Self Assessment Questions chapter 3 The vital Substances Flashcards
What does the ancient Chinese character for Qi portray and how does this relate to its nature?
One part portrays uncooked rice and another the steam deriving from its cooking. It refers to the dual nature of Qi, that is substantial (like rice) but it can be transformed into more subtle forms if energy (like vapour)
List four functions of Jing (Kidney Essence) (4)
1) Basis of Kidney Qi
2) Producer of marrow
3) it determines Growth, Reproduction, Development
4) Basis for constitutional strength
What are the three treasures, and what are their clinical significance?
Essence/ Qi/ Mind
(Jing/ Qi/ Shen)
They represent three different states if aggregation of Qi. From Essence being the densest to mind being the most rarefied and non- substantial
This highlights the close relationship existing in Chinese medicine between body and mind, the state of the Essence and Qi influences the mind and vice versa
List three functions of the Original Qi ( Yuan- Qi) (5)
1) It is the motive force of all physiological processes
2) It is the basis of Kidney- Qi
3) It facilitates the transformation of Qi
4) It facilitates the transformation of Blood
5) It comes out of the source points
Where does Food- Qi (Gu-Qi) derive from?
Stomach and Spleen
How is Gathering- Qi (Zong-Qi) formed?
It is formed from Food- Qi (Gu-Qi) combining with air in the lungs
How is True-Qi (Zhen-Qi) formed?
It’s is formed from Gathering- Qi (Zong-Qi) under the transforming action of Original Qi (Yuan- Qi)
Compare and contrast briefly Nutritive and Defensive Qi
Nutritive Qi- refined, circulates in the channels, nourishes
Defensive Qi- Coarse, circulates outside the channels, protects and warms
What is the Qi mechanism?
It’s is the complex movements of Qi all over the body, including ascending, descending, exiting and entering
List the physiological direction of Qi movement of the Heart, Lungs and Liver
Heart-Qi descends
Lung-Qi primarily descends
Liver-Qi flows in all directions
How is Blood formed
It is formed from Food Qi in the heart under the influence of Original Qi (Yuan Qi) and Essence
Kidney- essence (Jing)- original (yuan) Qi- heart
Kidney- Marrow- Bone Marrow- blood
What organs are mostly involved with Blood?
Heart- Governs Blood
Spleen- Makes blood
Liver- Stores Blood
What is the relationship between Qi and Blood
Qi is the commander of Blood
Blood is the mother of Qi
Qi moves blood
Blood nourishes Qi
Which organs are primarily involved in the transformation, transportation and Excretion of body fluids
Spleen- transforms and transports fluids
Lungs- makes fluids descend
Kidneys- transform and excrete fluids
Why is bleeding therapy contraindicated in people who are sweating and sweating contraindicated in people that are bleeding?
Blood and Body fluids (including sweat) have a relationship of mutual interchange, therefore depleting one might deplete the other
Why is a red tip of the tongue very common in patients suffering from emotional problems?
A red tip of the tongue indicates Heart- Heat. As all emotions affect the heart (as well as their relevant organ) because the heart houses the mind which ‘feels’ the emotions, the tip of the tongue becomes easily red when the person is affected by any emotion
3 types of Essence
Pre- Heaven Essence
- blending of sexual energies of man and woman at conception
- nourishes foetus
- Determines basic constitutional make- up strength and vitality
- what makes us unique
Post- heaven essence
- refined and extracted from food and fluids by stomach and spleen after birth
Kidney Essence
- derives from both pre and post heaven essence
-hereditary energy (pre heaven essence)
- replenished by food and fluids (post heaven essence
Storage of Jing
Kidneys
8 Extra Meridians
Distribution of Jing
To all the Yin organs
Pathology of Jing
Jing deficiency
Birth, growth, reproduction and development
Deficient Jing in children
Poor development and dullness, poor bone development, late onset of menstruation
Birth, growth, reproduction and development
Jing deficiency in Adults
Miscarriages
Loose teeth
Premature grey hair
Baldness
Osteoporosis
Chronic poor health
Birth, growth, reproduction and development
Jing impacting on Basis of Kidney- Qi
Poor sexual function
Impotence
Weakness of knees
Nocturnal emissions
Birth, growth, reproduction and development
Jing unable to Produce good Marrow- issues- head
Poor concentration, poor memory, dizziness, tinnitus, feeling if emptiness of the head
Birth, growth, reproduction and development
Jing impacting on Basis of constitution- low immunity
Chronic poor health
Constant colds
Always ill
Low energy and vitality
General signs of Jing deficiency- mix
Mal- development of foetus
Poor mental and physical health
Weak constitution
Poor stamina
Late closure of fontanelle
Premature babies
Brittle bones
Late puberty
History of constant illness
Senility
Types of Post- Heavenly Qi
Food- Gu Qi
Upright- Zheng Qi
Gathering- Zong Qi
Pathogenic- Xie Qi
Organ Qi and Channel Qi
True- Zhen Qi
Central- Zhong Qi
Defensive- Wei Qi
Nutritive- Ying Qi
Functions of Qi (6)
Holding
Raising
Transporting
Transforming
Protecting
Warming
(Henry ran to the park whenever)
Pathology of Qi (4)
Deficiency
Sinking
Stagnation
Rebellious
Direction of Qi (each organ)
Lung- downwards
Liver- up and smoothly everywhere
Kidney- up grasps Qi from lungs
Spleen- upwards
Stomach- downwards
Heart fire- down to kidney water
Functions of Blood
Nourishes
Moistens
House the mind (Shen)
Main organs relating to blood
Heart- governs blood
Liver- stores blood
Spleen- makes blood
Pathology of Blood
Deficiency
Blood heat
Blood stagnation
Body fluids (Jin- Ye) production and transportation
Lung—————————(UB like mist)
|. |
Stomach/ Spleen | |
|. | MBMuddy pool. |
Small intestine——|. | |
|——Kidney
| |
|. |
Large intestine |——Bladder (LB)
|. |
Functions of Body fluids (Jin)
Jin
Nature: clear, light, thin and watery
Organ- under control of lungs
Function- moisten and nourish the skin and muscles
Manifest as: sweat, tears, saliva and mucus
Functions of Body fluids (ye)
Ye
Nature- turbid, heavy, dense, and slow moving
Organ- under control of the spleen and kidneys, middle and lower burner
Function- moisten the joint, spine, brain and bone marrow
Main organs related to body fluids
Lung
Spleen
Kidney
Other organs
Triple burner, bladder, stomach
Pathology of body fluids
Deficiency of body fluids- dryness
Accumulation of body fluids- Phlegm, damp, or Oedema
Functions of Shen (mind)
Sleep
Memory
Thinking
Consciousness
Spirit- moves hun, po, zhi, yi
Pathology of Shen- Dirty, Dan, obstructed
Deficient Shen
Disturbed Shen
Obstructed Shen
What are the vital substances (5)
Body fluids
Blood
Jing (essence)
Qi
Shen (mind)
