su Wen (Chapter 74) said: "All outpatient delusions depend on Fire" Diseasesit 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 thelanguage.-"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 andpainful.(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 leakoutside.And it causes a loss of Yin and Jin whose symptoms are thirst, desire to drink, droughtmouth, dry hard stools, oliguria.

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10(3) Fire produced the Wind, stirred the bloodUpon 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 andcause bleeding such as hematemesis, epistaxis, enterroragies, hematuria, rash,exanthema, rash, and women, meno-metrorrhagia.(4) Fire tends to cause swelling and abscessWithin the layer of Blood, Fire, Heat perverse can also collect in places, corruptflesh 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, thegive flesh corrupt pus, which is why it is called Yong."The Su Wen (Chapter 74) also says: "All Yong, itching, pimples, belong toHeart "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 isobserved: fever, slight fear of Wind and Cold, headache, swollen and painful throat, dry mouth andthirst;subsequently occur: fever without chills, large thirst, drinking.When the heat penetrates the layer of nourishing the blood and energy (Ying Qi) is produced ofanxious 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 increasedYang excessive or exaggerated vacuum Yin organs.-Increased Yang belongs to the fullness of Fire (Huo Shi) and manifests itself inpathological 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 changesKidney 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, ringingEarrings

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114) Humidity (Shi)The humidity is the main "summer that extends" Qi (long summer) (Xia Chang).This season isthe junction of the summer and fall.Heat Yang decreases, the water vapor rises and warms the Qithe 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 placewet.The internal humidity occurs because the Spleen no longer performs its function of "strength and transport" (JianYun) 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 "strength-transport" 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 disorderThe 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 hurtsThe pathogen of humidity is heavy, cloudy, viscous, stagnant, it is of the same nature as

water and belongs to Yin.

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12When 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 trans-

transformation,

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 positionPathologies 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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13Violations 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 JinDrought 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 lungLung 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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14Internal 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 Heatwavedoes not exist.U Nature and characteristics of the pathogen Heatwave

(1) Heatwave belongs to Yang, his nature is exacerbated HeatThe 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 exhaustQiThe 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 HumidityIt 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.

Page 15

15Insolation (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 excessemotional are the Heart, Liver and Spleen.

Page 16

16Report 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 movementsWoodFireEarthMetalWaterFive BodiesLiverHeartSpleenLungKidneyClimate: Six Excess

Wind

Heatwave, Heat

Humidity

Drought

ColdEmotions: September Feelings

Anger

Joy, Fear

Thought

Sadness, Worry

Fear

Pathological mechanism of Five Emotions(1) The five emotions excess injure the circulation of Qi ZangExcess 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 disorderThe 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 emotionsEvery 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 symptomsThe 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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18Complex symptomsIn 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

Page 19

19during 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.

Page 20

20Worries 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 productionsmucus-mucusandBlood 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.

Page 21

21Phlegm (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.Thisstagnation 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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22Table of Phlegm (Tan) and symptoms according their locationURegion or bodiesUsymptomsHeart1)Chest tightness with pain up to unconsciousness,

palpitations

2)Mind confused, lost, dementia (madness stirred).

LungCoughing 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 locationU Region or bodies

U Symptoms

LungCoughing, wheezing breathing, plenty of fluids and frothy mucus, edema

face, unable to lie.

HeartBreast 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 StasisTwo sets of causes govern the formation of blood Stasis.

U External Causes.

Page 23

23This 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 XueDiseases 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.Theblack 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 Pulseis 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:

Page 24

24Table of Stagnation, symptoms appear based localizationU or Region

bodies

U Symptoms

Heart1)Tightness in the chest, severe pain radiating to the shoulders, purplish lips.

2)Dementia.

LungChest pain with fever, purulent sputum mixed with blood dark.

AbdomenSensation 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 viewInsufficient 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 viewThe 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

Page 25

25imbalance 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 flavorsAcidBitterSweet - SweetSpicySaltFive movements

WoodFireEarthMetalWaterFive colors

Blue-green or cyan

RedYellow

WhiteBlack

Yin / Yang

Yin

Yin

Yang

Yang

Yin

4 items

SKY

FIRE

CENTREEARTH

WATER

Five seasons

SpringSummer

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.

-Theoverdrivecan 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 ... Thesexual overdriveexhausts mainly Kidney Jingproducing tinnitus, dizziness, weakness

lower back and knees, and a decrease in sexual energy.

-Conversely,excess inactivityor 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 ...

Page 26

26PathogenesisScheme: the conception of disease in Chinese medicinePathogenesis 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 fullnessThe 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.

Page 28

28Diseases where Empty Fullness and mixThese 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 diseaseIn 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 backWhen 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 backIf 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 / YangIt 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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29and four movements of Energy (up, down, externalizing and internalizing).Theimbalances 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.TheEmpty 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.

-WhenYin 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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30hot, 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.

-WhenYang Yin excess pushesthe 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 Yangis 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 Yinis 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 externalizingThese 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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313-1) Disruption movements up and downThe activity of the Qi (Qi Hua) characterized by the functions of Rise-Fall, 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 externalizingWhile 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 Energypathogen 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