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
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
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.





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