NMT 150 TCM Synchronous Lecture 9 [FINAL] (1).pdf

NMT150: NATUROPATHIC THERAPEUTICS I TRADITIONAL CHINESE MEDICINE (TCM) WEEK 9 T C M H E A R T, S M A L L I N T E S T I N E , P E R I C A R D I U M , T R I P L E WA R M E R D IF F E R E N T IA L S Author: Dr. Neemez Kassam, M.Sc, ND, R.Ac FIRE ELEMENT Heart & Small Intestine, Emotional s...

NMT150: NATUROPATHIC THERAPEUTICS I TRADITIONAL CHINESE MEDICINE (TCM) WEEK 9 T C M H E A R T, S M A L L I N T E S T I N E , P E R I C A R D I U M , T R I P L E WA R M E R D IF F E R E N T IA L S Author: Dr. Neemez Kassam, M.Sc, ND, R.Ac FIRE ELEMENT Heart & Small Intestine, Emotional sound is Laughter Pericardium & Triple Warmer and Talkative Sweat is the secretion Illness sound is Belching Sense is Taste and Speech Joy is the emotion Season is Summer Scorched (burnt) is the odor Climate is Hot Bitter and sharp are the flavors Heart: 11am – 1pm, SI: 1 – 3pm HEART FUNCTIONS Governs Blood Pumping of blood through the body Controls the blood vessels Depends on Heart Qi and blood Manifests in the Complexion Control of blood and vessels Thin skin in face allows for true color to show through HEART FUNCTIONS House the Shen (Mind) Incorporates all 5 of the mental-spiritual aspects Hun, Po, Zhi, Yi, Shen Opens into the tongue Speech difficulties and taste problems Controls Sweat Questionable function of the Heart since the Lungs control this area  en Sple HEART QI DEFICIENCY Causes Dizziness Poor constitution Prolonged illnesses or severe diseases Pale face Congenital deficiency or senility Watery or thin/clear sputum Palpitations Catches colds easily SOB, worse on exertion Tongue Low and/or hoarse voice Pale tongue with a thin, white coating Fatigue Pulses Spontaneous sweating Weak or empty pulses HEART YANG DEFICIENCY Causes Tongue Same as for Qi deficiency Pale, swollen with a white, smooth or wet coating Heart Qi Deficiency plus Pulses Chills Weak and deep, often slow Cold limbs Heart Yang Collapse occurs in Chest pain severe cases of Yang Deficiency and the key sxs are cyanosis of Bright-pale face the lips and a hidden pulse HEART BLOOD DEFICIENCY Causes Anxiety Prolonged illness Hemorrhage Easily startled Poor production of blood Emotional issues disturbing the mind Dull-pale complexion Palpitations Pale lips Insomnia Tongue Excessive dreams Pale and thin with a thin, white coat Poor memory Pulses Dizziness Weak and thready HEART YIN DEFICIENCY Causes Tongue Same as Heart Blood Deficiency Red body with little or no coat Heart Blood Deficiency plus Red tip with red papules Malar flush Deep midline crack extending to Low-grade or afternoon fever tip maybe bifurcating the tip Dry mouth and throat Pulse 5 centre heat sensation Rapid and thready Night sweats Insomnia HEART FIRE Causes Insomnia Mental Depression Red face External pathogens turning to heat inside the body Dark urine or blood in urine Interior heat excess Bitter taste in the mouth only in Palpitations the morning Thirst Tongue Mouth and tongue ulcers Red with a redder tip Mental restlessness Pulses Full and rapid pulse Agitated PHLEGM-FIRE HARASSING THE HEART Causes Mental confusion or depression Mental depression Phlegm accumulation in the body Irrational behavior Mental restlessness Tendency to hit or scold people Palpitations Uncontrolled laughter, crying, Bitter taste in the morning shouting Dream-disturbed sleep Tongue Easily startled Red with a yellow sticky coat Incoherent speech or Aphasia Pulses Muttering to oneself Wiry and slippery PHLEGM MISTING THE MIND Causes Staring at walls Congenital in children Phlegm accumulation in the body Muttering to oneself Mental confusion Introverted manner Unconsciousness Depression Lethargic stupor Tongue Vomiting Thick, sticky coat maybe with a swollen body Rattling sound in throat Pulses Aphasia Slippery often slow HEART QI STAGNATION Causes Poor appetite Emotions Weak and cold limbs Worry, stress, anxiety Suppressed or excessive Pale complexion Palpitations Slightly purple lips Distention or heaviness in chest Tongue Slightly purple on the sides in the Lump in throat anterior 1/3 Slight SOB Pulses Sighing Empty but overflowing in left cun HEART VESSEL OBSTRUCTED Causes Heaviness in chest Emotions Sharp stabbing pain in chest that may radiate to shoulder Excessive dairy & greasy foods Excess physical work Worse cold, better heat Feeling of heaviness Palpitations Dislike of speaking SOB with inability to lay down Tongue Depression Purple sides, swollen with sticky coat Pulses Mental restlessness Wiry, choppy, knotted HEART BLOOD STAGNATION Causes Feeling of constriction in the Insufficiency of Heart blood and yang chest Mental irritation Cyanosis of the lips and nails Exposure to cold Tongue Palpitations Dark purple or dark purple spots Stabbing pain in the heart region on the tongue May radiate to the left arm or Pulses shoulder Thready and hesitant or with missed-beats  LUNG HEART Cough Asthma Breathing Palpitations Insomnia Memory Weak, during Qi Def Weak Weak Weak None Weak activity Weak, during Blood Def - - - Mild Weak rest Moderate, Yin Def Dry Dry Weak Moderate Weak during rest Rapid, all the Over Heat/Fire Yellow Yellow Rapid Severe time active SMALL INTESTINE FUNCTIONS Separates “pure” from “turbid” Communicates with the stomach, spleen, bladder and large intestine FULL-HEAT IN THE SI Causes Scanty and dark urine Excessive anxiety Painful urination Mental restlessness Tongue ulcers Blood in the urine Pain in the throat Tongue Deafness Red with a redder tip and a yellow coat Uncomfortable feeling in the chest Pulses Abdominal pain Rapid and full Thirst SI QI PAIN Causes Borborygmi Excessive consumption of cold and Flatulence raw foods Abdominal pain relieved by Factors which cause Liver Qi passing wind stagnation Pain in the testis Lower abdominal twisting pain Tongue which may extend to the back White coating Abdominal distention Pulses Dislikes pressure on abdomen Deep and wiry SI DEFICIENT & COLD Causes Tongue Excessive consumption of cold and raw foods Pale body with white coating Abdominal pain Pulses Desire for hot drinks Deep, slow and weak Likes pressure on abdomen Borborygmi Diarrhea Pale and copious urine REFERENCES Liangyue, Deng et al. Chinese Acupuncture and Moxibustion. Beijing, China: Foreign Languages Press, 1996. Maciocia, Giovanni. The Foundations of Chinese Medicine. 2ed. Philadelphia, PA: Churchill Livingstone, 2005. Tyme. Student Manual on the Fundamentals of Traditional Oriental Medicine. San Diego, CA: Living Earth Enterprises, 1997. Kaptchuk, Ted. The Web That Has No Weaver. Chicago, IL: Congdon & Weed, Inc, 1983.