当前课程知识点:Traditional Chinese Medicine > Chapter 3 Visceral Manifestation > Section 2 Five Zang Organs > Five zang organs
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Hello everyone
We have talked about some basic
information of visceral manifestation theory
The visceral manifestation theory
is a very important content of TCM
And the theory is quite often used clinically
Today we’ll continue to study
the second section of chapter 3
the main functions and relations of the five zang organs
As we have mentioned the heart
lung spleen liver and kidney
are together known as the five zang-organs
whose common physiological function
is producing and storing essence qi
Let’s start from the first organ—heart
As we have known
TCM does not have such systematic
anatomy as western medicine
it defines the location of inside organs mostly
by feeling not by watching
For the location of heart
it situates in the chest
above the diaphragm
In the five-element part
we have mentioned that each organ is attributed to
one of the five element systems
according to the characteristics of the organ
In this point heart belongs to fire
When we talk about the functions of the organ
the functions are often being conducted
by the qi of organ
For heart the heart qi has the functions of
promoting blood to circulate inside the vessels
all over the body
transporting nutrients and nourishing the body
So we say one of the most important physiological functions of heart
is governing blood and vessels
In a broad sense
mental activity means the external manifestation of the vital
activities of the whole body
In a narrow sense
it refers to the spirit consciousness and thinking capability
when heart accepts and reflects
the objective external information
Therefore the second function of heart is
controlling mental activity
The physiological functions of the five zang organs
are closely associated with the state of spirit and mind
Disorders of spirit emotions and mental activity
affect the physiological functions of the five zang-organs
Because the zang-fu organs are connected
by the meridian system
all of the tissues and organs of human body
could be included into the five zang organ systems
In general
joy is a kind of good emotion
and is beneficial to the functions of heart
However over-joy may impair
the heart vessels and mental activities
So joy is related to heart
Because the condition of heart qi and blood
can be reflected by the color changes of the complexion
the heart corresponding to the vessels
and manifesting on face
Heart opens to tongue
because heart is connected with the tongue
by the heart-meridians
and the function of tongue relies
on the nourishment of heart blood
and order of mental activities
Since sweat is transformed from body fluid
and body fluid shares the same source with blood
so sweat belongs to the heart system
The second organ-lung
Lung has two lobes
locate on the left and right separately
in the thorax
According to the five-element theory
lung belongs to metal
One of the functions of lung is controlling qi and respiration
since the lung dominates qi
and respiration by providing place for qi exchange
Secondly lung is governing dispersing and descending of qi
Thirdly lung is in charge of regulating water metabolism
with the ascending and descending functions of lung qi
Fourthly
although all the blood and vessels are
controlled by heart
lung is linking with all vessels
which assisting with the circulation of blood
Fifthly lung is governing the management
and regulation of all organs
by controlling breathing regulating qi movement and helping heart
to promote blood circulation
Excessive sorrow and grief are negative emotional changes
and they may consume lung qi
Lung is corresponding to skin and manifesting on body hair
Body hair is the first barrier
against the invasion of external pathogenic factors
It is warmed and nourished by the ascending function of lung
Lung opens to nose because the functions of nose
rely on the ascending function of lung qi
Since nasal mucus is secreted from the membrane of the nose
and the secretion is controlled by lung qi
nasal mucus is related to lung
The third organ—spleen
locates in the middle energizer
below the diaphragm
It is the main organ in charging of digestion
Spleen belongs to earth according to the five-element theory
Spleen is often called the foundation of acquired constitution
because its digestive function
The most important function of spleen is governing
the transportation and transformation of food and water
Specifically food and water are digested
and food essence are transported to the whole body
with the help of spleen qi
Secondly the ascending function of spleen qi
transports food essence upwards
to nourish the whole body
At the same time
the ascending function of spleen qi
can maintain the position of the organs from prolapse
Thirdly spleen qi has the function of controlling blood circulation
inside vessels
and preventing it from flowing out of the vessels
Thinking is a kind of spirit
consciousness and conceptual work of human beings
There is no harm when thinking is within a normal limit
Over-thinking or emotional depression
may lead to stagnation of qi
Muscles and four limbs need the nourishing
from the food essence transformed by spleen
Spleen opens to mouth and manifesting on lips
The appetite and sense of taste
are closely related with the transportation and transformation of spleen
The color of lips is related to qi and blood of the whole body
Saliva is related with spleen since it is
the clear part of the fluid secreted in the mouth
which is derived from spleen
The fourth organ—liver locates below the diaphragm
in the right rib-cage
it belongs to wood according to the five-element theory
The main functions of liver include
governing free flow of qi and storing blood
Liver qi has the property of ascending-spreading movement
which is the basis for the smooth flow
of qi movements of the whole body
Liver has the function to store blood
regulate the volume of blood and prevent bleeding
Liver is related to anger because over-anger
may induce the stagnation of liver qi
Sinew and nails are nourished by liver blood
They all belong to liver system
Liver opens to eyes since liver meridian
travels upward to the eye system
as well as blood stored by liver to nourish the eyes
Tears moisten nourish and protect the eyes
So tear is related to liver too
The fifth organ—kidney
We have two kidneys which locate in the waist region
Kidney is often called
innate foundation because it stores congenital essence
It belongs to water in the five-element system
The main physiological functions of kidney include
storing essence
governing water and qi reception
Storage of essence
which is the basic substance of body
creates a condition for essence
to play its role inside the body and prevent loss
Qi transformation of kidney
controls the entire water metabolism
Kidney can grasp
and store the fresh qi inhaling by lung
so as to maintain the depth of the respiration
and prevent shallow breathing
The emotion of fear makes kidney qi flow downwards
then hurts kidney
So fear is related to kidney
Kidney essence can be transformed into
bone marrow to nourish the bones
The essence stored in kidney changes
to blood to nourish the hair
Therefore kidney is in charging of bone
producing marrow and manifesting on Hair
Kidney opens to ears since
hearing depends on the nourishment of kidney essence
Spittle is the thick part of the saliva in the mouth
which is derived from kidney essence
So spittle belongs to kidney system
Ok we just went through the whole contents of
five zang organs
As I have mentioned that the functions of zang organs
play a leading role
in the physiological functions of the whole body
The knowledge of the viscera will be used for
the diagnosis and treatment
So it is very important
That’s all for today
See you in next class
-Section 1 General Introduction
--General Introduction
-Section 2 Basic Characteristics of TCM
--Basic Characteristics of TCM
--Basic Characteristics of TCM
-Section 1 Unity of Qi
--Unity of Qi
-Section 2 Yin-Yang Theory
--Yin-Yang Theory
-Section 3 Five-Element Theory
--Five-Element Theory
-Section 1 Overview of Visceral Manifestation
--Overview of Visceral Manifestation
--Overview of Visceral Manifestation
-Section 2 Five Zang Organs
--Five Zang Organs
-Essence, Qi, Blood and Body Fluid
--Essence, Qi, Blood and Body Fluid
--Essence, Qi, Blood and Body Fluid
-Section 1 Etiology of TCM
--Etiology of TCM
-Section 2 Pathogenesis of TCM
--Pathogenesis of TCM
-Section 1 Inspection of Tongue
--Inspection of Tongue
-Section 2 Pulse Taking
--Pulse Taking
-Section 1 Syndrome Differentiation
--Syndrome Differentiation
-Section 2 Therapeutic Principles and Methods
--Therapeutic Principles and Methods
--Therapeutic Principles and Methods
-section 1 four natures and five flavors
--four natures and five flavors
--dicussion of four natures and five flavors
-section 2 four directing actions of chinese medicinal herbs
--four directing actions of chinese medicinal herbs
--discussion works
-section 3 compatibilities of chinese medicinal herbs
--compatibilities of chinese medicinal herbs
--discussion works
-section4 diaphretics
--works
-section5 Interior Warming Chinese Medicinal Herbs
--Interior Warming Chinese Medicinal Herbs
--works
-section6 restorative Chinese Medicinal Herbs
--Restorative Chinese Medicinal Herbs
--works
-section 1 general intorduction of prescription
--general intorduction of prescription
--discussion works
-section 2 Prescriptions for Relieving Exterior Syndromes
--Prescriptions for Relieving Exterior Syndromes
--works
-section 3 prescription for Warming the Interior
--prescription for Warming the Interior
--discussion works
-section4 tonic prescription--Prescriptions for invigorating qi
--tonic prescription---Prescriptions for invigorating qi
--discussion works
-section5 tonic prescription--prescriptions for nourishing blood and nourishing yin
--prescriptions for nourishing blood and nourishing yin
--discussion works
-section6 peptic prescription
--discussion works
-Section 1 Cold
--Cold
--Cold
-Section 2 Headache
--Headache
--Headache
-Section 3 Stomachache
--Stomachache
-Section 4 Insomnia
--Insomnia
--Insomnia