More Info on the Five Elements/Five Element Acupuncture

Discussion in 'Fibromyalgia Main Forum' started by TerriM, Apr 17, 2003.

  1. TerriM

    TerriM New Member

    Hi Everyone . . . I posted a couple of weeks ago on Five Element Acupuncture and how I had read a book by a woman who recovered from CFS and credited a large part of her recovery to Five Element Acupuncture. I found some info. on the "Five Elements" in Chinese Medicine and how they relate to the body . . . I found it interesting . . . Enjoy! Terri
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    Traditional Medicine and Body Typing Systems
    Eastern countries have long practised body typing as a routine part of their healing systems. Eastern healing systems are based upon Yin and Yang and the Five Phases ( China ), or, in India, the "Tridoshas" ( Pitta, Kapha, Vata) . On this web page I will briefly describe the different systems of body typing according to, firstly, traditional Chinese medicine, then Indian ( Ayurvedic ) medicine, and finally, Western medicine.

    1. Chinese Medicine

    The two fundamental systems utilised by traditional Chinese medicine are the theory of Yin and Yang, and secondly, the theory of the Five Elements ( or Phases ). Both these systems will be considered separately, commencing with Yin and Yang. However, prior to discussing these two systems I will begin by briefly defining some fundamental concepts of traditional Chinese medicine.

    Definitions ( 1, 3, 4, 7, 8 )

    1. Qi. The term Qi (pronounced "chee"), in traditional Chinese medicine, is best described as vital energy or the inner vitality which determines our ability to resist, and also recover from, various diseases. Qi flows through the body along meridians in the same way that blood circulates in the body. It is possible therefore, not only to have a total body deficiency of Qi, but also localised deficiencies and excesses of Qi may occur if there is an obstruction to the flow of Qi in the body. Since Qi circulates like blood, herbs that improve blood circulation often assist the flow of Qi also.

    There are also different types of Qi. "Original" Qi is the Qi which is inherited. It is stored in the 'Kidney ( adrenal ). Qi also comes from the Lung ( oxygen ) and the Spleen ( digestion of food ). There is also "protective" or "defensive" Qi which flows around the lungs and outside the body to protect the body from disease.

    2. Yin and Yang. The terms Yin and Yang refer to the two balancing and opposing qualities of which everything is comprised. Yang is hot, fire, dry, exterior, energy, male, active, daytime, hard, summer, and so on. Yin on the other hand is cold, moist, female, interior, night-time, winter, soft, water, inactivity, and substance or matter. Since Yin and Yang are opposites, harmony can only be achieved by maintaining balance. Within the body, the interior, the blood and other fluids, and the substance of the body, are all Yin. On the other hand, the exterior, the energy, the drive and the heat of the body, are all Yang.

    Yin and Yang also occur together. That is, Yin occurs within Yang and vice versa. For instance, a Yin organ within the body will also have its Yang aspects. To illustrate, the storage of blood and the tissue of the heart are Yin, whilst the pumping of blood is Yang. Generally, the tissue and storage function of an organ are Yin, while its secretory role is Yang.

    Traditionally, the Kidneys are considered the source of all Yin and Yang. However the Five Elements theory states that "Fire" ( Yang ) comes from the "Heart".

    Disease results if Yang and Yin are unbalanced. For instance, exposure to excessive cold ( too much Yin ) will result in damage to the Yang. Similarly excessive heat and exertion, fever, infections, and fluid loss will damage the Yin. Excessive or inappropriate use of Yang or Yin herbs ( or foods ) will also cause an imbalance condition.

    Also of interest here is the importance of the Chinese concept of Yin and the physiological explanation of this concept in Western terms. Although some aspects of the body, such as the fluids, the substance of the body, and the parasympathetic nervous system, all of which form separate parts of the Yin, may be readily explainable in Western terms, consideration of Yin as constituting the reserves of the body may not be so clear, especially in a Western context. Yin reserves however, are of vital importance if we are to retain our ability to fully adapt to stressful or emergency situations.

    In Western terms, the concept of Yin as representing bodily reserves compares with adrenal reserve capacity which seems to determine our adaptive capacity or the amount of adaptive energy we each possess. While the quantity of these adrenal reserves seems to depend upon adrenal size ( ie Yin ), in traditional Chinese medicine, Kidney ( adrenal ) Essence is also claimed to be the source of the Yin ( and Qi and Yang ) of the body. The fact that traditional Chinese medicine claims that the Yang of the body originates from the Kidney ( adrenal ) and also, according to the Five Elements theory, from the Heart ( thyroid ) , is interesting in view of the Yang nature of adrenalin and thyroxine.

    A simple example of Yin deficiency which most of us have experienced at some stage of our lives relates to the consequences of becoming over tired. Who has not wondered why, when we become exhausted from lack of sleep, we suddenly become more energetic. We get a "second wind" even though we are exhausted. This is Yin deficiency due to lack of sleep, which is the fundamental Yin tonic ( 9 ), just as exercise is a Yang tonic ( 9 ). Even though we seem to have increased energy, it should be noted that this "energy" is ultimately unsustainable due to the fact that it is based upon a depletion of the Yin reserves of the body. It is vital that this distinction between normal energy and the unfocused energy of Yin depletion becomes more readily recognised in the West.

    As is so aptly noted by Tierra ( 9 ), in the West where there is a general obsession with everything Yang ( ie. energy, drive, aggression, use of stimulants), the concept of Yin deficiency is little understood. The "energy" or Yang which results from Yin deficiency, which incidentally is claimed to be equivalent to excess Vata in the Ayurvedic system ( 9 ), tends to be unfocused, scattered and unsustainable ( 9 ). Yang must be grounded in Yin. Even though this is patently obvious, since without Yin (substance, fluids, reserves, etc.) there can be no Yang, it is amazing that this point receives little recognition in the West. The prevailing Western mind-set tends to suggest that stimulants will do no harm, no matter how long they are taken.

    Stimulants of course, draw upon the reserves of the body ( Yin ). This is also true of Yang hormones such as adrenalin, cortisol, and thyroxine. Although there is a perception today that stimulants and adaptive hormones have the ability to increase the stamina and energy of the body by "magic", that is, without any physiological cost, nothing could be further from the truth. Even though the healthy person is very adaptable and may tolerate this stimulation or adaptation for considerable periods of time, there is a physiological price to pay. The Yin reserves of the body will eventually become depleted. There is clearly a point beyond optimum health and vitality which involves utilisation of bodily reserves. In TCM this is the point where Yang becomes excessive and damages the Yin. Unfortunately, the person who requires stimulation and instant short term gratification is amply provided for by modern society. As is the case with money however, constant withdrawal of reserves may have very serious consequences!! After all, the person with exhausted reserves will hardly be in a position to cope with new demands!!!

    When it comes to adaptive hormones such as cortisol we know that it derives its adaptive stamina enhancing effects by mobilising reserves ( Yin ) in the body. It is well known for instance, that cortisol draws upon reserves of calcium and phosphate in the bones. Phosphate, being necessary for formation of ATP, is essential for energy production. Cortisol also increases blood sugar levels by mobilising reserves in the liver or muscles. Thyroxine may also cause a breakdown of bones and a general loss of body tissues as reserves are consumed.

    The comparison here between modern science and TCM is indeed enlightening. While science has approached this matter from a reductionist perspective and identified the mechanisms behind these various effects, the holistic approach of TCM on the other hand is much more wide ranging, encompassing the effects upon the entire body. Medical science for instance, is much more likely to see bone loss as an isolated symptom or side effect with no implications for the metabolism of the body as a whole, even in spite of the fact that osteoporosis has been linked to elevation of endogenous cortisol levels ( 28, 29 ). Whereas elevated cortisol levels were once utilised by the body to enable us to cope with emergency situations, to save us from the hungry lion for instance, today, in contemptuous disregard of their wide ranging adaptive and Yin mobilising effects, cortisone type drugs are used by modern medicine to treat the symptoms of all manner of diseases. The central adaptive effects of cortisone may even be described as "side effects." The expectation that adaptive reserve mobilising hormones such as cortisol could be used indefinitely to suppress symptoms of chronic diseases without addressing the underlying cause demonstrates a fundamental and most disturbing misunderstanding of the body and its adaptive processes.

    The reductionist approach of modern science clearly prevents it from seeing the whole picture. In fact, doctors today are trained NOT to see the "big picture" or the overall balance or harmony of the body. Instead, health is reduced to a series of blood test results.

    The Yin Person and the Yang Person ( 1 - 4 )

    According to traditional Chinese medicine everything is comprised of Yin properties and Yang properties. Although the ideal is to attain a balance of both Yin and Yang, most people have either an excess of Yin or an excess of Yang. The differences between a Yang person and a Yin person have been summarised in Table B1.


    Table B1. Features of the Yin person and the Yang person

    The Yin (excess) person The Yang (excess) person
    Character Quiet, withdrawn Assertive, aggressive
    Build Thin or heavy and flabby Robust or thin and wiry
    Energy Slow /lethargic Hyperactive
    Posture Limp or hunched over Erect/rigid
    Voice Whisper/soft Strong/loud
    Body Odour Faint Strong
    Breathing Light/shallow Heavy/loud
    Dislikes Cold Heat
    Mucus Clear /thin Coloured /thick
    Urine Colour Clear/light coloured Dark
    Stool Light coloured/loose Dark/hard

    The Five Elements or Phases ( 1 - 9 )

    The theory of the Five Elements developed in China independently of the theory of Yin and Yang, although the two systems have now become integrated ( 3 ). The theory of the Five Elements teaches that everything is comprised of the "energetic" or "functional" qualities possessed by the five "Elements"; Water, Fire, Earth, Metal and Wood. This is more of a functional or dynamic relationship rather than being strictly chemical or analytical, as is commonly taught in the West.

    In essence, each of the Five Elements constitutes part of a cycle which is commonly illustrated by the seasons. Water, for example, corresponds to the season of Winter, and is considered a time of dormancy and replenishing reserves. It is the Yin season and the Yin Element. Water leads to the emergence of new growth and energy in Spring which corresponds to the Wood Element. Wood in turn, creates more energy and leads into the Fire or Yang season ( Summer ). Of the Five Elements, Fire and Wood are considered Yang, while Water and Metal are considered Yin ( 3 ). The Earth Element is a combination of both Yang and Yin ( 3 ).

    Each Element also corresponds to a certain bodily organ and to various constitutional strengths and weaknesses. Wood, for example, corresponds to the Liver and gall bladder, the eyes, the nails, the tendons, the Spring season and the emotion of anger. Additionally, each Element corresponds to different foods, behaviour patterns and climate. These relationships, termed the Correspondences of the Five Elements, are listed in Table B2.

    Table B2. Five Elements Correspondences ( 1 - 9 )

    Wood Fire Earth Metal Water
    Yin organ Liver Heart Spleen Lungs Kidney
    Yang organ Gall bladder Small intestine Stomach Large intestine Bladder
    Sense organ Eyes Tongue Mouth Nose Ears
    Tissue Tendons Blood vessels Flesh/muscle Skin Bones
    Taste Sour Bitter Sweet Pungent Salty
    Emotion Anger Joy Meditation Grief Fear
    Adverse climate Wind Heat Humidity Dryness Cold
    Indicator Nails Complexion Lips Breath Hair
    Season Spring Summer Late summer Autumn Winter

    The Correspondences of the Five Elements, Water ( Kidney ), Fire ( Heart ), Earth ( Spleen ), Metal ( Lung ) and Wood ( Liver ), have considerable diagnostic significance in Chinese medicine because each of the Elements is related to separate external easily visible bodily parts or organs. Since the Liver is related to the nails and the eyes for instance, Wood ( Liver ) diseases may often be diagnosed by inspecting the eyes and the nails. Additionally, since the Liver is related to the emotion of anger, this also assists in the diagnosis of Wood diseases. It can also be seen from the Correspondences, that the Spleen ( Earth ) is sensitive to Dampness, the Liver ( Wood ) to Wind, the Lungs ( Metal ) to Dryness, the Kidneys ( Water ) to Cold, and the Heart ( Fire ) to Heat.

    The Correspondences of the Five Elements also assists in the diagnosis of a person's constitution. A Fire person for instance will display features of a disturbance in the Heart ( thyroid ) system which will be apparent in the tongue, the blood vessels, the complexion and in the emotion of joy ( lacking or excessive ). Similarly, a Water person will manifest symptoms of disturbance in the Kidney ( adrenal ) organ system with symptoms relating to the ears, bones, hair, and the emotion of fear ( lacking or excessive ).

    Since each Element ( organ ) can be more Yin ( cold/ underactive ) or, alternatively, more Yang ( hot/ overactive ), the various Elements also correspond to different manifestations according to whether the organ concerned is overactive or underactive. We may therefore observe either a Wood Yang person or a Wood Yin person.

    Additionally, although a person may have inherited a particular constitution, it is possible, through the onset of disease, to acquire the features of a different type of constitution. For instance, if a Wood person were to acquire Kidney ( adrenal ) disease then the features of a disturbance in the Water Element may become predominant. Although, in such a case, the underlying type of constitution may in fact remain unchanged, the disease state may tend to obscure the features of the original constitution.

    In addition to the Correspondences of the Five Elements, there is also a complex interrelationship between the various Elements or organs. Wood ( Liver ) for instance, stimulates Fire ( Heart ) while Fire in turn, stimulates Earth ( Spleen ). This is the "Stimulation Cycle" or "Creation Cycle" of the Five Elements. There is also a "Control Cycle" that delineates the inhibiting interactions of the Elements.

    These interrelationships, known as the "Law of Mutual Promotion and Subjugation" of the Five Elements ( otherwise known as the "mother-child law" and the "grandparent-grandchild law" ), are detailed in Table B3 ( 1, 3 - 9 ).

    The complex interrelationship between glands ( ie. Elements ) described by Chinese medicine, also finds support in modern endocrinology which recognises the antagonistic and complementary interactions of various endocrine hormones. It is well known for instance, that thyroid hormones ( Fire ) and adrenal hormones ( Water ) frequently have opposing or inhibiting effects. Adrenal hormones such as cortisol for instance, may oppose or inhibit the effects of thyroxine. The Chinese express this relationship by stating that Water ( Kidney/ adrenal ) quenches or inhibits Fire ( Heart/ thyroid ). This stimulation /inhibition action of endocrine hormones is considered a vital part of their regulatory functions.

    Table B3. The Law of Mutual Promotion and Subjugation

    Wood Fire Earth Metal Water
    Stimulates: Fire Earth Metal Water Wood
    Is stimulated by: Water Wood Fire Earth Metal
    Inhibits: Earth Metal Water Wood Fire
    Is inhibited by: Metal Water Wood Fire Earth

    Before concluding this discussion of Chinese medicine, I briefly list, in Tables B4 and B5, some of the features of the different types of constitutions, according to the theory of the Five Elements.

    Table B4. Five Elements Constitutional Types ( 1, 2, 6 - 9 )

    Wood Person Fire Person
    Character: Yang



    Yin Angry, impatient, aggressive
    workaholic, idealistic

    Nervous, moody, timid, indecisive, inhibited, pessimistic Excited, irritable, talkative, varies between ecstasy & despair

    Idealistic, sentimental, hypersensitive, emotional
    Mental: Yang

    Yin Anxious, irritable

    Depressed, fearful, insecure Anxious, excitable

    Confused, panicky, timid, introverted
    Dislikes: Yang Heat Heat
    Health Features: Yang




    Yin
    Eye disorders, hypertension, sciatica, hyperthyroid, allergies, varicose veins, muscle tension, heart disease
    Headache, hepatitis, dermatitis, gallstones, neck/shoulder tension, rheumatism, tendonitis
    Anxious, hypertension, insomnia, flushed face, hyperthyroid, eczema, sore mouth, lips, tongue, manic depression
    Hypotension, amnesia, poor circulation, timidity, manic depression, dizziness




    Table B5. Five Elements Constitutional Types ( 1, 2, 6 - 9 )

    Earth Person Metal Person Water Person
    Character: Yang



    Overbearing, meddlesome, blunt, sanguine, optimistic, diplomatic, insensitive Self righteous, perfectionist, phlegmatic, dogmatic, even tempered Blunt, passionate, confident, fearless, excellent stamina, ambitious, robust,
    authoritarian
    Yin Detached, cynical, critical Melancholic, easily fatigued, conservative, Hypersensitive, low resistance, easily chilled,
    sentimental, timid,
    very poor stamina


    Mental: Yang Cheerful, carefree, gregarious Very stable, thick skinned Very stable, domineering, passionate
    Yin Single minded, worrier, obsessed with details Depression, sadness Apprehensive, critical, phobic, inhibited


    Dislikes: Yang Heat, humidity Heat Heat
    Yin Cold


    Health features: Yang

    Diabetes, mania, water retention, excess appetite, mouth ulcers, crave sweets, obesity, gastrointestinal dis. Hypertension, colic, sinusitis, dry tissues, muscle tension, constipation, lung diseases Hypertension, paranoia arteriosclerosis, kidney stones, hyperadrenal


    Yin Diabetes, hypothyroid, bruising, obesity, obsessional syndrome, gastrointestinal disease Hypothyroid, sinusitis, psoriasis, lack of body hair, lung disease, poor physique Hypoadrenal, salt craving, feelings of coldness, ear/hearing disorders