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At this Jue Yin stage, (also called your Terminal Yin stage) your defences have reached their next-to-last level of resistance against the inward march of an invading disease: cold. There's not much left.
The Six Stages of Disease was first written down in AD220 by Zhang Zhong Jing, who based his ideas not just on his own experience and observations but on the thousand or more years of experience in Chinese medicine of his ancestors.
Modern medicine is wonderful at keeping us alive, and in the absence of good Chinese medicine, you may need it if you reach this stage. Otherwise, in the past, you may not have survived.
The Six Stages theory was developed in very different times, when people did not have nice warm central-heated homes. Cold could be a killer and the Six Stages described what happened as it took hold.
Of course, the observations were mainly about cold 'invasion', but many of the syndromes of the Six Stages were symptom pictures that could be reached by other means than just 'cold' invasion.
This, the Jue Yin stage, the penultimate level, denoted nearly a last-ditch resistance by what Western medicine call the immune system, but which the Chinese called your zheng Qi.
This Terminal Yin Jue yin stage showed what a practitioner might do to help the patient recover, and the prescriptions from 1800 years ago are still used today because our inherited genes have not altered that much over the years.
At this Terminal Yin Jue Yin stage none of the systems in your body really work together.
Note, the Heat and coldness may alternate:
This Terminal Yin Jue Yin stage shows a picture of Yang beginning to lose connection with Yin, so unable to regulate it.
You see symptoms of heat - ie Yang rising - above,
with cold - Yin - below or inside
In the middle normal activities stop functioning properly, for instance your digestion. This means there is no re-supply of nutrition.
This is not a good situation. Your Liver energy cannot keep the natural flow of Qi going, nor your Pericardium protect the Heart.
However, it need not be deadly. Zhang Zhong Jing did have prescriptions for it.
For this Jue Yin stage, the aim is to clear the Heat above, to warm the cold below - ie dispel the cold - and to get all parts, upper, middle and lower, to harmonise and Qi moving again.
Acupuncturists might use points like LI4 and Liv3 to send energy down, and P6 and Sp4 to regulate the Blood to bring it into balance with the Yang: perhaps also Ren5, Ren 12 and Ren17, where appropriate with moxa.
Classic Chinese herbal recipes for this are
If this situation was reached by the invasion of Cold, you are probably in no condition to do much for yourself.
When Yang separates from Yin it leaves no life behind. You may be in what amounts to a condition of Shock. Seek treatment.
Traditionally, doctors also sometimes observed these symptoms in patient who had roundworms, especially if the parasite invaded other organs.
What are The Six Stages as Cold penetrates?
Note that this is not the order mostly used since antiquity, but makes more sense to me. For nerds, I'm with Giovanni Maciocia on this one.
If you live in the Edinburgh area of Scotland, where the author of this site (and of the books described below) works, click on Edinburgh Acupuncturist.
If you live elsewhere, click on BAcC.
All the books in the 'Chinese Medicine in English' series should be fully accessible on Kindles and Kindle apps. (Or you can buy the softback print editions, of course.)
('Western Astrology and Chinese Medicine' published 1986, was never available in a Kindle version.)
If, having read one of my books you can write a review - preferably positive - that would help others decide whether to read it.
You can put your review on Amazon or, on this site, here.
And if you think it was terrible?
Well, let me know so I can improve it for the next person. (Ideally let me know before cursing it in public!)
Here are some of the books I (Jonathan) have written.
Subscribers to Kindle Unlimited can borrow the first four for 'free'.
Published 1986 and, amazingly, still selling. Western Astrology and Chinese Medicine was apparently used back then by at least one acupuncture college to help students understand Chinese medicine! See Reviews.
Six Reviews so far for Yuck Phlegm. (Despite the lurid cover, it explains the five main types of phlegm and what works best for each type. I hope it's easy to read and will be much more useful than all the websites on the subject.)
3000 years of Chinese being stressed, and at last, here's a book showing how all that experience can help you!
By the author of this website, it explains in simple English how to use stress to improve and enhance your life.
NB You can also order 'Qi Stagnation - Signs of Stress' from your bookseller.
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