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keywords: description: Tuesday, December 19, 2017 CLEAR METAL Remedio de los "Three Treasures" para etapa avanzada de la influenzaClearMetal - Video en españolGiovanniMaciocia
Este es un video breve sobre el uso del remedio ClearMetal [Aclarar Metal], de los Tres Tesoros, que se usa para invasiones agudasde Viento-Calor.
Las invasiones de Viento-Calor pueden ser de dos tipos:puede ser lo que yo llamo una invasión simple de Viento-Calor, o puede seruna invasión de Viento-Calor del tipo WenBing. Por ejemplo: una mononucleosisaguda sería una invasión de Viento-Calor del tipo Wen Bing.
Desde el punto de vista de la patología, son básicamenteiguales, pero las invasiones de Viento-Calor Wen Bing son más severasy potencialmente más dañinas.
El remedio Clear Metal puede usarse para ambos tipos deinvasiones. Ya sea que la invasión de Viento-Calor sea o no del tipo Wen Bing,siempre hago un diagnóstico sobre la base de la teoría de los 4 niveles: Wei, Qi,Ying y Xue. Pienso que la teoría de los 4 niveles es absolutamenteesencial para el diagnóstico y tratamiento de las invasiones agudas deViento-Calor.
En el nivel Wei,el Viento-Calor está en el exterior. El nivel Wei se caracteriza por una aversión simultánea al frío y fiebre. Esdecir, observas al paciente, quizá es un niño en cama, tiene fiebre y su frenteestá muy caliente, pero el niño siente frío. Esta es la sintomatología clásicadel estado agudo de una invasión de Viento-Calor, que sería en el nivel Wei, de los 4 niveles. Clear MetalNO es para el nivel Wei. Repito:No es para el nivel Wei.
En el nivel Qi,el Calor ha penetrado al interior, y la principal diferencia es que el pacienteya no tiene aversión al frío. Ya no siente frío, sino calor. Está el niño encama, vas a revisar al niño, y notas que el niño está sudando, y se ha quitadode encima los cobertores. Esto significa que el Calor ha penetrado al siguientenivel, es decir, al nivel Qi, en elque el paciente aún tiene fiebre, pero se siente caliente y tiene sed,posiblemente está sudando, y, generalmente, en este nivel Qi, el Calor está en los Pulmones. De manera que hay, ya sea Caloren Pulmón, o Flema-Calor en Pulmón, y, entonces, habría tos, con o sinexpectoración. El remedio Clear Metal es para este nivel, para Calor en elnivel Qi, que sería la segunda etapade una invasión de Viento-Calor.
Otra característica de las invasiones de Viento-Calor,especialmente las del tipo Wen Bing, es que progresan rápidamente. Demanera que tenemos que ver al paciente más de una vez al día, porque debemoscambiar el tratamiento tan pronto como el factor patógeno pasa del nivel Wei al nivel Qi, lo cual se caracteriza, repito, por el hecho de que el pacienteya no siente frío, sino que siente calor. Cuando esto sucede, podemos usarClear Metal, especialmente si el Calor es pronunciado.
Clear Metal debe administrarse en una dosisrelativamente alta de, al menos,9 tabletas al día. Si el paciente tiene síntomas clarosde Flema-Calor en Pulmón, o sea Calor en Pulmón con Flema, entonces el remedioa usarse, más que Clear Metal, sería Ringing Metal [Resonando el Metal].Estos dos remedios son similares en el sentido de que tratan el nivel Qi, pero Clear Metal es mejor si elCalor es pronunciado: el paciente tiene mucho calor, tiene sed y sequedad en laboca. Si el paciente tiene tos con expectoración de mucosidad, entonces podemosusar el remedio de Ringing Metal.
En resumen, estos dos remedios son similares, en elsentido de que ambos tratan el nivel Qi,pero Clear Metal es especialmente mejor si el Calor es pronunciado, yRinging Metal es mejor si hay Flema-Calor en los Pulmones.
Por cierto, otra razón para usar Clear Metal es que, siel Calor es pronunciado, también podría progresar hacia el siguiente nivel, esdecir, al nivel Ying, la cual seríauna progresión mala, porque, potencialmente, podría haber repercusiones seriasen el nivel Ying o en el nivel Xue. Así que es muy importante tratar elCalor en el nivel Qi, y detenerlo enel nivel Qi, con el uso de ClearMetal.
Fuente: https://www.youtube.com/watch?v=GXndBpzn7ic
Traducción:Oscar Domínguez MuñozNoviembrede 2017
Saturday, November 25, 2017 THE KIDNEYS, SADNESS AND TEARS
SU WEN CHAPTER 81 and TEARS
Chapter 81 of the Su Wen has an interesting view of sadness and tears.
The Jing of Water is Zhi and the Jing of Fire is Shen. The interaction of Water and Fire causes sadness of both the Zhi and the Shen and that is why tears run out of the eyes.
An old proverb says: "The sadness of the Heart is in fact the sadness of the Zhi." The Jing of the Zhi and Heart accumulate in the eyes. Thus when both Heart and Kidneys are sad, Shen Qi goes to the Heart, Jing rises and does not go to the Zhi so that the Zhi alone is sad. That is why tears run out.1
Zhang Jie Bin (also called Zhang Jing Yue) commenting on this chapter says: "In case of sadness Shen Qi is transmitted to the Heart. When it istransmittedto the Heart the Jing is not transmitted downwards to the Zhi, the Jing collects above and Zhi is depleted below. As a result the Zhi alone generates sadness and the Jing has nothing to control. Hence the Water is not stored below and the tears appear above."
This passage from the Su Wen highlights several interesting points. The first is the view that both Fire and Water (and therefore Heart and Kidneys) are transformations of Jing.
The second is that both Heart and Kidneys influence the eyes (and not just the Liver as we would think according to the 5-Element correspondences).
The other very interesting view is that the emotion of sadness is related to Heart and Kidneys and not just the Lungs as we would think according to the 5-Element correspondences.
The fourth point highlighted by this chapter is that tears are a fluid derived from the Kidneys.
Interestingly, my teacher Dr. Shen used to say that, when a person is very sad but does not cry, fluids do not come out in the form of tears and this may injure the Kidneys.
This may seem strange as, according to 5-Element correspondences, tears are the fluids of the Liver.2 However, this refers first of all to the tears running out when the eyes are exposed to wind, rather than the emotional tears from sadness. Also, the relationship between the Liver and eyes refers to good vision, again, rather than the emotional tears from sadness.3
Points:
Sadness of the Heart and Kidneys: Ren-15 Jiuwei, HE-7 Shenmen, KI-9 Zhubin, Ren-4 Guanyuan.
Sadness of the Lungs: LU-7 Lieque, LU-3 Tianfu
Three Treasures remedies:
For the Heart and Kidneys:Strengthen the Root(for Kidney-Yang deficiency),Nourish the Root(for Kidney-Yin deficiency) withCalm the Shen
For the Lungs:Open the HeartorSoothe the Shen
http://www.three-treasures.com/
http://www.acureausa.com/
END NOTES1. 1979 The Yellow Emperor's Classic of Internal Medicine-Simple Questions (Huang Ti Nei Jing Su Wen). People's Health Publishing House, Beijing, first published c. 100 BC, p. 571.2. Ibid. p. 22, 31, 70.3. 1981 Spiritual Axis (Ling Shu Jing灵枢经), People=s Health Publishing House, Beijing. First published c. 100 BC., p. 49. Friday, July 28, 2017 UNUSUAL HEART FUNCTIONS FROM THE NEI JING
I have been consulting the Nei Jing for 35 years initially in its French translation (by Chamfrault) and later in Chinese. As we all know, the Nei Jing is a mine of information and most of the things we do in practice are in this text.
It should be stressed that the Nei Jing was written by many different doctors and edited several times notably during the Song dynasty. For this reason besides containing all the familiar theories, the Nei Jing also has many passages that present unusual theories. This clinical tip and subsequent ones will discuss the more unusual aspects of the Nei Jing, the first one being about the Heart.
The Heart and the eyes
There are many passages of the Nei Jing that make correlations between a Zang and the sense organ that are different than the usual ones (e.g. Liver and eyes, Lungs and nose, etc.). For example, chapter 81 of the Su Wen correlates the Heart to the eyes. It says Among the 5 Zang, the Heart is the orifice of the eyes and a good lustre of the eyes is a manifestation of the Heart.
As we know from diagnosis the lustre of the eyes is a very important manifestation of the state of the Shen. Eyes with lustre indicate a good state of the Shen while dull, lustreless eyes indicate long-standing emotional problems.
Apart from the eyes being the orifice of the Heart from a Shen perspective, the Heart also influences the eyes on a physical level. Chapter 11 of the Ling Shu describes the pathways of the Divergent channels and the Heart Divergent channel goes to the inner corner of the eyes. A redness in the inner corner of the eyes often indicates Heart-Fire and not necessarily Liver-Fire as we may be inclined to conclude (given the close relationship between Liver and eyes).
Another connection between the Heart and eyes is that the Heart Luo channel goes to the eyes.
To treat eye problems related to the Heart such as redness or blood-shot eyes especially in the inner corner the best point is HE-5 Tongli; if there is Heart Fire I would add HE-8 Shaofu.
The Heart and the nose
Of course the nose is the orifice of the Lungs from a 5-Element perspective, but chapter 11 of the Su Wen makes a correlation between the Heart and the nose. It says The five flavours enter the nose and are stored in the Heart and Lungs. That is why disorders of the Heart and Lungs can cause nasal obstruction.
In case of nasal obstruction related to the Heart I would use HE-9 Shaochong.
The Heart as the Root of Life
We generally refer to the Kidneys as the root of life because they store Jing. Chapter 9 of the Su Wen states that the Heart is the Root of Life. In this context the Heart is considered the root of life because it houses the Shen. In fact this chapter says The Heart is the Root of Life because it houses the Shen.
This is an interesting statement because it relates the Root of Life both to the Kidneys (because they store Jing) and the Heart because it houses the Shen. This highlights the important connection between Fire and Water and between Heart and Kidneys. In other words our constitution depends not only on the Jing of the Kidneys but also on the Shen of the Heart.
In order to influence the Root of Life of the Heart I would use HE-7 Shenmen and Ren-15 Jiuwei.
The Heart and the ears
Chapter 4 of the Su Wen makes an unusual correlation between the Heart and the ears. It says The Heart opens into the ears and stores Jing in the Heart.
Generally, ear problems such as deafness or tinnitus are related to the Kidneys. However such problems maybe related to the Heart especially when there is a deficiency in the Upper Burner with Heart-Qi not rising to the head. We would know this from the pulse being weak in both cun positions. To treat this type of ear problem related to the Heart I would use HE-5 Tongli.
END NOTES
1. 1979 The Yellow Emperors Classic of Internal Medicine-Simple Questions (Huang Ti Nei Jing Su Wen). Peoples Health Publishing House, Beijing, first published c. 100 BC, p. 571.
2.Ibid. p. 78.
3. Ibid. p. 60
4. Ibid p. 26 Wednesday, December 7, 2016 THE TREATMENT OF INFLUENZA WITH CHINESE MEDICINETHE TREATMENT OF INFLUENZA IN CHINESE MEDICINE
WESTERN MEDICINE VIEW
INFLUENZA
Two other pandemics occurred in 1957 with 2 million deathsand 1968 with 1 million deaths (Asian and Hong Kong Flurespectively).2
The most recent largeepidemic in the United Kingdom was in 1989-1990, when an estimated 26,000people died in association with influenza.3
There are three types of influenzavirus, A, B and C. Influenza A viruses are found in humans and animals, whereasB and C are found only in human beings.Infection with influenza produces an immune response with the productionof antibodies in the blood which neutralize the virus. If the person encountersthe same influenza virus again while the antibodies are still present, the bodyis protected and the person should not develop the infection.
It is a characteristic of influenzaviruses, and especially of the A virus, that they frequently mutate intosub-types so that the virus is one step ahead of the natural immunity createdby the body. It is usually whensub-types develop that epidemics occur because the antibodies produced will notprotect individuals against an influenza virus in which the surface proteinshave undergone a significant change since the previous infection.
An example of a new subtype a fewyears ago was the H5N1 avian influenza virus, first isolated in Hong Kong inMay 1997, which previously had only been found in birds and was not associatedwith disease in humans. The latest example of a sub-type is the H1N1virus responsible for the so-called swine flu.
The classic symptoms of influenzainclude fever, malaise, headache, aches and pains in the muscles and joints,and a characteristic dry cough and sore throat. The acute illness usually lastsfor three to five days but recovery may be slow, and cough and tiredness maypersist for two to four weeks post infection.
Complications may occur in groupsof patients who are particularly at risk (e.g. those with underlying lungdisease or those with defective immune systems), and usually affect the lungsand the heart. Upper and lower respiratory tract infections are common andsubsequent invasion of the lungs by bacteria may result in the development ofpneumonia.
CHINESE MEDICINE VIEW
Influenza cannot be diagnosed andtreated properly without a thorough understanding of the theory of the 6 Stagesbut particularly that of the 4 Levels.The beginning stages of an acute respiratory infection usually manifestwith symptoms of invasions of exterior Wind.
The Shang Han Lun by Zhang ZhongJing(c. AD 220)provided the earliest framework for the diagnosis and treatment ofdiseases from exterior Wind-Cold.Although this classic does also discuss invasions of Wind-Heat and theirtreatment, a comprehensive theory of exterior diseases from Wind-Heat was notdeveloped until the late 1600s by the School of Warm Diseases (Wen Bing).
Thus, the two schools of thoughtwhich form the pillars for the diagnosis and treatment of exterior diseases inChinese medicine are separated by about 15 centuries: they are the School ofCold-induced Diseases (School of Shang Han) based on the Discussion ofCold-induced Diseases (Shang Han Lun) by Zhang Zhong Jing and the School of Warm Diseases (Wen Bing School) which started in the late1600s and early 1700s.
The main advocates of this schoolwere Wu You Ke (1582-1652), Ye Tian Shi (1667-1746) and Wu Ju Tong (1758-1836).
Ye Tian Shi is the author of WenBing Lun, Discussion on Warm Diseases
While in Western medicine every external infectious disease is differentiated according to the pathogenic virus or bacteria, in Chinese medicine, they area ll caused by Wind-Heat.
Why does Chinese medicine attribute such importance to external diseases from Wind? The Su Wen says that Wind may be the cause of "100 diseases". I have listed below the main reason why we should pay close attention to diseases from exterior Wind.
CONSEQUENCES OF WIND INVASION
Can give rise to residual pathogenicfactor: long-lasting coughResidual pathogenic factor can aggravateasthmaResidual pathogenic factor can lead topost-viral fatigue syndromeIn children it can be the start of a WenBing disease, e.g. varicella, morbillus, meningitis, polioWen Bing influenza can cause mortality, especially in the elderlyLatent Heat is cause of serious, moderndiseases, e.g. AIDS, leukaemia, auto-immune diseases.
SHANG HAN LUN - THE SIX STAGES
Wind-Coldwith prevalence of Cold (Attack of Cold)
Channelpattern (Stomach-Heat)
The first stage, Tai Yang, is the only Exterior one. At this stage Wind-Cold is on the Exteriorand only the Lung's Wei Qi portion is affected, not the Interior. The Lung's diffusing and descending of Qi isimpaired and the external Wind is lodged in the space between skin and musclesimpairing the circulation of Wei Qi.
The essential symptoms of the Tai Yang stage are:
- aversion to cold or shivering
Aversion to cold indicates the typical cold feeling and shiveringwhich comes on as a wave in the beginning stages of a cold or influenza. It is characteristic in so far as it is notrelieved by covering oneself. Mostpeople who experience a bad cold or flu shiver even in bed under the blankets.
The occipital headache or stiffness is due to the obstruction of Wei Qi circulation in the Tai-Yang channels (Small Intestine andBladder) which flow in that area.
The Floating pulse reflects the rushing of Wei Qi towards the Exteriorto fight the pathogenic factor.
In particular, the aversion to cold occurs simultaneously with emissionof heat (fa re), i.e. the patients body emits heat and it feels hot tothe touch: please note that the patient may or may not have an actualfever.
Therefore aversion to cold is asubjective cold feeling of the patient while fever (or ratheremission of heat) is an objective hot feeling of the patients body tothe touch.
Aversion to cold is caused by the obstruction of the space between skinand muscles by exterior Wind: as the Wei Qi circulates in this space and warmsthe muscles, when it is obstructed by exterior Wind, the patient feels cold:remember, this can and does happen with Wind-Heat too.
WARM DISEASES (WEN BING)
What does Warm disease mean?This is my own translation of the Chinese term Wen Bing. The above-mentioned doctors from this schoolof thought introduced important innovations to the theory of Wind in Chinesemedicine.The School of Warm Diseases postulates that some exterior pathogenicfactors go beyond the natural characters of Wind; they are so virulent andstrong that, no matter how strong a person's body's Qi may be, men, women andchildren fall ill by the dozen. Moreimportantly, for the first time in the history of Chinese medicine, thesedoctors recognized that some external pathogenic factors are infectious.
Bearing in mind that Wind-Heat is intended here in a broad sense as it may also manifest as Damp-Heat, Summer-Heat, Winter- Heat,Spring-Heat and Dry-Heat, the essential characteristics of Warm diseases therefore are:
1) They manifest withthe general symptoms and signs of Wind-Heat in the early stages
Thus, although all pathogenic factors contemplated by the School of WarmDiseases fall under the broad definition of Wind-Heat, not all diseases causedby Wind-Heat are Warm diseases. Some ofthe exterior diseases that start with symptoms of Wind-Heat are Warm diseases(with all the above-mentioned characteristics) and some are not.
Examples of Warm diseases are influenza, measles, chicken-pox, Germanmeasles, poliomyelitis, smallpox, scarlet fever, whooping cough or meningitis.An influenza epidemic that sweeps the world is always a Wen Bing disease. This is because it is very virulent and has astrong tendency to enter the Qi level (causing chest infections) very quickly.
Examples of Wind-Heat diseases which are not Warm diseases are commoncold (of the Wind-Heat type), glandular fever (mononucleosis) and anynon-specific upper-respiratory infection manifesting with symptoms ofWind-Heat.
The distinction between simple invasions of Wind-Heat and invasions ofWind-Heat that are a Wen Bing disease is a very important considerationin practice: it is possible to stop diseases from simple Wind-Heat at theearly stages, but although true Warm diseases may always be alleviated in theinitial stages, they may not always be entirely stopped at the initial stages.
In particular, in the case of Warm diseases, even though it may not stop themat the Exterior level, Chinese medicine can certainly achieve the followingaims:
- Alleviate the symptoms
-Stop pathogenic factor at Qi Level
- Treat sequelae
The treatment of exterior invasions is important because they can havevery serious consequences in children and the elderly. In children, many serious diseases start withsymptoms of invasion of Wind-Heat: in the initial stages one does not know whatdisease it might be and it is therefore important to treat the manifestationsearly.
For example, measles, diphtheria, whooping cough, poliomyelitis, acutenephritis, scarlet fever and meningitis may all manifest with symptoms ofWind-Heat in the beginning stage. In theelderly, exterior Wind may easily penetrate the Interior causing bronchitis andpneumonia which is often fatal in old age.
THE FOUR LEVELS
Wei Level
The Wei Level concerns the exterior stage of an invasion of Wind-Heat ofthe Wen Bing type, the other three Levels describe pathologicalconditions which arise when the pathogenic factor penetrates the Interior andturns into Heat.
Although the theory of the 4 Levels arose in applicationtoWen Bing diseases, it can and should be applied also to anyinvasion of Wind-Heat, whether Wen Bing or not.
The four Levels represent different levels of energetic depth, the firstbeing the Exterior and the other three being the Interior. The interesting part of this theory is thedistinction, within the Interior, of three different levels, the Qi Level beingthe most superficial (within the Interior) and the Blood Level thedeepest.
The Wei Level of the 4 Levels broadly corresponds to the Tai YangStage of the 6 Stages. The former deals with Wind-Heat and the latter withWind-Cold.
The main symptoms of invasion of Wind-Heat at the Wei Level are aversionto cold, shivering, fever, sore throat, swollen tonsils, headache andbody-aches, sneezing, cough, runny nose with yellow discharge, slightly darkurine, slightly Red sides of the tongue and a Floating-Rapid pulse.
It is worth noting that in Wind-Heat toothere is aversion to cold as this is due to Wind-Heat obstructing the Wei Qi which therefore fails to warm the muscles.
Aetiology and pathology
Wind indicates both an aetiologicalfactor and a pathological condition. Asan aetiological factor, it literally refers to climatic influences andespecially sudden changes of weather to which the body cannot adapt.
As a pathological condition, Windrefers to a complex of symptoms and signs manifesting as Wind-Cold orWind-Heat. In clinical practice, this isthe most important aspect of the concept of Wind. Thus, the diagnosis of Wind invasion ismade not on the basis of the history (no need to ask the patient whether he orshe has been exposed to wind), but on the basis of the symptoms and signs.
If a person has all the symptoms andsigns of Wind (aversion to cold, shivering, fever, sneezing, runny nose,headache and a Floating pulse), then the condition is one of exterior Wind, nomatter what climate that person has been exposed to in the previous days orhours.
Indeed, there are also chronic conditionswhich manifest with symptoms of Wind and are treated as such even though theyhave no relation to climatic factors.For example, allergic rhinitis (due to house-dust mites or pollen)manifests with symptoms and signs of Wind and is treated as such.
Simultaneous cold feeling and fever
I shall now discuss in detail thepathology and clinical significance of the "aversion to cold" and"fever" in the beginning stage of invasion of exterior Wind.
Aversion to cold
In Exterior patterns, the aversion tocold and cold feeling is due to the external Wind obstructing the space betweenskin and muscles where the Wei Qi circulates; as Wei Qi warms the muscles, itsobstruction by Wind causes the patient to feel cold and shiver (even if thepathogenic factor is Wind-Heat). Thus,Wei Qi is not necessarily weak but only obstructed in the space betweenskin and muscles. Both Wind-Cold and Wind-Heat cause aversion to cold.
Generally speaking, there are threeaspects to the "cold feeling" in invasions of exterior Wind:
1)the patients feels cold
Exceptin mild cases, the cold feeling is not relieved by covering oneself.
"Fever
As for "fever, the Chinese terms fashao or fa re do not necessarily indicate "fever". "Fever" is a sign in modern Westernmedicine, not in old Chinese medicine.In old China, there were obviously no thermometers and the symptoms fashao or fa re described in the old texts do not necessarily meanthat the patient has an actual fever.
It literally means "emittingheat" and it indicates that the patient's body feels hot, almost burningto the touch: the areas touched were the forehead and the dorsum of thehands (as opposed to the palms).
In fact, it is a characteristic of fare (so-called "fever") in the exterior stage of invasions of Windthat the dorsum of the hands feel hot compared to the palms and the upper backfeels hot compared to the chest. This objective hot feeling of the patient'sbody may or may not be accompanied by an actual fever although in Wen Bingdiseases it is.
In particular, it is the symptoms ofshivering and feeling cold that indicate that the pathogenic factor is on theExterior: the moment the patient does not feel cold any longer but feels hotand, if in bed, he or she throws off the blankets, it means that the pathogenicfactor is in the Interior and it has turned into Heat.
The "fever", or hot feeling ofthe body in external invasions of Wind is due to the struggle between thebody's Qi (Zheng Qi) and the external pathogenic factor. Thus, the strength of the fever (or hotfeeling of the body) reflects the intensity of this struggle: this depends onthe relative strength of the external pathogenic factor and the strength of theZheng Qi.
The stronger the external pathogenicfactor, the higher the fever (or hot feeling of the body); likewise, thestronger the Zheng Qi, the higher the fever (or hot feeling of the body).Thus the fever will be highest when both the external pathogenic factor and theZheng Qi are strong.
Therefore, thereare three possible situations:
1.Strong pathogenic factor andstrong Zheng Qi: high "fever" (or hot feeling of the body)
However, the relative strength of the pathogenic factor and theZhengQi is only one factor which determines the intensity of the fever (or hotfeeling of the body). Another factor issimply the constitution of a person: a person with a Yang constitution(i.e. with predominance of Yang) will be more prone to invasions of Wind-Heatrather than Wind-Cold and will be more prone to have a higher fever (or hotfeeling of the body).
Indeed, it could be said that the constitution of a person is the mainfactor which determines whether a person who falls prey to an invasion of Winddevelops Wind-Cold or Wind-Heat. Were itnot so, in cold, Northern countries nobody should fall prey to invasions ofWind-Heat which is not the case. This isalso the reason why, in children, invasions of Wind-Heat are far more prevalentthan Wind-Cold: this is because children are naturally Yang in nature comparedto adults.
There are also new, artificial factors which may predispose a person toinvasions of Wind-Heat when succumbing to Wind and these are very dry,centrally-heated places, hot working conditions (e.g. cooks, metal workers),etc.
The tongue often does not change in invasions of Wind-Cold but it does change in invasions of Wind-Heat. The diagrams below indicate the places on the tongue where it might become red or develop red points in invasions of Wind-Heat. The redder the tongue, the more intense the Wind-Heat.
The most important thing to establishwhen we see a patient suffering from an acute respiratory infection is whetherthe stage of the condition is external or internal, i.e. whether the pathogenicfactor is still on the Exterior or is in the Interior. In terms of levels, this meansdistinguishing whether the patient is still at the Wei level or at the Qilevel.
The differentiation between theWei and the Qi level is relatively easy: if the patient has aversion tocold, he or she is still at the Wei level; if he or she does not suffer fromaversion to cold but, on the contrary, from aversion to heat, the patient is atthe Qi level. Thus, influenza will always start withmanifestations similar to the Wei-Qi level of the 4 Levels. If the pathogenic factor is not expelled atthe beginning stages, it will change into Heat and penetrate into the Interior.
Once the pathogenic factor penetratesinto the Interior, the body's Qi carries on its fight against it in theInterior: this causes a high fever and a feeling of heat, in marked contrast tothe aversion to cold and the shivering which occur when the body's Qi fightsthe pathogenic factor on the Exterior.
At the exterior level, the internalorgans are not affected and it is only the Lung's Wei Qi portion which isinvolved. When the pathogenic factorbecomes interior, the organs are affected and especially the Lungs and/or Stomach(see below).
This stage of development in thepathology of these diseases is crucial as, if the pathogenic factor is notcleared, it may either penetrate more deeply and cause serious problems (at theYing or Blood Level) or give rise to residual Heat which is often the cause ofchronic post-viral fatigue syndrome.
In the Interior, the main patternsappearing will be either the Yang-Ming pattern of the 6 Stages or, morecommonly, one of the Qi-Level patterns within the 4 Levels. In general, at the Qi Level, either theStomach or Lung or both are affected.
In the patients we see, the Lungs aremost commonly affected and the patterns are usually Lung-Heat or Phlegm-Heat inthe Lungs. Sometimes, it may be Dry-Heatin the Lungs.
WEI LEVEL
The Wei level is the beginning stage ofinvasions of Wind-Heat: it is the only exterior level, i.e. characterized bythe presence of the exterior Wind on the Exterior of the body.
The Wei level comprises of four differentpatterns according to the nature of the pathogenic factor, i.e. Wind-Heat,Summer-Heat, Damp-Heat and Dry-Heat. Ofthese four, Wind-Heat is by far the most common one.
The pathology of aversion to cold and"fever" has already been discussed.The headache is caused by the obstruction of the channels of thehead by exterior Wind in the same way as for the Tai Yang Stage.
The body aches, which may be verypronounced, are caused by the obstruction of the muscles by exterior Wind. The tonguecoating is white because the pathogenic factor is on the Exterior.
A sore throat is due to invasionof the Wind in the Lung channel in the throat: a sore and red throat is adistinctive sign of invasion of Wind-Heat as compared to Wind-Cold.
WEI LEVEL - WIND-HEAT
THREE TREASURES Remedies
EXPEL WIND-HEAT
ACUPUNCTURE
QI LEVEL
If the external Wind is not expelled, itwill usually turn into Heat and enter the Interior and most frequently theLungs. The main symptoms at this stageare aversion to heat, a feeling of heat, possibly fever, cough (which may bedry or productive), slight breathlessness, restlessness, disturbed sleep,thirst, a feeling of oppression of the chest, Red tongue with yellow coating,Deep-Full-Slippery pulse. These aremanifestations of the Qi level.
The main patterns appearing at the Qilevel are:
1.Lung Phlegm-Heat
QI LEVEL - INTERIOR HEAT
THREE TREASURESRemedies
RINGING METAL
Ringing Metal, a variation of Qing Qi Hua Tan Tang Clearing Qi and ResolvingPhlegm Decoction can be used for acute chest infections following aninvasion of Wind, i.e. when the pathogenic factor is Phlegm-Heat in theLungs at the Qi level.
The main manifestations calling for this remedy in this context are: acough following a cold or flu, expectoration of profuse sticky-yellow sputum,slight breathlessness, a feeling of oppression of the chest, fever, thirst, disturbedsleep, a Full-Slippery pulse, a red tongue with sticky-yellow coating.
ACUPUNCTURE
CLEAR METAL
Clear Metal was formulated to treat the Qi Level of influenza but it does treat the Ying level as well. The most commonpatterns at this level are either Lung-Heat of Lung-Phlegm-Heat so that thepatient develops bronchitis or pneumonia.
Clear Metal was formulated to treat primarily Lung-Heat at the Qi Levelwhen the patient displays the following symptoms: cough, breathlessness, fever,feeling of heat, thirst, tightness of the chest and upper back, a Red tonguewith yellow coating and a Full-Rapid pulse.
At the first signs of the beginning ofinfluenza (feeling chills, fever, sore throat) take Expel Wind-Heat. Ifone is in doubt whether the symptoms are those of a "simple"influenza or of those of a more serious type (such as H1N1 influenza), then ExpelWind-Heat and Clear Metal can be taken simultaneously for a coupleof days until the clinical manifestations reveal what type of virus it is.
Please note that this remedy can beadministered concurrently with any Western anti-viral medication or antibiotics.
The dosage for an adult is at least 9tablets per day. This dose can beexceeded in severe cases.
ACUPUNCTURE:
YING LEVEL
At the Ying Level, the Heat has penetratedto a deeper energetic layer and it has begun to injure the Yin. At this level, Heat is obstructing the Mindand the Pericardium causing delirium and even coma. Fever at night is a distinctive sign of theYing Level.
The tongue appearance at the Ying Level is an important sign thatdifferentiates this level from the Qi Level: at the Ying Level, the tongue isDeep-Red without coating (while at the Qi Level, it is Red with a thickcoating).
YING LEVEL - INTERIOR HEAT
BLOOD LEVEL
The Blood Level is the deepest energeticlayer with Heat affecting the Blood.There are several different patterns with varying clinicalmanifestations but the chief clinical features of the Blood Level are as follows:
1. There is Yin deficiency
MACULES are a definite sign that Heat has reached the Blood Level. There are five patterns at the Blood Level,i.e. Heat victorious moving Blood, Heat victorious stirring Wind, Empty Windagitating in the Interior, Collapse of Yin and Collapse of Yang.
"Blood" here should be intended as a description of thedeepest energetic level of the body.When Heat penetrates this level in the context of a Wen Bing disease,the person may die.
The chief sign of invasion of the Blood Level by Heat is bleeding, which may be in the stools, in the vomit and under the skin. Indeed, the presence of maculae under theskin always indicate that the Heat has reached the Blood level and the situation is potentially serious.
BLOOD LEVEL - INTERIOR HEAT
Heat agitates Blood: High fever, mental restlessness, manic behaviour, dark macules,vomiting of blood, epistaxis, blood in stools, blood in urine, Dark-Red tonguewithout coating, Wiry-Rapid pulse.
Heat stirs Wind: High fever, fainting,twitching of limbs, convulsions, rigidity of neck, opisthotonos, eyeballsturning up, clenching of teeth, Dark-Red tongue without coating, Wiry-Rapidpulse
Red sides = Wei Level
Red sides = Wei Level
Red, thick-black coating = Qi Level - Fire
Red, no coating = Ying Level
Red, no coating, Purple = Blood Level
HERBAL SENTINEL
ACUPUNCTURE:
THREE TREASURES
Key symptoms and signs: influenza(aversion to cold, fever, body aches, etc.), tonsillitis, laryngitis
ACUTE BRONCHITIS
LUNG-HEAT
PHARYNGITIS
Aetiology and Pathology
The throat opens on the outside to noseand mouth, on the inside to LU and ST. LU dominates the skin.
Treatment
If serious the patient also has:
Internal TreatmentExpel Wind, clear Heat
Prescription:Clear Throat Benefit the Diaphragm Decoction. QingYan Li Ge Tang (Jing Jie, Fang Feng, Bo He, Zhi Zi, Huang Qin, Jin Yin Hua,Lian Qiao, Xuan Shen, Jie Geng)
If there is a bad sore-throat withyellow-sticky mucus add:
ACUPUNCTURE: L.I.-4, LU-10, LU-11 , LU-5,L.I.-1, TB-1, CV-22, TB-5, TB-2
TONSILLITIS
Tonsillitis is the most frequently seenthroat condition.
There are three types:
Aetiology and Pathology
The tonsils are swollen, red and have either white spots, or white-yellow pus-filled spots on them, which can break and bleed.
TreatmentExpel Wind-Heat, resolve Toxic Heat
Prescription: Clear the Throat andBenefit the Diaphragm Decoction (see above).
ACUPUNCTURE: LU-11, LU-10, L.I.-4,L.I.-1, TB-5, TB-10
CHANNELS AND GENERAL POINTS FOR THE FOUR LEVELS
To order Three Treasures remedies go to:
Acurea Medical Inc
3579 US-50, Ste 311, Carson City, NV 89701 USA
Tel:(408) 440 1855
Email:monika@acureausa.com
Website:www.acureausa.com
END NOTES1. WHO website, 2009.2. Ibid.
Older PostsHomeSubscribe to:Posts (Atom)Get Updates and Free Clinical Tips!Giovanni's Newsletter Subscribe via RSS Subscribe via Email Giovanni Maciocia El Blog de Giovanni
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www.Three-Treasures.comProfileGiovanniWith over 37-years of research and clinical experience, Giovanni Maciocia lectures, offers continuing education courses online and has written seven textbooks of Chinese medicine which have been acclaimed world-wide and translated into nine languages. He has also created two categories of formulae: The Three Treasures for the treatment of various common complaints and the Womens Treasure for the treatment of gynaecological complaints. Giovanni Maciocia, whose Chinese name Ma Wan Li means horse of ten-thousand miles, has been teaching acupuncture and Chinese medicine internationally since 1974 and is one of the most highly respected practitioners of acupuncture and Chinese herbal medicine in Europe. Because Giovanni reads Chinese, he has unique access to both old as well as modern Chinese medicine textbooks. While firmly rooted in traditional Chinese medicine, he innovatively adapts Eastern theories to Western conditions. Giovanni is Visiting Associate Professor of the Nanjing University of Traditional Chinese Medicine. Giovanni currently lives and works in Santa Barbara, California.View my complete profileBlog Archive 2017(3) December(1)CLEAR METAL Remedio de los Three Treasures para ... November(1) July(1) 2016(4) December(1) June(1) May(1) January(1) 2015(9) November(1) October(1) August(1) July(1) June(1) April(2) January(2) 2014(12) December(2) September(1) August(1) July(2) June(1) May(1) April(1) February(1) January(2) 2013(10) August(1) June(1) May(1) April(1) March(2) February(2) January(2) 2012(13) November(1) September(2) August(1) July(3) June(2) May(2) April(1) February(1) 2011(24) December(2) October(1) September(2) August(4) July(1) June(4) May(1) April(5) March(1) February(2) January(1) 2010(14) December(2) November(1) October(1) August(1) July(2) May(1) April(1) March(4) February(1) 2009(9) June(1) May(1) March(1) February(6)
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