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Diseases (TCM)

TCM evaluates disease as qi energetic dysfunction from three categories, external, internal and things that happen such as an accident, or a dog bite, parasites, possible bacterial and viral infections.

Qi Disharmonies

Rebellious Chi - Reverse Qi
Chi moving in the opposite direction such as vomiting (rebellious stomach chi), hiccups, depression, anger, indigestion, cough, nose bleeds, asthma, peptic ulcer, hypertension, aural vertigo.
Deficient Chi (fatigue)
Lack of chi to warm the body, or control the body/mind performance, usually seen in the elderly, prolonged illness, overstrain, serious illness, shortness of breath, dizziness and blurred vision, spontaneous sweating, muscular atrophy and no appetite.
Sinking Chi - Collapsed
Weakened chi energy that has not the strength to hold organs or parts of the body in place (prolapsed organs, lack of strength or will), tiredness, hypotension, bowel problems.
Stagnant Chi
Chi movement of flow that has been blocked, slowed of stuck (bruising, pressure on the vessels or organs etc.), flow that has been impeded, emotional depression, pain in the chest, farting, peptic ulcers.

More Qi disharmonies

External causes (yang diseases)
Wind, heat, fire, damp, dryness, cold and epidemics.

Internal internal (yin diseases)
Emotional disturbances, overindulgence, starvation, overstrain, fatigue and inactivity, obesity.

Wind (Yang Pathogen) Chi
Wind usually attacks the upper body first to quickly move through the system causing discomfort and pain. Wind is always an excess (yang) condition even when it is present because of a deficiency, therefore treatment from wind conditions is to sedate or disperse. If a wind is violent then liver fire could flare upwards.
Wind disease habitually pairs up with damp or heat or cold pathogens etc, blowing its illnesses and dysfunctions around the body.
Common wind diseases include: joint pains, spasms and uncontrollable limb movements, common cold, sweating and fever, itchy skin, stoke, parkinson's, infantile convulsions and paralysis

Fire (Yang Pathogen) Chi
Fire is a yang disease and tends to fire/flame in a upwards direction to consume yin fluids in the top half of the body.
Common fire diseases and indications include: heat of the whole body, fear of heat, perspiration, mouth and tongue ulcers, anxiety, insomnia, nosebleeds, irritability, craving cold, flushed face, rapid pulse, hot and painful skin problems (boils etc), smelly body odour, loss of consciousness and delirium.
Note: heat damages body fluids whilst driving blood out through one or some of the nine orifices (nose bleeds can be seen as heat in the lungs).

Summer Heat (Yang Pathogen) Chi
Summer heat first shows itself in the upper part of the body consuming yin and qi
Common Summer heat diseases include: headaches, thirst, hot skin, dizziness, profuse sweating, rapid pulse, abdominal distention, dry nose, parched lips, coughing without mucus, dry tongue, dry skin, vomiting and irritability.
Internal dryness could be caused by insufficiency of fluids due to vomiting and diarrhoea.

Damp (Yin Pathogen) Chi
Damp usually attacks the lower half of the body causing muscle soreness creating a heavy, sluggish sort of feeling of going nowhere, a stagnation.
Common damp diseases include: skin rashes, fungi, constipation, indigestion, rheumatism, aching limbs, damp skin thick greasy moss on the tongue, slow-slippery pulse and general lethargy.
Internal dampness damages the spleen yang indicated by digestion difficulties, watery stools and very little urination.

Dryness (Yang Pathogen) Chi
Dryness tends to soak up body fluids and the lungs are particularly sensitive to it. Dryness can come as external or internal imbalance, cold or hot illness.
Common dry diseases include: aching joints and muscles, cough and asthma, headaches, rasping cough, mental instability, emotional problems, nasal blockages, mucus, and pharyngitis.
dry nose, parched lips, coughing without mucus, dry tongue and a dry skin.
Internal dryness could be caused by insufficiency of fluids due to vomiting and diarrhoea.

Cold (Yin Pathogen) Chi
Cold weakens and depletes yang energy especially blood and chi circulation causing contraction of the blood vessels leading to cramps and lethargy
Common diseases of cold include: diarrhea, slow pulse, pale tongue, vomiting, abdominal cramps, nasal blockages, mucus, pharyngitis, aching joints and muscles, cough and asthma, headaches, stiffness, fever without sweat, cold feeling in the stomachache, hands and feet.

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Fluids (TCM)lymphatic system

Circulation of Fluids
Fluids are processed from food and drink, they are refined in the stomach, and then the spleen which passes them out as either impure fluids, or light, (purer) fluids.
Light Fluids
The light fluids are sent to the lungs (as a fine mist) to be cultivated even more, the lungs will send the fluids to be filtered by the kidneys, which then sends the more refined, pure fluids back to the lungs, to be spread by the lungs throughout the skin and muscles making them (skin/muscles) moist and healthy (any missed impure fluids found during this process are sent to the bladder to be excreted).
Impure Fluids
The impure fluids are send to the small intestine which divides them even more to either go to the bladder to be passed as urine, or on to the large intestine, becoming part of feces, any pure fluids detected by the systems at anytime will be absorbed by the body or passed on to the sanjiao (triple warmers) and absorbed (used) by the body to encourage moisture and lubrication throughout the three physical/psychic spaces.
Body Fluids
Body fluids nourish and moisten the body
Jin Fluids - are seen as sweat, tears and saliva whilst keeping the the skin, muscles and hair from drying out.
Ye Fluids - moisten the joints and the brain (synovial fluid, cerebral and spinal fluids).
Some disorders associated with body fluid dysfunctions:
Dry skin (lungs), dry-brittle hair (lungs/kidneys), headaches (liver), constipation (large intestine), edema (spleen), dry eyes (liver), joint disorders (gallbladder/kidneys), Qi energy dysfunctions etc.
Note: The amount of fluid within the body largely depends on liquids drank and food eaten. Excess or lack of fluids in the system could cause a yin/yang imbalance.

TCM Diagnosis - Fluids:

Liver (gallbladder) - Wood element (Tears fluid)
Tears come from the eyes, and the eyes are the openings to the liver; therefore dry eyes and lack of tears, or normal eye dampness indicates deficiency of blood and essence of the liver (and possibly the gallbladder).

Heart (small intestine) - Fire element (Sweat fluid)
Sweat is the fluid of the heart and is part of blood essence, and because the heart controls and circulates blood, excessive spontaneous sweating indicates a weakness in energy of the heart (insufficient heart yang) or loss of vital heart functions, however night sweating indicates a weak heart muscle (yin deficiency) or weakened heart essence.

Spleen (stomach) - Earth element (Slobber-saliva fluid)
Slobber-saliva is the fluid of the mouth, and the mouth is the opening for the spleen (stomach), therefore a dry mouth indicates a fluid dysfunction of the spleen and stomach, which has lost the vital qi energy to send fluids upward.

Lungs (large intestine) - Metal element (Snivel-snot, mucus fluid)
Snivel-snot is the fluid of the nose, and the nose opens to the lungs, therefore a dry nose indicates heat and dryness of the lungs, and wind-cold (a cold etc) dysfunction will show via a snotty, sniveled, runny nose.

Kidneys (unitary bladder) - Water element (Spittle-phlegm, sexual and urine fluid)
Excessive spit suggests an essential kidney (unitary bladder) dysfunction.

Brief Body Fluids Western Medical Anatomy and Actions
Body fluids (bio fluids) are liquids located on the inside of living creatures. In humans approximately 60-65% of body water is held within the cells as intracellular fluid, and 35-40% outside the cells, or extra cellular fluid (including the transitional fluid called interstitial fluid).
Lymph and Blood
The lymphatic system holds about 6-10 litres of fluid and blood has 3.5-5 litres.
Fluid list
Amniotic fluid, aqueous humour and vitreous humour, bile, blood serum, breast milk, cerebrospinal fluid, cerumen (earwax), chyle, chyme, endolymph and perilymph, exudates, feces, female ejaculate, gastric acid, gastric juice, lymph, mucus (including nasal drainage and phlegm), pericardial fluid, peritoneal fluid, pleural fluid, pus, rheum, saliva, sebum (skin oil), serous fluid, semen, smegma, sputum, synovial fluid, sweat, tears, urine, vaginal secretion, vomit.
Fluid disorders (western medicine)
Edema (excessive fluid in the intercellular spaces), pulmonary edema (low blood water pressure), water intoxication (dilution of cellular water), effusion (fluid escaping into a cavity or space), ascites (accumulation of fluid in the abdominal cavity), dehydration (severe depletion of body fluids).

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Blood (TCM)

What does Blood do
Blood is yin in nature (qi is yang) which nourishes, lubricates and moistens the body, whilst, when in a good balanced supply promotes a healthy mind (shen energy), blood continually circulates to nourish muscles, tendons and organs, blood is entwined with natural qi life force that pushes and motivates bloods movement, whilst the very presence of blood benefits the whole metaphysical system good healthy blood maintains and encourages longevity, health and well being.

How is Blood produced
Blood is extracted from food and drink, which creates Gu Qi. The nourishing qi part of the Gu Qi is sent to the lungs (along with light fluid-"steam"), and from the lungs the qi energy is passed on to the heart.
Gu Qi mixes with jing essence (kidney jing qi is connected to bone marrow blood production) from the kidneys and Yuan Qi (energy qi we are born with), all this chi is bought together at the heart to pump/produce blood and promote blood through the bodies energy systems.

Chi and Blood
Chi moves blood around the body and its energy motivates blood production whilst holding blood within the veins, arteries and capillaries, blood nourishes and enhances qi production, development and movement. Each merdian is allocated a proportion of chi and blood in circulation.


Disharmonies of Blood

Heat in the Blood
Heat in the blood usually happens because of excess or deficiency in one of the organs, the organ becomes hot and heats the blood. Can be brought about and seen with dysfunctions by the five(+) emotions, pungent food, alcohol, bruising, bleeding from the nose, eyes, ears, painful menstruation, unitary infections, kidney stones
Deficient Blood
Deficient blood can be caused by poor diet, deficient of vitamins and minerals absorption and lack of good water intake. Chronic and acute bleedings, hypofunction of the stomach and spleen, over thinking, anemia, irregular menstruation.
Stagnant Blood - Blood Stasis
Lack of chi energy and vitality to move blood causing stagnation. Fixed stabbing pain that is aggravated when pressed especially at night, abdominal fixed, hard masses, angina, tumors, blood diseases, dysmenorrhea.
Spleen and Blood
The spleens energy (qi) holds blood within the veins and is energetically related to dysfunctions of the holding energy, which when collapsed can be acknowledged by the physical presence of varicose vein, nose bleeds or any kind of unusual vein bruising etc.

Some disorders associated with blood fluid dysfunctions:
Dizziness, mental and emotional problems, dry skin, intense or sharp pain, tumors etc.

Brief Blood Western Medical Anatomy and Actions
Blood is a body fluid transporting nutrients and oxygen (from the lungs) to cells whilst exchanging and disposing of any metabolic waste (co2 and vapor) out of the same cells. Blood is pumped around the body via the blood vessels, first through the arteries (oxygenated), across the fine capillaries (to pass on oxygen, nutrients etc) then into the veins (deoxygenated blood) to return to the heart.
Plasma
Blood cells are suspended in blood plasma (a watery fluid containing vitamins, minerals and hormones etc), containing Albumin a protein in plasma whose action is to regulate blood pressure. Oxygenated blood is bright red (arterial) and de-oxygenated blood is dark red (venous).
Types of Blood Cells
Red blood cells contain hemoglobin, an iron-containing protein, which transports oxygen.
White blood cells are mainly immune system cells along with platelets which amongst other actions plug up any holes to stop bleeding when the skin is cut open.
Blood Cell Creation
Blood cells are created in bone marrow via the hematopoiesis process.
The production of red blood cells is known as erythropoiesis and the production of white blood cells and platelets is called myelopoiesis.
Erythrocytes have a plasma life of approximately 120 days before they are metabolized by the spleen and the liver (via Kupffer cells). The liver also cleans blood of some proteins, lipids (fats) and amino acids, any further discharging fluids, or fluids from cleansed blood are passed on to the kidneys to be cleaned even more, impure or excessive fluids (urine) are excreted into the bladder (from the kidneys) to be passed out of the body.
Blood disorders
Iron deficient anemia (low iron levels), chronic disease anemia (associate with chronic disease especially kidney failure), pernicious anemia (B12 vitamin deficiency), aplastic anemia (low bone marrow cell production), autoimmune hemolytic anemia (overactive immune system destroying blood cells), thalassemia (genetic disease), sickle cell anemia (genetic disease), polycythemia vera (over production of blood cells, may cause blood clots).

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