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| Role of internal
organs on the physical-mental-emotional spheres |
This is one of the most important
aspects of Traditional Chinese Medicine. Indeed, central
to this is the concept of Qi (energy) as a matter-energy that
gives rise to physical or mental and emotional phenomena at
the same time. Thus, body, mind & emotions are an
integrated whole with no beginning or end, in which the internal
organs are the major sphere of influence.
This is one of the differences between Chinese & Western
Medicine. While Western Medicine also recognizes the
interaction between body & emotions, it does so in a completely
different way. In Western Medicine, the brain is at
the top of the body-mind pyramid. The emotions affect
the limbic system within the brain, nerve impulses travel
down the hypothalamus, through to the sympathetic & parasympathetic
nerve centers, finally reaching the internal organs.
Thus a nerve impulse, triggered off by an emotional upset,
is transmitted to an organ.
We must, in Chinese Medicine, put the role of emotions in
a proper perspective. First of all, emotions are a natural
part of human existence and no human being ever escapes being
sad, angry, worried... and all the thousand more emotions
we all experience at times. Emotions only become
causes of disease when they are particularly intense &
most of all, when they are prolonged over a long period of
time, especially when they are not expressed or acknowledged.
Everyone is angry at times, but if someone harbors anger towards
another person or a situation for months or years, this emotion
becomes a cause of disease.
Secondly, Chinese Medicine is only concerned with the emotions
when these are either the cause of disease, or when they themselves
are the presenting symptoms. In other words, Chinese
Medicine neither ignores emotions as causes of disease, nor
places too much emphasis on them to the exclusion of other
causes.
Since body & mind form an integrated & inseparable
unit, a big web, emotions can not only cause a disharmony,
but they can also be caused by it. For example,
a state of fear & anxiety over a long period of time may
cause the Kidneys to become deficient; on the other hand,
if the Kidneys become deficient through having too many children
to close to together, long exhaustive illnesses, too much
work for too long without much rest, a too intense sexual
life, etc, all of these causative factors may be at the root
of a state of anxiety, insomnia, insecurity or fear.
There are seven emotions that are usually considered in Chinese
Medicine, but this MUST NOT be interpreted too restrictively.
These seven emotions are broad headings under which many other
emotions can be included. Each emotions has a particular
effect on Qi and affects a specific target organ.
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Anger
makes Qi rise & affects the Liver.
Joy slows Qi down & affects the Heart.
Worry & pensiveness know Qi & affect the Spleen
(worry also affects the Lungs).
Sadness & grief dissolves Qi and affects the Lungs.
Fear makes Qi descend & affects the Kidneys.
Shock scatters Qi & affects the Kidneys & Heart. |
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Most emotions can, over a prolonged period of time, give rise
to what we call Internal Fire because emotions can cause stagnation
of Qi & when Qi is compressed for long periods of time
it heats and can do so up to creating an internal Fire,
just as the temperature of a gas increases when it's pressure
is increased. Signs of internal heat or internal fire
will show as constipation, bitter taste, upset stomach, dark urines,
cancer sores, etc and the tongue will always be more
red than usual.
| Anger. |
The
term anger, perhaps more than any of the other emotions,
has to be interpreted very broadly. Indeed, emotions
like resentment, repressed anger, irritability, frustration,
rage, indignation, animosity & bitterness ALL
fall into the term "anger" when thinking in
terms of TCM.
If the Liver is functioning well and its Qi flowing smoothly,
the emotional state will be happy and free-going and the
person will be in good spirits and freely express his
or her emotions. If Liver Qi stagnates and doesn't
flow freely, it will stagnate and affect the emotional
state causing "anger". Over a
long period of time, stagnation of Liver Qi will severely
impair the circulation of Qi giving rise to a gloomy emotional
sate of constant resentment, repressed anger or depression.
On a physical level, the person may experience a feeling
of tightness of the chest & perhaps sigh frequently,
distention of the hypogastrium (abdomen above the navel),
tension in the stomach area. A feeling of
lump in the throat with difficulty in swallowing (without
any medical explanations) is always a sign of Liver
Qi stagnation.
All of the previously mentioned emotional states under
the "anger" category can affect the Liver causing
stagnation of Liver Qi or blood, rising of Liver Yang
and eventually Liver Fire rising. When the
Liver Qi rise the person will be very irritable "fly
off the handle" very easily and many of the symptoms
will manifest in the head & neck, such as
headaches, tinnitus, dizziness, red blotches on the front
part of the neck, red face, thirst, red tongue and bitter
taste. Many other symptoms may also be present,
but we won't get into these finer subtleties right now.
Of course someone who is angry may not display any of
these symptoms, and he/ she may appear subdued, depressed
and pale. Long-standing mental depression
is often due to inner repressed anger or resentment.
Often depressed people may appear sad but the root
of their sadness is in the non expressed resentment or
anger. When anger rather than true sadness is the
real problem, the tongue will be found to be red or dark-red
and dry and the pulse wiry (one of the special
form of pulse diagnosis in TCM).
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| Joy. |
Obviously
joy is not in and of itself a cause of imbalance or disease.
Again the term must be interpreted broadly. So what
is met by joy is not a a state of contentment but one
of excessive excitement which can injure the Heart.
Joy can become a cause of disease when it is excessive
as in those persons who are in a state of continuous mental
stimulation (however pleasurable) or excessive excitement,
in other words, a life of "hard playing" without
much rest. The "continuous nervous
laugh" that often seems out of place with some
people is frequently due to excess fire to the Heart,
in these cases, the tip of the tongue is dark red. Back
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| Sadness. |
Sadness
weakens the Lungs and also affects the Heart. Lungs
govern Qi and sadness depletes Qi often leading to Lung
Qi deficiency manifesting as breathlessness, tiredness,
depression or crying. Many women will experience
a Lung Qi deficiency that will lead to blood deficiency
and amenorrhea.
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| Worry & pensiveness. |
Pensiveness
means excessive thinking, excessive mental work or studying.
This weakens the Spleen & Pancreas and causes tiredness,
loss of appetite, loose stools, lack of concentration,
fatigue, etc. This is a very common cause of disease
in our society, both in young people of school or university
age, and in adults in demanding intellectual occupations.
Very often the Spleen & Pancreas deficiency
induced by excessive mental work leads to impairment of
these two organs functions of transport and transformation
of Qi and blood and creating phlegm.
Worry depletes & knots both the Spleen and Lungs.
Worry is also an extremely common emotion in our society.
Different people worry about different things but life
in industrialized societies is fraught with worry inducing
situations; money, career, children, emotional and personal
life, etc. Worry also knots Lung Qi leading
to anxiety, breathlessness, stiffness of the shoulders
and neck. Indeed many patients present with raised
or arched shoulders & stiff neck with shallow breathing,
typical of knotted lung Qi caused by chronic worry.
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| Fear. |
Fear
seems to have a different effect on children than on adults.
In children it makes the Qi descend causing nocturnal
enuresis. This common problem in children
is often caused by fear or a feeling of insecurity in
the child due to some uncomfortable family situation for
the child. In adults, fear & chronic
anxiety more often cause deficiency of Kidney
Yin and rising of empty Heat within the Heart with low
back pain and knees, heat in the lower back, a feeling
of heat in the face, night sweat, palpitations, dry mouth
and throat, red tongue without coating. Back
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| Shock. |
Mental
shock suspends Qi & affects the Heart & Kidneys.
It suddenly depletes Heart Qi & can lead to palpitations,
breathlessness & insomnia. In the Classical
book Nei Jing it is said: "shock affects the heart
depriving it of residence, the Mind has no shelter and
cannot rest, so that the Qi becomes chaotic".
Shock also affects the Kidneys because the body uses the
Essence of the Kidneys to supplement the sudden depletion
of Qi causing such symptoms as night sweat, dry mouth,
dizziness, tinnitus.
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