Patterns Of Disharmony Best.doc

Liver Blood Deficiency What is Blood?     

Blood is the refined substance of our digestion, mixed with the qi from the Lung, and passed through the Heart. It isn’t blood until it’s passed through the heart and becomes conscious. At that moment it becomes red. Blood houses the Shen. Blood carries Shen all through body. It brings awareness, spirit. You can feel touch. Your being has consciousness. Blood is consciousness made physical. Blood is the spirit of “I am here.”

The Line The line = place where your blood & qi meets another person’s blood & qi. If you are blood deficient, you’re always backing off from the line. You’re too far back from The Line. Qi stagnation: pressing against The Line. Combo Blood deficiency and qi stagnation: The Line is pressing against you! Zang relationships to Blood Spleen: The character for blood as it relates to the Spleen indicates that the spleen is the nursemaid of the blood. The spleen carries the blood. It helps it come out from its infancy and carries it around in its arms, holding it in the vessels. Liver:

The character for blood as it relates to the Liver indicates that the liver is the governess of the blood. A governess is one who takes care of a child after it is big enough to walk. It brings it to its hockey lesson, transports it around. helps it move around and organizes its day on a much bigger level. This is the main official taking care of movement of blood.

Heart:

The Heart rules blood: it makes that initial beat of the heart that sends the impulse of movement to the blood. It houses the shen, which enlivens the blood.

Kidney: The Kidney provides the sheer liquid volume of blood. It carries the blueprint for blood, the jing of the blood. Lung:

The Lung oxygenates blood. It brings qi and air to match the blood. It brings new qi to new blood, and then the qi and blood move together.

Healthy quantity of Liver Blood manifests as:   

When one has enough liver blood there is a flexible resiliency on the inside You respond to injustice with benevolence and vision, rather than personal injury You note trespasses with a strength that does not need to oppose

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You are able to yield and return You can forgive a trespass When you have enough blood you don’t care if someone says or does something that’s not right. You are very flexible and forgiving The Prophet Jesus, peace be upon him, may have meant this with “turn the other cheek.” He is teaching us to cultivate so much self esteem/liver blood on the inside, that when a trespass occurs there is essentially nothing to forgive When there is enough blood there is Esthesia (anesthesia without the an (not)) Esthesia is the fullness of internal sensation without the need for reaction When esthesia is present, if a trespass occurs in your personal space there is no offense taken. Why? Because there’s no real injury. You have enough substance to stay in the present and you just say hi, you’re on my toe The amount of blood you have partially determines the amount of self-esteem you experience.

Self esteem     

I know that I have a right to take up space. There is an ability to be available and present. You are receptive. Being receptive is not like receiving nourishment. Receptive here means receiving movement, being able to be moved, receiving sensation. There is esthesia: the fullness of internal sensation without the need of reaction. The more true self-esteem we have, the less likely we are to take anything seriously from the outside. We have inner resiliency and flexibility on the inside.

What is Blood Deficiency? The Liver is the reservoir of the Blood. Thus, blood deficiency is primarily Liver Blood Deficiency. One can also be Heart Mediator blood deficient and Heart blood deficient. HT/HM Blood Deficiency cannot be tonified directly unless the Liver Blood reservoir is already adequate. I.e., you cannot fill the top of a glass unless the bottom of the glass is full first. Deficiency vs. Excess: a matter of perception If it feels like it’s your problem, it’s a deficiency problem If it feels like a problem in the room it’s an excess problem. When there is an absence of something that should be present, it’s a sign of deficiency. When there’s something present that shouldn’t be present, it’s a sign of excess. How does Liver Blood deficiency manifest? Physically    

Pale/ashen complexion; pale lips Numb extremities Dizzy (especially upon standing; it feels like personal unsteadiness. It doesn’t feel like the room is spinning) Crampy/tight muscles and tendons; fidgetiness. A person’s tendons and ligaments aren’t soft enough.

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Floaters or blurry vision. Floaters are dark spots. If you see gold spots, there is a superficial visual obstruction. Brittle nails Unresplendent or absent menses Tired and washed out like a Vampire victim; looks drained Tongue: pale, especially sides on the liver area; may be peachy color Pulse: fine/thin (soft not tight). narrow but soft

Emotionally/Mentally/Spiritually      

If a person with liver blood deficiency experiences a personal space trespass, IT HURTS. The person can’t bounce back from trespass. He/she is brittle, not flexible. No ability to yield and return. Can’t bend, go with the flow, and move with it. “Ahh you bent me.” The person is bent out of shape easily and quickly. Tight muscles and tendons. There is not enough blood to receive the experience and absorb a trespass—it triggers resistance. There is low self-esteem. It is difficult to flow with time (fidgetiness). There is difficulty with being comfortable in the present moment. It may also be uncomfortable to flow on to the next moment.

Extreme Liver Blood Deficiency    

If a person with extreme liver blood deficiency experiences a personal space trespass, he/she doesn’t feel it at all. There’s not enough self/self-esteem to feel it and know a trespass took place. He/she allows trespasses to occur all the time without notice. Extreme Blood deficiency manifests with numbness/lack of anger.

How do we get Liver Blood Deficiency? Earth: Poor quality or insufficient quantity of gu qi (food qi) offered to the Heart. Poor quantity  Not eating enough food,  Poor food choices (bad quality),  Under functioning Spleen,  Under functioning Small Intestine (my take). Poor quality  Poor food choices (bad quality),  Lack of pleasure in eating. There should be a sensuous pleasure here as this is the harvest of the abundance of this world,  Poor digestion,  Worrying while eating,  Eating irregularly,  Hurrying while eating,  Thinking too much,  Spleen too exhausted to digest properly,  Toxic small intestine

Wood:

Water:

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Hemorrhage (hemorrhage: menses sometimes or post op giving birth) Low self-esteem

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Yin deficiency - low blood volume (not enough liquid) Jing deficiency – faulty/lack of blueprint/instructions to SP and HT on how to make blood Yang deficiency - no alchemical warmth to turn the water into wine

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Lack of shen Sadness (BL 38, Astragalus & Ziziphus)

Fire:

Metal:

qi-spark

If a person feels despair/collapse in Wood it is a collapse from injury. The pain of the injury will affect the blood. If the gate of hope (LR 14) is closed, qi deficiency or qi stagnation could result. Outrage is the rage of the injured. “I’m gonna get you back.” A person can recognize that injustice has been done through the pain. This can turn the situation around.

Liver Qi Constraint What is Liver Qi Stagnation? Restriction of movement. When an unstoppable ego meets an obstacle. How does Liver Qi Stagnation manifest? a. Systemic  Cold hands and feet, usually sharply contrasting with limbs and torso temperature b. Upper Burner  Feeling of tightness, pressure or distension in the lower ribcage or chest  Vague or changing/moving pain around the lower ribcage  Deep sighing, hiccups  Feeling a lump (Plum Pit) in the throat  Difficulty swallowing  Shaoyang meridian neck and shoulder tension/headaches  Constrained shout d. Middle Burner  Nausea, vomiting  Poor appetite  Sour reflux  Belching  Churning feeling in stomach  Abdominal distension  Borborygmi  Abdominal pain that changes/moves e. Lower Burner  Diarrhea alternating with constipation  Masses that come and go  Irregular menses  Painful menses (aching which would have been better if you had exercised that month)  Distension of breasts before menses  Premenstrual tension and heightened awareness of current obstacles to personal growth and freedom f. Emotions  Depression (of the -anger turned inwards type)  Moodiness  Pressure frustration  Fluctuating emotions Liver qi symptoms tend to come and go. Tongue: bluish purple Pulse: tense (wiry), as though the artery is too small for the amount of blood moving through

How the zang try to move stuck qi Liver: sigh = liver qi constraint. You’re trying to move some qi. Kidney: groan/moan (moving fear) Heart: sad little sigh (moving sadness) Earth: oy oy (moving dampness) Lung: the exhale. You can feel qi dissipating, oh yet again it is gone, the far away, intangible, qi. How do we get Liver qi Stagnation? 1. Insufficient exercise--arrhythmic (irregular movements like racquetball, volleyball) is best for qi stagnation. 2. Experience life as obstacle = frustration 3. Long-term Liver Blood deficiency or stagnation 4. Dampness

Liver Qi Stagnation Generating Heat What is Liver Qi Constraint Generating Heat? The natural rhythm of the liver is pressure building up, then bursting forth with vigor and creativity. (Crouch and leap, repeat.) If pressure builds up without being released in a timely, creative and healthy manner, Heat simmers and eventually bursts upward. This is the postal syndrome. The way it bursts upwards is not about injustice....and it is not in proportion. There may have been an injustice that our liver couldn’t creatively talk about or create a resolution for. Ultimately, the solution is still for the person to gain more self-esteem and assert themselves in a clearer, timelier manner. For this person you want to release the constraint and cool the heat in the blood. You’ll see a fiery temper. Hotblooded. Heat in the blood = throwing “fire” at others. Qing Pi Tangerine Peel: immediate herb for breast tenderness. Moves qi in the chest. How does Qi Constraint Generating Heat manifest? Symptoms are of alternating OR simultaneous Liver Qi Constraint and rising Heat. Heat symptoms may include:  Bloodshot eyes  Fiery headaches  Dry mouth  Fiery temper outbursts  Heat rashes (upper body, in places that get hot, in genital area where liver meridian runs)  Possibly acne  Bright red menstrual blood or bright red breakthrough bleeding Tongue: bluish purplish with redder sides or tip Pulse: tense, with increased pounding. Pounding on pulse = heat How do we get Liver Qi Constraint Generating Heat? See Liver Qi constraint. How quickly Constraint generates Heat depends upon the underlying degree of constitutional agitation-proneness of the individual. There may also be climactic and dietary considerations, i.e. a hot climate, and over-consumption of fried food, alcohol or red meat (southern cooking).

Liver Fire Blazing upwards What is Liver Fire? The rage, resentment overcomes any vestige of restraint. Now you have Smokey the Bear’s worst fear. You have a forest fire kind of person. Or you may not have had constraint in the first place, you may just have wood that only sees its own point of view. The kind of rage that is consistently over the line; now they’re steeping on your foot and demanding an apology because you got in their way. Two types of over the top liver: 1. Liver Fire 2. Damp Heat in the Liver/Gallbladder Both of these can manifest as anger from people not doing what you want, not injustice. Liver fire is hot and more dry hot Damp heat in the LR/GB is more wet hot Clinical reality: 90% time they show up intertwined and it’s hard to make the distinction in a person. The main formula for both patterns is the same formula anyway. Liver fire: your wood is on fire, literally. Sheer, raw, fiery aggression. How does Liver Fire manifest?          

Red face, red eyes Tinnitus of the loud and annoying variety (worse with fingers in ears) Thirst, bitter taste Pounding temporal headache Dizziness (tilt-a-whirl) you blaming the world--the room is spinning Propensity to outbursts of anger Sleep disturbed by unpleasant dreams (war-like) Constipation with dry stools, dark urine Possibly nosebleed (if LR fire scorching the lungs) Coughing blood (liver fire injuring the lung)

Tongue: red, especially on sides. Dry yellow coating. Pulse: full, pounding, probably rapid, overflowing. There are people whose pulse you can actually see when you look at the arm. You’re not even pressing their arm and you feel their pulse. Talk about over the line! How do we get Liver Fire? 1. Long-standing full anger/disregard (I’m not seeing your point of view) 2. Too much greasy food and alcohol

Damp-Heat in the Liver and GallBladder What is Damp heat in the Liver and Gallbladder? Festering resentment. There is NO constraint here. It doesn’t have to be a progression from liver qi constraint. It can just be from “this is the way I see it.” There is a disregard for others, and anger. This is the wood that comes out of festering swamp water. Both patterns: outright belligerent or hiding it under a veneer. If you aren’t 6’4’, white and mail, someone will kill you if you act this way for your whole life. You learn how to hide it so that you don’t get smashed. The people who don’t express their belligerence outwardly, have their physical symptoms show up more strongly. The Wicked witch of the west is both patterns: dry feistiness and disregard with festering resentment Heat clearing herbs clear the hell inside a person. How does Damp Heat in the Liver and Gallbladder manifest?              

Fullness and pain in the liver/gallbladder area Stones = damp heat hardening into stones (same with KI stones) Jaundice Bitter taste Nausea an appetite irregularity Vomiting Worse temper after eating greasy foods or drinking alcohol Dark urine Vaginal or penile discharge and/or itching, pain/redness/swelling of scrotum Pus in their ears: yellow or green (not white) Oozing festering gunk in ears, eyes. thick crusty stuff Oozy in the groin. herpes (resentment based). Not the only energetic for herpes. Colitis: shitting as an aggressive act. Cited for dumping toxic waste that pours down from the gall bladder into the colon Some hepatitis (many patterns for hepatitis, also dry kinds and also qi deficient kinds)

Tongue: red with sticky yellow coating Pulse: slippery overflowing How do we get Damp Heat in the Liver and Gallbladder? 1. Long term resentment 2. External climactic damp heat 3. Subsistence on burgers and beer

Cold in the Liver Channel How does Cold in the Liver Channel Manifest?   

Fullness and pain below the ribcage referring down to the testes/scrotum or vulva area. Shrinkage/contraction of the vulva or testes/scrotum. Pain is relieved by warmth.

How do we get Cold in the Liver Channel?     

Invasion of Exterior Cold (e.g., being kept sitting on a cold bench in gym shorts for the whole game) Usually this is more common amongst athletes than anywhere else. They’re expecting to be hot but end up cold (if sitting on bench or after exertion). This is also seen in young women who’ve begun menstruating who spend a lot of time sitting on a cold floor while menstruating, or farming women who sit on the cold ground. While menstruating we’re more vulnerable to cold than at any other time. This can be quite painful. Being in a warm tub is the only thing that helps. Sometimes too much ice cream during menstruation can cause this.

Liver Yang Deficiency This is a syndrome that some people say doesn’t exist. It does exist. How do we get Liver Yang Deficiency? 1. 2. 3.

Hepatitis Mononucleosis: generally wipes out liver yang, liver qi and spleen qi A lot of pot or hashish.

How does Liver Yang Deficiency manifest?     

Pot/hash temporarily augments liver yang. It helps the Hun to fly. The mental body unhooks from the emotional body and begins to float much more freely. The slightest breeze of an idea causes ripples. In reality these substances deplete liver yang. Then, when you’re not high it’s difficult to have the Hun fly up and be free. Many people use pot/hash ceremonially for that extra rise for the Hun, but it has to be kept in mind that every time you use it you deplete liver qi and liver yang. If after you smoke you experience depression and/or listlessness or lack of initiative, then it’s too much for your liver to handle.

Liver Yin Deficiency What is Liver Yin Deficiency? No stop; all go-Green lights all the way! No strategic retreat. The power of liver yin is the power of strategic retreat for the sake of being able to move forward eventually. Water is insufficient to feed Wood. How does Liver Yin Deficiency manifest?     

Dry eyes or blurred vision Hurry and restlessness Brittle nails Dry hair Yin deficiency: afternoon fever, 5 palm heat, malar flush

Tongue: red, esp. sides; peeled, esp. on sides in LR area; thin, lack of substance; no coating; thin, may be dry Pulse: tight (thin and hard) esp. in KI an LR positions, or a lot of unrooted -big but empty force (heat and activity without enough substance) How do we get Liver Yin Deficient? 1. 2. 3. 4.

Overwork (white collar) (moving nervous system all day) Lack of sleep Wood CF with hyperactive nervous system (bzz bzz bzz, no quiet on inside) Heroin (gives such a great feeling of liver yin. the Hun travels in an easy way. but it wipes out the true liver yin, the richness and potency of easy creation).

LIVER BLOOD STAGNATION If Qi and blood separate, we have the two worst pathologies: 1. Internal Wind (qi separated from blood) 2. Congealed Blood (blood separated from qi) What is Congealed Liver Blood? Blood that is not moving (lacks qi); Blood that is “other.’ How does Congealed Liver Blood manifest?     

Dark, clotted, menstrual blood Hard fixed possibly irregular masses Fixed stabbing pain Scar tissue Non-healing injuries

Tongue: may be purple body, very possibly especially veins beneath Pulse: choppy; may be like a rough saw blade. actual twigs and rocks floating by in the stream. More Info Congealed blood is often localized. It doesn’t have to be. A hard, fixed and in a regular shape is more likely to be congealed blood. Is congealed blood likely to be cancer? Sometimes. But don’t worry if you have congealed blood, because all congealed blood is NOT cancerous. A tendency to clot abnormally quickly may be congealed blood, but look for other signs too. If there is a deep weirdness of illness is probably wind phlegm. A deeply stuck illness is probably congealed blood. An example of deeply weird illness: dizzy sensation, one swollen arm, whenever you go for a walk but you have to pee, but you never have to pee unless you walk, asthma in summer, loose bowels in airports. An example of a deeply stuck illness: It’s intractable. You’ve tried the normal things and it’s very stubborn, it will not shift. You treat congealed blood because the illness isn’t moving, it’s stuck. Don’t do this unless/until you’ve consulted a senior practitioner first. Boils are toxic heat, damp heat, fire poison Some tumors are congealed blood, some are phlegm, some are stagnant qi. A lot of cystic stuff is fluid, which is more damp phlegm. Some fibrocystic fluctuates qi stagnation.

How do we get Congealed Liver Blood? a) b) c) d)

Traumatic injury: main cause (physical or non physical injury) Blood deficiency Qi stagnation Heat injuring the blood

Stagnant Blood vs. Stagnant Qi Stuck Qi Pain

Stuck Blood Pain

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pressured feeling

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stabbing, piercing feeling

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frustration, oppression

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torment

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anger and frustration

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suspicion, paranoia, mistrustfulness

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comes and goes

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never leaves

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leads to obstructions & blockages

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becomes a tumor, scar, adhesion over time

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can cause dissociation, possibly even hallucination if it’s really bad.

Scar tissue can be very very painful or numb (if congealed blood). If we’re strong enough it’s numb, because we’re strong enough to dissociate completely. If you don’t have the strength for total dissociation, it creates constant pain. The scar is a protection against being hurt again. When we’re wounded by someone we love and trust, we get congealed blood in the heart mediator side. If we’re wounded by someone we don’t trust, it’s usually congealed blood in the liver. Congealed blood is usually a jueyin thing. So now you’ve constructed this painful edifice in order to not feel something. It can be very hard to undo. There comes a time in our life where it’s time to undo it. It’s time to become vulnerable and able to feel and be contacted again, but we’re kind of stuck in what we’ve built to protect ourselves. The herbs take down these very defenses. The question with congealed blood is always how to do it. If you push too hard, the person may start bleeding again. If you don’t push enough, nothing will happen. Do you nourish and push? Do you hold them down and push? How do you give them the holding they need to move through this very painful place? If they’re in the acute phase of trauma: give them stop bleeding & move blood herbs.

LIVER YANG RISING What is Liver Yang Rising & Etiology When assertiveness does not have enough Liver yin to keep it flexible, responsive and rooted, it becomes pressured, trespassive and arrogant. Sometimes it is a weakness of kidney yang which is failing to root liver yang. In health we’re coming from our will. From our will comes our assertion. If we’re not anchoring from a true deep strength in assertiveness, we may be manifesting liver yang rising Liver blood deficiency, softness of being, can be too deficient to root the Liver yang. How does Liver Yang Rising manifest?        

Temporal headaches (for SOMEONE anyway) Dizziness (feels external) Tinnitus Deafness Insomnia especially during Wood time Thirst Prototypical Shouting voice Impatience leading to outbursts of anger

Tongue: may be pale (bl def) or red (ki yin) esp. on sides Pulse: tight/tense How do we get Liver Yang rising? a) Overwork against deadlines b) Thwarted ambition

WIND Wind is the climactic influence associated with Springtime and the Wood element. Virtue of Wind: fresh, alive, spontaneous, new. Wind is the latest news. External wind Pathologies for external wind are very different than internal wind. Climactic influences in pathology embody the element at its worst. Wind, like springtime, is unstable. It rises and falls unpredictably. Changes direction. Blows things off course. Wind is associated with sudden, potentially forceful fluctuations in climate, physical condition, or emotional state. Wind is considered the most virulent of the climactic forces, for 3 reasons: 1. it can be very violent 2. it can be very capricious 3. it is invasive--it does not respect boundaries. Wind aggressively unsettles and disrupts. The emotion associated with Wind is fright. Fear makes you shrink. Fright of the heart: shock, jump out of skin. Fright of wind: being in a boxing wind with fear; sudden jerky movements; poltergeist type of things. If you’re having poltergeist problems, someone in the family is probably having a problem with internal wind. Check the teenage girl. INTERNAL vs. EXTERNAL WIND External wind is something blowing around trying to get in. Usually it’s a contagious disease that’s going around. IT’S VERY COMMON. Most people experience external wind 3-4 times a year. Anything you can catch from being in the same room as someone is external wind. External wind: you breathe it you bought it. Internal Wind is a longer story, a lot more rare, and has a very close relationship with excess/unrooted Liver Yang. 3 out of 4 people will go through life without experiencing internal wind. Internal wind: you brew it yourself. It’s qi divorced from blood, not rooted in substance, blowing around.

Internal Wind A little internal wind looks very different than a lot of internal wind. A light breeze ruffling your hair is different than a hurricane ripping down your house. A pressure cooker is often used as a metaphor for internal wind. There’s a blowing around inside the container. When there’s only a little pressure in the pressure cooker: the person feels a little stiff, like wind in the sails, pressured stiffness from inside. Person might be a little jerky, uncoordinated, motions jerky and esp. in upper body this shows up. A little more wind, you might get more intense head area symptoms, ringing ears, pressure in head, vertigo, headaches with tight feeling behind the eyes. As though someone is taking your optic muscle and cramping it tight, eyes being pulled back into your skull. GB 20--all pain refers back to this point. The muscles going to gb 20 are taut and tight, if you feel these muscles in someone with a liver wind headache, you can feel when they move their eyes right and left. The next level of pressure in pressure cooker: terretz syndrome, serious twitching, muscle twitching, little twitches or big twitches, Parkinson’s, venetian blinds rattling as wind is trying to escape and it’s shaking you. When it goes even higher: there’s a blowout! A pressure valve blows. Stroke. Just as that escaping internal wind blows out of you it can blow all kinds of loose gunk through your brain. The escape isn’t so bad. But if you have a lot of phlegm or other gunk, it will blow that into your brain. Who knows what it will happen. Internal wind manifests as:     

High blood pressure Fluctuation of blood pressure Can be tingling feeling, especially in extremities (blood def gone to internal wind) Anxiety Emotional outbursts, esp. anger but other things as well.

If you see someone after stroke: treat propensity to wind and phlegm in brain. Some people with strong internal wind just have a sudden loss of consciousness. Epileptic seizures, convulsions. It’s an electrical problem. It’s an electrical storm. How do you get Internal Wind? They all have some relationship to Liver Yang. Whenever you have internal wind, you also still have where the internal wind came from. You have to treat both the cause and the manifestation. 1. Wind from Excessive Heat (high fever, extreme heat situation). This stirs up the wind. Look at a forest fire...it kicks up the wind. Symptoms: convulsions from high fever--the wind coming in because of the fire. 2. Ascending Liver Yang or Liver Fire. Both are patterns of reckless movement and violence, trespass, arrogance, upwardness, heat. That kind of wood energy seems to call the wind. Symptoms: Blurred vision, wicked temper, strokes, high blood pressure, muscle twitches These two are very excess ways to end up with wind. Next let’s look at ways it’s from deficiency.

3. Liver Yin or Kidney Yin and Yang Deficiency. There’s unrootedness below, making for a dizzy, spinning, whirling below. The person needs to be settled and tonified in their root. Need stillness, anchor. Main symptoms: dizziness, vertigo, headache, deviations (tongue), tremors, spasms, tingling, out of control feeling, hacked apart on inside, obscure fright (poltergeist freak out) 4. Extreme blood deficiency. Blood is not filling vessels. In empty spaces wind develops. Symptoms: Tingling and numbness are very common. Head shaking. head jerking to the side. Tics and fine tremors. Very frightened awful feeling of something bigger than you are (like you’re so little and have low self esteem, not filling space and inside of you is feeling chaotic) Wind’s climactic influence: something your body has to deal with, but unless there’s a wound/desire that resonates with it, it can be just physical. EDs can be just physical too, but usually more extreme situation: drowning, freezing.

Spleen Qi Deficiency Qi, in the human body, is the capacity to get work done. What kind of work depends on which official we’re discussing. The functions of SP qi are the: 1. Transformation and 2. Transportation of nourishment for the maintenance of life, 3. the holding of physical form and 4. the raising of the organs. What is Spleen Qi Deficiency?    

Inability to turn food into nourishment Inability to transport nourishment Inability to hold physical form Inability to keep the organs raised

How does Spleen Qi deficiency manifest?            

Tired Weak limbs Muscle Atrophy Appetite low or lazy (lazy means there’s not enough qi to digest rice but sugar goes right in. Laziness around cooking. Too tired to come up with a proposal of what to eat, too tired to cook, too tired to digest) Watery loose stools (not holding form, not raised) Constipation (lack of peristalsis) (it takes qi to make peristalsis--things can’t get moved along--transportation) Laconic (nothing to say) Prolapse: bearing down sensation, drooping eyelids, can’t go on, pick me up, spiritual collapse/depression Bruising Bleeding: leaky, NOT bright red or upper body (except bruising), petechiae (little red dots-you scratch yourself and see red dots--they can also come from heat if they’re bright red) Boredom (no appetite for life) Difficulty studying

Pulse: soft and weak, yielding Tongue: swollen, tooth marks How do we get Spleen qi deficiency? a) b) c) d) e) f) g) h)

Physical overwork Mental overwork Lack of physical exercise Lack of mental exercise Starvation/malnourishment, esp. lack of protein Irregular eating, over and under-eating (unpredictable eating) Brown rice (Leon hammer) Thinking while eating

SP Qi Stagnation / ST Qi Rebellion What is SP qi stagnation/ST qi rebellion? Qi not flowing in the direction it needs to go in. Spleen qi stagnation is the refusal/inability to move on to the next stage of life. There is a “no” to moving on. Stomach qi rebellion is the refusal/inability to accept and process what we take in. “No” I can’t deal with it or “blah blah blah” puking it up. How does SP qi stag/ST qi rebellion manifest?           

Belching Vomiting Can’t swallow Distension (SP qi stag more--stagnation of SP qi in the middle) Digestive pain Borborygmus Churning Constipation (lack of peristalsis) qi tangled up in intestines Complaining, balking (a little SP qi moves when you complain--too much complaining indicates a need for help) Stuckness, not moving on Ingratiation (self-expression stagnation) (not expressing your truth. Your essence is not expressed in order to be “nice” or make others happy)

Pulse: tense bloated Earth pulse, feels like it’s full of gas Tongue: ? How do we get SP qi stagnation/ST qi rebellion? a) b) c) d)

WORRY: obsession--thought without concrete results Eating fast while walking Eating while arguing Too small a world, not thinking in a big enough context (give someone a bigger field if this is the case)

Food Stagnation What is Food Stagnation? Food in the Stomach/Intestines that is not being transformed or transported in a timely or thorough manner. Wait , that sounds like damp & phlegm....what’s the difference?   

damp = when apple is 1/2 way into becoming you and it gets put aside on a shelf phlegm = 1/2 way to being you and sits on shelf and thickens stagnation = it doesn’t even get digested enough to become dampness or phlegm. It’s still basically an apple, chewed up, sitting in your stomach sitting in your intestines. It didn’t even begin.

If there’s a 12/1 block will you see food stagnation? Not necessarily. 12/1 is more about the end point of digestion--is the Spleen sending ying up to the heart to make blood? It’s the final step in the digestive process. Food stagnation is more on the front end of the digestive system. Is SP 8 a good food stagnation point? SP 8 has a strong lifting quality. It’s in the get up and propose end. Qi tonic. It lifts and holds. When Thea was pregnant with Joshua and had moxa on SP 8 she felt Joshua going up and up and up. Abdomen Sorrow and Abdomen Knot...those would be points for food stagnation. Lubrication Food Gate....good for stomach yin deficiency There’s digestive pain with food stagnation How does food stagnation manifest?        

Belching, smells foul and food-like Vomiting Distention Digestive pain Sour or foul breath Undigested food in stool Little desire for food Feeling of food sitting in ST like a rock

* Stools with the same color as the food is not a sign of food stagnation. Spirit level Pain when someone, including God, gives you nourishment. You can’t take it in and you start whining...she gave me this incredible rhododendron and now I have to water it. I got a scholarship and uhhh now I have to figure out how to get there. It causes pain because you don’t know how to process it.

How do we get Food Stagnation? a) b) c) d)

ST/SP Qi Stagnation; chronic situation SP Yang Deficiency Overeating; after thanksgiving dinner syndrome Eating too fast; sudden dump truck unloading into stomach...ug. Stomach cant manage b/c we secrete enzymes at a certain rate e) Eating while worrying; worrying stagnates qi. Can have an episode of it and experience pain just from that. Other emotions like anger and fear don’t necessarily create this. Climate and weather affects phlegm, but not as much as the person’s constitution. And...why are you there? The web that has no weaver; there isn’t one causative thing. There’s a pattern that is typical. We live in a pattern. To say this or that is not in our control because it’s external to me is not a Chinese way of thinking.

Damp and Phlegm What are Damp and Phlegm? Moisture is the quality of “healthy dampness” necessary to the Earth’s ability to break down substances to transform them into gu qi, and transport them as nourishment. Dampness is when that which should have become nourishment has become a burden. It is the accumulation of that which should be transmuted to the next stage. Phlegm is dampness which has bogged down and accumulated to the point of obstacle. How do Damp and Phlegm manifest?

DAMP        

Physical Bloating Nausea Sticky diarrhea Heaviness in limbs and/or head Oily hair Sticky skin Mental Huh? Spiritual Churning in quicksand

  

Overly sympathetic Worried Bog, fog Pulse & Tongue Pulse: slippery Tongue: thick coating

PHLEGM    

Physical Literal physical phlegm “fullness” in head and chest Muzzy dullness Soft lumps

Mental Duh…. Spiritual  Floundering beached whale  Obtuse  Obsessed  Total obscurity Pulse & Tongue Pulse: full rolling feeling Tongue: mucus strands in mouth 

How do we get Damp and Phlegm? a) b) c) d) e) f) g) h)

SP Qi deficiency (nourishment not transported, and rots like food in the fridge). SP/ST Qi Stagnation (nourishment is not “worked” properly, nor transported). SP Yang Deficiency (no fire to cook food). Living in a damp environment/climate. Subsistence diet of twinkies and milk (dairy and sugar). Guilt trips from Jewish mothers. Being a Jewish mother. Being almost any kind of mother/role of constant generosity and nurturing without an entire ecosystem to back you up sot that your child’s well-being is not entirely resting upon YOU.

Merging = damp Merging – codependency There’s no you and me.

Spleen Yang Deficiency What is Spleen Yang? The ability to cook food. The alchemical burn power to rip things up and use them. Earth Yin makes it all melt together What is SP Yang Deficiency? There is no fire in the belly; no tiger. How does SP Yang Deficiency manifest?          

Watery stool with undigested food Digestive pain Little desire for food Bloat w/food Chilliness, esp. cold limbs Pudginess Edema Fluids in pelvic area Joylessness about what should be nourishment Sad home syndrome: This is a sad cold place. No hearth energy. Nourishment with no joy

Pulse: deep, slow, yielding Tongue: pale, wet How do we get SP Yang Deficiency? a) b) c) d) e) f) g)

Further progression of SP Qi deficiency You know SP qi turns into SP Yang when the person gets cold. They tend towards cold, esp. cold limbs. Cold damp environment Too much salad/ raw foods diet Too much tofu without ginger Too much Hagen Daas

tight pulse: take the pulse of someone who stayed up all night tense pulse: someone who just drank coffee slippery pulse: take the pulse, esp. SP, of a pregnant woman

Stomach and Spleen Yin Deficiency What is ST/SP Yin? ST: the ability to receive/integrate nourishment, to take it into ourselves, down, soft, in quiet. Lubrication Food Gate SP: The ability to take a Sabbath rest. “It is good.” SATISFACTION. What is ST/SP Yin deficiency? Inability to receive; pain from inability to integrate. Inability to feel satisfaction. Sharp pain in ST 24. If you’re SP Yang deficient, don’t drink while eating If you’re ST Yin def: drink hot tea after eating to help with lubrication ST/SP Yin deficiency manifests with         

Hunger with appetite Feeling of heat in afternoon Won’t stop to take a rest Thirst without desire to drink (maybe) Dry mouth and throat Tight earth pulse (like a piece of fabric pulled tight) Nothing seems right; you don’t really have the receptivity to eat. Inability to feel satisfied: even when you eat, somehow it’s not satisfying Epigastric pain that feels better with warm liquid (soup is better than a sandwich; wet food better than dry food) Vertical crack up the middle: ST Yin def Transverse cracks in middle: SP yin deficiency Transverse cracks near tip: LU yin deficiency Transverse cracks near back: KI yin deficiency Vertical crack from middle to very tip (HT) = heart crack--problem SP Yin def tongue: Red, thin with lateral cracks in SP area, peeled center, rootless yellow coat in center (rootless - can scrape off easily)

How do we get ST/SP Yin deficient? a) Not eating when hungry, then “grabbing a quick bite’ or eating late at night. Heat of appetite dries out fluids b) Dry Food c) Improper purging/vomiting

Stomach Fire [created with the help of Maciocia] What is Stomach Fire? Greed and insatiable hunger coming from a stomach on fire that is incinerating all nourishment. ST Fire manifests with          

Burning sensation and pain in the epigastrium Thirst with desire to drink cold liquids Constant hunger Swelling and pain in the gums Bleeding gums Sour regurgitation Constipation Nausea Vomiting soon after eating Bad breath ST Fire tongue: Red, thick-yellow-dry coat Pulse: Full, Deep, Rapid

How do we get ST Fire? a) Further progression of ST Yin deficiency b) Excessive consumption of hot foods c) Smoking tobacco

Stomach Cold [created with the help of Maciocia] What is Stomach Cold? Ice in the belly. The stomach is one of three organs that can be directly invaded by cold (also the uterus and LI). Cold is characterized by pain. Stomach Cold      

Sudden pain in the epigastrium Feeling cold Preference for warmth Vomiting of clear fluid Feeling worse after swallowing cold fluids which are quickly vomited Preference for warm liquids ST Cold tongue: Thick White Coating Pulse: Deep, Slow, Tight

How do we get Stomach Cold? a) Exposure to cold b) Overconsumption of cold foods and drink c) Too many clear heat in the yangming herbs

Kidney Yang Deficiency What is Kidney Yang? Kidney Yang is the fundamental basis of Yang for the whole organism. It is the root of all transformative power and configurative stability. How does Kidney Yang Deficiency manifest?            

Drowning or frozen in fear; overwhelmed by darkness Lack of drive, low libido, lack of ambition Inability to take a stand and HOLD IT; strength to endure; BACKBONE Lack of confidence (wimp) Cold, pale, wet, listless Backache that feels weak and spongy and cold to the touch; weak legs, knees, feet (like soggy roots) If no edema, clear copious urination; if edema, scant clear urination Infertility (cold lower jiao) Poor appetite; cock’s crow diarrhea Failure to Thrive, late development of speech Impotence, incomplete or fading erection, premature ejaculation/ejaculation without orgasm (4 Attainments) In women, reaching for orgasm is WORK!

Causes of Kidney Yang Deficiency 1. Physical overwork; effort through hardship 2. Any long illness that depletes yang in any organ system. The Kidneys will be drained by the effort to compensate for lack of yang. 3. Dampness overwhelming the Kidney Fire (from SP weakness or KI weakness compounding on itself) 4. Living a cold wet dark life 5. Broken will 6. Sex without full reciprocity. “Athletic” sex.

Kidney Yin Deficiency What is Kidney Yin? Kidney yin is the fundamental basis of Yin for the whole organism. It is the root of all depth, stillness, darkness, receptivity and wetness. How does Kidney Yin Deficiency manifest?           

Restlessness, can’t stay still, unrootedness, shakiness, trembling “Fear of the dark” i.e. fear of the unknown, fear of introspection, fear of being alone, fear of silence, fear of stillness Tendency to “fly and scatter” Jittery lack of confidence; tendency to doubt; repeated crises of faith “Existential vertigo” Dizziness, deafness, tinnitus Night sweats, heat in the 5 places, malar flush Dryness: thirst, scant body fluids and secretions, scant dark urine, dry stool Backache that feels weak and brittle and hot to the touch; weak legs, knees, feet (like withering roots) Steaming Bone Syndrome Restless sexual arousal resulting from unrootedness o In men: premature ejaculation/ejaculation without orgasm, wet dreams, impotence with desire o In Women: arousal without wetness, hypersensitivity without orgasm Tongue: peeled, red, thin Pulse: tight (like a razor), or unrooted and pounding

How do we become Kidney Yin Deficient? a) b) c)

Excessive nervous system activity (e.g. thought and emotion) Lack of sleep, lack of rest Any long illness that depletes yin in any organ system- Kidneys will be drained by the effort to compensate for lack of yin anywhere in the bodymindspirit. d) Any excessive loss of fluid from the body (e.g. blood, sweat, diarrhea, urine) e) Fever f) Incorrect use of sexual tonics g) Sex without full reciprocity, unrooted desire

Kidney Qi Not Firm / Astringe Kidney What is Kidney Qi? Kidney qi is the primordial “steam” energy that is produced by the combining of Kidney Yin (primordial Water) and Kidney Yang (primordial Fire). What is “Kidney Qi Not Firm”? KI qi is base qi. It holds the bottom. If its not coming up from the bottom it's not strong, not held. KI qi holds the base firm. There’s a hole in the bottom of the bucket. The client is leaking out their life essence. “astringe Kidneys” = ½ qi tonic + ½ yang tonic to create a firm, contained foundation. STORAGE of Essence/Jing is a primary concern of the Kidneys, and an important function of the Bladder as well. The phrase “Kidney Qi Not Firm” means that storage is not happening properly, and may refer to a dysfunction of the zang or the fu, or both. KI qi and BL qi not firm often show up together and look alike. How does Kidney Qi Not Firm manifest?   

  

 



Incontinence of urine (inc. all kind of dribbling and bedwetting) Incontinence of stool Incontinence of semen (premature ejaculation, wet dreams, nocturnal emissions without dreams, “spermatorrhea”). Spermatorrhea may mean that the person is masturbating all the time. This is different than when it comes from yin deficiency (restless) and from full list (heat). This is like you’re not comfortable holding the energy, like having a full bladder. Not able to be in the state of tension that desire implies. Incontinence of money. Just can’t hold on to it. Out it goes. Qi not firm. Incontinence of secrets. Deep essence you need to store. The thing so and so told you about such and such that you tell someone else immediately. Things that should be held in the deep and silence. Incontinence of willpower (Destiny guilt, acquiescence of deep desires to “other” desires). The issue of the kidney guilt of what you really desire is this, but your family wants something else for you and you say ok. Instead of holding on to your will you let it wash out under any pressure. Incontinence of sexual energy (“involuntary” non-monogamy, being “easy,” not asserting sexual preferences) Incontinence of fantasy. Fantasy weakens the kidneys. Not visionary imagination of liver. There’s a way in which you can be squandering resources on fantasy world. It’s easier to focus on only one person (person just married) relief not to be fantasizing on all of those other people. Weak back and legs

 

Uterine prolapse. That foundation isn’t strong Watery vaginal discharge

How does our Kidney Qi become Not Firm? a) b) c) d) e)

overwork too many childbirths too close together heredity incontinent sexual activity and/or fantasy ancestral guilt trips

Nervousness, like bridget and dog rahmana. Incontinence around intensity KI qi is the money to contain the energy Kidney qi is the opening and closing of money back, keeps it firm and makes sure there aren’t holes. The jing is the money Ki qi and ki jing are circular in pathology and health If you don’t have enough ki qi, jing leaks out If you don’t have enough jing, you don’t have enough ki qi genetically. Not clever with conservation

Kidney Jing Deficiency What is Kidney Jing? Jing is the distilled essence of transferable vitality. It is equally balanced yin and yang. It is stored in the Kidneys. Posterior Heaven Essence (post-natal jing) can be replenished; Anterior Heaven Essence (pre-natal jing) cannot be replenished. How does Jing Deficiency manifest? Since Jing deficiency can develop from either Kidney Yin or Yang deficiency, the manifestations of whichever deficiency preceded Jing deficiency will continue to manifest along with the following possible signs:         

Cycles of development and maturation not happening in a timely or graceful manner Fontanels not closing, failure to thrive, poor bone development, birth defects, mental retardation Delayed puberty Infertility Premature menopause (can be other things: blood deficiency, yin deficiency, yang deficiency) “Mid-life crisis” I’m feeling death come from within, what am I doing with my life? Premature aging: hair turning white, hair falling out, teeth falling out, bones fragile, poor memory, senility Existential fear of aging; not growing into the unique wisdom that each life unfolds Feeling of having lived in vain; feeling of having nothing to pass on to future generations

Tongue: yin deficient or yang deficient Pulse: “wiry” (not TCM wiry; something thinner than Tight, and deep) How do we become Jing Deficient? a) Weak inherited constitution:  Born of ill or infirm parents  Born of aging parents  Born after numerous siblings  Birth defects (genetic, not congenital) b) Physical overwork in childhood or pubescence c) Excessive sexual activity before physical maturity d) Using willpower to work beyond our daily portion of Kidney Yin or Yang on a regular basis e) Striving against our own nature; following the path of Fate (ego) instead of Destiny

Kidney Blood Deficiency & Stagnation What is Kidney Blood? Kidney blood is the part of our presence that manifests in the back, the back of the legs, the knees and the stance in general. Having an easy stance, full, resilient and strong, is a result of having enough Kidney blood that is moving freely. Having a stance that is obstructed and painful is a result of KI blood stasis. Having a stance that is weak with spaghetti legs is a result of KI blood deficiency How does Kidney Blood Deficiency manifest?    

Weak, sore back (I assume that similar to LR blood deficiency, the person’s ability to receive sensation is going to determine if pressure helps or aggravates (as well as the presence of pathogenic heat)) Weak support from the back of the legs and knees Legs that look like spaghetti—not firmly holding up the torso Signs of LR blood deficiency (as the volume of KI blood must be tied into LR blood, which is the body of blood in the bms)

Tongue: pale in KI area? Peachy on sides towards back of tongue? Pulse: thin on KI pulse? How does Kidney Blood Stagnation manifest?  

Sore back pain that is sharp and fixed The will has been injured

Tongue: purple veins underneath Pulse: choppy on KI pulse?

Kidney Fire [created with the help of Maciocia] What is Kidney Fire? Kidney fire from yin deficiency is when the potency of the yin has been agitated and activated by the dark side of the force. Personal desire (ambition, lust, dominance, power) overcomes wisdom. Kidney fire floating from yang deficiency is when the yang quakes and a level of pathogenic fire floats to the top of the body (hot flash). This happens with menopausal women or men who are KI yang deficient and have KI fire. How does Kidney Fire manifest? [these are the symptoms Maciocia lists for what he calls KI yin deficient, empty-fire blazing. As you can see, all of the normal KI yin symptoms are there plus some excess fire symptoms.] From Yin Deficiency              

Malar flush Mental restlessness Night-sweats Low-grade fever Afternoon fever Feeling of heat in the afternoon Insomnia Scanty-dark urine Blood in the urine Dry throat, especially at night Sore lower back Nocturnal emissions with dreams Excess sexual desire Dry stools

Tongue: red, peeled, cracked, red tip

From Yang Deficiency             

Hypertension Menstrual disturbances (amenhorrea) Hot flashes Sweating Nervousness Fatigue Lassitude Depression Irritability Insomnia Palpitations Urinary frequency Other chronic disorders with signs of KI Yin, KI Yang and Fire from deficiency

Tongue: depends on whether false fire or deficient yang predominates

Pulse: floating-empty, rapid Pulse: deep and weak

Damp Heat in Bladder [made with the help of Maciocia] What is Damp Heat in the Bladder? Damp-Heat in the Bladder is when the normal containment of urine, resources and secrets begins to fester, turning into jealousy and suspicion. Physically, it is when there is dampness and heat in the bladder, causing an obstruction to or pain with the flow of urine. How does Damp-Heat in the Bladder manifest?        

Frequent and urgent urination Burning on urination Difficult urination (stopping in the middle of flow) Dark-yellow and/or turbid urine Blood in the urine Sand in the urine Fever Thirst

Tongue: red, thick-sticky yellow coat on the root with red spots Pulse: rapid, slippery possibly tight on KI position How does one get Damp-Heat in the Bladder?   

Exposure to damp-cold which then turns into damp-heat Heat in the KI Heat in the Heart, traveling through the Small Intestine, getting stuck in the bladder

Heart Qi Deficiency What is Heart Qi ? Divine/Source spark;

 I AM 

within the world.

What is Heart Qi deficiency? Instability, insufficiency of the active, consistent vital Presence of the Emperor (xin zhu, tan zhong). When we say Heart Qi tonic, we either mean Xin Xhu or Tan Zhong, or some degree of both. We are concerned with the power and stability of the pulse. How does Heart Qi deficiency manifest? Xin Zhu OR Tan Zhong  Heart palpitations (usually missed beats, late beats, lurchiness, like tripping and then running a few steps to catch up—usually IRREGULAR)  Low energy  Shortness of breath on exertion  Cold hands and feet  Sweating.  LOW PULSE RATE Tan Zhong  A feeling of being out of control  Inner chaos  Fear of sudden death  Ill-times facial expressions  Out of synch with ordinary reality  “Off-beat” sense of humor  Eccentric—could also be externally over-controlled to compensate for inner chaos  Irresponsible or overly responsible/controlling. Tongue: midline crack reaching the tip; may be slight swelling at tip. Pulse: irregular, empty especially upper burner. How do we get Heart Qi deficiency? a) b) c) d) e) f)

Blood loss Working too hard to control things, overwork with responsibilities Sadness from feeling responsible for the whole universe’s well-being Fighting someone else’s control Overcompensating for someone else’s lack of control “Different Drummer” syndrome

Heart Yang Deficiency What is Heart Yang? Heart’s power to shine forth. Organized expression of the inner divine. Symbol-forming function of the Heart. Power of the sun in the middle of the chest. How does Heart Yang deficiency manifest?         

Bright-pale face Body cold Limbs/hands cold Tired especially on exertion Palpitations on exertion Listless (unmotivated-type tired) Not outgoing Not communicative Fullness around HT

Tongue: pale wet swollen Pulse: deep weak irregular (missing sections, feels like “stops” more than skips) How do we become Heart Yang deficient? a. Progression from Qi Deficiency- usually linked to Spleen Qi/Yang Deficiency as well b. Progression from Kidney Yang Deficiency; Water is not controlling its own Yin, and Fire is overwhelmed c. Having non-verbal parents d. Talking too much, lecturing until you can only stutter

Heart Yin Deficiency What is Heart Yin? Heart’s capacity for stillness, silence, emptiness, receptivity to incoming shen What is Heart Yin deficiency? Heart cannot rest, cannot receive How does Heart yin deficiency manifest?      



Deep restlessness Jumpy “Vexed and reactive” More talking than listening (at least internally, and usually externally also) Insomnia Malar flush, night sweating or heat in the evening; all the usual yin deficient things.  Restlessness, can’t stay still, unrootedness, shakiness, trembling  Night sweats, heat in the 5 places, malar flush  Dryness: thirst, scant body fluids and secretions, scant dark urine, dry stool (Maciocia says Ht yin def = Ht blood def + yin def)

Tongue: red, peeled esp. front, deep midline crack to tip w/tip being smaller w/flat red points (not raised) Pulse: tight How do we get Heart Yin deficient? a) b) c) d) e)

Not enough rest (vs. too much work/fun) “Hectic lifestyle” -Maciocia Not checking into own deeper voices; living on the surface Repressed joy Not being grokked Cocaine

Heart Blood Deficiency What is Heart Blood? Divine/Source presence; embodied consciousness; soft, self-aware conscious being. I AM 

within my own skin.

What is Heart Blood deficiency? No throne for the Emperor (or throne too small and hard) Lack of comfortable self-possession How does Heart Blood deficiency manifest?             

Lack of comfortable self-possession, Palpitations on rest (like a scared bunny, small and pittypatty, with more uneasiness and anxiety than outright fear of sudden death); Nervousness Scatteredness Absent-mindedness Poor memory Easily startled Space muffin syndrome Light sleep with dreams Insomnia Ashen complexion Pale lips Dizziness when standing up

Tongue: pale, thin, dryer than Heart Yang def Pulse: thin and soft (“fine”) How do we get Heart Blood deficient? a) b) c) d) e) f) g)

As a result of general Blood deficiency Sadness with poor nutrition XII-I block Menstrual bleeding is excessive Heart not controlling the blood People who menstruate from their Heart (BL-48) Childbirth with blood loss leading to post-natal depression

Astringe Heart/HM Blood Astringe = consolidate, hold together, dynamically solidify, “stabilize and bind.” What does astringing Heart/Heart Mediator blood mean? Holds blood present in the heart- keeps blood from “splashing.” Holds sweat in the ying/body/blood. Stable matrix for “presence” / composure / non-reactive response to perception. How does an unastringed Heart/Heart Mediator manifest?    

Sweating (not from heat) Nervous lack of composure/hysteria Blurting Persona falls apart and what’s behind it comes out

Tongue: reddish peeled thin, or pale from bleeding Pulse: thin to tight How do we get like this? a) Something awful happens b) HT/SP fretting to the point of hysteria c) Blood loss, recent or recurrent (could be simply menstrual excessive HT-Womb Diaph)

Heart Mediator Congealed Blood What is Heart Mediator congealed blood? Overcompensation for having been soft and vulnerable and having been hurt. How does Heart Mediator congealed blood manifest?         

Fixed stabbing pain or numbness in chest or sexual areas, including psychic pain or numbness in these areas of psyche. Dissociation e.g. (1) remembering nothing before the age of eight (2) having no feeling for someone ever since they _____________ (3) seeing cars bleeding (or other painoriented hallucinations). Cowboy syndrome (tough flat affect because “life is tough” to protect soft interior) Untrusting, suspicious, won’t let others close--too painful. May project pain on others Terror/torment- beyond fear—you can’t run and you can’t hide So numb that “anything goes” to try to awaken a sensation (promiscuity, prostitution, piercing?) Menstrual clots, pain with intercourse (not bladder/urethra irritation) Chest tumors, fibroids that are irregular, hard, fixed, and may cause bleeding Post-partum psychosis

Tongue: purple body and/or purple veins beneath Pulse: choppy = like a sawblade. May feel like a rough vibration; Daisy says it feels like “sticks and rocks in the water.” How do we get Heart Mediator congealed blood? a) “betrayal of intimacy” –LSJ  Relationship scar tissue  Sexual abuse trauma b) Qi stagnation c) Blood deficiency d) Excess heat e) Excess cold f) Difficult abortions g) Miscarriages h) Childbirth

Stop Bleeding What causes Bleeding?       

External injury Heat (anguish) Stagnation (betrayal) Spleen Qi Deficiency (too tired to hold onto oneself) Blood Deficiency (too little self-esteem to hold onto oneself) Cold (rare!) Intimate relationship ending (that we didn’t want to end)

How does Bleeding manifest? Blood loss can be acute or chronic. It can come from any of the following organ systems: a) b) c) d) e) f) g) h) i)

Uterus (mid-cycle spotting or menstrual haemorrhage) Lung (coughing blood) Stomach (vomiting blood) Bladder (bloody urine) Colon (bloody stool) Nosebleed Oral bleeding Bleeding eyes Skin eruption.

Bleeding will manifest differently depending on the cause: 1. External injury: not hard to figure out. 2. Heat In the Blood (fever/anguish): blood will be BRIGHT red, and bleeding can be quite forceful or sudden. Bleeding from the upper body orifices is not uncommon, although it also frequently occurs in the lower body. 3. Stagnation (betrayal): blood is dark, thick, may be purplish and clotted. More likely lower body, but not always. 4. Spleen Qi Deficiency (too tired to hold onto oneself): blood is thin, may be brownish or pale but not bright. Definitely lower body; blood is “falling out” and bruising is likely. 5. Blood Deficiency (too little self-esteem to hold onto oneself): blood is pale; lower body e.g. threatened miscarriage. 6. Cold (rare) 7. Intimate relationship ending (that we didn’t want to end): a sense of spilling life force into the place where the partner used to be; inability to recreate a boundary between the two now-separate halves of “us.”

Heart Fire What is Heart Fire? Excessive heat in the Heart causing agitation of the shen Blazing passion that disrupts consciousness How does Heart Fire manifest?          

Worse than restlessness; deep agitation (may be repressed, or like Calvin) Impulsiveness, “Blazing” behavior, raging, irritability (vs. anger) Ulcerations on the tongue, especially at the tip Thirst Insomnia with tossing and turning, or hellish dreams Bitter taste in the morning, especially after a bad night (vs. Liver Fire, all day bitter) Bloody or dark urine from I-II-III Palpitations like a fire truck or an alarm going off “Full” anxiety or bitterness Feeling hot esp. head or upper body

Tongue: RED tip! May be swollen tip, raised red dots, crack to tip, yellow coat Pulse: rapid full overflowing, may stop at irregular intervals like a speeding car slamming on its breaks How do we get Heart Fire? a) Fire passed on from another organ- usually Liver Fire. b) Repression of heart’s passion or self-expression; usually related to unhappy love-life c) Friction and build-up from a SI that can’t sort, let alone express, what is Heart’s Desire

Phlegm Fire What is Phlegm Fire? Phlegm + Fire harassing the Heart: Like Heart Fire only WEIRDER; Like Phlegm Misting the Heart only WILDER How does Phlegm fire manifest?              

Truly bizarre cognition and behavior- definitely extroverted! Intense convulsions, epilepsy Incoherent uncontrolled loud speech Passionately out-of-touch ideation Erratic forceful physical movements; may be violent or shouting; “may hit or scold people” – Maciocia Palpitations Startled, dream-disturbed sleep Coma Aphasia Hysteria Talking crying laughing uncontrollably Active obsessiveness Manic depression with delusions Street people you can’t just step over

Tongue: red, may be protruded, with a thick greasy yellow coat Pulse: rapid full slippery What causes Phlegm Fire? 1. 2. 3. 4.

Emotional repression (qi stag -> Heat; fluid stag -> phlegm) Bad food, hot and greasy HT/mind way out of whack Fever- pericardium heat

Open Orifices Occluded Consciousness Phlegm Misting the Mind What are “Orifices?” What obstructs their openness? There are seven “orifices of the Heart,” also known as the Upper Orifices: 1. Left Eye 2. Right Eye 3. Left Ear 4. Right Ear 5. Left Nostril 6. Right Nostril 7. Mouth There are also two orifices of the Kidney, known as the Lower Orifices. Vagina/Tip of Penis and Anus. When we speak of OPEN ORIFICES, we are speaking of the Upper Orifices. These are the sensory orifices, which, when occluded, interrupt the Heart’s consciousness of What Is, because Inner Heaven is unable to communicate with Outer Heaven, i.e. perception cannot take place. What obstructs the orifices is phlegm. Phlegm is the malproduct of the SI/SP/ST, the result of incompletely digested food/life: assumptions, conclusions, the things that you thought that are now getting in your way--encrusted gunked up “story” blocking your reception of the phenomena. How does Occluded Consciousness manifest?  a) b) c) d) e) f) g)

Decreased sensory acuity, or distorted perception of external reality Cateracts “Garbled” deafness Synesthesia Numbness Stuffy nose Garbled speech Rattling sound in throat

 h) i) j) k) l) m) n)

Mind can’t hear own heart clearly--Who am I? (often don’t even ask) Fuzzy-mindedness Dullness Confusion Can’t concentrate Stuporousness Aphasia “In some cases, complete loss of insight” –Maciocia



Convulsions/epilepsy

Insomnia: shen can’t come home; mind circles like a shark



Vomiting?

Phlegm without heat obstructs but does not agitate; dullness, depression, quiet mumbling Tongue: thick sticky white coating, mucus strands, “midline crack with prickles in it.” – Maciocia Pulse: slippery esp. in HT/SI/SP areas How do we get obstructed orifices? 1. Sugar coated frosted flakes for breakfast, donuts and cold milk for lunch, Hagen Daas and cookies for dinner. Also too much cold greasy raw foods, too much sugar and dairy, poor digestion. 2. Homeless lifestyles 3. Sloppy thinking: stories, conclusions, assumptions 4. Obsession- being “fixated elsewhere” for too long. 5. SI DENIAL- not wanting to know, and thinking your way into not knowing 6. Wind-stroke 7. Mental retardation

Hot and Cold Mutually Entangled Harmonize Stomach and Intestines What is Sorter Entangled? How does Sorter Entangled manifest?   

Simultaneous contradictory hot and cold signs in Fu organs; Pulse, tongue and symptoms are all clear, definite, strong, DAMP, and don’t match. Sickening sense of unclarity leading to stuckness (damp).

How do we get Sorter Entangled? a) b) c) d)

Improper herbal prescription Intestinal parasites Mixed messages from someone we trust utterly Denial?

Settle Spirit What does it mean to Settle Spirit? Stabilizes the Shen. “Sedates Ascending Heart Yang” = brings stability by strongly containing and structuring consciousness. Puts a “lid” on Shen; gives the mind/spirit a roof, floor and walls. How does an unsettled Spirit manifest?      

Severely anxious and jumpy, unsettled, agitated, bad tempered, popping off in all directions. WAY OUT ideas and emotions. Disorientation, bouts of laughing or crying, unstable ATDT (Attention Deficit Disorder). Can’t focus, can’t sit still physically or mentallydistractions abound from inside AND outside. Like water on hot oil in a pan Sensory incontinence i.e. more distracted than dim; perceptions come in and jump out again like grasshoppers

How do we end up with a Spirit that needs to be Settled? a) Sudden terrifying experiences b) Ascending Heart or Liver Yang i.e. life without a sense of limits to personal expansion

Heart / Kidney Axis What is the Heart / Kidney Axis? The two ends of the Shao Yin meridian which forms the central axis of a person's being, manifesting the deepest aspect of your authentic self. Heart: spontaneous authenticity in the moment. Kidney: authentic continuity of selfhood over time. Your heart’s capacity to receive the call of your destiny (innate will) moment-by-moment and follow it and your kidney’s ability to transmit it. Your kidney’s capacity to receive the beat-by-beat experience of choosing to know Divinity (free will) and your heart’s ability to transmit it. The place that both the Ht and Ki come out of is Ming Men, the place of infusion of primordial Fire and Water. The functional relationship of constant communication between the Kidney and the Heart is represented by the V-VI pulse position, and functions.

YING + WEI What are Ying and Wei? Ying is the Nutritive Qi; it belongs in the interior of the body, and corresponds to the healthy, essence-filled portion of the blood and the internal body fluids. Wei is the Protective Qi. By day it circulates on the outside of the body, between the skin and muscles, and between the channels, protecting the body from attack of exterior pathogens. It warms, moistens and nourishes the skin from the outside, and regulates the opening and closing of pores (thus influencing sweating and body temperature). When we are asleep it circulates on the inside, creating “exactness of measure.” When Ying and Wei are said to be out of adjustment, essentially this means that a person’s Inner and Outer Frontier Gate are inside out. What should be put forth or kept on the outside is not put forth or kept out, and what should be held in is not held in. How does Ying and Wei out of adjustment manifest?  

 

Taiyang stage invasion of Wind-Cold with sweating Taiyang stage invasion of Love-Induced Disorder, i.e. a really serious crush. o nervous sweating o vulnerability to “cold shoulders” o blushing easily o going hot or cold easily o sudden dry mouth o sudden cold and/or sweaty hands o and blurting out things you never meant to say while forgetting to say the impressive things you should have said. All of these symptoms on a chronic basis Myriad other patterns of instability of interpersonal boundaries regulating warmth and intimacy, such as Used Car Salesman, Vamp, Romantic Daydreamer, Shy Slut, Cold Flirt…

Lung Yin Deficiency What is Lung Yin? Our impressionability Our ability to absorb what we value Our ability to come away from our surface, inward toward the experience of our own essence

What is Lung Yin Deficiency? Emptiness without receptivity. An inability to interiorize

How does Lung Yin Deficiency manifest?  An inability to "get" what we long for  A state of insatiable, inassuageable yearning  Inability to come forward from attachment to the outer world  Not enough body fluids irrigating the LU, thus the inability to receive the value in the air. Breathing is an irritant rather than a source of Heavenly Essence  Dry mouth  Thirst  Dry skin (especially mucus membranes)  Possibly nosebleeds  Hoarse voice  Dry cough (sputum issue)  Thin-skinnedness  Over-sensitivity to contact irritants (dermal, air or "imperfections") Pulse: tight, especially Lung position Tongue: red, peeled, especially in LU area. Lateral cracks in LU area.

How do we get Lung Yin Deficient? a) b) c) d) e) f) g) h)

Longing for the unattainable Burning out from being in the outer world too much-not coming in Grief-loss or lack of something precious or vital Bad heating systems Consumptive disease Too much romantic poetry or exposure to advertising From KI or ST yin deficiency. ST fluids rise to the LU as part of the rising and falling of water. From heat in another organ drying out the Lung (usually HT, KI or ST)

Zong / Lung Qi Deficiency What is Zong I Lung Qi? Inspiration becoming Form through Discipline (there is no matter-only repetition of movement = form) The ability to attract influences from Heaven and then transmit them in an orderly way uniformly through the whole kingdom Constancy and Rhythm connected to the rhythm of the universe, the Coming and Going of worldly manifestation, the appearance and disappearance of the 10, 000 things.

What is Zong I Lung Qi Deficiency? Zong / Lung Qi deficiency is an inability to attract power of Heaven and transmit it through the kingdom as unifying form/qi.

How does Zong I Lung Qi Deficiency manifest?         

Irregular breathing Shallow breathing Short of breath Weak cough Weak voice Hoarse voice Voice from high in chest Irregular pulse (esp. with regard to intensity and amplitude, but could berate and rhythm also) lack of ability to translate inspiration into discipline. Inability to "get it together" to turn our values into our form through repetitions, practices until we are perfect embodiments of what we are inspired by.

Pulse: irregular, weak, hard to feel (LU 9) Tongue: could be normal or scalloped in front

How do we get Zong I Lung Qi Deficient?

a) Being brought up with no schedule. Irregularity of daily rhythm, no "now's the inhale, now's the exhale." b) Shock - it takes your breath away c) Severe disappointment d) Grief generally sudden and then protracted

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Wei / Lung Qi Deficiency What is Wei / Lung Qi? The energy that keeps the soldiers of Wei Qi marching, briskly turning away all foreign "invaders." The dynamic defining edge of selfhood-the energetic boundaries of our bodies

What is Wei / Lung Qi Deficiency? Porous infirmity of the boundaries of selfhood

How does Wei / Lung Qi Deficiency manifest?   

Sensitivity to environmental insults e.g. pollen, wind, rumors, evaluations/criticisms Tendency to catch whatever is going around frequently and early Susceptibility to drafts Lack of crisp boundary of acknowledgement on the edge of sympathy

How do we get Wei / Lung Qi Deficient?

a) b) c) d)

Low self-worth Lack of sense of self as real or important Early environmental insults that left an energetic hole Chemical exposures

Our Natural Defense System Going to Whole Foods

Outside World Outer Frontier Gate

Outside Whole Foods

First Electric Gate

WEI LAYER Inner Frontier Gate

Temperature Neutralizing Zone Where Wei Qi circulates

Inside of Body Inside Whole Foods

Second Electric Gate

Basal / Lung Qi Deficiency What is Basal/ Lung Qi? The basal metabolic energy required to power respiration (thus providing qi for the whole body). The basal metabolic energy required to generate meaning in life. The energy to step outside yourself enough to be inspired. The energy to be more than matter, to contact meaning. We are not just physical beings, we are meaning-makers, philosophers. To be able to have a spiritual life. while having a physical body. . What is Basal/ Lung Qi Deficiency? Too tired to be inspired How does Basal/ Lung Qi Deficiency manifest?               

Boredom No sense of meaning in life Flatness Nothing rises and shines Tiredness Not breathing enough Taciturn Shortness of breath on exertion Collapsed chest Droopy shoulders Glowing pallor (qi deficient white) Sweating Loose stool or constipation (or neither) Cold hands May be hand and/or facial edema

Pulse: weak and yielding, especially on right side Tongue: swollen, scalloped How do we get Basal/ Lung Qi Deficient? a) Physical overwork b) Slight LU qi deficiency leads to not breathing much, leading to more LU qi deficiency c) Massively boring uniform pre-fabricated environments

Phlegm Obstructing the Lungs What is the harmonious relationship between the LU and mucus? The Lungs have a mucosal lining that protects the delicate tissue from toxicity and dirt breathed in air. Like all mucous, there should be enough of it to buffer the Lungs from unwanted elements but not so much that it obstructs the air passage.

What is Phlegm obstructing the Lungs? Too much gunk, attachment to material phenomena blocking the air passages keeping LU qi from descending = cough with gunk.

How does Phlegm obstructing the Lung manifest?

Without Heat  Chronic cough coming in bouts  Profuse white sputum which is easy to expectorate  White-pasty complexion  Stuffiness in the chest  Feeling “clogged up”  Shortness of breath  Dislike of lying down (because you can’t breathe when you do) Pulse: thick-sticky white coating Tongue: slippery or weak-floating and fine

With Heat  Barking cough  Profuse yellow, green or dark sputum that has a foul smell  Shortness of breath  Asthma  Stuffiness in chest

Pulse: slippery, rapid, full Tongue: red body, thick sticky yellow coat

How do we get Phlegm Obstructing the Lungs? Without Heat  SP qi or SP yang deficiency  Anything that can cause SP qi or SP yang deficiency  Excess consumption of greasy foods and/or cold or raw foods

With Heat  Excess consumption of greasy or hot foods  Smoking tobacco  Exterior wind-heat

Large Intestine Damp-Heat [made with the help of Maciocia] Large Intestine Damp-Heat manifests as:           

Abdominal pain Diarrhea Mucous and/or blood in stools Offense fecal odor Burning in anus Scanty-dark urine Fever Sweating (which does not decrease fever) Thirst without desire to drink Feeling of heaviness of the body and limbs Stuffiness of chest and epigastrium

Pulse: slippery, rapid Tongue: red sticky yellow coating How do we get Damp-Heat in the LI?  Damp heat pouring down from the LR (shitting is an act of festering, angry resentment)  Too much consumption of hot, greasy foods

Lung Fire [created with the help of Formulas and Strategies] What is Lung Fire? Excessive heat in the Lungs that burns its delicate membranes. The desert in your lungs.

How does Lung Fire manifest?         

Religious zealotry Righteously projecting ideas of purity onto others Dryness in the LU High, clear sounding cough Wheezing Fever with skin that feels hot to the touch Dry mouth Little or difficult to expectorate sputum All symptoms get worse in late afternoon

Tongue: red with yellow coating Pulse: thin, rapid

Lung Qi Constraint [made with the help of Jeremy Ross] What is Constrained Lung Qi? Qi that is unable to move freely downward, not from deficiency but from qi that is stuck Grief that is unreleased, sitting in the LU. Constrained Lung Qi manifests as:    

Feeling of blockage in the chest Dyspnea Suppressed grief Difficulty letting go of the past

Pulse: tight in LU Tongue: normal or swollen or bluish in LU area

Lung Yang Hold Form Deficiency What is Lung Yang Astringe / Hold Form? The grasping of the Po The impulse to hold onto something of value The aspect of holding form that is dynamic, useful and alive

What is Lung Yang Astringe / Hold Form Deficiency? Not grasping what is of enduring value/survival value Failure to personalize the universe

How does Lung Yang Astringe / Hold Form Deficiency manifest?         

Cough, some phlegm Wheezing from lack of power to grasp the air (inhale is painful or shallow and ineffective) No continuity of values Running around after The Latest Thing Inability to form attachments beyond the exigencies of the moment Inability to maintain a sense of meaning in life through a value system which organizes and personalizes our perception of the Universe and which in turn organizes our relationship to the World Cluttered quality, lack of aesthetic order Lack of architecture of body/mind/spirit holding us upright in relationship to gravity in an efficiently elegant way Lack of design which creates structure and meaning and is elegant

How do we get Lung Yang Astringe / Hold Form Deficient? a) Shock/grief leading to "life is meaningless" i.e. when the servant stops serving one master of meaning and hasn't yet found another master to serve (this is a crucial crisis/opportunity to seek the highest possible values/our own deep heart). b) Underlying LU Qi and Yang deficiency c) Fire overwhelming Metal

Large Intestine Hold Form Deficiency What is Astringed Large Intestine Qi? The grasping of the Po The impulse to hold onto something precious What is Large Intestine Unastringed Qi? Not grasping what is of enduring value/survival value Failure to personalize the universe How does Large Intestine Unastringed Qi manifest? o o

Diarrhea coming from lack of holding at the bottom Prolapsed rectum

Lung Yang Break Form Deficiency What is Lung Yang Release Exterior / Break Form? Surrender = letting go/jettisoning of form = exhale

What is Lung Yang Release Exterior I Break Form Deficiency? Inability to exhale and clear out the debris of old form Unable to surrender to the exigencies of the new moment Inability to "throw it all to the winds" for the sake of excitement about something new

How does Lung Yang Release Exterior / Break Form Deficiency manifest?   

Closed pores, no sweating Sharp limit to the LU ability to expand and contract (the sky is limited). The dynamism and range of the LU size difference between inhale and exhale is not elastic and can be quite small Lack of forceful exhale

If Lung Yang Release Exterior Deficiency leads to Lung Yin Excess (gunk), then add:  Accumulation of fluid in the LU and nasal passages, slowly condensing into clear loose phlegm o Runny nose, Fullness in chest, Needing to clear the throat a lot, Cough and wheeze as the exhale is burdened by obstruction (all the signs of crying)  Despondency. Nothing is shiny or exciting. Clouds in the sky (phlegm in the LU) prevents the sun from bringing out the sparkle in our world.  Dull, burdened, muffled grief (YOU)  Person feels wrapped in cellophane. That separate feeling.  Definite belief systems, structures that persist in thought. Conservatism by default Lung Yang Deficiency (Xi Xin)

Lung Yin Excess (Ban Xia)

 No excitement to try something new

 Actively clinging to the old

 Resignation and despondency

 Ponderous, heavy self-righteousness

 Unimaginativeness and pessimism

 Impenetrable sense of self-importance

Pulse: Soft, weak deep Tongue: flaccid, puffy, esp. in front

Pulse: Slippery Tongue: Phlegm strings

In either case, they order the same thing in restaurants every single time, either out of lack of gumption or because "this is the best."

How do we get Lung Yang Release Exterior / Break Form Deficient? a) Crushed idealism (a cynic is a disappointed romantic) c) Tragedy leading to conservatism as a way of closing down to risk.

Wind-Cold: Taiyang Level What is Taiyang level of Wind-Cold Invasion? The first stage of resistance to an external invasion of the Wind-Cold Devil. How does it manifest?          

Scratchy throat. This is not a sore throat. It's the halfway point on the boundary Sneezing (an attempt to eject the invader) Clear mucus (normal descended and transported fluids aren't circulated and thus respiratory gunk) Body aches (shutdown of wei qi - wind-cold in skin) Shivering (shutdown of wei qi -wind-cold in skin) Little or no fever (cold comes in and cools everything down) Stiff neck (in BL meridian and Taiyang area of back (SI/BL points)) Light cough (qi is disrupted and fluids are beginning to be disrupted, Overtime this could get much worse.) Occipital headache (taiyang area between shoulders) Sweating in a weak constitution (ying and wei out of adjustment) No sweating in a strong constitution

Pulse: floating tight slow. There's a hardness because the cold freezes the pulse. Tongue: not a big deal

How do we get it? a) Through skin exposure to a colder world than we expected b) If you're yang deficient and you put on clothes you get warmer c) If there's an external invasion, you're still cold with clothes on because the cold is inside you.

Wind-Cold: Yangming Level What is Yangming level of Wind-Cold Invasion? Total war: full-out battle against the invading Wind-Cold Devil How does it manifest?       

BIG PULSE BIG SWEAT BIG FEVER BIG THIRST You're heating up to meet the invader. Sometimes people don't heat up to full yangming because constitutionally they can't. Chronic: Yangming insanity. This person lives in a state of intense appetite all the time. He runs to the top of a hill or tree, takes off clothes and sings. Organ: Constipation in addition to the 4 Bigs.

Pulse: BIG!! Flooding Tongue: dry yellow coat, tongue redness increasing with duration of condition

How do we get it? a) Deeper stage of wind-cold invasion/strong constitution b) Not resolving the pathogen at the taiyang level Phlegm starts to change to yellow or green in this stage. You still have wind-cold. Don't just try to take care of the heat symptoms. They have the symptoms of some heat, but they're still fighting their way out of an igloo.

Wind-Cold: Shaoyang Level What is Shaoyang level of Wind-Cold Invasion? Half-conquered and still fighting Often referred to a "half inside, half outside." How does it manifest? 

Stronger constitution: o ALTERNATING fever and chills. NOT simultaneous. (TE) o Bitter taste in mouth. (GB) o Flank pain/tightness. (GB) o Irritability. (GB) o Dry mouth without thirst (sometimes referred to as "thirst without desire to drink"). (TE) o Some digestive problems characterized by irregularity. (GB) o You have a GB saying, "Yes. No. Yes. No." and a body saying "Hot. Cold. Hot. Cold."



Weaker constitution: o Post-viral chronic fatigue. The invader has you and you can't throw them off enough to get rid of it all the way. Epstein Barr. You go on and on living under a state of siege. Pulse: tense, especially middle burner Tongue: white coat on right side (maciocia), shaoyang dots (dee brown)

How do we get it? a) Malaria b) Any invasion that takes root without fully conquering us, but which we can't fully move out either c) Some kind of indecision

The 6 Stages of Cold/Love Induced Disorder Divider between External Patterns Condition

Acute and Chronic

Internal Patterns

OUTSIDE

INSIDE

Tai Yang

Yang Ming

Shao Yang

Border Patrol Skirmish All-Out War Love Fantasy Lust IllnessCommon Cold Raging Illness (4B)

Tai Yin

Shao Yin

Jue Yin

Merging

Die or Return

Invading Capital Pay taxes to Enemy Commitment ½ In ½ Out

YOU’RE WINNING

Dowry Exchange SP Cold and Def.

Marriage Betrayal and Forgiveness KI Yin and Yang Def. Hot/Cold mix / parasites

YOU’RE LOSING

The 4 Levels of Heat/Hate Induced Disorder OUTSIDE

ACUTE

CHRONIC

INSIDE

Wei

Qi

Ying

Xue

Outer Frontier Border

It’s in your town.

Town identity is gone.

Total Consumption

HateYou’re in a fight. IllnessSore throat

You’ve declared war

You embody the war.

Heat / Fire / Damp Chest/ST/LI/SP/ GB Organs, HT, PC Burning Yin

YOU’RE WINNING

Hate consumes you Heat in blood marauding

YOU’RE LOSING

Wind-Heat: Wei Level What is Wei level of Wind-Heat Invasion? The first stage of resistance to external invasion of the Wind-Heat Devil How does it manifest?           

Sore throat Yellow mucus (and more scant) Cough Slight fever Tight shoulders Thirst Headaches (angry bees buzzing) Red, irritated eyes (spring allergies. When literally what is blowing in the Wind is driving you up the wall. ) Rashes (epidemic). This is from the outside: rubella, measles, mumps, scarlet fever, contagious disease Rashes from poison ivy/poison oak are sourced Y2 inside, Y2 outside Most rashes are from internal sources expressing themselves on the skin. 90% are Heat in the Blood, an unclean Liver or a Colon who isn't good at taking out the garbage and expresses toxins through the skin.

Pulse: floating and rapid/not tight Tongue: may be some red dots in LU How do we get it? a) Through our mucous membranes (eyes, nose, mouth)

Wind-Heat: Qi Level What is Qi level of Wind-Heat Invasion? Total HOT war. Pitched battle against the invading Wind-Heat Devil. How does it manifest? Same as Yangming stage: 4 BIGS

How do we get it? a) Incomplete expulsion of Wei level invasion b) Strong constitution

Wind-Heat: Ying Level What is Ying level of Wind-Heat Invasion? Heat has won the battle and has sunken into the interior Heat in the pericardium How does it manifest?    

Fever at night Night sweats Thirst with or without a desire to drink Heat moving into the pericardium: delirium, mental restlessness, insomnia, aphasia

Tongue: RED! Probably peeled; if coated, yellow dry Pulse: tight and pounding, bigger as you raise up Eyelids reddening

How do we get it? a) Unresolved invasion settling in further b) Epidemics c) Resistance to What Is Simmering to the point of Hatred

Wind-Heat Xue Level What is Xue level of Wind-Heat Invasion? Heat in Blood triumphant and marauding How does it manifest?         

Late stage plague symptoms High fevers or feverishness Manic delirium (HT) Nosebleeds (LU) Irritation (LR) Blood in stools (LR / GB) Vomiting blood (ST / LR) Blood coming out of skin (HM) Convulsions (HM reaching HT to create internal wind)

Pulse: pounding, rapid, overflowing Tongue: RED! No coat. Strawberry.

How do we get it? a) Plague b) Unresolved heat pathogen sinking further in c) Hatred We won't see anyone who completely embodies this. They'd be in the hospital.

Toxic Heat What is Toxic Heat? Sepsis. Systemic toxicity. Infection which has become/is becoming systemic Damp-Heat in the ying (blood and lymph) How does it manifest? 



SEPSIS! May be from environmental toxin or HORRIFIC digestion, but most likely from: o Hot Red Painful Swollen Thing plus  Fever  Lethargic sick feeling (mastitis, appendicitis, infected splinter that got totally out of control) Organ Fire pouring into the whole body. This will almost certainly include SEVERE toxic emotions.

How do we get it? a) Local infection spreading through the ying b) Organ Fire spreading through the ying c) Environmental toxins in the ying d) HORRIFIC digestion dumping crap into the ying (possibly literally)

Organ Fire What is Organ Fire? Excess, festering Heat I Damp-Heat stagnating in an organ How does it manifest?  

Toxic emotions specific to that organ Extreme Heat or Damp-Heat symptoms particular to the organ

How do we get it? a) Toxic emotions specific to that organ, OR ANY EMOTION specific to that organ which is repressed long enough to fester b) Lousy lifestyle choices particular to various organ patterns Ex. Kidney Stones, Kidney prostate situation, Colitis (Damp heat in LI or LR / GB), Cirrhosis (LR), Bad Acne (Earth), GB Stones Kidney Zhi Bai Di Huang Wan: Shu Di Huang, Ze Xie, Shan Zhu Yu, Mu Dan Pi, Shan Yao, Fu Ling, Zhi Mu, Huang Bai Tonifies Yin, Clears KI Fire, Clears Damp-Heat in the lower jiao Bladder Dao Chi San: Sheng Di Huang, Dan Zhu Ye, Mu Tong, Gan Cao Clears HT Fire, SI Fire, BL fire Liver Long Dan Xie Gan Tang: Chai Hu, Long Dan Cao, Huang Qin, Zhi Zi, Mu Tong, Ze Xie, Che Qian Zi, Tang Kwei, Sheng Di Huang, Gan Cao Drains LR & GB Damp Heat, Drains LR & GB Fire, Drains Lower Jiao Damp-Heat Gall Bladder Wen Dan Tang Xiao Yao San’s Revenge Stomach Qing Wei San: Huang Lian, Sheng Ma, Mu Dan Pi, Sheng Di Huang, Tang Kwei, Shi Gao Drains ST Fire, Cools Blood, Nourishes Yin Heart Dao Chi San: Sheng Di Huang, Dan Zhu Ye, Mu Tong, Gan Cao Clears HT Fire, SI Fire, BL fire Small Intestine Dao Chi San: Sheng Di Huang, Dan Zhu Ye, Mu Tong, Gan Cao Clears HT Fire, SI Fire, BL fire

Lung Xie Bei San: Sang Bai Pi, Di Gu Pi, Gan Cao, Jing Mi Drains LU heat and clears wheezing Large Intestine Da Cheng Chi Tang: Da Huang, Mang Xiao, Zhi Shi, Hou Po Organ level yangming heat

Bi Syndrome What is Bi Syndrome (Painful Obstruction Syndrome)? "Pain, soreness or numbness of muscles, tendons and joints from invasion of external Wind, Cold or Dampness... Painful Obstruction Syndrome is by definition an affliction of the channels rather than the internal organs." "Ignorance and delusion... the pain of attachment to transient phenomena."

How does Bi Syndrome manifest?   

Pain and soreness in the muscles, tendons or joints leading to limitation of mobility. The pain fluctuates in response to exposure to climactic influences, e.g. the weather. In reality it is unlikely you will see Wind, Cold or Damp Bi alone. They are almost certainly going to appear in combination. The differentiation in types is only to determine the relative proportion of Wind or Cold or Damp in a given incidence of obstruction.

1st stage: Wind Bi  Pain may move from joint to join or come and go  Tends to manifest more in the upper body  Feels worse with exposure to drafts or wind or in changing weather (transition times).  This is something that got in through the cracks Damp Bi  Fixed pain, soreness or numbness.  Swelling, feeling of local heaviness  Feels worse with exposure to dampness (humidity) Cold BI  Pain is quite severe. It feels like having icicles inside the joint  Feels worse with exposure to cold 2nd stage: Hot Bi  Hot red swollen joints. This is very painful  This is not an entry level disorder. This only appears when the healthy qi has been struggling against Bi for long enough that the stagnation turns to heat. It is similar to the yangming stage, but in the joints. Bone Bi  Bone deformity, swelling, pain.  This also develops only from a long-term Bi condition. Excess yin (phlegm) has accumulates and it begins to deform the joints. Local stagnation of blood may also be involved. Deficient KI and LR is almost certainly involved.

How do we get Bi Syndrome? a) Underdressed for the weather b) Injury to a joint c) Overuse of a joint due to sports or work d) Particularly low vitality, especially of KI, LR, and GV e) Living in a cold damp drafty basement (or other environmental exposures)