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II. Pathogenesis
-being due to disharmony of yin and yang and conflict between xie(pathogenic) qi and zheng(antipathogenic) qi
1. Disharmony of Yin and Yang
-excess or deficiency of yin or yang->occurring when the body is invaded by pathogenic qi
-excess or deficiency of either yin or yang is mainly manifested in the form of cold and heat and excess and deficiency syndromes
-in general: a) heat-excess of yang b) cold-excess of yin
c) def. heat-def. of yin d) def. cold-def. of yang
2. Conflict between Antipathogenic Qi and Pathogenic Qi
-struggle between the body''s powers of resistance and any pathogenic factors
-in relation to the onset of disease, its progression, transformations
-excess syndromes-both hyperactivity of pathogenic qi and sufficiency of antipathogenic qi
-def. syndromes/def. syndrome mixed with excess-excess of pathogenic qi and deficiency of antipathogenic qi
-in early and middle stages of diseases due to invasion of the exogenous pathogenic factors
-in diseases caused by retention of phlegm fluid
-stagnant blood and water damp as well as retention of food
3. Abnormal Ascending or Descending of Qi
-pathological states of the zang-fu organs, meridian,s yin and yang, qi and blood in which they fail to maintain their normal statae of governing ascent and descent of qi
-each zang fu organs and its meridian have it own pathway and direction of the qi and blood
-abnormal ascending or descending of qi may affect the five zang and six fu organs, the interior and exterior of the body, the four limbs and the nin orificies, leading to a variety of pathological changes
-ex) cough,asthmatic breathing, suffocating sensation in the chest caused by failure of lung qi to descend and disperse, belching and nausea caused by abnormal ascent of stomach qi; loose stools and diarrhea caused by dysfunction of the spleen in transportation and transformation and failure of its normal ascending function; insomnia and palpitation caused by disharmony between heart and kidney; syncope due to derangement of qi,blood,yin and yang