Study Guide FCM 1 Part B

8/4/2019 Study Guide FCM 1 Part B

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Spleen (Pi)

Facts

Primary organ involved in digestion and transportation of food essences.

"Grainary" of the body

SP loathes "dampness"

"SP likes dryness" and "ST likes wetness"

Six Functions

Governs TnT

Food into Gu Qi

Without this transformation, no physiological process will be possible.

SP play role in every organ getting Qi and XueIf SP qi is weak => poor appetite, loose stools, gas/bloating

Fluids

If SP is not TnT fluids => dampness and/or phlegm

The SP should always be treated in cases with dampness and/or phlegm

Controls (formation and holding ) of Xue

Keeping Xue in Xue vessels

If SP qi xu => hemorrhaging => blood in urine/stools, bruising easily, nose bleeds

Generates Xue

Via Gu Qi ; if Xue is Xu => SP is primary organ to be tonified

SP has major role in production of Qi and Xue

"SP and ST are the roots of post heaven Qi"

Controls the muscles and four limbsQi and Xue nourish the muscles

Weak and heavy limbs => SP Qi Xu

Muscle tone and relative strength => shows the strength of the SP Qi

Opens to mouth and manifests in the lips

Taste is closely related to SP

Issues => lack of taste; lack of appetite, dry lips (pale), pale gums => SP qi xu

Raises the central Qi

Provides the primary ascending force in the body

If SP xu => prolapsed =>uterus, hemorrhoids, ST, UB

Clear qi may not be transported, turbid qi may not be transported down

Gu Qi not be sent up to the chest

Clear yang not sent to head => lack of clear thinking

Wastes may not excreted

Dampness and ensue

Houses the Yi (thinking ability / thought)

Relates to the capacity for thinking and concentration.

Focusing, memorizing, studying

Excessive studying => SP Qi Xu

Over thinking/worry SP Qi Xu

Ming Men (Gate of vitality) [no questions on final]

Provide of heat to the bodyMing Men (for now) is KI Yang

Metaphor => "pilot light"

Originally

Right KI => Ming Men => provided heat

Left KI => physical foundations of KI

Now

Ming Men => space between the kidneys

Heats up the jing => Jing separates yin and yang


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Kidneys (Shen)

Facts

Kidney Yin is the foundation (root) of all the yin energies of the body

KI Yang is the foundation (root) of all the yang energies of the body

"KI are the root of yin and Yang for the entire body

Aversion (loathes) to Cold (B. Damone) [Statements of Fact: Aversion to Dryness]

Eight Functions

Stores Jing and governs birth, growth, reproduction, and development

KI store both pre and post natal jing

Stages of development (7/8)

KI jing is the material bases of KI Yin and KI Yang

Produces Marrow, brain and controls bones

Marrow (enclosed in bones) => Bone marrow, brain, and spinal cord

Brain is closely related to health of the Kid Jing

Mental strength, will power (zhi)

Poor concentration, dizziness, muddled thinking

Bones and teeth =>

"Teeth are the overflow of the bones"

Governs water

KI have large role in fluid metabolism

SP's TnT ability (function) => relates to fluid metabolism

SP gets the heat from KI Yang

KI are responsible for opening and closing "the gate"

Proper urination

KI Yang XuExcessive urination

KI Yin Xu

Scanty urination

UB => stores and transforms and excrete fluids

UB gets the qi to do this from KI

Controls the reception of Qi

KI must "grasp" the Qi that lungs are trying to descends (inhalation)

If KI can not do this

Difficulty on inhalation

Breathing high up in chest

Opens to the ears

Health of ears => related to health of KI

Other organs are involves with hearing issue alsoManifests on the head hair

Quality and coloring of the hair

Controls the two lower orifices

Urethra & spermatic duct

Urethra => incontinence, enuresis (urinary retention)

Spermatic duct => Spermatorrhea (KI Xu)

Anus

Physically => LI

Also related to KI => KI qi controls the orifice of anus

KI xu => Diarrhea

Houses Zhi (will)

Will power, motivation, focus and determination

PathologyKI Xu

Growth issues, bone deformation, impotence, hair loss, hearing loss (over time), tinnitus (low pitch, high

pitch => LV excess)

Dull, brittle, thin head-hair, back pain

Spermatorrhea, incontinence, enuresis (urinary retention)

KI Jing

Poor concentration, dizziness, muddled thinking

KI Yang Xu

Excessive urination

Diarrhea (cock's craw diarrhea - happens at 5/6am)

KI Yin Xu

Scanty urination

Fails in reception of Qi (from LU)

Difficulty on inhalation

Breathing high up in chest


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Gall Bladder (Dan)

Facts

Only yang organ that does not transport food or waste

Does not communicate directly with the exterior of the

body

"curious" yang organ

Stores refined substance

Three Functions

Stores and excretes (releases) bile

LV sends bile to GB => stored and released as

necessary

Bile - Pure substance

GB - only yang organs that stores a

pure substance

Bile excretion/release happens @ GB

Bile excretion is controlled by the LV qi

LV is sent to GB to ensure proper release of bile

LV qi stasis => can result in improper bile

excretion

Which in turn affect ST and SP

Controls judgment (Governs decisions)Courage to act on decisions

(Capacity to make and act on decisions)

Controls Sinews

GB provides => Qi

LV provide => Xue

Stomach (Wei)

Facts

"ST and SP are the root of post heaven Qi."

Four Functions

Controls the rotting and ripening(R&R) of the food

R&R transforms the food into a substance that the SP

can extract food qi (Gu Qi) from

After transformation - SP extracts Gu Qi

Waste sent to SI => further separation and

absorption

"If Qi of ST is strong (weak), the prognosis is good

(bad)"Controls the transportation of food essence.

ST is responsible for generating tongue quoting

White Tongue Quote => Normal or cold;

Yellow => Heat

No Quote => weak ST Qi, not able to

generate tongue quote

Controls the descending of Qi

ST sends food to SI

If ST cannot descend Qi => stagnation and rebellious

Nausea, vomiting, HT burn, distention

LV Qi helps ST Qi descend

LV Qi Stasis (LV attacking ST) - can obstruct

the ST Qi, coughing, ST Rebellious withemotional aspect

"ST origin of the fluids"

First place where fluids are separated

"ST likes wetness & dislikes dryness"

ST Yin Xu (dryness for now) leads to yin Xu of other

organs

Mental aspects

ST prone to heat and damp condition

ST can be associated with manic behavior (mania)

Heat and damp can affect the shen

Uncontrolled talking, laughing, singing,

violent behavior

"taking off one's cloth and climbing tohigh places"

ST (Wei) SP (Pi)

Yang Yin

Decends Ascends

Likes wetness Like dryness

Dislikes dryness Dislike dampness

Prone to excess cond. Prone to Xu

Prone to heat cond. Prone to cold cond.

Prone to yin Xu Prone to Yang Xu

SI (Xiaochang)

Two Functions

Controls receiving and transforming

Receives fluids and food from ST and does further

(meticulous) separation of clear from turbid

Clean part of the food (not fluids/jin-ye) is sent back

to SP to be processed with Gu Qi

Dirty of the food => LI and UB => excreted as stools

and urine

Separates FluidsFluids from ST => SI

Pure => UB => P => sweats; IP=> Urine

Impure=> LI

KI Yang provides heat for separation of f luid

Mental aspects

"Capacity to make decisions" - GM

Power of discernment, ability to distinguish relevant

issues with clarity before we make decisions

Related to ability to discern right and

wrong and to have "clear judgment"

Can not see options - dysfunction

LI (Dachang)

Facts

Receives food and fluids from SI

Reabsorb some of the fluids, and excretes stools

Many chronic LI issues in western medicines are SP issues inTCM (IBS, diarrhea, abdominal pain, chronic gas bloating,

constipation, etc)

UB (Pangguang)

Facts

Stores and releases urine

Also plays a role in transformation of waste into urine

Pathogen can transfer between HT and SI and also

between SI and UB

HT fire => SI => UB (pathomecch. of chronic UTI)

One Function

Removes water by Qi transformation

Pure/Clear (fluid) of SI => UB Pure => sweat ;

mpure => Urine

Heat and Qi come from KI Yang

Mental / emotional:jealousy, suspicion, and the holding of

grudges.


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San Jiao (Three Burners/Warmers)

Philosophical organ. Three ways to view the San Jiao:

Three Jiao

Upper (Shang) Jiao - Diaphragm and up (HT, LU, PC and Head

"Like a mist"

Controls receiving

Function: Dispersing fluid all over the body via LU

Middle (Zhong) Jiao - Diaphragm to umbilicus (ST, SP, GB, LV)

"Like a muddy pool" (Fluid physiology)

"bubbling cauldron" (Digestive functions)

Controls "Rotting & Ripening"

Function: Digestion and TransportationIntake of food and fluids, extracting useful and transporting to all parts of body

Lower (Xia) Jiao - Below umbilicus ( [LV?], KI, Intestines, UB, legs)

"Drainage ditch"

Controls excreting

Function: Separating clean/pure and dirty/turbid and excretion of dirty/turbid

One of the 6 yang organs

Receives food and drinks, digests and transforms it, transporting nourishment excrete wastes, etc.

Yang organ: allow sub-pure substances to pass through the body, and they control the flow.

SJ controls the movement of various forms of Qi as the are being produced & transported in the body.

Giovanni M: "to let out"

SJ's job to "let out" proper substances in a smooth fashion otherwise blockages will occur

"Minister of irrigation"Upper Jiao - Let's out wei qi; direct it to LU - where the LU will distributer it.

Pathology: impairment of LU dispersing function, e.g. facial edema, wei qi xu pattern

Middle Jiao - Let out ying qi; directs it to all organs

Pathology: impairment of SP's TnT fxn., e.g., abdominal distention, gas, bloating

Lower Jiao - Let out body fluids - directs them to UB

Pathology: impairment of UB's Qi transformation function, e.g. urinary retention

As an avenue for Yuan Qi

Yuan Qi stored I KI - "Motive force" - provides heat for TnT to happen

SJ is the vehicle that carries the Yuan Qi to the organs

Pathology: SJ stagnation could prevent from organs receiving Yuan Qi, i.e., upper Jiao stagnation means

yuan qi will not reach to the organs in upper Jiao


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Extraordinary Fu (yang organs)Uterus

Has a relationship with KI

KI => relates to conception, pregnancy and reproduction

Ren and Chong mai bring Qi and Xue to uterus

Ren and Chong mai are closely related to KI

"if the KI are strong, Ren and Chong will flourish"

If not => not enough qi and xue to uterus => lead to various dysfunctions

One must have abundant KI Jing in order to have regular menstrual flow, conceive, and carry a

child to term

Has a relationship with XueNeeds an ample supply of Xue at all times

SP holds the Xue ; if SP can not hold Xue => heavy menses

SP generate Xue (Gu Qi); if not => scanty flow

HT governs Xue; HT Fire => internal heat => heavy excessive flow

Has an ever closer relationship with Liver xue

LV Qi stasis => dull achy pain, irregular cycle

LV Xue stasis => sharp stabbing pain

LV Xue xu => scanty, amenorrhea

In General KI are more related to reproduction where as the LV is more related to menses

Connection between Uterus and ST

Via Chong mai

Morning sickness

Brain ("sea of marrow")

Curious: because it "stores but does not discharge."

Some sources say mind, consciousness and thought are related to heart and some relate to Brain - both are correct.

In reality - treating zangfu organs, treats the brain as well.

LV governs smooth flow of qi

KI tonic good for brain functions

Marrow

Closely related to brain, spinal cord, bone marrow.

Originates from KI.

Bones

Store marrow.

Also related KI.

If KI Xu => bones will be weak.

Xue vessels

Contain Xue

Gall Bladder

Stores pure substance

Does not communicate with exterior

No clinical significance of GB being a curious organ.


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Study Guide FCM 1 Part B