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The five breath

The five breath

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The dance of the Five Elements

The theory of the Five Elements is fundamental to Traditional Chinese Medicine. It is a model of the energy balances at work in Nature. Penetrating the essence of these elements and their interactions is a valuable learning experience.

The Five Elements are not fixed categories. They form an eternal cycle. Wood feeds Fire, which creates Earth (ashes), which generates Metal (in minerals), which condenses Water, which feeds Wood again.

A wheel that reminds us of the I Ching, or Classic of Transformations. Today, in the tumult of the modern world, this ancient wisdom has a new relevance. Whether we live in Shanghai or Marseille, in a monastery or an open-plan office, the Five Elements offer us an inner compass.

“If you can perceive within yourself the murmur of Wood, the warmth of Fire, the stability of Earth, the clarity of Metal, or the depth of Water… then perhaps, for a moment, you will have walked the path of the Dao.”

By observing our body, our emotions, our relationships, we can sense which element is in excess or deficiency, and restore harmony. This is the art of energetic diagnosis, but also of aligned living.

The Dao, the invisible thread of transformation At the heart of this system lies the Dao, the silent origin, the way that is not spoken but lived. The Five Elements are but reflections of the Dao in the manifest world. Each element is a mirror of the Dao in a particular phase of life.

By honoring the Five Elements, we return to the wisdom of the living, to balance and fluidity.

The origins of Breath

More than three thousand years ago, in the fertile valleys of the Yellow River, sages observed the sky, the earth, animals and the beating of the human heart. They already understood that life is not a series of isolated events, but a vibrant network of relationships and interactions.

Thus was born the theory of the Five Elements – Wood, Fire, Earth, Metal and Water – a poetic, philosophical and medical language to describe the dynamics of the Universe.

These elements are not materials, but movements and transformations. They represent phases of mutation of Qi, the vital energy, always in motion, always linked to the Dao, the natural path of the universe.

The morning of the world

Wood is birth, momentum, growth. It is spring breaking through the ice, the child discovering the world. Its movement is expansive, pushing outwards, upwards. It’s the tree that splits the rock, the will to live.

Wood is aspiration in the spiritual tradition. It symbolizes vision – not just of the eyes, but of the heart. It inspires artists, inventors and pioneers.

Today, the Wood element can be found in the creative entrepreneur, the activist who dreams of a better world, or in the teenager in search of an identity. But when Wood is unbalanced, it becomes anger, frustration and rigidity, which originate in the liver and gall bladder.

The zenith of transformation

Fire is associated with paroxism: summer for the seasons, the maturity of the accomplished adult, the brilliance of the day at its zenith. We speak of love, joy or human warmth.

Fire burns at the center of our chest in the Heart, the emperor of organs according to Chinese medicine. It also governs the Small Intestine, the Heart Master and the Triple Warmer.

But Fire is also openness, generosity, sincere communication, the ability to love without possession. It’s the laughter of a child, the flame of a monk at prayer, the fire of a shaman in trance.

When Fire is unbalanced, it becomes overexcited, agitated and can lead to insomnia. In our contemporary world, saturated with digital stimuli, Fire is often in excess, fueled by a compulsive need for attention and gratification.

Breath of detachment

Metal corresponds to autumn, falling leaves, old age and the return to basics. It is associated with the Lungs and the Large Intestine, masters of rhythm and elimination. It teaches the art of letting go, the beauty of silence, the nobility of impermanence.

Metal is the discipline of the monk, the righteousness of the samurai, the poetry of emptiness. It is the element of breath – the inhalation of life, the exhalation of death. It knows how to recognize the value of things and naturally detaches itself from the useless.

In a consumerist civilization, rediscovering Metal means learning to say “no”, honor grief and purify our inner space. When Metal is blocked, sadness, melancholy and difficulty in turning the page appear.

Anchoring to the mother

The Earth is the center around which life revolves. It’s the end of summer, the time of harvest. Organically, it governs the Spleen and Stomach, the organs of digestion, not only of food, but also of emotions and ideas.

Earth symbolizes stability, acceptance and trust. It is the energy of the nurturing mother, or of the wise man sitting in contemplation in a field. It embodies listening, caring and refocusing on the inner life. When this tranquility is disturbed, the individual falls prey to mental rumination, over-control, chronic worry or anxiety.

In an age of dispersion, the Earth is a reminder of simplicity, of presence. Shocking contrast: the lack of Earth manifests itself in inner exile; bodies are nourished, but spirits are starved.

Depth and invisibility

Finally, water corresponds to winter, night, dreams and death. It governs the Kidneys and Bladder, the guardians of our ancestral energy. It is the force of Yin, of silence, of mystery.

It is the memory of the world, the wisdom that lies dormant within us all. It is the underground river of our intuitions, the fear that protects, deep sexuality and gestation. Spiritually, Water embodies absolute trust in the flow of the Dao, humility in the face of the unknown.

It is the energy of hermits, shamans and children in spontaneous meditation. Sadly, in our fast-paced world, chronic fear, exhaustion and existential emptiness all reflect a lack of Water energy. But when it flows freely, Water heals. It links generations, transmitting the very essence of life.

A diagnostic and treatment tool

These five elements perpetually interact with each other, the balance of one having repercussions on the others. These interrelations have been modeled by TCM (see below).0pxThe Chinese physician uses the theory of the five elements to diagnose and treat his patient.

The principle is always to restore overall balance by acting on the elements in imbalance. Feng Shui masters also use the Five Elements to balance the energy of living spaces.

The dynamics of the 5 elements

The balance of the Five Elements is based on the interactions described by the following two cycles: the cycle of generation and the cycle of control.

The generation cycle (or creation cycle) illustrates a relationship of mutual nourishment and support. Each element begets the next: Wood nourishes Fire, Fire creates Earth (ashes), Earth bears Metal (minerals), Metal begets Water (condensation), and Water nourishes Wood. It’s a harmonious cycle that ensures a continuous flow of energy.

The cycle of control (or cycle of domination) describes a relationship of regulation and limitation. Each element controls another: Wood controls Earth (roots holding back the soil), Earth controls Water (dikes), Water controls Fire (extinguishes it), Fire controls Metal (melts it), and Metal controls Wood (the axe cuts the wood). This cycle maintains balance by preventing one element from becoming dominant.

These two cycles help us understand the dynamics of the five elements and their interrelationships within the body and the environment.

Diagnosis in TCM

Diagnosis in TCM

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An ancient and subtle art

 

In a small consultation room bathed in subdued light, Maître Liang, an elderly practitioner of traditional Chinese medicine (TCM), is carefully observing his patient. Not a word has yet been exchanged, but already many clues are revealing themselves before his trained eyes. Because in TCM, diagnosis is an art as subtle as it is profound, going far beyond the apparent symptoms.

A legacy of Chinese wisdom

 

Traditional Chinese medicine does not simply identify an illness; it seeks to understand the individual as a whole. Every pain, every sensation, every bodily change is perceived as a message from the body, revealing a deeper imbalance.

Qi, the vital energy that circulates through the meridians, blood and body fluids, must flow harmoniously.

When an imbalance arises, the body speaks… You just have to know how to listen.

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Observation (望诊, Wàng zhěn)

First of all, without saying a word, Maître Liang observes every detail:

  • The complexion and colour of his patient’s face, which mirrors his internal state.
  • The tongue, a veritable map of the organs, whose colour, shape and coating reveal any imbalances. 
  • The eyes, skin and nails, which provide information about vitality and the state of the Blood.

 

Auscultation (闻诊, Wén zhěn)

Experience has also taught him to listen and feel. For example, the voice will be weak when there is a deficiency of Qi. It will be hoarse or loud if there is too much fluid.

He observes whether breathing is fluid or, on the contrary, jerky or wheezy.

Similarly, strong body odour is a sign of excessive heat or digestive problems.

La Palpation (切诊, Qiè zhěn)

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Puis vient la palpation. Celle-ci recouvre notamment :

    • La prise des pouls (脉诊, Mài zhěn), qui révèle l’état des organes en évaluant profondeur, rythme et force des battements.
    • La palpation des points d’acupuncture, dont la sensibilité traduit des blocages énergétiques.
    • La palpation du corps. En effet la température et la texture de la peau sont révélatrices de l’état du Yin et du Yang.

Palpation (切诊, Qiè zhěn)

Next comes palpation. This includes :

  • Taking the pulse (脉诊, Mài zhěn), which reveals the state of the organs by assessing the depth, rhythm and strength of the beats.
  • Palpation of acupuncture points, whose sensitivity reflects energy blockages.
  • Palpation of the body. The temperature and texture of the skin reveal the state of Yin and Yang.
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Interview (问诊, Wèn zhěn)

Now that he has a general idea of the situation, Master Liang asks his patient a few questions about :

 

  • His medical and emotional history.
  • Lifestyle: diet, sleep, sources of stress, etc.
  • Body sensations: pain, shivering, digestion, elimination.

    Un diagnostic personnalisé

    Enfin,  Maître Liang  ferme un instant les yeux  et réfléchit… il analyse :

    • La nature générale du déséquilibre : plutôt Yin ou plutôt Yang.
    • Le niveau d’atteinte du déséquilibre : Superficiel ou Profond.
    • La présence d’un excès de chaleur ou de froid. Il se peut qu’il s’agisse du contraire d’ailleurs, on parle de manque, de vide ou d’insuffisance. Il en va de même pour l’énergie.

    Chaque diagnostic est unique. Un même symptôme peut avoir plusieurs origines, et seul un regard minutieux permet d’identifier la cause profonde.

    Un Traitement Sur-Mesure

    En recoupant les informations recueillies à travers ces différentes étapes, Maître Liang pose son diagnostic et met en place une stratégie de traitement pour rétablir l’harmonie :

    • L’acupuncture viendra débloquer les méridiens et relancer la circulation du Qi.
    • La pharmacopée chinoise prescrira plantes et minéraux pour rétablir l’équilibre.
    • L’alimentation thérapeutique ajustera la diète pour renforcer les organes déficients.
    • Le Qi Gong et le Tai Chi permettront de faire circuler l’énergie.

    A personalised diagnosis

    Finally, Master Liang closes his eyes for a moment and thinks… he analyses:

    • The general nature of the imbalance: Yin or Yang.
    • The extent of the imbalance: Superficial or Profound.
    • The presence of excess heat or cold. It may be the opposite, in fact; we speak of lack, emptiness or insufficiency. The same applies to energy.

    Each diagnosis is unique. The same symptom can have several origins, and only a careful look can identify the root cause.

    Tailor-made treatment

    By cross-referencing the information gathered through these different stages, Maître Liang makes his diagnosis and puts in place a treatment strategy to restore harmony:

    • Acupuncture will unblock the meridians and restore the circulation of Qi.
    • Chinese pharmacopoeia will prescribe plants and minerals to restore balance.
    • Therapeutic nutrition will adjust the diet to strengthen deficient organs.
    • Qi Gong and Tai Chi will help to get the energy flowing.

    The Pulse Melody

    Among all these methods, pulse-taking (see box) takes pride of place. Three positions and two levels (superficial and deep) are analysed on each wrist, providing invaluable information about the organs and meridians.

    Like a musician tuning his instrument, he listens to the melody of the beats, looking for the discordant note.

    As you will have gathered, for Maître Liang, diagnosis is much more than a simple clinical examination; it’s an in-depth reading of the body, an interpretation of the signs that the body is constantly sending out. Every patient is an enigma, every consultation a journey through the body’s energy flows.

    By understanding these subtleties, we realise that Chinese medicine is an art, an art of listening, observing and seeking harmony in all its complexity.

    Pulse diagnosis

     

    Hipocrate

    Chinese pulse taking, or mai zhen (脈診), is a fundamental diagnostic method in traditional Chinese medicine (TCM). Its origins date back thousands of years, with ancient texts such as the Huangdi Neijing (黃帝內經) describing its principles.

    This technique was developed during the Han Dynasty (206 BC – 23 AD) at a time when respect and modesty required doctors to keep physical contact to a minimum (especially with the Empress!).

    Through 6 pairs of points spread over 3 areas of each wrist and on 2 levels (superficial and deep), the practitioner listens to the harmony and quality of the pulsations like a musician checking a well-tuned instrument.

    The practitioner palpates the radial artery at the wrist, in three positions (cun, guan, chi) corresponding to different organs. He assesses the depth, rhythm, strength, shape and other characteristics of the pulse, which provide information about energy imbalances and the possible presence of pathogenic factors.

    There are 28 forms of pulse (slippery, rough, tense, etc.) classified into 4 categories: deep or superficial; fast or slow; long or short; thin or wide.

    Pulse measurement is used in conjunction with other diagnostic methods (observation, questioning, palpation) to establish a complete energy balance.

    It is particularly useful for assessing the functions of internal organs and the state of Qi, blood and body fluids.

    Taking a pulse is a complex skill, a subtle art that requires a great deal of practice and fine-tuned listening skills.

    Tongue examination

    Tongue examination

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    An essential TCM diagnostic tool

    Chinese physicians make extensive use of tongue examination. It forms an integral part of his diagnostic tools, along with observation, questioning, palpation and pulse taking. This tongue examination is based on a holistic vision of the human body as unified and harmonious, with each organ and function interdependent. In this context, the tongue is seen as a microcosm of the body.

    The ancient Chinese observed that by examining the tongue, one could gain insight into the state of the internal organs and meridians. Classical texts of Traditional Chinese Medicine (TCM), such as the Huangdi Neijing – The Yellow Emperor’s Internal Classic – explain that the tongue reflects the individual’s Qi (vital energy) and Blood. The shape, color and texture of the tongue reveal information about the health of internal organs such as the heart, spleen, liver, lungs and kidneys.

    This diagnosis, which dates back thousands of years, helps to understand energy imbalances in the body. This approach makes the tongue examination a fundamental pillar in Traditional Chinese Medicine (TCM) for assessing a person’s overall health.

    What can we see on the tongue?

    By observing the tongue, we can assess the deep roots of the body and mind at the origin of energetic imbalances detrimental to health.

    The tongue of a healthy, “normal” individual is bright. It is light red in color and supple. It is neither swollen nor too thin, has no cracks, and should not tremble when pulled. The coating is thin and slightly white, a little thicker behind the tongue. The tongue is slightly moist, but not overly so; no traces of liquid should be visible. The sublingual veins (under the tongue) should not be swollen or too purplish.

    In this way, the Chinese doctor diagnoses the state of the organs according to the color of the tongue, its shape, the state of the body fluids, as well as thermal syndromes.

    A map of internal organs

    • Location of internal organs: The tongue is divided into zones corresponding to the various internal organs. For example, the tip of the tongue is associated with the heart, while the center represents the spleen and stomach.
    • Color: The color of the tongue reflects the state of Qi and Blood in the body. A pale tongue may indicate a deficiency of Qi or Blood, while a bright red tongue could suggest excess heat in the body.
    • State of body fluids: The appearance of the lingual coating (the layer on the surface of the tongue) reveals the state of fluids in the body. A thick or absent coating may indicate fluid stagnation or dryness.
    • Thermal syndromes: the color, texture and structure of the tongue help determine whether the disease is caused by excess heat or cold in the body.
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    Benefits of the tongue examination

    Tongue examination offers several advantages for TCM diagnosis:

    • It is non-invasive. The examination allows practitioners to gather information about internal health without the need for intrusive tests.
    • The assessment is holistic. In effect, the state of the whole body through a single organ is examined. The language reflects the health of the various systems, enabling a global assessment.
    • It gives precisions to the energetic diagnosis. The different aspects of the tongue enable us to diagnose specific imbalances, such as excess heat or cold, Qi stagnation and blood deficiencies.
    • A powerful aid to follow-up. Observing the tongue enables us to monitor the consultant’s progress. It enables us to see the progress of a treatment and to adjust care according to visible changes.

    It’s fair to say, then, that the examination of the tongue in TCM is an art. This refinement in the art of healing provides access to a subtle understanding of internal imbalances. Mastery of this art is a powerful tool for interpreting the body’s signs. Complementing the other axes of diagnosis, it reinforces the link between external signs and energetic health.

    Key observation points

    During the examination, several aspects of the language are analyzed, each revealing valuable information about the individual’s internal state.

    Clinical case

    A consultant’s tongue is slightly bluish, with a thick, moist yellow coating. There is also a crack in the center of the tongue. The pulse resembles a kind of elusive wave to the touch, and is said to be slippery. (A slippery pulse is fluid, like water flowing under the fingers. It often has a livelier cadence that reinforces the impression of continuous movement).

    What is this person suffering from, and how can it be treated?

    In Chinese medicine, a slippery pulse (滑脉, huá mài) associated with a thick, moist, yellow lingual coating often indicates an accumulation of moisture and heat, especially in the spleen and stomach.

    A bluish tinge to the tongue, on the other hand, may indicate blood or qi stagnation, often linked to cold or disrupted qi circulation. The central fissure is generally linked to weakened spleen and stomach energy, which may be exacerbated by humidity and heat blocking their function.

    Based on these signs, it seems likely that the person is suffering from what is known as a “humidity-heat syndrome” with a deficiency of the spleen and stagnation of qi or blood.

    Principles of treatment

    Treatment would aim to:

    1. Eliminate humidity and heat from the body.
    2. Strengthen the spleen to restore its capacity for transformation and transport.
    3. Circulate qi to relieve stagnation.