Welcome to Millwoods Acupuncture Centre

Millwoods Acupuncture Center
102, 2603 Hewes Way
Edmonton AB,   Canada

Phone: (780) 466-8683




Yi Li Zhen Chuan

原著       ·  郑钦安

Author; Zhen Qin-An (Qing dynasty, China)



Significance of Taiyang meridian


The nature of the Taiyang meridian is Cold (In the Taiyang layer, it is the Cold dominates). Shaoyin is its Middle Qi (The Kidney belongs to the Shaoyin layer, and the Urine bladder belongs to the Taiyang. The Kidney and the Urine Bladder is the couple relationship). The Taiyang is the surface layer. When the Taiyang meridian is in disorder, the disorder might be in the meridian (this meridian per se is in disorder), Wind-invasion condition, Cold-invasion condition, or the disorder can be in both the Taiyang and in other meridian, or it is in its hollow organ (the Urine Bladder). Among the Urine bladder, there might be either the urine-accumulation condition, hot-accumulation condition, blood-accumulation condition, or the urine-block conditions. The readers should know this.


What is the disorder in the meridian per se? It is the floating pulse, pain and stiff in the head and neck, chilly and fever.


If the meridian disorder is accompanied by self-sweat and dislike wind (or air conditioning), it is the Wind-invasion syndrome/condition. It means that the Taiyang layer of the body has been invaded by the Wind factor (the disease-causing factor). The main herbs need to be used is the Guizhi Tang, to harmony the Ying Qi and the Wei Qi in and out of the blood. This is the principle for a mild disorder. (At this movement, the sub-step of the season is the Cold, the invading Wind factor is also Cold, so it is called Wind-Cold invation. The Cold Qi is the Wind Qi, so the Wind Qi is the Cold Qi. Master Zhang Zhongjing use the Wind-Cold on the top title, first he means that the Yueyin is in a circle (the Yueyin dominates the Wind); second, he means the Wind turns the world to run. The word “Wind” should be understood as such, in a dynamic and flexible way.


If the meridian disorder is not accompanied by self-sweat, it is called Cold-invasion condition. It means that the Taiyang layer is invaded by the disease-causing Cold factor. The main herbs needed are the Mahuang Tang, to open the hole in the skin, to create sweat, to let the invaded Cold factor out of the body through the sweat. This is the principle for a relatively severe condition. (At this movement, if the sweat therapy is not used, the disease will go deeper and becomes severe; if the sweat therapy is overdone, the body will become weak; if the bowel-cleansing therapy is used, it is a big mistake, a lot of bad conditions will happen.).


If the meridian disorder is accompanied by high fever, highly annoyed, irritable, with floating and tight pulse, it is called coupled common-cold. It is due to the Ying Qi and the Wei Qi of the Taiyang layer has been invaded by the Wind and the Cold factors. In such condition, the herbs used would be mostly the Da Qinglong Tang, to solve the disorder in both the Ying and the Wei Qi and to remove both the Wind and the Cold out of the body. The is treatment principle for more severe conditions. (In the literature, the coupled common-cold can also refer to the following conditions: when the disorders are in both the  Taiyang and the Shaoyang stages; when the three Yang conditions, e.g. the Taiyang, Shaoyang and the Yangming stages, is accompanied by either of the three Yin conditions, such as the Taiyin, Shaoyin or the Jueyhin stages. For such various coupled common-cold, the treatment principle should be to solve the surface invasion, and warm the meridian, depending on the severity of the surface and the inside disorders. The Wind-invasion, the Cold-invasion and this coupled common cold are the fixed and specially associated conditions for the Taiyang stage. It does not mean that they are passed from other meridians or other stages of the disease. The rule of the disorders passing from other meridian will be introduced later. If the disorder is not solved, it will not pass to the other meridians but to its own hollow organ (the Urinary bladder).


What’s the clinic manifestation for the invasion into the Urinary bladder? It will show thirsty and non-smooth urination (difficult in urination). This is the disease-causing Cold turns from the meridian into the inside associated organ. . In this case, main herbal formula needed is the Wuling San. This herbs work to warm and support the Taiyang Qi. Once the Qi is enough in the Taiyang layer, the Qi would move forward to guide the urine out of the body. At the same time, the disease-causing Cold Qi will also move out of the body along with the urine. The disease is then solved. (Here is the end of the Taiyang layer).


Among the inside organ disorders, there is one called urine-accumulation syndrome. (The patient has fullness in the lower abdomen, the urine is short, harsh, with strong red-brown color and thirsty). This is because the Urinary bladder is the space to hold the water. It is now suppressed, folded by the Cold factor, which makes the Taiyang Qi weak. The water accumulated cannot go out, will spill up, causing fullness in the lower abdomen. In this case, the herb Wuling San (plus more Guizhi in it) is used. The herb Guizhi belongs to warm in herbal nature. It works to dissolve the Cold invaded. Once the Taiyang is released from the Cold, the Taiyang Qi is moving again, the urine will go out of the body and the disorder is then solved.


Another inside organ disorder is called hot-accumulation syndrome in the Urinary bladder. (The patient has no fullness in the lower abdomen, but has thirsty and the urine is red in color.). It is due to the invasion of the Cold into the Urinary bladder. The Cold turns, following the surface hot nature of the Taiyang layer, into hot and fire. If the fire is overwhelming, it will burn off the water in the Urinary bladder, so that the lower abdomen is not in fullness but the urine is harsh to pass, so it is called Hot-accumulation syndrome in the Taiyang stage. The Main herbs are still the Wuling San, but the Guizhi in it should be taken away, but add Huashi to deplete the accumulated hot. Once the Hot is removed, the Urinary bladder is relaxed.


For the Blood-accumulation syndrome in the Taiyang stage, the patient has fullness and hard lower abdomen. It is due the invasion of the Cold, which blocks the Taiyang Qi movement, causing the blood that circulates in the Taiyang layer loses its normal way of circulation, fails to return to the meridian, so flows into the inside Urinary bladder. It is accumulated in the Urinary bladder without moving out, so the lower abdomen is full and hard. So it is called the Blood-accumulation syndrome. The main herbs used are also the Wuling San, but need to add some other herbs, such as Taoren, Honghua, Dangui, Wannianshuang, etc. to move the stagnated blood out of the Urinary bladder.


Another clinic syndrome in the Taiyang disorders is the Urine-stop syndrome. It is different from the Hot-accumulation syndrome above. In the Hot-accumulation syndrome, the patient can still urinate little urine. In this Urinary-stop syndrome, the lower abdomen is very full, there is no any urine out. This condition is due to the block of the whole three Jiao, the water pathway is fully blocked. The principle in the treatment should be to increase the Qi (This mean to solve the shrinking condition by using the rising therapy).


Appendix: For disorders in the Taiyang stage, if the disorder shows just in the meridian level, not passes into its own inside (the urinary bladder), but passes into other meridian layer, such as in the Yangming or Shaoyang layers, or the disorders show in all of the three Yang meridians, it would be called the Three-Yang meridian disease. It should be treated as the three Yang stages, using herbs, such as the Guizhi Tang, plus Gegeng and/or Chaihu.


If the disease is just shown in the Taiyang meridian, it passes into the Yangming stage, but not to the Shaoyang stage, it is called Two-Yang disease. It should be treated with the special herbs for the two Yang stages, such as Guizhi jia Gegeng Tang. In another condition, there are the evidence for the three Yang stages, but also that for Taiyin (one of the Yin stages), it is needed to add some herbs, such as the Lizhong Tang, for the Yin condition, among the herbs for the Yang conditions.


There is clinic condition, in which the evidence for the Taiyang stage just showing up, soon there is the evidence for the Shaoyin stage, such as heavy body, like to lie down for rest. This is the passing of the surface disease (the Taiyang stage) into the inside layer (the Shaoyin stage), since the Kidney and the Urine bladder is the surface-inside couple system. In this case, the treatment principle is to solve the Shaoyin stage, using herbs, such as Mahuang Fuzi Xixin Tang. If the patient should have sweat, but not sweat, showing block from the surface and the inside, use herbs such as Da Qinglong Tang.


If the bowel-cleansing therapy is misused, causing diarrhea, use Guizhi jia Gegen Tang (the bowel-cleansing therapy causes shrink of the Yang Qi, so use the Gegen to rise the Yang Qi). If the sweat therapy has been used improperly, causing over-sweat, use Guizhi jia Fuzi Tang. If the bowel-cleansing therapy causes fullness in the chest and fast pulse, use Guizhi qui Shaoyao Tang.


The principle introduced by Master Zhang Zhongjing, is very flex and reasonable, not at all fixed. Every formula has smart idea in it. The ingredient, the dose of each herbs, and how to give the herbs for drink, all bear big meaning. Readers need to remember and study the Six-stage theory carefully, so to know the reason upon seeing a disease. The Qi that each meridian/stage dominates is the root, and the base. A disease is caused by invasion of disease-causing factor/Qi from outside to each stage. The out-coming Qi usually follows the nature of the original Qi in each stage to cause different clinic manifestation. Therefore, the clinic manifestations in each meridian/stage are different. Though in the book Shanghan Lun, it is titled Shanghan, simply because the Cold starts in the Zi zone (11 pm to 1 am). 


Explanation: In the urine-stop syndrome (in the Taiyang stage), it has mentioned to solve the problem by rising therapy, but did not give herb formula. It might need the herb Buzhong Yiqi Tang. Other reasons can also cause the urine-block syndrome, such as the flowing down into the bladder the Wet-Hot; the blood stagnation; the urine bladder Qi fails to dominate the urine, the water cannot flow out of the body (belongs to a weak condition). For a real condition, the urine is short, hot, red in color, frequent and hurry to go to washroom, drop by drop, even block completely, the lower abdomen is full or pain, thirsty, constipation, yellow tongue cover, slipper and frequent pulse. The principle of the treatment should be to clear hot and wetness, using Zhuling Tang or Bazhen San (plus or minus some herb ingredients). For weakness condition, the patient has harsh urine, weak to pass the urine, or even no energy to pass the urine at all. The face is pale, the lower back is cold, the tongue is light white in color, the pulse is deep and thin. The principle for the treatment should be to support the kidney, warm Yang Qi and open the urine, using Jishen ShenQi Wan.

[1] “Shen” here means something in between the consciousness and the spirit. It is the function of the Heart. The Shen make the person have consciousness. The Shen control the person what to say, what to eat, to drink, where to move the arm or legs, etc. It is hard to find a proper word in English to describe it.