Basic TCM Theory – Taoist Theory and Yin/Yang
Basic TCM begins with an understanding of the forces of Yin and Yang and the five elements. Much of TCM theory developed out of Taoism, the indigenous religion of China. In Taoism, reality can be understood in this manner:
• Before the before there is 0
• 0 became One
• One became Two
• Two became Three
• Three became the 10,000 myriad things
0 is basically beyond comprehension. Recognize this line?
The Tao that can be spoken is not the Tao
Yeah it’s even way more complicated than that. You might be able to understand it as the Godhead in Christian mysticism, or as Nirvana in Buddhism (literally: No-thing). It is the absolute un-manifest. Regardless, it’s pretty much pointless for me to talk about it as it really can't be explained, only experienced. Anyway, let’s move on.
One is unified reality, the original manifestation that still exists as the un-manifest. Everything is One, One is everything; you figure it out…moving on. Two is the division of the original manifest into the two opposing forces known as Yin and Yang. Many Westerners have at least a basic familiarity with Yin and Yang with the Taiji symbol, which looks a bit like a white fish with a black eye and a black fish with a white eye swirling around in a circle, being a familiar sight in the West. The Yin and Yang are the two primary, original forces of the energetic and physical planes. They express the completely relative nature of our world, as we do not exist in the realities of 0 or One. Everything we perceive is the opposite of something else, Beauty is the opposite of Ugly, Good is the opposite of Bad, Pleasure the opposite of Pain. Each perception also contains the spirit of its opposite (the opposing colored “eye” in the “fish”). As nothing in our reality can be perfect, even the most beautiful piece of artwork still contains come imperfection, and even the most vile of individuals still contains within himself the seeds of redemption.
Note: Taoism is not, contrary to a popular opinion, a philosophy of relativism. It just recognizes that perfection (or the Form, in Platonist thought) doesn’t exist in the material. Obviously it is not completely dualistic, as it wouldn’t talk about 0 or One if it were.
So what is the nature of Yin and Yang exactly?
Yin: dark, passive, feminine, descending, introverted (think of the Moon)
Yang: light, aggressive, masculine, ascending, extroverted (think of the Sun)
Everything in the world expressed can be as either the nature of Ying and Yang, but these are also not absolute constructs, Yin and Yang exist relative to the situation. For example:
Water=Yin nature – Fire=Yang nature
However:
Candle Flame=Yin nature – Bonfire=Yang nature
Or, to put the two together:
A candle flame is Yang relative to a pool of water, but that same candle flame is Yin relative to a bonfire.
So how does this apply to TCM? Well, as a general rule, balance is always best. And when you’re dealing with the two primary, opposing forces of the universe, balance is definitely a good thing, just try to imagine a lopsided Taiji symbol (doesn’t really work does it?) Now, apply this to health. What happens when you are sick, or tired, or weak, or vomiting profusely into your friend’s lap? Do you feel balanced, or harmonious? Obviously not, something has clearly taken you off that neutral point of overall well being. And this doesn’t just apply to pain either; you can have too much energy (caffeine), be way too tense (stress), or even be too happy. TCM doctors would identify these as problems stemming from a Yin/Yang imbalance somewhere in the body.
A good illustration of this is my own chronic lower back pain, which so far no one has been able to diagnose (my posture is fine, and according to the X-rays I don’t have scoliosis). I complained about this to my Qigong teacher, he placed his hand over my lower back, and declared that I had weak kidneys. Since the pain was in the kidney area, it made enough sense as far as I was concerned. Now, the kidneys are a Yin organ, so any weaknesses probably have some relation to a Yin deficiency in the body. The solution? Eat Yin promoting foods, such as fish, and do Yin promoting exercises directed towards the kidney area, such as a Yin Qigong posture. That’s it, no fancy pharmaceuticals, no expensive chiropractic treatments; no pointless exercise machines are needed. Just eat the proper foods, do some Qigong postures, and maybe take some Yin promoting supplements (white ginseng) or get acupuncture if the pain is really bad. And it’s interesting to note how the problem is approached. In the west, it would automatically be assumed that back pain would be the result of some sort of muscle tension or a weakness in the skeletal structure. But TCM tries to look deeper, on the energetic level of the human body to try and discover imbalance is causing the muscle tension or poor skeletal structure that is in turn causing the back pain.
Basic TCM Theory – Five Element Theory
Five-Element theory is another concept central to both Taoist practice and Chinese Medicine. As far as I can understand, the Five-Elements are in the realm of Three, that which comes out of Yin/Yang (Two Becomes Three), and might be described as the gross-elements of nature (something like the laws of physics). Like Yin/Yang, the Five-Elements aren’t absolute constructs but rather describe the properties and behaviors of a subject in question relative to the situation. The Five-Elements and their properties are:
• Fire: controlling
• Metal: adaptive
• Earth: harmonizing
• Water: flowing
• Wood: generating
Again, this concept can be applied in any number of situations. Take your group of friends for example. Chances are you know someone who tends to be a bit more aggressive and wild (Fire), someone who helps the whole group to get along (Earth), and someone who just has a good time no matter what you do (Metal). The Five-Elements also have a specific relationship relative to each other. When forces are balanced, each element generates one element (generating sequence), and restricts another (restricting sequence).
Generating Sequence:
Wood-Fire-Earth-Metal-Water-Wood
Wood is fuel for Fire, Fire reduces to ashes (Earth), Earth produces Metal, Metal transports Water, and Water grows trees (Wood).
Restricting Sequence:
Metal-Wood-Earth-Water-Fire-Metal
Metal cuts Wood, Wood holds Earth, Earth contains Water, Water puts out Fire, and Fire melts Metal.
These principles are then applied to the organs, which are believed to hold the properties of the Five-Elements. The organ sequence fits in like this:
Kidney (Water) – Liver (Wood) – Heart (Fire) – Spleen (Earth) – Lung (Metal) – Kidney
Finally, medical diagnoses are made based on the awareness of the proper balance of the forces of Yin/Yang and Five-Elements in the human body. Thus the approach is completely holistic. Disease of the liver may be the result of the heart organ having too much fire and being too yang, therefore throwing the organ that is directly connected to it, the liver, out of balance. The curative process will then focus on bringing sympathetic organs back into energetic balance, along with the symptomatic organ, instead of just acknowledging only the organ in question.
The use of both Yin/Yang and Five-Element theory allows the TCM doctor to treat the patient on the deeper energetic level, rather than just on the physical level. As stated before, the understanding behind this is that the physical well being is directly controlled by proper energetic balance. Treat the energy body, and the physical body improves necessarily.
Next Up: Qi and Medical Qigong