TCM Acupuncture and Massage

Chapter 8 Basic Theory of Traditional Chinese Medicine (7)
[-]. The etiology of internal injury

([-]) Seven Emotions

Under normal circumstances, the seven emotions are seven different emotional reactions made by the human body to objective external things and phenomena, and generally do not cause people to get sick.Only when the sudden, strong or long-lasting emotional stimulation exceeds the adjustment range of the human body's own physiological activities and cannot adapt, it will cause the dysfunction of viscera, qi and blood, and then lead to the occurrence of diseases.

The pathogenic characteristics of the seven emotions directly affect the viscera, causing the viscera to become disordered, causing Qi and blood disorders, leading to the occurrence of various diseases.

1. The seven emotions all come from the heart. "Lei Jing" says: "The heart is the master of the internal organs, and the president's soul is also the will. Therefore, when worry moves in the heart, the lung responds. When thinking moves in the heart, the spleen responds. Anger If the heart is moved, the liver responds, if the heart is feared, the kidneys respond, so the five aspirations are only what the heart makes." "Emotional injury, although the five internal organs belong to each other, but if you look for its cause, it will all come from the heart."

2. Direct damage to internal organs Since the five internal organs have a corresponding relationship with emotional activities, too much of the seven emotions can damage the corresponding internal organs.Excessive happiness and sadness, excessive anger injures the liver, excessive thinking injures the spleen, excessive sadness injures the lungs, and excessive fear injures the kidneys.However, the heart is the master of the five viscera and the six fu-organs, so too much of the seven emotions will first hurt the mind, and then affect other viscera and cause diseases.

The heart governs blood and stores the spirit, the liver stores blood and governs catharsis, the spleen governs movement and transformation, and is the source of qi and blood transformation.According to clinical findings, the heart, liver, and spleen are the most common pathogenesis caused by the seven emotions.

3. Affect visceral qi
(1) Anger causes qi to rise: Excessive anger affects the catharsis function of the liver, leading to an upward reversal of liver qi, and blood follows the qi inversion, and goes up, resulting in dizziness and headache, red face and red eyes, vomiting blood, and even sudden fainting fall.

(2) Joy leads to slow Qi: Excessive joy can make the heart qi slack and unrestrained, the mind can't keep up, and the spirit can't concentrate, and even the mind will be absent-minded and frantic.

(3) Sadness leads to the disappearance of qi: Excessive sorrow and worry damage the lung qi, leading to symptoms such as lack of qi, laziness in speech, listlessness, and fatigue.

(4) Fear leads to lower qi: Excessive fear can make the kidney qi not solidified, and the qi will be vented downward, causing incontinence of bowel and bowel, even fainting and nocturnal emission.

(5) Shock leads to disordered qi: Sudden fright can damage the heart qi, leading to disordered heart qi.

(6) Thinking causes qi stagnation: Excessive thinking leads to qi stagnation, resulting in loss of appetite, abdominal fullness, loose stools and other symptoms of spleen dysfunction.

([-]) work and rest

Long-term overwork or over-ease can become a pathogenic factor and cause people to get sick, so it is called overwork or over-ease.

1. Overwork includes three aspects: overwork, overwork, and overwork.

①Overwork: Overwork for a long time will deplete the body's energy and cause illness from overwork.Clinically, it can be seen that there are few symptoms such as lack of breath, lazy speech, sleepy limbs, mental fatigue, and emaciation.

②Excessive labor: thinking and mental work are too much, which can secretly consume effort, damage temper, palpitations, forgetfulness, insomnia, dreaminess, loss of appetite, abdominal distension, loose stools, etc.

③ Excessive labor in the house: irregular sex life and excessive sexual intercourse can damage the essence of the kidney, causing weakness in the waist and knees, dizziness and tinnitus, listlessness, or nocturnal emission, premature ejaculation, and impotence.Or irregular menstruation, or infertility, etc.

2. Those who do not work or exercise for a long time due to leisure, those who enjoy leisure and hate work, those who have abnormal daily life, and those who take too much rest due to illness.Excessive relaxation will cause poor circulation of qi and blood in the human body and weakness of the whole body, which will cause qi stagnation and blood stasis and cause other diseases.

([-]) Diet

Improper diet often becomes a pathogenic factor, including abnormal hunger and fullness, unclean diet, and dietary preference.

1. Abnormal hunger and fullness. Excessive hunger, insufficient food intake, lack of chemical sources, and thus less energy and blood, resulting in dull complexion, heart palpitations, shortness of breath, general fatigue, etc., and other diseases may occur due to weak righteous energy and low resistance.Overeating and overeating can lead to eating block, damage to the spleen and stomach, and symptoms such as abdominal fullness, belching and acid regurgitation, anorexia, and vomiting and diarrhea.The so-called "eating twice as much will hurt the stomach".Accumulation of food for a long time can not only cause stagnation and turn heat, but also accumulate dampness and produce phlegm. Infants and young children have food accumulation, and for a long time it will lead to malnutrition.

2. Unclean diet Eating unclean or stale and spoiled food can cause a variety of gastrointestinal diseases, such as abdominal pain, vomiting and diarrhea, dysentery, etc., or cause parasitic diseases.Food poisoning can result if poisonous food is eaten.

3. Diet addiction will cause excess or deficiency of certain nutrients in the human body, leading to imbalance of yin and yang and disease. For example, overeating sour taste can cause the liver to become full and take advantage of the spleen, and the skin will thicken and wrinkle, and the lips will become dry and cracked; overeating Salty taste leads to excess kidney and heart, chest tightness, shortness of breath, dull complexion, and blood stasis; excessive consumption of sweet taste leads to excess spleen and kidney, dark complexion, chest tightness and asthma, sore waist and knees, and hair loss; excessive consumption of bitter taste leads to full heart Taking advantage of the lungs, symptoms of dry skin, loss of vellus hair, and spleen-stomach imbalance appear; excessive consumption of pungent flavors leads to excessive lungs and liver, dry nails and unprosperous tendons and arteries.It is common in clinical practice. It is addicted to fat, sweet and thick flavor, endogenous phlegm heat, stagnation of qi and blood, and manifests as chest obstruction, obesity, carbuncle, sore and so on.

In addition, overeating cold and cool foods can damage the yang energy of the spleen and stomach, and cause internal cold and dampness, causing abdominal pain and diarrhea; Hemorrhoids etc.

[-]. Water damp phlegm drink

Shuishi phlegm drink is a pathological product formed by the body's water-fluid metabolism disorder. After its formation, it becomes a new pathogenic factor acting on the body, leading to dysfunction of the viscera and causing various complex pathological changes.

Water, dampness, phlegm, and fluid flow from the same source, and when they are divided into four, they are combined into one. They are all pathological products caused by obstacles in the process of human body fluid distribution and excretion, and staying in the body.It is generally believed that wetness gathers into water, accumulated water into drink, and drink condenses into phlegm. Therefore, in terms of its shape and quality, thick and turbid ones are phlegm, thinner ones are drinkable, and clearer ones are water, and dampness is the dispersion and impregnation of water. In the state of human tissue, its shape and quality are not as obvious as phlegm and water.

The pathogenic characteristics of water-dampness-phlegm-retention: 1. Blocking the movement of qi and obstructing qi and blood. Water-dampness-phlegm-retention is a tangible pathological product. Once formed, it can block the movement of qi and affect the rise and fall of the movement of qi in the viscera; it can also flow into the meridians , hinder the movement of Qi and blood.For example, if phlegm fluid stays in the lungs, the lungs fail to ventilate and descend, and chest tightness, cough, and shortness of breath are seen; water-dampness obstructs the spleen and stomach, and abdominal fullness, nausea, vomiting, and loose stools are seen.When phlegm fluid flows into the meridians, it is easy to block the meridians, qi and blood flow is not smooth, numbness of the limbs, difficulty in flexion and extension, and even hemiplegia occur.If agglomerated locally, it can form phlegm nucleus scrofula, or vaginal gangrene bleeding and so on. 2. The pathogenesis is extensive and varied. Water, dampness and phlegm staying in the body can cause many diseases. For example, dizziness can be seen when drinking against the upper part; foot swelling can be seen when water is poured down; , affecting the spleen and stomach.Condensed throat can be seen as "plum nuclear gas" in the throat if there is something obstructed; phlegm in the stomach will cause nausea and vomiting.Diseases caused by phlegm reach up to the head, down to the feet, internally to the viscera, and externally to the skin, and they are all-pervasive. Therefore, there is a saying that "all diseases are mostly caused by phlegm".

3. The disease is lingering and the course is long. Water, dampness and phlegm are all formed by the accumulation of body fluid in the body, and they all have the characteristics of heavy turbidity and stickiness.Therefore, the pathogenicity of Shuishiphlegm and Yin all manifests as a lingering condition and a long course of disease.Such as cough and asthma, dizziness, chest obstruction, epilepsy, stroke, sputum nucleus, scrofula, goiter, bleeding, genital gangrene, etc., often have repeated attacks, lingering and difficult to heal, and difficult to treat.

4. Easy to disturb the gods. The heart dominates the gods. If the heart is full of qi and blood and functions normally, the mind will be clear and quick thinking.If water, dampness, phlegm, and fluid stop inside, affecting the heart, often disturbing the mind, and causing a series of insane symptoms, such as phlegm and dampness clouding the orifices, dizziness, dizziness, and lack of energy; Or epilepsy, etc.; phlegm fire disturbing the heart can cause insomnia, irritability, laughter, and even madness.

5. It is more common to have a greasy tongue coating, water, dampness, phlegm, and water retention, which is changeable and various symptoms can be seen.As far as the tongue coating is concerned, it is relatively fixed, and generally greasy and slippery coatings are more common.

[-]. Blood stasis
Blood stasis, also known as sepsis, bad blood.It refers to stagnation of blood in the body, which cannot support the operation, including the blood that leaves the menstrual flow and the blood that is blocked in the blood vessels and viscera.

The pathogenic characteristics of blood stasis: 1. The pain is generally manifested as tingling, fixed pain, refusal to press, and it is worse at night.

2. Mass The mass is fixed, with local bruising and swelling on the body surface, and mostly lumps in the body, which are hard and fixed in position.

3. Bleeding is dark purple or lumpy.

4. Cyanosis, dark purple complexion, blue lips and claw nails.

5. Dark purple tongue, or tongue with petechiae, ecchymosis, or sublingual varicose veins.

6. Astringent pulse or conjunctival blood stasis. In clinical practice, pulse conditions such as deep, thin, stringy and astringent are common.

(End of this chapter)