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The Three Causes of Disease (sÄn yÄ«n ä¸‰å› )
External
six exongenous factors/evils/excesses
wind
rapid onset
convulsion/tremors
wandering pain / itching
dizziness
upper body and exterior invasion (yang nature)
aversion to wind
leads other pathogens in to body
season: spring
cold
aversion to cold / desire for warmth
cold extremities
cold and pain in lower abdomen (yin nature)
stomach, uterus and L.I. easily invaded
channels can also have cold invasions
cold, thin, clear excretions
tendency to develop qi stagnation pains
contracture / tautness of limbs
season: winter
summerheat
summerheat-heat
sunstroke
high fever
thirst
irritated
absence of sweating after exhausting fluids
surging pulse
rise and disperse
summerheat-damp
fluctuation fever
fatigue limbs
loss of appetite
oppression in the chest
nausea and vomitting
abnormal urine
reddish urine
soggy pulse
thick slimy fur
season: summer
dampness
persistent / chronic
clammy
fatigue
aching and lack of flexability
spleen disfunction
poor apetite
indigestion
oppression in the chest
nausea
sloppy stool and short voidings
thick slimy fur and soggy moderate puse
swelling and other damp accumulations and obstructions
stools with mucus, turbid urine, oozing soars, eczema
season: late summer
yin nature that obstructs and impairs yang qi
dryness
dry nostrils / nosebleeds, invasion of longue
dry mouth
cracked lips
tickle dry sore throath
dry cough
rough skin and shriveled body hair
reduced urine
yang nature
season: Autumn, warm dry and start of seasons, cold dry at end
fire
signs of heat
high fever
aversion to heat / desire for cool
red eyes, face, tongue, sores and urine
rapid pulse, yellow tongue coat
thick, sticky or bloody excretions
foul smelling acute diarrhea with burning sensations
fluid damage
hemorrhages or maculopapular eruptions, carbuncles
shen disturbance
yang nature
principals
Environment induces six factors
can invade alone or together
can transform in to each
invade through skin, mouth, and/or nose
evil/pestilence Qi
secondary causes
phlegm (Tan)
thick turbid fluids from
external or internal pathogens
plus disfunction of lung, spleen, kidney, and San Jiao
as a result disturbance of fluid metabolism + Qi stagnation
clear fluids = Yin
types
concrete Tan Yin
visible, palpabale and audible phlegm and fluid
formless Tan Yin
symptomatic phlegm retention
dizziness, chest tightness, bi-polar psychosis
subcutaneous nodules/scrofula
greesy fur and slipper pulse
Phlegm (Tan)
lung
cough w/ dyspnea and expectoration
heart
palpitation and chest oppression
heart orifices misted
coma and dementia
middle jiao
epigastric fullness, vomiting, nausea
Jing Luo
numbness of limbs, problems flexing, hemiplegia
Fluid (Yin)
intestines
noise
hypochondrium
pain with caugh and spitting
limbs
pain, edema
chest
shortness of breath, insomnia, edema, cough with dyspnea
stagnant/static blood
inernal causes
Qi deficiency
blood cold
blood heat
reduces volume by exhausting yin
external causes
injury or other cause of bruising that fails to disperse
symptoms
pain worse with pressure
dark bleeding or bruises
purple tongue or spots on tongue
dry scaly skin
wiry and uneven pulse, knotted pulse, or intermittent pulse
Internal
seven affects
joy
heart
excessive Qi slows heart Qi (palpitations, insomnia, etc.)
anger
liver
upward flow of liver Qi
liver Qi stagnation - Sighing
greef
lung (+ spleen)
worry/anxiety
spleen
stagnation of spleen-qi
melancholy/sorrow
lung
consumes Qi
fear
kidney
sinking of kidney-qi, blocks upper jiao
terror/fright
kidney/Qi and Heart-Spirit
interrupts/scatters flow of qi
six external excesses have internal parallels
wind
caused by liver
external fire tends to promote liver wind
Neutral
dietary irregularities
taxation fatigue
damage tendons
exhausts Qi
sexual overstrain
parasites
injury
over rest
stagnation of Qi
mental stress
exhausts heart blood
impairs spleen Qi
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