Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make...

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Perspective of Chinese medicine on stress and stress management Weixiang Wang PhD C., MD www.klinic.nl

Transcript of Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make...

Page 1: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Perspective of Chinese

medicine on stress and

stress management

Weixiang Wang PhD C., MD

www.klinic.nl

Page 2: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Definition of Stress

The term “stress”, as it is currently used was

coined by Hans Selye in 1936, who defined it as

“the non-specific response of the body to any

demand for change”.

Weixiang Wang PhD C., MD www.klinic.nl

Page 3: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

What is Stress?

Everyone feels stressed from time to time. Some

people may cope with stress more effectively or

recover from stressful events quicker than others.

Weixiang Wang PhD C., MD www.klinic.nl

“Everyone knows what stress is, but nobody

really knows.”

Page 4: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Some manifestations of Stress

Chest pain, heartburn, headache or palpitations.

Ulcer or heart attack.

Many scientists complained about this confusion

and one physician concluded in a 1951 issue of the

British Medical Journal that, “Stress in addition to

being itself, was also the cause of itself, and the

result of itself.”

Weixiang Wang PhD C., MD www.klinic.nl

Page 5: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

American Psychological Association reports that 63

percent of Americans say they are taking action to

reduce their stress levels, 43 percent suffer adverse

health effects due to stress.

Weixiang Wang PhD C., MD www.klinic.nl

Page 6: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Studies show that Chinese medicine, which includes

acupuncture, Herbal medicine, Qigong and Taiji, can

significantly help reduce stress.

Weixiang Wang PhD C., MD www.klinic.nl

Page 7: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Chinese Medicine:

Some fundamentals

Weixiang Wang PhD C., MD www.klinic.nl

Page 8: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Chinese Medicine on Health

Balance of Yin and Yang

Harmonization of Body and Mind

Free flow of Qi and Blood

Coexistence with human beings and

environment

Weixiang Wang PhD C., MD www.klinic.nl

Page 9: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Weixiang Wang PhD C., MD www.klinic.nl

Balance of Yin and Yang

Harmonization of Body and Mind

Free flow of Qi and Blood

Coexistence with human beings and environment

Page 10: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Mind

Balance of Yin and Yang

Harmonization of Body and Mind

Free flow of Qi and Blood

Getting along with the human beings and environment

smoothly

Weixiang Wang PhD C., MD www.klinic.nl

Body

Page 11: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Balance of Yin and

Yang

Harmonization of Body

and Mind

Free flow of Qi

and Blood

Getting along with the

human beings and

environment smoothly

Weixiang Wang PhD C., MD www.klinic.nl

Page 12: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Stagnation causes fire flares up so the mind is disturbed.

Stagnation causes the retention of body fluid so heaviness

and fatigue in result.

Stagnation makes the pressure escalating so things can be

broken includes the heart.

Weixiang Wang PhD C., MD www.klinic.nl

Page 13: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Weixiang Wang PhD C., MD www.klinic.nl

Page 14: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Harmonization of Body and Mind

Free flow of Qi and Blood

Balance of Yin and Yang

Getting along with the human

beings and environment smoothlyWeixiang Wang PhD C., MD www.klinic.nl

Page 15: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Adaptation Culture Diet Geography Climate Living circumstances

Weixiang Wang PhD C., MD www.klinic.nl

C

olle

ague re

latio

nship

Culture Diet Geography Climate Living circumstances

C

olle

ag

ue

re

latio

nsh

ip

Page 16: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Weixiang Wang PhD C., MD www.klinic.nl

Page 17: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Causes of stress

Weixiang Wang PhD C., MD www.klinic.nl

Page 18: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Chinese Medicine

External factors are merely premise

Internal factors are the determinant

Weixiang Wang PhD C., MD www.klinic.nl

Pathogenic factors are everywhere

But not everyone become sick simultaneously

Page 19: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Weixiang Wang PhD C., MD www.klinic.nl

7

emotions

Summer

heat

dry

heat

cold

dampwind

Bacteria

virus

Page 20: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Everything can be the cause of stress

if you are a stressful person

One incident can be an overwhelming stress for a

person but can be nothing for another

Weixiang Wang PhD C., MD www.klinic.nl

Page 21: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Chinese Medicine: Stress

Constitution

7 emotions

6 greed

Internal organs

Weixiang Wang PhD C., MD www.klinic.nl

Page 22: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Constitution

Poor health condition of parent(s)

Tense relationship between parents

Unease pregnancy

Unhappy Childhood

Weixiang Wang PhD C., MD www.klinic.nl

Page 23: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Seven Excessive Emotions

Weixiang Wang PhD C., MD www.klinic.nl

Over-excitement

Anger

Worrying and

pensiveness

Sadness

Fright, fear

Page 24: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Disturbed flow of Qi

Over-excitement slow the Qi

Anger make the Qi ascend

Pensiveness and worry knots the Qi

Sadness, grief weak the Qi

Fright, fear scatter the Qi

Weixiang Wang PhD C., MD www.klinic.nl

Page 25: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Six Greed

Weixiang Wang PhD C., MD www.klinic.nl

Eyes greed

Ears greed

Nose greed

Tongue greed

Body greed

Fame greed

Page 26: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Analysis of Stress

Pathogenesis of Stress: disturbance of Qi Ji

Main Location: Gallbladder

Further injuries heart, liver, spleen, lungs and

kidneys

Weixiang Wang PhD C., MD www.klinic.nl

Page 27: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

How does stress affect the body?

Stress

Weixiang Wang PhD C., MD www.klinic.nl

Gallbladder

Stress

Stress

Stress

Page 28: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Different faces of stress

Heart pattern

Liver pattern

Spleen pattern

Lung Pattern

Kidney pattern

Weixiang Wang PhD C., MD www.klinic.nl

Page 29: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Stress: Heart Pattern

Palpitations

Insomnia, dream disturbed sleep

Nightmare

Unclear Thinking

Mania, Disturbed Shen (possibly manic, risk-taking)

Heart Attack

Weixiang Wang PhD C., MD www.klinic.nl

Page 30: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Treatment of Heart Pattern

BL 14

BL 15

BL 19

Ren 14

HT 7

PC7

KD6

Weixiang Wang PhD C., MD www.klinic.nl

Page 31: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Herbal Medicine: An Shen Ding Zhi Wan

Weixiang Wang PhD C., MD www.klinic.nl

Herbal tea:

Lian Zi Xin (Lotus Plumule) 3g

Bai Zi Ren (Semen Platycladi) 10g

Dan Zuo Ye (Herba Lophatheri) 5g

Page 32: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Qigong: Heart “KE”Pattern

Weixiang Wang PhD C., MD www.klinic.nl

Page 33: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Liver Pattern

Vertex Headache

Dizziness

Blurry Vision

Blood Pressure is Raised

Trembling / numbness of limbs, stroke

Often twist the joints

Distention /pain in the Costal Region

Irregular menstruation, amenorrhea

Weixiang Wang PhD C., MD www.klinic.nl

Page 34: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Treatment of Liver Pattern

BL 18

BL19

GB34

GB40

LV14

KD5

GB20

Weixiang Wang PhD C., MD www.klinic.nl

Page 35: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Weixiang Wang PhD C., MD www.klinic.nl

Herbal medicine:

Chai Hu Shu Gan Wan

(Auranti Form)

Herbal tea:

Mei Gui Hua (Flos Rosae Rugosae)

3g

Ju Hua (Flos Chrysanthemi

Morifolii)3g

Cao Jue Ming (Semen Cassiae) 5g

Page 36: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Qigong: Live “XÜ”Pattern

Weixiang Wang PhD C., MD www.klinic.nl

Page 37: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Spleen Pattern

Worry worry worry

Extreme fatigue

Abnormal eating habits

Pale complexion

Loose stool, or alternating with constipation

Excessive menstruation

Weixiang Wang PhD C., MD www.klinic.nl

Page 38: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Treatment of Spleen Pattern

BL 20

BL 19

BL 23

SP 3

DU 20

LV13

Weixiang Wang PhD C., MD www.klinic.nl

Page 39: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Weixiang Wang PhD C., MD www.klinic.nl

Herbal tea:

Chen Pi (Pericarpium Citri

Reticulatae) 5g

Fuling (Scierotium Poriae

Cocos) 3g

Shan Zha (Fructus

Crataegi) 5g

Herbal Medicine:

Gui Pi Tang

(Lily Form)

Page 40: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Qigong: Spleen

“HU”Pattern

Weixiang Wang PhD C., MD www.klinic.nl

Page 41: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Lungs Pattern

Tightness in the Chest, superficial breath

Excessive Crying, often sobbing

Asthma, constant cough, cough of blood

Frequent Colds and Flu (Wei Qi is weakened)

Skin problems

Hoarse voice, or cannot talk suddenly

Weixiang Wang PhD C., MD www.klinic.nl

Page 42: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Acupuncture for

Lungs Pattern

BL 13

BL 19

LU1

REN 17

SP 3

GB34

Weixiang Wang PhD C., MD www.klinic.nl

Page 43: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Herbal Medicine: Xie Bai San & Long Dan Xie Gan Tang

Weixiang Wang PhD C., MD www.klinic.nl

Herbal Tea:

Chuan Lian Zi (Fructus

Meliae Toosendan) 2

pieces

Bai He (Bulbus Lilii) 6g

Sang Ye (Folium Mori

Albae) 3g

Page 44: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Qigong: Lungs “SI”Pattern

Weixiang Wang PhD C., MD www.klinic.nl

Page 45: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Kidneys Pattern Frequent urination, loss control of urination / defecation

Unreasonable fear, easy being frightened

Low libido, premature ejaculation, impotence

Cold knee and feet, soreness of lower back

Lack Courage

Hard to get pregnant, miscarriage

Easy get fracture

Dizziness, deafness, hair loss

Weixiang Wang PhD C., MD www.klinic.nl

Page 46: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Treatment of Kidneys Pattern

Weixiang Wang PhD C., MD www.klinic.nl

BL 23

BL 19

GB 40

RN 4

RN 6

HT 3

DU 15

Page 47: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Herbal Medicine:

Zuo Gui Wan

Weixiang Wang PhD C., MD www.klinic.nl

Herbal Tea:

Gou Qi Zi (Fructus

Lycii) 10 g

Da Zao (Fructus

Jujubae) 5 g

Tai Zi Shen (Radix

Pseudostellariae) 6g

Page 48: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Qigong: Kidneys “CHUI” Pattern

Weixiang Wang PhD C., MD www.klinic.nl

Page 49: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Gallbladder: Chinese Medicine

Gall Bladder Controls Judgment

(Liver controls planning), Gall Bladder controls

ability to make decisions. These two functions

are interdependent.

Weixiang Wang PhD C., MD www.klinic.nl

Page 50: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Gall Bladder gives a person courage and initiative, i.e.,

courage to make decisions, act, make changes:

positive and decisive action.

Deficient Gall Bladder can result in indecision, timidity,

easily becoming discouraged and easily being stressful.

Weixiang Wang PhD C., MD www.klinic.nl

Page 51: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Herbal Medicine: Yue Ju Wan & Gan Mai Da Zao Tang

Herbal tea:

Gou Qi Zi (Fructus Lycii) 10g

Shan Yu Rou (Fructus Corni) 5g

Qian Shi (Gordon Euryale Seed) 5g

Weixiang Wang PhD C., MD www.klinic.nl

Page 52: Perspective of Chinese medicine on stress and stress ... · courage to make decisions, act, make changes: positive and decisive action. Deficient Gall Bladder can result in indecision,

Definition of Stress:

Chinese Medicine

There is no stress in the

world if your gallbladder is

strong enough.

Weixiang Wang PhD C., MD www.klinic.nl