Wellness and the "Chinese" Organs by Dr. Mark Wiley

I find it interesting in my clinic when I describe Chinese medicine and its patterns of disharmony to my patients. I mostly get blank stares or uncertain nods. My patients try to understand what I am describing to them, and often have to ask a series of questions until they are able to grasp the general concepts of health I am attempting to get across.

Several of my patients are physicians, psychologists or chemists and their doubting stares are plentiful. I know ahead of time that when we get to the lecture part of their initial consultation I will have to work hard at convincing them of our concepts of the body.

You see, Traditional Chinese medicine (TCM) does not hold the exact same view of the organs as Western medicine. And this is where the confusion arises with patients who are grounded in biology, anatomy and physiology.

When TCM developed in ancient China, no autopsies were carried our for fear of disrespecting the deceased ancestors. So what is known about each organ was discovered through thousands of years of clinical observation. As a result, the functions of one specific organ in TCM may include the functions of several organs in terms of Western medicine. And the functions of one specific organ in Western medicine may be contained in the functions of several organs in TCM.

In TCM the organs are not only viewed as anatomic units, but also as concepts of physiology and pathology. This can all be explained through the concepts of Zang-Fu organ pairing, the meridian complex, the Diurnal flow of Qi and the Five Element theory.

Zang-Fu Organ Pairing
Traditional Chinese medicine divides the internal organs into Zang (nurturing, yin) and Fu (transporting, yang) groups. The five Zang organs include the heart, liver, spleen, lungs and kidneys. Preserving vital substances is their common characteristic.

The six Fu organs consist of the gallbladder, stomach, large intestine, small intestine, urinary bladder and so-called triple energizer (thoracic, abdominal and pelvic cavities). Transmitting and digesting water and food is their shared characteristic.

The theory of Zang-Fu organs is concerned with both the physiological functions and the pathological changes of the organs, as well as the interrelationships between them. And these functions and relationships are rooted in the pairing of the Zang-Fu into the following Yin/Yang groups: Lung & Large Intestines, Stomach & Spleen, Heart & Small Intestines, Urinary Bladder & Kidneys, Pericardium & Triple Energizer, Gallbladder & Liver. Thus, problems with one organ may effect its partner.

The Meridian Complex
The Meridian energy channels are the pathways in human body through which Qi and blood circulate. They form a specific network that communicates with the internal organs and the limbs and connects the upper body to the lower body and the exterior to the interior portions of the body.

Since the Meridians are distributed over the entire body, they are what link the Zang-Fu organs, the orifices, the skin, the muscles and the bones. That is, they bring the body into an organic whole that allows it to carry on and coordinate its systematic activities.

Each organ has a specific meridian that stems from it and connects it with its paired organ and to various parts of the body. This explains why the heart is seen to not only pump blood but also to effect mental functions.

The Diurnal Flow of Qi
Qi is the vital energy of the body and each organ produces Qi that effects certain activities in the body. This energy moves through the body via the Meridian complex. And the energy in each organ Meridian is said to be at "high tide" for a two hour period in a 24 hour cycle, before moving into the meridian of it paired organ.

The lung meridian is most active from 3-to-5 AM. The large intestines (it's paired organ) are most active from 5-to-7 AM, and so on. This explains why people with certain respiratory diseases tend to awaken and wheeze or cough between the hours of 3:00 and 5:00. And most of my patients who wake up with headaches between those hours, find that it is due to oxygen deprivation caused either by sinus congestion or from sleeping with their nose buried in their pillows.

The Five Element Theory
The theory of the Five Elements holds that the world is made up of five basic substances: Wood, Fire, Earth, Metal and Water. All things and phenomena in nature, as well as in the organs, tissues, physiology and pathology of the human body, can be classified into one of the five elements.

Among the five elements, there exist the relations of promotion and restriction. The element that promotes is called the mother, while the element that is promoted is called the child.

Since Earth produces Metal it is called the Mother of Metal. Since Earth is produced by Fire it is also called the Child of Fire. Earth organs are the spleen and stomach, Metal organs are the lungs and large intestines, and Fire organs are the heart and small intestines.

Restriction refers to bringing something under control or restraining it. For example, the element restricting Earth is Wood, and element that is restricted by Earth is Water. This in part explains why excess anger, frustration or obsession which effect the liver (Wood) can cause digestive upset, which is the domain of the spleen (Earth).

Promotion and restriction are inter-dependant. Without promotion, there would be no birth and development; without restriction, excessive growth would result in harm and damage.

There's More Than Meets the Microscope
When understood and taken as a comprehensive system, the TCM concepts of the Meridian complex, Zang-Fu organ pairing, Diurnal cycle of Qi flow, and the Five Element theory can explain why the organs as viewed in Chinese medicine hold more functions than can be "proven" by biomedicine, where their functions are reduced to individual micro units. I offer two examples.

In terms of TCM, the liver stores blood, regulates the flow of blood in the body, controls the tendons, connects to the nails and opens into the eyes. Thus, the Chinese concept of "liver" refers to an entire energetic system, not merely to the organ itself. And this is why excess, deficiency and stagnation associated with the liver can effect blood circulation, the brain and nervous system, the digestive system, the endocrine system, the muscles and the tendons.

The spleen is another good example of differences, since in the West it is not seen as having much use to the body. However, the Chinese concept of the "spleen" holds a seat of great importance to health. In TCM, the spleen is responsible for transformation of food energy into Qi and blood, and the transportation and absorption of water and nutrients through the body. It also insures that blood is held in the vessels and that organs do not become prolapsed. Thus, the spleen covers the entire digestive system, water metabolism, blood circulation, up-bearing of clear energy to the brain, as well as controlling the muscles and limbs.

In Summary
From the above concepts, we can see how a problem with one organ can influence another or several others, in ways not normally associated with the organs specifically. And this is why TCM doesn't reduce signs and symptoms to specific diagnoses based on biological function. Terms like bi-polar disorder and migraine headache and cirrhosis of the liver are not used in TCM. Rather we use concepts like "liver qi stagnation" or "heart blood deficiency" to describe and explain a syndrome or pattern of disharmony in the body that has many causes and effects.

While wellness is viewed in more generalized and metaphoric terms in Chinese medicine, it is precisely these concepts that allow us to construct a holistic view of the body illness and to treat the hole as opposed to the part.