CLASSICAL CHINESE MEDICINE

Discussion on Cold-Induced Disorders [

Shng
Hn
Ln

x
x
x
x

to injure; hurt; wound; pain; suffering; mental/emotional disorder

cold; freezing
debate; discuss; discourse; criticize; criticism; classic

Oldest surviving Chinese medical text devoted to externally-contracted diseases (wi gn bng [
])
Written by the Eastern Han physician Zhng J [
], Zhng Jng [
], 150-219 AD, as a means to explain the origins of illness
Theory of text rooted in the philosophy of the Hung D Ni Jng [
], Nn Jng [
], and Shn Nng Bn Co Jng [
Most, if not all, of this ancient text has been lost, especially its original form as the Shng Hn Z Bng Ln [
]

The Six Stages Li Jng [

Yin Stages
GREAT YIN

Yang Stages
Lung
(3-5AM)

Hand

Large Intestine
(5-7AM)

Hand

YANG BRIGHTNESS

ti yn

Foot

Spleen
(9-11 AM)

Hand

Heart
(11-1PM)

Stomach
(7-9AM)

Foot

yng mng

Small Intestine
(1-3PM)

Hand

GREAT YANG

LESSER YIN

sho yn

Foot

Kidney
(5-7PM)

Hand

Pericardium
(7-9PM)

Foot

Liver
(1-3AM)

Urinary Bladder
(3-5PM)

Foot

ti yng

Triple Burner
(9-11PM)

Hand

LESSER YANG

Gall Bladder
(11-1AM)

Foot

sho yng

EXTREME YIN

ju yn

Nn Jng [

] - Difficult Issue Number Seven

Chinese

Pin Yin

Pulses

Solar Phases

ti yng
yng mng
sho yng
ti yn
sho yn
ju yn

Full, big, long

121st-180th day

Superficial, big, short

61st-120th day

Alternating big/small or short/long

Winter Solstice to the 60th day

Tight, big, long

181st 240th day

Tight, thin/fine, minute

241st 300th day

Deep, short, thick

301st-360th day

David C. Mainenti, L.Ac., C.A., Dipl. OM

Eco-Med LLC 1999-2009

CLASSICAL CHINESE MEDICINE

Ni Jng S Wn [
Chinese

Pin Yin

ti
yng

] Analysis of the Six Stages

Ch. 79
Images
Father;
primordial,
dynamic
beginning;
spreads along
back, trunk,
and limbs

yng
mng

Defender;
traverses the
front of the
trunk and limbs

sho
yng

Bridge
between
interior and
exterior, where
the qi makes
its way into the
deeper layers
of the body

ti
yn

Mother; the
great nurturer;
outermost yin
channel

sho
yn

ju
yn

Gatherer;
moves qi into
the deep
reservoirs of
the body
Transition
between yin
and yang;
maintains the
delicate
balance inside
the body

Ni Jng Lng Sh [
Chinese

Ch. 24
Contents

Ch. 6
Differentiation

Ch. 31
Exterior Disorders

Ch. 24
Needling

Ch. 16
Collapse

Ch. 68
Influences

Ch. 49
Time/Space

More blood;
less qi

On the
surface; open
and expansive;
the outside

Day One:
headache; stiff
neck and pain in
lumbar region of
the back and spine

Can bleed to
disperse evil
energy, but protect
the qi from
escaping

Rigidity and
stiffness of the
back; spasms;
paleness;
spontaneous
sweating

Cold

yn
(1st month)

More qi;
abundance of
blood

Internal; stores
and holds the
outside
together

Day Two: hot

sensations in the
body; eye and
cheek pain; dry
nose; inability to lie
down; fever

Can bleed or
sedate the qi to
disperse evil
energy

Facial paralysis;
delirium; yellow
face; swelling,
numbness,
stiffness; muscular
spasms; immobility

Dryness

Less blood;
more qi

Hinge/switch
that connects
the exterior
with the interior

Day Three: rib/flank

pain; eye pain;
headache; pain
along the gall
bladder channel;
earache; deafness;
tinnitus

Can disperse evil

qi, but protect the
blood

Deafness; joints
and bones will
become loose and
disjointed; eyes will
malfunction

Fire

Most
superficial of
the yin
channels

Day Four:
abdominal fullness,
swelling, and
distension; dry
throat

Can disperse evil

qi, but protect the
blood

Hinge/switch
that connects
tai yin and jue
yin

Day Five: dry

mouth and tongue;
thirst

Can disperse evil

qi, but protect the
blood

Deepest area
of the yin;
stores and
holds the
inside together

Day Six: irritability;

agitation; genital
contraction; qi
stagnation

Can bleed to
disperse evil
energy, but protect
the qi from
escaping

More qi; less

blood

More qi; less

blood

More blood;
less qi

Abdominal
distension; fullness;
stagnation; difficulty
breathing; sighing;
burping; vomiting
Face turns black;
gums recede; teeth
rot; abdomen
distends and
stagnates
Feverish in chest;
dry throat; frequent
urination;
restlessness;
irritability; stiff
tongue; genital
contraction


w
(5th month)

x
(9th month)

Dampness

z
(11th month)


Heat

shn
(7th month)


Wind

chn
(3rd month)

] Analysis of the Six Stages

Ch. 5
Images

Ch. 5
Pathologies

ti
yng

Gates

Superficial
invasion

yng
mng

Inner door

Weakness,
due to excess

Pivot

Weak bones
and joints, loss
of balance

Gates

Pin Yin

sho
yng
ti
yn
sho
yn
ju
yn

Ch. 65
Axioms

Ch. 78
Needling

Ch. 78
Paired Stage

Eyebrows; much
blood, little qi

Needle to let out

blood and protect qi

Shao Yin

Facial hair: much

blood and much qi

Needle to let out

blood and evil qi

Tai Yin

Deafness, loose joints, eye

weakness, green skin

Whiskers and
sideburns: much qi,
little blood

Needle to let out qi

and protect blood

Jue Yin

Qi deficiency

Swollen abdomen, shortness

of breath, vomiting

Much blood, little qi

Needs to let out

blood and protect qi

Yang Ming

Pivot

Heart/kidney
disharmony

Black face; rotten teeth,

swollen abdomen, stagnation

Much qi, little blood

Needle to let out qi

and protect blood

Tai Yang

Inner door

Mental
imbalance

Chest pain and heat, dry

throat, frequent urination, stiff
tongue, contracted genitals

Much blood, little qi

Needle to let out

blood and protect qi

Shao Yang

David C. Mainenti, L.Ac., C.A., Dipl. OM

Ch. 9
Terminal State
Eyes roll up, spinal rigidity,
spasms, convulsions, white
skin
Twitching of lips/eyelids,
nervousness and fear,
confused speech, yellow
skin, fullness

Eco-Med LLC 1999-2009

CLASSICAL CHINESE MEDICINE

Shng Hn Ln [
Disease

ti yng
bng

Etiology

Evil Qi
invading the
exterior layers
of the body
from the outer
environment,
disrupting the
channels

] Disease and Formula Overview

General
Symptoms

Floating pulse;
stiff neck and
shoulders;
headache;
aversion to cold

Major Diseases

Specific Symptoms

Major Herbal Prescription

Exterior Wind Invasion

Fever, sweating, aversion

to wind, moderate pulse

Gu Zh Tng [
]
Cinnamon Twig Decoction
and Feng Chi / Feng Fu

Exterior Cold Invasion

Exterior Wind-Heat
Invasion

Exterior Wind Invasion

yng
mng
bng

sho
yng
bng

ti yn
bng

sho yn
bng

ju yn
bng

Evil Qi
progressing
into the
interior of the
exterior layers
of the body,
invading the
Stomach and
turning to heat

Excess Heat
Fever;
spontaneous
sweating,
aversion to heat
Excess Dryness

Evil Qi moving
between the
interior (Yang
Ming) and
exterior (Tai
Yang)

Bitter taste in the

mouth, dry
throat, dizziness,
vertigo,
alternating chills
and fever; no
desire to eat or
drink

Evil Qi
disrupting a
weakened
interior,
depleting the
Spleen

Aversion to cold;
generalized body pains;
nausea; tight pulse
Fever, thirst, no aversion
to cold, floating pulse,
spontaneous sweating,
heaviness; tiredness,
snoring, difficulty speaking
Floating/tight pulse, dry
throat, bitter taste in
mouth, abdominal fullness,
generalized heaviness
Large/big/full pulse, thirst
with desire to drink,
irritability
Mild constipation,
irritability; dry yellow
tongue moss
Constipation, abdominal
distension and fullness,
tidal fever, delirious
speech
Extreme constipation,
abdominal distension and
fullness, hardness and
pain, tidal fever, delirious
speech

M Hung Tng [
Ephedra Decoction

Variations

Zh Z Ch Tng [
]
Gardenia and Fermented Soybean Decoction

Zh Z Ch Tng [
]
Gardenia and Fermented Soybean Decoction
Bi H Tng [
]
White Tiger Decoction
Tio Wi Chng Q Tng [
]
Regulate the Stomach and Order the Qi
Decoction
Xio Chng Q Tng [
Minor Order the Qi Decoction

D Chng Q Tng [
]
Major Order the Qi Decoction

Loss of hearing in either

ear, red eyes, chest/rib
pain, irritability

Exterior Cold Invasion

Wiry/fine pulse, headache,

fever

Abdominal
fullness and
pain, vomiting,
no desire to eat,
diarrhea

Exterior Wind
Invasion

Floating pulse

Gu Zh Tng [
]
Cinnamon Twig Decoction

Interior Cold

Spontaneous diarrhea, no
thirst, moderate/weak
pulse

Formulas that Warm the Interior and Dispel

Cold

Evil Qi
disrupting the
integration of
water and fire,
depleting both

Fine/minute
pulse, desire
only to sleep

Deficiency Cold

Evil Qi
invading the
extreme
interior

Voracious thirst,
chest pain,
palpitations,
hunger with no
desire to eat,
nausea/vomiting
of roundworms

Deficiency Heat

Heat Above/Cold
Below
Extreme Heat
Extreme Cold

David C. Mainenti, L.Ac., C.A., Dipl. OM

Weak pulse, cold skin,

agitated mood but also
quiet at times, vomiting of
roundworms, diarrhea
Yin/yang imbalance, fever,
cold extremities, slippery
pulse
Yin/yang imbalance, cold
fingers, diarrhea, fine pulse

Damp-heat; heat in
the blood;
deficiency-cold

Exterior Wind Invasion

Deep/slow pulse, cold

limbs, diarrhea, nausea
and vomiting, aversion to
cold
Irritability; palpitations,
insomnia

Constrained heat;
heart/spleen/kidney
yang deficiency;
yin/yang deficiency;
water accumulation

Xio Chi H Tng [

Minor Bupleurum Decoction

Concurrent interior
excess, dampness,
or mania;
unresolved exterior
pattern

Concurrent exterior
pattern; abdominal
pain

S N Tng [
]
Frigid Extremities Decoction
or moxibustion
Hung Lin Jio Tng [
Coptis and Ass-Hide Glue Decoction
W Mi Wn [
Mume Pill

Concurrent exterior
pattern; sore throat
]

Bi H Tng [
]
White Tiger Decoction

Phlegm obstruction;
stomach deficiency;
diarrhea; hiccups

Dng Gu S N Tng [
]
Angelica Decoction for Frigid Extremities

Eco-Med LLC 1999-2009