CLASSICAL CHINESE MEDICINE
Discussion on Cold-Induced Disorders [傷寒論] Shāng Hán Lùn
• • • •
to injure; hurt; wound; pain; suffering; mental/emotional disorder cold; freezing debate; discuss; discourse; criticize; criticism; classic
Oldest surviving Chinese medical text devoted to externally-contracted diseases (wài gǎn bìng [外感病]) Written by the Eastern Han physician Zhāng Jī [張机], Zhòng Jǐng [仲景], 150-219 AD, as a means to explain the origins of illness Theory of text rooted in the philosophy of the Huáng Dì Nèi Jīng [黃帝内經], Nán Jīng [難經], and Shén Nóng Běn Cǎo Jīng [神農本草經] Most, if not all, of this ancient text has been lost, especially its original form as the Shāng Hán Zá Bìng Lùn [傷寒雜病論]
The Six Stages – Liù Jīng [六經]
Yin Stages GREAT YIN
Yang Stages Lung (3-5AM)
Hand
太陰 tài yīn
Large Intestine (5-7AM)
Hand
YANG BRIGHTNESS
³
Stomach (7-9AM)
Foot
陽明 yáng míng
´
Small Intestine (1-3PM)
Hand
GREAT YANG
³
Urinary Bladder (3-5PM)
Foot
太陽 tài yáng
´
Triple Burner (9-11PM)
Hand
LESSER YANG
³
Gall Bladder (11-1AM)
Foot
少陽 shǎo yáng
´
¶
Foot
Spleen (9-11 AM)
Hand
Heart (11-1PM)
¶
LESSER YIN
少陰 shǎo yīn
¶
Foot
Kidney (5-7PM)
Hand
Pericardium (7-9PM)
Foot
Liver (1-3AM)
¶
EXTREME YIN
厥陰 jué yīn
¶
Nán Jīng [難經] - Difficult Issue Number Seven Chinese
Pin Yin
Pulses
Solar Phases
太陽 陽明 少陽 太陰 少陰 厥陰
tài yáng yáng míng shǎo yáng tài yīn shǎo yīn jué yīn
Full, big, long
121st-180th day
Superficial, big, short
61st-120th day
Alternating big/small or short/long
Winter Solstice to the 60th day
Tight, big, long
181st – 240th day
Tight, thin/fine, minute
241st – 300th day
Deep, short, thick
301st-360th day
David C. Mainenti, L.Ac., C.A., Dipl. OM
© Eco-Med LLC 1999-2009
CLASSICAL CHINESE MEDICINE
Nèi Jīng Sù Wèn [内經素問] – Analysis of the Six Stages Chinese
太陽
陽明
少陽
太陰
少陰
厥陰
Pin Yin
tài yáng
Ch. 79 Images Father; primordial, dynamic beginning; spreads along back, trunk, and limbs
yáng míng
Defender; traverses the front of the trunk and limbs
shǎo yáng
Bridge between interior and exterior, where the qi makes its way into the deeper layers of the body
tài yīn
Mother; the great nurturer; outermost yin channel
shǎo yīn
jué yīn
Gatherer; moves qi into the deep reservoirs of the body Transition between yin and yang; maintains the delicate balance inside the body
Ch. 24 Contents
Ch. 6 Differentiation
Ch. 31 Exterior Disorders
Ch. 24 Needling
Ch. 16 Collapse
Ch. 68 Influences
More blood; less qi
On the surface; open and expansive; the outside
Day One: headache; stiff neck and pain in lumbar region of the back and spine
Can bleed to disperse evil energy, but protect the qi from escaping
Rigidity and stiffness of the back; spasms; paleness; spontaneous sweating
Cold
More qi; abundance of blood
Internal; stores and holds the outside together
Day Two: hot sensations in the body; eye and cheek pain; dry nose; inability to lie down; fever
Can bleed or sedate the qi to disperse evil energy
Facial paralysis; delirium; yellow face; swelling, numbness, stiffness; muscular spasms; immobility
Dryness
Less blood; more qi
Hinge/switch that connects the exterior with the interior
Day Three: rib/flank pain; eye pain; headache; pain along the gall bladder channel; earache; deafness; tinnitus
Can disperse evil qi, but protect the blood
Deafness; joints and bones will become loose and disjointed; eyes will malfunction
Most superficial of the yin channels
Day Four: abdominal fullness, swelling, and distension; dry throat
Can disperse evil qi, but protect the blood
Hinge/switch that connects tai yin and jue yin
Day Five: dry mouth and tongue; thirst
Can disperse evil qi, but protect the blood
Deepest area of the yin; stores and holds the inside together
Day Six: irritability; agitation; genital contraction; qi stagnation
Can bleed to disperse evil energy, but protect the qi from escaping
More qi; less blood
More qi; less blood
More blood; less qi
Abdominal distension; fullness; stagnation; difficulty breathing; sighing; burping; vomiting Face turns black; gums recede; teeth rot; abdomen distends and stagnates Feverish in chest; dry throat; frequent urination; restlessness; irritability; stiff tongue; genital contraction
Ch. 49 Time/Space
寅 yín (1st month)
午 wǔ (5th month)
/ 戌 Fire
xū (9th month)
子 Dampness
zǐ (11th month)
申 Heat
shēn (7th month)
辰 Wind
chén (3rd month)
.
Nèi Jīng Líng Shū [内經靈樞] – Analysis of the Six Stages Ch. 5 Images
Ch. 5 Pathologies
tài yáng
Gates
Superficial invasion
yáng míng
Inner door
Weakness, due to excess
Pivot
Weak bones and joints, loss of balance
Gates
Chinese
Pin Yin
太陽 陽明 少陽 太陰 少陰 厥陰
shǎo yáng tài yīn shǎo yīn jué yīn
Ch. 65 Axioms
Ch. 78 Needling
Ch. 78 Paired Stage
Eyebrows; much blood, little qi
Needle to let out blood and protect qi
Shao Yin
Facial hair: much blood and much qi
Needle to let out blood and evil qi
Tai Yin
Deafness, loose joints, eye weakness, green skin
Whiskers and sideburns: much qi, little blood
Needle to let out qi and protect blood
Jue Yin
Qi deficiency
Swollen abdomen, shortness of breath, vomiting
Much blood, little qi
Needs to let out blood and protect qi
Yang Ming
Pivot
Heart/kidney disharmony
Black face; rotten teeth, swollen abdomen, stagnation
Much qi, little blood
Needle to let out qi and protect blood
Tai Yang
Inner door
Mental imbalance
Chest pain and heat, dry throat, frequent urination, stiff tongue, contracted genitals
Much blood, little qi
Needle to let out blood and protect qi
Shao Yang
David C. Mainenti, L.Ac., C.A., Dipl. OM
Ch. 9 Terminal State Eyes roll up, spinal rigidity, spasms, convulsions, white skin Twitching of lips/eyelids, nervousness and fear, confused speech, yellow skin, fullness
© Eco-Med LLC 1999-2009
CLASSICAL CHINESE MEDICINE Shāng Hán Lùn [傷寒論] Disease and Formula Overview Disease
太陽病 tài yáng bìng
Etiology
Evil Qi invading the exterior layers of the body from the outer environment, disrupting the channels
General Symptoms
Floating pulse; stiff neck and shoulders; headache; aversion to cold
Major Diseases
Specific Symptoms
Major Herbal Prescription
Exterior Wind Invasion
Fever, sweating, aversion to wind, moderate pulse
Guì Zhī Tāng [桂枝湯] Cinnamon Twig Decoction and Feng Chi / Feng Fu
Exterior Cold Invasion
Exterior Wind-Heat Invasion
Exterior Wind Invasion
陽明病 yáng míng bìng
少陽病 shǎo yáng bìng
太陰病 tài yīn bìng
少陰病 shǎo yīn bìng
厥陰病 jué yīn bìng
Evil Qi progressing into the interior of the exterior layers of the body, invading the Stomach and turning to heat
Excess Heat Fever; spontaneous sweating, aversion to heat Excess Dryness
Evil Qi moving between the interior (Yang Ming) and exterior (Tai Yang)
Bitter taste in the mouth, dry throat, dizziness, vertigo, alternating chills and fever; no desire to eat or drink
Evil Qi disrupting a weakened interior, depleting the Spleen
Aversion to cold; generalized body pains; nausea; tight pulse Fever, thirst, no aversion to cold, floating pulse, spontaneous sweating, heaviness; tiredness, snoring, difficulty speaking Floating/tight pulse, dry throat, bitter taste in mouth, abdominal fullness, generalized heaviness Large/big/full pulse, thirst with desire to drink, irritability Mild constipation, irritability; dry yellow tongue moss Constipation, abdominal distension and fullness, tidal fever, delirious speech Extreme constipation, abdominal distension and fullness, hardness and pain, tidal fever, delirious speech
Má Huáng Tāng [麻黃湯] Ephedra Decoction Zhī Zǐ Chǐ Tāng [梔子豉湯] Gardenia and Fermented Soybean Decoction
Bái Hǔ Tāng [白虎湯] White Tiger Decoction Tiào Wèi Chéng Qì Tāng [調胃承氣湯] Regulate the Stomach and Order the Qi Decoction
Dà Chéng Qì Tāng [大承氣湯] Major Order the Qi Decoction
Exterior Cold Invasion
Wiry/fine pulse, headache, fever
Abdominal fullness and pain, vomiting, no desire to eat, diarrhea
Exterior Wind Invasion
Floating pulse
Guì Zhī Tāng [桂枝湯] Cinnamon Twig Decoction
Interior Cold
Spontaneous diarrhea, no thirst, moderate/weak pulse
Formulas that Warm the Interior and Dispel Cold
Evil Qi disrupting the integration of water and fire, depleting both
Fine/minute pulse, desire only to sleep
Deficiency Cold
Evil Qi invading the extreme interior
Voracious thirst, chest pain, palpitations, hunger with no desire to eat, nausea/vomiting of roundworms
Heat Above/Cold Below Extreme Heat Extreme Cold
David C. Mainenti, L.Ac., C.A., Dipl. OM
Weak pulse, cold skin, agitated mood but also quiet at times, vomiting of roundworms, diarrhea Yin/yang imbalance, fever, cold extremities, slippery pulse Yin/yang imbalance, cold fingers, diarrhea, fine pulse
Damp-heat; heat in the blood; deficiency-cold
Xiǎo Chéng Qì Tāng [小承氣湯] Minor Order the Qi Decoction
Loss of hearing in either ear, red eyes, chest/rib pain, irritability
Deficiency Heat
Constrained heat; heart/spleen/kidney yang deficiency; yin/yang deficiency; water accumulation
Zhī Zǐ Chǐ Tāng [梔子豉湯] Gardenia and Fermented Soybean Decoction
Exterior Wind Invasion
Deep/slow pulse, cold limbs, diarrhea, nausea and vomiting, aversion to cold Irritability; palpitations, insomnia
Variations
Xiǎo Chái Hú Tāng [小柴胡湯] Minor Bupleurum Decoction
Sì Nì Tāng [四逆湯] Frigid Extremities Decoction or moxibustion
Concurrent interior excess, dampness, or mania; unresolved exterior pattern
Concurrent exterior pattern; abdominal pain
Concurrent exterior pattern; sore throat
Huáng Lián Ē Jiāo Tāng [黃連阿膠湯] Coptis and Ass-Hide Glue Decoction Wū Méi Wán [烏梅丸] Mume Pill Bái Hǔ Tāng [白虎湯] White Tiger Decoction
Phlegm obstruction; stomach deficiency; diarrhea; hiccups
Dāng Guī Sì Nì Tāng [當歸四逆湯] Angelica Decoction for Frigid Extremities
© Eco-Med LLC 1999-2009
