TCM Opposites Attract: The Yin Yang Theory

The Yin and Yang theory is a traditional Chinese approach to viewing relative relations of objects to their wholes.  Yin and Yang are neither material nor energy, but rather a complementary combined method which explains these relationships.  This theory was then developed into a system of thought which was applied to other areas, as in TCM (Traditional Chinese Medicine).
TCM Basis describes as “Yin and Yang are the laws of Heaven and Earth, the outline of everything – parent of change, the origin of birth and destruction…” – representing two opposite aspects of every object.  The original concept came from observing Nature and the environment. Yin referred to the shady side, while yang was the sunny side.  We can almost relate the Yin and Yang theory to the Seasons: Fall into winter is Yin while spring into summer is Yang.  You also have the sky (yang) and earth (yin), day (yang) and night (yin), water (yin) and fire (yang), active (yang) and passive (yin), male (yin) and female (yang)…

According to ancient Chinese, the Yin and Yang can describe two relative aspects of the same phenomena.

Yang Yin
Light Bright Dark
Temperature Hot Cold
Position Upper Lower
Action Movement Rest
Direction Outward Inward
Physiological functions Excitatory Inhibitory

Yin- Yang Theory Table 1

This awesome duo coexists and cannot survive in isolation.  The theory permeates all aspects of Traditional Chinese Medicine. It explains the organic structure, physiological function and pathological change of the human body, and guides clinical diagnoses of treatment and prevention. The physical form is yin while activities and/or function are yang, yet mutually complementary.

In TCM, the kidneys are viewed as the body’s Yin-Yang center; the place where nutrients are stored and physical functions take place.

  • Kidney yin, or primordial yin, true yin or true water (essence), is the root of Yin fluid of the entire body. It moistens and nourishes our organs and tissues.
  • Kidney yang, or primordial yang, true yang or true fire (qi), is the root of yang qi of our entire body. It warms and promotes the functions of the organs and tissue.

Kidney yin provides energy from physiological function while kidney yang promotes storage of kidney yin.  The Suwen: the Book of Plain Questions states that “when yin is stabilized and yang is well conserved, the spirit will be in harmony.  Separation of yin and yang will cause exhaustion of essence and qi, called disharmony or imbalance.

Imbalance of kidney yin and kidney yang leads to many disease of all organs in the body. Careful diagnosis can increase effectiveness of treatment, which consists of accurately identifying deficiencies as either yin or yang relation before finding which organs are affected.

Traditional Chinese Medicine believes that the human body has organic unity, based on opposing “complementary” relationship of yin yang.  Organs and tissues are classified according to yin yang theory, based on each individual function and/or site.  Upper body is yang while the lower body is yin.  The other pairs of yin yang in the body include interior (yin) vs. exterior (yang), front (yin) vs. back (yang), inside of the limbs (yin) vs. outside of the limbs (yang), and the five yin organs vs. the six yang organs.  Going even further, you can divide organs as heart yin and heart yang, and kidney yin and kidney yang.

Physiologically Aspect

According to TCM, health is achieved when yin and yang are in complete harmony. The body’s physical form and functions are dynamically balanced. This balance mutually restricts and depends on each other; they can’t function if it doesn’t have a physical form to carry out actions.

Pathological Aspect

Disharmony is caused by disease (outer evils) and physiological disorders, unequal and unbalanced. When one aspect is deficient, the other is excess.  There are many factors that cause this disharmony. All related to “evils” and the flow of qi throughout the body.  Normal qi flow (yang physiological & energy) means excellent immunity (I’m-Yunity), which allows body to recuperate easier. Yin fluid (physical form & physiological fluid) pernicious evils are composed of six evils (excess of yin evils or yang evils). The conflict between resuming normal qi and getting rid of the “pernicious evils” is what allows the disease to either progress or transform back to a healthy state.

TCM diagnostics is based on a disharmony pattern known as the “eight principal patterns”, which has “four pattern pairs”:  interior and exterior, cold and heat, deficiency and excess, yin and yang (most fundamental and essential pair).

Disharmony Pattern Yin/Yang Manifestations
1. Exterior Yang An exterior pattern is generated by “external influences” such as wind and cold. (i.e. common cold)
2. Interior Yin An interior pattern is generated by internal disharmony such as a disorder of organ function.
3. Cold Yin A cold pattern is manifested by the signs such as a pale face, cold limbs, aversion to cold, clear urine, or watery stools. The signs are usually related to non-excitatory physiological functions.
4. Heat Yang A heat pattern is manifested by signs of a red face, high fever, dislike of heat, dark urine, or constipation. The signs are usually related to excitatory physiological functions.
5. Deficiency Yin Signs of frail and weak movements, tiredness, shortness of breath, low voice, or dizziness show a deficiency pattern. The signs are usually related to lack of energy of normal functions.
6. Excess Yang An excess pattern exhibits signs of heavy movements, heavy and coarse respiration, or discomfort when touched with pressure. The signs are usually related to an excess/accumulation of evils/metabolic waste.
7. Yin Yin General pattern groups for Yin manifestations include interior, cold and deficiency patterns.
8. Yang Yang General pattern groups for Yang manifestations include exterior, heat and excess patterns.

Eight Principle Disharmony Patterns Table 2

Body Signs Yin Signs Yang Signs
Face Red face, fever, hot feeling, agitated and active way Pale face, low spirit, feels cold, cold limbs, tired and weak
Voice Coarse and strong voice, coarse breath, dry mouth, thirst Low voice, reduced appetite, no taste in mouth, little thirst
Urine Constipation with awkward smell, dark urine Copious and clear urine
Tongue Red and scarlet tongue or yellow and black moss present on tongue Pale and swollen tongue material
Pulse Rapid and floating, flooded and strong, slippery and full pulse Slow and sinking, weak, frail pulse

Yin and Yang signs in the body Table 3

In TCM, the universal treatment goal is to restore yin yang harmony.

The Therapeutic strategy requires replenishment of deficiencies and removal of excess.  When one aspect is excessive and the other is normal, treatment aims to clear away excess, and vice versa, replenishing deficiencies when one aspect is deficient while the other is normal.  However, if both are excessive and deficient simultaneously, both removal of excess and replenishment of deficiencies is required.

I'm-Yunity's Yang
I’m-Yunity’s Yang

Yang Excess

When yang is excess and yin is normal, this creates disharmony in the body, ex. A person with pneumonia (lung infection) may have high fever, red face, heavy respiration and a fast, full pulse.  The physiological signs such as the fever symptom are considered “heat” signals. Since yin aspect is still normal, the heat signals are an “excessive” type. The therapeutic strategy for this example would depend on cooling down “excessive heat” with “cold” herbs (nature of certain herbs that have yin properties). Once heat is removed, yin yang balance and health are resumed.

I'm-Yunity's Yin
I’m-Yunity’s Yin

Yin Deficiency

With yin deficiency, yang excess develops; resulting in” excessive heat”, called “virtual heat” (because it’s caused by yin deficiency, not yang excess).  In these cases, “cold” herbs aren’t effective here. Instead, nourishing herbs are utilized.  TCM also refers to yin deficiency as deficiency of yin fluid (blood and body fluids) without sufficient nourishment; excitatory functions become dominant, leading to symptoms of low-fever and night sweat.

Yin/Yang Harmony Signs Tongue Pulse
Excessive Heat Excessive Yang High and sustaining fever; thirst; abdominal distention and pain that intensifies with pressure, dark urine Think yellow moss; red tongue material Rapid and flooded; slippery and full
Virtual Heat Deficient Yin Low grade fever; dry mouth; hot feeling in palms; night sweat; thin appearance; malaise Little moss; red tongue material Rapid and thin
Excessive Cold Excessive Yin Cold limbs; fear of cold; abdominal pain that intensifies with pressure; constipation Pale tongue material; white thick and moist moss Sinking; tight or wiry
Virtual Cold Deficient Yang Cold limbs; fear of cold; abdominal pain and pressure relieves discomfort; frail and weak way; watery stool; copious and clear urine Pale or swollen tongue material Frail; sinking, slow and weak

Signs of Yin Yang disharmony patterns Table 4

It is very important to distinguish the disharmony pattern. Remember, both “virtual and excessive” heat has “heat” symptoms, yet they are different in their presentation.  Excessive heat leads to high fever & rapid, full pulse while virtual heat causes night fever & rapid, thin pulse.

Herbs and their yin properties are classified in TCM according to “nature” and “taste”.

Herbs Yin Yang
Nature Cold & Cool Hot & Warm
Taste Sour, bitter, & salty Sweet & Pungent
Properties Sinking and descending Floating & Ascending

Table 5

It is vital, that when choosing different herbal treatments in TCM, one must first name disharmony pattern before continuing to select herbs based on proper nature, taste and effect. By following these simple steps, TCM can help support the body’s balance and health.

Zang (Yin) Organs are TCM’s Material Basis of Immunology

The lungs, spleen, kidney, liver and heart, also called the five solid organs (yin), are at the core of immune activity.  These organs also make up the zang organs in Traditional Chinese Medicine.  In TCM, the zang organs are joined with the body’s tissues, organs (viscera), qi (invisible vital energy), meridians, blood & other body fluid as well to create a unity.

Zang organs are part of the overall dynamic energy process of the human body.  Healthy energy is closely related to its physiology activities.  Human beings can actually learn a lot from the zang organs.  Despite their individual functions, they team up and act as messengers. They are responsible for transportation and storage, excess and wastes, controlling of internal communication, activating bodily functions, and making important decisions.

Traditional Chinese Medicine defines healthy energy as body’s natural resistance against diseases and its recovery and repair ability.  These functions are linked to the physiological activities of the five zang organs. In this description, you can safely relate the zang organs to the similarity of the Chakra system.

Here is a break down the organs and their functions:

  1. Heart – to regulate yinyang heart

The heart controls and regulates blood flow throughout the body in vessels.   In Traditional Chinese Medicine, the heart is considered the chief administrator of all mental and physiological activities.  It rules the spirit (shen) which is an important aspect of mind or spirit in Chinese medicine; it refers to thought, state of consciousness or mental health. The heart influences the organs through the monarch-fire (it cooperates with the prime minister fire to promote the functional activities of the organs), also called the heart fire. The prime minister fire (a yang-energy that originates from the vital gate and which is stored in the liver, gallbladder and triple-burner) assists the heart to promote the functional activities of the other organs.

The heart also possesses our Western understanding of the brain’s role in regulating the nervous, cardiovascular and endocrine functions.  In addition, meridians are the pathways of qi and blood circulation, as well as the channels where the immune functions take effect, the triple burner, which is actually a collective term for the upper, middle and lower burner, (the upper burner is located above the diaphragm and includes the heart and lungs. The middle burner is located in the region above the belly button and below the diaphragm and includes the spleen and stomach. The lower burner is located below the belly button, and it includes the liver, kidneys, large intestine, small intestine and bladder)  directs the various types of qi, and they act as the channel stations for body fluids to circulate. They have an important effect on immune activities.

2. Liver – to maintain Milk Thistle Honeybee

According to TCM, the liver  is responsible for part of the functions of the endocrine, digestive, circulatory and immune systems. The liver promotes flowing and spreading movements; by stimulating flow, the liver adjusts and ensures the smooth flux of qi, blood and body fluids throughout the body. The Chinese believe emotional activity(The five yin organs of the human body produce five kinds of essential qi, which bring forth joy, anger, grief, worry, and fear) is an outer manifestation of the physiological status of the internal organ system, and is considered the major internal cause for diseases (endogenous evils in extreme conditions). Normal emotional health depends on the balance of qi and blood flow. Once the liver is flowing, diseases are kept out.

3. Kidneys – at the basis/root

Cistanche

TCM say the kidneys are the “congenital foundation of life”, the root of healthy energy. The stored kidney essence (jing) is the material basis for the entire body’s yin and yang (Yin yang theory is a kind of logic, which views things in relation to its whole and is based on two basic components: yin and yang, which are neither materials nor energy. They combine in a complementary manner and form a method for explaining relationships between objects) forces, which make the body’s physical form and functions, become balanced. The modern understanding of TCM kidneys not only regulates the urinary system, they also exercise control over the reproductive, hematological, endocrine and nervous systems. The kidneys work closely with the neural-endocrine immune regulating network.

4. Spleen – to promote

Western physiology defines the spleen as a large, vascular, lymphatic organ. TCM’s regard it as the “acquired foundation of life”; the source of blood and qi (vital energy) production. The spleen is a multi- functioning unit. It covers functions of the western anatomical spleen and pancreas and promotes activities of the digestive, endocrine, nervous and blood systems. The spleen governs transportation and transformation of body fluids and nutrient essences (also referred to as acquired essence, it is derived from foods and is necessary for the constitution of the human body and the maintenance of health and physical activities. It can be converted to essence, an essential substance needed for reproduction that is stored in the kidneys) and also controls blood flow. The spleen determines the abundance and depletion of healthy energy, assuring the body’s protection against diseases. spleen

5. Lungs – immune-barrier

The lungs administer qi (vital energy). They connect externally with the skin and hair and disseminate protective qi (kind of qi regulated by the lungs. It flows between the skin and the muscles in order to guard against invasion by exogenous evils) over the body’s surface. The lungs’ protective qi belongs to part of the healthy energy (zheng qi); because it forms the first barrier against the invasion of exogenous pathogens (Exogenous evils or environmental pathogens are the six natural climatic factors: wind, cold, summer-heat, dampness, dryness, and fire that represent the natural conditions within which all living things exist and are not harmful under normal conditions -  becoming pathogenic or disease factors when they are excessive or when sudden changes occur that cause an imbalance of yin and yang inside the body). Protective qi provides warmth and nourishment to the skin, subcutaneous tissues and muscles; it also regulates opening and closing of skin pores. When protective qi is abundant, muscles are smooth, skin is tender and subcutaneous tissues are firm. mullein  Verbascum thapsus

Traditional Chinese Medicine & the Immune System

Dictionary.com defines immunology as the branch of science dealing with the components of the immune system, immunity from disease, the immune response, and immunologic techniques of analysis. The early stages of this field focused on the non-infectious aspect, which in fact, is part of microbiology.  The rapid advancement of immunology expanded the study to autoimmune, allergy and immunodeficiency, basically becoming an individual science.

traditional_chinese_medicinecopyToday, in theory, our body’s self defense against various infections from bacteria, microbes, viruses, toxins and parasites, is the immune system. Normal functioning of the immune system maintains the  body’s health. The malfunctioning of the immune system results in disharmony within the body, giving rise to illness.

In the history of traditional Chinese medicine (TCM) plague was a common term used by the ancient Chinese to refer to infectious diseases affecting mass population.  TCM already knew about the theory and practice of immunology and infectious diseases from prior dynasties. TCM regards immunology as the “healthy energy“  which is the general defense mechanism against infectious diseases.

Since ancient times, TCM harnessed holistic approaches. It sees the human body as an organic whole. The correlations between the organs and tissues, as well as the human itself and its living environments, are organized according to specific orders, which create a mutual balance between each physiological function. This fundamental balance is the root of disease defense and health maintenance.

Every part of the body,  such as qi (vital energy), blood, body fluids, organs and the meridians has its own particular function. These combine to build up the body’s natural defense system and also bring out their protective strengths, mutually. TCM concepts affirm that the body’s natural resistance against diseases is  described as a flow of energy that circulates the entire body. This is called the healthy energy (zheng qi).

TCMSimilar to Western medicine, TCM also holds that the body has its own disease defense ability due to the existence of healthy energy (zheng qi).  In fact, The Book of Plain Questions states thatwhen healthy energy is well stored inside the body, no evils can cause interference. Whenever the evils are gathered inside, a deficiency of healthy energy must be present”. So basically, healthy energy is the body’s natural resistance against disease, and disease is seen as the result of the imbalance of healthy energy within us.
In Traditional Chinese Medicine, when healthy energy (zheng qi) is abundant, evil forces (disease and other imbalance) cannot prevail.

According to the  yin yang theory, the body’s yin and yang are regulated and adjusted continuously. Keeping yin and yang in balance, is an essential factor to channel normal life activities. Once this harmony is disturbed, disease will result.

Promoting the yin and yang harmony is the universal treatment goal of TCM. The overall therapeutic strategy is to replenish deficiencies and remove excesses of yin or yang. These approaches are usually focused on holistic regulation and possession of dual modulation effects; to remove excesses and replenish deficiencies, and are similar to Western medicine’s understanding of our body’s immune modulation effects.

Dual Modulation characteristic effects of TCM:yin-yang-symbol-blue-flare

  • TCM focuses on activating our own innate healing power; working mostly on the whole being, not just specific systems. Their healing powers are far beyond the physical level; they can also work on the level of qi (vital energy), which empowers us. Even when the body seems healthy and there are no visible or recognizable symptoms, our immune function can be affected by symptoms present within. According to TCM, herbal remedies can locate and regulate these imbalances even when they are not apparent to us.
  • TCM uses different modulation methods (to balance the process), for example adjusting the body’s yin and yang, qi (vital energy), blood or organ functions.  These methods can rehabilitate the body from a hyper-functioning state to a normal state or from an under-functioning level back to normal. TCM has unique theories categorizing the regulating properties into four actions; “to depress when stimulated”, “to rise when collapsed”, “to subdue when overwhelming” and “to nourish when deficient.”
  • Normal immune functions are enhanced and the internal pathogenic factors are eliminated with dual modulation effects. A complementary relationship is formed that reinforces healthy energy and repels evils.

All information and references are based on Integrated Chinese Holdings, Ltd (ICM) and affiliates.