X!n. circuleert. Xuè. Fèi. combines. Zōng Qì. Inter-transform. Jīn-Yè. Fluid & Sweat: identical source Xuè & Sweat: identical source

Notities t.b.v. BVO Les 14 - Pathologie Zàng-Fŭ Kris Oosting April 2013

X!n

Fèi

maakt

circuleert

Reguleert hoeveelheid (in circulatie)

G"n

Ondersteunt transformatie van

Xuè

Slaat op

Shèn maakt

Toeleverancier van

Houdt vast

Pí

Fèi

Food

transformed into

combines

Gŭ Qì

by

Kōng Qì Zhēn Qì

to transform into

Wèi Qì

Pí more refined than

formed into

Zōng Qì

with help of

Yíng Qì

Yuán Qì

This is a simplification. The whole process is more complex

Xīn and Sweat

Governs

Xīn

Inter-transform

Xuè

Reaches to body surface

Jīn-Yè

Fluid & Xuè: identical source

Sweat

Fluid & Sweat: identical source

Xuè & Sweat: identical source Sweat = Xīn fluid

© 2012 Kris Oosting - For personal use only


Bā Gāng ➔ Qì Xuè Jīn-Yè ➔ Zàng

Bā Gāng

Xū (deficiency)

Qì Xuè Jīn-Yè +

Zàng

Qì

Xīn, Fèi, Pí, Shèn

Bā Gāng

Qì Xuè Jīn-Yè +

Zàng

Qì

Gān

(stagnatie)

Xuè

Xīn, Gān

Yáng

Xīn, Pí, Shèn

Yīn

Xīn, Fèi, Gān, Shèn

Yáng

Jīng

Shèn

(rising)

Shí

Xuè

Xīn, Gān

(stasis)

(Excess)

Gān

Bā Gāng ➔ Pathogen ➔ Zàng

Bā Gāng

Shí (Excess)

Qì Xuè Jīn-Yè +

Zàng

Shī-Rè Shī-Tán

Pí, Gān Fèi

Tán Xīn Tán-Huŏ Xīn, Fèi, Xīnbāo Tán-Rè Fèi Tán-Yĭn Fèi Dry Tán Fèi Hán-Tán Fèi, Pí

Bā Gāng

Shí (Excess)

Pathogen

Zàng

Huŏ

Xīn, Gān

Rè

Xīnbāo, Fèi

Fēng-Hán Fēng-Rè Fēng-Shuĭ Internal Fēng

Fèi Fèi Fèi Gān

Bā Gāng ➔ Qì Xuè Jīn-Yè ➔ Fŭ

Bā Gāng

Qì Xuè Jīn-Yè +

Fŭ

Qì

Wèi

Xū

Yīn

Wèi

(deficiency)

Dryness

Dà Cháng

Hán

Dà Cháng, Páng Guāng


Bā Gāng

Shí (Excess)

Qì Xuè Jīn-Yè +

Fŭ

Qì

Wèi, Dà Cháng

Xuè

Wèi

Rè

Dà Cháng, Xiăo Cháng

Hán

Wèi, Dà Cháng

Huŏ Shī Shī-Rè Shī-Hán

Wèi Dăn Wèi, Dăn, PG, DC Páng Guāng


Qì Xū Xīn

palpitations, tiredness, pale face, shortness of breath

Fèi

shortness of breath, weak voice, slight cough, catch colds, dislike cold, tiredness, daytime sweating

Pí

poor appetite, tiredness, loose stools, lassitude, slight abdominal distention after eating, weakness of limbs

Wèi

Shèn

tiredness in morning, uncomfortable feeling epigastrium, lack of taste sensation, loose stool, weak limbs Kidney-Qi not Firm: dribbling after urination, chronic vaginal discharge, backache, Kidneys failing to receive Qi: shortness of breath on exertion, difficult inhaling, lower backache, clear urination

Xuè Xū Xīn

Gān


palpitations (evening), insomnia, poor memory, pale tongue. dizziness, anxiety. blurred vision, scanty periods, pale tongue, dizziness, tingling/numbness limbs, 'floaters' in eyes, cramps, brittle nails


Gān

fullness hypochondrium and abdomen, feeling of heaviness, nausea, bitter and sticky taste, sticky yellow coating, huá xián shuò mài. yellow vaginal discharge, vaginal itching, redness and swelling scrotum, genital skin rashes, dark urine, burning urination. SOA. Combination of Liver Heat and Dampness.

Dăn

fullness hypochondrium, bitter taste, sticky yellow coating on right side. P: huá xián shuò mài. nausea, inability to digest fats, fever, thirst without desire to drink, dizziness, tinnitus, irritability, feeling of heaviness in body, alternating hot cold feeling, numbness of limbs, swelling of feet.

Shī Rè

Dà Cháng

Wèi

Páng Guāng


abdominal pain, diarrhea with mucus and blood in stools. offensive odor of stools, burning anus, feeling of heat (or fever), thirst without desire to drink, feeling of heaviness in body and limbs. T: red with sticky yellow coating. P: huá shuò mài. epigastric fullness, feeling of heaviness, nausea, sticky yellow tongue coating. facial pain, blocked nose or thick sticky nasal discharge, thirst without desire to drink, feeling of heat. T: red with sticky yellow coating. P: huá shuò mài. burning urination, dark urine, difficult urination. frequent and urgent urination, dark-yellow/turbid urine, blood in urine, fever, thirst without desire to drink, feeling of heat. Bladder infection. P: huá shuò mài. T: thick sticky coating on root with red spots.


Xīn Xuè Xū Clinical Manifestations: • Xuè failing to nourish Xīn ➔ palpitations (afternoon/evening) or abnormal heart beats. • Malnutrition of Shén ➔ Insomnia, dream-disturbed sleep. • Xuè failing to nourish head, face, tongue ➔ dizziness, blurred vision, poor memory, dull-pale complexion, pale lips, pale tongue. • Malnutrition of blood vessels ➔ Choppy (sè) or Fine (xì) pulse. Gān Xuè Xū ➔ Xīn Xuè Xū ➔ Xīn Yīn Xū

Xīn en ... Huŏ : Vuur verstoort de Shén en circulatie ➔ onrust, insomnia (nachtmerries), aften op de tong, dorst, bloedingen, delerium, manie Gān Huŏ ➔ Xīn Huŏ Tán : Tán verstoort mentale activiteit en Shén ➔ verstoorde geest, bewusteloosheid, moeilijke spraak, depressief, achterblijvende geestelijke ontwikkeling & onsamenhangende spraak (kinderen), rochelen. Pí, Fèi, Shèn Xū ➔ Tán

Voorbeeld van afhankelijkheden tussen patronen - vanuit de Lever beschouwd.

Rè

Stress Gān Qì Yù

Gān Xuè Yū Gān Huŏ blazing

Gān Xuè Xū Gān Fēng Xīn Xuè Xū Shèn Yīn Xū


Gān Yáng Gān Yīn Xū

Xīn Huŏ blazing


Gān: Yáng is hyperactief

Pathogenese

Gān: Vuur is hyperactief

Manifestaties

stijgen Qì en Xuè

bonkende hoofdpijn, tinnitus, duizeligheid

beïnvloedt normale Lever functie

geïrriteerd, onrust, woede

beïnvloedt Shén

insomnia, dromen

Pathogenese

Manifestaties

beïnvloedt hoofd en ogen

duizeligheid, rood gezicht, rode ogen

beïnvloedt normale Lever functie

geïrriteerd, onrust, woede

beïnvloedt Galblaas

bittere smaak in mond, tinnitus, doofheid, oorontsteking

Fèi Qì Xū Clinical Manifestations: • Qì cannot disperse & descend ➔ shortness of breath, slight cough. • Inadequate production of Zōng Qì ➔ weak voice, doesn’t like to speak. • Wèi-Qì weak ➔ spontaneous daytime sweating, propensity to catch cold. • Wèi-Qì not warming ➔ dislike of cold. • Qì Xū ➔ tiredness, pale complexion. Pí Qì Xū/Xīn Qì Xū

Fèi Qì Xū

Invasion Fēng-Hán Clinical Manifestations: • Fèi-Qì rebellious (due to invasion) ➔ Cough, sneezing. • Obstruction opening orifice ➔ nasal obstruction, runny nose with watery discharge. • Wèi Qì (defensive) failing to nourish exterior ➔ slight aversion to Wind-Cold. • Wèi Qì fighting with EPF ➔ heat effusion • Hán obstruction Qì flow in Tài Yáng ➔ occipital headache, general body aches • Hán blocking còu lĭ ➔ no sweating • Fēng-Hán attacks exterior ➔ floating-tight pulse (fú jĭn mài), white tongue coating.

Invasion Fēng-Rè Clinical Manifestations: • Fèi-Qì rebellious (due to invasion) ➔ Cough, sneezing. • Obstruction opening orifice ➔ nasal obstruction, runny nose with yellow discharge. • Wèi Qì (defensive) failing to nourish exterior ➔ slight aversion to cold. • Wèi Qì fighting with EPF ➔ fever • Rè obstruction Qì flow in Tài Yáng ➔ headache, general body aches • Rè consuming fluids (Jīn) ➔ slight thirst, sore throat • Fēng-Rè attacks exterior ➔ floating-rapid pulse (fú shuò mài), white/yellow tongue coating Central heating, cooks, steelworkers.



Tán-Rè Yōng Fèi (Phlegm in Lungs) Clinical Manifestations: • Qì cannot disperse & descend ➔ (barking) cough, wheezing, shortness of breath. • Mixed Tán-Rè goes up with adverse Qì flow ➔ yellow/green sticky sputum, phlegm in throat. • Mixed Tán-Rè obstruct Fèi meridian ➔ oppression in chest • Rè consuming body fluids ➔ thirst • Interior Rè transmitting to exterior ➔ fever • Tán obstruction ➔ dizziness, heaviness • Interior Rè and Tán ➔ red tongue, yellow (greasy) coating, shuò huá mài Pí Qì Xū (Qì stagnation)

Phlegm-Heat in Fèi.

Pí Qì Xū Clinical Manifestations: • Abnormal function yùnhuà ➔ poor appetite, abdominal distention (after eating). • Internal water retention ➔ loose stool, edema, swollen tongue + teeth marks. • Insufficient production of Qì and Xuè ➔ pale complexion, pale tongue. • Impaired transportation of Gŭ-Qì ➔ tiredness, lassitude (vermoeidheid/ongeïnteresseerdheid). Pí Qì Xū ➔ Pí Yáng Xū / Pí Qì sinking / Pí not holding Xuè

Pí en ... Pí Yáng Xū: • Pí Qì Xū + warming function of Yáng deficient ➔ feeling cold, cold limbs. Pí Xū Qì Xiàn (脾虚气陷) -Spleen Qi sinking: • condition of Pí Qì failing to ascend ➔ bearing-down sensation in abdomen, prolapse (severe), frequency & urgency of urination, dizziness, abnormally heavy or prolonged menstruation (menorrhagia) Pí bù tŏng Xuè (脾不统血) failing to control Blood: • Qì failing to keep Xuè in vessels ➔ blood in urine or stool, profuse menstruation, other bleeding, pale tongue, xì mài.

Opmerking over ‘Flegma’: Volgens Coëlho - Zakwoordenboek der Geneeskunde en Dikke Van Dalen: • Flegma slijm (obsoleet), tegenwoordig bedoelt men met flegma: flegmatisch temperament, onverstoorbare kalmte, bijna ongevoelige bedaardheid. Phlegm = slijm, Chinees medisch Tán 痰. Dus niet meer flegma gebruiken als je slijm bedoeld. Vooral als je ook met westers medisch geschoolden gaat overlegen komt dit een beetje dom over.



Shèn: Yīn en Yáng Pathogenese

Manifestaties

Pathogenese

Manifestaties

Yáng verwarmt onderrug en botten niet

onderugpijn en kniepijn

Water controleert Hart-Vuur niet

insomnia en dromen

beïnvloedt water metabolisme

oedeem

Hyperactiviteit NierVuur

Frequente behoefte sex, nachtelijke zaadlozing

Yīn voedt botten niet onderugpijn en kniepijn Yīn voedt merg niet

duizeligheid, tinnitus

nachtzweten, 5 palmen

Yīn ! deficiënte Hitte hitte, droge keel en mond en tong

Wèi - Maag: Veel voorkomende Maag problemen: • Misselijkheid, boeren, de hik ➔ Wèi Qì Nì. • door te snel eten, werken tijdens het eten, emoties tijdens het eten. • Hout (Lever) valt de Aarde (Maag) aan. • Koude in de Maag: denk aan koude cola bij McD. • Vuur in de Maag: aften op tandvlees, honger gevoel, vieze adem, maagzuur • Voedselstagnatie

Wèi Huŏ Chìshèng - Maag Vuur Clinical Manifestations: • Qì disorder ➔ burning epigastric pain, sour regurgitation, nausea, vomiting. • Hyper-function ➔ excessive hunger. • Adverse descending of turbid Wèi Qì ➔ foul breath. • Heat consuming body fluids ➔ thirst for cold drinks, dry stools. • Internal Huŏ (ascending through meridian) ➔ bleeding gums, mouth ulcers, feeling of heat, red tongue, yellow coating.

Dà Cháng - Dikke Darm: • Damp-Hitte ➔ diarree, brandend gevoel anus, stinkende ontlasting, warm gevoel, dorst maar niet zoveel drinken. (colitis ulcerosa, Crohn) • Hitte ➔ constipatie met droge feces, dik droog geel beslag, brandend gevoel anus. • Qì stagnatie ➔ distentie abdomen, constipatie met keutels, geïrriteerd. • Droogte ➔ droge stoel welke moeilijk passeert, droge mond

Páng Guāng - Blaas: • Damp-Hitte ➔ blaasontsteking; vaak en urgent urineren, brandend gevoel bij urineren, urineren is moeilijk, donker-geel urine (of als ‘melk’), dik vet geel tongbeslag.


Notes on Terminology -‐ Treatment Methods (incorrect gebruik van de term ‘klaren’) On Clear Heat and “Hitte Klaren”.

clear3<ww.> → clearing I0.1 helder worden ⇒ opklaren II 0.2 vrijmaken⇒schoon maken 0.6 (laten) passeren <de douane>⇒in/uitklaren. Als overgankelijk werkwoord: opruimen, vrij maken, wegnemen. (Source: Engels Nederlands van Dale Groot Woordenboek. Van Dale. iPad app Prisma Eng-‐Ned Woordenboek.) Thesaurus for clear: free, remove, get rid off, eliminate. (Source: iPad app Collins English Dictionary 30th Anniversary Version, 10th Edition 2009.) According to van Dale Groot Woordenboek van de Nederlandse Taal, Veertiende, herziene uitgave, j-‐r. Van Dale LexicograXie, 2005. klaren (klaarde, h. geklaard): 1 (overg.) helder maken, zuiveren van troebelheid. 2 (onoverg.) helder worden. 3 (overg.)(gew.) schoonmaken. 4 (overg.)(zee.) voor het gebruik gereed maken. 5 (overg.) in orde maken, in het reine brengen (wat moeilijk schijnt). 6 (overg.) in-‐ of uitklaren: schepen, koopwaren. 7 (onoverg.) licht, helder worden According to the English sources the proper Dutch translation would be: “elimineer Hitte, of verwijder Hitte”. Because we’re using cold/cool herbs, “Hitte koelen” could do also. With some imagination “klaren” could be used in the meaning of “schoonmaken”. However, in Dutch we do not quickly say: “het schoonmaken van hitte.” Hence, it is not recommended. Or more precise: we don’t use the phrase “Hitte klaren” in the lessons of Chinese Herbal Medicine. In Chinese Herbal Medicine we use the term “Hitte elimineren of Hitte koelen”. However, Chinese names are preferred. In this case “qīng rè”. The character 清 qīng, to clear, describes action to eliminate heat. When it is applied to an organ name, the notion of heat is implicit. Thus 清楚肺 qīng fèi, ‘clear the lung’, means to eliminate lung heat (or Xire). (Source: Wiseman, N. and Feng Ye. Chinese Medical Chinese -‐ Grammar and Vocabulary. Paradigm Publications, 2002. page 259-‐260.) The same for “Release the Exterior”. In Chinese Herbal Medicine we use “het externe bevrijden.” Not “het externe klaren.”

On Wind

Dispel Wind (袪风 qū fēng): means to eliminate externally contracted Wind. Extinguish Wind (熄风 xī fēng): means to eliminate Liver Wind. (Source: Wiseman, N. and Feng Ye. Chinese Medical Chinese -‐ Grammar and Vocabulary. Paradigm Publications, 2002. page 259-‐260.) It is advised to read “Section 5: Principles and Method of Treatment” of the above-‐mentioned book, so correct and consistent explanation of terms will be used during the lessons.


X!n. circuleert. Xuè. Fèi. combines. Zōng Qì. Inter-transform. Jīn-Yè. Fluid & Sweat: identical source Xuè & Sweat: identical source

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