Essence、Qi 、Blood and body fluids Lecturer: QU Hongyan 1 Objects Basic concepts Generation, functions and movement of qi Production, distribution and functions of blood Relationships among qi, blood, essence and body fluids 2 Essence In a broad sense, it refers to the basic material to form and sustain life activities of the human body. In a narrow sense, it refers to the kidney essence which is the basic material to promote the growth, development and reproductive function of the human body. 3 General term for innate essence and acquired essence Reproductive essence Visceral essence 4 Generation of essence From parents The embryo Essence From food The spleen and stomach Innate essence Acquired essence 5 Functions of essence Reproduction Growth and development Generating marrow and blood Nourishing the body 6 Metabolism of essence Supporting life reproduction Innate essence Essence Visceral essence Acquired essence generation storing Moistening and nourishing viscera discharging Transform qi, blood and spirit 7 Concept of qi Qi Qi is the vigorous and refined material and the most basic material to form and sustain life activities of the human body. concrete material Functional activities 8 Geneation of qi innate qi Qi food essence(▲) clear qi 氣 9 Movement of qi Ascending (e.g. spleen qi) Descending (e.g. stomach qi) Exiting Entering 10 Reversed flow of qi Qi stagnation Qi blockage Imbalance of qi movement Qi sinking Qi prostration 11 Functions of qi Promoting Warming Defending Consolidating Qi transformation 12 Classification and distribution of qi Inherited from Innate qi parents generated by Original qi Kidney essence Qi of the Pectoral qi whole body Acquired qi Clear qi Nutritive qi Visceral qi Meridian qi Food essence Defensive qi 13 Original qi Also known as primitive qi, it is the primary force of life activities. [Generation] Inherited from parents, stored in kidneys and nourished by acquired essence. [Functions] Promote growth and development of the human body, warming and stimulating viscera, meridians and constituents 14 Pectoral qi It is the qi accumulated inside the chest. [Generation] It is transformed from the food essence generated by the spleen and stomach and clear qi inhaled by the lung. [Functions] It governs the heart and lung and governs respiration and circulating blood and qi. 15 Blood Blood is the red fluid circulating inside vessels with functions of nourishing and moistening, and also the basic material to form and sustain life activities. 16 Generation of blood Blood is consist of nutritive qi and body fluid. The two sources of blood are food essence and kidney essence. 17 Clear qi Qi of spleen and stomach Food Food essence Lung qi Nutritive qi Body fluid Kidney essence Liver Heart qi Heart and vessels Blood Kidney qi marrow 18 Circulation of blood Blood circulate spread the whole body ceaselessly like an endless ring. There are two factors to ensure the circulation of blood. Integrated and smooth vasculature Viscera especially heart, liver, spleen, lung function normally 19 Functions of blood 1、Nourishing the whole body blood deficiency sallow complexion, dizziness, lusterless skin and hair, numb limbs, emaciation, etc. 2、Nourishing the mental activities blood deficiency palpitation, insomnia, dream-disturbed sleep, fidget and even coma. 20 Body fluids Body fluids are the general terms for all the normal water inside the human body. Jin (the clear part) Ye( the turbid part) 21 Relationship and differences between Jin and Ye Both generated from food by the spleen and stomach, iner-transformation。 Jin Diluted, highly fluid In the skin, muscles and orifices mositening Ye Dense, lower fluid Perfusing into viscera, joints and marrow Nourishing and lubricating 22 Metabolism of body fluids It refers to the complicated physiological process including generation, distribution of body fluids and discharge of left fluid and waste, which involves coordination of various visceral functions( especially spleen, lung and kidney.) 23 Generation Small intestine Spleen and Stomach’s digesting Large intestine Transporting and transforming, absorb water Body fluids Food Accepting and digesting food to separate the clear from the turbid 24 Distribution After generation, body fluids distribute inside the human body through cooperation among the spleen, lung, kidneys, liver and triple energizer. 25 Spleen qi send up the body fluids to the lung Lung governs dispersing and descending Triple energizer is the passage and liver regulates qi movement Transformation function of Kidney qi 26 Relationships among essence, qi, blood and body fluids 27 Relationship between essence and qi Essence generating qi Innate essence and acquired essence combine and distribute to viscera to nourish qi of viscera and promote generation of qi. Qi promoting essence generation Essence generation depends on transforming function of viscera. Sufficient qi of Spleen and stomach Normal and active digestion and absorption Food can transform into essence Qi consolidating essence 28 Relationship between essence and blood Essence can generate blood and blood generating essence, so it is said that homogeny of blood and essence. generates Blood Essence generates 29 Relationship between qi and blood Qi differences pertains to yang, active, with functions of warming and promoting Blood pertains to yin, still, with functions of nourishing and moistening same points Both originated from the food essence generated by spleen and stomach and essence stored in kidneys “the relationship usually generalized as qi being the general of blood and blood being the mother of qi 30 Affection of qi on blood Qi generating blood Qi transformation is the promotive force for blood generation Food and water Food essence Nutritive qi and body fluids Blood Movement and change of qi Qi circulating blood Qi consolidating blood 31 Affection of blood on qi Blood generating qi It means that blood can supplement qi of the human body, blood circulates in the whole body to supplement nutrition to visceral qi to maintain it in a vigorous state. Blood transporting qi It means that qi is inside blood and circulates inside human body depending on blood. Blood is the vehicle of qi. 32 Relationship between qi and body fluids Qi generating body fluids It means that qi transformation can promote generation of body fluids. Food essence Spleen and stomach Body fluids Promoting of qi and qi transformation Qi circulating body fluids Qi consolidating body fluids 33 Relationship between blood and body fluids Body fluids and blood share the same source. Blood Permeates out vessels Permeate into tertiary vessels Body fluids 34 35