TRADITIONAL CHINESE MEDICINE
Discussion on Cold-Induced Disorders []
Shng
Hn
Ln
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 (wi gn bng [])
Written by the Eastern Han physician Zhng J [], Zhng Jng [], 150-219 AD, as a means to explain the origins of illness
Theory of text rooted in the philosophy of the Hung D Ni Jng [], Nn Jng [], and Shn Nng Bn Co Jng []
Most, if not all, of this ancient text has been lost, especially its original form as the Shng Hn Z Bng Ln []
The Six Stages Li Jng []
Yin Stages
GREAT YIN
ti yn
Yang Stages
Hand
Lung
(3-5AM)
Foot
Spleen
(9-11 AM)
Hand
Heart
(11-1PM)
Foot
Kidney
(5-7PM)
Hand
Pericardium
(7-9PM)
Foot
Liver
(1-3AM)
Large Intestine
(5-7AM)
Hand
YANG BRIGHTNESS
Stomach
(7-9AM)
Foot
yng mng
Small Intestine
(1-3PM)
Hand
GREAT YANG
Urinary Bladder
(3-5PM)
Foot
ti yng
Triple Burner
(9-11PM)
Hand
LESSER YANG
Gall Bladder
(11-1AM)
Foot
sho yng
LESSER YIN
sho yn
EXTREME YIN
ju yn
Nn Jng [] - Difficult Issue Number Seven
Summer 2003
Chinese
Pin Yin
Pulses
Solar Phases
ti yng
yng mng
sho yng
ti yn
sho yn
ju yn
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
DCM 5/31/03
TRADITIONAL CHINESE MEDICINE
Ni Jng S Wn [] Analysis of the Six Stages
Chinese
Pin Yin
ti
yng
yng
mng
Defender;
traverses the
front of the
trunk and limbs
sho
yng
Bridge
between
interior and
exterior, where
the qi makes
its way into the
deeper layers
of the body
ti
yn
Mother; the
great nurturer;
outermost yin
channel
Ch. 79
Images
Father;
primordial,
dynamic
beginning;
spreads along
back, trunk,
and limbs
sho
yn
ju
yn
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
yn
(1st month)
w
(5th month)
Fire
x
(9th month)
Dampness
z
(11th month)
Heat
shn
(7th month)
Wind
chn
(3rd month)
Ni Jng Lng Sh [] Analysis of the Six Stages
Ch. 5
Pathologies
ti
yng
Gates
Superficial
invasion
yng
mng
Inner door
Weakness,
due to excess
Pivot
Weak bones
and joints, loss
of balance
Gates
Qi deficiency
Pivot
Heart/kidney
disharmony
Inner door
Mental
imbalance
Pin Yin
Summer 2003
Ch. 5
Images
Chinese
sho
yng
ti
yn
sho
yn
ju
yn
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
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
Swollen abdomen, shortness
of breath, vomiting
Much blood, little qi
Needs to let out
blood and protect qi
Yang Ming
Much qi, little blood
Needle to let out qi
and protect blood
Tai Yang
Much blood, little qi
Needle to let out
blood and protect qi
Shao Yang
Black face; rotten teeth,
swollen abdomen, stagnation
Chest pain and heat, dry
throat, frequent urination, stiff
tongue, contracted genitals
DCM 5/31/03
TRADITIONAL CHINESE MEDICINE
Shng Hn Ln [] Overview
Disease
ti yng
bng
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
Gu Zh Tng []
Cinnamon Twig Decoction
and Feng Chi / Feng Fu
Exterior Cold Invasion
Exterior Wind-Heat
Invasion
Exterior Wind Invasion
yng
mng
bng
sho
yng
bng
ti yn
bng
sho yn
bng
ju yn
bng
Summer 2003
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
Abdominal
fullness and
pain, vomiting,
no desire to eat,
diarrhea
Evil Qi
disrupting the
integration of
water and fire,
depleting both
Fine/minute
pulse, desire
only to sleep
Evil Qi
invading the
extreme
interior
Voracious thirst,
chest pain,
palpitations,
hunger with no
desire to eat,
nausea/vomiting
of roundworms
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
M Hung Tng []
Ephedra Decoction
Zh Z Ch Tng []
Gardenia and Fermented Soybean Decoction
Bi H Tng []
White Tiger Decoction
Tio Wi Chng Q Tng []
Regulate the Stomach and Order the Qi
Decoction
D Chng Q Tng []
Major Order the Qi Decoction
Exterior Cold Invasion
Wiry/fine pulse, headache,
fever
Exterior Wind
Invasion
Floating pulse
Gu Zh Tng []
Cinnamon Twig Decoction
Interior Cold
Spontaneous diarrhea, no
thirst, moderate/weak
pulse
Formulas that Warm the Interior and Dispel
Cold
Deficiency Heat
Heat Above/Cold
Below
Extreme Heat
Extreme Cold
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
Xio Chng Q Tng []
Minor Order the Qi Decoction
Loss of hearing in either
ear, red eyes, chest/rib
pain, irritability
Deficiency Cold
Constrained heat;
heart/spleen/kidney
yang deficiency;
yin/yang deficiency;
water accumulation
Zh Z Ch Tng []
Gardenia and Fermented Soybean Decoction
Exterior Wind Invasion
Deep/slow pulse, cold
limbs, diarrhea, nausea
and vomiting, aversion to
cold
Irritability; palpitations,
insomnia
Variations
Xio Chi H Tng []
Minor Bupleurum Decoction
S N Tng []
Frigid Extremities Decoction
or moxibustion
Concurrent interior
excess, dampness,
or mania;
unresolved exterior
pattern
Concurrent exterior
pattern; abdominal
pain
Concurrent exterior
pattern; sore throat
Hung Lin Jio Tng []
Coptis and Ass-Hide Glue Decoction
W Mi Wn []
Mume Pill
Bi H Tng []
White Tiger Decoction
Phlegm obstruction;
stomach deficiency;
diarrhea; hiccups
Dng Gu S N Tng []
Angelica Decoction for Frigid Extremities
DCM 5/31/03
