• Cough, asthma

1. Belching, hiccups, nausea & vomiting
Emotions affecting Liver

• Headache, dizziness, vertigo, coma, hemoptysis, hematemesis

1. a thick forest or the appearance of fog or steam, worried melancholia, the smell of rotting plants or wood. Or similar in character 1. a slow scholarly appearance, strong fragrance or perfume, thick impenetrable fog.

"blockage" "Five Yù" were laid out, among which were a major principle still in use today: "Wood obstruction: restore its open flow".

Zhu Dan- "When qi and blood rush harmoniously, no disease is produced, but as soon as there is frustrated obstruction, all  diseases arise therefrom".

Qi obstruction turning to fire
1. Main symptoms:
Headache, dry mouth with bitter taste, irritability and irascible temper, breast distention, stuffy chest and flanks, abdominal bloating, sour regurgitation, indefinable epigastric discomfort (cao za), constipation, possible red eyes and tinnitus, red tongue with yellow coat, wiry rapid pulse. Pent up qi is in fact contained yang. If the spreading tendency of yang is constrained, yang's expression turns to heat,

Phlegm and qi knotted together
1. Main symptoms:
Obstructed sensation in the throat like a piece of stuck meat which cannot be coughed up or swallowed down, breast lumps or swelling in the inguinal region, wiry rolling pulse.

Long term Yù damaging the Shen
1. Main symptoms:
Jumpy and irritable, teary and sad, frequent sighing and yawning, thin white tongue coat, thready wiry pulse.

2. Explanation of symptoms:
Long term interference in the flow of qi eventually damages the ying/nutritive qi and the blood. This deprives the Heart Shen of sufficient nourishment, and leads to the above symptoms, which are described as "Zang Zao".

Yin deficiency with fire flaring
1. Main symptoms:
Vertigo, palpitations, insomnia, irritability and short temper, reddish tongue, rapid wiry thready pulse. There may also be lower backache and spermatorrhoea, or irregular menses in women.

2. Explanation of symptoms:
Qi blockage produces fire which can injure the yin fluids and the ying/nutritive qi. When yin becomes so weak that it can no longer control yang, then yang's expanding nature tends to rise unrestrainedly causing vertigo and anger.

In all cases Yu causes qi blockage, which after a time turns to heat. Pent up (yu) heat gradually exhausts the jin ye/body fluids which then do not flow smoothly. The mechanism of ascent and descent loses its rhythm. At first it only affects the qi level, but with time soon involves the blood level as well. Following this the Yu becomes debilitating and a deep-set stubborn disease.

[The success in] Yù syndrome completely depends upon the patient's ability to shift their emotional [fixation] and change their personality, and the physician's ability to come up with a bit of genius. The emphasis is not on "attacking" or "tonifying", but rather: when using bitter to drain heat, to not damage the Stomach; when using pungent to regulate qi, to not bust qi [and so injure its supportive power]; when using slippery moisteners to smooth dried roughness, to not obstruct the flow of qi with greasiness; and when using spreading openers, to not "stretch the sprouts to help them grow". There may then be a chance of success!

pale face, lips

• dizziness
• blurry vision,
• palpitations
• numb hands & feet

Jin- follows qi and blood, assist qi and blood in flow, on the surface of the body, warms, moistens, flushes the skin, muscles and orifices. "Qi Bo- (Jin) that which comes from subcutaneous tissues and moistens the skin with perspiration"

Material substances (substantial)
Sensitive to qi and blood, zang-fu and environment
Ye, (do NOT flow with qi and blood) thick and viscous, move slowly, supplements jing essence especially in joints and marrow, Su-Wen "paste-like, seeps into spaces of the bones, nourish brain and marrow"

Distributed to the zang-fu, bones and joints, brain and marrow.

 ____________________________________________________________

Stomach receives food and fluids
Spleen absorbs fluids - separates clear and turbid and sends clear up to lungs and downward to S.I.
San jiao provides a pathway for fluids and pathway for yuan source qi
Lung qi descends qi and regulates fluids - clear fluid from Sp and Kidney - sends channel qi - turbid qi to UB
Small intestine separates solid waste from stomach (with descending stomach qi)
Large intestine takes waste solids form Small intestine
UB takes impure fluids form San Jiao, Small Intestine and Lung Qi
Kidney yang steams impure fluids in UB and transforms Qi
UB separates again and redistributes usable fluids back
UB gets rid of unredeemable Qi

If Spleen qi weak

Dampness forms
Earth does not restrain water and water moves through the body.
Ergo: tonification of the spleen is not as good as tonification of the Kidneys- tonification of the KIdneys is not as good as tonification of the Spleen.
Spleen tonifiers are dry
Kidney tonifiers are wet (we tonify fire here not water)

LUNGS rule qi throughout the body (ren 17) - Su Wen "all qi is controlled by the lungs"
Controls movement and transforms of clear and turbid - clear qi from heaven and gu (food qi) creats chest (zong) qi and provides movement of qi and blood through the channels.
Channel qi "floating like a mist upon a river". - nourishing all tissues and organs
Jin is the clear aspect of ye, while ye is the murky form of Jin (1624 commentary)
Deficient jin/ye - thirst, dry throat, dry stool, scanty urine, dry lips, tongue and skin
Severe jin-ye xu will damage yin with above and red tongue with cracks and little coat

Phlegm

Cause- slowing of Sp/Lung/Kidney makes fluids, "slow, accumulate and thicken into phlegm" (via the San Jiao)
Or Water retention that has congealed and carried to every part of the body

Phlegm always flows unpredictable
Treat phlegm by treating qi "Water does not run uphill by itself, forget treating phlegm, treat Qi"
Substantial - vomited or coughed up
Insubstantial (internal) everything else

Phlegm -tan
Thin mucus- yin -fixed
Water- shui - K (always pathological)

Phlegm can be produced by fire, "phlegm is fire with form, fire is formless phlegm", phlegm is formed through the 4 Qi (LU<SP<K YANG<SJ Yuan) and fire.
 
 

Phlegm obstructing
St.= nausea, vomit
Intestines- diarrhea
San Jiao- dizziness, vertex headaches - yuan qi from kidneys warms energy for San Jiao ergo: moves qi, xue and fluids of Zang Fu
Lungs- cough, dyspnea ---lungs are storehouse of Phlegm 1)exongenous attacks, 2) Kidney Qi Xu, 3) Spleen Qi Xu
Spleen- "source of phlegm"
Ht- palpitations
Pc/Ht- epilepsy

Kidneys- always Xu- if Kidney yin xu, heat dessicates fluids and becomes phlegm - if Kidney Yang xu, then lack of Spleen Qi (yang) (more serious)
Women - leukorrhea, irregular periods abdominal mass, infertility
 
 

Heart= ht fire, ht yin (phlegm fire misting heart and Yang Xu
 
 

Treatment