Chinese Medicine – Five Phase Theory and application
Interrelationships of Organs
Each organ interrelates with a number of other organs.
This article shows the reader how to understand these different relationships. Please refer to the table at the end of the article.
For each organ in the body list all of its yin and yang partners and complete the following for each.
Similar function
Organ proximity
Channel Proximity
5 Element – Sheng Cycle relationship
Mother and son relationship
5 Element Ko cycle relationship
5 Element – Reverse Ko Cycle relationship
Organs, their Qi type and Organ Partners
| Organ |
Qi |
Partners |
| |
|
|
| Heart, H |
Yin |
KID, SI |
| Small Intestine, SI |
Yang |
H, BL |
| Bladder, BL |
Yang |
KID, SI |
| Kidney, KID |
Yin |
H, BL |
| Pericardium, P |
Yin |
LIV, SJ |
| Sanjiao, SJ |
Yang |
P, GB |
| Gall Bladder, GB |
Yang |
LIV, SJ |
| Liver, LIV |
Yin |
P, GB |
| Lungs, L |
Yin |
SP, LI |
| Large Intestine, LI |
Yang |
L, ST |
| Stomach, ST |
Yang |
SP, LI |
| Spleen, SP |
Yin |
L, ST |
Organs with a similar function.
|
Filters Blood
|
Liver |
Kidney |
Lung |
|
|
Secretes & Makes Fluids
|
Gall Bladder |
Liver |
Spleen |
Stomach |
|
Excretes Waste
|
Large Intestine |
Bladder |
|
|
|
Nutrient Absorption
|
Small Intestine |
Kidneys |
Liver |
|
|
Physical Organ Proximity
Lungs - both sides of thorax
Liver, Gall Bladder – right thorax, at lower half of right lung
Spleen – left thorax
Stomach – just left of centre thorax
Small Intestine – centre of abdomen
Large Intestine – square pattern over entire abdomen - ascends from Small intestine on right abdomen, moves across abdomen to left, descends, moves to right at sigmoid and descends to anus.
Heart/Pericardium – centre of chest
Bladder – lower, centre of abdomen
Kidneys – centre, right and left just under floating rib approximately in the L2 area
Sanjiao – not an organ but a convention of expression for three functions of the torso area – upper, middle and lower torso.
Channel Proximity
Arms
Anterior – Lungs/lateral, Pericardium/centre, Heart/medial. Similar pathways from chest to fingertips.
Posterior – Sanjiao, Small Intestine/posterior & medial, Large Intestine/lateral.
Legs
Stomach - Anterior, anterior torso and head
Gall Bladder - Lateral and posterior torso and head
Spleen - Lateral and anterior torso
KIdney, Liver - Medial and anterior torso
Bladder - Posterior and Posterior torso
Five phase Analysis – the Sheng, Ko, Reverse Sheng and Reverse Ko Cycles
Sheng Cycle [Phase] (Mother nourishes son) – Generating, produces, strengthens, nourishes, feeds, engenders
Therapeutic when path is yin-yin or yang-yang – see Element/ Organ Qi in table.
Ko Cycle [Phase] (Grandmother restrains grandson) – Controls, dominates, destroys, restrains, weakens
Therapeutic when path is yin-yang or yang-yin.
In both Sheng and Ko cycles or phases, alternative paths are pathologic. Organs are either yin or yang within a phase and the yang organs link together to form a circuit as do the yin organs.
An organ with an issue within a phase( Sheng or Ko) can be rebalanced through the complementary organ in the same phase or through an organ in another phase but in the same circuit (yin or yang).
Balancing – refer to the table.
Balancing Yin Element
Example 1 - Sheng Phase(yin-yin) – if there is a liver issue where liver is in deficiency then balance liver with heart.
Example 2 - Ko Phase(yin-yang) – if there is a liver issue where liver is in deficiency then balance Liver with Stomach.
Balancing Yang Element
Example 1 – Sheng Phase(yang-yang) – for a Gallbladder issue balance Gallbladder with Small Intestine.
Example 2 – Ko Phase(yang-yin) – for a Gallbladder issue balance Gallbladder with Spleen.
Clinical example: Numbness in the leg - treat Liv 3 and GB 34 (Ko phase energetic balance, yin-yang) and also in the same treatment needling ST36 (but not a spleen point, as this would contravene therapy rules - Sheng phase energetics, yin-yin).
In five phase theory the focus is on maintaining energy distribution. Any excess or any stagnation is interpreted as a blockage of energy flow and needs treatment – this can be said to be the focus of acupuncture.
Case Studies - fictional and open to interpretation
1. Robert has been diagnosed with hepatitis. According to the liver organ interrelationships, what could
go wrong with the other organs in the body as a result of hepatitis and why?
Response: Weakened Liver causes Heart/Pericardium to behave in excess yin causing yang partner Small intestine to go into excess yang. Low Liver yin causes excess Liver yang flaring into the Heart and manifesting in the tongue as a red spot on the front of the tongue and in the throat as obstruction. The mother, Kidney will go into excess yang affecting the Bladder channel resulting in either lumbar pain or sciatica.
2. Joanne comes into your clinic and informs you she has Polycystic Ovary Syndrome. The Chinese might view this as a kidney imbalance since the kidneys govern the reproductive system.
According to your Kidney organ interrelationships, what could go wrong with the other organs in the body as a result of Polycystic Ovary Syndrome, and why?
Response: The Kidney yin will go low causing the Bladder Channel to balance with excess yang. However, the Ko cycle relativity will likely result in a Spleen/ Stomach imbalance resulting in digestive disorders. Lung will go into excess yin to try to balance energy which may result in extra disorders and Bladder disorders.
3. Peter has been diagnosed with Diabetes, a Pancreas disorder. In TCM the Spleen is the organ that represents the Pancreas.
According to your Spleen organ interrelationships, what could go wrong with the other organs in the body as a result of Diabetes, and why?
Response: Spleen function is impaired. Heart/Pericardium tends to balance, resulting in Liver/Gall Bladder problems. Gall Bladder attack is likely and could occur. Lung function is impaired with shortness of breath.
4. Jim has been getting treatment for Heartburn and Acid Reflux, a Stomach complaint in TCM.
According to you Stomach organ interrelationships, what could go wrong with the other organs in the body as a result of Heartburn and Acid Reflux, and why?
Response: Stomach(yang excess) produces too much acid. Puts pressure on the Pancreas to adjust Small Intestine pH and affects LI function probably resulting in loose stools.
5. Urinary Tract Infections are often caused by Urinary Bladder problems.
According to your Urinary Bladder organ interrelationships, what could go wrong with the other organs in the body as a result of Urinary Tract Infections, and why?
Response: Bladder yang is affected going low, resulting in excess Kidney yin to compensate. The excess salts delivered by Kidney imbalance causes burn at urethra. Lungs will be damp and mucus results in cough.
6. Cholecystitis is inflammation of the Gall Bladder.
According to your Gall Bladder organ interrelationships, what could go wrong with the other organs in the body as a result of Cholecystitis, and why?
Response: Gall Bladder dysfunction results in bile blockage causing fats to pass into Small Intestine results in bowel sluggishness and constipation due to compromised bowel.
7. A friend of yours has come back from trekking through the Nepalese Mountains. She has not eaten well because she was worried about gastrointestinal problems. As a result she has developed Malabsorption. In her case it is due to a Small Intestine imbalance.
According to your Small Intestine organ interrelationships, what could go wrong with other organs in the body as a result of Malabsorption, and why?
Response: Small Intestine will lose yang resulting in deficiency of nutrients and perhaps lower water reabsorption causing diarrhoea.
8. Paul has been getting treatment for Diverticulitis (a Large Intestine complaint).
According to your Large Intestine organ interrelationships, what could go wrong with the other organs in the body as a result of Diverticulitis, and why?
Response: Diverticulitis can result in bleeding and inflammation of the sigmoid. Inflammation translates to low Large Intestine yang resulting in increased Lung yin to compensate. Dampness could result with mucousy cough.
9. A patient of yours is recovering from Pneumonia (a Lung complaint).
According to your Lung organ interrelationships, what could go wrong with the other organs in the body as a result of Pneumonia, and why?
Response: Results in lowered Lung yin (increased yang) causing inflammation and mucus. Stomach and Kidneys are affected as impaired function.
10. A patient of yours has a Heart rhythm problem called Tachycardia.
According to your Heart organ interrelationships, what could go wrong with the other organs in the body as a result of Tachycardia, and why?
Response: Impaired Heart function results in low yin, high yang causing the abnormal ryhythm. The Liver yin is affected causing impair Liver function. However the cause is due to the Ko cycle organ/Lung. Due to stress and shallow breathing, the body is not removing toxins correctly, high cortisol levels result in adrenal overload (high levels of adrenalin) mostly likely causing the Tachycardia. Bring Lung into balance by regulated breathing to metabolise cortisol and a cure is likely.
What does this mean for my health
Qi energetics seem confusing. However if the relationships in the table at the end of this article are followed and with practice, the therapeutic manifestations will result in benefits for the patient (and for the practitioner). It’s perhaps not easy, at first, trying to come to grips with five phase theory, however the practitioner can take the therapy to wherever they wish – there are many possibilities for treatment.
Consider also the added strength of mixing modalities, such as acupuncture and moxibustion.
Another case study
I recently treated a person with a fungal skin condition – it seems they were wearing a synthetic garment which contributed to the favourable conditions for the fungus to develop. The affected area was about 100mm in diameter at the side of the neck/shoulder. The area was red and slightly blistery in appearance. Moxa was used over the area in a grid pattern – regular moxa was used and the stick was only moved to the next point about 25mm away when the patient called ‘hot’. Thirty minutes after treatment (which lasted about 10 minutes) the patient felt a vast change to the area – there was no more pain or sensitivity from the blistering.
Helpful hints for health
I always like to support treatment with my own brand of Q10 (CoQ10Sport) which I developed a few years ago. As the formula contains lipoic acid, I have found that any nerve related issue (and there are many of those) is quickly dampened to result in mitigation of pain and improved healing. Lipoic acid strengthens the body’s antioxidant, glutathione and all these antioxidants are very important in helping the body to recover through improved energy generation which speeds healing – mix your modalities!
Healing is a process of energy flow. I developed CoQ10Sport to help a family member recover after cancer a few years ago – she never lost energy and recovered rapidly after the removal of the small lump without added chemotherapy or radiation. I believe in a natural and holistic approach to healing and found that a combination of my invention (CoQ10Sport), Reiki, Acupuncture, Moxibustion, regular exercise and a diet rich in raw and fresh vegetables brings about health.
It is important to keep the body oxygenated to stay healthy. Ozonated water made fresh in your home gives you clean and oxygenated water – ozone breaks down quickly to oxygen but it rapidly destroys toxins while it is active – it only takes a minute.
Alternatively, if you have a small aquarium air pump and filter stone , just place this in a jug of cold water – the colder the water the more oxygen it will hold – the same applied to ozone.
To prevent ill health I recommend the above approach. Stay away from the temptations of chocolate, sugars, meats, alcohol and caffeine in its various forms in coffee, tea and processed drinks and good health must follow. Health starts with a good diet and good digestion – try taking one teaspoonful of apple cider vinegar in water just before a meal to improve digestion – you should notice an unusual ease after the meal. The acetic acid in the vinegar stimulates the stomachs acid production and the water gives the bolus of food an added digestibility whereas with a dry meal the fluid of digestion must be drawn from the blood resulting in dehydration and subsequent indigestion.
Ron Campeanu MRACI Chartered Chemist
References
The Foundations of Chinese Medicine, Maciocia, G, Churchill Livingstone
Chinese Philosophy, Workbook, Australian Institute for Applied Science
Chinese Philosophy, Chinese Clock
Five Phase I Ching – Sheng and Ko Cycles, http://members.iimetro.com.au/~lofting/myweb.icfiveA.html
Five Element Acupuncture, Theory and clinical applications, Yin Yang house, http://yinyanghouse.com/theory/chinese/five_element_acupuncture_theory
Table
Five Phase – Element and Phase( cycle) interrelationships
5 Element – Sheng Cycle relationship
Mother and son relationship
5 Element Ko cycle relationship
5 Element – Reverse Ko Cycle relationship
Organs, their Qi type and Organ partners
|
Element
|
Yin Qi Organ
|
Yang Qi Organ
|
Mother
|
Son
|
Sheng phase
|
Ko phase
|
Reverse Sheng
|
Reverse Ko
|
Reinforces
|
|
Wood
|
Liver
|
Gall Bladder
|
Water
|
Fire
|
Fire
|
Earth
|
Water
|
Metal
|
Wood
|
|
Fire
|
Heart/Per
|
Small Intestine
|
Wood
|
Earth
|
Earth
|
Metal
|
Wood
|
Water
|
Fire
|
|
Earth
|
Spleen
|
Stomach
|
Fire
|
Metal
|
Metal
|
Water
|
Fire
|
Wood
|
Earth
|
|
Metal
|
Lungs
|
Large Intestine
|
Earth
|
Water
|
Water
|
Wood
|
Earth
|
Fire
|
Metal
|
|
Water
|
Kidneys
|
Bladder
|
Metal
|
Wood
|
Wood
|
Fire
|
Metal
|
Earth
|
Water
|
Authors note on this table Sheng and Ko phases may be yin or yang within the phase. When calculating relationships to the primary element use either the yin organ or the yang organ. eg starting with Yin Qi Organ: liver/heart Ko: Liver/Stomach eg LIV3, ST36 (yin-yang) and Reverse Sheng: Liver/Kidneys Reverse Ko: Liver/Large Intestine eg 4 gates, LIV3,LI4 (yin-yang). Ko cycle is therapeutic when yin-yang, see below.
Sheng Cycle [Phase] (Mother nourishes son) – Generating, produces, strengthens, nourishes, feeds, engenders
Therapeutic when path is yin-yin or yang yang – see Element/ Organ Qi in table.
Example: Wood is mother to Fire. Fire is mother to Earth etc.
Authors note: Strictly speaking, this hould be termed either Mother/daughter or Father/son to keep it in line with correct Qi cycle energetics such as yin-yin and yang-yang respectively. The energetics must be of the same type, yin-yin or yang-yang but not a mixture eg yin-yang.
Ko Cycle [Phase] (Grandmother restrains grandson) – Controls, dominates, destroys, restrains, weakens
Therapeutic when path is yin-yang or yang-yin.
Example: Wood is Grandmother to Earth( grandson). Fire is grandmother to Metal. This is termed correctly as Grandmother/grandson, yin-yang or yang-yin depending on the starting reference for the Qi Organ circuit eg Yin or Yang Qi Organ Circuit as in the table, columns 2 and 3.
Thank you for your interest in my work - Ron Campeanu
Ron Campeanu - Industrial Chemist, studying an Advanced Diploma in Acupuncture, designed the Q10Sport formula in 2003 in Australia. It is a Listed Medicine and a very potent energy formula. Actives are naturally occuring in the body. The formula helps rebuild cells to allow the body more energy capacity when needed - in times of stress, training, work.
For more information please visit the website at http://www.realhealthproducts.com where you can read more information in the various health blogs.