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TCM Spleen Function and Blood Control

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114 Questions

What happens when emotions are intense enough?

They can become a cause of disease in a very short time

Which emotion is said to counteract pensiveness?

Anger

What is the effect of anger on Qi?

It makes Qi rise

Which of the following is a common effect of emotions on Qi?

It causes some stagnation of Qi

What happens when emotions are long-lasting or intense?

They become a cause of disease

Which emotion is associated with the Liver?

Anger

What is the effect of fear on Qi?

It makes Qi descend

Which emotion is said to counteract joy?

Fear

What is the consequence of the failure of the ascending of Spleen Qi and the failure in controlling Blood normally?

Bleeding downwards from the uterus, bladder, and bowels

What is the Spleen's role in the production of Qi and Blood?

It extracts Food-Qi from food and forms Blood in the Heart with the assistance of the Original Qi from the Kidneys

What is the consequence of a weak Spleen Qi on the muscles?

They become weak and weary

What is the relationship between the Spleen and the mouth?

The mouth sends Food-Qi to the Spleen for transformation

What is the significance of the lips in relation to the Spleen?

They reflect the state of the Spleen

What is the result of abnormal Spleen Qi on the sense of taste?

It becomes dull and impaired

Why is the Spleen considered the 'Root of Post-Heaven Qi'?

Because it produces both Qi and Blood

What is the approach to treating tiredness according to TCM?

Tonify the Spleen

What is the primary function of the Corporeal Soul in the context of TCM?

To transport Essence and defend against exterior pathogenic factors

What is the primary function of the Lungs in TCM?

To diffuse and descend Qi, govern the skin and the space between skin and muscles

What is the mental-emotional aspect of the Large Intestine in TCM?

Letting go and not dwelling on the past

What is the primary function of the Large Intestine in TCM?

To transform and reabsorb liquids and pass stools

What is the primary cause of disharmony in TCM?

Emotions and internal causes

What is the result of stagnation of Qi in the Large Intestine?

Distention and constipation

What is the primary function of the Lungs in relation to the skin?

To govern the skin and the space between skin and muscles

What is the primary function of the Corporeal Soul in relation to defense?

To defend against exterior pathogenic factors

What is the relationship between Fire and Earth according to the Five Elements theory?

Fire is the mother of Earth

What is the result of the Insulting Cycle in the Five Elements theory?

The controller element becomes weaker

Which element is associated with the colour green in the Five Elements theory?

Wood

Which of the following organs is associated with the Water element in the Five Elements theory?

Kidney

What is the emotion associated with the Fire element in the Five Elements theory?

Joy

Which element controls Water in the Five Elements theory?

Earth

What happens to Qi when sadness is experienced?

It is depleted and dissolves

What can be a result of anger in the body?

Headaches and dizziness

What is the relationship between Qi and Blood according to the content?

Qi stagnation can lead to Blood stagnation

What can be a sign of Excessive Joy?

Red tip on the tongue

How can anger affect an individual?

It can be carried inside for years without being manifested

What is the result of Qi stagnation in the chest?

Stagnation of Qi in the chest

What is Sadness associated with?

Grief and regret

What is affected when Sadness is experienced?

Both the Lungs and the Heart

What is the primary function of the TCM Heart in relation to Blood?

Circulating Blood

What is reflected in the complexion according to TCM Heart function?

State of the Heart and Blood

What is said to 'reside' in the Heart according to TCM?

The Mind

What is the relationship between the Heart and the Blood Vessels in TCM?

The Heart governs the Blood Vessels

What is the second way to characterize Shen in TCM?

A whole sphere of mental and spiritual aspects of a human being

Where does the transformation of Gu-Qi from Food into Blood occur in TCM?

The Heart

What is the result of a strong Heart Qi in TCM?

The blood vessels will be in a good state

What is the primary function of the Lung Meridian Points in TCM?

Not mentioned in the content

What is the main function of the Spleen in terms of Qi and Blood production?

To extract Food-Qi from food and transport it to the Heart

What happens when the Spleen fails to control Blood normally?

Bleeding occurs downwards, such as from the uterus, bladder, or bowels

What is the relationship between the Spleen and the muscles?

The Spleen transports refined Qi to the muscles, particularly those of the limbs

What is the significance of the lips in relation to the Spleen?

The lips are a reliable indicator of the state of the Spleen

Why is the Spleen considered the 'Root of Post-Heaven Qi'?

Because it is the central organ for the production of Qi and Blood

What is the recommended needle thickness for most body parts?

0.20-0.25mm diameter

What is the approach to treating tiredness according to TCM?

To tonify the Spleen

What happens when Spleen-Qi is abnormal?

The sense of taste is impaired

How is the needle angle classified based on the skin?

Perpendicular: 90°, Oblique: 15-75°, Subcutaneous: < 15°

Which of the following points is not on the Lung Meridian?

Point 11

What is the relationship between the Spleen and the mouth?

The mouth has a functional relationship with the Spleen

What is the maximum depth for a 30mm needle length?

1" (25mm) maximum depth

What is the purpose of considering the underlying structures when needling?

To determine the needle depth

What is the relationship between Fire and Earth in the Five Elements theory?

Fire is the mother of Earth

Which of the following is a reference book for acupuncture?

All of the above

What is the recommended needle length for a maximum depth of 1" (25mm)?

30mm needle length

Which element is associated with the sense of taste 'sour' in the Five Elements theory?

Wood

What is the result of the Insulting Cycle in the Five Elements theory?

The controlled element weakens the controller

Which of the following points is on the Large Intestine Meridian?

Point 20

Which element is associated with the season 'Spring' in the Five Elements theory?

Wood

Which element controls Wood in the Five Elements theory?

Metal

Which organs are associated with the element Water in the Five Elements theory?

Kidney and Bladder

What is the primary function of the Lungs in relation to Qi?

To extract 'clean Qi' for the body and spread it to nourish tissues

What happens when the Lungs fail to descend Qi?

Qi accumulates in the chest, causing cough, breathlessness, and a feeling of oppression

What is the relationship between the Lungs and the skin?

The Lungs receive fluids from the Spleen and spread them to the skin and muscles

What is the consequence of the Lungs' impaired diffusing function?

The body's Defensive Qi is weakened, making it vulnerable to external pathogenic factors

What is the Lungs' role in relation to the nose?

The nose is the opening of the Lungs, and strong Lung Qi results in easy breathing and a normal sense of smell

What happens when the Lungs are affected by Heat or Phlegm-Heat?

The nasal mucous becomes thick and yellow

What is the Corporeal Soul's role in relation to the body?

The Corporeal Soul is the physical and material part of the human being's soul, associated with the Lungs

What is the result of the Lungs' failure to nourish the body hair?

The body hair lacks nourishment and becomes withered, brittle, and dry

What is the Lungs' role in relation to the body's fluids?

The Lungs receive fluids from the Spleen and spread them to the skin and muscles

What happens when the Lungs' diffusing function is impaired, affecting the skin?

The skin becomes dry and rough due to lack of nourishment

What is the function of the Small Intestine in relation to decision-making in TCM?

It influences our mental clarity and judgment

What is the emotional sound associated with the Metal element?

Weeping or crying

What is the function of the Lungs in relation to Qi in TCM?

They govern Qi and Respiration

What is the secretion associated with the Metal element?

Mucous

What are the flavors associated with the Metal element?

Pungent and spicy

During which time period is the Large Intestine most active?

5-7am

What is the function of saliva in the body according to TCM?

To aid in the digestion of food

What is the result of a deficient Spleen Qi and its 'raising Qi' function being weak?

Prolapse of various organs

What is the effect of pensiveness on the Spleen?

It knots Qi in the Middle Burner

What is the function of the Stomach in TCM?

To control 'receiving' of food and drink

What is the significance of the lips in relation to the Spleen?

They are a sign of a strong Spleen Qi

What is the Spleen's role in the body according to TCM?

To control the mouth and saliva

What is the effect of a weak Spleen Qi on the body?

It can cause prolapse of various organs

What is the relationship between the Spleen and the Intellect?

The Intellect resides in the Spleen

What is a common cause of Li Heat Consumption of Fluid?

Excessive consumption of hot foods

What is a characteristic symptom of Li Dryness?

Dry stools

What is a common cause of Li Qi Stagnation?

Irregular eating habits

What is the consequence of sadness on the Lungs?

It weakens the Lungs

What is a characteristic symptom of Li Collapse?

Anal prolapse

What is the result of stagnation of Qi in the chest?

Blood stagnation

What is the characteristic tongue appearance in Li Heat Consumption of Fluid?

Red body with yellow, sticky coating

What is 'joy' in the context of TCM?

A state of excessive excitement and craving

What is the relationship between the Heart and the Lungs?

They are in the Upper Burner

What is the characteristic pulse in Li Dryness?

Thready

What is the result of anger?

Qi rises

What is a common cause of Li Cold Invading?

Chronic exposure to cold weather with abdomen exposed

What is the characteristic pulse in Li Collapse?

Deep, fine, weak

What is the emotion associated with the Lungs?

Sadness

What can be a result of excessive stimulation?

Displacement of the Mind from Heart Blood

What is the relationship between Qi and Blood?

Qi generates Blood

What is the meaning of the character 陰 (yīn) in TCM?

Overcast weather; feminine; moon; cloudy; negative electrical charge

What is the relationship between the Spleen and the Urinary Bladder in TCM?

There is no relationship between the two organs

What is the focus of Week 1 in the e-learning series?

TCM Review of Yin and Yang, Vital Substances

What is the meaning of the character 陽 (yáng) in TCM?

Positive electrical charge; sun

What is the focus of Week 3 in the e-learning series?

TCM Lung and Large Intestine Organ Function

What is the review of in the e-learning series?

NMT100: Yin and Yang, Vital Substances, 5 Elements

Study Notes

TCM Spleen Function

  • The Spleen controls blood, and its failure to do so can cause bleeding downwards, such as from the uterus, bladder, and bowels.
  • The Spleen extracts Food-Qi from food, which forms blood in the Heart with the assistance of the Original Qi from the Kidneys.
  • The Spleen is the central, essential organ for the production of both Qi and Blood, and is called the 'Root of Post-Heaven Qi'.
  • The Spleen controls the muscles and four limbs by extracting Food Qi from food to nourish all tissues in the body.
  • The Spleen is the most important factor determining the amount of physical energy a person has, and tiredness is often related to Spleen Qi weakness.
  • The Spleen opens into the mouth, and its function is related to the sense of taste and chewing.
  • The Spleen's influence is reflected in the lips, which are a reliable indicator of the state of the Spleen.

TCM Lung Function

  • The Lungs govern Qi and respiration, and diffuse and descend Qi.
  • The Lungs control the skin and the space between skin and muscles, and manifest in body hair.
  • The Lungs open into the nose, and control nasal mucous.
  • The Lungs house the Corporeal Soul.

TCM Large Intestine Function

  • The Large Intestine controls passage and conduction, receiving digested food from the small intestine and transforming it into stools.
  • Qi has a downward movement, and stagnation of Qi can affect the Large Intestine, resulting in distension and constipation.
  • The Large Intestine transforms stools and reabsorbs liquids, and has a mental aspect of letting go, not dwelling on the past.

Causes of Disease

  • TCM focuses on disharmony, and identifying the cause of disharmony is important.
  • Emotions can become causes of disease only when they are long-lasting, intense, or both.
  • Internal causes of disease can include emotions, such as anger, sadness, joy, fear, and pensiveness.

Emotions and the Internal Organs

  • Anger affects the Liver, and sadness counteracts anger.
  • Joy injures the Heart, and fear counteracts joy.
  • Pensiveness injures the Spleen, and anger counteracts pensiveness.
  • Worry injures the Lungs, and joy counteracts worry.
  • Fear injures the Kidneys, and pensiveness counteracts fear.

Effects of Emotions on Qi

  • Anger makes Qi rise.
  • Joy slows Qi.
  • Sadness dissolves Qi.
  • Worry knots Qi.
  • Pensiveness knots Qi.
  • Fear makes Qi descend.
  • Shock scatters Qi.

Emotions and Qi Stagnation

  • When Qi stagnates, it may lead to Blood stagnation.
  • All emotions have a tendency to cause some stagnation of Qi after some time.

Joy

  • 'Joy' as a cause of disease is excessive excitement and craving, which disturbs the Mind and may displace it from Heart Blood.
  • Heart symptoms include palpitations, overexcitability, insomnia, restlessness, and a red tip on the tongue.

Anger

  • Anger should be interpreted broadly to include resentment, repressed anger, irritability, frustration, rage, hatred, indignation, animosity, or bitterness.
  • Anger makes Qi rise, and many symptoms and signs will manifest in the head and neck, such as headaches, dizziness, tinnitus, neck stiffness, red blotches on the front part of the neck or a red face.

Controlling Cycle

  • Fire controls Metal.
  • Earth controls Water.
  • Metal controls Wood.
  • Water controls Fire.
  • Wood controls Earth.

Insulting Cycle

  • Opposite of the controlling cycle, when an element 'back-lashes' its controller.
  • Occurs when the controller is relatively weaker than the controlled.

5 Element Chart

  • Element: Wood, Fire, Earth, Metal, Water
  • Yin Organs: Liver, Heart, Spleen, Lung, Kidney
  • Yang Organs: Gall Bladder, Small Intestine, Stomach, Large Intestine, Bladder
  • Seasons: Spring, Summer, Between Seasons, Fall, Winter
  • Colours: Green, Red, Yellow, White, Black
  • Senses: Eyes, Tongue, Mouth/Lips, Nose, Ears
  • Tissues: Sinews, Vessels, Muscles, Skin, Bones
  • Emotions: Anger, Joy, Worry, Sadness, Shock/Fear
  • Taste: Sour, Bitter, Sweet, Pungent, Salty

TCM Spleen Function

  • The Spleen extracts Food-Qi from food, which forms Blood in the Heart with the assistance of the Original Qi from the Kidneys.
  • The Spleen is the central, essential organ for the production of both Qi and Blood, making it the 'Root of Post-Heaven Qi'.
  • The Spleen controls Blood, and any failure in controlling Blood can cause bleeding downwards, such as from the uterus, bladder, and bowels.
  • The Spleen also controls the muscles and four limbs, as it extracts Food Qi from food to nourish all tissues in the body.
  • The Spleen is the most important factor in determining the amount of physical energy a person has, and tonifying the Spleen is essential to address tiredness.
  • The Spleen opens into the mouth, and the action of chewing prepares food for the Spleen to transform and transport its food essences.
  • The Spleen manifests in the lips, which are a reliable indicator of the state of the Spleen.

TCM Lung Function

  • The Lungs govern Qi and respiration, extracting 'clean Qi' for the body.
  • The Lungs combine Air Qi and Food-Qi (from the Spleen) to form Gathering Qi (Zong Qi), which is spread throughout the body to nourish tissues and promote all physiological processes.
  • The Lungs diffuse and descend Qi, ensuring Defensive Qi is equally distributed all over the body and under the skin.
  • The Lungs control the skin and the space between skin and muscles, receiving fluids from the Spleen and spreading them to the skin and surface between skin and muscles.
  • The Lungs manifest in body hair, diffusing Defensive Qi to the skin and hair, and nourishing and strengthening body hair.
  • The Lungs open into the nose, and the nose is the opening of the lungs.
  • The Lungs control nasal mucous, and any impairment in the diffusing of Qi and fluids can cause nasal secretion to accumulate or become insufficient.

TCM Heart Function

  • The Heart governs Blood, and transformation of Gu-Qi from Food into Blood occurs in the Heart.
  • The Heart is responsible for the circulation of Blood, and the state of the Heart is reflected in the state of the blood vessels.
  • The Heart manifests in the complexion, and the state of the Heart and Blood can be reflected in the complexion.
  • The Heart houses the Mind, which includes the complex of mental faculties and the whole sphere of mental and spiritual aspects of a human being.

5 Elements Cycle

  • The Controlling Cycle: Fire controls Metal, Earth controls Water, Metal controls Wood, Water controls Fire, and Wood controls Earth.
  • The Insulting Cycle: Occurs when the controller is relatively weaker than the controlled, and an element 'back-lashes' its controller.
  • The 5 Elements Chart: Lists the elements, their corresponding organs, seasons, colors, senses, tissues, emotions, and tastes.

TCM Spleen Function

  • The Spleen controls the secretion of saliva, which moistens the mouth and aids digestion by mixing food with fluids.
  • The Spleen produces a 'lifting' effect on the organs, ensuring they are in their proper place.
  • Deficient Spleen Qi can lead to prolapse of various organs, such as the uterus, stomach, kidney, bladder, or anus.
  • The Spleen is said to be the 'residence' of the Intellect (Yi), responsible for applied thinking, studying, memorizing, focusing, concentrating, and generating ideas.
  • Pensiveness, which is similar to worry, affects the Spleen and can lead to obsessive thoughts, knotting Qi, and poor digestion.

TCM Stomach Function

  • The Stomach controls 'receiving' food and drink, which are then separated into 'clean' and 'dirty' parts by the Small Intestine.
  • The 'clean' part goes to the Bladder for excretion as urine, while the 'dirty' part goes to the Large Intestine for reabsorption and excretion.

TCM Small Intestine Function

  • The Small Intestine influences mental clarity and judgment, helping us to distinguish options and make decisions.

Metal Element

  • The Lung and Large Intestine are associated with the Metal Element.
  • The emotional sound is Weeping or crying.
  • Mucous is the secretion.
  • Illness sound is Coughing.
  • Sadness and grief are the emotions.
  • The sense is smell.
  • The season is autumn.
  • Rotten is the odor.
  • The climate is dry and cold.
  • Pungent and spicy are the flavors.

Lung Functions

  • The Lung governs Qi and Respiration.
  • It controls Descending and Dispersing.
  • It descends Qi to the Kidney.
  • It disperses Qi throughout the body.

LI Damp Heat, LI Heat Consumption of Fluid, Cold Invading LI, LI Dryness, LI Qi Stagnation, LI Collapse

  • Each of these conditions has specific causes, symptoms, and tongue and pulse signs.

Emotions and Qi Stagnation

  • When Qi stagnates, it may lead to Blood stagnation.
  • The relationship between Qi and Blood is important.

Joy, Anger, Sadness

  • Each of these emotions can affect different organs and lead to various symptoms.
  • Joy can disturb the Mind (Shen) and displace it from Heart Blood.
  • Anger can affect the Liver, causing stagnation of Liver Qi or Liver Blood, Liver Yang rising, or Liver Fire.
  • Sadness can weaken the Lungs and affect the Heart.

Learn about the Spleen's role in controlling blood and its relationship with the Heart and Kidneys in traditional Chinese medicine. Understand how Spleen Qi affects blood production and overall health.

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