Sunteți pe pagina 1din 53

CMAC212

Session 3

5 element theory

Chinese Medicine Department

CMAC212 Session 3 5 element theory Chinese Medicine Department www.endeavour.edu.au

www.endeavour.edu.au

CMAC212 Session 3 5 element theory Chinese Medicine Department www.endeavour.edu.au
CMAC212 Session 3 5 element theory Chinese Medicine Department www.endeavour.edu.au

Session 3 - Outline

o What do you know about five element points?

o How do we apply them?

o

What is five element theory?

o

How can we use it in practice?

five element theory? o How can we use it in practice? © Endeavour College of Natural

© Endeavour College of Natural Health

www.endeavour.edu.au

2

The Five Elements

o

Five element theory is one of the oldest methods of point selection and prescription.

o

The earliest mention of the five phase properties

allocated to the five shu-points is in the Classic of

Difficulties (Nan Jing). This important text was compiled in the first or second century A.D. (Unshuld 1986, p.3). This is one of the first texts to offer a discussion of point classification and prescription.

offer a discussion of point classification and prescription. © Endeavour College of Natural Health www.endeavour.edu.au 3

© Endeavour College of Natural Health

www.endeavour.edu.au

3

The 5 Elements

o

Each of the 5 shu points belongs to one of the five elements - fire, earth, metal, water and wood.

o

The function of each point is then directly linked to the

attributes of it’s corresponding element.

o

This helps you extensively with your point selection. For

example all water points are likely to be cooling, all fire

points can be used to clear heat.

to be cooling, all fire points can be used to clear heat. © Endeavour College of

© Endeavour College of Natural Health

www.endeavour.edu.au

4

Lets explore these element points…….

Five Element Points

Water Points can be used to?

o

Cool heat

o

Tonify yin

o

Clear damp and phlegm

o Regulate the water passages

List some water points & consider how their indications relate to their function.

consider how their indications relate to their function. © Endeavour College of Natural Health www.endeavour.edu.au 6

© Endeavour College of Natural Health

www.endeavour.edu.au

6

Five Element Points

Wood Points can be used to?

o

Strongly & dynamically move qi

o

Have an affinity for treating wind

o

Can be used to treat the sensory orifices especially the

eyes.

Identify and explore some wood points.

especially the eyes. Identify and explore some wood points. © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

7

Five Element Points

Fire Points can be used to?

o

Clear heat

o

Drain fire

o

Calm the spirit

o They are not used for tonifying yang

o Calm the spirit o They are not used for tonifying yang © Endeavour College of

© Endeavour College of Natural Health

www.endeavour.edu.au

8

Five Element Points

What qualities would you expect an earth point to have?

o

Tonifying & strengthening

o

Grounding

o

Great for treating digestive complaints

What earth points can you think of? Discuss their function.

What earth points can you think of? Discuss their function. © Endeavour College of Natural Health

© Endeavour College of Natural Health

www.endeavour.edu.au

9

Five Element Points

What is metal associated with? Breath, the surface of the body, wei qi, external pathogenic attck, cough, po, consolidation, taking in & letting go, integrity, responsibility, grief, skin, dryness, body hair, the nose, weeping…

grief, skin, dryness, body hair, the nose, weeping… © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

10

5 Element Theory

Five element theory is also very helpful in developing your point prescriptions.

It provides a framework for tonification and dispersion

between elements.

for tonification and dispersion between elements. © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

11

Five Element Theory

The Nan Jing, Question 69 says “In cases

of deficiency reinforce the mother, in cases

of excess reduce the child”. Anonymous author Han Dynasty (Translated by Lu, H. 1978, p 1237)

What could this mean? And how could we

apply it?

p 1237) What could this mean? And how could we apply it? © Endeavour College of

© Endeavour College of Natural Health

www.endeavour.edu.au

12

Five phase properties of the 5 shu points

This has been understood to describe the method of

selecting points to tonify or reduce a channel or organ

according to the sheng and ke sequence of the five

phases.

to the sheng and ke sequence of the five phases. © Endeavour College of Natural Health

© Endeavour College of Natural Health

www.endeavour.edu.au

13

Fire Earth Metal
Fire
Earth
Metal

Sheng cycle Nourishing Cycle

Wood
Wood
Water
Water

© Endeavour College of Natural Health

The clockwise

sequence on the

circle represents the Sheng cycle, also called the ‘Nourishing’ or ‘Mother-Child’

cycle.

Each element is the mother to the next; Water nourishes wood, wood fuels

fire, fire nourishes earth (ashes), earth yields metal, metal

nourishes water.

www.endeavour.edu.au

14

Pc9 Ht9 Fire Sp2 Earth Water Metal Lu9
Pc9
Ht9
Fire
Sp2
Earth
Water
Metal
Lu9

© Endeavour College of Natural Health

Sheng cycle Mother Points

Tonifying

Wood Lr8
Wood
Lr8
Ki7
Ki7

www.endeavour.edu.au

15

Child Points

Five element theory also provides a framework for reducing excess.

This is done via the child points.

You can use the child points to drain the mother.

 You can use the child points to drain the mother. © Endeavour College of Natural

© Endeavour College of Natural Health

www.endeavour.edu.au

16

Pc9 Pc7 Ht9 Ht7 Fire Sp2 Earth Sp5 Water Lu9
Pc9
Pc7
Ht9
Ht7
Fire
Sp2
Earth
Sp5
Water
Lu9
Metal Lu5
Metal
Lu5

© Endeavour College of Natural Health

Sheng cycle Child Points

Reducing

Lr2 Wood Lr8
Lr2
Wood
Lr8
Ki1 Ki7
Ki1
Ki7

www.endeavour.edu.au

17

Element Points

o

Other important points to be aware of on each channel are the element points.

o

The element point is the point that represents the same element as the channel it is on. For example the earth

point on the earth channel or the metal point on the

metal channel.

o

These points can be used to strengthen the energetic function of that element and channel. They are particularly helpful if it is just a single element that is in disharmony rather than multiple relationships.

that is in disharmony rather than multiple relationships. © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

18

Ht8 Pc8 Pc9 Pc7 Ht9 Ht7 Fire Sp2 Earth Sp3 Sp5
Ht8
Pc8
Pc9
Pc7
Ht9
Ht7
Fire
Sp2
Earth
Sp3
Sp5
Metal Lu9 Lu8 Lu5
Metal
Lu9
Lu8
Lu5

www.endeavour.edu.au

Element Points

Lr2 Lr1 Wood Lr8
Lr2
Lr1
Wood
Lr8
Water
Water
Ki1 Ki10 Ki7
Ki1
Ki10
Ki7

© Endeavour College of Natural Health

19

Ke cycle Controlling Cycle

Wood

Fire

Earth

Ke cycle Controlling Cycle Wood Fire Earth Water Metal © Endeavour College of Natural Health Each

Water

Ke cycle Controlling Cycle Wood Fire Earth Water Metal © Endeavour College of Natural Health Each
Ke cycle Controlling Cycle Wood Fire Earth Water Metal © Endeavour College of Natural Health Each

Metal

© Endeavour College of Natural Health

Each element also has a grandparent relationship.

The grandparents role is to control

the behaviour of a

naughty

grandchild.

www.endeavour.edu.au

20

Ke cycle

o

When constructing point prescriptions you can utilise the ke or controlling cycle to balance relationships.

o

Tonifying the metal may help control an excessive wood.

o

Strengthening the earth may help prevent the wood from over-controlling it.

earth may help prevent the wood from over-controlling it. © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

21

Fire Wood Earth Water Metal
Fire
Wood
Earth
Water
Metal

Ke cycle

Excess Wood will cause deficient Earth; therefore, tonify Metal. Excess Fire will cause deficient Metal;

therefore, tonify Water.

Excess Earth will cause deficient Water; therefore, tonify Wood. Excess Metal will cause deficient Wood; therefore, tonify Fire. Excess Water will cause deficient Fire; therefore, tonify Earth.

will cause deficient Fire; therefore, tonify Earth. (Matsumoto & Birch, 1983, p.157). © Endeavour College

(Matsumoto & Birch, 1983, p.157).

© Endeavour College of Natural Health

www.endeavour.edu.au

22

Lr2

Lr1

Lr8

Lr3

Pc9

Ht9

Pc3

Ht3

Wood

Lr4

Ki2

Water

Ki1 Ki10 Ki7
Ki1
Ki10
Ki7

Ht8

Pc8

Fire

Ht7

Ht4

Pc7

Pc5

Sp1

Sp2

Earth

Ki1 Ki10 Ki7 Ht8 Pc8 Fire Ht7 Ht4 Pc7 Pc5 Sp1 Sp2 Earth Sp9 Sp3 Sp5

Sp9

Sp3

Sp5

Ki7 Ht8 Pc8 Fire Ht7 Ht4 Pc7 Pc5 Sp1 Sp2 Earth Sp9 Sp3 Sp5 Metal Ki3

Metal

Ki3

Lu11

Lu5

© Endeavour College of Natural Health

Lu10

Lu9

Lu8

www.endeavour.edu.au

23

Five Element Theory

Five element theory can be used to dictate point selection on a single channel.

For example you can use the child point to reduce or the

mother point to tonify.

o

For example tonify the Liver (wood) select the Liver channel point that belongs to the mother phase (water), which is Qu Quan, LR 8.

o

To reduce the Liver (wood) select the Liver channel point that belongs to the child phase (fire), which is LR 2.

that belongs to the child phase (fire), which is LR 2. © Endeavour College of Natural

© Endeavour College of Natural Health

www.endeavour.edu.au

24

Five phase properties of the 5 shu points

Five element theory also explains the function of many points:

o

For example Liver 4 is the metal point on the wood channel.

o

Along the ke cycle metal controls wood.

o

Liver 4 is the controlling point on the Liver channel. Liver 4 is used to clear heat and stagnation affecting the Liver

channel & has a reducing effect on patterns manifesting

with a liver excess.

reducing effect on patterns manifesting with a liver excess. © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

25

Five Element Theory

A point prescription may use five element theory both on a single channel and between channels

o

For example to tonify the Kidneys, KI 7 (the mother point on the

Kidney channel), would be used in combination with a point from the

mother channel, the Lung channel.

o

The point on the Lung channel may vary between different schools

but it would either be the child point on the Lung channel LU5 (water point on the metal channel - the same element you wish to tonify) or

it would be the element point LU8 (metal point on the metal

channel).

be the element point LU8 (metal point on the metal channel). © Endeavour College of Natural

© Endeavour College of Natural Health

www.endeavour.edu.au

26

Five Element Theory

You can use the mother channel to assist in tonification.

o For example to help tonify the Liver (wood) use the mother channel of the wood element which is water (Kidney channel), along with a liver point. Your point prescription would be KI10 and LR8.

And the child or controlling channel to reduce.

o Or assist in draining the Liver (wood) by reducing the child channel of fire (HT, PC or SI, TE) or sedate using the controlling channel (tonify metal,

such as the lung channel, to help it’s ability to control an excess in wood).

Your point prescription may be LR 2 plus LU 8 or LR 2 plus a sedating point

on a fire channel depending on which one was most excessive.

on a fire channel depending on which one was most excessive. © Endeavour College of Natural

© Endeavour College of Natural Health

www.endeavour.edu.au

27

5 Elements in practice

o

Point prescriptions are based around balancing relationships within the cycle.

o

Try to firstly only utilise points on channels that are in

disharmony. Don’t drain a deficient channel, you can use

an element point if you need to.

o

Usually five element treatments are focused on

balancing the yin channels.

treatments are focused on balancing the yin channels. © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

28

5 Elements in practice

o 5 element theory is used extensively by meridian therapists to balance relationships between channels.

o

Fire is not included as a deficient pattern, as fire tends to

be in a state of excess. It is also the monarch, who should never be criticised. As it relates to our life path and spirit the heart is very delicate.

o

Any imbalance in the heart is treated via the

relationships around it, nourishing kidney for yin xu, tonifying the spleen & stomach for blood xu or draining the liver to clear excess heat.

for blood xu or draining the liver to clear excess heat. © Endeavour College of Natural

© Endeavour College of Natural Health

www.endeavour.edu.au

29

Five element point combinations commonly used by meridian therapists.

Deficient meridian

Tonifying point

Supporting point

Lungs

Lu 9 (mother point)

Sp 3 (element point)

Spleen

Sp 2 (mother point) or Sp 3 (element point)

Pc 7 (yuan source & child point)

Liver

Liv 8 (mother point)

Ki 10 (element point)

Kidneys

Ki 7 (mother point)

Lu 8 (element point) or Lu5 (child point)

point) Lu 8 (element point) or Lu5 (child point) Adapted from Denmei (1990, pp191-195). © Endeavour

Adapted from Denmei (1990, pp191-195).

© Endeavour College of Natural Health

www.endeavour.edu.au

30

The Pulse

o

The pulse is often the most important diagnostic tool for identifying Five Element patterns.

o

This is because the pulse reflects the movement of the qi

in the channels.

o

The aim of Five Element acupuncture is to balance the movement of Qi between channels.

is to balance the movement of Qi between channels. © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

31

The Five Element Sheng Cycle reflected in the pulse.

HT/SI

LR/GB

KI/BL

Sheng Cycle reflected in the pulse. HT/SI LR/GB KI/BL L e f t P u l

Left Pulse

Right Pulse

Adapted from Matsumoto & Birch, (1983, p.114).

LU/LI

SP/ST

PC/SJ

HT/SI

LR/GB

KI/BL

Spleen Deficient Pattern

Treatment Points: PC7 & SP2/3

Spleen Deficient Pattern Treatment Points: PC7 & SP2/3 L e f t P u l s

Left Pulse

Right Pulse

LU/LI

SP/ST

PC/SJ

Adapted from Denmei, (1990, pp191-195) & Matsumoto & Birch, (1983, p.114).

Lung Deficient Pattern

Treatment Points: SP3 & LU9

HT/SI

LR/GB

KI/BL

Pattern Treatment Points: SP3 & LU9 HT/SI LR/GB KI/BL L e f t P u l

Left Pulse

Right Pulse

Adapted from Denmei, (1990, pp191-195) & Matsumoto & Birch, (1983, p.114).

LU/LI

SP/ST

PC/SJ

HT/SI

LR/GB

KI/BL

Kidney Deficient Pattern

Treatment Points: LU5 & KI7

n t P a t t e r n Treatment Points: LU5 & KI7 L e

Left Pulse

Right Pulse

LU/LI

SP/ST

PC/SJ

Adapted from Denmei, (1990, pp191-195) & Matsumoto & Birch, (1983, p.114).

HT/SI

LR/GB

KI/BL

Liver Deficient Pattern

Treatment Points: LR8 & KI10

Liver Deficient Pattern Treatment Points: LR8 & KI10 L e f t P u l s

Left Pulse

Right Pulse

Adapted from Matsumoto & Birch, (1983, p.114).

LU/LI

SP/ST

PC/SJ

Five Element Theory

Five Element theories can be particularly helpful with certain clinical presentations. For example: John is angry and grieving the death of his son, his liver is excessive and his lungs are deficient? How could we treat him with 5 element theory?

o

LU 9 (earth point on metal channel) tonifies the lung as the mother point on the lung channel or we could use LU 8, the metal point on

the metal channel, to really assist with metal function.

o

LR 2 (fire point on wood channel) is the child point on the liver channel or we could select LR4 the controlling point (metal point on wood) which may assist in establishing the correct metal / wood relationship.

o

As the imbalance is between the metal and the wood it is best to use the LU8 & LR4 combination, to work on the metal/wood relationship.

LR4 combination, to work on the metal/wood relationship. © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

37

Five Element Theory

When Sarah is busy writing her assignments she forgets to eat

properly, she has had recurrent colds and coughs all year. She is

diagnosed with Spleen and Lung deficiency.

What might your point selection be using 5 element theory??

What might your point selection be using 5 element theory?? © Endeavour College of Natural Health

© Endeavour College of Natural Health

www.endeavour.edu.au

38

Five Element Needle Methods

Theoretically you could use 5 element theory to balance relationships

between any channels.

The 2 and 4 needle methods focus on relationships following the sheng cycle. They are summarised on the following pages.

the sheng cycle. They are summarised on the following pages. © Endeavour College of Natural Health

© Endeavour College of Natural Health

www.endeavour.edu.au

39

2 Needle Method

This is the five element theory applied on one channel.

o

For excess conditions: sedate child element point on excess channel

o

For deficient conditions: tonify mother point on deficient channel

conditions: tonify mother point on deficient channel Ref: Ross, J. 1998. Acupuncture Point Combinations.

Ref: Ross, J. 1998. Acupuncture Point Combinations. Churchill Livingston. Edinburgh. pp80-85

© Endeavour College of Natural Health

www.endeavour.edu.au

40

4 Needle Method

Five element theory applied between two channels.

For excess conditions:

1. Sedate child point on excess channel.

2. Sedate element point on child channel.

For deficient conditions:

1.

Tonify mother point on deficient channel

2.

Tonify element point on mother channel.

Ref: Ross, J. 1998. Acupuncture Point Combinations. Churchill Livingston. Edinburgh. pp80-85

Combinations. Churchill Livingston. Edinburgh. pp80-85 © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

41

How to use

2 point method

add for 4 point method

Channel

Tonify for Deficiency

Reduce for Excess

Tonify for Deficiency

Reduce for Excess

Lung

LU 9

LU 5

SP 3

KI 10

Large Intestine

LI 11

LI 2

ST 36

BL 66

Spleen

SP 2

SP 5

HT8 or PC8

LU 8

Stomach

ST 41

ST 45

SI 5

LI 1

Heart

HT 9

HT 7

LR 1

SP 3

Small Intestine

SI 3

SI 8

GB 41

ST 36

Pericardium

PC 9

PC 7

LR 1

SP 3

San Jiao

TE 3

TE 10

GB 41

ST 36

Kidney

KI 7

KI 1

LU 8

LR 1

Bladder

BL 67

BL 65

LI 1

GB 41

Liver

LR 8

LR 2

KI 10

HT8 or PC8

Gallbladder

GB 43

GB 38

BL 66

SI 5

or PC8 Gallbladder GB 43 GB 38 BL 66 SI 5 Ref: Ross, J. 1998. Acupuncture

Ref: Ross, J. 1998. Acupuncture Point Combinations. Churchill Livingston. Edinburgh. pp80-85

© Endeavour College of Natural Health

www.endeavour.edu.au

42

Remember

o

Stay focused on the channels where an imbalance is occurring.

o

Don’t reduce a channel if it is already deficient, or tonify

a channel if it is excessive.

o

This is a highly appropriate method of point selection if your patient presents with the specific imbalance in

relationships that five element theory is able to address.

Then you will get some amazing results!!

is able to address. Then you will get some amazing results!! © Endeavour College of Natural

© Endeavour College of Natural Health

www.endeavour.edu.au

43

And now for some fun……….

Class Practical

o

Let’s practice our diagnostic and point prescription skills.

o

Partner up and allocate patient and practitioner roles.

o Use all your diagnostic skills to come up with a diagnosis

that references 5 element relationships. Look for deficient and excessive elements.

o

Construct a point prescription to treat your patient.

o

Share with the class

Swap!!

treat your patient. o Share with the class Swap!! © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

45

MIND SNACKS

More fun………

If you run out of time this can be completed at home at followed up with next week.

Five Element Patterns

o

Five element theory can also be applied to personality types and patient’s life patterns.

o

Click the link below and do a quick quiz to find out -

Which personality type are you??????

questionnaire/ © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

47

Five Element Patterns

Let’s talk about strategies for supporting each element type.

What points might be applicable for treatment ??

Consider your 5 element in class diagnosis & your 5 element personality questionnaire, are they similar? Would your point prescription change? And if so how?

Would your point prescription change? And if so how? © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

48

Who loves research………………

Five Element Constitutional Acupuncture

The Worsley School

You may hear mention of 5 Element Acupuncture in reference to the Worsley School which was developed in

England by J.R. Worsley during the 1970’s. This school has

a large emphasis on the emotional and psychological aspects of each element and patient’s are assigned an element as their “Constitutional Factor”. An important aspect of treatment in the Worsley School is the use of

Entry and Exit points. (Hicks, Hicks & Mole, 2011)

of Entry and Exit points. (Hicks, Hicks & Mole, 2011) © Endeavour College of Natural Health

© Endeavour College of Natural Health

www.endeavour.edu.au

50

Five Element Constitutional Acupuncture

The Worsley School

As part of your self-directed learning for this week, please research how to use of Entry and Exit points (it is very

different from five element / five phase theory).

Consider how to construct a point prescription using entry

and exit points? When would this be appropriate? Use your experience in life or invent a patient who would benefit from

an entry/exit point treatment and bring in a treatment

protocol for our next class.

We will have a discussion about this next week

class. We will have a discussion about this next week  © Endeavour College of Natural

© Endeavour College of Natural Health

www.endeavour.edu.au

51

References

A Complete Translation of The Yellow Emperor’s Classic of Internal Medicine and the

Difficult Classic. (1978). (H. Lu, Trans.). Vancouver: The Academy of Oriental Heritage.

Denmei, S. (1990). Introduction to Meridian Therapy. Seattle: Eastland Press.

Dong, J.H., & Ma P.R. (1987). Shi Yong Zhong Yi Xin Li Xue [Practical TCM Psychology].

Beijing: Beijing Publishing House,.

Matsumoto, K., & Birch, S. (1983). Five elements and ten stems. Brookline, Massachusetts: Paradigm Publications.

Nan-Ching The Classic of Difficult Issues. (1986). (P. Unshuld, Trans.). London, England:

University of California Press

Rossi, E. (2007). Shen: Psycho-Emotional Aspects of Chinese Medicine. London:

Elsevier.

Aspects of Chinese Medicine. London: Elsevier. © Endeavour College of Natural Health www.endeavour.edu.au

© Endeavour College of Natural Health

www.endeavour.edu.au

52

© Endeavour College of Natural Health endeavour.edu.au 5 3
© Endeavour College of Natural Health endeavour.edu.au 5 3

© Endeavour College of Natural Health

endeavour.edu.au

53