Role of internal organs on the physical-mental-emotional spheres

Anger. Joy. Sadness. Pensiveness & worry. Fear. Shock.  

Anger
Joy
Sadeness
Pensiveness & worry
Fear
Shock

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.

  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.
 

 
 
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.

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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.

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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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