TCM Theory 1) Yin and Yang, 2) 5 Element theory, 3) The Three Treasures

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a) Yin and Yang
Introduction and Definitions
- Yin/Yang theory is the fundamental, theoretical basis of Traditional Chinese Medicine.
-Yin/Yang theory was first written down in the I-Ching or Book of Changes around 1181 BC, although the theory had been around long before then.
-Yin and Yang represent the two poles of existence that create the dynamic impetus of all life. They are the two poles of universal energy that interact to give rise to all of creation.
-All things are a constantly shifting combination of yin and yang, which is always seeking balance. Because balance can never be reached permanently, yin and yang continuously shift and life continues to flow unceasingly.
- The ideogram for yin originally represented the shady side of a hill, while the ideogram for yang represented the sunny side of a hill. The idea that the same hill goes from shady to sunny is an illustration of “Inter-Transforming”, one of the four laws of Yin and Yang that we will discuss in a minute.
Some of the classic representations of Yin and Yang are as follows:
Yin - dark, female, inner, soft

yang - light, male, outer, hard

yin yang3

b) Yin and Yang in TCM
Yin/ Yang theory is the most basic and important system of classification in TCM.

Human Body
- When applied to the human body, the upper part of the body is designated as Yang while the lower is Yin.
-The exterior aspects of the body are Yang and the Interior are Yin.
- The metabolic, functional activities of the body are Yang and the Substantial aspects of the body are Yin.
Yin and Yang are always relative to each other, so even though the interior of the body is comparatively Yin, the internal organs are still divided into Yin and Yang organs. The Yin organs are termed Zang and the Yang organs are termed Fu.
The Yin organs include: Spleen, lung, kidney, heart, liver, and pericardium.
The Yang organs include: Urinary Bladder, small intestine, gall bladder, san-jiao, stomach, and large intestine.
Each of the internal organs is also related to an energy pathway or meridian that runs along the course of the body. Relatively speaking, the internal organs would be designated as Yin compared to the meridians which are Yang.
The 12 regular meridians that relate to the internal organs are also further differentiated between Yin and Yang in six stages.

The Six Stages of Yin and Yang
1) Tai Yang or “Greater Yang” includes the Urinary Bladder and Small Intestine meridians.
2) Shao Yang or “Lesser Yang” includes the Gall Bladder and San Jiao meridians.
3)Yang Ming or “Yang Brightness” includes the Stomach and Large Intestine meridians.
4) Tai Yin or “Greater Yin” includes the Spleen and Lung meridians.
5) Shao Yin or “Lesser Yin” includes the Kidney and Heart meridians.
6) Jue Yin or “Terminal Yin” includes the Liver and Pericardium meridians.

Relationships/ Laws
The four laws governing Yin and Yang are as follows:
1) Opposition of Yin and Yang: States that Yin and Yang oppose and control each other, thus keeping each other in check. For instance, the correct level of body fluids (Yin) keeps the body system from over-heating (Yang). Conversely, proper metabolic activity (Yang), keeps body fluids (Yin) at an appropriate level.
2) Interdependence of Yin and Yang: States that Yin and Yang cannot exist in isolation from one another. For example, without energy (Yang), matter would be in total stasis; without matter (Yin), energy would have no catalyst. Yin and Yang define each other and provide the possibility for each other’s existence.
3) Inter-consuming of Yin and Yang: States that Yin and Yang continuously feed off each other. For example, the metabolic activity of the body (Yang), necessarily burns a certain amount of substantial nutrition (Yin). On the other hand, the production of nutrient substances (Yin) in the body, requires the expenditure of a certain amount of metabolic energy (Yang).
4) Inter-transforming relationship of Yin and Yang: States that at its extreme, Yin may transform into Yang and vice-versa. For example, a continuous high fever (Yang), may consume the body’s resources until the energy is depleted and drops the body into a state of severe cold (Yin). This is also called “Collapse of Yang”.

Pathology
The theory of Yin and Yang is also utilized to explain pathology in the Human organism. According to TCM theory, a person’s health is based on the relative balance of Yin and Yang in the body. Disease occurs when there is an imbalance and relative excess or deficiency of Yin or Yang.
The functional Yang processes of the body in combination with the body’s substantial Yin fluids combine to form a person’s “Righteous Qi” or Zhen Qi. It’s this “Righteous Qi” that is the sum total of our protection from pathogenic invasion. We’ll discuss this in more detail in the section on Vital Substances.
Pathogenic factors are also divided into Yin and Yang. When Yang pathogens attack the body and cause disease, this can lead to an excess of Yang or deficiency of Yin, either of which can give rise to syndromes of excess Heat in the body. Likewise, when Yin pathogens cause disease, Yin can be in excess and/or Yang can be damaged giving rise to Cold syndromes. Differentiation of Yin and Yang is just one of the Eight Principles of differentiation of disease that will be discussed further in the Chapter on Diagnosis.

5 Element Theory

The Three Treasures