Compasisionate Dragon Healing_ TCM Diagnosis

24.04.14 Compasisionate Dragon Healing: TCM Diagnosis

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* This page is presented for informational purposes only. In all cases ofserious illness it is recommended that a qualified practitioner be consulted.

Diagnosis is of crucial importance in any medical or healing system that workson the body. Metaphysical healing systems tend to pay far less attention to

the body assuming that removing emotional and mental causes will automaticallyremove the physical symptom. While this is a legitimate approach, in themeantime, the body still needs to be looked after. The following is a brief

overview of the diagnostic approach of Traditional Chinese Medicine.

The point of diagnosing is to design a treatment. An improper diagnosis willlead to an improper treatment and as often as not a worsening of the

conditions.

Even though the approach of TCM seems fairly straightforward, the fact isthat most often one encounters numerous and often contradictory symptoms

in the same patient.

There is a lot more to diagnosing then, than simple observation of symptoms.One must take account of the relative strengths of symptoms, whether theyare getting stronger or weaker in relation to other symptoms, the relative

strength of the patient, and other such intangibles. Intuition is as important adiagnostic tool as knowledge and experience.

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The most common method of diagnosis in Traditional Chinese Medicineis the so-called 8 Principals. Diagnosing a disharmony consists of asking

whether the condition is

Internal or External,

Hot or Cold,

a Deficiency or an Excess,

whether it has a Yin character or a Yang character.

Causes of Disease According to Traditional Chinese Medicine.

There are many factors that can cause disease. In Chinese medicine in factillness is characterized as a 'syndrome.' That is a collection of symptoms that

together make up a pattern of disharmony in the body. Nor are thesesymptoms restricted to the body. Along with physical symptoms, emotional and

even mental states are considered in the diagnosing of a syndrome.

Causes of disease generally speaking fall into a number of general categories.

There area) 6 Exogenous Factors,

b) 7 Endogenous (emotional) factors,c) conditions arising from improper diet,

d) too much activity (hyperactivity), e) too little activity stagnation,

f) traumatic injury, g) insect, animal or reptile bite.

Within each category there are a number of differentiating categories tolook at. For example the 6 Exogenous factors are

1.Wind,

2. Cold,

3. Heat,

4. Fire,

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4. Fire,

5. Dampness,

6. Dryness.

These will quickly be recognized as conditions that exist in nature. Underordinary circumstances these are not pathological to the human body, but

become so when conditions are extreme, sudden or the body's resistance islow.

Exogenous factors are seen as those that enter the body from the exteriorand are closely related to seasonal changes.

For example what we call Colds and Flu, seen most often in the fall whenseasons are changing, are characterized in TCM as invasions of Wind, invasions

of Wind/Cold, or invasions of Wind/Heat, depending on the severity ofsymptoms and depth of penetration into the body.

Heat and Fire Syndromes are seen most often in the summer. Dampnesssyndromes are seen most often in later summer. Dryness is seen most often

in Autumn. Cold Syndromes are seen most often in the Winter.

Ambient pain in the muscles and joints called by various names in Westernmedicine is characterized in Chinese Medicine as 'Bi Syndrome' caused by

invasion of Wind/Cold/Dampness.

There are several different kinds of 'Bi Syndrome.'

Ancient physicians, of course had little notion of invading microscopicorganisms like bacteria or viruses and while treatment options do include

'expulsion of pathogenic factors' it is not enough to simply expel theparticular factor. Proper treatment most often includes tonifying specific

organs or the body as a whole both to help with expelling the invadingpathogen and to speed recovery.



Signs and Symptoms of

External cause - characterized by sudden onset affecting theexterior of the body, sensitivity to Cold or Wind, slight fever, thin

coating on the tongue and a superficial pulse.

Internal cause - characterized by longer term onset as the pathogenworks its way into the interior of the body. In most cases the internal

organs are affected and signs and symptoms of channel and organdisharmony are seen. See below for symptoms of each organ system

disharmony.

Cold - characterized by aversion to Cold, pale tongue, preference forhot drinks, pale face, thin pulse.

Heat - characterized by aversion to heat, red tongue, preference forcold drinks, flushed face, full pulse.

Deficiency - deficiency refers to not enough Qi to ward offpathogenic factors. Deficiency manifests in the body in different ways

including deficiency of Qi, deficiency of Blood, Deficiency of Yin orYang.

Symptoms are varied but include emaciation, listlessness, feeblebreathing, loss of strength, shortness of breath, spontaneous

sweating, night sweats, incontinence, and pain that is alleviated by

pressure.

Excess - refers to hyperactivity of Qi in the body. Excess manifestsin the body in different ways including excess Qi, excess Blood, Excess

Yin or Yang.

Again symptoms are varied but include agitation, loud voice, heavybreathing, fullness and/or bloating in the chest and/or abdomen, pain

aggravated by pressure, constipation, irritability, thick tongue coatingand full pulse.

Yin & Yang are a pair of principals used to generalize categories ofsyndromes. Once we have looked at all the symptoms presented we

can say whether a condition is mostly Yin or mostly Yang. *see Yin/YangTheory page.

For example Cold syndromes are Yin in character. Heat syndromes areYang in character. Deficiency syndromes are Yin in character. Excess

syndromes are Yang in character. External syndromes are Yang in

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syndromes are Yang in character. External syndromes are Yang incharacter. Internal syndromes are Yin in character.

It is rare of course that one finds a condition that is purely Yin orpurely Yang, but from a diagnostic perspective one may be able to

gauge the relative strength and direction of movement in the body.This is important information for designing treatments. For Yang

syndromes we need to reduce. For Yin syndromes we need to tonify.

Improper Diet

Key to Chinese thinking is balance and harmony. Everything must be balancedwith everything else in order to achieve harmony. In the area of diet, theChinese have separated all foods into 5 different categories according totaste. Each of these categories has a specific effect on the body and why

Chinese cooking makes every effort to balance all five tastes. This is knownas 5 Elements theory.

The five tastes are

1. Sweet

2. Sour,

3. Bitter,

4. Salty,

5. Pungent,

For more information see *5 Elements Theory page

In theory, then one can eat pretty much what one wants as long it is balanced.By this though, I am not necessarily referring to the over processed sugar

based packaged snacks so popular in the West these days. The food one eatsmust have at least some nutritive value.

So it is not so much that specific diets are bad for you, it is theoverindulgence of specific kinds of diets that lead to illness. For example,

overindulgence in a hot spicy diet will lead to symptoms of Heat or Fire andexcess in the body. A strictly vegetarian diet of raw vegetables will lead to

symptoms of Cold and Deficiency. A diet with too much Dairy in it will lead tosymptoms of Cold and Phlegm.

For optimum health, though, certain diets are recommended.

As well as the kinds of foods that are consumed attention must also be paidto how food is prepared and how it is consumed. In Taoist philosophy there is

a lot more to food than just eating it.

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a lot more to food than just eating it.

Each of the tastes characterized above, according to the 5 Elements theoryis linked to a major organ system.

1. Sweet taste is linked to the Spleen/Stomach organ system.

2. Sour taste is linked to the Liver organ system,

3. Bitter taste is linked to Heart organ system,

4. Salty taste is linked to the Kidney organ system,

5. Pungent taste is linked to the Lung organ system.

It is often the case in Chinese medicine that appropriate treatment for anillness is a change in diet. The line between what is food and what is medicineis quite blurred, and many items that are considered food or spice in the westare consumed for their medicinal properties in the East. Among these, onions,garlic, pumpkin seeds, scallions, ginger, leeks, rhubarb, watermelon, mustard

seeds, cinnamon, chives, and cloves.

Hyperactivity, Stagnation, Traumatic Injury, Insect, Animal orReptile Bite,

These are all variations on a similar theme. Physical activity, beyond one's limitleads to injuries to muscles and tendons. These can be relatively minor or

quite serious. Relatively minor injuries not treated and persistentlyaggravated can lead to serious injury over time.

Not enough physical activity leads to atrophy of muscles and tendons.

The treatment is either to slow down or speed up. In other words figure outwhat the appropriate amount of physical exercise is for you and do that.

We in North America tend to think being bitten by insects, animals or reptilesas little more than an annoyance. Certainly here in Southern Ontario where Iam, there's nothing too dangerous. Still there are many parts of the world

where this sort of thing is a serious concern and an important cause of illnessthat TCM concerns itself with.

Endogenous Causes

Endogenous causes of illness are characterized in Chinese medicine asthe 7 Emotions. They are

1. Anger - associated with the Liver system

2. Joy - associated with the Heart system

3. Worry/ Overthinking - associated with the Spleen/Stomach system

4. Grief - associated with the Lung system



4. Grief - associated with the Lung system

5. Sorrow - (chronic grief) associated with the Lung system

6. Fear - chronic condition (phobias) associated with the Kidneysystem

7. Fright - acute condition - associated with the Kidney system.

Emotional responses have an effect on the body. This is nothing new. When weare fearful or severely angry, the stomach tightens, we sweat, the heart

pumps faster and stronger, we breathe faster, adrenaline and otherchemicals are released into the blood to stimulate some organ systems and

shut others down. When we are in grief or in joy we dont feel much likeeating, sleeping is difficult, we may have heart palpitations, or we may feel

disoriented.

While modern medicine continues to scratch its head and wonders if emotional

responses can actually have any lasting effect on the physical body, ancientChinese physicians had a useful working model of just how emotions and the

body are intricately linked and affect each other.

Using this system we are able to diagnose internal disharmonies according toexternal symptoms observed. The following are some of the major symptomsthat one may observe, the organ system to which they apply and the emotion

that is suggested by the symptom.

This exercise is intended to help you begin to understand what it is your bodyis telling you about your emotional state. As well it is to help you understandhow your emotional state affects the body. The links between the body and

the emotions are intimate and interactive. Physical symptoms indicateemotional disharmony and emotional expression indicates physical disharmonies.

Strange as it may seem, I believe that most of us are not nearly as familiarwith our emotions as we might think.

For example Grief is housed in the Lungs. Grief would then be seen as animportant aspect of Asthma. Any treatment of Asthma, to be effective froman Wholistic perspective would have to include reduction or release of Grief.In Acupuncture, the same point that is chosen to tonify the Lungs also helps

to release Grief.

The following then is a list of symptoms, which are, in Chinese medicineindicators of disharmony in the five main organ systems, which according to

the 5 elements theory suggests also an underlying emotional component.

Spleen/Worry.

The Spleens main function is to Transform water, food and air into Qi and



The Spleens main function is to Transform water, food and air into Qi andTransport that Qi throughout the body.

Needless to say, this is an important function. If the body is properlynourished, the Spleen can do its job and good health is the result.

If the Spleen does not receive the proper raw materials it has to work thatmuch harder to extract the Qi and transport it. As this function is critical tothe organism as a whole, the key to any treatment for any kind of illness is tofeed the body well. In severe illness this may involve herbal or pharmaceutical

medication.The emotion of the Spleen is Worry or Overthinking. The balance of Yin and

Yang is always the goal. It is recommended that one eat in peaceful surroundings without distractions.Some recommend that one not even talk to others while eating and certainly

watching TV, reading, doing homework, or catching a bite on the run are nothealthy things to do.

Of course, this becomes a vicious cycle. The more we worry, the moredeficient the Spleen becomes which in turn causes us to worry still more. Nourishing the body is absolutely primary in the recovery from any illness.

If the Spleen system is nourished properly, the better it can nourish all theother systems and their related emotions.

In the West, perhaps it is a stretch to grasp that simple changes to onesdiet can have far reaching emotional and physical consequences, but in the

East it is a fundamental principal. You may take note of the fact that peoplewho mainly 'think' for a living often have stomach problems.

The following physical symptoms suggest a Spleen dysfunction of some kind.Emotionally, they suggest Worry/Overthinking.

Fatigue/tiredness/listlessness Puffy eyelids and puffiness under the eyes

Bleeding gumsCraving for sweets

Drooling/excess saliva/saliva leakingAnything to do with the mouth or lips

Prolapse of any vessel including uterus,scrotum,intestine,anusEasy bruising or bleeding

Rashes of any kind A thick or swollen tongue with teeth marks on the side.

Belching/hiccups Borborygmus or stomach/intestinal gurgling.

Painful, numb or tingling extremities, especially the feet. Ulcers/hyperacidity/chronic heartburn/indigestion.

Stomach aches

It is often the case that these symptoms come and go related directly to ourdiet and our propensity for worry. Often we dont pay much attention until

something becomes chronic and starts to affect our lives. If a symptom is not



something becomes chronic and starts to affect our lives. If a symptom is nottoo much of an inconvenience we either ignore it or cover it up and go on with

what we were doing.

Since Fatigue is a major symptom of Spleen dysfunction, if you have ChronicFatigue Syndrome it might be a good idea to look at your propensity to worryor over-think things, as well as your diet, not only what you eat but how you

eat.

The Lungs.

Disharmony in the Lungs takes 2 forms a) acute such as the responseto sudden loss of a family member, and b) chronic - characterized as

'sorrow' which may be held in the body for months or years.

The Lungs are associated with the emotion of Grief. Symptomsindicating a Lung system disharmony and by association Grief as an

underlying component includeBreathlessness

Asthma/any kind of breathing problemAny kind of nasal problem (as the nose is associated with the Lungs)

Phlegm in the lungs or sinusesSusceptibility to colds, flu, or other ambient infections

Lungs govern the skin so any kind of skin problem may indicate Grief asan underlying component.Inability to urinate fully

Fatigue/listlessnessFoggy mind

Sneezing (an explosive clearing of pathogenic factors)Sweating, especially spontaneous sweating in the absence of a cold orflu, indicates a Lung deficiency, or perhaps a clearing of grief alongwith other pathogenic factors. Spontaneous sweating is a common

symptom of cleansing.

The Liver/Anger

The Liver is responsible for the free flow of Qi in the body. It stores bloodand is responsible for maintaining blood levels and efficiency. The emotion

attached to the Liver is Anger.Since the Livers responsibility is to move Qi in the body, a Liver disharmony

will have an effect on all the other organ systems and their related emotions. While the basis for the 5 Elements theory is precisely that all organ systems,their functions, and related emotions is in fact, that they are interconnected

and affect each other, The Liver's effect is particularly pronounced.

This is consistent with the observation that Anger is a particularly strong,even primal emotion. Anger is often seen in combination with other emotions.We often get ourselves out of fear, grief, or worry, simply by getting angry,



We often get ourselves out of fear, grief, or worry, simply by getting angry,at ourselves or at another.

From a TCM perspective, this is very much, the body doing what it needs todo to promote Qi flow and return to wellness. While we tend to take a dim

view of someoneexpressing Anger, insome situations, it isin fact the healthy

thing to do. Theexpression of Anger,at least temporarilyhas the effect of

promoting Qi flow andclearing stagnant

blockages in the body.Suppressing Anger

causes Qi to stagnatein the Liver and

therefore affects Qiflow in the body as a

whole. Of course, we must

emphasize that the expression of Anger in particular situations is only atemporary measure. It is what the Body does when all other measures fail.

Symptoms of Liver dysfunction include

Pain or distention in the hypochondriac region, at the sides of the body aroundthe diaphragm is a common sign of Liver disharmony.

Acute, stabbing pains anywhere in the body Pain or distention in the eyes

Headaches at the sides of the head including Migraine headaches Frequent and/or heavy sighing.

In Chinese Medicine, any kind of pain is considered to be Stagnation of Qi andor Blood. This means that the treatment principal for any kind pain is usuallymove Qi & Blood. From a TCM perspective then, if you have Fibromyalgia or

some other such condition characterized by 'mystery' pain, it would be a goodidea to look at your Anger.

The Heart/Joy

The heart houses the Mind in Chinese Medicine. The brain isconsidered an extraordinary Fu organ, that is an empty sac, which is acharacteristic of Fu organs. The Brain is seen as a place to store and



process raw data. It is in the Heart that a persons essence and personality is kept. This is why, in Chinese Medicine, many mental problems are seen as

disharmonies of the Heart. From a TCM perspective, then, there is a medical basis for the

observation that lack of Joy or Love in a persons life ultimately makesthem crazy.

When you speak from the Heart, you speak from Joy and the world istruly a brighter place.

Physical Symptoms of a Heart disharmony include

Shortness of breathSweating (in the absence of disease)

Pallor or pale complexionTiredness/listlessness

Stuffiness in the chest Palpitations or irregular heart beat

DizzinessRestlessness/agitation

Anxiety/confusionDream disturbed sleep

InsomniaPoor memory

Propensity to be startledFeelings of uneasinessMuttering to ones self

Mania

The Kidneys/Fear

The Kidney system is often seen in combination with dysfunctions of otherorgan systems. In TCM the Kidneys have the unique function of housing ones

corporeal essence or life force. One is born with YUAN QI, also calledPrimary Qi or Congenital Qi. According to the theory one is born with only somuch Yuan Qi, which can never be added to, but which can be topped up by

Jing or Nutrient Qi from the Spleen.

Yuan Qi, may also be seen as the motive force of the Corporeal Soul whichanimates the body. When ones Yuan Qi is all gone the body dies and the

Corporeal soul dies with it releasing the Ethereal Soul.

Physical manifestations of weak Yuan Qi are birth defects, problems withbirth, weak constitution, and susceptibility to childhood illness.

Strong healthy babies are said to have strong Yuan Qi.

Whether one has strong or weak Yuan Qi will affect one throughout life.



Whether one has strong or weak Yuan Qi will affect one throughout life.Weak Yuan Qi, or essence, may lead to complications or illness later in life,

premature aging, or death at a relatively young age.

A mans essence is manifest in his semen. The sexual organs are seen as partof the Kidney organ system. Overindulgence in sex or masturbatory

ejaculation are a couple of ways that Kidney essence may be depleted.

A womans essence is manifest in her menstrual blood and giving birth.Excessive menstrual flow, difficult pregnancies, and too many pregnancies will

deplete a womans essence.

Excessive fear over a period of time will also deplete Kidney essence. A severe fright or a particularly intense ejaculatory orgasm in a man, will

deplete the Kidneys essence almost instantaneously.

Physical symptoms of Kidney Disharmony include

Weak or sore lower back.Weak or sore knees.Urinary dysfunction.

Darkness under the eyes. Irregular or problematic menstrual flow.

Weak ejaculation.Seminal emission.

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