Traditional Chinese Veterinary Medicine

1. Traditional Chinese Veterinary Medicine Introduction to Chinese Medicine Theory

2. TCM as a Metaphor • Evidence of Acupuncture tools as early as 8,000 years ago • 1st definitive evidence of Veterinary Acupuncture ~450 B.C. • Taboo to look in body • What we say organ does in TCM may be different then what know in western medicine.

3. Western vs. Eastern Goals • Western Medicine – treat underlying insult • Particularly apt at treating acute illness, emergencies or surgical presentation • Eastern Medicine – Treat the whole and try to bring body back to balance • Particularly helpful in chronic disease processes

4. Qi • Energy, Vital Force, Life Source, Vital Breath • All essential life activities involved • Spirtual, emotional, mental & physical • Obi Wan & the Force • If flow of Qi insufficient, unbalanced or interrupted results in illness • Different type of Qi including Source, Food, air

5. Qi • Travels through meridans or energy pathways • 14 main meridians: 12 organ pairs and 2 unpaired • Extraordinary meridians • Acupuncture (AP) points – where meridians come to surface • Includes free nerve endings, arterioles, veins, lymphatics, mast cells • Activation results in increased blood flow, change in immune response, relaxes muscles and tissue, alter pain pathway, nerve transmission, hormones, neuro transmitters.

6. 12 meridians paired as Husband/Wife or Yang/Yin Yang: male, summer, light, day, external, dry, hot, acute, hollow Yin: female, winter, dark, night, internal, wet, cold, chornic, solid Everything has opposite Opposites control each other Mutually create each other Can transform into each other Zang Fu/Yang Yin Organ Pairs

7. ZANG: Yin Interior Wife Solid Manufacture and store essential substances Qi, Blood, Body Fluid FU: Yang Exterior Husband Hollow Receive and Digest Food Waste transport and excretion Zang Fu organ pairs

8. Lung Spleen Heart Pericardium Liver Kidney Large Intestine Stomach Small Intestine Triple Heater/San Jiao Gall Bladder Bladder (Urinary) Zang Fu Organ Pairs

9. Lung: • Governs Qi & Respiration • Dominates Ascending & Descending • Control the Body Surface • Opens in the Nose Large Intestine: -Receive waste from SI -Reabsorb fluids -Excrete waste

10. Stomach: -Receive Food -Rot and Ripen -Origin of Qi and Blood with Spleen via Food energy • Spleen: • Governs Transportation & Transformation • Controls Blood • Dominates the Muscles • Opens in Mouth • Lips & Gums (ST)

11. Heart: • Dominates the Blood & Vessels • Houses the Mind • Controls Sweating • Opens in the Tongue Small Intestine: -receive from stomach -absorb essentials -seperate clean from turbid - Spleen & Lung then transmit clean to body - Small Intestine transport turbid to LI or Bladder

12. Pericardium: • Protects the Heart • In Practice, considered the same as the Heart • Treat the same • May be more related to shen Triple Heater: -Sanjiao – General pathway for distribution of Source Qi and Body fluids -Divided into Upper, Middle, Lower jiao

13. Gall Bladder: • --Store/Excrete bile • Assist Digestion • Decision making if Qi deficient • Liver: • Stores the Blood • Maintains the Smooth Flow of Qi & Blood • Controls the Sinews • Opens in the Eyes

14. Bladder: -Store & Excrete Urine -Association Points • Kidney: • Stores Essence • Governs Water • Controls Reception of Qi • Dominates the Bones & Marrow • Opens in the Ears • Controls the 2 Orifices

15. Extraordinary Fu Organs • Hollow shape of Fu Organs but store essential substances like Zang organs • Brain – Sea of Marrow, House of mind, connects with Spinal Marrow • Related to Kidney and Heart • Marrow – brain , spinal cord, bone marrow • Origin =Kidney essence, • Nourish brain and bone • Bone – controlled by Kidney, form marrow & skeleton

16. Extraordinary Fu Organs, Con’t • Vessels – House of blood • Circulate Qi and Blood within • *Gall Bladder* - Because Hollow, one of regular Fu organ but functions like Zang organ because it stores bile • Uterus – Nourishes fetus, controls estrus and pregnancy • Closely related to Kidney and extraordinary vessels

17. Diagnostic Systems • Systems used to develop a Chinese Medicine pattern • 2 main: • 8 Principle • 5 Element

18. Eight Principle • Determine type of Disease process Superficial/Exterior Hot Excess Yang Deep/Internal Cold Deficient Yin

19. Five Element • 5 categories in Natural World • Wood, Fire, Earth, Metal, Water • Describe nature of Zang Fu organs, inter-relationship between organs, relationship between body and world • With 8 principle can guide diagnosis and treatment • Individuals tend to have characteristics, diseases explained by their elemental constitutions

20. 5 Element • Wood – leaders, Alpha, Loud, Angers, Quick, Skilled runners, Alert, Diplomat, High BP, Allergy, Depression, Neurosis, Tend to Stagnation • Fire – exuberant, always on go, life of party, Extrovert, Center of Attention, Inventor, Persuasive, Arrogant, Exaggerates, separation anxiety, Cardiovascular Disease • Earth – Laid back, easy going, Motherly, seek companionship, seek to please, worry, GI issues, Obesity • Metal – aloof, confident, love order, Broad minded, Righteous, Vain, Resp problems, Diabetes, Constipation • Water – Introverted, Fearful, quiet-observer, planner, advisor, deep thinker, ok alone, consistent but slow, sinister, fear biter, infertility, back pain, UTI

23. Additional Diagnostics • Tongue – Areas for each element • Color • Red – Heat, Yin deficiency • Pale – Qi or Blood Deficiency • Purple – Qi or Blood Stagnation • Lavender – Cold, Yang deficiency • Yellow – Heat/Damp • Coat • White –cold, damp, phlegm • Yellow – Heat • Dry-Yin/Blood Deficiency • Wet – Qi/Yang Deficiency, Damp

24. Additional Diagnostics • Pulse • Dog/Cat – Femoral • Equine – Carotid • 3 locations on each side and 3 depths • In beginning: deep, superficial, thin, broad, fast, slow • Work up to wiry and slippery • Left<Right – Yin/Blood Deficiency • Right<Left – Yang/Qi deficiency