WEEK 4 Class 8 : Interrelationships of Zang-Fu Organs & Meridian System Introduction Flashcards
3 types of inter-relationships among the zang-fu organs
1) relationship among zang organs
2) Relationships among fu
3) Biao-Li relationships
Heart and Lungs (elemental relationship?)
Fire and Metal
Heart governs blood, lungs govern qi (yin and yang work together)
Heart governs Blood and Lungs govern Qi:
Qi is the commander of Blood, and Blood is the mother Qi (Qi attaches to Blood):
> Zong/Pectoral Qi: both Lungs and Heart (both in chest and need pectoral qi that can change to blood)
> The Blood formation in Heart (Reddening) needs Lungs inhaling the Clear Qi to mix with Food-Qi
FIX CARD Tony added this *****
Heart (Fire) can melt Lungs (Metal)
Oxygen comes into the lungs, circulates in the blood
Heart pumps blood,
In clinic: pulmonary-cardio vascular disease (lung qi too weak, fire can overact on the lung), chronic lung conditions COPD / asthma / bronchitis… people may lack blood. Heart is stressed, working too hard. Heart gets weak.
Clinical Manifestations of Heart / Lung Dysfunction
** Tony added not all on slide
(Pulmonarycardio disease) *
Lung Qi def. > weak Blood circulation: Oppression in chest, purplish tongue and complexion;
Blood stagnation in the Heart > cough, Shortness of breath
If Lung qi is too strong, excess > phlegm… body fluid stays in the lung in which case metal is too much. It overacts on Heart and phlegm can mist the heart, overact, and insult the heart. Patients mental activities are not good.
Heart and Spleen relationship?
Fire is the Mother of Earth, it generates earth.
Heart and Liver relationship?
Wood is the mother of Fire. (Generates)
Heart governs blood. Liver stores blood.
Heart and Liver relationship in emotional disorders?
Heart houses Mind and Liver maintains the free flow of qi relating to emotions.
If you are stressed, Liver qi tends to stagnate, leading to emotional disturbances.
Heart and Liver in Blood deficiency?
When blood level is lower, affects both the Heart and Liver.
Liver stores blood. Heart makes blood.
Clinically: Blood def of both LR & Heart;
Fire in LR (Liver Yang is too much) and it can pass to child organ HT. Excess pattern. Too much Liver Yang/ Heat (qi stagnation in the Liver) it can transform to heat and disturb the Heart. Mother / Child.
How do the Heart and the Spleen work together in circulation?
The Heart pumps the blood to circulate it, and the Spleen qi holds the blood in the vessels. (They work together.)
How do the Heart and Spleen work together to create blood?
Spleen sends food qi up to the lungs and heart, then the heart reddens the qi and creates blood.
Heart and Spleen in Breathing issues
Breathing issues can also be Spleen qi not holding the qi. (deficiency) or blood moves too fast (excess)
Heart and Spleen in Blood Stasis?
Common pattern in clinic:
Weak SP Qi > causes > Blood Def. in HT and then Blood Stasis
Relationship between Heart and Kidney?
Fire and Water (Heart and Kidney)
Water can put out fire. Water needs to be balanced by fire. Mutual control and support.
Heart houses Mind and Kidney stores essence:
Heart houses Mind and Kidney stores essence:
Essence and heart relationship
Heart KD in menstruation?
Blood and Essence.
Essence stores in kidney, tian gui stores kidney
promote maintain growth and reproductive function
Disharmony between Heart and Kd in clinic?
Clinically: “Water Disturbing Fire”; Water not controlling Fire
> empty heat in heart
edema
Spleen and Lungs in Qi?
Lung governs Qi and respiration and Spleen is the source of Qi:
SP and LU in distribution of Body fluids?
Distribution of Body Fluids:
Clinically: SP Qi def. > LU Qi def. (Mother-child both deficient)
When LU Qi is low, you also have to tonify the Spleen.
SP fails to transport > dampness and phlegm:
affects LU to descending and dispersing:
results in cough and asthma
Relationship between SP and LU?
SP is the mother of Lungs (Earth generates Metal)
Lung and Liver relationship (5 elements)
Metal and Wood
Metal controls wood
Movement of qi in Lung and Wood relationship
Sometimes the WOOD is insulting the METAL.
(Lung qi descends on the left. Liver qi moves up on the right. Without both moving well they affect one another.)
for lung qi to move correctly you must promote the liver qi.
Lung Qi descends and Liver Qi ascends: regulate the Qi movements (left and right)
Clinically: Lung and Liver in chronic cough
Clinically:
LR fire insults LU >
cough, coughing blood;
LU fails to descend > cough with hypochondriac pain, redness in eyes
Lung and Kidney relationship?
Lung and Kidney: Metal and Water
Mother / Child
Lung sends qi down, Kidney steams qi and sends some back to lung
Lung Kidney in water metabolism?
Lung descends fluid (upper most organ)
Kidney steams and sends fluid back to lung to UB as waste.
LU KD in respiration
Lung qi descends, kidney grabs it. Kidney is root of respiration.
edema / asthma / chronic bronchitis
lung qi and kd qi (deficiency, nourish both)
LIVER and SPLEEN relationship
(most diagnosed pattern!)
Liver controls spleen / wood controls earth
LV and SP in blood
Liver stores blood, spleen generates it
LV and SP in qi movement
Liver maintains the free flow of Qi and influences the transportation of transformation of Spleen:
LV and SP in blood circulation
Liver stores Blood and maintains the free flow of Qi and influences the Blood circulation. Spleen holds the blood in the Vessels.
Both organs help the heart to move the blood.
If they aren’t working they can cause blood stasis/stagnation.
Clinically: Liver Spleen in pathology
- Liver def. seen first then affects Spleen
- Dampness
- REWATCH THIS SECTION 12:23pm lots of into here
Kidney and Liver relationship
Water and Wood, Mother / Child
Kidney and Liver blood and essence
Liver stores Blood and Kidney stores Essence:
mutual exchange – common origin
KD / LV in reproduction
Liver Qi helps Kidney to seal/store the essence: regulates the menstruation or ejaculation
SP/ KD
Earth controls water
Build up a dam by earth to stop water flow
SP/ KD energy
Congenital Base and Acquired Base of Life: mutual supportive and promoting
clinical fatigue / no energy SP/KD
tonify Spleen and tonify kidney
SP/KD are source of energy
Clinically: Kidney Yang fails to warm the Spleen Yang >
Clinically: Kidney Yang fails to warm the Spleen Yang > dawn diarrhea
Treat root course in kidney. (esp. in elderly, chronic digestive issues has root in kd yang, not just spleen yang.)
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Interrelationships among fu organs
They are coordinated in the receiving, digesting, absorbing and excreting of Food and water
How does a disorder in one fu organ affect the others?
Clinically, disorders in one organ can transmit to another
Do fu organs ascend or descend?
They descend and eliminate waste.
The Biao-Li/exterior-interior interrelationships:
What pathogen can affect both HT and SI?
Heart and Small Intestine: Heat or fire can mutually affect each other
The Biao-Li/exterior-interior interrelationships:
LU and LI
Lung and Large Intestine: Bowel Movements
(constipation, chronic resp. issues may show as Bowel Movement symptom.) Promote LI to help the Lung.
The Biao-Li/exterior-interior interrelationships:
ST and SP
yin and yang, center axis of all organs, closely related and work together to control ascending and descending; dryness and dampness
The Biao-Li/exterior-interior interrelationships:
LV GB
Liver Qi and bile; planning and decisiveness
The Biao-Li/exterior-interior interrelationships:
KD / UB
urination function
Kidney Qi and Bladder’s storage and excretion of urine
What does Jīng-Luò mean?
“Meridian system”
“Meridian and Collateral System”
Jīng: meridian/channel;
Main part, Trunk, Big and Deep;
Luò: collateral;
Connecting part, Branch, Small and Superficial.
Where was Jing Luo first recorded?
first recorded on a silk book unearthed from a tomb of Han Dynasty (more than 2000 years ago) and systemized in details in ‘Yellow Emperor’s Inner Classic’.
What is the basic function of Jing Luo?
The Jing Luo Pathways circulate Qi and Blood, forming a network and linking all the tissues and organs into an organic whole.
How does the Jing Luo connect the Zang Fu?
They connect Zang-Fu organs interiorly and extend over the body exteriorly.
How many regular meridians are there?
12 Regular Meridians: pertain to 6 Zang (Yin) and 6 Fu (Yang) organs
What are the Extra Meridians and how many are there?
8 Extra Meridians:
Du – Governor / Ren –Conception / Directing Chong Dai – Penetrating Yin Qiao & Yang Qiao – Girdle, Heel/Stepping, and Yin Wei & Yang Wei – Linking/Network.
How many Divergent Meridians?
12 Divergent Meridians:
How many Muscle and Cutaneous regions?
12 Muscle Regions:
12 Cutaneous Regions:
How many collaterals?
15 Collaterals and other small floating collaterals:
Are the 12 regular meridians symmetrical (points repeat on both sides of body?)
Yes
Are the 8 extra meridians symmetrical?
No
12 regular meridians
Three Yin: Zang organs
Taiyin – Greater Yin; LU & SP
Jueyin – Extreme/Terminal Yin; PC & LR
Shaoyin – Lesser Yin; HT & KI
Three Yang: Fu organs
Taiyang – Greater Yang; SI & BL
Yangming – Bright Yang; LI & ST
Shaoyang – Lesser Yang; SJ & GB
What are the divergent meridians?
They connect the body to the 12 regular meridians
CHECK
What are the small floating collaterals?
The small superficial blood vessels we can see
What are the abbreviations for the meridian system?
Abbreviations:
LU, LI, ST, SP, HT, SI, BL (or UB), KI, PC, SJ (or TB/TE/TW), GB, LR, DU (or GV), RN (or CV)
What are the functions of the Meridian system? (3)
> Transporting Qi and Blood and Balancing Yin and Yang
Resisting Pathogens and Reflecting Symptoms & Signs
Transmitting needling sensation and regulating Deficiency and Excess Conditions:
Uses points of body surface to access body interior. We can use magnets, moxa, mechanical pressure / acu pressure, needles. Stimulation can influence the interior function.
12 regular meridians
Three Yin: Zang organs
Taiyin – Greater Yin; LU & SP
Jueyin – Extreme/Terminal Yin; PC & LR
Shaoyin – Lesser Yin; HT & KI
Three Yang: Fu organs
Taiyang – Greater Yang; SI & BL
Yangming – Bright Yang; LI & ST
Shaoyang – Lesser Yang; SJ & GB
What are the three yin meridians?
Taiyin – Greater Yin; LU & SP
Jueyin – Extreme/Terminal Yin; PC & LR
Shaoyin – Lesser Yin; HT & KI
What are the three yang organs?
Taiyang – Greater Yang; SI & BL
Yangming – Bright Yang; LI & ST
Shaoyang – Lesser Yang; SJ & GB
Are the 12 regular meridians symmetrical (points repeat on both sides of body?)
Yes
Are the 8 extra meridians symmetrical?
No
Which meridians of the 8 extra meridians have acupuncture points?
Du and Ren (run on the center line front of body and back of body)
What are the divergent meridians?
They connect the body to the 12 regular meridians
CHECK
What are the small floating collaterals?
The small superficial blood vessels we can see
What are the 6 meridians of the hand?
WATCH THIS PART AGAIN: 1:46
Six Regular Meridians in Hand:
Yin meridians in Hand: medial aspect (arm)
Lung (LU): Hand-Taiyin
Pericardium (PC): Hand-Jueyin
Heart (HT): Hand-Shaoyin
Yang Meridians in Hand: lateral aspect (arm)
Small Intestine (SI): Hand-Taiyang
Large Intestine (LI): Hand-Yangming
San Jiao/Triple Burner (SJ/TB): Hand-Shaoyang
