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TCVM Lung Disharmonies Slide 2 TCVM Lung Disease Lung Physiology Lung Physiology Lung Pathology Lung Pathology Cases Cases Slide 3 Metal Sound Sound weeping Emotion Emotion grief Climate Climate dry-cool Season Season autumn Direction Direction west Opening Opening nose Body Part Body Part skin Zang/Fu Zang/Fu LU/LI Slide 4 Relationship Between LU & LI LI is husband of LU LI is husband of LU Both are related to elimination of wastes Both are related to elimination of wastes Another reason to beware of airport infrared security Another reason to beware of airport infrared security Slide 5 Lung TCVM Physiology The Lung is the Metal Phase Zang organ in Wu Xing or Five Phase theory The Lung is the Metal Phase Zang organ in Wu Xing or Five Phase theory It is benefited by proper use of the Pungent flavor It is benefited by proper use of the Pungent flavor Slide 6 The Lung is benefited by the Pungent flavor Smelly garlic: A lung tonic? Smelly garlic: A lung tonic? From San Diego, at the Experimental Biology 2005 meeting From San Diego, at the Experimental Biology 2005 meeting Many people suffer from acute pulmonary hypertension, where blood pressure is selectively elevated in the lungs The potentially lethal condition can make the right side of the heart work too hard and thus lead to heart failure This particular form of high blood pressure might be prevented by a daily downing of two cloves of fresh garlic or its powdered equivalent, a new study in rats suggests Slide 7 Lung TCVM Physiology The Earth Phase (Spleen/Stomach) is the nourishing parent of the Lung, while the Water Phase (Kidney/Bladder) is the draining child of the Lung The Earth Phase (Spleen/Stomach) is the nourishing parent of the Lung, while the Water Phase (Kidney/Bladder) is the draining child of the Lung It is also thought that since perturbed Spleen function creates Phlegm, the Lung then stores Phlegm It is also thought that since perturbed Spleen function creates Phlegm, the Lung then stores Phlegm The emotion correlated with the Lung is grief The emotion correlated with the Lung is grief Slide 8 Lung TCVM Physiology The TCVM Lung is commonly the first to be invaded by Wind- Heat, Wind-Cold and Dry pathogens The TCVM Lung is commonly the first to be invaded by Wind- Heat, Wind-Cold and Dry pathogens Thus it is said in TCVM that the Lung is the delicate organ and dislikes dry Thus it is said in TCVM that the Lung is the delicate organ and dislikes dry Slide 9 The Lung is the delicate organ and dislikes dry Drug for dry mouth may prevent lung cancer Drug for dry mouth may prevent lung cancer From San Francisco, at a meeting of the American Association for Cancer Research From San Francisco, at a meeting of the American Association for Cancer Research A drug that has been prescribed for 30 years for a condition known as dry mouth can also stymie the formation of precancerous lung lesions in cigarette smokers, particularly those who have quit A drug that has been prescribed for 30 years for a condition known as dry mouth can also stymie the formation of precancerous lung lesions in cigarette smokers, particularly those who have quit Slide 10 Lung TCVM Physiology Since we know the above functions of the TCVM Lung, we can predict that Lung Disharmonies will affect: Since we know the above functions of the TCVM Lung, we can predict that Lung Disharmonies will affect: the energetic status of our patients the respiratory system water metabolism and build-up in the body (particularly the upper body) Slide 11 Lung TCVM Physiology Since we know the above functions of the TCVM Lung, we can predict that Lung Disharmonies will affect: Since we know the above functions of the TCVM Lung, we can predict that Lung Disharmonies will affect: the ability to adequately ventilate with deep and unobstructed inspirations and expirations and contribute to rhinitis and sinusitis and be involved in the emotions of sadness and grief Slide 12 TCM LUNG Physiology Governs Qi & Respiration Governs Qi & Respiration Dominates Ascending & Descending Dominates Ascending & Descending Control the Body Surface Control the Body Surface Opens in the Nose Opens in the Nose Slide 13 TCVM Lung Disharmonies: Introduction The Lung functions include all of the following in TCVM: The Lung functions include all of the following in TCVM: Govern Qi and respiration Control channels and blood vessels Control dispersing and descending Regulate the water passages Control skin and hair Open into the nose House the Corporeal Soul (Po) Slide 14 TCVM Lung Disharmonies: Introduction Western Lungs: Western Lungs: Govern aerobic metabolism and respiration Are the site of modification of ACE enzymes Interact with hormones utilized by the kidney system Are derived from ectoderm like the skin and hair Are involved with emotional sadness depresses breathing and increases sighing depresses breathing and increases sighing Slide 15 Govern Qi and respiration Breath training aids sprint power Breath training aids sprint power From San Diego, at the Experimental Biology 2005 meeting From San Diego, at the Experimental Biology 2005 meeting Athletes who perform short, high-intensity activities benefit from training their lungs as well as their arms and legs Athletes who perform short, high-intensity activities benefit from training their lungs as well as their arms and legs Slide 16 TCM LUNG Physiology Governs Qi & Respiration Governs Qi & Respiration Inhales clear Qi Exhales stale Qi Forms Zong Qi from Gu Qi & clear Qi Qi help propel the Blood so Lung and Heart work together Stagnation of Lung Qi leads to cough and asthma Slide 17 Lung TCVM Physiology Lungs govern Qi and respirationLungs govern Qi and respiration The Lung inhales pure Qi and exhales dirty Qi and this exchange is essential to the proper functioning of all of the bodys physiological processes The Lung inhales pure Qi and exhales dirty Qi and this exchange is essential to the proper functioning of all of the bodys physiological processes The second way that the Lungs govern Qi is due to their role in the generation of Zong Qi (Gathering Qi) of the body The second way that the Lungs govern Qi is due to their role in the generation of Zong Qi (Gathering Qi) of the body Slide 18 Lung TCVM Physiology The Spleen sends Gu Qi (Food Qi) to the Lungs where it is combined with the Qing Qi (clear Qi of the atmosphere) in the chest (the Upper Sea of Qi) to make the Zong Qi The Spleen sends Gu Qi (Food Qi) to the Lungs where it is combined with the Qing Qi (clear Qi of the atmosphere) in the chest (the Upper Sea of Qi) to make the Zong Qi The Lung then spreads Qi all over the body to nourish all the tissues and Zang-Fu organs The Lung then spreads Qi all over the body to nourish all the tissues and Zang-Fu organs Slide 19 Lung TCVM Physiology The Lung controls Channels and blood vesselsThe Lung controls Channels and blood vessels The Lungs govern Qi and Qi is the force that empowers the Heart to circulate Blood The Lungs govern Qi and Qi is the force that empowers the Heart to circulate Blood Further, Lung Qi controls the circulation of Ying Qi (Nutritive Qi) in the channels Further, Lung Qi controls the circulation of Ying Qi (Nutritive Qi) in the channels Slide 20 Lung TCVM Physiology If Lung Qi is strong the circulation of Qi and Blood will be uncompromised and the limbs and digits will be warm If Lung Qi is strong the circulation of Qi and Blood will be uncompromised and the limbs and digits will be warm If the Lung Qi is weak, Qi will be inadequate to move the Blood and the limbs and especially the digits will be cool or cold If the Lung Qi is weak, Qi will be inadequate to move the Blood and the limbs and especially the digits will be cool or cold Slide 21 TCM LUNG Physiology Dominates Ascending & Descending Dominates Ascending & Descending Distributes defensive (wie) Qi and body fluid to entire body Helps maintain normal descending function, while receiving the ascending water vapor from the kidney Slide 22 Lung TCVM Physiology The Lungs control the dispersing and descending function The Lungs control the dispersing and descending function By dispersing it is meant that the Lungs control the spreading of Wei Qi (Defensive Qi) and Body Fluids throughout the body surface in the space between the skin and muscles By dispersing it is meant that the Lungs control the spreading of Wei Qi (Defensive Qi) and Body Fluids throughout the body surface in the space between the skin and muscles Slide 23 Lung TCVM Physiology This dispersion of Wei Qi both warms the skin and protects against exterior pathogenic invasion This dispersion of Wei Qi both warms the skin and protects against exterior pathogenic invasion Weak Lung function may lead to a decrease in Wei Qi in the skin and an increased incidence of exterior pathogenic invasion Weak Lung function may lead to a decrease in Wei Qi in the skin and an increased incidence of exterior pathogenic invasion Slide 24 Lung TCVM Physiology The Lung also spreads Body Fluids to the skin in the form of a mist The Lung also spreads Body Fluids to the skin in the form of a mist This mist or Body Fluids both moistens the skin and regulates the opening and closing of pores and sweating This mist or Body Fluids both moistens the skin and regulates the opening and closing of pores and sweating Slide 25 Lung TCVM Physiology Excess conditions such as Wind-Cold (Cold predominate) may lead to a cessation of sweating while Deficiency conditions such as Wind-Cold (Wind predominate) or Yang deficiency may lead to spontaneous sweating Excess conditions such as Wind-Cold (Cold predominate) may lead to a cessation of sweating while Deficiency conditions such as Wind-Cold (Wind predominate) or Yang deficiency may lead to spontaneous sweating If the Lung function of dispersing is compromised, edematous fluids may accumulate under the skin of the upper body a