yellow emperor’s medical classic (huang di nei jing) 黃 … · yellow emperor’s medical...
TRANSCRIPT
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1
Yellow Emperor’s
Medical Classic
(Huang Di Nei Jing) 黃 帝 內 經
Yu Qi MD (China)
http://www.CNacupuncture.com
http://www.AcupunctureForStroke.com
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Yu Qi MD (China) 2
Introduction
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Yu Qi MD (China) 3
Contents
• 1. Plain questions (Su Wen)
(81 chapters)
• 2. Spiritual pivot (Ling Shu)
(81 chapters)
Totally 162 chapters with
2286 words
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Yu Qi MD (China) 4
Background of Nei Jing
• Written: Before 26 BC
• Author: Unknown
• Style: Q & A
• The most popular edition now: 1963
People’s Medical publishing Company,
which is based on note of Bing Wang
from Tang Dynasty . Most English
translation are based on this edition.
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Yu Qi MD (China) 5
Value of Nei Jing
1. The earliest medical classic of
TCM
2. The most important medical
classic of TCM
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Yu Qi MD (China) 6
Discussed about
1. Yin Yang and five eliments
2. Zhang Fu
3. Channels and collaterals
4. Etiology and pathology
5. Syndromes
6. Diagnostic methods
7. Treatment based on syndromes differentiation
8. Health preserving
9. Psychology
10. Yun Qi
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Yu Qi MD (China) 7
About Yellow emperor
• “In ancient time there was a Yellow Emperor. He was smart, talked earlier, doing things modestly and uprightly, honest and justified. He became an emperor when he grew up.”昔
在 黃 帝 , 生 而 神 靈 , 弱 而 能 言 , 幼 而 徇 齊 , 長 而敦 敏 , 成 而 登 天 。
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Yu Qi MD (China) 8
Chapter 1
Health preservation
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Yu Qi MD (China) 9
Nothing is more important
than human between the
heaven and earth. Man need
Qi of heaven and earth and
live with the law of four
seasons. 天 復 地 載 , 萬 物 悉 備 , 莫 貴 於 人 。 人 以天
地 之 氣 生 , 四 時 之 法 成 。
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Yu Qi MD (China) 10
“In ancient times people
could live one hundred years
and were still strong and agile
in movement. But nowadays
people are not so nimble
when they are fifty.” 上 古 之 人 , 春 秋 皆 度 百 歲 ,而 動 作 不 衰 ;
今 時 之 人 , 年 半 百 而 動 作 皆 衰 者 。
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Yu Qi MD (China) 11
“In ancient times people
knew the way of keeping
health. They always kept their
daily activity in accordance
with nature and the principle
of Yin and Yang. They did
health reserving exercise.” 上 古 之 人, 其 知 道 者 , 法 于 陰 陽 , 和于 術 數.
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Yu Qi MD (China) 12
“They had healthy diets, went
to bed and got up regularly, and
never overstrained. In this way
they could maintain health bodily
and mentally, and were able to
live one hundred years old.” 食 飲
有 節 , 起 居 有 常 , 不 妄 作 勞 , 故 能 形 與 神俱 , 而
盡 終 其 天 年 , 度 百 歲 乃 去 。
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Yu Qi MD (China) 13
“But nowadays people are quite
different. They take alcohol as water,
keep exhausting as a routine,
indulge in sex that use up their
essence. They waste genuine Qi by
doing what they like, do not go to
bed and get up regularly. Therefore,
they become decrepit when they are
only fifty.” 今 時 之 人 不 然 也 , 以 酒 為 漿 , 以 妄 為 常 , 醉 以 入房 , 以 欲
竭 其 精 , 以 耗 散 其 真 , 不 知 持 滿 , 不 時 御 神 ,務 快 其 心 ,逆 于 生 樂 , 起 居 無 節 , 故 半 百而 衰 也 。
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Yu Qi MD (China) 14
“Avoid evil pathogens and
wind, be free from all desires,
and keep tranquil, the
genuine Qi will be kept and
harmonized. If we concentrate
our mind internally, how can
illness come in?” 虛 邪 賊 風 避 之 有 時,
恬 惔 虛 無 , 真 氣 從 之 , 精 神 內守 , 病 安 從 來 。
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Yu Qi MD (China) 15
Keep a cheerful mood with lower longing
and do not worry about something bad
happening; work without feeling fatigue;
have calm spirit to save genuine Qi; not
be covetous so we can be satisfied easily;
enjoy food and clothes that you have;
feel at ease with local custom. Do not
follow or admire the better life of others.
If we do so we are as plain as ancient
people. 是 以 志 閑 而 少 欲 , 心 安 而 不 懼 , 形 勞 而 不 倦 ,
氣從 以 順 , 各 從 其 欲 , 皆 得 所 願 。 故 美 其 食 , 任 其 服 , 樂
其 俗 , 高 下 不 相 慕 , 其 民 故 曰 樸 。
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Yu Qi MD (China) 16
“Keep eyes away from longing.
Keep heart not be lured by erotic
or criminal ideas. Although the
intelligence and moral character
of people are different, but all of
us can forget gain or loss, and
keep health in nature principle.” 是 以 嗜 欲 不 能 勞 其 目 , 淫 邪 不 能 惑 其 心 ,
愚 智 賢不 肖 , 不 懼 于 物 , 故 合 于 道 。
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Yu Qi MD (China) 17
Chapter 2
Yin and Yang
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Yu Qi MD (China) 18
Yin and Yang are the leading
principle of everything in the
world, parents of change,
basis of birth and death,
dwelling of spirit. To treat
diseases must base on Yin
and Yang. 陰 陽 者 天 地 之 道 也 , 萬 物 之 綱 紀 也 ,
變 化之 父 母 , 生 殺 之 本 始 , 神 明 之 府 也。
治 病 必 求 於 本 。
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Yu Qi MD (China) 19
“Yin and Yang can be counted
from one to ten, ten to one
hundred, one hundred to one
thousand, one thousand to ten
thousand and even to unlimited
number. But the principle of
Yin and Yang is just one.” 陰 陽 者 數 之 可 十 , 推 之 可 百 , 數 之 可千 , 推 之 可
萬 , 萬 之 大 不 可 勝 數 , 然 其 要 一 也 。
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Yu Qi MD (China) 20
There are yin in the yin and yang
in the yang. Morning to noon is
yang period in the yang. Noon to
dusk is yin period in the yang.
Dusk to midnight is yin period in
the yin. Midnight to morning is
yang period in the yin. 陰 中 有 陰 , 陽 中 有 陽 。 平 旦 至 日 中 , 天 之陽 , 陽
中 之 陽 也 ; 日 中 至 黃 昏 , 天 之 陽 , 陽 中 之 陰 也 ;合 夜 至 雞 鳴 , 天 之 陰 , 陰 中 之 陰 也 ; 雞 鳴 至 平
旦 , 天 之陰 , 陰 中 之 陽 也 。
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Yu Qi MD (China) 21
Human beings can be
divided into Yin and
Yang. 人 有 陰 陽
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Yu Qi MD (China) 22
Human body exists in
Yin and Yang 人 生 有 形 , 不 離 陰 陽 。
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Yu Qi MD (China) 23
For human body, exterior
parts are yang and interior
parts is yin. The back is yang
and the abdomen is yin. For
Zhang Fu organs, Fu organs
are yang and Zhang organs
are yin. 夫 言 人 之 陰 陽 , 則 外 為 陽 , 內 為 陰。 言 人 身 之 陰
陽 , 則 背 為 陽 , 腹 為 陰 。 言 人 身 之 臟 腑 中陰 陽 ,
則 臟 者 為 陰 , 腑 者 為 陽 。
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Yu Qi MD (China) 24
Yang accumulates and goes
up forming the heaven;
Yin concentrates and goes
down forming the earth. Yin is
calm and Yang is active. 積 陽 為 天 , 積 陰 為 地 。
陰 靜 陽 燥 。
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Yu Qi MD (China) 25
Yang activates the Qi
and yin shapes up the
body. 陽 化 氣 , 陰 成 形 。
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Yu Qi MD (China) 26
Yin deficiency causes
interior heat and yang
excess causes
exterior heat. 陰 氣 不 足 則 內 熱 , 陽 氣 有 餘 則 外 熱 。
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Yu Qi MD (China) 27
Yin stores essence
inside and yang
guards outside. 陰 者 藏 精 而 起 極 也 , 陽 者 衛 外 而 為 固 也。
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Yu Qi MD (China) 28
The clear Yang goes up to the upper
orifices; the turbid Yin gets out from
the lower orifices. The clear Yang is
sent to the striae of skin; the turbid
Yin moves inside the five Zhang
organs. The clear Yang strengthens
the four limbs; the turbid Yin is
stored in the six fu organs. 清 陽 出 上 竅 , 濁 陰 出 下 竅 ; 清 陽 發 腠 理 , 濁 陰走
五 臟 ; 清 陽 實 四 肢 , 濁 陰 歸 六 腑 。
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Yu Qi MD (China) 29
The overabundant Yin will damage
Yang, and the overabundant Yang
will damage Yin. The overabundant
Yang will lead to heat syndrome, and
the overabundant Yin will bring
about cold syndrome. The extreme
heat may lead to cold, and the
extreme cold may lead to heat. 陰 勝 則 陽 病 , 陽 勝 則 陰 病 。 陽 勝 則 熱 ,
陰 勝 則 寒。 重 寒 則 熱 , 重 熱 則 寒 。
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Yu Qi MD (China) 30
The extreme Yin will
change to Yang,
the extreme Yang will
change to Yin. 重 陰 必 陽 , 重 陽 必 陰。
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Yu Qi MD (China) 31
Examine if the disease
belongs to Yin or Yang first,
then determine treatment
based on Yin and Yang. Treat
Yin for Yang diseases, and
treat Yang for Yin diseases. 審 其 陰 陽 , 以 別 柔 剛 。
陽 病 治 陰 , 陰 病 治 陽 。
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Yu Qi MD (China) 32
Good doctors distinguish
whether the disease belongs
to Yin or Yang by examining
the complexion and palpating
the pulse. 善 診 者 , 察 色 按 脈 , 先 別 陰 陽 。
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Yu Qi MD (China) 33
Extreme cold leads to
heat and extreme heat
brings on cold. 寒 極 生 熱 , 熱 極 生 寒
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Yu Qi MD (China) 34
Pungent and sweet herbs
that are dissipating belong
to Yang. Sour and bitter
herbs that are emetic and
laxative belong to Yin. 氣 味 辛 甘 發 散 為 陽 , 酸 苦 涌 泄 為 陰 。
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Yu Qi MD (China) 35
Following yin and yang
makes people survive, violate
yin and yang makes people
sick. If being sick, following
yin and yang makes people
survive, violate yin and yang
makes people die. 從 陰 陽 則 生 , 逆之 則 死 ;
從 之 則 治 , 逆 之 則 亂 。
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Yu Qi MD (China) 36
Things originate, develop, get
to extreme, then decline.
There are many complicated
changes of yin and yang.
Wise doctor treats patient
with unfixed formulas.
物 生 謂 之 化 , 物 極 謂 之 變 ; 陰 陽 不 測 謂 之 神 ;
神 用 無 方 , 謂 之 聖 。
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Yu Qi MD (China) 37
Yin and yang balance
makes people healthy,
yin and yang separation
makes people die. 陰 平 陽 秘 , 精 神 乃 治 ;
陰 陽 離 決 , 精 氣 乃 絕 。
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Yu Qi MD (China) 38
Over thinking and
working exhaust yin and
essence, leading to
syncope in summer . 陽 氣 者 , 煩 勞 則 張 , 精 絕 ,
辟 積 于 夏 , 使 人 煎 厥。
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Yu Qi MD (China) 39
Yang vitalize Shen
and activate tendon. 陽 氣 者 , 精 則 養 神 , 柔 則 養 筋 。
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Yu Qi MD (China) 40
Yang for human is
just like sun for the
earth. Without it
people will die. 陽 氣 者 , 若 天 與 日 ,
失 其 所 , 則 折 壽 而 不 彰 。
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Yu Qi MD (China) 41
If yang is abundant the
eyes will be open widely.
If yin is abundant the
eyes will be closed
frequently. 陽 氣 盛 則 瞋 目 , 陰氣 盛 則 瞑 目 。
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Yu Qi MD (China) 42
People feel sleepy
when yang has
declined and awake
when yin has
declined. 陽 氣 盡 則 臥 , 陰 氣 盡 則 寤 。
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Yu Qi MD (China) 43
Chapter 3.
Physiological
development
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Yu Qi MD (China) 44
For woman, kidney Qi
become prosperous at
seven, their milk/baby teeth
fall out, permanent teeth
and hair grow. 女 子 七 歲 腎 氣 盛 , 齒 更 髮 長 。
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Yu Qi MD (China) 45
(For woman) At the age of the
second 7(fourteen), their Tian
Gui appears, Ren channel opens,
Chong channel becomes
prosperous and menstruation
begins. So they can become
pregnant. 二 七 而 天 癸 至 , 任 脈 通 , 太 沖 脈 盛 ,
月 事 以 時 下, 故 有 子 。
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Yu Qi MD (China) 46
Tian Gui (天 癸 ) --- the
substance necessary for the
promotion of growth,
development and
reproductive function of
human body.
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Yu Qi MD (China) 47
Kidney Qi – Tian Gui – Chong
& Ren – Menses - Pregnancy
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Yu Qi MD (China) 48
(For woman) Their kidney Qi
mature at the third 7 (twenty-
one), their wisdom teeth have
grown up and all teeth are
completely developed.
三 七 腎 氣 平 均 , 故 真 牙 生 而 長 極 。
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Yu Qi MD (China) 49
(For woman) At the age of the
fourth 7 (twenty-eight), their
bone and muscle become
substantial, their hair are
flourishing. Their body is in
the strongest condition in this
stage.
四 七 筋 骨 堅 , 髮 長 極 , 身 體 盛 壯 。
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Yu Qi MD (China) 50
(For woman) At the age of the fifth
7 (thirty-five) their Yangming
channel decline gradually,
face becomes withered, and
hair begins to fall out.
五 七 陽 明 脈 衰 , 面 始 焦 , 髮 始 墮 。
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Yu Qi MD (China) 51
(For woman) At the age of the
sixth 7 (forty-two), their three
Yang channels begin to
decline. Their face
complexion becomes wane,
and hair begins to turn white.
六 七 三 陽 脈 衰 于 上 , 面 皆 焦 , 髮 始 白
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Yu Qi MD (China) 52
(For woman) After the age of the
seventh 7(forty-nine), both their
Ren and Chong channels have
declined, menstruation stopped
because Tiangui is exhausted.
Their physique turns to feeble,
and they can not conceive. 七 七 任 脈 虛 , 太 沖 脈 衰 少 , 天 癸 竭 , 地 道 不 通 ,
故 形 壞 而 無 子 也 。
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Yu Qi MD (China) 53
For man, their kidney Qi
become prosperous at the
age of eight. Their hair grows
and permanent teeth emerge.
丈 夫 八 歲 腎 氣 實 , 髮 長 齒 更 。
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Yu Qi MD (China) 54
(For man) Their kidney qi becomes
prosperous at the age of the
second 8(sixteen), their Tian Gui
appears and sperm come out. By
conducting sexual intercourse
with a woman, they can have a
child. 二 八 腎 氣 盛 , 天 癸 至 , 精 氣 溢 瀉 ,
陰 陽 和 , 故 能有 子 。
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Yu Qi MD (China) 55
(For man) At the age of the third
8 (twenty-four), their kidney
energy is developed well,
muscle and bone are strong,
wisdom teeth have grown up,
and all their teeth are
completely developed. 三 八 腎 氣 平 均 , 筋 骨 勁 強 , 故 真 牙 生 而
長 極 。
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Yu Qi MD (China) 56
(For man) At the age of the
fourth 8 (thirty-two), their
whole body has developed in
the best condition, and their
muscles are very strong.
四 八 筋 骨 隆 盛 , 肌 肉 滿 壯 。
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Yu Qi MD (China) 57
(For man) At the age of the fifth 8
(forty), their kidney Qi decline
gradually, hair begins to fall
and teeth begin to wither.
五 八 腎 氣 衰 , 髮 墮 齒 槁 。
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Yu Qi MD (China) 58
(For man) By the age of the sixth
8 (forty-eight), their kidney Qi
declines. Their complexion
becomes withered and hair
becomes white.
六 八 陽 氣 衰 竭 於 上 , 面 焦 , 髮 鬢 頒 白 。
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Yu Qi MD (China) 59
(For man) After the age of the
seventh 8 (fifty-six), their liver
Qi declines. Their Tiangui is
exhausted and sperm is
limited. Tendons become
rigid and fail to act nimbly. 七 八 肝 氣 衰 , 筋 不 能 動 , 天 癸 竭 , 精 少 ,
腎 臟 衰, 形 體 皆 極 。
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Yu Qi MD (China) 60
(For man) After the age of the eight 8
(sixty-four), five Zhang organs are
decrepit because the kidney Qi
declined. Their teeth and hair fall,
Tiangui has been used up, hair
becomes white and the whole body
becomes decrepit. They can not
have child. 八 八 則 齒 髮 去 。 腎 者 主 水 , 受 五 臟 六 腑 之 精 而
藏 之 , 故 五 臟 盛 ,乃 能 瀉 。 今 五 臟 皆 衰 , 筋 骨 解
墮 , 天 癸 盡 矣 , 故 髮 鬢 白 ,身 體 重 , 行 步 不 正 ,
而 無 子 耳 。
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Yu Qi MD (China) 61
Chapter 4.
Zhang Fu, Qi & blood,
body fluid, and shen
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Yu Qi MD (China) 62
Heart is the monarch
of human body
dominating Shen. 心 者 , 君 主之 官 也 , 神 明 出 焉 。
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Yu Qi MD (China) 63
Lung is the prime minister
managing vessels and
regulate Qi. 肺 者 , 相 傅 之 官 , 治 節 出 焉 。
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Yu Qi MD (China) 64
Liver is the general who is
brave and resourceful to
make decision. 肝 者 , 將 軍 之 官 , 謀 慮 出 焉 。
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Yu Qi MD (China) 65
Gallbladder is the justice
judging the right and wrong. 膽 者 中 正 之 官 , 決 斷 出 焉 。
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Yu Qi MD (China) 66
Spleen and stomach are
the officer in charge of the
granary, it manages the
digesting, absorbing,
spreading and storing five
cereals. 脾 胃 者 , 食 廩 之 官 , 五 味 出 焉 。
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Yu Qi MD (China) 67
Large intestine is the
officer for transmitting
waste and excrete them to
the outside of body. 大 腸 者 , 傳 道 之 官 , 變 化 出 焉 。
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Yu Qi MD (China) 68
Small intestine is the officer
of receiving the food from the
stomach, digesting it, dividing it
into essence and dreg, then
absorbing the essence and
transmitting the dregs to the
large intestine. 小 腸 者 , 受 盛 之 官 , 化 物 出 焉 。
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Yu Qi MD (China) 69
Kidney is the powerful
officer keeping essence and
making people skillful and
wise. 腎 者 , 作 強 之 官 , 伎 巧 出 焉 。
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Yu Qi MD (China) 70
Triple warmer is the officer
managing body water in
water passage. 三 焦 者 , 決 瀆 之 官 , 水 道 出 焉 。
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Yu Qi MD (China) 71
Bladder is the officer
storing body fluid and
excreting it after it is
transformed into urine by Qi. 膀 胱 者 , 州 都 之 官 , 津 液 藏 焉 ,
氣 化 則 能 出 矣 。
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Yu Qi MD (China) 72
All twelve organs must
cooperate and supplement
each other. 凡 此 十 二 官 者 , 不 得 相 失 也 。
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Yu Qi MD (China) 73
Qi comes from refined
substance transformed from
cereals. When the cereals enter
into the stomach, the refined
substance will be transferred to
the five Zhang organs and the
six Fu organs. 人 受 氣 于 穀 , 穀 入 于 胃 ,以 傳 與 肺 , 五 臟
六 腑 , 皆 以 受 氣 ,
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Yu Qi MD (China) 74
The clear part of refined
substance is called Ying Qi, and
the turbid part is called Wei Qi,
the Ying flows within the
channels and vessels, and the
Wei flows outside of the
channels and vessels. They move
in the whole body unceasingly. 其 清 者 為 營 , 濁 者 為衛 , 營 在 脈 中 ,
衛 在 脈 外 , 營 週 不 休。
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Yu Qi MD (China) 75
Yellow Emperor asked: “Why an
old man hardly fall asleep in the
night time, and healthy young
man can sleep soundly at night?”
老 人 之 不 夜 瞑 者 , 何 氣 使 然 ? 少 壯 之 人,
不 晝 瞑 者 , 何 氣 使 然 ?
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Yu Qi MD (China) 76
For young man, Qi and blood are
abundant, their muscles are
strong and their Qi passage is
unobstructed, their Ying and Wei
move normally. So, they are
spirited in the daytime and sleep
soundly at night. 壯 者 之 氣 血 盛 , 其肌 肉 滑 , 氣 道 通 , 營 衛
之 行 不 失 其 常 , 故 晝 精 而 夜 瞑 。
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Yu Qi MD (China) 77
For old man, Qi and blood has
declined, muscles are emaciated,
energy passage is unsmooth, the
Qi of five Zhang organs are not
harmonious, Ying is deficient
and Wei is weaken. So they are
not spiritual in daytime and can
not sleep soundly at night. 老 者 之 氣 血 衰 , 其 肌 肉 枯 , 氣 道 澀 , 五 臟 之 氣
相 博 , 其營 氣 衰 少 而 衛 氣 內 伐 , 故 晝 不 精 , 夜 不
瞑 。
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Yu Qi MD (China) 78
The upper Jiao is like mist,
the middle Jiao is like the
maceration tank, and the
lower Jiao is like the sewer.
余 聞 上焦 如 霧 , 中 焦 如 漚 ,
下 焦 如 瀆 , 此 之 謂 也 。
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Yu Qi MD (China) 79
Heart is the base of life,
where Shen is located, its
quintessence appears on
face and it fills the blood into
the vessels.
心 者 生 之 本 , 神 之 變 也 ;
其 華 在 面 , 其充 在 血 脈 。
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Yu Qi MD (China) 80
Lung is the base of Qi,
where Po is located, its
quintessence appears in the
body hair and it enriches the
skin. 肺 者 , 氣 之 本 , 魄 之 處 也 ;
其 華 在 毛 , 其 充 在 皮 。
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Yu Qi MD (China) 81
Kidney is the base of
essence, its quintessence
appears on the hair and it
enriches the bone marrow. 腎 者 主 蟄 , 封 藏 之 本 , 精 之 處 也 ;
其 華 在 髮 , 其充 在 骨 。
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Yu Qi MD (China) 82
Liver is the base of the limbs,
where the Hun (soul) is located,
its quintessence appears in the
nails, and enriches tendons. It is
also the place for storing blood,
so it can regenerate the blood. 肝 者 , 罷 極 之 本 , 魂 之 居 也 ; 其 華
在 爪 , 其 充 在筋 , 以 生 血 氣 ,
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Yu Qi MD (China) 83
Spleen is the base of water
and cereals, where the Ying Qi
is generated. It transfers and
transforms five tastes of cereals
by absorption and excretion. It
enriches muscles. 脾者 、 食 廩 之 本, 營 之 居 也 , 名 曰 器 ,
能 化 糟 粕 , 轉 味 而 入 出 者 也 ,
其華 在 唇 四 白 , 其 充 在 肌 。
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Yu Qi MD (China) 84
All eleven Zhang and Fu
organs are based on
gallbladder.
凡 十 一 臟 , 取 決 於 膽 也 。
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Yu Qi MD (China) 85
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Yu Qi MD (China) 86
All vessels connect to the
eyes, all marrows connect to
the brain, all tendons connect
to the joints, all blood
connect to the heart, all Qi
connect to the lung.
諸 脈 者 , 皆 屬 於 目 ; 諸 髓 者 ,
皆 屬 於 腦 ; 諸 筋 者, 皆 屬 於 節 ; 諸 血 者 ,
皆 屬 於 心 ; 諸 氣 者 , 皆 屬 於 肺。
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Yu Qi MD (China) 87
When people lie down, blood
goes into the liver. 故 人 臥 血 歸 於 肝。
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Yu Qi MD (China) 88
When eyes obtain blood, we can
see, When feet obtain blood, we
can walk, When hands obtain
blood, we can hold, When
fingers obtain blood, we can
grasp. 肝 受 血 而 能 視,
足 受 血 而 能 步 , 掌 受 血 而 能 握 ,
指 受 血 而 能 攝 。
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Yu Qi MD (China) 89
The six organs, brain, spinal cord,
bone, vessel, gallbladder and
womb, are generated by earth Qi;
they store essence and blood, just
like the earth holding all things in
place. So they are called
“extraordinary Fu organs”. 腦 、 髓 、 骨 、 脈 、 膽 、 女 子 胞 此 六 者, 地 氣 之 所
生 也 。 皆 臟 於 陰 而 象 於 地 , 故 藏 而 不 瀉 , 名曰 奇
恒 之 府 。
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Yu Qi MD (China) 90
The five organs, stomach, large
intestine, small intestine, Sanjiao
and bladder are generated by
heaven Qi; they discharge
continually without storing, like the
heaven moving without stopping.
So they are called “Fu organs for
digestion and elimination”. 夫 胃 大 腸 、 小 腸 、 三 焦 、 膀 胱 此 五 者 天 氣 之 所
生也 , 其 氣 象 天 , 故 瀉 而 不 藏 。 此 受 五 藏 濁 氣 ,
名 曰 傳 化之 府 。
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Yu Qi MD (China) 91
Five Zhang organs store
essence without
discharging. They are filled,
but their Qi should move
properly without block. 所 謂 五 臟 者 , 藏 精 氣 而 不 瀉 也 ,
故 滿 而 不 能 實 。
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Yu Qi MD (China) 92
Six Fu organs digest,
absorb and transport food
without keeping it.
Although they are filled
with food, they should be
empty respectively. 六 腑 者 , 傳 化 物 而 不 藏 ,
故 實 而 不 能 滿 也 。
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Yu Qi MD (China) 93
The door of Po (anus) is
considered to be the sixth
hollow organs, preventing the
dross from remaining in the
body too long.
魄 門 亦 為 五 臟 使 , 水 穀 不 得 久 藏 。
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Yu Qi MD (China) 94
Five Zhang organs
connect to
seven orifices.
五 藏 常 內 閱於 上 七 竅 也 。
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Yu Qi MD (China) 95
The lung connects to the nose which can
smell if the lung is fine. The heart
connects to the tongue which can taste if
the lung is fine. The liver connects to the
eyes which can see if the liver is fine.
The spleen connects to the mouth which
can taste if the spleen is fine. The kidney
connects to the ears which can the hear
if the kidney is fine. 故 肺 氣 通 於 鼻 , 肺 和 則 鼻 能 知 臭 香 矣 ; 心氣 通 於 舌 , 心 和 則 舌
能 知 五 味 矣 ; 肝 氣 通 於 目 , 肝 和 則目 能 辨 五 色 矣 ; 脾 氣 通 於 口 ,
脾 和 則 口 能 知 五 穀 矣 ; 腎氣 通 於 耳 , 腎 和 則 耳 能 聞 五 音 矣。
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Yu Qi MD (China) 96
Five tastes enter different
organs respectively : 五 味 所 入 :
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Yu Qi MD (China) 97
Sourness enters the liver,
Acridness enters the lung,
Bitterness enters the heart,
Saltiness enters the kidney,
Sweetness enters the spleen.
These are so called the five
entering. 五 味 所 入 : 酸 入 肝 、 辛 入 肺 、 苦 入 心 、
鹹 入 腎 、 甘入 脾 , 是 為 五 入 。
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Yu Qi MD (China) 98
When essence of five
Zhang organs gather into
one wrong organ, people
will be mad: 五 精 所 並 :
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Yu Qi MD (China) 99
If essence gathered in heart, people
will keep laughing; If gathered in
lung, people will be sorrowful; If
gathered in liver, people will be
angry; If gathered in spleen, people
will have anxiety; If gathered in
kidney, people will be terrified.
These are so called five gatherings. 精 氣 並 於 心 則 善 , 並 於 肺 則 悲 ,並 於肝 則 憂 , 並
於 脾 則 畏 , 並 於 腎 則 恐 ,是 謂 五 並.
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Yu Qi MD (China) 100
The five Zhang organs
have their own detestations: 五 臟 所 惡 :
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Yu Qi MD (China) 101
Heart detests heat;
Lung detests cold;
Liver detests wind;
Spleen detests dampness;
Kidney detests dryness.
These are the so called five
detestations. 心 惡 熱 、 肺 惡 寒 、 肝 惡 風 、 脾 惡 濕 、腎 惡
燥 。 是 謂 五 惡 。
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Yu Qi MD (China) 102
There are different
secretions from five Zhang
organs: 五 臟 化 液 :
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Yu Qi MD (China) 103
Sweat is the secretion of the
heart; Nasal discharge is the
secretion of the lung; Tears are
the secretion of the liver; Serous
saliva is the secretion of the
spleen; Mucous saliva is the
secretion of the kidney. These
are the so called five secretions. 心 為 汗 、 肺 為 涕 、 肝 為 淚 、 脾 為 涎 、腎 為 唾 。
是 為 五 液 。
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Yu Qi MD (China) 104
There are different mental
storages in the five Zhang
organs: 五 臟 所 藏 :
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Yu Qi MD (China) 105
Heart stores mind (Shen),
Lung stores corporeal soul
(Po), Liver stores ethereal
soul (Hun), Spleen stores
thought (Yi), Kidney stores
will power (Zhi). These are so
called the five storages. 心 藏 神 、 肺 藏 魄 、 肝 藏 魂 、 脾 藏 意 、腎 藏
志 。 是 謂 五 臟 所 藏 。
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Yu Qi MD (China) 106
There are different
controlment of the five
Zhang organs: 五 臟 所 主 :
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Yu Qi MD (China) 107
Heart controls vessels;
Lung controls skin;
Liver controls tendons;
Spleen controls muscles;
Kidney controls bones.
These are so called
five controlment. 心 主 脈 、 肺 主 皮 、 肝 主 筋 、 脾 主 肉 、腎 主
骨 。 是 為 五 臟 所 主 。
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Yu Qi MD (China) 108
There are five kinds of
impairments by
overstraining: 五 勞 所 傷 :
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Yu Qi MD (China) 109
Long time watching damages
blood; Long time lying damages
Qi; Long time sitting damages e
muscle; Long time standing
damages bone; Long time
walking damages tendon. These
are so called five impairments. 久 視 傷 血 、 久 臥 傷 氣 、 久 坐 傷 肉 、 久立 傷 骨 、
久 行 傷 筋 。 是 謂 五 勞 所 傷 。
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Yu Qi MD (China) 110
When water enters the stomach,
the clear part spreads to the spleen;
and the spleen spreads it to the
lung; the lung connects the water
passage, and transports turbid
water to the bladder. The refined
part of water spreads by channels
to the whole body. 飲 入 於 胃 , 游 溢 精 氣
上 輸 於 脾 , 脾 氣 散 精 , 上 歸於 肺 , 通 調 水 道 , 下
輸 膀 胱 , 水 精 四 佈 , 五 經 併 行 。
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Yu Qi MD (China) 111
The original substance that
forms a new life is called
essence (Jing).
生 之 來 謂 之 精
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Yu Qi MD (China) 112
Yin and Yang are combined to
produce the activities of life
are called spirit (Shen).
兩 精 相 搏 謂 之 神
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Yu Qi MD (China) 113
Spirit as mental activity is
called the soul (Hun).
隨 神 往 來 者 謂 之 魂
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Yu Qi MD (China) 114
Action with soul (Hun) is
called the inferior spirit (Po).
並 精 而 出 入 者 謂 之 魄
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Yu Qi MD (China) 115
The organ which is in charge
of the thinking is called heart.
所 以 任 物者 謂 之 心
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Yu Qi MD (China) 116
The recall and thinking of
heart is called Yi (expect).
心 有 所 憶 謂 之 意
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Yu Qi MD (China) 117
The expect kept in heart is called
will.
意 之 所 存 謂 之 志
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Yu Qi MD (China) 118
Adapting the change based
on understanding is called
Shi (thinking).
因 志 而存 變 謂 之 思
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Yu Qi MD (China) 119
Considering about the future
by thinking called Lun
(worrying).
因 思 而 遠 慕 謂 之 慮
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Yu Qi MD (China) 120
Making decision to solve
problems is called Zhi
(wisdom).
因 慮 而 處 物 謂 之 智 。
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Yu Qi MD (China) 121
When Yin and Yang have
done intercourse, a new life
will form. The substance that
produces the new life is
called essence. 兩 神 相 搏 , 合 而 成 形 , 常 先 身 生 ,
是 謂 精 。
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Yu Qi MD (China) 122
When the upper Jiao disperses
the refined substances of the
five cereals to warm skin and
muscle, fill into the physique and
moisten the fine hairs like dew
moistening grasses and woods,
it is called Qi. 上 焦 開 發 , 宣 五 谷 味 , 熏 膚 、 充 身 、 澤
毛 , 若霧 露 之 溉 , 是 謂 氣 。
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Yu Qi MD (China) 123
When the striae excrete
plenty of sweat, it is called
thin fluid (Jin).
腠 理 發 泄 , 汗 出溱 溱 , 是 謂 津 。
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Yu Qi MD (China) 124
When water and cereals enter the
stomach, the whole body will get Qi.
The moist juice permeates into bone
marrow making the bone joints
smooth and be able to bend and
stretch freely, invigorate the cerebral
marrow inside and moisten the skin
outside, it is called fluid (Ye). 穀 入 氣 滿 , 淖 澤 注 於骨 , 骨 屬 屈 伸 , 泄 澤 補 益 腦
髓 , 皮 膚 潤 澤 , 是 謂 液 。
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Yu Qi MD (China) 125
When the middle Jiao
receives the food, absorbs its
refined substance and
transforms it into red fluid, it
is called blood.
中 焦 受 氣 , 取 汁 變 化 而 赤 , 是 謂 血 。
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Yu Qi MD (China) 126
The structures that keep Ying
moving inside are called the
vessels.
壅 遏 營 氣 , 令 無 所 避 , 是 謂 脈 。
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Yu Qi MD (China) 127
The Qi of six Fu are dominated
by a certain organ respectively;
but stomach is the sea of five
cereals as energy source of
life. 六 氣 者 ,各 有 部 主 也 , 其 貴 賤 善 惡 , 可 為
常 主 , 然 五 穀 與 胃 為 大海 也 。
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Yu Qi MD (China) 128
In the beginning of human life
the essence of life is formed
first, then it develops into the
brain and the spinal cord, and
finally, the human body is
shaped.
人 始 生 , 先 成 精 , 精 成 而 腦 髓 生
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Yu Qi MD (China) 129
Skeletons like pillars of wall,
channels like the barracks
connecting each other,
tendons like strings, muscles
like walls, and skins and hairs
to protect them. 骨 為幹 , 脈 為 營 , 筋 為 剛 , 肉 為 牆 ,
皮 膚 堅 而 毛 髮 長
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Yu Qi MD (China) 130
When the five cereal enter the
stomach, the refined
substances change to Qi and
blood going to vessels and
operating body unceasingly.
穀 入於 胃 , 脈 道 以 通 , 血 氣 乃 行 。
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Yu Qi MD (China) 131
Lung is canopy of five
Zhang and six Fu
organs. 肺者 , 五 藏 六 府 之 蓋 也
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Yu Qi MD (China) 132
All vessels connect to
lung. 肺 朝 百 脈
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Yu Qi MD (China) 133
The anterior Yin organs
(genital organs) are the place
where tendons assemble and
Taiyin & Yangming channel
pass by. 前 陰 者 , 宗 筋之 所 聚 ,
太 陰 陽 明 之 所 合 也 。
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Yu Qi MD (China) 134
Take good care of Qi and
blood because they are the
Shen of human.
血氣 者 , 人 之 神, 不 可 不 謹 養 。
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Yu Qi MD (China) 135
If Qi and blood is fine people
can have long life.
氣 血正 平 , 長 有 天 命 。
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Yu Qi MD (China) 136
The Shen of man is converted
from essence of food.
神 者 , 水 谷 之 精 氣 也 。
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Yu Qi MD (China) 137
The so called Shen is upright
Qi.
神 者 , 正 氣 也
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Yu Qi MD (China) 138
With Shen, patient is curable;
without Shen, patient is not
curable.
得 神 者 昌 , 失 神 者 亡。
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Yu Qi MD (China) 139
Chapter 5
Etiology & pathology
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Yu Qi MD (China) 140
19 sentences of
pathogenesis
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Yu Qi MD (China) 141
Most trembling and
dizziness are related to
the liver 諸 風 掉 眩 , 皆 屬於 肝
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Yu Qi MD (China) 142
Most pain and skin
suppuration are related
to the heart. 諸 痛 癢 瘡 ,皆 屬 於 心
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Yu Qi MD (China) 143
Most damp edema and
abdominal distention
are related to the spleen. 諸濕 腫 滿 , 皆 屬 於 脾
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Yu Qi MD (China) 144
Most wheezing and
feeling of chest
oppression are related
to the lung. 諸 氣 膹 鬱 , 皆 屬 於 肺
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Yu Qi MD (China) 145
Most muscle cold
stiffness are related to
the kidney
諸 寒 收 引 , 皆 屬 於 腎
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Yu Qi MD (China) 146
Most atrophy, wheezing
and vomiting are related
to the upper Jiao. 諸 痿 喘 嘔 , 皆 屬 於 上
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Yu Qi MD (China) 147
Most cold extremities,
feces and urine
retention, or
incontinence are related
to the lower Jiao. 諸 厥 固 泄 , 皆 屬 於 下
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Yu Qi MD (China) 148
Most sudden muscle
stiffness are related to
wind. 諸 暴 強 直 , 皆 屬 於 風
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Yu Qi MD (China) 149
Most clear and cold
excretion are related to
cold. 諸 病 水 液 , 澄 徹 清 冷, 皆 屬 於 寒
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Yu Qi MD (China) 150
Most muscle convulsion
and neck stiffness are
related to dampness. 諸 痙 項 強 , 皆 屬 於濕
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Yu Qi MD (China) 151
Most fever with a
change of
consciousness and
convulsion are related
to fire. 諸 熱 瞀 瘈 , 皆 屬 於 火
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Yu Qi MD (China) 152
Most trismus, shivering
and chattering of the
teeth are related to fire. 諸 禁 鼓 栗, 如 喪 神 守 ,
皆 屬 於 火
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Yu Qi MD (China) 153
Most Qi counterflowing
up are related to fire. 諸 逆 沖 上 , 皆 屬 於 火
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Yu Qi MD (China) 154
Most mentally irritability,
and mania are related to
fire. 諸 燥狂 越 , 皆 屬 於 火
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Yu Qi MD (China) 155
Most swelling with
unbearable pain are
related to fire.
諸 病 胕 腫 , 疼 酸 驚 駭 , 皆 屬 於 火
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Yu Qi MD (China) 156
Most abdominal
distention and fullness
are related to heat. 諸 脹 腹 大 , 皆 屬 於 熱
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Yu Qi MD (China) 157
Most borborygmus with
drum-like abdomen are
related to heat. 諸 病 有 聲 , 鼓之 如 鼓 , 皆 屬 於 熱
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Yu Qi MD (China) 158
Most cramp,
opisthotonus and turbid
excreted fluid are
related to heat. 諸 轉 反 戾 , 水 液 渾 濁 , 皆 屬 於 熱
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Yu Qi MD (China) 159
Most vomiting with,
acute diarrhea are
related to heat. 諸 嘔 吐 酸 , 暴 注 下 迫 , 皆 屬 於 熱
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Yu Qi MD (China) 160
Essence deficiency causes
deafness.
精 脫 者 , 耳 聾
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Yu Qi MD (China) 161
Qi deficiency causes blurred
vision.
氣 脫 者 , 目 不 明
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Yu Qi MD (China) 162
The skin striae open
with perfused sweat
causes Jin deficiency. 津 脫 者 , 腠 理 開 , 汗 大 泄
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Yu Qi MD (China) 163
Ye (thick fluid) deficiency
causes the joints movement
disorder, lusterless
complexion, cerebral marrow
empty, sore legs, and tinnitus. 液 脫 者, 骨 屬 屈 伸 不 利 , 色 夭 , 腦 髓 消 ,
脛 痺 , 耳 數 鳴
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Yu Qi MD (China) 164
Blood deficiency causes pale
skin without luster and
vessels empty.
血 脫者 , 色 白 , 夭 然 不 澤 , 其 脈 空 虛
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Yu Qi MD (China) 165
Lung heat consuming
fluid of five zhang
organs causes flaccidity. 五 臟 因 肺 熱 葉 焦
發 為 痿 躄
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Yu Qi MD (China) 166
Bi syndrome is caused by the
attacked of wind, cold and
dampness. If wind is dominant, it
is called migratory Bi, If cold is
dominant, it is called painful Bi,
If dampness is dominant, it is
called fixed Bi. 風 寒 濕 三 氣 雜 至合 而 為 痺。其 風 氣 勝 者 為 行 痺 ,
寒 氣 勝 者 為 痛 痺 , 濕 氣 勝 者為 著 痺 也 。
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Yu Qi MD (China) 167
Overeating is harmful for
the intestine and stomach. 飲 食 自 倍 , 腸 胃 乃 傷 。
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Yu Qi MD (China) 168
Overwhelming wind
causes trembling. 風 勝 則 動。
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Yu Qi MD (China) 169
Overwhelming heat
causes swelling. 熱 勝 則 腫 。
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Yu Qi MD (China) 170
Overwhelming
desiccation causes
dryness. 燥 勝 則 乾。
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Yu Qi MD (China) 171
Overwhelming cold
causes edema. 寒 勝 則 浮。
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Yu Qi MD (China) 172
Overwhelming
dampness causes
diarrhea. 濕勝 則 濡 瀉 。
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Yu Qi MD (China) 173
Most diseases are
caused by Qi disorder. 百 病 生 於 氣 也。
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Yu Qi MD (China) 174
Anger raises Qi up. 怒 則 氣 上
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Yu Qi MD (China) 175
Overjoy slows Qi. 喜 則 氣 緩
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Yu Qi MD (China) 176
Sorrow disperses Qi. 悲 則 氣 消
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Yu Qi MD (China) 177
Fear lowers Qi down. 恐 則 氣 下
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Yu Qi MD (China) 178
Cold blocks Qi. 寒 則 氣 收
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Yu Qi MD (China) 179
Heat discharges Qi. 炅 則 氣 泄
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Yu Qi MD (China) 180
Fright disturbs Qi. 驚 則 氣 亂
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Yu Qi MD (China) 181
Overwork consumes Qi. 勞 則 氣 耗
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Yu Qi MD (China) 182
Overthinking stagnates
Qi. 思 則 氣 結
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Yu Qi MD (China) 183
Not only can lung but
the entire five Zang and
six Fu organs cause
cough. 五 臟 六 腑皆 令 人 咳 , 非 獨 肺 也 。
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Yu Qi MD (China) 184
Most diseases are
caused by overstrain. 生 病 起 於 過 用
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Yu Qi MD (China) 185
Upright Qi deficiency
results in the possibility
of an evil pathogen
attack. 邪 之 所 湊 , 其 氣 必 虛
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Yu Qi MD (China) 186
The evil pathogen invades the body
surface first. If it remains there
longer, then it invades small
collaterals, then collaterals, then
channels, then Zhang Fu organs.
Starting from body surface finally to
five Zhang organs is the sequence
of invasion of the evil pathogen. 邪 之 客 於 形 也 , 必 先 舍 於 皮 毛 , 留而 不 去 , 入 舍 於 孫 脈 ,
留 而 不 去 , 入 舍 於 絡 脈 , 留 而 不去 , 舍 於 經 脈 , 內 連 五 臟 ,
散 於 腸 胃 , 陰 陽 俱 感 , 五臟 乃 傷 , 此 邪 之 從 皮 毛 入 , 極 於
五 臟 之 次 也 。
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Yu Qi MD (China) 187
It is an excess syndrome
when evil pathogen is
overabundant. It is a
deficient syndrome when
upright Qi is injured. 邪 氣 盛 則 實 , 精氣 奪 則 虛 。
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Yu Qi MD (China) 188
If dampness invades the
body, patient will feel
heaviness of the head
like it is being wrapped. 因 于 濕 , 首 如 裹 。
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Yu Qi MD (China) 189
Uncomfortable feeling
of the stomach can
cause insomnia. 胃 不 和 則 臥 不 安
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Yu Qi MD (China) 190
Indulging in fatty food
causes foot ulcer. 高 梁 之 變 , 足 生 大 丁
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Yu Qi MD (China) 191
Emotional stress
disturbs heart leading to
uneasiness of all Zang
fu organs. 悲 哀 愁 憂 則 心 動 ,
心動 則 五 臟 六 腑 皆 搖
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Yu Qi MD (China) 192
Fatty food causes inner heat,
sweet food causes abdominal
distention. This situation may
lead to Qi disorder and
transform to diabetes.
肥 者 令 人 內 熱 , 甘者 令 人 中 滿 ,
故 其 氣 上 溢 , 轉 為 消 渴 。
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Yu Qi MD (China) 193
Most of the diseases start
from attack of wind, rain, cold,
heat; indulging in sex; over
joy or anger; unhealthy eating
and life style; or strong and
sudden fright. 夫 百 病 之 始 生 也 , 皆 生 於 風 雨 寒 暑 , 陰
陽喜 怒 , 飲 食 居 處 ,大 驚 卒 恐 。
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Yu Qi MD (China) 194
When a cold pathogen
invades vessels, blood will
stagnate; when a hot
pathogen invades vessels,
blood will overflow. 邪 之 入 於 脈 也 ,
寒 則 血 凝 泣 , 暑 則 氣 淖 澤
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Yu Qi MD (China) 195
Wind attacks mostly the
upper body, dampness
attacks mostly the lower
body.
傷 於 風 者, 上 先 受 之 ,
傷 於 濕 者 ,下 先 受 之 。
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Yu Qi MD (China) 196
If Qi and blood mix and
ascend, it may lead to coma
or even death. If Qi and blood
return, patient may survive;
otherwise, they are dying. 血 之與 氣 併 走 於 上 , 則 為 大 厥 , 厥
則 暴 死 , 氣 復 反 則 生 , 不反 則 死 。
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Yu Qi MD (China) 197
All diseases can be divided
into excess syndrome and
deficiency syndrome. 百 病 之 生 , 皆 有 虛 實 。
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Yu Qi MD (China) 198
Chapter 6
Diagnosis
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Yu Qi MD (China) 199
It is better to do pulse diagnosis
in the early morning when Qi of Yin
and Yang have not been stirred and
dispersed, the food and drink have
not been taken, the channel-Qi is not
hyperactive, the collateral Qi is in
harmony, and the Qi and blood have
not been disturbed. In this situation
we can diagnose pulse disorder.
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Yu Qi MD (China) 200
診 法 常 以 平 旦 ,陰 氣 未 動 ,
陽 氣 未 散 , 飲 食 未 進 , 經
脈 未 盛 , 絡 脈 調 勻, 氣
血 未 亂 , 故 乃 可
診 有 過 之 脈 。
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Yu Qi MD (China) 201
Concentrate mind and calm
down when take pulse.
持 脈 有 道 , 虛 靜 為 保 。
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Yu Qi MD (China) 202
Yellow Emperor asked: “How
can we know the conditions of
Zhang Fu organ when palpating
Qi Kou (It is called Cun Kou
now)?”
帝 曰 : 氣 口 何 以 獨 為 五 臟 之 主 ?
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Yu Qi MD (China) 203
The five tastes are taken through
the mouth and stored in the stomach,
then transported by spleen which is
Taiyin. Cun Kou belongs to the Hand
Taiyin which dominates all vessels. So,
all Qi of Zhang Fu organs come from
the stomach, their conditions will be
reflected on the Cun Kou pulse. 五 味 入
口 , 藏 於 胃 以 養 五 臟 氣, 氣 口 亦 太 陰 也 , 是 以 五
臟 六 腑 之 氣 味 , 皆 出 於 胃 , 變見 於 氣 口 。
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Yu Qi MD (China) 204
If stomach Qi is absent in the
pulse, it is called an adverse
condition, which means the
patient is dying.
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Yu Qi MD (China) 205
When treating a disease, we
must inspect the tongue,
urine and stool conditions,
distinguish and analyse the
pulse, observe emotion of the
patient. 凡 治 病 必 察 其 下 , 適 其 脈 , 觀 其 志 意 ,
與 其 病 也。
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Yu Qi MD (China) 206
When physique is fine but
pulse is weak patient will
die, when physique is weak
but pulse is fine patient will
survive. 形 氣 有 餘 , 脈 氣 不 足, 死 ;
脈 氣 有 餘 , 形氣 不 足, 生 。
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Yu Qi MD (China) 207
If shaoyin pulse is strong
against finger, it means the
lady is pregnant.
陰 搏 陽 別 , 謂 之 有 子 。
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Yu Qi MD (China) 208
If woman hand Shaoyin pulse
is violent, it means pregnancy.
婦 人 手 少 陰 脈 動 甚 者 , 妊 子 也 。
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Yu Qi MD (China) 209
Inquire the life condition change when
treating a patient. If the patient was
noble and is now humble, without
having been attacked by the evil
pathogen, he may have disease
coming from interior. This is called
“exhaustion of nutrition”. If the patient
was rich and now is poor, it also
causes diseases. This is called
“depletion of essence”. 凡 未 診 病 者 , 必 問 嘗 貴
後 賤 , 雖 不 中 邪 ,病 從 內 生 , 名 曰 脫 營 。 嘗 富 後 貪 , 名 曰
失 精。
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Yu Qi MD (China) 210
Patient is noble or humble,
rich or poor, happy or
unhappy must be inquired in
diagnosis. 診 有 三 常 , 必 問 貴 賤 , 封 君 敗 傷 ,
及 欲 侯 王
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Yu Qi MD (China) 211
The symptoms of cardiac
Bi syndrome are: vessel
blockage, irritability,
palpitation, wheezing, dry
throat, hiccup and panic. 心 痺 者 , 脈 不 通 ,煩 則 心 下 鼓 , 暴 上 氣 而
喘 , 噎乾 善 噫 , 厥 氣 上 則 恐 。
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Yu Qi MD (China) 212
Chapter 7
Treatment
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Yu Qi MD (China) 213
For treating flaccidity,
puncture
Yang Ming only.
治 痿 者 , 獨 取 陽 明
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Yu Qi MD (China) 214
When using only one
king herb and two
minister herbs in a
formula, it is called
small formula.
君 一 臣 二 , 制 之 小 也
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Yu Qi MD (China) 215
When using one king
herb, three minister
herbs and five assistant
herbs in a formula, it is
called medium formula. 君 一 臣 三 佐 五 , 制 之 中 也
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Yu Qi MD (China) 216
When using one king
herb, three minister
herbs and nine assistant
herbs in a formula, it is
called large formula. 君 一 臣 三 佐 九 , 制 之 大 也
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Yu Qi MD (China) 217
If the patient believes in ghosts,
you do not need to explain the
treatment; if the patient detests
stone needles, you do not need to
tell him the effect of treatment; if
the patient is reluctant to be treated,
you do not need to treat him. In
such cases, there will be no effect. 拘 於 鬼 神 者 , 不 可 與 言 至 德 ; 惡 於 針 石 者 , 不
可與 言 至 巧 。 病 不 許 治 者 , 病 必 不 治 , 治 之 無 功
矣 。
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Yu Qi MD (China) 218
If a patient lost blood, they can
not be treated by sweating, If
patient sweats a lot, they can not
be treated by bleeding; If patient
lost both blood and body liquid,
death will be inevitable without
hope of surviving. 故 奪 血 者 無 汗 , 奪 汗 者 無 血 , 故 人 生 有
兩死, 而 無 兩 生 。
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Yu Qi MD (China) 219
Apply formulas with violent
property and rich flavor to
patients who are strong.
Give formulas with mild
property and light flavor for
patients who are weak. 能 毒 者以 厚 藥 , 不 勝 毒 者 以 薄 藥 ,
此 之 謂 也 。
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Yu Qi MD (China) 220
Treat the upper part of the
body when the disease is
in the lower part, and treat
the lateral of the body
when the disease is in the
middle. 病 在 上 , 取 之 下 ; 病 在 下 , 取 之 上 ;
病在 中 , 傍 取 之 。
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Yu Qi MD (China) 221
Treat hot syndrome with
cold herbs, and take the
decoction when it is warm. 治 熱 以 寒 , 溫 而 行 之。
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Yu Qi MD (China) 222
Treat cold syndrome with
hot herbs, and take the
decoction when it is cold. 治 寒 以 熱 , 涼 而 行 之。
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Yu Qi MD (China) 223
Treat warm syndrome with
cool herbs, and take the
decoction when it is cool. 治溫 以 清 , 冷 而 行 之。
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Yu Qi MD (China) 224
Treat cool syndrome with
warm herbs, and take the
decoction when it is warm. 治 清 以 溫 , 熱 而 行 之 。
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Yu Qi MD (China) 225
The extreme toxic formulas
should be stopped when
disease is 60% removed. 大 毒 治 病 , 十 去其 六
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Yu Qi MD (China) 226
The mild toxic formulas
with should be stopped
when the disease is 70%
removed. 常 毒 治 病 , 十 去 其 七
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Yu Qi MD (China) 227
The smaller toxic formulas
should be stopped when
the disease is 80%
removed. 小 毒 治 病 , 十 去 其 八
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Yu Qi MD (China) 228
The formulas with no
toxicity should be stopped
when the disease is 90%
removed. 無毒 治 病 , 十 去 其 九
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Yu Qi MD (China) 229
After using herbs, patient should
take the cereals, meats, fruits
and vegetables to eliminate the
remaining pathogen. If it is not
effective, give patient herbs
again with the same method as
above. 穀 肉 果 菜 , 食 養 盡 之 , 無 使 過 之 ,傷 其 正
也 。不 盡 , 行 復 如 法。
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Yu Qi MD (China) 230
If a pregnant woman is ill that
needs herbs, it is not harmful
for both mother and fetus.
有 故無 損 , 亦 無 殞 也 。
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Yu Qi MD (China) 231
To treat a pregnant woman with
severe stagnation and accumula-
tion, the violent herbs can be
used for removing them, but
stop them when it is removed by
a half. If using herbs more than
enough, it may kill both patient
and fetus. 大積 大 聚 , 其 可 犯 也 , 哀 其
太 半 而 止 , 過 者 死 。
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Yu Qi MD (China) 232
To be a good doctor,
one must know: 聖 人 之 治 病 也 , 必 知:
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Yu Qi MD (China) 233
(1). The relation between Ying
and Yang, heaven and
earth, and the four
seasons. 天 地 陰 陽 , 四 時 經 紀
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Yu Qi MD (China) 234
(2). The five Zhang organs and the
six Fu organs, the channels and
collaterals, the female (the six Yins)
and the male (the six Yangs), the
interior and the exterior, the
diseases that can be cured by
acupuncture, moxibustion, stone
needle or herbs. 五 臟 六 腑 , 雌 雄 表 裏, 刺 灸 砭 石 ,毒 藥 所 主。
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Yu Qi MD (China) 235
(3).Be able to analyse the
changes in a patient’s life and
follow the rule of diagnosis
and treating. Must know if
patient is young or old, noble
or humble, rich or poor,
strong or weak. 從 容 人事 , 以 明 經
道 , 貴 賤 貪 富 , 各 異 品 理。問 年 少 長 勇 懼
之理 審 於 分 部 , 知 病 本 始 ,
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Yu Qi MD (China) 236
(4). He must be able to inspect
the outside manifestation of five
organs. Refer to the eight solar
terms of the year (the four
equinoxes and the four solstices)
and the conditions of the nine
subparts of the pulse.
八 正 九 候 , 診 必 副 矣 。
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Yu Qi MD (China) 237
The evil pathogens invade
is just like a storm or
hurricane. So a good
doctor treats diseases in
the beginning when the evil
just attack the exterior. 邪 風 之 至 , 疾 如 風 雨, 故 善 治 者 , 治 皮 毛,
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Yu Qi MD (China) 238
Do not delay to treat evil in the
muscle, Not at all delay to treat
evil in the tendons and the
channels, in no way delay to
treat evil in six Fu organs, and
absolutely not to delay to treat
evil in five Zang organs. 其次 治 肌 膚 , 其 次 治 筋 脈 , 其 次 治
六 腑 , 其 次 治 五 臟 。
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Yu Qi MD (China) 239
If evils have invaded the
five Zang organs, the
surval possibility of the
patient is only 50%. 治五 臟 者 , 半 死 半 生 也 。
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Yu Qi MD (China) 240
Acupuncture needs
patient’s Shen to cooperate.
If patient’s Shen
disappears, we can not
help them. 針 石, 道 也 。 精 神 不 進, 志 意 不 治 ,
故 病 不 可 愈 。
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Yu Qi MD (China) 241
For treating edema, open the
ghost door and purify the
clean Fu organ.
開 鬼 門 , 潔 淨 府
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Yu Qi MD (China) 242
Best doctor treats pre-illness,
does not treat illness.
上 工 治 未 病 , 不 治 已 病
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Yu Qi MD (China) 243
Treat the sign if urinary
retention and constipation.
Treat the root when urine and
stool are normal. 小 大 不 利 , 治 其 標 ;
小 大 利 , 治 其 本 。
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Yu Qi MD (China) 244
If the body temperature is as
high as hot charcoal, reduce
it by perspiration.
體 若 燔 炭 , 汗 出 而 散 。
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Yu Qi MD (China) 245
Treat blood stasis by
bleeding.
血 實 宜 決 之
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Yu Qi MD (China) 246
Treat cold diseases by hot
herbs.
寒 者 熱 之
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Yu Qi MD (China) 247
Treat hot diseases by cold
herbs. 熱 者 寒 之
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Yu Qi MD (China) 248
Treat hard stagnation by
paring.
堅者 削 之
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Yu Qi MD (China) 249
Treat dry diseases by
moistening.
燥 者 濡 之
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Yu Qi MD (China) 250
Treat losing diseases by
keeping.
散 者 收 之
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Yu Qi MD (China) 251
Treat diseases caused by
exterior pathogens by
dispelling.
客 者 除 之
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Yu Qi MD (China) 252
Treat deficient diseases by
warming. 勞 者 溫 之
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Yu Qi MD (China) 253
Treat retention diseases by
dispersing.
留 者 攻 之
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Yu Qi MD (China) 254
Treat spasm disease by
relaxing.
急 者 緩 之
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Yu Qi MD (China) 255
Treat Qi counter-movement
by guiding.
逸 者 行 之
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Yu Qi MD (China) 256
Treat terror diseases by
calming.
驚 者 平 之
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Yu Qi MD (China) 257
Straightly treat diseases in
which the symptoms reflex to
the causes 逆 者 正 治
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Yu Qi MD (China) 258
Contrarily treat diseases in
which the symptoms are
contrary to the causes.
從 者 反 治
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Yu Qi MD (China) 259
Best doctors do acupuncture
in accordance with heaven
above, with earth below and
with patient’s personal affairs. 聖人 之 為 道 者 , 上合 于 天 ,
下 合 于 地 , 中 合 于 人 事。
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Yu Qi MD (China) 260
Chapter 8
Acupuncture
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Yu Qi MD (China) 261
Channels can determine
survival or death, treat
diseases, and adjust excess
or deficiency. So they should
not be blocked. 經 脈 者 ,所 以 能 決 死 生 、 處 百 病 、 調 虛
實 , 不 可 不 通 。
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Yu Qi MD (China) 262
Painful points can be
punctured for treatment.
以 痛 為 輸
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Yu Qi MD (China) 263
Treat patient according to
Shen condition.
凡 刺 之 法 , 先 必 本 於 神 。
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Yu Qi MD (China) 264
Qi and blood of all 12
channels and 365 branches
reach the face and empty
orifices. 十 二 經 脈 , 三 百 六 十五 絡 ,
其 血 氣 皆 上 於 面 而 走 空 竅 。
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Yu Qi MD (China) 265
12 channels connect Zhang
Fu organs interiorly and limbs
and joints exteriorly. 十 二 經 脈 者 ,
內 屬 於 腑 臟 , 外 絡 於肢 節
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Yu Qi MD (China) 266
Treat 5 Zhang diseases by 12
Yuan points.
五 臟 有 疾 , 當 取 之 十 二 原 。
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Yu Qi MD (China) 267
Treat Fu diseases by He-Sea
points.
邪 在 腑 , 取 之 合;
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Yu Qi MD (China) 268
If acupuncture needles are
not effective, use moxibustion.
針 所 不 為, 灸 之 所 宜 。
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Yu Qi MD (China) 269
It is important in acupuncture:
get Qi.
刺 之要 , 氣 至 而 有 效。
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Yu Qi MD (China) 270
Puncturing too deep or too
shallow are big problems of
acupuncture.
淺深 不 得 , 反 為 大 賊
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Yu Qi MD (China) 271
Needling against the moving
direction of channel is
reducing method. Needling
with the moving direction of
channel is tonifying method.
瀉 者 迎 之 , 補 者 隨 之
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Yu Qi MD (China) 272
Bone measurement
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Yu Qi MD (China) 273
The width between two
Wangu (GB 12) behind ears is
9 cun.
耳 後 當 完 骨 者 , 廣 九 寸 。
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Yu Qi MD (China) 274
The length from popliteal to
ankle level is 16 cun.
膝 膕 以 下 至 附 屬 , 長 一尺 六 寸 。
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Yu Qi MD (China) 275
From hip joint to middle point
of knee cap is 19 cun.
髀 樞 以 下 至 膝 中 , 長 一 尺 九 寸 。
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Yu Qi MD (China) 276
The length from sternal
xiphoid process to Tanshu
(ST 25, naval level) is 8 cun.
以 下 至 天 樞 , 長八 寸。
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Yu Qi MD (China) 277
The width between two nipples
is 8 cun. 兩 乳 之 間 , 廣 九寸 半( =八 寸 )
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Yu Qi MD (China) 278
Meridians
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Yu Qi MD (China) 279
THE LUNG MERIDIAN
• Starts from --- Middle Jiao
• Connected organ --- ST
• Connected orifice --- Throat
• Number of branches --- 1
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Yu Qi MD (China) 280
LARGE INTESTINE MERIDIAN
• Starts from --- LI 1
• Connected organ --- LU
• Connected orifice --- Gum, lower
teeth
• Number of branches --- 1
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Yu Qi MD (China) 281
STOMACH MERIDIAN
• Starts from --- LI 20
• Connected organ --- SP
• Connected orifice --- upper gum
• Number of branches --- 4
• Meeting point --- UB 1
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Yu Qi MD (China) 282
SPLEEN MERIDIAN
• Starts from --- SP 1
• Connected organs --- ST, HT
• Connected orifice --- The root of
tongue
• Number of branches --- 1
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Yu Qi MD (China) 283
HEART MERIDIAN
• Starts from --- HT
• Connected organs --- SI, LU
• Connected orifice --- Eye system
• Number of branches --- 1
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Yu Qi MD (China) 284
SMALL INTESTINE MERIDIAN
• Starts from --- SI 1
• Connected organs --- HT
• Connected orifice --- Outer & inner
canthus
• Number of branches --- 2
• Meeting points --- DU 14
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Yu Qi MD (China) 285
BLADDER MERIDIAN
• Starts from --- UB1
• Connected organs --- Brain, KI, UB
• Connected orifice --- lumbar
• Number of branches --- 3
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Yu Qi MD (China) 286
KIDNEY MERIDIAN
• Starts from --- Small toe
• Connected organs --- UB, LV, LU,
HT
• Connected orifice --- Throat,
tongue
• Number of branches --- 1
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Yu Qi MD (China) 287
PERICARDIUM MERIDIAN
• Starts from --- Chest
• Connected organs --- PC, upper,
middle and lower jiao
• Connected orifice ---
• Number of branches --- 2
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Yu Qi MD (China) 288
TRIPLE ENERGIZER MERIDIAN
• Starts from --- TE 1
• Connected organ --- PC
• Connected orifice --- Ear, outer
canthus
• Number of branches --- 2
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Yu Qi MD (China) 289
GALLBLADDER MERIDIAN
• Starts from --- GB 1
• Connected organ --- LV
• Connected orifice --- Ear, outer
canthus
• Number of branches --- 2
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Yu Qi MD (China) 290
LIVER MERIDIAN
• Starts from --- LV 1
• Connected organ --- GB
• Connected orifice --- Eye system
• Number of branches --- 2
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Yu Qi MD (China) 291
The Hand Taiyin Channel of
Lung starts from middle Jiao,
goes to large intestine below,
returns to pass through the
upper entrance of stomach,
ascends through diaphragm
and links to the lung. 肺 手 太 陰 之 脈 , 起 於 中 焦 , 下 絡 大 腸 , 還 循 胃
口, 上 膈 屬 肺 ,
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Yu Qi MD (China) 292
The eight extra meridians
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Yu Qi MD (China) 293
1. Governor Vessel
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Yu Qi MD (China) 294
The Governor Vessel arises from
the lower abdomen and emerges
from the perineum. Then it runs
posterior along the interior of the
spinal column to Fengfu (GV 16)
at the nape, where it enters the
brain. It further ascends to the
vertex and winds along the
forehead to the columnella of the
nose.
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Yu Qi MD (China) 295
The coalescent points of
Governor Vessel are
Fengmen (BL 12) and Huiyin
(CV 1).
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Yu Qi MD (China) 296
Clinical actions
1. Tonifies kidney yang
2. Strengthens the back
3. Nourishes brain and marrow
4. Strengthens the mind (Shen)
5. Expels exterior wind
6. Distinguishes interior wind
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Yu Qi MD (China) 297
2. Conception Vessel
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Yu Qi MD (China) 298
The Conception Vessel starts from
the inside of the lower abdomen and
emerges from the perineum. It goes
anteriorly to the pubic region and
ascends along the interior of the
abdomen, passing through Guanyuan
(CV 4) and the other points along the
front midline to the throat. Ascending
further, it curves around the lips passes
through the cheek and enters the infra-
orbital region Chengqi (ST 1)
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Yu Qi MD (China) 299
The coalescent points of the
Conception Vessel are Chengqi
(ST 1), Yinjiao (GV 28).
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Yu Qi MD (China) 300
Clinical actions
• 1. Nourishes Yin
• 2. Regulates uterus
• 3. Moves Qi in the lower Jiao & uterus
• 4. Promotes lung Qi desending and kidney Qi
receiving
• 5. Promotes the transformation, transportation
and excretion of fluid
• 6. Activates San Jiao
• 7. Controls fat tissue and membranes
• 8. Conbination of Ren and Du points
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Yu Qi MD (China) 301
3. Thoroughfare Vessel
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Yu Qi MD (China) 302
The Thoroughfare Vessel starts from
the inside of the lower abdomen and
emerges at the perineum. Ascending,
it runs inside of the spinal column.
Where its superficial branch passes
through the region of Qichong (ST 30)
and communicates with the Kidney
Meridian of Foot-Shaoyin. Running
along the both sides of the abdomen, it
goes up to the throat and curves
around the lips.
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Yu Qi MD (China) 303
The coalescent points of the
Thoroughfare Vessel are Huiyin
(CV 1), Henggu (KI 11), Dahe (KI
12), Qixue (KI 13), Simen (KI 14),
Zhongzhu (KI 15), Huangshu (KI
16), Shangqu (KI 17), Shiguan (KI
18), Yindu (KI 19), Futonggu (KI 20)
and Youmen (KI 21).
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Yu Qi MD (China) 304
4. Belt Vessel
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Yu Qi MD (China) 305
The Belt Vessel originates below
the hypochondriac region and
runs obliquely downward through
Daimai (GB 26), Wushu (GB 27),
and Weidao (GB 28). It runs
transversely around the waist like a
belt. The coalescent points of the
Belt Vessel are Daimai (GB 26),
Wushu (GB 27), and Weidao (GB
28).
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Yu Qi MD (China) 306
Clinical application
1. Harmonizes liver and gall bladder
2. Resolves dampness in the lower Jiao
3. Regulates Qi circulation of legs
4. Affects Qi of stomach channel in the legs
5. The Girdle vessel (Dai Mai) problems with abdominal pain
6. Gynaecology
7. Fullness and emptiness of girdle vessel
8. Girdle vessel and hip
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Yu Qi MD (China) 307
5. Yang Heel Vessel
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Yu Qi MD (China) 308
The Yang Heel Vessel starts from the lateral side
of the heel (Shenmai, BL 62), Pushen (BL 61). It
runs upward along the external malleolus and
passes the posterior border of the fibula. It then
goes onwards along the lateral side of the thigh
and posterior side of the hypochondrium to the
posterior axillary fold. From there, it winds over
to the shoulder and ascends along the neck to
the corner of the mouth. Then it enters the inner
canthus Jingming, (BL 1) to communicate with the
Yin Heel Vessel. Running further upward along the
Bladder Meridian of Foot-Taiyang to the forehead,
it meets the Gallbladder Meridian of
FootShaoyang at Fengchi (GB 20).
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Yu Qi MD (China) 309
The coalescent points of the Yang
Heel Vessel are Shenmai (BL 62),
Pushen (BL 61), Fuyang (BL 59),
Femur-Juliao (GB 29), Naoshu (SI
10), Jianyu (LI 15), Jugu (LI 16),
Dicang (ST 4), Nose-Juliao (ST 3),
Chengqi (ST 1), Jingming (BL 1)
and Fengchi (GB 20).
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Yu Qi MD (China) 310
Clinical actions
1. Absorbs excess Yang from head
2. Eye
3. Mental problems
4. Backache and sciatica
5. Hip
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Yu Qi MD (China) 311
6. Yin Heel Vessel
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Yu Qi MD (China) 312
The Yin Heel Vessel starts from the
posterior aspect of the navicular bone
(Zhaohai, KI 6). Ascending to the upper
portion of the medial malleolus, it runs
straight upward along the posterior border of
the medial aspect of the thigh to the external
genitalia. Then it goes upward along the
chest to the supraclavicular fossa and runs
further upward lateral to the Adam's apple in
front of Renying (ST 9) and then along the
zygoma. From there, it reaches the inner
canthus Jingming, (BL 1) and communicates
with the Yang Heel Vessel.
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Yu Qi MD (China) 313
The coalescent points of the Yin
Heel Vessel are Zhaohai (KI 6),
and Jiaoxin (KI 8).
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Yu Qi MD (China) 314
Clinical application
• Sleep
• Atrophy syndrome (Wei Zhen)
• abdominal pain
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Yu Qi MD (China) 315
7. Yang Link Vessel
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Yu Qi MD (China) 316
The Yang Link Vessel originates from the
heel Jinmen, (BL 63) and emerges from the
external malleolus. Ascending along the
Gallbladder Meridian of Foot-Shaoyang, it
passes through the hip region. Then it runs
further upward along the posterior aspect of
the hypochondriac and costal regions and
the posterior aspect of the axilla to the
shoulder and to the forehead. It then turns
backward to the back of the neck, where it
communicates with the Governor Vessel
Fengfu, (GV 16), Yamen, (GV 15).
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Yu Qi MD (China) 317
The coalescent points of the Yang
Link Vessel are Jinmen (BL 63),
Yangjiao (GB 35), Naoshu (S I 10),
Tianliao (TE 15), Jianjing (G B 21),
Benshen (GB 13), Yangbai (GB 14),
Toulinqi (GB 15), Muchuang (GB
16), Zhengying (GB 17), Chengling
(GB 18), Naokong (GB 19),
Fengchi (GB 20), Fengfu (GV 16)
and Yamen (GV 15).
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Yu Qi MD (China) 318
Clinical application
1. Intermittent fever
2. Side of body
3. Ear problems
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Yu Qi MD (China) 319
8. Yin Link Vessel
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Yu Qi MD (China) 320
The Yin Link Vessel starts from the
medial aspect of the leg Zhubin,
(KI 9), and ascends along the
medial aspect of the thigh to the
abdomen to communicate with the
Spleen Meridian of Foot-Taiyin.
Then it runs along the chest and
communicates with the Conception
Vessel at the neck Tiantu, (CV 22),
Lianquan (CV 23).
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Yu Qi MD (China) 321
The coalescent points of the Yin
Link Vessel are Zhubin (KI 9),
Fushe (SP 13), Daheng (SP 15),
Fuai (SP 16), Qimen (LR 14),
Tiantu (CV 22) and Lianquan
(CV 23)
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Yu Qi MD (China) 322
Clinical application
1. Nourishes Yin and blood
2. Mental problems
3. headache
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Yu Qi MD (China) 323
• Start from ---
• Connected organs ---
• Connected orifice ---
• Number of branches ---
• Meeting points ---