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Kidney (Water)

Fear makes Qi descend, leading to incontinence or KI Qi collapse

Long-term fear injures Kidney Essence and Yin

Symptoms

Urinary leakage, lower back pain, night sweats, premature aging

Patterns

  • Kidney Yin Deficiency

  • Kidney Qi not firm

Fear, Shock

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Lung (Metal)

Sadness dissolves Qi, causing Lung Qi Deficiency

Worry knots Qi, especially in the chest

Symptoms

SOB, fatigue, weeping, sighing, weak voice, grief

Patterns

  • Lung Qi Deficiency

  • Qi Stagnation in Chest

Sadness, Worry

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Spleen (Earth)

Pensiveness knots Spleen Qi and weakens transformation

Leads to poor digestion, Dampness, fatigue

Symptoms

Poor appetite, bloating, loose stools, pale tongue

Patterns

  • Spleen Qi Deficiency

Pensiveness, Overthinking

Liver (Wood)

Anger causes Qi to rise or stagnant

Liver Qi Stagnation → Liver Fire → Liver Yang Rising → Wind

Symptoms

Headache, red eyes, hypochondriac pain, irregular menstruation, sighing

Related Patterns

  • Liver Qi Stagnation

  • Liver Fire Blazing

  • Liver attacking Spleen or Stomach

Anger, Frustration, Resentment

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Heart (Fire)

Joy in excess scatters Heart Qi → disturbs Shen

Shock suddenly scatters Qi, affecting both Heart and Kidney

Symptoms

Palpitations, insomnia, mental restlessness, anxiety, confusion

Patterns

  • Heart Qi Deficiency

  • Heart Yin Deficiency

  • Heart Fire disturbing Shen

Joy, Shock

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Emotions (情志 Qíng Zhì) are recognized as both natural mental functions and potential causes of disease when they become excessive, prolonged, or suppressed. Emotional activity is closely linked to the Zang organs, particularly the Heart (which houses the Shen) and Liver (which governs the smooth flow of Qi). When emotions are unbalanced, they can disrupt the flow of Qi, injure organ function, and lead to Qi stagnation, Blood stasis, Fire, Phlegm, or Yin deficiency. Emotions are normal and healthy but become pathological when they are too intense or long-lasting, they are repressed or unexpressed, they occur suddenly and intensely (shock, trauma) or the organ is already weak and vulnerable. Emotional disturbance often causes Qi to rebel or stagnate, leading to further systemic imbalance: Qi stagnation → Blood stasis → Heat/Fire → Yin damage. Emotions can cause internal Wind, Phlegm, or collapse of Qi.

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Emotional Pathology

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