AcuPractice Seminars. The Clinical Fundamentals of Chinese Medicine 10/23/16. Eastern Paradigm

Transcription

1 AcuPractice Seminars The Clinical Fundamentals of Chinese Medicine AcuPractice Seminars Complete Programs, Classroom Seminars, Online Classes: Online CE.com (ChiroCredit.com) Hands-On Intensive Training Classroom Protocols and Expectations Lecture: University of Bridgeport CCEs Hands-on Practice Labs Non-accredited State Laws Dr. Jim Ventresca Eastern Paradigm Ancient Yet Living Medicine Nature s Language Macrocosm reflected in the Microcosm Confucian Relationships Family / Society Dr. Jim Ventresca

2 East vs. West Holistic Western Paradigm Non-Reductionist Holistic Eastern Paradigm Dr. Jim Ventresca A Very Brief History! of Chinese Medicine I Seminal Works Nei Jing Yellow Emperor's Classic of Medicine Ling Shu / Su Wen Earliest Work Nan Jing Classic of Difficult Questions Dr. Jim Ventresca A Very Brief History! of Chinese Medicine II Zhong Zhong Jing: Shang Han Lun Sun Si Miao: Morality in Medicine Li Shi Zhen Radial Pulse 9 Positions / 27 Categories Dr. Jim Ventresca

3 TCM! Traditional Chinese Medicine Progression to TCM 3,000 years of Folk Medicine Western Cultural Invasion 1949 Communist Revolution Dr. Jim Ventresca The Five Branches of Oriental Medicine! Acupuncture/Moxibustion Herbal Medicine Diet & Lifestyle Tai Ji & Qi Gong Massage & Manipulation Dr. Jim Ventresca Popular Styles of Acupuncture! TCM Japanese 5 Element Medical/Chiropractic American Dr. Jim Ventresca

4 Yin & Yang I Tai Ji Symbol Dr. Jim Ventresca Yin & Yang II Everything Consists of Yin & Yang Yin & Yang are Relative Terms Yin & Yang Produce One Another Yin & Yang are Infinitely Divisible At Extremes, Yin Transforms to Yang, & Visa Versa Dr. Jim Ventresca Yin & Yang III Clinical Application: Explain Physiology & Pathology Broad Guide to Diagnosis & Treatment Basis of Other Diagnosis Dr. Jim Ventresca

5 Clinical Associations of! Yin & Yang!! YANG YIN Function! Substance Action Result Of Action!! Clinical Associations of Happens In The Present Incipient-Just Beginning, Setting Loose, Setting In Motion, Dynamic Transforming, Causing Change Dissolving, Dispersing, Expanding Clinical Associations of Happened In The Past Completing, Sustaining Responsive, Static, Quiescent Conserving, Preserving Condensing, Contracting Dr. Jim Ventresca Clinical Functions of! Yin & Yang I! Functions of YANG Energy Warms Moves, Activates, Circulates Protects / Provides Defense Functions of YIN Energy Cools Provides Rest the Ability to Rest Provides the Ability to Recover from Disease Dr. Jim Ventresca Clinical Functions of! Yin & Yang II! Functions of YANG Energy Transforms - Brings About Change Holds Up and In Place: Blood, Fluids, & Organs Functions of YIN Energy Maintains Structure Nourishes & Moistens: Blood, Fluids, & Organs Dr. Jim Ventresca

6 Associations of Yin & Yang Disorders! Yang Disorders Yin Disorders Excess Yang / Deficient Yin Excess Yin / Deficient Yang Acute / Rapid Onset Chronic / Slow Onset Activity / Daytime / Insomnia Rest / Nighttime / Sleepiness Stretch Out To Sleep - Throws Curls Up In Sleep - Likes To Be Off Covers Covered Heat Signs: Red Cold Signs: Pale Efflorescences / Efflorescences / Rapid Pulse / Slow, or at least Not Rapid Pulse Thirst: Likes Cold Drinks No Thirst: Sips Warm Drinks Loud Voice - Extrovert Soft/Weak Voice - Introvert Dr. Jim Ventresca Yin & Yang! by Position! Yang Bodily Areas Superior Posterior Lateral External Yin Bodily Areas Inferior Anterior Medial Internal Dr. Jim Ventresca The Eight Principles Four Pair of Yin/Yang Opposites Internal / External Hot / Cold Excess / Deficient Yin / Yang Dr. Jim Ventresca

7 Internal / External Determined by Location OR Etiology Dr. Jim Ventresca Internal! Locations & Etiologies Organs Blood Bones Dr. Jim Ventresca External! Locations & Etiologies Skin Muscles Meridians (Joint Pain) Dr. Jim Ventresca

8 The Lungs! Special Case Upper Respiratory Infection Outside Pernicious Influence Treatment Principle: Open the Exterior Dr. Jim Ventresca Hot & Cold! True & False Condition Pathology Treatment Principle Diagnosis Excess Yin True Cold Sedate Yin (Disperse) Excess Yang True Heat Sedate Yang (Disperse) Deficiency of Yin False Heat (Heat from Deficiency) Supplement Yin (Tonify) Deficiency of Yang False Cold (Cold from Deficiency) Supplement Yang (Tonify) Dr. Jim Ventresca True Heat! False Heat True Heat False Heat / Yin Deficiency Thirst Red Face Full Sweat / True Fever Sore Throat / Cough Constipation / Hot Diarrhea Full / Strong & Rapid Pulse Red Tongue / Yellow Coat Dark Scanty Urine Dry Mouth Malor Flush Night Sweat / Hot Flashes Dry Throat / Clears Throat Constipation / Dry Stool Thin/Weak & Rapid Pulse Thin Red Tongue / No Coat (Peeled) Dr. Jim Ventresca

9 ! 10/23/16 True Cold! False Cold True Cold False Cold/ Yang Deficiency Chills Cramping Pain / Better with Heat Cold Diarrhea Normal Tongue / Thick White Coat Full & Tight Pulse Clear Copious Urine Preference for Warm Drinks Cold Body/Hand/Feet Pale Face No Pain Loose Stools / Undigested Food Pale Puffy Tongue / Wet Coat Weak & Slow Pulse Dr. Jim Ventresca Excess/ Deficient Organs Substances Meridians Dr. Jim Ventresca Yin & Yang! Nature of the Disorder! Dr. Jim Ventresca ! 9

10 The Theory of The Five Elements Fire Wood Earth Water Metal Dr. Jim Ventresca Element!! Diagnosis & Prognosis! Preferences! Physical Characteristics! Emotions!! Dr. Jim Ventresca Element! Specific Diagnostic Parameters! Colors! Sounds! Smells! Emotions! Tastes! Tissues! Orifices! Weather / Climate! Dr. Jim Ventresca

11 ! 10/23/16 5 Element! Geographical Genesis! Water Water Metal Earth Wood Fire Dr. Jim Ventresca E Traditional Arrangement! S W N Fire Wood Earth Metal Water Dr. Jim Ventresca Clinical Arrangement Fire Wood Earth Water Metal Dr. Jim Ventresca

12 !!! 10/23/16 5 Element! Body Types! Dr. Jim Ventresca Element Organs, Meridians, & Points! All Influence Treatment Options! Fire Wood Earth Water Metal Dr. Jim Ventresca Sheng Cycle! Production / Generation / Mother - Child!! Fire Wood Earth Water Metal Dr. Jim Ventresca

13 Sheng Cycle! 1 Deficiency Creates 2 Deficiencies!! Fire Wood Earth Water Metal Dr. Jim Ventresca Sheng Cycle! 1 Excess Creates 1 Excess!! Fire Wood Earth Water Metal Dr. Jim Ventresca Ko Cycle! Control / Restraining/ Grandmother - Grandchild!! Fire Wood Earth Water Metal Dr. Jim Ventresca

14 ! 10/23/16 Ko Cycle! 1 Excess Creates 2 Deficiencies!! Fire Wood Earth Water Metal Dr. Jim Ventresca Ko Cycle! 1 Deficiency Creates 1 Excess!! Fire Wood Earth Water Metal Dr. Jim Ventresca The Whole Picture! Fire Wood Earth Water Metal Dr. Jim Ventresca

15 Elements & Organs HEART / Sm. Intestine Pericardium / Triple Warmer Fire LIVER Gall Bladder Wood Earth SPLEEN Stomach KIDNEY Bladder Water Metal LUNGS Lg. Intestine Dr. Jim Ventresca Diagnostic Frameworks! o Yin/Yang o 8 Principles o 5 Elements o Substances o Organs o Meridians Dr. Jim Ventresca Five Element Theory Review Fire Wood Earth Water Metal Dr. Jim Ventresca

16 Essential Elemental Correspondences I Category Wood Fire Earth Metal Water ZANG: Solid / Yin Organ FU: Hollow / Yang Organ Liver HT PC Spleen Lungs Kidney Gall Bladder SI SJ Stomach Lg. Intestine Bladder Category Wood Fire Earth Metal Water SEASON Spring Summer Late Summer Fall Winter CYCLE Birth Growth Maturity Harvest Rest / Storage CLIMATE Wind Heat Damp Dry Cold Dr. Jim Ventresca Essential Elemental Correspondences II Category Wood Fire Earth Metal Water ORIFICE Eyes Tongue Mouth Nose Ears SENSE Vision Speech Taste Smell Hearing BODY FLUID Tears Sweat Saliva Nasal Mucus Internal Moisture Category Wood Fire Earth Metal Water BODY TISSUE Tendons Sinews Blood & Blood Vessels Flesh & Muscles Skin Teeth, Bone & Marrow RESIDUES Nails Complexion Lips Body Hair Head Hair TONGUE AREA Sides Tip Center Behind Tip Root Dr. Jim Ventresca Essential Elemental Correspondences III Category Wood Fire Earth Metal Water OFFICE & DUTY General Planning Plans & Decisions Sovereign Ruling Natural Leader Minister of Agriculture Nourishing Eating & Food Architect Create Order Treasurer Store Essence STORAGE Soul Consciousness Benevolence Righteous Intent Faith Vitality Decorum Determination Wisdom Category Wood Fire Earth Metal Water SPIRITS Hun Persona / Ego: Shen Spirit Heart / Mind EMOTION Decisiveness Control Anger Joy + - Yi Thoughts Memory Recollection Harmonizing Preoccupation Obsessive Po Identification with the Body Strength Grief Zhi (Will) Intention / Commitment Determination Fear Dr. Jim Ventresca

17 Essential Elemental Correspondences IV Category Wood Fire Earth Metal Water TASTE Sour Bitter Sweet Pungent Salty Hot/Spicy ODOR Sour Burnt Fragrant Putrid Musty Category Wood Fire Earth Metal Water COLOR Cyan (Green) Red Yellow White Black (Blue) SOUND Shouting (Sighing) Laughing Singing Weeping Groaning Dr. Jim Ventresca The Horary Cycle Organ / Meridian Time of Day Most Qi Least Qi Lung 3 5 AM 4 AM 4 PM Lg. Intestine 5-7 AM 6 AM 6 PM Stomach 7 9 AM 8 AM 8 PM Spleen 9-11 AM 10 AM 10 PM Heart 11 AM 1 PM NOON MIDNIGHT Sm. Intestine 1 3 PM 2 PM 2 AM Urinary Bladder 3 5 PM 4 PM 4 AM Kidney 5 7 PM 6 PM 6 AM Pericardium 7 9 PM 8 PM 8 AM San Jiao 9 11 PM 10 PM 10 AM Gall Bladder 11 PM 1 AM MIDNIGHT NOON Liver 1 3 AM 2 AM 2 PM Dr. Jim Ventresca Time, Organs, & Meridians Dr. Jim Ventresca

18 Yin & Yang Organs, & Meridians Yang Yin Dr. Jim Ventresca The Six Divisions Dr. Jim Ventresca The Essential Substances Qi Life force Energy Prana Dr. Jim Ventresca

19 The Essential Substances Blood Xue Nourishing Moistening Manifestation of Qi Dr. Jim Ventresca The Essential Substances Jing Essence Constitutional Qi Dr. Jim Ventresca The Essential Substances Shen Consciousness Mind Stored in the Heart Dr. Jim Ventresca

20 The Essential Substances Fluids Jin Ye All Physiological Fluids other than Blood Dr. Jim Ventresca Qi & Blood Production Food Stomach R & R Pure Air Lungs Gu Qi Zong Qi Zheng Qi Ying / Wei Blood Impure Spleen T & T Kidneys Yuan Qi (Catalyst) LI, SI, & UB Separate Pure from Impure Dr. Jim Ventresca Qi & Blood: The End Products Zheng Qi Differentiates into Ying/Nourishing Qi & Wei/Protective Qi Blood Created in the Heart, by the Same Process as Qi Dr. Jim Ventresca

21 Energy & Nurture Qi & Blood! Substances Review o Qi & Blood Subject of this Class o Jing, Shen, & Fluids Dr. Jim Ventresca Qi Energy Prana Life Force Manifests in the Body Circulates Within & Outside of the Meridians Dr. Jim Ventresca The Origin & Functions of Qi Constitution - Food Environment Subset of Yang Activates / Moves Warms Transforms Defends Contains Dr. Jim Ventresca

22 The 4 Directions of Qi! Up Bearing Down Bearing Entering & Exiting Qi Circulates via the Meridians & in the Blood Dr. Jim Ventresca Deficient Qi! Qi Xu Fatigue / Malaise Pale Face Weak Pulse Pale & Swollen Tongue Organ Dysfunction Dr. Jim Ventresca Other Imbalances of Qi Collapsed Qi Prolapse Stagnant Qi Dull Achy Pain / Unfixed Rebellious Qi Moves in the wrong direction Dr. Jim Ventresca

23 !! 10/23/16 Blood! Xue Yin in Relation to Qi Fluid & Qi Contains Ying Qi Dr. Jim Ventresca Functions of Blood! Nourishes & Moistens Maintains Structure Cools & Calms the Body & Mind Provide for Rest & Recovery Dr. Jim Ventresca Relationships of Blood! Heart Originates & Moves Blood Liver Stores & Releases Blood Spleen Produces & Holds Dr. Jim Ventresca

24 Deficient Blood Xue Xu Qi Xu (Nourishment & Moisture) = Xue Xu Lusterless Face Thin Pulse Thin Tongue Dry Skin, Hair & Eyes Scanty Menses Insomnia Tics, Twitches, & Tremors Dr. Jim Ventresca Other Imbalances of Blood Stagnant Blood Fixed, Sharp, Stabbing, Pain Tumors/ Cysts Hematoma Hot Blood Red Skin, Rashes, Pimples Hemorrhage of Fresh Red Blood Dr. Jim Ventresca Jing Pre-Heaven Qi / Constitutional Qi Formed at Conception Parents - In Utero - At the Moment of Birth Dr. Jim Ventresca

25 Jing Governs Birth Growth Development Aging Dr. Jim Ventresca Jing Storage In the Kidneys Zang/Yin Organs Dr. Jim Ventresca Jing & Yuan Qi Yuan Qi Jing Dr. Jim Ventresca

26 Jing Deficiency Poor Development Concentration / Memory Reproductive Disorders Teeth & Bones Grey/Thinning Hair Senility Dr. Jim Ventresca Rest, Restraint, & Repose Jing Can Not Replaced Treatment is Aimed at Conservation Appropriate Diet, Exercise, Rest Moderation in All Things Dr. Jim Ventresca Shen Consciousness Stored in the Heart Reflected in the Eyes Most Insubstantial of Substances Dr. Jim Ventresca

27 Shen Formed at Birth Acquired from Life Experience Dr. Jim Ventresca Disturbed Shen Psycho-Spiritual-Emotional Disorders Muddled Personality Psychosis Bipolar Disorders - A Continuum Dr. Jim Ventresca Jin Ye Fluids All Normal Bodily Fluids Except Blood Lubricate the Body Flow Within and Without the Blood Dr. Jim Ventresca

28 Jin Ye Fluids Jin Clear, Yang, Watery Provides Moisture to the Surface Skin Flesh Mucous Membranes Sweat Dr. Jim Ventresca Ye Thick, More Yin Jin Ye Fluids Lubricates the Interior Organs Joints Brain Bones Dr. Jim Ventresca Food & Drink Jin Ye Fluid Production Lungs Stomach R & R Impure Pure Spleen T & T LI, SI, & UB Separate Pure from Impure Kidneys Dr. Jim Ventresca

29 Jin Ye Fluid Pathology Deficiency Jin: Thirst & Dryness Ye: More Serious Conditions Dr. Jim Ventresca Jin Ye Fluid Pathology Excess Jin: Dampness, Swelling Ye: Mucous & Phlegm Dr. Jim Ventresca Jin Ye Fluid Pathology Cause & Effect Lungs: Upper Warmer Spleen: Middle warmer Kidneys: Lower Warmer Dr. Jim Ventresca

30 External Pathogenic Factors! The Evil Winds Wind, Cold, Dampness, Dryness, Heat, & Summer Heat OPI Internal Causes & Manifestations Dr. Jim Ventresca Wind OPI All OPIs are Wind Most Common Combines with other Pathogens Early Stage OPI Internal: Associated with Liver Signs & Symptoms Dr. Jim Ventresca Cold OPI Lungs Meridians Uterus Internal Yang Xu Dr. Jim Ventresca

31 Heat/Fire Heat vs. Fire OPI Internal Liver Yin Xu Dr. Jim Ventresca Dampness OPI Spleen Xu Internal & External Manifestations Heavy / Lingering / Distending Swelling, Fluid-filled Sticky, Cloudy, Murky Combines with Cold & Heat Dr. Jim Ventresca Dryness OPI Yin Xu Internal & External Manifestations Dry Lungs Throat Sinus Skin Hair - Eyes Dr. Jim Ventresca

32 Summer Heat Excessive Heat Invades OPI Heat Exhaustion / Heat Stroke The Intestines Hot Dysentery Dr. Jim Ventresca Internal Pathogenic Factors! The Emotions Normal Presentations vs. Pathological Presentations Dr. Jim Ventresca Anger Decisiveness / Control Liver / Wood Dr. Jim Ventresca

33 Joy Appropriate Responses Heart / Fire Dr. Jim Ventresca Grief Strength In the Face of Adversity Lungs/ Metal Dr. Jim Ventresca Overthinking Deep Thinking / Strong Memory Spleen/ Earth Dr. Jim Ventresca

34 Fear Perseverance/ Survival Kidneys/ Water Dr. Jim Ventresca Miscellaneous Pathogenic Factors! Inappropriate Diet - Exercise - Timing Parasites - Insect & Animal Bites Trauma Epidemics Wrong Treatment Excess Sex Overwork Environment - Drugs Dr. Jim Ventresca The Zang Fu:! Introduction to the Organs NAMES Zang / Fu Solid / Hollow Yin / Yang Western Names Eastern Functions Licle Overlap Capitalization Convention Dr. Jim Ventresca

35 ! 10/23/16 Spheres of Influence Complex System of Relationships Requires Only a Handful of Systems Clinically Effective Dr. Jim Ventresca Zang Fu Diagnosis Most Common Diagnostic Framework Combined with 8 Principles Substances Dr. Jim Ventresca Primary Organ Diagnosis Any Organ s main job is easily & often affected by Any Disharmony within said Organ. Dr. Jim Ventresca

36 Primary Organ Responsibilities Lungs Rule Respiration Spleen Orchestrates Digestion Heart - Stores the Shen Liver Spreads the Qi Kidney - Stores the Jing, Yin, & Yang Dr. Jim Ventresca Primary Organ Disharmonies Lungs OPI, Qi Xu, Yin Xu Spleen Qi/Yang Xu, Xue Xu, Dampness Heart - Xue Xu, Yin Xu, Xue Yu, Shen Disturbance Liver Qi Yu, Xue Yu Kidney Qi/Yang Xu, Yin Xu, Jing Xu Dr. Jim Ventresca Organ Associations I Mainly Yin Organs - as per the 5 Elements Body Paired & Other Organs Meridians (many) Tissues, Orifices, Residues Mind Thoughts & Thought Process Spirit Interpretation Dr. Jim Ventresca

37 Lung Throat s Lg. Intestine Nose Sinus Meridian Skin Organ Associations II Fire Wood Earth Water Metal Dr. Jim Ventresca Yin vs. Yang Organs Most Physiology & Pathologies Focus on Yin Organs Yang Organs Support Yin Organs Yin Organs and 5 Element Correspondences Dr. Jim Ventresca Organs & Meridians I Associated Bilateral Meridians Share Name Some Pathology & Physiology Overlap Dr. Jim Ventresca

38 Organs & Meridians II Yang Meridians Treat Channels Pain Along The Pathway Yin Meridians Treat Organs Dr. Jim Ventresca Organ Pairing I Husband / Wife Internal/ External Some Very Close Relationships Wood Water Fire Metal Earth Element Yin Organ Yang Organ Wood Liver Gall Bladder Emperor Fire Heart Sm. Intestine Minister Fire Pericardium San Jiao Earth Spleen Stomach Metal Lungs Lg. Intestine Water Kidney U. Bladder Ventresca 2015 Dr. Jim 113 Six Divisions Organ Pairing II Division (Ch.) Tai Yang Xiao Yang Yang Ming Tai Yin Jue Yin Organs/Meridians U. Bladder Sm. Intestine Gall Bladder San Jiao Stomach Lg. Intestine Lungs Spleen Pericardium Liver Xiao Yin Heart Kidney Dr. Jim Ventresca

39 Six Divisions Progression of Disease Treatment of Pain Organ Pairing III Division (Ch.) Division (Eng.) Organs/Meridians Tai Yang Xiao Yang Yang Ming Tai Yin Xiao Yin Major Yang Greater Minor Yang Lesser Yang Brightness Effulgence Major yin Greater Minor Yin Lesser U. Bladder Sm. Intestine San Jiao Gall Bladder Stomach Lg. intestine Spleen Lungs Heart Kidney Jue Yin Terminal Yin Yielding Liver Pericardium Ventresca 2015 Dr. Jim 115 Lungs / Large Intestine Lungs AKA: Fei Wife of the Large Intestine The Tender Organ The Bright Lid of the Internal Organs The Official Who is the Master of Qi Large Intestine AKA: Da Chong Husband of the Lungs The Official In Charge of the Dregs Dr. Jim Ventresca Lung Throat s Lg. Intestine Nose Sinus Meridian Skin The Big Picture Fire Wood Earth Water Metal Dr. Jim Ventresca

40 The Good & The Bad When the Lungs are functioning well, the individual is vital and strong. In disharmony, we see respiratory problems like COPD, shortness of breath, and a tendency towards upper respiratory infections. Dr. Jim Ventresca Names & Meanings The Tender Organ Most Easily Affected by OPI The Bright Lid of the Internal Organs Protects the Internal Organs The Official Who is the Master of Qi Creates the Zong Qi Opens To the Nose Dislikes Cold & Dry Home of The Po & The Voice Dr. Jim Ventresca Metal Element! Dryness Nose, Smell Mucus Skin Pungent Taste Putrid Odor Identification w/ Body Vitality, Strength, Sustainability Grief & Sadness Taking In & Lecing Go Dr. Jim Ventresca

41 Governance Respiration Qi Production The Exterior Skin & Body Hair Distributes Wei Qi The Water Passages Liquefy, Descend, & Disseminate Keeps Sweating In Check Dr. Jim Ventresca Common Symptoms Acute & Chronic Respiratory Sinus Skin Cold & Flu Seasonal Allergy Fatigue & Malaise Dr. Jim Ventresca Pin Yin Glossary/Review Pin Yin Xu Shi Yu Bi Qi Xue English Deficiency Excess Stagnation Obstruction Life Force / Energy Blood Dr. Jim Ventresca

42 Tissues & Substances Bronchial Passageways, Nose & Sinus The Skin Nasal Mucous Qi Dr. Jim Ventresca Common Disharmonies Outside Pernicious Influences: Wind, Heat, Cold, Dry, Damp: S & S Treatment Principle (Tx Pr) Open the Exterior Qi Xu: S & S Tx Pr: Tonify Lung Qi (LU /SP/ KD) Yin Xu: S & S Tx Pr: Tonify Yin (LU / KD) Dr. Jim Ventresca Secondary Disharmonies Qi Yu: S & S Move Qi (LU / LR) Yang Xu: S & S Tonify Yang (LU /KD) Heat / Fire: S & S Cool Heat in Lungs Accumulation of Dampness: S & S Disperse, Resolve, and/or Vaporize Damp LU /SP /KD Dr. Jim Ventresca

43 Large Intestine (Da Chang)! The Official In Charge Of The Dregs Dependent Upon Fei For Descending Governs Body Fluids Receives Waste From Small Intestine Absorbs Fluids Excretes Feces Dr. Jim Ventresca Large Intestine Disharmonies Dryness: S & S, Moisten the Intestines Summer Heat: S & S, Cool Heat / Quell Fire Liver Invading: S & S, Course the Liver Qi Dr. Jim Ventresca Clinical Organ Relationships! Lungs/Large Intestine Lungs Circulate & Descend the Qi To Assist Moving Feces Downward Lung Heat Can Dry Out Stools Stagnation in the Large Intestine Can Lead to Dyspnea Treat The Large Intestine Meridian To Disperse Lung Heat Dr. Jim Ventresca

44 Meridian Symptomology Large Intestine Meridian Pain Along It s Own (Yang Ming) Pathway Thumb Radial Forearm Deltoid SCM Head & Face Lung Meridian Treats the Lungs Dr. Jim Ventresca Spleen / Stomach Spleen AKA: Pi Wife of the Stomach The Minister Of Agriculture The Official In Charge of T & T Stomach AKA: Wei Husband of the Spleen The Official In Charge of the Rocing & Ripening The Most Important Fu Source of All Fluids / Yin Dr. Jim Ventresca Spleen Stomach The Big Picture Orchestrate All Digestive Processes Mouth Muscles & Flesh Dampness Fire Wood Earth Water Metal Dr. Jim Ventresca

45 The Good & The Bad When the Spleen is functioning well, the individual has solid digestion and Qi & Xue are sufficient. When the Spleen in disharmony, food and fluids are not fully processed, Qi & Xue become weak, digestive problems become apparent & Damp accumulates. Dr. Jim Ventresca Names & Meanings The Minister Of Agriculture The Official In Charge of Transformation & Transportation Opens To the Mouth Manifests in the Lips Dislikes Damp & Cold Houses The Yi & Thoughts Dr. Jim Ventresca Earth Element! Dampness Mouth, Taste Lips Flesh Sweet Taste Fragrant Odor Digestion, Nourishment, Harmonizing, Thinking Overthinking / Worry Dislikes Dampness Dr. Jim Ventresca

46 Governance Transportation & Transformation Food Qi & Xue Fluids Water Transformation Up Bearing Holding Up & Sending Up Dr. Jim Ventresca Common Symptoms I Overweight / Underweight Digestive Disorders Dampness Accumulating Mucous / Phlegm Fatigue & Malaise Depression (Xue Xu) Dr. Jim Ventresca Common Symptoms II Bloating, Gas Loose Stools Mucous/Blood in Stools Excess or Deficient Menstrual Bleeding Excessive Bruising Deficient Bleeding Hemorrhoids Muscle weakness/atrophy Prolapses Dr. Jim Ventresca

47 Tissues & Substances The Muscles & Flesh 4 Limbs The Blood Producing Holding: SP Xu vs. Hot Blood Dr. Jim Ventresca Common Disharmonies Qi/Yang Xu: S & S: Tx Pr: Tonify Qi/Yang (SP/ KD) Xue Xu: S & S: Tx Pr: Tonify SP Xue Dampness: S & S: Tx Pr: (Tonify Spleen) Resolve Damp Dr. Jim Ventresca Wood Overacting on Earth Liver Invading Spleen and/or Liver Invading Stomach Emotional Trigger Horary Connection IBS : Spleen Ulcer : Stomach Tx Pr: Move LR Qi / Course the LR Dr. Jim Ventresca

48 Stomach (Wei)! The Official In Charge Of Rotting & Ripening Prepares Food & Drink for the Spleen Governs Early Digestive Processes Initial Separation of Pure &Impure Dr. Jim Ventresca Stomach Disharmonies Rebellious Stomach Qi: S & S: Nausea/Vomiting / Heartburn etc. Tx Pr: Rectify/Descend the St Qi Heat in the Stomach: S & S: Heartburn etc. Tx Pr: Cool Heat / Quell Fire Liver Invading Dr. Jim Ventresca Stomach Symptoms Stomach Pain / Distention Nausea Vomiting Belching Acid Regurgitation, Heartburn, Ulcers Bad Breath Increased/Decreased Appetite Dr. Jim Ventresca

49 Clinical Organ Relationships Spleen Moves Upwards / Stomach Descends Stomach Orchestrates Early Digestion Spleen Orchestrates Later Digestion A few Important Stomach Meridian Points Treat The Spleen Dr. Jim Ventresca Meridian Symptomology Stomach Meridian Pain Along It s Own (Yang Ming) Pathway ANTERIOR SURFACE Head Jaw Teeth Breast Leg Top of Foot Spleen Meridian Treats SP / KD / LR Dr. Jim Ventresca Heart - Small Intestine! Pericardium San Jiao 4 Fire Element Organs Yin Heart & Pericardium Yang Small Intestine San Jiao Dr. Jim Ventresca

50 Heart - Small Intestine Heart AKA: Xin Wife of the Sm. Intestine The Emperor Small Intestine AKA: Xiao Chang Husband of the Heart The Official In Charge of the Separating the Pure from the Impure Dr. Jim Ventresca Pericardium San Jiao Pericardium AKA: Xin Bao Luo The Prime Minister who Insulates, Screens, Protects & Maintains the Order of the Heart San Jiao AKA: Triple Warmer Triple Heater Triple Energizer Three Burning Spaces The Official In Charge of Irrigation Dr. Jim Ventresca The Good & The Bad When the Fire Element is functioning well, the individual acts from a clear and functional view of the self and the outside world. When the Heart is in disharmony, the Shen is disturbed and the individual s sense of self and others become distorted. Dr. Jim Ventresca

51 Names & Meanings Heart Emperor / Supreme Ruler Emperor Fire Opens To the Tongue Manifests in the Complexion Houses The Shen Pericardium Prime Minister Ministerial Fire Insulates & Sets the Order of the Heart Treat the Heart with the Pericardium (Don t bother the Emperor unless you have to.) Dr. Jim Ventresca Names & Meanings San Jiao The Official In Charge Of Irrigation Classically Described As A System Of Sluices Or Waterways The Form Of The Water Is Different In Each Warmer. More Later Dr. Jim Ventresca Dislikes Heat Tongue Speech Complexion Blood & Vessels Bicer Taste Consciousness Righteousness Joy / + or - / > or < Fire Element! Dr. Jim Ventresca

52 Governance The Consciousness Communication Between Oneself and Others Maintain the Waterways Communication Within an Individual Dr. Jim Ventresca Common Symptoms Disorders of Mind Spirit Consciousness Memory Thinking Sleep Malaise Depression Anxiety Dr. Jim Ventresca Common Disharmonies Heart Xue Xu: S & S: Tx Pr: Tonify HT Xue (SP) Heart (Pericardium) Yin Xu: S & S: Tx Pr: Tonify Yin (HT /KD / LR) Xue Yu : Blood Stagnation in the Heart / Chest: S & S: Tx Pr: Move Xue (HT / LR) Dr. Jim Ventresca

53 Wood Assaulting Fire Liver Assaulting the Heart LR Generates Heat the Assaults the Heart Emotional Trigger Horary Connection Anger / Irrational Behavior Course the LR / Cool the Heat Dr. Jim Ventresca Small Intestine The Official In Charge Of Separating the Pure form the Impure Little Relationship to the Heart, Pericardium and San Jiao Dr. Jim Ventresca San Jiao Three Burning Spaces Name But No Form Upper Jiao LU & HT Respiration & Circulation Middle Jiao SP & ST Digestion & Assimilation Lower Jiao KD, UB & Reproductive Organs Elimination & Reproduction Dr. Jim Ventresca

54 San Jiao Three Jiaos Are Collectively Responsible for Water Metabolism Classically Described As A System Of Sluices Or Waterways Lung Adjusts Water D & D Spleen Transforms Water T & T Kidney P & P Dr. Jim Ventresca Meridian Symptomology San Jiao & Sm. Intestine Meridians Pain Along Their Own Pathways SJ / Xiao Yang: Lateral Upper Body SI /Tai Yang: Posterior Upper Body Heart Meridian: Seldom Used Pericardium Meridian: Treats HT /PC /LR Dr. Jim Ventresca Liver /Gall Bladder Liver AKA: Gan Wife Of The Gall Bladder The General Free & Easy Wanderer (Xiao Yao) Gall Bladder AKA: Dan Husband Of The Liver The Official In Charge Of Decision Making Very Close Relationship Dr. Jim Ventresca

55 The Good & The Bad When The Liver Is Functioning Well, Qi, Blood, And Emotions, Flow Smoothly Throughout The Individual. When The Liver Is In Disharmony, Qi Becomes Stuck, Giving Rise To Blood Stagnation, Emotional Instability, Wind, And Heat, All Of Which Can Disturb Muscles, Tendons, Organs, & Systems. Dr. Jim Ventresca Names & Meanings Liver General Of The Army Free & Easy Wanderer Sea Of Blood Master Alchemist House Of The Hun Gall Bladder Official In Charge Of Decision Making Resides Within The Liver Dr. Jim Ventresca Wood Element! Dislikes & Engenders Wind Eyes / Vision Muscles & Tendons Manifests In The Nails Sour Taste & Smell Hun / Ethereal Soul / Persona / Sense Of Self Benevolence, Anger, Control, & Decision Making Dr. Jim Ventresca

56 The General Excels at Planning Is Benevolent Even Tempered Quick to Anger Willing to Attack Capable of Inciting Violence Dr. Jim Ventresca Free & Easy Wanderer Smooth & Easy Flow of Qi Directs Qi Uniformly in All Directions Promotes Normal Qi Flow Organs Meridians - Systems Stores the Blood Smooth & Easy Flow of Blood Regulates the Menses Smooth & Easy Flow of Emotions Harmonizes the Emotions Dr. Jim Ventresca Sea of Xue! Stores & Releases the Blood that Nourishes The Tendons & Muscles Moistens the Tendons (T,T,&T) Regulates Contractility of the Muscles Nourishes The Eyes Lacrimation, Eyesight, Vision, Outlook Nourishes the Menses Stores & Releases The Tian Kwei Dr. Jim Ventresca

57 Common Symptoms! Shi (Excessive) Disharmonies! Excessive Muscular Tension Quick to Anger / Violent Outbursts PMS Red Tearing Eyes Excitability/ Insomnia /Compulsive Energy Moodiness Wiry Pulse Purple Effloresces Dr. Jim Ventresca Common Shi Disharmonies Liver Qi Yu (stagnation) Most Common Accompanies other LR Disharmonies Liver Xue Yu: Liver Wind: Liver Fire: Damp Heat in the Liver/Gall Bladder: Dr. Jim Ventresca Wood Over-Controlling Earth/Metal! Liver Invading! Spleen / Stomach Lungs / Large Intestine LR Qi Yu + Emotional Trigger + SP/ST/LU/LI Disharmony = Liver Invading Dr. Jim Ventresca

58 Wood Assaulting Fire Liver Assaulting the Heart LR Qi Generates Heat that Assaults the Heart Emotional Trigger Horary Connection Anger / Irrational Behavior Course the LR / Cool the Heat Dr. Jim Ventresca Common Xu Disharmonies Liver Xue Xu Liver Yin Xu Dr. Jim Ventresca Common Symptoms! Xu(Deficient) Disharmonies! Weakness In Muscles And! Tendons (esp. the Legs) Tics, Twitches, & Tremors Difficulty Standing/ Walking Vertigo/ Dizziness Insomnia Dry Eyes Weak Vision Excessive Sighing. Dr. Jim Ventresca

59 Meridian Symptomology Gall Bladder Meridian Pain Along It s Own Xiao Yang Pathway (Lateral Surface) Liver Is An Exceptional Yin Meridian Dr. Jim Ventresca Liver Disharmonies Manifest Along It s Pathway Eyes Mouth Throat Breast Reproduction Genitals GALL BLADDER LIVER Dr. Jim Ventresca Clinical Organ Relationships Liver & Gall Bladder Act Almost As One Unit Difficult To Distinguish Between Them Treat The Liver With The Gall Bladder & Visa Versa Dr. Jim Ventresca

60 Liver / Gall Bladder Treatment Soothe The Liver Acupuncture Stress Reduction Techniques Gentle Stretching Of The Tendons Yoga, Tai Chi, Qi Gong Coffee & Alcohol Directly Affect The Liver Remove or Significantly Reduce Dr. Jim Ventresca Kidneys / Urinary Bladder Kidneys AKA: Shen Wife Of The Urinary Bladder The Treasurer The Strong Official The Laborers Urinary Bladder AKA: Pang Guang Bladder (UB / BL) Husband Of The Kidneys The Official In Charge Of The District Dr. Jim Ventresca Names & Meanings Kidney The Treasurer The Strong Official The Laborer House Of The Zhi Urinary Bladder The Official In Charge Of The District Dr. Jim Ventresca

61 Water Element! Growth - Development - Aging Dislikes Cold Ears/ Hearing Internal Moisture Manifests In The Head Hair Musty Odor Will / Commitment / Follow Through Determination / Wisdom Dr. Jim Ventresca Governance I Stores Jing Regulate Constitutional Energies Birth, Growth & Reproduction Houses the Will Rules the Bones Governs The Low Back Responsible for Low Back Strength Dr. Jim Ventresca Governance II Responsible for Yin and Yang Balance Nourishes & Warms The Lower Warmer Supplies Yin & Yang Reproductive Function Enables Conception Urogenital Sexual Functions Dr. Jim Ventresca

62 Treasurer Stores the Essence! (Jing) The Essence is Precious One Cannot Have Too Much All Kidney Disharmonies Are Deficiencies Never in Excess Dr. Jim Ventresca The Roots of the Body Pre-Heaven Life Yin & Yang Qi Dr. Jim Ventresca Common Symptoms Fatigue Low Back Pain & Weakness (Sciatica) Pain & Weakness of the Legs, Knees, & Ankles Impotence and Infertility Incontinence / Polyuria Lowered / Hyper Libido Lower Body Edema Problems of Growth and Development Premature Aging Loss of Hearing / Tinnitus Fearfulness & Lack of Will Dr. Jim Ventresca

63 Common Disharmonies Kidney Qi Xu Kidney Yang Xu Kidney Yin Xu Kidney Jing Xu Dr. Jim Ventresca Urinary Bladder The Official In Charge of the District Transforms and Excreting Fluids via the Power of the Kidney Qi Dr. Jim Ventresca Meridian Symptomology Urinary Bladder Meridian Pain Along It s Own Tai Yang Pathway (Posterior Surface) Kidney Meridian Treats The Kidney (SP & LU Qi/Yang HT & LR Yin) Dr. Jim Ventresca

64 Bladder Meridian! Pathway! Dr. Jim Ventresca Clinical Organ Relationships Kidney Supplies Qi to Bladder Xu Bladder Disharmonies are Treated Through the Kidney Shi Bladder Disorders (UTIs) Are Treated Through the Urinary Bladder Dr. Jim Ventresca Kidney Treatment Always Tonification Acupuncture & Moxibustion Diet Lifestyle Herbs Dr. Jim Ventresca

65 Essential Tongue Diagnosis Diagnostic Frameworks Yin/Yang 8 Principles 5 Elements Organs Substances Meridians Tongue & Pulse Diagnosis Clinical Tools Confirm Diagnosis Dr. Jim Ventresca Tongue Diagnostic Areas! Elements NORTH WATER WEST CENTER EAST WOOD EARTH WOOD SOUTH METAL FIRE Dr. Jim Ventresca X. Process SOUTH Abdomen Diagnostic Areas! Elements WOOD FIRE FIRE METAL EAST CENTER NORTH S. Pubis WEST EARTH METAL WOOD WATER WOOD EARTH WATER WOOD

66 Tongue Diagnostic Areas! Organs LIVER GALL BLADDER KIDNEY SPLEEN STOMACH LIVER GALL BLADDER LUNG HEART Dr. Jim Ventresca Tongue Diagnostic Areas! Warmers Lower Warmer Middle Warmer Upper Warmer Dr. Jim Ventresca Tongue Diagnostic Areas! Warmers (Alt.) Lower Warmer Middle Warmer Upper Warmer Dr. Jim Ventresca

67 Tongue Crease The Tongue Crease Pertains to the Heart Dr. Jim Ventresca Basic Parameters! Color, Shape, Coat & Movement Color Indicates Excess & Deficiency Hot & Cold Stagnation of Qi or Blood Shape Indicates Deficiency of Function or Substance Coat Indicates Hot & Cold Deficiency of Yin or Yang Dampness Movement Indicates Wind Dr. Jim Ventresca Normal Tongue Shape Does not quite touch the sides of the mouth No Scalloped Edges Uniform Thickness U Shaped Color Normal Red to Pink Coat Thin White Can Clearly See Tongue Body Dr. Jim Ventresca

68 Color! Pale, Red & Purple Pale Deficiency Qi, Yang, or Blood Red Heat True or False Purple Stagnation Qi or Blood Dr. Jim Ventresca Shape! Thin & Swollen Thin Lack of Substance Deficient Yin or Blood Swollen Lack of Function T & T Deficient Qi or Yang Scalloped Edges Long Term Qi/Yang Deficiency Dr. Jim Ventresca Coat! (Color & Thickness) Thin White Coat (L) = Normal Thick White Coat (R) = True Cold Thin to Thick Yellow Coat True Heat Peeled / No Coat Yin Deficiency (Red) Wet Coat = Yang Deficiency (Pale) Greasy Coat = Dampness/Phlegm Dr. Jim Ventresca

69 Usual Tongue Combinations I Shape Color Coat Condition Normal Normal Red Thin White Normal Swollen Pale Thin White Qi Deficiency Swollen Pale Wet Yang Deficiency Swollen Scalloped Pale Thin White / Wet Long Standing Xu Qi /Yang Thin Pale Thin White Blood Deficiency Thin Red None/Peeled Yin Deficiency Normal Red Yellow True Heat Dr. Jim Ventresca Usual Tongue Combinations II Shape Color Coat Condition Normal Normal Greasy White Cold Damp Normal Red Greasy Yellow Damp Heat Normal Slightly Purple Thin White Qi Stagnation Normal Dark Purple Thin White Blood Stagnation Normal Red Tip Thin Yellow OPI Heat Dr. Jim Ventresca Essential Pulse Diagnosis The Radial Pulse Li Shi Zhen 3 Positions at 3 Levels Diagnostic Confirmation 8 Principles 5 Organs 3 Warmers Pulse Diagnosis Easily Detected Basic Parameters May Take Years to Master Clinically Useful in Minutes Dr. Jim Ventresca

70 Finding The Pulse Thumb Styloid Process Radial Bone Fingers Radial Pulse Dr. Jim Ventresca Palpating the Pulse! 3 Positions Index Middle Ring Dr. Jim Ventresca Palpating the Pulse! 3 Positions Index Middle Ring 1 st Position Cun 2 nd Position Guan 3 rd Position Chi Dr. Jim Ventresca

71 3 Positions X 3 Levels! = Nine Diagnostic Areas Index Middle Ring Superficial Level Middle Level Deep Level 1 st Position 2 nd Position 3 rd Position S M D Dr. Jim Ventresca Pulses and Warmers I Index Middle Ring Upper Warmer Middle Warmer Lower Warmer S M D 1 st 2 nd 3 rd Dr. Jim Ventresca Pulses and Warmers II Upper Warmer Middle Warmer Lower Warmer Dr. Jim Ventresca

72 Pulses and Warmers III Upper Warmer Middle Warmer Lower Warmer Upper Warmer Middle Warmer Lower Warmer S M D 1 st 2 nd 3 rd Dr. Jim Ventresca Clinical - Contemporary! Organs Associations! of the LEFT Hand Pulse S Heart Small. Intestine Liver Gall Bladder Kidney Urinary Bladder M D 1 st 2 nd 3 rd Dr. Jim Ventresca Clinical - Contemporary! Organs Associations! of the RIGHT Hand Pulse S Lung Lg. Intestine Spleen Stomach Kidney Urinary Bladder M D 1 st 2 nd 3 rd Dr. Jim Ventresca

73 Mai Jing Classical Organ Associations! LEFT Sm. Intestine Gall Bladder Urinary Bladder Heart Liver Kidney 1 st 2 nd 3 rd Lg. Intestine Stomach San Jiao RIGHT Lung Spleen Pericardium Dr. Jim Ventresca Clinical - Contemporary! Pulse Organ Associations! LEFT Heart Small. Intestine Liver Gall Bladder Kidney Urinary Bladder 1 st 2 nd 3 rd RIGHT Lung Lg. Intestine Spleen Stomach Kidney Urinary Bladder Dr. Jim Ventresca Normal Pulse Beat Per Minute (BPM) Fills the Middle Level Touches Into The Superficial and Deep Levels Sufficient Strength w/well-defined Boundaries Slightly Slippery (Fluid) S M D 1 st 2 nd 3 rd Dr. Jim Ventresca

74 Full (Excess) Pulse Feels Excessive in Strength and/or Size Well-Defined Boundaries Otherwise Normal Size/Speed Indicates Excess Condition S M D 1 st 2 nd 3 rd Dr. Jim Ventresca Weak (Deficient) Pulse Feels Insufficient in Strength Ill-Defined Boundaries Otherwise Normal Size/Speed Indicates Deficiency S M D 1 st 2 nd 3 rd Dr. Jim Ventresca Slow Pulse Less Than 60 BPM Indicates Deficiency Therefore is Also Weak Otherwise Normal Weak & Slow Indicates Yang Deficiency S M 1 st 2 nd 3 rd Dr. Jim Ventresca D 74

75 Rapid Pulse Greater than 80 BPM Otherwise Normal Indicates Heat S M 1 st 2 nd 3 rd Dr. Jim Ventresca D Thin Pulse Feels Thin in Diameter Indicates Deficiency of Substance Yin or Blood Therefore is Also Weak Otherwise Normal S M 1 st 2 nd 3 rd Dr. Jim Ventresca D Sinking (Deep) Pulse Found Only in The Deep Level Indicates Yang Deficiency and/or Disorder In the Lower Warmer S M D 1 st 2 nd 3 rd Dr. Jim Ventresca

76 Floating (Superficial) Pulse Found Only or Mostly in The Superficial Level Indicates Yang Disorder OPI and/or Disorder In the Upper Warmer S M 1 st 2 nd 3 rd Dr. Jim Ventresca D Minute Pulse Found Only in The Deep Level Very Thin and Very Weak Indicates Deep Seated /Long Term Deficiency (Qi & Yang) S M 1 st 2 nd 3 rd Dr. Jim Ventresca D Pulse Qualities Li Shi Zhen: 28 Qualities Slippery/Rolling / Pearls in a Basin Indicates Dampness Wiry / Guitar String Indicates Stagnation Slippery Dr. Jim Ventresca Wiry! 76

77 Simple Pulse Parameters Pulse Description Weak Full Thin Slow Rapid Floating Sinking Slippery/Rolling Wiry Indication Deficiency Excess Deficiency of Substance Cold Heat Superficial /Upper Warmer Disharmony Internal / Lower Warmer Disharmony Dampness / Pregnancy Stagnation Dr. Jim Ventresca Clinical Pulse Diagnostics I! (Deficient Pulses) Pulse Description Indication Tongue Weak Qi Deficiency Pale Swollen Weak & Slow Yang Deficiency Pale Swollen Wet (Sinking) Weak & Thin Blood Deficiency Pale Thin Weak Thin & Rapid Yin Deficiency Red Thin Peeled Weak & Slippery Spleen Deficiency Pale Greasy w/damp Include Organ Associations Dr. Jim Ventresca When 2015 Detected 230 Clinical Pulse Diagnostics II! (Excessive Pulses) Pulse Description Indication Tongue Full & Rapid True Heat Red / Yellow Coat Floating OPI Wind Normal Floating & Rapid OPI Heat Thin Yellow Coat Slippery & Rapid Damp Heat Greasy Yellow Slightly Wiry Qi Stagnation Slightly Purple (Liver) Definitely Wiry Blood Stagnation Dark Purple (Spots) Include Organ Associations When Detected Dr. Jim Ventresca