Lecture 11
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| 5 types of vital substances | 5 types.Qi,blood,body fluids,essence(jing),mind(shen)
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| overview vital substances | basic elements of all physiological activity.balance quality,and flow determin life and health.all are manifestations of Qi in varying degress of materiality.Shen.Qi,Essence and Shen
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| Shen | mind, spirit.essence and Qi are material foundation
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| Qi,Essence and Shen | three fundamental physical and psychic substances of the human being.Three treasures in Taoism
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| Three treasures in Taoism | Qi,Essence and Shen
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| Essence | Jing.substance of refinement and distillation.anything essential to the maintenance of life
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| Essence in TCM used in three different concepts | Pre-Heaven Essence,Post-Heaven Essence,Kidney Essence
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| Pre-Heaven Essence | presented in fetus,constitutional makeup,inherited from both parents,growth of embyo and fetus and after birth.used throughout life, can be depleted or preserved
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| Pre-Heaven Essence can be preserved by | living in balance and positively influenced through breathing exercises such as Tai Ji Quan adn Qi Gong-slow down process of depletion.
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| Pre-Heaven Essence can be depleted by | life style excesses,overwork,not enough rest.can deplete very fast, what you are born with is you have
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| Post-Heaven Essence | refined and extracted from food and fluid by the Stomach and Spleen after birth.nourishment.Spleen and Stomach root.general term to indicate the essence produced by the Stomach and Spleen.easier to replenish.
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| Kidney Essence | vital substance stored in kidney.dervied from both pre and post heaven essence, stored in kidney.produces marrow(bone marrow,spinal cord,and brain, protects against exterior pathogenic factors.need good constitution=immune system
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| Root of post=heaven essence | Spleen and Stomach
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| Qi | energy,material/life force,vital/moving power,matter,matter-energy.hard to translate,lies on its fluid nature=different manifest,different things in different situations,differnt types of Qi affect mind and body, but ultimately one Qi manifest forms
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| two aspects of Qi relevant to medicine | Qi is an energy which manifests simultaneously on the physical and spiritual level.Qi is in a contant state of flux and in varying states of aggregation.
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| Qi in constant state of flux and varying states of aggregation | Qi condenses, energy transforms and accumulates into physical shape
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| difference between essence and Qi | essence/yinlike- from parents,fluid like,resides mostly in kidney,replenishes with great difficulty,changes slowly and gradually.Qi/yanglike-formed after birth,energy like,is everywhere,easily replenished,moves and changes moment to moment.
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| different Qi | GuQi,DaQi,Ancestral Qi,Yuan Qi,True Qi,Organ Qi,Channel Qi,Zhong Qi,Xie Qi
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| Gu Qi | grain qi,from food and fluids consumed,spleen
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| Da Qi | cosmic Qi,air we breathe,Lung
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| Ancestral Qi | gathering Qi,Zong Qi,Qi of the Chest,Pecoral Qi=DaQi and GuQi mixed together.Ancestor to all other Qi that follows.
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| Functions of the ancestral Qi | controls speech and throat,strength of voicegood singer good Zong Qi.assist the Lung and Heart to push the Qi and Blood,resides in Chest,Sea of Qi.Nourishes Heart and Lung,promotes Lung function of governing Qi and Heart function of circulation of blood
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| Yuan Qi | catalyst that helps to transform Ancestral Qi to True Qi.kinetic aspect of Prenatal Qi and is known to circulate in the channels and enters into transforming processes.
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| True Qi | Zhen Qi,fills and nourishes the body,two forms=Ying Qi and Wei Qi
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| Ying Qi | form of True Qi,construction Qi,Nutritive Qi,Nourishing Qi,forms blood and flows with it through the vessels and channels and connects and nourishes bowels,viscera and limbs and internal organs,whole body
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| Wei Qi | form of True Qi,defensive Qi,protects blood,organs and tissues.flows in outer layers of body,circulates under skin.protect from exterior pathogenic effects,warms,regulates body temperature(sweating), open and closing pores.under control of Lungs
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| Organ Qi | Zhangfu Zhi Qi,the Qi that is present in the Zang(Yin) and Fu (Yang)organs.nourishes and helps their healthy function.
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| Channel Qi | Jingluo Qi,flows in channels and vessels
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| Zhong Qi | Central Qi,Qi of the Middle Burner or Qi of the Spleen-Stomach,transforms food and drink
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| Xie Qi | Evil Qi,Pathogenic Qi,any external illness causing factor.
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| functions of Qi | movement,protects,transformation,holds body substances and organs,warms body
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| Four pathologies/disharmonies of Qi | Deficiency,Collapse,Stagnation,Rebellious
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| Deficiency | disharmony of Qi,caused by illness,old age and weak constitution.each organ system will have its own signs and symptoms
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| Collapse | disharmony of Qi,more advanced stage of deficiency,does not have heat
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| Stagnation | causes symptoms like pain,feeling of oppression,distension
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| Rebellious | flows opposite its normal direction
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| Movement of Qi | Lungs direct Qi downward.Liver smooth flow of Qi in all directions.Kidney transformation of fluid,impure downward,pure upward.Stomach descending.Spleen ascending.Heart Fire descends to way Kidney.Kidney water-ascends to nourish Heart yin.
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| lungs direct Qi downward | Asthma/coughing.
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| kidney transformation of fluid | pure upward=nourishes heart,impure downward=urinate
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| Stomach descending | vomit,reflux,regurgitate,hiccup
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| spleen ascending | diarrhea,bruises,
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| heart fire descends to cool kidney | purify water.
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| kidney water ascends to nourish heart yin | cool heart
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| Functions of Blood | nourishes,moistens,houses and roots the Shen
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| Blood nourishes | complements the nourishing action of Qi
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| Blood moistens | ensure the body tissue are not dried out
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| Houses and roots the Shen | provides the material foundation for the mind
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| Three pathologies of Blood | deficiency,stasis,heat
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| Deficiency of Blood | not enough,loss of blood,not enough produced or impairment of nourishing qualities of blood.Signs=dizziness,palpitations,pale colorless complexion,lips and tongue.fine weak pulse,insomnia
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| Stasis of Blood | blood stagnation,blood fails to move properly.trauma to area,cold or could be deficiency of blood.Signs=purple tongue or purple marks,thing and rough pulse,masses in the local area and pain
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| Heat pathology of Blood | toxic heat entering the blood level.Sign=reckless movement of blood,bleeding,rapid pulse,red tongue,may result in delirium or coma. not rebellion or collapse
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| Blood and Qi relationship | Qi generates Blood,Qi is the commander of blood=moves blood.Qi moves blood.Qi contains blood within vessels.Blood nourishes Qi=blood is the mother of Qi.
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| Body fluids function | Jin-Ye,moistens,lubricates,nourishes. sweat,urine,digestive fluids,tears,saliva
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| Body fluid moistens | keeps organs, muscles and skin moist
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| body fluid lubricates | joints,viscera
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| body fluid nourishes | brain marrow,bones
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| two pathologies of body fluid | deficiency,accumulation
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| Deficiency of Body fluid | due to excess heat,excess sweating,profuse urination,vomiting,diarrhea
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| Accumulation body fluid | edema,phlegm,visible=excess weight or invisible=clouded mind, not yourself
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| Shen | Mind,spirit.mind most immaterial and subtle form of Qi,essence and Qi healthy=mind healthy and happy.gives indication of emotion and mental life.state of mind observed through the eyes.
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| function of Shen | think and discriminate,shoe the force of human personality.
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| Disharmonies of Shen | lack luster in eyes,muddled thinking,forgetfulness,insomnia
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