The Psyche in Chinese Medicine
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The Psyche in Chinese Medicine FINAL NOT - ELSEVIER OF CONTENT PROPERTY SAMPLE FINAL NOT - ELSEVIER OF CONTENT PROPERTY SAMPLE Commissioning Editor: Mary Law/Karen Morley Development Editors: Kerry McGechie/Veronika Watkins Project Manager: Emma Riley Designer: Charles Gray Illustration Manager: Merlyn Harvey The Psyche in Chinese Medicine Treatment of Emotional and Mental Disharmonies with Acupuncture and Chinese Herbs Giovanni Maciocia CAc (Nanjing)FINAL Acupuncturist and Medical Herbalist, UK; Visiting Associate Professor at the Nanjing University of Traditional ChineseNOT Medicine, Nanjing, People’s Republic of China - ELSEVIER Foreword by OF Peter Deadman CONTENT Illustrators: Michael Courtney, Richard Morris and Jonathan Haste PROPERTY SAMPLE Edinburgh • London • New York • Oxford • Philadelphia • St Louis • Sydney • Toronto • 2009 © 2009, Giovanni Maciocia. The right of Giovanni Maciocia to be identified as author of this work has been asserted by him in accordance with the Copyright, Designs and Patents Act 1988 No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Rights Department: phone: (+1) 215 239 3804 (US) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: [email protected]. You may also complete your request on-line via the Elsevier website at http://www.elsevier.com/permissions. ISBN: 978-0-7020-2988-2 British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data A catalog record for this book is available from the Library of Congress Notice FINAL Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verifyNOT the recommended dose or formula, the method and duration of administration, and contraindications.- It is the responsibility of the practitioner, relying on their own experienceELSEVIER and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Author assumes any liability for any injury and/or damage to OFpersons or property arising out of or related to any use of the material contained in this book. The Publisher CONTENT PROPERTY SAMPLE The Working together to grow publisher’s policy is to use libraries in developing countries paper manufactured from sustainable forests www.elsevier.com | www.bookaid.org | www.sabre.org Printed in China CONTENTS Foreword xiii Preface xv BALANCE OF EMOTIONS 32 Acknowledgements xxi EYES AND SIGHT 34 Note on the translation of Chinese medical terms xxiii CHAPTER 1 COURAGE 34 THE PSYCHE IN CHINESE MEDICINE 1 PLANNING 35 THE SPIRIT AND SOUL IN WESTERN PHILOSOPHY 1 RELATIONSHIP WITH THEFINAL MIND 36 The spirit 1 Relationship between the Ethereal Soul and the The soul 3 Mind 36 Mild “manic” behavior in clinical practice 38 THE SPIRIT, SOUL AND MIND IN CHINESE MEDICINE 3 Examples of theNOT nature of the Ethereal Soul 38 Terminology 3 The Ethereal- Soul and modern diseases 40 The Spirit (Shen) in Chinese medicine 4 ELSEVIERThe Ethereal Soul and Buddhist psychology 40 The concept of “body” in China 6 The Ethereal Soul and Jungian psychology 41 The Soul in Chinese medicine 6 The movement of the Ethereal Soul and expansion/ The Mind (Shen) in Chinese medicine 8 OF contraction 42 Meaning of the word Shen in Chinese medicine 9 Clinical patterns of pathologies of the Ethereal Soul 43 Mental illness in ancient Chinese medicine 10 CHAPTER 2 CLINICAL APPLICATION 44 CONTENTAcupuncture 44 THE NATURE OF THE MIND (SHEN) IN CHINESE Herbal therapy 45 MEDICINE 15 CHAPTER 4 THE NATURE OF THE MIND (SHEN) IN CHINESE THE CORPOREAL SOUL (PO) 47 MEDICINE 15 PROPERTY Terminology 15 THE CORPOREAL SOUL AND THE ESSENCE (JING) 48 Chinese characters for Shen 16 SAMPLE Nature of the Mind and of the “Three Treasures” 16 INFANCY 51 Functions of the Mind 18 The Mind and the senses 20 SENSES 51 Coordinating and integrating function of the Mind 21 PHYSIOLOGICAL ACTIVITY 52 “MIND” VERSUS “SPIRIT” AS A TRANSLATION OF SHEN 22 EMOTIONS 53 BREATHING 54 CLINICAL APPLICATION 23 CHAPTER 3 THE CORPOREAL SOUL AND INDIVIDUAL LIFE 54 THE ETHEREAL SOUL (HUN) 25 THE CORPOREAL SOUL AND THE GUI 54 SLEEP AND DREAMING 29 THE CORPOREAL SOUL AND THE ANUS 55 THE MOVEMENT OF THE ETHEREAL SOUL AND MENTAL RELATIONSHIP BETWEEN CORPOREAL SOUL AND ACTIVITIES 31 ETHEREAL SOUL 55 vi Contents CLINICAL APPLICATION 60 SMALL INTESTINE 102 Contraction of the Corporeal Soul 60 Expansion of the Corporeal Soul 60 LARGE INTESTINE 104 CHAPTER 5 GALL-BLADDER 104 THE INTELLECT (YI) 63 STOMACH 107 MEMORY 63 BLADDER 110 GENERATION OF IDEAS 64 TRIPLE BURNER 110 STUDYING AND CONCENTRATING 64 CHAPTER 9 FOCUSING 65 THE EMOTIONS 115 RELATIONSHIP WITH THE MIND (SHEN) 65 THE EMOTIONS 122 Anger 122 CLINICAL APPLICATION 65 Joy 126 Worry 127 CHAPTER 6 Pensiveness 129 THE WILL-POWER (ZHI) 67 Sadness and grief 131 Fear 133 ZHI AS MEMORY 67 Shock 134 ZHI AS WILL-POWER 68 Love 135 Craving 136 FINAL CLINICAL APPLICATION 69 Guilt 138 Shame 140 CHAPTER 7 THE GUI 71 THE PATHOLOGYNOT OF QI AND MINISTER FIRE IN EMOTIONAL- PROBLEMS 143 GUI AS SPIRIT, GHOST 71 ELSEVIERThe effect of emotions on the body’s Qi 143 The pathology of the Minister Fire in emotional GUI AS MOVEMENT OF THE ETHEREAL SOUL AND problems 148 CORPOREAL SOUL 75 OF THE TRIUNE BRAIN AND CHINESE MEDICINE 155 GUI AS A CENTRIPETAL, SEPARATING, FRAGMENTING The triune brain, the Mind, Ethereal Soul and Corporeal FORCE 76 CONTENTSoul 157 GUI IN RELATION TO THE CORPOREAL SOUL 77 CHAPTER 10 ETIOLOGY OF MENTAL-EMOTIONAL PROBLEMS 161 GUI AS A SYMBOL OF CONTRACTION, COUNTERPOLE OF SHEN (EXPANSION) 79 CONSTITUTION 162 Wood type 162 GUI AS DARK FORCE OF THEPROPERTY PSYCHE AND ITS Fire type 163 CONNECTION WITH THE JUNGIAN SHADOW 83 SAMPLE Earth type 164 ACUPUNCTURE POINTS WITH “GUI” IN THEIR NAMES Metal type 164 84 Water type 165 CHAPTER 8 DIET 166 THE 12 INTERNAL ORGANS AND THE PSYCHE 87 Excessive consumption of hot-energy foods 166 Excessive consumption of Damp-producing foods 166 HEART 90 Excessive consumption of cold-energy foods 167 Irregular eating habits 167 LUNGS 93 Insufficient eating 167 LIVER 94 OVERWORK 167 SPLEEN 96 EXCESSIVE SEXUAL ACTIVITY 167 KIDNEYS 97 DRUGS 167 Cannabis 168 PERICARDIUM 100 Cocaine 168 Contents vii Ecstasy 169 CHAPTER 13 PREVENTION OF MENTAL-EMOTIONAL PROBLEMS 169 ACUPUNCTURE IN THE TREATMENT OF MENTAL- EMOTIONAL PROBLEMS 243 CHAPTER 11 DIAGNOSIS OF MENTAL-EMOTIONAL PROBLEMS 171 LUNG CHANNEL 245 LU-3 Tianfu 245 COMPLEXION 171 LU-7 Lieque 246 LU-10 Yuji 246 EYES 173 LARGE INTESTINE CHANNEL 247 PULSE 174 L.I.-4 Hegu 247 The pulse and the emotions 174 L.I.-5 Yangxi 247 The Heart pulse 175 L.I.-7 Wenliu 247 General pulse qualities and the emotions 176 STOMACH CHANNEL 248 TONGUE 177 ST-25 Tianshu 248 Red tip 177 ST-40 Fenglong 249 Heart crack 178 ST-41 Jiexi 249 Sides of the tongue 179 ST-42 Chongyang 249 Body shape 179 ST-45 Lidui 249 Combined Stomach and Heart crack 180 CHAPTER 12 SPLEEN CHANNEL 250 PATTERNS IN MENTAL-EMOTIONAL PROBLEMS AND SP-1 Yinbai 250 THEIR TREATMENT WITH HERBAL MEDICINE AND SP-3 Taibai 250 FINAL ACUPUNCTURE 183 SP-4 Gongsun 251 SP-5 Shangqiu 251 THE EFFECT OF MENTAL-EMOTIONAL PROBLEMS ON QI, SP-6 Sanyinjiao 251 BLOOD, YIN AND PATHOGENIC FACTORS 183 NOT Effects on Qi 184 HEART CHANNEL- 252 Effects on Blood 185 ELSEVIERHE-3 Shaohai 252 Effects on Yin 188 HE-4 Lingdao 252 Pathogenic factors in mental-emotional problems 190 HE-5 Tongli 252 OF HE-7 Shenmen 253 MIND OBSTRUCTED, UNSETTLED, WEAKENED 196 HE-8 Shaofu 253 Mind Obstructed 196 HE-9 Shaochong 253 Mind Unsettled 196 Mind Weakened 197 CONTENTSMALL INTESTINE CHANNEL 254 Herbal treatment methods for Mind Obstructed, S.I.-5 Yanggu 254 Unsettled or Weakened 198 S.I.-7 Zhizheng 255 Treatment principles 199 S.I.-16 Tianchuang 255 PROPERTY MIND OBSTRUCTED 200 BLADDER CHANNEL 255 Qi stagnation 200 SAMPLE BL-10 Tianzhu 255 Blood stasis 205 BL-13 Feishu 256 Phlegm misting the Mind 208 BL-15 Xinshu 256 BL-23 Shenshu 257 MIND UNSETTLED 212 BL-42 Pohu 257 Blood deficiency 212 BL-44 Shentang 258 Yin deficiency 213 BL-47 Hunmen 258 Yin deficiency with Empty Heat 217 BL-49 Yishe 259 Qi stagnation 221 BL-52 Zhishi 259 Blood stasis 221 BL-62 Shenmai 259 Fire 221 Phlegm-Fire 226 KIDNEY CHANNEL 260 KI-1 Yongquan 260 MIND WEAKENED 228 KI-3 Taixi 261 Qi and Blood deficiency 228 KI-4 Dazhong 261 Yang deficiency 232 KI-6 Zhaohai 261 Blood deficiency 234 KI-9 Zhubin 261 Yin deficiency 234 KI-16 Huangshu 262 viii Contents PERICARDIUM CHANNEL 263 ANCIENT THEORIES ON EMOTIONS 285 P-3 Quze 264 Pythagoras 285 P-4 Ximen 264 Heraclitus 285 P-5 Jianshi 264 Socrates 286 P-6 Neiguan 264 Plato 286 P-7 Daling 266 Aristotle 286 P-8 Laogong 267 Stoics 287 Middle Ages and Christianity 288 TRIPLE BURNER CHANNEL 268 St Augustine 288 T.B.-3 Zhongzhu 268 Thomas Aquinas 288 T.B.-10 Tianjing 268 Descartes 290 Thomas Willis 290 GALL-BLADDER CHANNEL 268 Spinoza 291 G.B.-9 Tianchong 268 Hume 291 G.B.-12 Wangu