Five Elements Theory

Five Elements Theory

The ancient Chinese used to use the yin yang logic to explain the constant transformation and change throughout the universe, but later adapted the interpretations to a new theory called the five elements theory.  Various processes, functions and phenomena of nature defined the new theory.  It asserts “substances can be divided into one of five basic elements: wood, fire, water, metal and earth, which contain their own specific characteristics and properties” says Shen-Nong. The original yin yang theory has a very closely connected relationship to the five elements theory.  The ancient Chinese medical philosophers these two complementary theories into their practices and created a formalized system of medicine called TCM.

Table 1The Five Elements, their Relationships with Nature and the Body

Wood Fire Earth Metal Water
Orientation East South Middle West North
Season Spring Summer Late Summer Autumn Cold
Climate Wind Summer Heat Dampness Dryness Winter
Cultivation Germinate Grow Transform Reap Store
Yin Organ Liver Heart Spleen Lung Kidney
Yang Organ Gall Bladder Small Intestine Stomach Large Intestine Bladder
Orifice Eye Tongue Mouth Nose Ear
Tissue Tendons Vessels Muscle Skin & Hair Bones
Emotion Anger Joy Pensiveness Grief Fear
Color Blue/Green Red Yellow White Black
Taste Sour Bitter Sweet Pungent Salty
Voice Shout Laugh Sing Cry Groan

The different vertical characteristics belong to the same element, and horizontally each characteristic interacts with another according to a specific order and element. Working within this system of thought, everything has a correlation in nature.

No pay attention, I really don’t want to lose you.  It gets kind of tricky here.  Wood, Fire, Earth, Metal and Water are not isolated, but instead work close together with their individual patterns and internal orders.  The rule that governs the five elements includes a mutual generation cycle, a mutual restriction cycle, over restriction, reverse restriction and balance between generation and restriction.

Mutual generation explains how the elements create each other. Wood burns, making fire, fire produces ash, creating earth;  earth contains mineral which metal is mined and extracted from;  heating and cooling metal forms water droplets as a result of condensation, thus, metal creates water. Water promotes growth of trees, which are wood. The cycle continues, giving rise to change and transformation.

Five Elements Fig1-2

In Chinese, the word “generate” translate to “sheng”, which also means to create, promote, nurture, support and enhance. This “generation” can also be applied to the human body as well, and is sometimes referred to the mother-child relationship (only a mother can give birth to a baby), ex. Fire is the mother of Earth because Fire creates Earth.  In the human body, the heart (fire element) is the mother of the spleen (earth element) because the heart supports and promotes spleen function.

Mutual restriction explains the manner in which the elements restrict and control one another. Wood breaks up soil and depletes Earth’s nutrients, thus controlling Earth; Earth mostly Water and as dam, prevents flooding, Earth controls Water; Water extinguishes Fire, controlling its spread; Fire controls Metal by melting it; Metal molds into an axe which cuts Wood into pieces, thus controlling wood, and so forth and so forth only to provide an opposite force to balance the generative power. The generation and restriction properties of the five elements hold each other in check, preventing over-functioning.

Five Elements Fig 3-4

Over-restriction in Chinese is “ke” meaning inhibition or winning over.  In Nature, Wood controls Earth. In the human body, the liver (a wood element) controls the spleen (an earth element) and inhibits its functions in a balanced manner; becoming excessive will result in over-restriction of spleen function causing an imbalance in the body. This is because an excessive liver function produces fire, which in turns affects the smooth flow of qi; without good qi flow to start, the spleen cannot successfully transform food into more qi.

Naturally, if an enemy is too strong, then the “controller” itself, becomes the “controlee”, a reverse manner (insufficient original restriction), for example, when Wood is too strong and the controlling element, the ax (Metal element) is dull; it cannot sufficiently penetrate the Wood. This ill combination can even result in the ax breaking due to the rebound force from chopping the Wood. This example illustrates reverse-restriction because Wood restricts Metal, instead of the original (intended) way. In the body, excessive spleen function produce heat and dampness; not sufficient enough release in the body, in which this constrained, moist heat will in turn heat the liver and gall bladder, leaving gall bladder unable to regulate bile secretion; causing disease.

For a balance between generation & restriction, “the mechanism of creation cannot do without promotion, neither can it do without control; if there is no promotion, there will be no control. The unbalanced excitement will be harmful. It is necessary to have control inside promotion to have inside control, so that everything can operate continuously; in both a complementary and opposite way’, said Zhang JingYae (1563-1640 AD), a famous TCM physician.

This balance is vital for normal transformation of the five elements; each under the influence of the others in some form. Wood generates Fire and Water generates Wood (grows the trees), while Wood inhibits the Earth and in turn, inhibited by Metal; as the five elements establish an intricate homeostasis. The five elements theory is a very successful health maintenance strategy, used for thousands years in TCM.

Five Elements Fig 5

Phenomena, occurring naturally throughout the world, are grouped according to their properties, functions, and appearances in relation to the five elements, however, correlation can be made amongst the group.

Using Wood, as an example,  we can relate its many relationships to those of the body. In spring, Wood is in season, the climate is warm, windy, young grass sprouts pierce the soil; trees begin to germinate and grow. The visual spectrum is now shades of green, all characteristics of Wood element, yet in a synergistic way. In the body, the liver (Wood element) is responsible for spreading and ensuring smooth qi flow, referred to as “sprinkling”, in Chinese terminology. Much like germination of grass, liver needs to be soft, light and gentle for a desirable healthy state. It physiologically and functionally relates to the eyes and gall bladder (jaundice – caused by gall bladder obstruction/liver malfunction with yellow eyes).

Wood
Orientation East
Season Spring
Climate Wind
Cultivation Germinate
Yin Organ Liver
Yang Organ Gall Bladder
Orifice Eye
Tissue Tendons
Emotion Anger
Color Blue/Green
Taste Sour
Voice Shout

Diagnostic & Therapeutic applications in the kidney (Water element), which much like its controlee; the kidney supports birth, development, and maturation in humans. Storage of “jing”(substance essential for reproduction, development and maturation, as well as, provide vitality for performing daily life activities, which is the kidney’s main function; know as the “root of life”, and hence the reason it is considered the body’s center in yin yang theory. As a Water element, the kidneys control water, so disharmony of water in the body can be related to disharmony of the kidneys; including hearing disorders, like deafness, appear in the elderly who are kidney deficient. Kidneys are connected to ears and all Water elements.

Water
Orientation North
Season Cold
Climate Winter
Cultivation Store
Yin Organ Kidney
Yang Organ Bladder
Orifice Ear
Tissue Bones
Emotion Fear
Color Black
Taste Salty
Voice Groan

&

Diagnostic & Therapeutic application in the liver (Wood element) controls flow of qi; a person with angry emotions; liver will be affected and disharmony of the liver can manifest as a shady green shade on the face; also connected to the eyes, as with some types of dizziness and eye disorders, at least from a TCM view point.

Wood
Orientation East
Season Spring
Climate Wind
Cultivation Germinate
Yin Organ Liver
Yang Organ Gall Bladder
Orifice Eye
Tissue Tendons
Emotion Anger
Color Blue/Green
Taste Sour
Voice Shout

Living a healthy lifestyle with the five elements play a vital role in maintaining a balanced lifestyle, as with the seasons; during spring (Wood element) we should avoid excessive anger in order to stay healthy; in winter (Water element)our bodies rather store energy, which makes resting very important – hence going to bed earlier during DST.  The trick is to understand the relationship between the elements to achieve a harmonious balance in nature and in life.

6 Evils and 7 Emotions to Blame for Diseases.

6 Evils & 7 Emotions, Oh my!

In Chinese medicine, the belief is that the organs & tissues, as well as the body and its natural environment are connected by an opposite attraction, and a united one.  This dynamic balance, in its perfect state, maintains the health of our bodies.  It regulates our immune system.  Once this balance is broken, or disturbed for whatever reason, it results in disease.  This is called etiological or causal factors.

Western medicine contributes physical factors for the cause of disease, such as bacteria and viruses, chemical factors, etc (foreign invaders). The Chinese, however view these symptoms of disease as factors caused by the weakened state of (affected) organ, rendering it unable to fight foreign invasions.  Destroying the foreign threat will eliminate the symptoms, yet qi (vital energy) is not sufficiently restored; without properly treating the cause (of disease), it will inevitably return.  This follows the yin-yang and five elements principles.

In TCM, external cosmological causes of diseases are called evils, and are ruled the four seasons r& climate, as the internal government is ruled by our emotions; seven to be exact; responses to different situations, and affect everyone in various ways.

The six climatic evils are Wind, Cold, Summer Heat, Dampness, Dryness and Fire; with infective features

Table 1

6 evil illustration

Unusual weather conditions are to blame for disease brought on by the six evils, as so much as the body is prepared for its current climatic environment only to be suddenly exposed to opposite climatic force.  Influenza, for example, is dominant during conditions such as cold-spells during mid-Summer weeks.

Pestilential evil is the reason TCM learnt about epidemic diseases earlier than other practices of medicine; as earlier as ancient times to be exact.  These infective, highly contagious factors attack during extreme temperatures and environmental aspects such as droughts, floods, high-heat or pollution.  Pestilential evils are considered high intensity epidemics.

Summarizing 6 Evils

  • Related to seasons and working environment – Wind diseases in Spring, Summer-heat disease in Summer, Damp disease in late Summer & early Fall, & Cold disease in Winter
  • Evils can work alone or in two or more combination when attacking the body – Wind-Cold type, Damp-heat diarrhea, Wind-Cold-Damp blockages
  • While causing disease, any evil can transform to another under certain conditions – Cold evil enters body (orally) and then transforms to a heat evil; long persisting summer-heat with dampness can be transformed into dryness evil
  • Six evils can enter body through spaces in skin and muscle or nose and mouth.

Table 2

Evil Element Season
Wind Wood Spring
Cold Water Winter
Summer-heat Fire Summer
Dampness Earth Late Summer
Dryness Metal Autumn

The seven emotions (Joy, Anger, Anxiety, Pensiveness, Grief, Fear & Fright); are considered the major internal cause of disease, according to TCM.

Powerful emotions are uncontrollable, which then overwhelms or possesses a person, causing serious injury to internal organs, paving the way for foreign evil invasion (disease).  Emotional activities are viewed as normal, internal, physiological response to stimuli from external environment.  Within stable range, emotions cannot cause disease or weaknesses.  It is not so much the intensity of the emotion, but rather the prolonged experience or an extreme emotion which causes damage.

While Western practitioners contribute this fact to psychological aspects of psychometric aliments, the extreme damage to internal organs definitely exists and has been a primary concern amongst TCM practitioners.

E motional activity in excess causes severe yin-yang energy imbalance, uncontrolled aberrations in blood flow, blockage of qi (vital energy) in the meridians and impairment of vital organ functions.  Once physical damage sets in, it is useless to eliminate the offending emotion at this point. The prolonged emotional stress will also require physical action.

Joy Anger Anxiety Pensiveness Grief Fear Fright

Joy

Joy – Excessive joyfulness  exerts spirit & it then scatters because it can no longer be stored, according to the Lingshu (The Vital Axis), but TCM defines joy as an “over excitement” vs. the more passive approach to “deep contentment”.   The heart organ is most affected by over stimulation of heart-fire, and can be shown in agitation, insomnia, and palpitations.

angerAnger – Encases full range of associated emotions, including irritability, resentment, and frustration.  Excess of rich blood makes one prone to anger, affecting the liver; resulting in stagnation of liver qi, which then rises to head, causing headaches and dizziness, stomach and spleen problems, and let’s not forget high blood pressure.

anxiety

Anxiety – qi is blocked and stagnant, which affects the lungs, which controls qi through breathing.  Suffers can experience retention of breath, shallow, irregular breathing.  This can also harm the large intestines.

Inner Peace

Pensiveness – Concentration, over-thinking, or excessive mental and intellectual stimulation, is the TCM definition. This emotion runs risks of causing disharmony. The spleen is mostly affected and results in lethargy, fatigue, and an inability to concentrate.

sadness-sorrow-grief

Grief – The lungs are directly involved in this emotion. Sobbing (crying) that originates in depth of lungs, with deep breathes and expulsion of air; usually unresolved grief and will cause chronic disharmony in lungs, and also weakens qi.  Lungs will then be unable to circulate qi around body.

fearFear – Chronic fear, especially those that cannot be directly addressed, will lead to disharmony of kidneys.  Extreme fright makes kidneys unable to store qi (impaired), and leads to involuntary urination.

fear-terror

Fright – This emotion is distinguished from fear by its sudden, unexpected nature.  The heart organ is primarily the recipient of this disharmony.  Especially during the initial stages of fright; persistent fright becomes conscious fear and then moves to kidneys.

Table 3

Joy Heart
Fear (Fright) Kidney (also heart)
Grief (Anxiety) Lungs
Pensiveness Spleen
Anger Liver


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.