Early prediction of chronic disease by periodic change of Season | 2018/11/05 20:29

Early prediction of chronic disease by periodic change of Season

Traditional Chinese Medicine

Acupuncture, moxibustion and mathematics

Nasser Tabesh. MD DTCM

1. To detect the conditions of the deep region by observing the superficial regions. These points to an interaction between the internal and external conditions of the human body, which is like a drum responding to beating, the echo produced by sound, or the shadow resembling its object.

2. A hot disease that remains hot after having been treated with cold herbs should be treated by toning up Yin. A cold disease that remains cold after being treated with hot herbs should be treated by toning up Yang. This is to treat a disease by reference to its Yin and Yang condition.

3. In treating a patient the physician should regulate energy and blood of his body by reference to cold and warm climate, to the full moon and the crescent moon, to floating and sinking energies, and according to the Yin and Yang rising and setting of the body.


Description: table

Single organ system failure

4- When the liver is diseased it will naturally recover in the summer.

Click on Picture to see Tabesh’s rotating angle

5. The worst time of liver disease is in the autumn because the lung attacks the liver.

6. The best time to treat the liver is in the winter; strengthen the mother kidney to built up the son liver.

7. The best time to balance the Yin and Yan of the liver is in the late summer, before it gets worse in the autumn, the lung attacks the liver.

8. When the heart is diseased, it will naturally recover in the late summer.

9. The worst time of heart disease is in the winter, because the kidney attacks the heart.

10. The best time to treat heart disease is in the spring, strengthen the mother liver to build up the son heart.

11. The best time to balance the yin and yan of the heart is in the fall, before it gets worse in the winter, the kidney attacks the heart.

12. When the spleen is diseased, it will naturally recover in the autumn.

13. The worst time of spleen disease is in the spring, because the liver attacks the spleen.

14. The best time to treat spleen disease is in the summer; strengthen the mother heart to build up the son, spleen.

15. The best time to balance the yin and yan of the spleen is in the winter, before it gets worse in the spring, the liver attacks the spleen.

16. When the lung is diseased, it will naturally recover in the winter.

17. The worst time of lung disease is in the summer, because the heart attacks the lung.

18. The best time to treat lung disease is in the late summer, strengthen the mother spleen to support the son lung.

19. The best time to balance the yin and yan of the lung is in the spring, before it get wores in the summer, the heart attacks the lung.

20. When the kidney is diseased it will naturally recover in the spring.

21. The worst time of kidney disease is in the late summer, because the spleen attacks the kidney.

22. The best time to treat kidney disease is in the fall, strengthen the mother lung to support the kidney son.

23. The best time to balance the yin and yan of the kidney is in the summer, before it gets worse in the late summer, the spleen attacks the kidney.

24. Treat the disease is only to treat the branch, balance the and of the body is to treat the root, stop any recurrence of the disease.

25. We can treat chronic disease and fully recover after only year with the exception of the last stage of any chronic disease, because we know how to choose the best time to treat the disease and balance the and of the body as well.

A Great secret in Treatment of Organs Disease 2010 MAR 21 Vancouver BC CANADA

Nasser Tabesh MD DTCM

Early prediction of chronic diseases according to periodic change of seasons

Problem 1

Turn the Tabesh’s Rotating Angle TRA inside the 5Element circle and give the correct answer to the following questions.

1- In which season the liver diseases should be adjusted with Acupuncture otherwise they become worse in future?

2- In which season symptoms of the liver diseases disappears not entirely, so that the patient thinks he / she is cured?

3- In which season the liver diseases could get worse and the patient may die?

4- Which season is the right time for treatment of liver diseases with acupuncture and/or herbal formula?


1-In which season the Lung diseases should be adjusted with Acupuncture or herbal formula otherwise it become worse in future?

2- In which season symptom of the LUNG diseases disappears not entirely, so that the patient and doctor think he / she is cured?

3-In which season the Lung diseases could get worse or patient may die?

4-Which season is the right time for treatment of lung diseases with acupuncture and herbal formula or Antibiotics for example?


Figure3: Graph of yan and yin

Equation of yan and yin is: yin×yan=1

1-Which point is yin deficiency with constipation, dryness of skin and eyes, insomnia, hot flash nervousness?

2-which point is yan deficiency with chill cold extremities, more sleep and low energy?

3- Which point on the line equation y=ax is the healthy point? a=tan45°=1

Do you remember in which season your last patient died?


Usually urinary fistula after a surgery doesn’t need treatment.

Hundreds of different antibiotics oral or parental couldn’t be useful for treatment of a simple cutaneous urinary fistula after a urinary surgery.

This problem disappeared in fall spontaneously when patient was at home and all his treatments have been stopped. This is due to the fact that: autumn is the season of urinary system treatment.

As you can see autumn is mother of winter (mother of Kidney). For this reason we suggest that every treatment is in the mother of the diseased organ.

Do you think it’s only the prescribed medication that cures the patient, when it can be concluded from above that, diseases are cured in a specific season.

Liver is mother of Heart and spleen is son of the Heart.

Heart has tachycardia (a simple problem). For example to treat tachycardia the son of Heart should be needled.

Another example is when heart has beradicardia. For treatment, the mother of the heart should be needled which means liver.

For tonify, the mother should be needled, and for reducing the son should be needled.

The result: Treatment in a single organ system failure is just in the mother of that organ, or sometimes son of that organ.

The fact of TCM, mathematics and time in astrology for treatment.

Diseases and treatment depend on which point of Earth Orbit we are at.

Human being is on the earth at a point of a triangle with sun, earth and moon.

Every second each of these three angles changes; however, all three angles are always 180.


As you see the solid organs are above and the hollow organs are below

The numerators are all solid organs.

The solid organs secrete, whereas the hollow organs receive and store or use.

For example the liver secrets bill and gall bladder receive bill, store and use.

Kidney secret urine and bladder receive urine and store

The spleen here means pancreas, spleen and duodenal.

Lung Liver Kidney spleen heart are solid organs

Small intestinal large intestinal stomach, bladder gallbladder are hollow organs

In china there are 5 season in a year.



This triangle only in a short period of time becomes a right triangle in each 24 hours.

This triangle only in a short period of time becomes a right triangle in each of 5 seasons.

In right triangle, all the body organs become balanced.

This means a special failure organs system becomes either better or worse.

Diseases of an organ change like a heart disease which temporary

Becomes better and then worse then the next season should be treat

The treatment will not effective if season of treatment passes.


When the ABC triangles become a right angle all the trigonometric equations in here become functional.


These equations are between sun, earth and moon.

?. When the angle C goes towards 90° the patient become well

?. When it passes from 90° the patient become worse, in this rotating if the patient died then nothing if he or she stays alive the next season is the best time for treatment (cure).

So you see that even treatment has a special time for itself.

Have you ever been sick for months then the alignment disappears spontaneously.

When you getting cold in the first day is it situation like the forth days of catching cold?

Diseases change all the time in the special seasons months and even day or night.

The baby can have higher intelligent when he/she is conceived at the full moon in yan yin means after 12 mid night. Therefore a baby that is not conceived at the full moon (crescent) might not be as intelligent.

In the full moon bodies are strong.

In the crescent bodies are weak and ailments.


???- From 12 Midnight until 6 morning is yan yin ( yan is young and strong) because it’s beginning of cycle.

?- From 6 morning until noon situation is yan yan both are yan but none of them are young.

?- From 12 noon until 6 evening situation is yin yan not good yet.

?- From 6 evening until 12 midnight is yin yin so bad in this situation the child might be conceive with mental disability (stupid).

??- The best time for having a normal child is after 12 midnight yan yin (yan is strong in beginning of cycle.)

Traditional Chinese medicine says

Strong healthy beautiful child conceived from 28 years old female and 32 years old male.

Cycle of female is 7 years 7 × 4 = 28

Cycle of male is 8 years 8 × 4 = 32

End of sex in female is 49 years 7 × 7 = 49

End of sex in male is 56 years 8 × 7 = 56


Modern physics

The typical adult human has a mass of about 70 kg. What force does a full moon exert on such a human when it is directly above with its center 378,000 km away?

(Newton’s Law of Gravitation)

What is the ratio of the gravitational pull of the sun on the moon to that of the earth on the moon? Is it more accurate to say that the moon orbits the earth, or that the moon orbits the sun?

A student wrote. The only reason an apple falls down-ward to meet the earth instead of the earth rising up ward to meet the apple is that the earths is much more massive and so exert a much greater pull (please comment).

The earth is closer to the sun in November than in May. In which month does it move faster in its orbit? Explain.



It’s not an accident that the main acu points in the body are 361? 361=19 × 19. And 19 is the secret DIVINE number. 361 are the days of a year and there are 12 meridians in the Human body for 12 months in a year and 95 moons in the Solar system: 19 × 5=95. Notice the appearance of 19 here again.

Again 19 in the hand.19 # 9+1=10 19×19=361 361 #3+6+1 and eventually =10 361×361=130321…..1+3+0+3+2+1=10…19 is a specific number in GOD secret.

Answer to a patient sometimes is just waiting to see the next 2 seasons.

Secret to diagnoses

Biological clock in the body

 Every main organ has a specific 2 hours time for receiving Qi (bioelectric energy from the universe).

This auxiliary Qi comes to those organs in worse and hard time during the ultimate activity of that organ.

If you don’t want to learn TCM, you should at least learn the Biological clocks of the body for diagnostic and early prediction of chronic diseases (according to periodic changes of seasons and prediction of the diseases with T-Rotating Angle.

26. Heart disease patients feel best by noon and worsen around midnight.

27. Spleen disease patients feel best in the afternoon and worsen at daybreak.

28. Lung disease patients are most comfortable in the early evening and worsen around noon.



Dr Henry Luo   Dr Camtran

TCM (Traditional chinise medicine )

Discover the secret of life by the development of life

Huang Di asked, "When one grows old, one cannot bear children. Is this due to heredity or to the loss of one's procreative energy?"

Qi Bo answered, "In general, the reproductive physiology of woman is such that at seven years of age 1(7) =7 her kidney energy become full, her permanent teeth come in, and her hair grows long. At fourteen years the tian kui, or fertility essence, matures the ren/ conception and chong/vital channels responsible for conception open, 2(7) =14 menstruation begins, and conception is possible. At twenty- one year’s 3(7) =21 the kidney energy is strong and healthy, the wisdom teeth appear, and the body is vital and flourishing. At twenty-eight years 4(7) =28 the bones and tendons are well developed and the hair and secondary sex characteristics are complete. This is the height of female development. At thirty –five years 5(7) =35

The yangming/stomach and large intestine channels that govern the major facial muscles begin to deplete, the facial wrinkles appear, and the hair begins to thin. At forty-two 6(7) =42 all three young channels – taiyang, shaoyang, and yangming are exhausted, the entire face is wrinkled, and the hair begins to turn gray.

At forty – nine years 7(7) =49 the ren and chong channels are completely empty, and the tien kui has dried up. Hence, the flow of the menses ceases and the woman is no longer able to conceive. Menopause.

"In the male, at eight years of age 1(8) =8 the kidney energy becomes full, the permanent teeth appear, and the hair becomes long. At sixteen years of age 2(8) =16 the kidney energy is ample, the tien kui is mature, and the jing is ripe, so procreation is possible. At twenty – four years the 3(8) =24 kidney qi is abundant, the bones and tendons grow strong, and the wisdom teeth come. At the thirty-second year 4(8) =32 the body is at the peak of strength, and functions of the male are at their height. By forty 5(8) =40 the kidney qi begins to wane, teeth become loose, and the hair starts to fall. At forty- eight the 6(8) =48 yang energy of the head begins to deplete, the face becomes sallow, the hair grays, and the teeth deteriorate. By fifty – six year 7(8) =56 the liver energy weakens, causing the tendons to stiffen. At sixty-four 8(8) =64 the tian kui dries up and the jing is drained resulting in kidney exhaustion. Fatigue and weaknees. When the energy of all the organs is full, the excess energy stored in the kidney is excreted for the purpose of conception. But now, the organs have aged and their energies have become depleted, the bones and tendons have become frail and stiff, and movements are hampered the kidney reservoir becomes empty, marking the end of the power of conception."

Huang Di remarked, “I notice, however, that some people, even though they are quite elderly, can still conceive.”

Qi Bo replied, "This is because these individuals inherited an unusual abundance of jing and also realized how to lead their lives properly and protect their vitality. At sixty-four 8×8 = 64 and forty-nine, for males and females respectively, these individuals still have excess kidney energy as well as qi and blood, so they still have the capacity to procreate. However, men past the age of sixty- four 8×8 = 64 and women past forty – nine7 ×7 =49 have normally lost this ability."

Huang Di asked, "If a wise one who follows the Tao is over one hundred year of age, can he or she still retain the ability to procreate? (May you don’t know how people damage to their body organs?)

Qi Bo answered, "Yes, it is possible. If one knows how to live a correct way of life, conserve one's energy, and follow the Tao, yes, it is possible, and one could procreate at the age of one hundred years."

"It is said there is yin within yang and yang within yin. The day is considered yang, while the night is yin. This is further differentiated as follows: sunrise to noon is yang within yang: noon to sunset is yin within yang: twilight to midnight is yin within yin: midnight to sunrise is yang within

Qi Bo answered, "I will describe the clinical manifestation of Shang han and their transference. On the first day of Shang Han the foot taiyang/bladder channel is attacked. As taiyang controls the skin and body hair, this is the point of entry. The channel begins near the eyes end runs up the forehead, over the scalp, down the neck, and all the way down the back.

Its luo channel connects with the kidneys. It continues down the thigh and leg to the little toe. This is why when wind cold invades the taiyang channel, stagnating the flow of qi, one will manifest headaches and stiffness and ache in the back. On the second day of Shang Han the pathogen is transferred to the foot yangming/ stomach channel. This channel controls the musculature. Symptoms will occur along the channel, which begins near the eye and goes down the cheek, down the throat, chest, and abdomen.

Then down the thigh past the knee to the toes. In this case, symptoms may, be seen along the meridian pathway such as dryness in the nose, pain in the eye, difficulty lying in any position, and fever. On the third day of Shang Han, the disease progresses to the foot shaoyang/ gallbladder. The meridian begins near the eye and runs over the side of the head, down to the shoulders and hypochondriac area. Where it connects with the luo channel of the liver. The symptoms will include earache, deafness, and pain in the ribs what I have just described has to do with wind cold attacking the three yang channels. The disease here is still at relatively superficial levels. Thus. Inducing sweating can resolve the problem. When the pathogen is in surface in these channels Bladder with a simple fever is eurred

" On the fourth day of shang han, the disease progresses to the foot taiyin/spleen channel, which begins at the medial big toe, runs up the medial leg and thigh , and continues upward over lateral abdomen and rib areal. Because the spleen is now involved, transformation and transportation are affected. This is why one will see distension and fullness of the abdomen, and difficulty swallowing. On the fifth day of shang han, the disease travels to the foot shaoyin/kidney channel, which runs from the sole of the foot over the ankle, up the medial leg, and finally runs upward over the center of the abdomen and chest to the clavicle. The pathogen has now exhausted the body fluids, and one manifests dry mouth and thirst On the sixth day of shang han, the disease progresses to the foot jueyin/ liver, It traverses the channel from the lateral big toe, over the foot, up the medial leg and thigh, to the inguinal groove and ribs. The disease now impacts the liver's ability to mobilize the qi. This causes irritation and contraction of the scrotum. Hence, six days into the Shang Han disease, all three yang and all three yin channels have been invaded. The five zang and six fu organs have also become diseased. Tremendous deficiency of antipathogenic qi occurs, causing stagnation of the ying/ nutritive qi and Wei / defensive qi. These then fail to transport to nourish and defend the five zang organs. This is why. Within six days, one may die.

TCM Classics

The cycle of body

“If the human body and the anti pathogenic qi are strong and able to battle the pathogen. The illness will gradually be defeated. Generally, by about the seventh day, the patient will begin to recover. After another three to five days, the patient will completely heal.

Shao Shi said, "Man, heaven and earth are a triad. Man and the sun and moon are in resonance. So when the moon is full, then the seas and waters of the West are full. Man's blood and qi accumulate. The muscles and flesh fill up. The skin is dense. The hair issues firmly. The foundation between the pores is close together. Mist and earth are in place. At the time, of one encounters the thieving wind, it enters shallowly and not deeply.

"On the other extreme, when the moon is rimmed and empty then the waters and seas of the East are full. Man's qi and blood are hollow.

The protective qi goes forth. The body dwells is solitude. Muscles and flesh are reduced. The skin loosens. The foundation between skin and flesh and pores is open. Hair issues thinly. The foundations of metabolism are thinned. Mist and earth drop away. At this time, it one meets the thieving wind, it enters deeply. This The host organ controls



Sickness of man is sudden and severe.

"(you have to give back all the things like healthy youngness beautiful hair strong body eyes hearing and other things that you know better gradually ….these good things were not for ever but for a period of time then you must give back your life completely eventually).

“In terms of five element correspondences, the spring element is related to wood, summer correlates to fire, late summer is earth, autumn is metal, and winter is water. The corresponding organs of these elements are: wood/liver, fire/heart, earth/ spleen, metal/lungs, water /kidneys. During the spring the weather and environmental conditions can affect the liver, while in summer the heart can be affected, and so forth.

“In the past the sages were able to observe the signs and adapt them selves to these natural phenomena so that they were unaffected by exogenous influences, or "evil wind," and were able to live long lives. If one does not follow the play of the elemental energies according to the seasons, the liver energy will stagnate, resulting in illness in spring. In summer, the heart energy becomes empty and the yang energy is exhausted. During the autumn there will be congestion of the lung energy. In winter the kidney will be drained of jing.

"The transformation of yin and yang in the four seasons is the basis of the growth and the destruction of life. The sages were able to cultivate the yang energy in spring and summer and conserve the yin energy in autumn and winter. By following the universal order, growth can occur naturally.

If this natural order is disregarded, the root of one's life will be damaged and one's true energy will wane.

Hang Di said, "The three months of the spring season bring about the revitalization of all things in nature. It is the time of birth. This is when heaven and earth are reborn. During this season it is advisable to retire early. Arise early also and go walking in order to absorb the fresh invigorating energy. Since this is the season in which there universal energy begins anew and rejuvenates, one should attempt to correspond to it directly by being open and unsuppressed, both physically and emotionally.

"On the physical level it is good to exercise more frequently and wear loose- fitting clothing. This is the time to do stretching exercises to looser up the tendons and muscles, emotionally, it is good to develop equanimity this is because spring is the season of the liver, and indulgence in anger frustration, depression, sadness, or any excess emotion can injure the liver. Furthermore, violating the natural order  of spring will cause cold disease illness inflicted by atmospheric cold, during summer.in th

,, In the three months of summer there is an abundance of sunshine and rain. The heavenly energy descends and the earthly energy rises when these energies merge there is intercourse between heaven and earth As a result plant mature and animals, flowers, and fruit appear abundantly.

,, One may retire somewhat later at this time of year, while still arising early. One should refrain from anger and stay physically active, to prevent the pores from closing and the qi from stagnating. One should not everyone indulge in sex, although one can indulge a bit more than in other seasons Emotionally, it is important to be happy and easygoing and not hold grudges, so that the energy can flow freely and communicate between the external and the internal. In this way illness may be averted in the fall. The season of fire and heart also encompasses late summer, which corresponds to the earth element. Problems in the summer will cause injury to the hearth and will manifest in the autumn.

,, In the three months of autumn all things in nature reach their full maturity. The grains ripen and harvesting occurs. The heavenly energy cools, as does the weather. The wind begins to stir. This is the changing or pivoting point when the yang, or active, phase turns into its opposite, the yin, or passive, phase. One should retire with the sunset and arise with the dawn. Just as the weather in autumn turns harsh, so does the emotional climate. It is therefore important to remain calm and peaceful, refraining from depression so that one can make the transition to winter smoothly.

This is the time to gather one's spirit and energy, be more focused, and not allow desires to run wild. One must keep the lung energy full, clean, and quiet. This means practicing breathing exercises to enhance lung qi. Also, one should refrain from both smoking and grief, the emotion of the lung.

This will prevent kidney or digestive problems in the winter. If this natural order is violated, damage will occur to the lungs, resulting in diarrhea with undigested food in winter. This compromises the body's ability to store in winter.

"During the winter months all things in nature wither, hide, return home, and enter a resting period, just as lakes and rivers freeze and snow falls. This is a time when yin dominates yang. Therefore one should refrain from overusing the yang energy. Retire early and get up with the sunrise, which is later in winter. Desires and mental activity should be kept quiet and subdued. Sexual desires especially should be contained, as if keeping a happy secret. Stay warm, avoid the cold, and keep the pores closed. Avoid sweating.

The philosophy of the winter season is one of conservation and storage. Without such practice the result will be injury to the kidney energy. This will cause wei jue, consisting of weakness, atrophy of muscles, and coldness in spring manifesting as paralysis, wei-flaccid syndrome, arthritis, or degeneration of the bones and tendons. This is because the body has lost its ability to open and move in the spring.

,, So the full cycle can be seen. Spring is the beginning of things, when the energy should be kept open and fluid; summer opens up further into an exchange or communication between internal and external energies; in the fall it is important to conserve; finally, the winter is dominated by the storage of energy.,,

,, Therefore, the change of yin and yang through the four seasons is the root of life, growth, reproduction, aging, and destruction. By respecting this natural law it is possible to be free from illness. The sages have followed this, and the foolish people have not.

,, In the old days the sages treated disease by preventing illness before it began, just as a good movement or emperor was able to take the necessary steps to avert war. Treating an illness after it has begun is like suppressing revolt after it has broken out. If someone digs a well when thirsty, or forges weapons after becoming engaged in battle, one cannot help but ask: Are not these actions too late?

,, The key to mastering health is to regulate the yin and the yang of the body. If the yin and yang balance is disrupted, it is like going through a year with spring but on winter, or winter but on summer. When the yang is excessive and cannot contain itself, the yin will become consumed. Only when the yin remains calm and harmonious will the yang qi be contained and not be overly expansive, the spirit normal, and the mind clear. If the yin and the yang separate, the Jing/ essence and the shen/ spirit will allow leave each other.

Qi Bo went on to say, Pathogenic wind heads the six pathogenic factors. It is often called the leader of the rebellion. When wind cold in vades, it causes one's body hair to be erect and the pores to close. Thus it brings on fever, and one should use diaphoretic methods to induce sweating and eliminate the pathogen. When wind cold invades the channels and collaterals, causing numbness, paralysis, or stiffness and pain, one can use heat packs, moxibustion, and acupuncture to disperse it, if the pathogen is not caught in time, it will transfer into the lungs and cause lung bi, or lung obstruction, leading to cough and dyspnea. If the treatment is not effective or properly applied, the pathogen will go from the lung to the liver. This will cause liver bi, or an obstruction of the liver. One will manifest hypochondriac pain and vomiting. Here, one can use massage or acupuncture.

If these are still ineffective, the pathogen will transfer from the liver to the spleen. This will cause spleen wind, manifesting in jaundice, a burning sensation of the abdomen, restlessness, and scanty, dark urination. One can apply massage, herbs, or baths. If these are still ineffective, the disease will transfer from the spleen to the kidneys. This is called Shan jia, or herniated mass. In this case the lower abdomen will have burring, pain, and distension. The urine will be white and turbid. This is also known as gu zhang or abdominal timpanists due to parasitic infection. One should utilize massage and herbs. If the problem is still unalleviated, the transmission is now from the kidneys to the heart. This will cause spasms and contractures of the limbs. This is called chi Bing or spastic tendons. Moxibustion and herbs are indicated here. If treatment is still not effective, within ten days the patient shall die. However, if the pathogen passes from the kidney to the heart and then back to the lungs, casting chills and fever, the patient will die within three days. This is the general order of disease passage within the five- element scheme.

,,An example of this would be a cold that progresses to bronchitis or pneumonia, producing water retention in the lungs.Emptma Blood then accumulates in the liver, which in turn backs up to the spleen and(under diaphragm Abcess stomach. This is earth deficient, water overflooding, fire weakening, heart failing, finally causing aggravation of the original problem"

Qi Bo continued, Illness of sudden onset may not necessarily follow the creative cycle, particularly emotional disorders. Worry, fear, grief, over excitability, and rage, because they often do not follow the creative cycle may result in a more severe disorder. Extremes of excitability injure the heart. When the heart is deficient, the kidney energy over controls. In cases of rage, the liver is in excess and invades the spleen. Grief causes the lung to over control the liver. Fear weakness the kidneys and causes the spleen to over control the kidneys. In excessive sadness, the lung qi becomes deficient, allowing the heart to dominate. These are illnesses, induced by emotional extremes that to not follow the typical creative cycle but rather follow the control pattern. In ancient times there was a saying that although there are only five elemental illnesses, there are twenty-five variations.

Qi Bo went on, There is also a pattern of disease we can call the abnormal transmission of pathogenic qi. This specifically refers to cases of excess. In this abnormal sequence, the disease that is manifesting in its host organ was transmitted from the son of that element. For example, pathogenic qi of the heart was transmitted from the son of fire, the spleen, or earth. Now that the heart is excess, it transfers its pathogenic qi to the element that it controls, metal or lungs. Once the lungs are pathogenic, their qi is transmitted to the element that metal controls, which is wood, or liver. Because the element that wood controls, the earth, is already excess, the wood then insults its mother, the water or kidneys. When the sequence reaches this point, where all five zang organs have been affected, death is imminent." [Another way of speaking about this condition is to say that heart disease, in the form of atherosclerosis, may be generated by cholesterol from spleen dampness. The heart disease may cause congestive or pulmonary edema, which causes difficulty breathing. That in turn causes backup into the liver in the form of portal hypertension. This high pressure then leads to failure of the kidneys.]This Pattern of transmission can apply to the entire zang organ

There, if the spleen is the host organ, we say that its pathogenic qi came from the son, or lungs. The spleen then passes the disease to the kidneys, the kidneys to the heart, and finally the heart to the liver, whereupon death occurs. If the lungs are the host, the pathogenic qi arose from  
their son, or kidneys. From the lungs, the disease progresses to the liver, then spleen, and last the heart, whereupon death transpires. Should the kidneys be the host, the pathogenic qi initially transmits from the son or liver. The sequence in this case is then to the heart,  the lungs, culminating in the spleen.

There are many clinical examples for each of these sequences.

,, In summary, we can say that when disease is about to become grave, it must originate with the son and subsequently be passed on to the element.

The host organ controls. We could label this the rebellious, abnormal transformation cycle, and it has definite application in practice with  grave diseases. We can predict the time of death by having knowledge of the biorhythm of the body. For example, the time period around midnight corresponds to the liver or wood element, early morning to the lung or metal element, near noon the heart or tire element, afternoon the spleen or earth element, and before midnight the kidney or water element. By understanding this abnormal sequence, we can see where to intercede in order to interrupt the disease cycle and thereby prevent death.

Huang Di answered وو so the five zang organs are interconnected, intercommunicating, and interdependent. And the progression and transformation of pathogenic factors have their specific order. Therefore, when each of the five zang organs becomes diseased, to often passes evil qi to the element it controls. In such cases, if one does not treat in a timely fashion, the patient can live at most three to six months, or at the least, three to six days. Once the disease progresses through all five zang organs in the abnormal way, death will follow. If one is able to differentiate the three different yang channels, one can know what from which channel the diseaseoriginated. If one is able to differentiate the three yin channels, one can then know the prognosis and date of death.

Qi Bo went on, when the liver is diseased; it will naturally recover in the summer. If it does not, and disease progresses into the autumn, the condition will worsen. If the patient does not die in the autumn, the conation will not be curable in the winter. However, recovery is possible the following spring. In particular, one should avoid drafts. People with liver disease will typically recover by the Bing ding days. If they do not recover on these days, they will worsen by gen xin days. If they do not die, their condition will remain on ren quei days, until the return to the yi days of wood. Recovery will then occur. The spirits and minds of such patients are clearest at dawn. The condition will typically exacerbate toward evening, and then clam down by midnight. Those who suffer from liver illness respond to dispersing methods. One must therefore use pungent herbs. If they need notification, however, the pungent tonics must be used for fortification. If they need sedation, sour herbs should be used.

,, When the heart is diseased it will recover in late summer If does not occur, it will worsen in the winter. If death does not occur, the condition will remain the same in the spring, with recovery occurring the following summer. One should avoid eating hot foods and overdressing. Heart patients usually recover by wu ji day. If not, they will worsen Renkui. If they do not die, they will suffer through the jia yi days. Finally by the Bing ding days, they may recover. Heart patients feel best by noon but worsen around midnight. As day breaks the condition quiets down Heart disease should be cared for using softening methods. Salty herbs are utilized for this and for tonification. Sweet herbs are used to sedate.

,, Disease of the spleen typically recovers in the autumn. If patients do not die in the spring, the disease remains into the summer. By the late summer, recovery occurs. One should avoid hot foods, overeating, and damp environments. Patients with spleen disease should recover by gen xindays if not disease exacerbate by jia yi days and remains through Bing ding days. By wu ji days, recovery occurs. Spleen- diseased patients feel best in the afternoon and worst at daybreak. Conditions calm down in the evening. The spleen must be harmonized or tonified with sweet herbs but sedated with bitter herbs.

,, With lung disease one should find resolution in the winter. If not worsening occurs by the summer. If death does not occur, recovery will come in the autumn. One should avoid cold foods and under dressing. Lung patients should recover on ren quei day. If not, conditions will worsen on Bing ding day. Disease worsens son wu ji days, with recovery finally occurring on gen xin day. Lung patients are most comfortable in early evening and worsen around noon. By midnight the condition quiets down. Lungs need to be converged or tonified with sour herbs; pungent herbs are used to sedate.

,, Kidney disease can show recovery in the spring. If not, by the late summer it worsens. If death does not occur, conditions remain stable in the autumn, with recovery in the winter. One should avoid hot foods and drink, as well as clothes straight from fire drying. Kidney patients should recover by jia yi days. If not, they will worsen on wu ji days. If they are still alive on gen xin days, the condition remains stable. Finally, ren kui days bring remission. The most favorable time of day is the middle of the night. Aggravation occurs during chen, xu, chou, and wei hours (7-9 A.M and 7-9 P.M., I -3 A.M. and 1-3 P.M) Calming down occurs in the early evening. The kidney required solidifying. This is done with bitter herbs, which tonify as well. Salty herbs are used to sedate.

,, When a pathogen enters the body, according to the principles and dynamics of the five elements, we can predict the rise and fall of both the ant pathogenic qi and the pathogen itself. We can thus know how an illness will develop and how the body will respond. This allows us to issue a prognosis.

,, With liver disease of an excess nature, one will find hypochondriac pain radiating to the lower abdomen, and anger. When the disease is deficient, one will have blurry vision, some deafness, and fear, as if being hunted. In this case, acupuncture the jueyin and shaoyang channels. If liver qi rises to cause congestion in the head, headaches, deafness, and swelling in the cheeks, one should needle and bleed the jueyin or shaoyang channels.

,, In excess heart conditions, one will find chest pain, rib pain, and fullness with pain radiating to the scapula and inner portion of the arms.

When the condition is deficient, one will find chest and epigastric distension and fullness. Also, the trunk and low back will have pain with movement. Here one must acupuncture the shaoyin and taiyang channels. One should also bleed the jinjin and yuye points under the tongue. If the condition changes, needle and bleed the yin xi (H6) point.

,, In excess condition of the spleen, one will find heaviness, hunger, weakness of the muscles, difficulty walking, tightness in the tendons, and pain in the feet. Deficiency will manifest as abdominal distension, fullness, and borborygmus, There will be diarrhea with undigested food.

One should needle and bleed points on the taiyin, yangming, and shaoyin channels.

,, Excess conditions of the lung will manifest as asthma, shortness of breath, upper back pain, sweating, and pain or soreness of the lower extremities and genitals. In deficiency conditions shortness of breath, difficulty maintaining continuity of breathing, deafness, and dry throat will manifest. One should acupuncture the taiyin and foot taiyang channels.

One should bleed the shaoyin channel.

,, In excess kidney conditions, one will find swelling in the lower abdomen, asthma, dyspnea, sluggishness and heaviness, night sweats, and aversion to wind. In deficiency one will find chest pains, abdominal pain. Clear urination / and unhappiness. One should acupuncture and bleed

Shaoyin and taiyin channel points.



Q I Bao continued, in febrile disease of the liver the patient will usually have symptoms of dark yellow urine, lower abdominal pain, fever, and hypersonic. The patient may also suffer from headaches, dizziness, and vertigo, because the heat pathogen travels upward to the head through the liver channel. Causing stagnation and obstruction of the head. AT the moment of battle between the ant pathogenic qi and the heat pathogen, we will see manic behavior and speech, distension, fullness or pain in the hypochondria area, restless limbs, and insomnia. Qn gen xin day the condition will certainly worsen. However, on jia yi day the patient will perspire and the fever will decrease. If the pathogen is strong and overcomes the organ, the condition will worsen and the patient will die on gen xin day. The treatment involves acupuncturing the foot jueyin / liver and foot shaoyin / kidney channels.

,, Febrile disease of the heart will cause the patient discomfort and uneasiness for several days. Fever will then ensue. At the moment of battle the patient will have sudden chest pain, irritability, nausea and vomiting, redness of the face, and no sweating. The illness will get worse on ren kui day, and the fever will diminish, with perspiration, on Bing ding day. If the pathogen overcomes the organ, the patient will die on ren kui day. Treatment involves acupuncturing the hand shaoyin/heart and hand taiyang/ small intestine channels.

In febrile disease of the spleen there will be heaviness of the head, pain in the cheek area, restlessness, and a bluish – green hue in the forehead, nausea, and fever. During acute flare-up or battle between good and evil, the patient might experience acute back pain and inability to bend the trunk of the body, distension and fullness of the lower abdomen, and diarrhea. On jia yi day the condition will worsen. If the pathogen overcomes the organ, the patient will die on that day. Otherwise, on wu ji day the patient will improve. Treatment involves acupuncturing the foot taiyin/ spleen and foot yangming/ stomach channels.

,, In febrile disease of the lungs, the patient will have sudden chills and Goosebumps, aversion to wind and cold, yellow coating on the tongue, and fever. During acute flare-up one will have cough, asthma, dyspnea, and pain radiating from the chest to the back, shortness of breath, severe headache, perspiration and adversion to cold. On bing ding day the condition will worsen. If the organ is overcome by the pathogen, the patient will die on this day. If not, we can expect recovery on gen xin day. Treatment involves acupuncturing the hand taiyin/lung and hand yangming/ large intestine channels. Let out a drop of blood the size of a pea. This should help recovery.

,,In febrile disease of the kidneys one will see back pain soreness of the calves, thirst, a desire to drink, and fever, During acute All are up the neck becomes stiff and painful, there is coldness in the calves, fever and flush in the soles of the feet, and a dislike of speaking . In the kidney qi rebels upward, one will have severe neck pain and vertigo. On wu ji day exacerbation will occur. If the pathogen overcomes the organ, the patient will then die, if not, recovery will occur on ren kui day. Treatment will involve acupuncturing the foot shaoyin/kidney and foot taiyang/ bladder channels.

,, In all the above mentioned cases, those days when perspiration occurs and fever diminish are those when energy is circulating most abundantly in the corresponding organ. This is like adding fresh troops to an ailing army. The pathogen can then be overcome and the patient will recover.

,, In febrile disease of the liver, one will notice a red color on the left cheek first. In febrile disease of the heart, one will notice redness of the lips. In febrile disease of the spleen, one will see redness of the nose. In febrile disease of the lungs, one will see redness of the right cheek. In febrile disease of the kidneys, one will see redness just below the cheeks. In these instances, the color will appear before the disease manifests. Acupuncture can be administered to the patient immediately; this is called treating disease before it occur.


,, During spring the subtlety and vastness of the universe, the intelligence and intuition of the human being, the ability of the earth to produce the ten thousand things, the natural movement of the wind, and the upward motion of all plants, collectively produce the movement of the tendons, the color green, the shouting of the voice, the spasms and convulsions, the eyes, the sour tats, and the angry emotions. These are all associated with the liver, since the liver is responsible for maintaining the potency of the flow of energy and its natures is movement and expansion.

,, Anger can injure the liver, but sadness can relive anger. When wind invades with dampness, it can injure the tendons, although dryness may eliminate the dampness and wind. Excessive consumption of sour foods can make the tendons flaccid, but this can be neutralized by the pungent taste.

,, In summer the weather is generally hot, and when there is extreme heat it produces fire, which can burn and char things, producing the bitter taste. Bitter- tasting substances can clear the heart. The heart governs the blood, the fire of the heart produces the earth, the heart opens to the tongue, and therefore subtle changes in the heart can be reflected in the tongue.

,, The hot weather, the fire on the planet, the blood vessels, the color red, laughter, and joy are all related to the heart. The heart or fire element.

Manifests emotionally as joy, but too much joy can cause a depletion of the heart qi. This can be counterbalanced by fear. Pathogenic qi can invade the heart via the pericardium, injuring heart qi. Cold and cooling herbs can be useful to counteract this condition. Consuming overly bitter foods can have a harmful effect on the heart qi, but salty foods can be used to balance the excess bitter.

,, In the center we find dampness and humidity, which can nourish and lubricate the soil, preparing it to produce strong earth. During the season between summer and autumn, late, summer, the fruits ripen and turn yellow. When they ripen they taste sweet and can nourish spleen qi. The spleen qi is then able to nourish the muscles and flesh. From the supple flesh and muscles the lungs are generated; these correspond to the metal element. The spleen opens to the mouth, and diseases of the spleen can enter through the mouth and will be reflected on the lips.

,, On earth the weather correlation would be damp and humid conditions. The spleen manifests in the muscles and flesh; the color yellow is associated with the spleen, as is a singing, melodic voice. Pathologic conditions of turbidity indicate spleen imbalance. Melancholy and over worry will manifest. Excessive worry will deplete spleen qi, but anger can restrain this worry. Dampness can damage flesh and muscles, but wind can dry the damp. Too much sweet taste can injure the flesh by creating fat, but sour can neutralize the sweet.


,, In the western direction the deserts are rich in metal ores; the dry desert sands are white, and this dryness affects the lungs, skin, hair, and pores of the body. The sound of crying and the emotion of sadness and grief are associated with the metal element. The pungent taste can ventilate the lungs and open the pores. Extreme grief can injure the lungs, but may be counteracted by the emotion of happiness. Intense heat can damage the skin, hair, and lungs. In this case, coldness is required to control the pathogen. Excessive consumption of the pungent taste may injure the pores and skin, but this can be counteracted by the bitter taste.

,, In the northern direction there are vast snow- covered mountain ranges, and beyond, dark and cold seas whose ocean waters provide the salty taste. All of these conditions are connected with the kidney energy and enable it to develop strong, healthy bones and marrow. The kidneys are associated with the ears, the color black, fear and fright, and the sound of moaning. While fear and fright will damage the kidneys, understanding, logic, and rational thinking will enable one to defeat the fright. Coldness will slow down and stagnate the blood, but dryness will temper this harshness. Excesses of salty flavor can harm the blood, but the sweet flavor will neutralize it.


,, The source and preservation of the yin come from the five flavors of food in the diet, but improper use of the five flavors may also injure the five zang organs. Too much sour taste may cause over activity of the liver and under activity of the spleen. Too much salty taste can weaken the bones and cause contracture and atrophy of the muscles, as well as stagnate the heart qi. Too much sweet taste can disturb the heart qi, causing it to become restless and congested, as well as cause imbalance of kidney energy, which turns the face black. Too much bitter taste disrupts the spleen's ability to transform and transport food, and causes the stomach to digest ineffectively and become distended. The muscles and tendons may become scattered.

,, Therefore, one should be mindful of what one consumes to insure proper growth, reproduction, and development of bones, tendons, ligaments, channels, and collaterals. This will help generate the smooth flow of qi and blood, enabling one to live to a ripe age."

Nasser Tabesh MD  DTCM

Description: http://www.surgical-complications.com/images/posts/6.jpg




    No medical conclusions or treatment options should be based upon information’s contained on this post.


TCM advises

    Use controlled amounts of purgative herbs – they cause injury to spleen Qi
    Do not use any herb to promote blood circulation during pregnancy.
    Use herb warm in property to control an herb cold in property.
    Herbs inducing dieresis can damage the Yin – if using for longer than a few days, use a formula to nourish the Yin at the same time.
    When you expel any pathogenic energy, take care NOT to hurt the body’s energy.
    Deficiency of Qi can lead to blood stasis.
    Use a slice of ginger on P6 (Nei Guan) to calm down vomiting.
    If pulse is deep/weak, ALWAYS take care in treating – do not hurt the heart Yang – take care with cold, purgative herbs.
    When using “warm the interior” herbs, make SURE that there is not deficiency of Yin.
    Between the hours of 11:00 a.m. and 1:00 p.m the heart channel is on duty – don’t stimulate the heart channel too much at this time (will hurt Qi)
    If you use herbs to clear the heat, it can hurt the heart Yang if there is a congenital heart yang weakness (deep, weak pulse). Clear the heat for a short time, and then tonify to build up the system.
    When you eat hot & spicy foods, do not eat sour or astringent food or herbs, as that will keep the heat trapped inside.
    When you excrete dampness/induce dieresis, you move the Yang Qi. If there is a deficiency of Yang Qi, inducing duress’s will not work. In this case, tonify Yang for more result.
    Feeling cold can be Yang or Yin deficiency. Be careful!
    When you tonify the heart, tonify also the spleen.
    If you use “move or regulate the Qi” herbs to stop pain, make sure that the patient is not Yin deficient, but Yang deficient. These herbs belong to “tonify the Yang.” If necessary, add herbs to nourish the Yin.
    Anger… leads to… obstruction of Qi… leads to … stagnation of Qi … leads to … Deficiency of Qi.
    Forgiveness is not for the benefit of “the stupid people,” but is for your benefit so you can stay balanced.
    If you just use an herb to tonify blood and not any for Qi, it will not work (and vice versa).
    When you want to tonify Qi, tonify the spleen at the same time.
    Too many Yang tonifyers without herbs to nourish the Yin cause nosebleeds.
    Treat blood stasis first before nourishing the blood.
    Blood deficiency can turn into blood stasis, which can be more serious.
    When using Yin tonics, use also a few Yang tonics, as too many Yin tonics can hinder digestion.
    If there is Deficiency of Yin and Yang, ask your “Which one is more which is the first?”
    Treat asthma in the summer, as this is usually a Yang Deficient condition, and Yang is stronger in the summer.
    Astringent herbs retain the pathogenic factors – do not use on patients with residual superficial pathogens or heat of the excess type in the interior, or at the beginning of cough and asthma and at the onset of any disease.
    Ask yourself “What is the MAIN symptom?”
    Building the immune system is the same as building the Qi.
    Find the cause behind the symptom – which organ is involved? Then you can choose the best herb.



Strategy of Diagnosis & Treatment for Clinic Practice


    Four methods of Diagnosis Inspection, Auscultation & Olfaction, Inquiring (Questioning), and Pulse – Taking & Palpation. Use Shi Gang Bian Zheng, Liu Jing, Wei Qi Ying Xue, Zang Fu Bian Zheng, to analyze the disease. Is it Exterior or Interior, Cold or Hot, Deficiency or Excess, Yin or Yang, Qi or Blood, and which channel, bowel or organ is involved in the disease?
    Differentiation of Symptoms. Differentiate the symptoms and classify then according to the syndromes associated with specific channel, bowel or organ. Find out the chief and secondary cause of the disease. Which organ did the disease originate from, and which is the next organ involved. For example, Jaundice begins from Heat or Damp Heat in the Gall Bladder, and then affects the Liver and Spleen quickly. If you classify the syndrome incorrectly, even a good formula will not have an effect.
    Mechanism of Diseases

Zang Fu Chuan Bian The normal and abnormal development of disease in organs.

Lung: Zhu Qi Fen Yu, Jie Shu Yu Fei.

Respiratory disorders such as dyspnea and stuffiness of chest are pathological changes related to the Lung.

Spleen: Zhu Shi Zhong Man, Jie Shu Yu Pi.

Endogenous dampness marked by water retention and edema are pathological changes related to the Spleen.

Liver: Zhu Feng Diao Xuen, Jie Shu Yu Gan.

Endogenous dampness marked by water retention and edema are pathological changes related to the Liver.

Kidney: Zhu Han Shou Yin, Jie Shu Yu Shen,

Endogenous wind marked by contraction is a pathological changes related to the Kidney.

Heart: Zhu Tong Yang Chuang, Jie Shu Yu Xin,

Skin abscesses or sores with pain and itching are pathological changes related to the Heart.

Liu Yin Chuan Bian – (seasonal pathogens)

The six excessive or untimely atmospheric changes as exogenous pathogenic factors are: Wind, Cold, Summer Heat, Dampness, Dryness, and Fire.

Wind: Zhu Bao Jiang Zhan, Jibe Shoo Yu Fang,

Sudden onset of muscular spasm and rigidity are symptoms related to wind.

Fire: Zhu Zoo Kiang Yuen, Jibe Shoo Yu Hue.

Restlessness and mania are symptom related to Fire

Heat: Zhu Zhuan Fan Li, Shui Ye Hun Zhuo, Jibe Shoo Yu Re.

Spasm, rigidity, and opisthotonus with turbid urine are symptoms related to Heat.

Dampness: Zhu Jing Xiang Jiang, Jibe Shoo Yu Shi,

Rigidity such as stiff neck and other locomotive restrictions are pathological changes due to Dampness (p.210)

Dryness: Zhu Gan Ke Due, Jibe Shoo Yu Zoo (p.212)

Red eyes, dryness of the nasal cavity, parched lips, dry cough, cough with bloody sputum, and constipation are symptoms related to Dryness.

Cold: Zhu Bing Shui Ye, Cheng Che Qing Leng, Jibe Shoo Yu Han,

Thin, clear, and watery discharge of the body fluid is symptoms related to Cold.

Lui Jing Chuan Bian: The six channels diseases on the attack of cold pathogens (p.361)

Tai Yang Bian Syndrome of Tai Yang Channel – fever

Yang Ming Bian Syndrome of Yang Mine Channel – high fever acute abdomen

Shao Yang Bian Syndrome of Shao Yang Channel – chills and fever

Tai Yin Bian Syndrome of Tai Yin Channel

Shao Yin Bian Syndrome of shao Yin Channel

Jue Yang Bian Syndrome of Jue Yin Channel – cold

The six channel diseases have three kinds of transmission: ordinary transmission, skip – over transmission, exterior and interior transmission.

Warm Diseases: Went Bian

Wei Qi Ying Due Chuan Bian

The progression of warm disease can be divided into 4 levels: the Defensive Level (Wei Fen), the Energy Level (Qi Fen), the Nutritive Level (Ying Fen), and the Blood Level (Due Fen) – septicemia

5.The result of the treatment is the outcome of your diagnosis and treatment skill Practice is the proof of truth.

a) Learn from the reasons why you suffer from disease, and the way your teacher provided successful treatments and helped you recover.

b) Learn from the patients, the result of the treatment is a good indication of the accuracy of your diagnosis and treatment skills. Every opportunity to practice in the clinic is an important chance to learn about the chief and secondary cause of the disease and to use a good formula. Keep learning from the patient’s progress to improve your diagnosis and treatment skills. Every one of us has the everlasting mission to undertake the responsibility of developing the T.C.M profession. Protecting people’s health against the ravages of diseases is our goal in life. Let us celebrate together with our healthy bodies and minds.

6.The T.C.M Diagnosis System includes:

Shi Gang Bian Zhen, Zing Fu, Liu Jing, Wei Qi Yang Due, San Jiao, Qi Due Bian Zhen. Take and memorize these diagnosis systems and practice these as your system. It is even better if you can combine these four methods of T.C.M diagnosis with Western Diagnosis, Then you will be able to use the Western Diagnosis to know the disease and the T.C.M diagnosis to know the syndrome.

7.Treating Principles:

Find the root or cause in order to treat the disease; Balance Yin & Yang; Build up energy and expel pathogens. If there is an excess, sedate the son; if there is a deficiency, tonify the mother. Modify the formula according to seasonal conditions, geographic cases treat the symptoms first; once these are relived, treat the fundamental cause.

8.Organize the symptoms into the syndrome of specific organs. For example, when the syndrome seems more likely to belong to the Lung, may ask more about the symptoms related to that organ. With related more symptoms, they can help you to identify the specific syndrome with greater accuracy. The syndrome will be the main and most important cause in the treatment of the disease.

9.Ask about other symptoms regarding the chief complaint. Differentiate the symptoms of the disease – is it Exterior or Interior, Heat or Cold, Excess or Deficiency, Yin or Yang, Qi or Blood? Disease usually occurs due to Excess or Deficiency of Yin or Yang within the body.

10.Concise symptoms of different organs.

Lung: Fever, sneeze, cough, asthma, easily depressed, and crying

Large Intestine: Constipation, loose stool, diarrhea with foul smell or undigested food

Spleen: Poor appetite, indigestion, stomach gas and bloating, alternating loose stool and constipation, easily worried and depressed

Liver: Hypochondriac pain, bitter taste in mouth, menstrual cramps and very easily angered

Kidney: Low back pain, sore knees, frequent urination at night, easily frightened, seminal emission, impotence, low sex drive.

Heart: Palpitation, insomnia, difficult to fall asleep due to deficiency of Yin; night sweat, easily excited.

11.Ask for the patients’ family history and the existence of any chronic diseases to find out if there are any genetic problems.

12.For acupuncture treatment, both safety and effectiveness are very important. Do not just look for an effect through stimulation, it can be dangerous for the patient who is deficiency, and has a deep weak or uneven pulse. Do not push the body to have the needle sensation, but let the body get it through either moxa or massage of the channels and points naturally.

13.For the deficiency patients, moxa first in the wintertime and massage in the summer time and needle less. For the excess patients, use needling and cupping to relieve the intensive heat.

14.Teach the patient self – moxa or self-acupressure so that they may do it at home daily. Check and see if the symptoms improve.

15.Press your finger against the skin and insert the needle at the same time. The pressure will distract the patient’s attention, so they will feel less pain or even no pain when undergoing the acupuncture treatment. Massage the points slightly after you take put the needle. This is a good from of encouragement and it brings some comfort to the patient after the treatment.

Electro Acupuncture

16.Electric needles should be used for excess patient with severe pain and a strong pulse. If beating is slower than normal, electric needles may be used as a tunification method. Do not use electric needles for any bleeding diseases; it may increases the bleeding in the muscle under the needle.

17.If the body is deficiency in Yin or when the patient eats a lot of hot, spicy fried food; the patient will have a heat transformation more quickly than normal, when attacked by a wind heat pathogen. If the body is deficiency in Yang and the patient over-eats raw food and drinks cold drinks, they will have a cold transformation more quickly when attacked by a wind cold pathogen.

Moving formulas

Follow the female menstrual cycle to treat the female diseases. Before menstruating, combine use Si Wu Tang, Ba Zhen Tang, Shi Quan Ba Bu Tang to move the Qi and Blood. After menstruation, use Gui Pi Tang, Qi Ju Di Huang Wan, Bai Zi Yang Xin Wan to nourish Qi and Blood Do not disturb the working cycle of the body, the goal of T.C.M treatment is to try to get the body back into balance. If there is a deficiency of Yang, we tonify Yang; if there is a deficiency of Yin, we nourish Yin.
Check the symptoms or syndrome to know if the body is reaching by dispersing of supplementing. Use formulas or points to move or nourish Qi and Blood and assist the rising of Yin and Yang in the body. For example, if there is more pain, yellow or scanty urination, bleeding gums, or constipation. It means that the body is trying to disperse. To help in the dispersing process, we will use moving formulas such as Juan Bi Tang, Long Dan Xie Gan Tang, Qing Wei San, and Ji Chuan Jian. If we encounter both the moving and supplement symptoms or syndrome, we will have to identify which is the more serious syndrome that needs the attention first. For example, when the patient suffers from a heart disease with chest pain that radiates to the left shoulder and arm, purple tongue with red spots, but the patient has night sweat and loose stool. Night sweat and loose stool is the Maine syndrome now because it consumes more Qi and Blood than the Blood stasis syndrome such as purple tongue with red spots. Therefore, we will have to treat the night sweat and loose stool first, and then remove the Blood stasis in the body. If there is loose stool, diarrhea, spontaneous sweating, night sweats, vaginal discharge, frequent nighttime urination, epistaxis, heamaturia, heamafecia, heamorrhage, metrostaxis, and metrorrhagia, these the body symptoms show that it want to stop and get some supplements. So we will use nourish formulas such as Shen Ling Bai Zhu San, Sheng Mai San, Gan Mai Da Zoo Tang, Sang Piao Xiao San, etc.
When prescribes the formulas, take care of the digestive and absorbing system of Spleen and Stomach first, because Spleen & Stomach is the source that produce Qi and Blood. They are located in the Middle Jiao to support other organs Qi in moving up and down. Ask patients, if they suffer from any poor appetite, indigestion, stomach gas or bloating, loose stool or constipation. Observe the moisture level of their tongue, any thirst, and preference for warm or cold drinks. If Stomach and Spleen are cold, combine Si Jun Zi Tang, Liu Jun Zi Tang, Xiang Sha Liu Jun Zi Tang, and Fu Zi Li Zhong Tang. If Stomach and Spleen have heat, combine or use Qing Wei San, Sha Shen Mai Men Dong Tang, Liang Due Si Wu Tang, Zeng Ye Tang, and Zeng Ye Cheng Qi Tang.

    Liver is on duty in spring, Heart is on duty in summer, Spleen is on duty in Hot Summer, Lung is on duty in autumn, and Kidney is on duty in winter. According to the season in which the disease occurs, do not forget to sedate the excess or tonify the deficiency of the related organ. For example, if cough and asthma suffer in the wintertime, besides treating the Lungs, we will have to sedate Kidney fire if there is excess. On the other hand, we will have to tonify Kidney Yang or nourish Kidney Yin in the case of deficiency, with respect to the body’s constitution. The best time to tread the chronic cough and asthma is in hot summer because of the external hot climate. The best time to treat Hay fever is in the cold winter, because Kidney is the son of Lung and mother of Liver. We tonify Kidney in winter to strengthen the Lung Qi and Liver Blood, so that patient will have more energy to resist any pollen when Spring arrives.
    The best time to relieve pain by acupuncture treatment in 2 hours before the pain started or one day before the menstrual cramp pain. When using Herbal pellet or Herbal decoction, it is better to start one week before the menstruating.

3.The cycle of the body: daily cycle follow the sun, the Yang rising from midnight and the Yin rising from mid-noon. The monthly cycle follows the moon. At full moon, the body will be full of energy and during crescent less energy. The female monthly cycle follow their menstrual cycle. Before the menstruation, we assist the body by using formulas to move the Qi and Blood. After the menstruation, we strengthen the body by using formulas that replenish the Qi and Blood.

4.The recovery standards of the symptoms, tongue, and pulse. Even if the symptoms are relieve but the tongue is still dry or watery, or the pulse rapid or weak, it means that the disease is not very evanescent. We have to remind the patient to keep coming for further treatments until their tongue and pulse become normal and healthy. If not, the disease will recur, thereby wasting the patient’s money and the time of both the doctor and the patient.

5.After the recovery of any chronic disease, we have to tonify the Qi and Blood of the body. Strengthen the acquired Qi of Spleen and congenital essence of Kidney will help to prevent the disease from recurring. For example, when patients come to treat for Hay Fever in spring and recovered, we will have to remind patients to come in winter to strengthen their Qi. Kidney is the mother of Liver and son of the Lung. Replenishing both the Kidney and Lung will augment the body’s resistance and hence prevent the patient from suffering from Hay Fever in the coming spring.

6.The popular law of Disease progression usually starts from the Lungs. The Lung is the first to resist any climate change, next will be Spleen, followed by Liver, Kidney, and Heart is the king of other organs; therefore it is the last suffer from any disease. The special law of disease progression may start from other organs first due to deficient body constitution and weakness. For example, the disease may start from the Spleen and attack the Kidney later. For example, long time poor appetite will cause cold limbs, the symptom of deficiency of Kidney Yang. If it started from the Liver and it will assault Spleen later. For example, Hepatitis consumes Spleen Qi and induces poor appetite or no appetite. If the disease started from the Kidney and it will conquer the Heart quickly. For example, chronic low back pain over years will damage the Heart Qi and induce palpitation, insomnia, and night sweat. When the disease starts from Heart and it will hurt the Lung Qi, causing the patient to suffer from bronchitis or asthma early. When we are treating any Liver disease, we need to strengthen and protect the Spleen at the same time, to keep it free from the attack of Liver.

7.If we want to strengthen the immune system to treat any chronic diseases or congenital disease, we need to know if the patient is deficiency of Yang or Yin. If they are deficiency of Yang, we teach them to do self – moxa at home; if deficiency of Yin, we teach them food cure. When the patient has a moist fat teeth-marked tongue, white and sticky vaginal discharge, loose stool, yet the patient feels hot and prefers cold drinks, it shows that deficiency of Yang is consuming the Yin. The important diagnosis is from the moist fat and teeth-marked tongue. From these we tonify the Yang by teaching the patient self-moxa that they can do it at home, but if the tongue is dry or red with no fur, we have to nourish the Yin first. In the case of a 21-year-old female who suffers from psoriasis since she was a kid. Now she has vaginal discharge and loose stools, so we use Sheng Ling Bai Zhu San 45g to strengthen the immune system and 30g of Xiao Fang San to treat psoriasis. Dang Shen, Wei Shan Yao, Lian Zi, each 15g for soup twice a week as a form of food cure.

The Progression of Disease-For Tonify Body External Pathogen Cold

1. Obstruction of Qi (Lung) wind: Damp

2. Stagnation of Qi (Lung) Heat

Reversed flow of Qi (Lung as Cough) Dry

(Vomiting will belong to spleen & stomach)

3. Def. of Qi (spleen) Def. Of blood (liver) Internal Pathogen

4. Blood Stasis (liver) Heat

5. Def. of Kidney yang Def. of Kidney yin Cold

(Collapse of Qi) Internal: Wind

6. Def of Heart Qi Def. of Heart Blood Damp

Exhaust of Heart Yang Def. of Heart yin Cold Damp

Damp Heat


Blood Stasis


The Body Constitution:

Transformation according to the body deficiency

    Heat transformation due to the body def. of yin
    Cold transformation due to the body def. of yang
    Damp transformation due to the body def. of spleen yang
    Damp transformation will divide cold damp or damp heat

The Development of Life:

Transformation according to the age & sex

    Child hood pay more attention to spleen yang
    Female adult pay more attention to liver blood
    Male adult more attention to kidney yin or yang
    Senior after 60 pay more attention to heart

The Yin & Yang Rising Cycle:

    Daily cycle: The yang rising from midnight, the yin rising from mid noon.
    Six days cycle: The yang rising from the first three days, the yin rising from the second three days.
    Monthly cycle: The yang rising from the full moon, the yin rising from the crescent moon.
    Bi-yearly cycle: The yang rising from the summer solstice, the yin rising from the winter solstice.

Four Stages of the Yin & Yang Rising Cycle

1.Def. of Yang feel cold

Def. of Yin feels hot

2.Def. of Yang, yang so consumed cannot support the yin rising, then feel hot

Def. of Yin, yin so consumed cannot support the yang rising then feel cold

3.Def. of both yin & yang

4.Exhaust of both yin & yang

5.What kind of body, occupation, environment?

From what kind of disease may the patient suffer Pulse?

Example: congenital lung weakness Rosacea

Excess liver heat Psoriasis

6.What kind of transformation?

Hot/cold, damp, damp-heat, cold damp, heat and cold mixed?

7.What kind of reaction on the patient?

Move or stay – careful: woman’s menstrual cycle, pregnancy

Example: Pain, constipation the body needs to move

Bleeding, loose stool the body needs to stay

    Which organs are involved, where did the disease start?
    What is the process of the disease: special/popular?

What is the relationship between the organs?

Popular process of disease:


Special process of disease:

Rosacea: LU LIV KI HT SP

Psoriasis: LIV LU KI HT SP

LIV + KI Heart Yin Heat transformation

LU + SP + KI Heart Yang Cold transformation

SP + LIV + KI Yin Heart Yin Damp heat transformation

LU + SP KI Yang Heart Yang Cold damp transformation

(Damp proceeds the same way as cold transformation)

The progress of treatment: If the disease involves the liver, move back to the spleen. If it involves the heart, move to the kidney. If it involves the kidneys, move back to the liver.

3.When will the patient recover? Daily six days or monthly cycle.

Seasonal. Biyearly or yearly cycle

Recovery time for organs: Liver in summer

Heart in late summer

Spleen in autumn

Lung in winter

Kidney in spring

Recovery standard/watch: systems, tongue, pulse, summer/winter solstice

4.What was the reaction of the patient after herbal or Acupuncture treatment?

Use the results to improve your diagnosis and treatment skills.

5.Why did the disease occur in a particular season?

Spring – liver / summer – heart / long summer – spleen / autumn – lung / winter – kidney

6.Why did the disease recur?

What time: deficiency of Yin new moon / deficiency of Yang full moon, deficiency of Yin summer solstice / deficiency of Yang winter solstice

7.When will the patient die?

The 4 stages of the Yin and Yang rising cycle

1) Deficiency of Yang (very cold) or deficiency of Yin (very hot)

2) Yang very deficient/consumed fails to support Yin feels hot

3) Yang very deficient/consumed fails to support Yang feels cold

4) Separation of Yin and Yang. Leading to death

1) Please record the kind of food you eat for breakfast, lunch, and dinner do not forget your snacks and what beverage you drink.

2) Please mark down your energy level: in the morning, afternoon and evening. One is the lowest, 10 the highest level.

3) Please write down at which time of the day/night the pain started (or the rush, itching, irritability etc). It is important for us to know – because of the body’s daily cycle, it will tell us, which channel is involved.

4) Please record your appetite, bowel movements, urination, emotions, sleep, and dreams if you remember.

5) Please write down any Eastern or western medication you take as well as any diagnosis you previously received.

See your body as your best friend!

Your suffering is an excellent teacher – learn from it.

Live in harmony with your body as well as your family members, your friends, your work mates and your boss too.

The daily cycle of the body / channels

23-01 Gallbladder channel 11-13 Heart channel

01-03 Liver channel 13-15 Small Intestine channel

03-05 Lung channel 15-17 Bladder channel

05-07 Large intestine channel 17-19 Kidney channel

07-09 Stomach channel 10-21 Pericardium channel

09-11 Spleen channel 21-23 Triple burner channel

Please mark down at which hour you suffered first. Please learn from your sores and pains – that is the natural lesson for every human being, do not be beaten by it.

Control your emotions, do not your emotions affect your concentration

- Anger consumes your liver energy and affects your decisions

- Anxiety and worry consume your spleen energy and affect your digestion

- Fear consumes your kidney energy and affects your concentration, learning abilities and your work

- Frustration disappointment and sadness consume your lung energy and affect your body temperature, so you will easily catch a cold

- Excitement consumes your heart energy and affects your blood circulation causing easily fatigue

Be the master of your emotions – do not let your emotions control you.

Never be the slave of your emotions.

You may be angry or worried for a few minutes – do not bring those emotions into your dreams – they will consume your energy the next day.

Any emotional disorder … leads to … obstruction of Qi … Leads to … Stagnation of Qi … leads to … deficiency of Qi or energy.

Forgiveness is the best remedy, so your body can stay balanced.

Be self-confident; let us unite our wisdom and work together to fight your disease.

You are not alone – do not be self – contempt. Learn self – control and self – discipline. You are a dignified and valuable person is society – you still have the chance to learn, work, and contribute. Be confident – we will not only treat your disease, we treat your body’s deficiency too. We will relieve your suffering and you will recover. The disease will not recur.

Control your emotions, the food you eat and maintain a good life style. It will save you money, shorten the time to recover and be cured from the disease.

Remember – we are living in a world still not fully fair yet – why wasting time and energy in confronting stupid people of course we should help the poor and innocent people.

Why don’t you create your own beautiful world? Let your partner, your children, your friends, your workmates, your boss, any people surrounding you join and share your joy, wisdom, charity, and generosity.

You must be the source of happiness for the people who meet you.

We provide a series of treatments:

Emotional counseling, herbal treatment, acupuncture, massage, food cures, exercises-let us ensure you, we will fix your disease!

Let us cooperate, not only to fight you disease but also battle for the health of humankind. Do not complain, be upset or angry if you are confronted with unfriendly people, and help them to understand. Try to learn something from them; you have to be a good student!

Do not forget: your goal is to live in harmony with your body and the people around you. People you do not like need your smile and your support too.

Suffering is a lesson for everybody. It teaches us how to live in harmony with our body. If a person does not finish and graduates from that course, the individual will suffer from disease forever until the day they die. Nobody will ever be free from any stress and challenge, try to handle it the best you can.

Try to think of some way to solve your problems and your stress before you go to sleep, let your unconsciousness work for you. You may get some new idea in the next morning when you get up.

Do not eat the food you like most (like hot and spicy food) right at the start – you may overdose on it. Put it at the end of the meals and under control.

You will enjoy your food.

Dr Henry Lu principle

Nasser Tabesh MD DTCM

Dr Sean Hantke DTCM

Babak Ahmadi Translator

I have devoted a lot of time and effort to writing that the disease and treatment is not only just prescription of the doctors with some pills or capsules but it depends on time, astrology, seasons and even days or night. Your comments will be greatly appreciated.

Nasser Tabesh MD DTCM


The reference mentioned are from the book The Principle of T.C.M written by our principal Dr. Henry C. Li Ph. D.

The principle of TCM

The university physics (Young & Freedman)

Traditional Chinese Medicine

Chinese herbal Medicine Material Medica – Dan bensky – Gamble

Chinese acupuncture and moxibustion

Clinical Hand book of internal Medicine Will Maclean

Jane Lyttleton University of western Sydney

Chinese herbal cures Henry c.lu

- Fundamentals of Chinese acupuncture Ellis-Wiseman- Boss

- Common Diseases Treatment Shandong science and technology press.
- Pictorial Atlas of acupuncture Hans P.ogal and Wolfram Stör.