了解传统的中国精气血津液 (7).pdf

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1、Philosophical Foundations of TCM13.The Five-Element Theory3.1 The Concept of Five-Element3.2 The Basic Contents in Five-Element Theory3.3 Application of Five-Element Theory in TCM2Explaining the Physiological Functions of the Five Zang-organs and Interrelationships among themExplaining the Pathology

2、 and Mutual Influence of Zang-fuOrgans Guidance for Diagnosis and Treatment 3.3 Application of Five-Element Theory in TCM33.3.1 Explaining the Physiological Functions of the Five Zang-organs and Interrelationships among them4FireEarthMetalWaterWoodClassification of the human body by Five Zang-organs

3、Five elementsThe human bodyFive zang-organsFive fu-organsFive sensory organsFive emotionsFive constitutionWoodLiverGallbladderEyeAngerTendonsFireHeartSmall intestineTongueJoy Vessels EarthSpleenStomachMouthContemplationMuscles MetalLungLarge intestineNoseGrief Skin Water KidneyUrinary bladderEarFear

4、 Bones Sanjiao3.3.1 Explaining the Physiological Functions of the Five Zang-organs and Interrelationships among them5Five elements Characteristics of five elements Five zang-organsFunctional characteristics of five zang-organsWood Growing,rising,extending and flourishingLiver Tends to dispersion and

5、 functions in soothing,dislikes being depressed FireHeat,flaming upHeart Warm the body,promote blood circulation Earth Transforming,receiving and bearingSpleen Governs transportation and transformation,origin of production qi and bloodMetal Killing,descending,astringing and cleaningLung Governs open

6、ing and descendingWater Cooing,moistening,moving downward and concealing Kidney Governs storing(storing essence,receiving qi)and in charge of waterFireEarthMetalWaterWoodPhysiological Functions of Five Zang-organsInterrelationships among Five Zang-organs6Interrelationships of generation Interrelatio

7、nships of restriction Wood generating fireLiver blood nourishing heartWood restricting earthLiver qi dispersing to prevent stagnation of spleenFire generating earthHeart yang warming spleenFire restricting metal Heart fire to inhibit over descending of lung qiEarth generating metalSpleen distributin

8、g essence to lungEarth restricting waterTransportation and transformation of spleen to prevent(kidney)waterretentionMetal generating water Lung descending to assist kidneyMetal restricting woodDescending of lung qi to prevent over-ascending of liver yangWater generating woodKidney storing essence to

9、 nourish liverWater restricting fire Kidney water ascending to control(heart)fireFireEarthMetalWaterWood3.3.1 Explaining the Physiological Functions of the Five Zang-organs and Interrelationships among them Transmission and Change based on Mutual Generation of Five Elements.Transmission may happen f

10、rom“mother”to“child”or from“child”to“mother”.7FireHeart EarthSpleen MetalLung WaterKidney WoodLiver 3.3.2 Explaining Pathology and Mutual Influence of Zang-fu Organs Transmission from“mother”to“child”Transmission from“child”to“mother”.8FireHeart EarthSpleen MetalLung WaterKidney WoodLiver 3.3.2 Expl

11、aining Pathology and Mutual Influence of Zang-fu Organs Transmission and Change based on Mutual Restriction of Five Elements.93.3.2 Explaining Pathology and Mutual Influence of Zang-fu Organs FireHeart EarthSpleen MetalLung WaterKidney WoodLiver Transmission and Change based on Mutual Restriction of

12、 Five Elements.Transmission may happen by over restriction or counter restriction.103.3.2 Explaining Pathology and Mutual Influence of Zang-fu Organs FireHeart EarthSpleen MetalLung WaterKidney WoodLiver Transmission due to over restrictionTransmission due to counter restriction.113.3.2 Explaining P

13、athology and Mutual Influence of Zang-fu Organs FireHeart EarthSpleen MetalLung WaterKidney WoodLiver123.3.3 Guidance for Diagnosis and TreatmentTherapeutic MethodsZang-fu CorrelationCommon SymptomsNourishing water to moisten woodNourishing kidney-yin to promote liver yin deficiencyDizziness,amnesia

14、 and tinnitus,dry throat and mouth,sorenessand weakness of waist and knees,vexing heat in chest,palmsandsoles,hecticcheekandnightsweat,insomniaanddreaminess,red tongue and little coating,thready rapid pulseStrengthening earth to generate metalStrengthening spleen qi to promote lung qideficiencyChron

15、ic cough,shortness of breath,excessive clear and whitephlegm,anorexia,abdominal distension,loose stool,paletongue white coating,thready and weak pulseReplenishing fire to nourish earthReplenishing kidney yangto promote spleen yangdeficiencyCold body and limbs,pale complexion,cold pain of waist andkn

16、ees,chronic diarrhea,dysuria,limbs edema,pale andenlarged tongue,white and slippery coating,deep threadyand weak pulseMutual generation between metal and waterNourishing lung yin to pomote kidney yin and vice versaCough with little phlegm,dry throat,hoarseness,emaciatedbody,soreness and weakness of

17、waist and knees,hectic cheekand night sweat,osteopyrexia and fever,red tongue and littlecoating,thready and rapid pulseFireEarthMetalWaterWoodTherapeutic Methods Based on Mutual Generation of Five Elements 13Therapeutic MethodsZang-fu CorrelationCommon SymptomsInhibiting wood to promote earthSoothin

18、g and pacifying liver andsupplementing spleenFullness and scurrying pain in chest and lateral thorax,depressed emotion or irritability,anorexia and abdominaldistension,loose stool,borborygmus and flatus.White andgreasy coating,wiry pulseStrengthening earth to control waterWarming spleen-yang or warm

19、ingkidney and tonifying spleen to treatwater and dampness retentionLassitude,fear of cold,loose and clear stool,heavy andtired body,general edema,dysuria,pale and enlargedtongue,white and slippery coating,slow,deep and weakpulsePurging south to nourish northThroughpurgingheartfireandnourishing kidne

20、y to treat kidneyyindeficiencyandheartfireexuberanceorheart-kidneyimbalanceVexation and insomnia,palpitation and amnesia,dizzinessand tinnitus,soreness of waist and spermatorrhea,vexingheat in chest,palms and soles,dry pharynx and mouth,red tongue,thread rapid pulseSupporting lung to suppress liverN

21、ourishinglungyin,descendinglung qi and clearing liver fire to treatliver fire invading lung with lung yindeficiencyBurningpainofchestandlateralthorax,irritability,dizziness and red eye,vexing heat and bitter taste,cough,sticky and yellow phlegm,hemoptysis,red tongue withthin yellowish coating,wiry a

22、nd rapid pulse3.3.3 Guidance for Diagnosis and TreatmentFireEarthMetalWaterWoodTherapeutic Methods Based on Restriction of Five ElementsConclusion The five-element refers to the movement andchanges of the five basic material elements,i.e.wood,fire,earth,metal,and water.Thebasiccontentsinfive-elementtheory:generation and restriction among five-elementwhich maintain a dynamic equilibrium in normalconditions;over-restrictionandcounter-restrictionaremainfactorstobreaktheequilibrium.14