How the Chinese organ clock yields a more nuanced view of the Heart
Here I will present a basic overview of TCM information concerning the Heart and then add a layer of information gleaned from the Organ clock (a more CCM way of looking at things). I want to do this to demonstrate how the Classical approach yields a more nuanced view than the straight organ-based TCM approach does, including a small aspect of the clinical relevance of this approach. Disclaimer : I’m still a student. :)
The Heart is a central organ system. From the perspective of governmental metaphor, the Heart is most easily compared to the Ruler of feudal society. What does the ruler do? It’s tempting to simply say that he rules and leave it at that. However, most rulers through history have acted less as hands-on managers of their empires and acted more as figureheads - acting as moral compasses, inspiring and motivating the people when needed, acting as interpreters of Divine law and generally providing a center point around which the wheel of government turned. The Heart is said to provide a similar function for the human body. To look at this and say that the Heart is “most important” would be erroneous. The Emperor without his ministers, without the workers, without the land - is nothing. It is an interdependent system. But, still, the Emperor is crucial and a lot of attention should be paid to those things that are crucial. We’ll do so now.
In TCM, the Heart is said to have many functions/associations:
- The Heart contains the Shen, which rules the other “spirits” of the Zang organs
- Shen, as I have explained briefly elsewhere, can be translated as “Spirit” but it contains more meaning than the normal English concept of Spirit. Many contemporary commentators talk about Shen simply as consciousness, but I feel it is more than that.
- The Heart governs the Blood Vessels
- The Heart acts as Ruler of the other organ systems
- The Heart, as related to the brain and consciousness, is in charge of many mental processes (one can see this as similar to the Heart’s function via its relationship to Shen - the fire of consciousness)
- The Heart propels the Blood
- The Heart governs speech
- There are other attributes, but these are the main ones mentioned in a variety of texts.
In truth, despite all of these things, most Heart related pathologies diagnosed in TCM have to do with mental function or, sometimes, heart organ abnormalities (such as blood stasis in the Heart yielding angina). In clinic, I mostly see Heart Qi/Blood deficiency (with palpitations and poor memory) and some version of the confusingly named “Heart Fire” resulting in insomnia, anxiety and some type of vexation. Rarely do I see doctors diagnosing a problem with the heart when there are circulation problems (blood vessels) or speech problems. Further, I think that there should be more attention paid to the fact that, as EMPEROR of the other organ systems, the Heart may be a great place to look when a seemingly unrelated pathology is difficult to cure with the methods we would normally utilize. While I will not focus much on blood vessel or speech problems in this article - I would like to do so in the future.
For now, to help us understand the Heart a little more deeply, I offer a brief exposition of some of the basic symbols associated with the Heart on the Chinese medicine organ clock. I will then describe some ways we can use this understanding to expand on the basic information we learn from TCM literature.
What do we learn about the Heart organ system from the organ clock?
Temporal nature : 11-1pm (High Noon) and the Summer Solstice
At first glance, the pairing of the Heart with high noon makes intuitive sense. This is the time we associate with the zenith of the sun, the burning off of morning fogs, the time when all things are apparent, illuminated, complete. But look again at the symbol for the taiji and superimpose this over the organ clock. Remember these symbol fields are multi-layered and 
while some aren’t meant to be compared one-to-one, the flow of Yin and Yang through the organ clock (and through the days on Earth) is a crucial piece of information in our understanding of organ systems.
This is the time of the birth of the Yin. Which brings us to another temporal aspect of the Heart - it is situated at the time of the Summer solstice. The solstice is the time of the greatest day length - so again, it is all flourishing and awake and alive. However, the hidden principle is the one of the birth of the dark - for the zenith of a thing always brings about its immediate descent into expiration. What goes up must come down.
What does this tell us about the Heart? That while it is a very Yang organ, as the Emperor should be, but it also contains a deep Yin principle within it. Our professor, Heiner Fruehauf, often relates the Heart to the feminine principle - which makes sense given this information. In that way, it may be more accurate for us to think of the Heart as the Empress - or some amalgam of the Emperor and Empress. Here is perfect control, high intelligence, beauty, grace, compassion, mercy and power. It is an intensely active principle - Yang - but with this huge strength of the Yin.
Why do I say that the strength of Yin is large when it is, in reality, just the beginning of the growth of Yin? Because the entire momentum of Yin’s growth starts at this point - it somehow contains the whole force of the future splendor of Yin’s fullness. It is strong in the sense that is young, vital, and on the ascent.
I think this Yin principle is very important. At the height of summer, at the height of noon, this is when we may have the tendency to go all upward and outward - but it is crucially important that we go within, nourish our deep spiritual nature. Some cultural customs bear this out - such as the tradition of the midday siesta and the many spiritual activities that go on around the summer solstice. I think that, in some ways, the failure to do this can be seen in American capitalist culture. The principle of constant up, out, grow, flourish is often not balanced with careful reflection, willingness to “stand down,” controlled descent and respect for the more passive aspects of the universe. This failure has penetrated the consciousness of many American people and others affected by this philosophy and may have something to do with much of the pathology we see today. More about this later.
Earthly Branch Wu : combined with the symbolism of the Horse in the Chinese zodiac
The Earthly branch Wu 午, reinforces what we’ve already discussed about the Summer Solstice - given that it is the Earthly branch associated with that part of the year. It is a picture of either a battering ram or a mortar and pestle, and thus we see again the idea of death or destruction in this life affirming and light giving symbol of the Heart. Wu 午 is also associated with the number five insofar that it is pronounced the same as 五, Wu - “five.”
This brings us to consideration of the association of the number five and the Heart. We should note that we’re talking about the fifth month when we talk about the Heart. The number five is extremely important in Chinese cosmology - witness the deep symbolism of the five elements and a whole variety of other symbolism assocaited with five. There’s just so much that I could say in this realm (and actually did, but then deleted to save your poor eyes) but I will have to stop here for the sake of article length.
The Earthly Branch Wu 午 is related to the Horse in the Chinese Zodiac. Remember, the Earthly Branches were associated with an animal to help them be easier to understand by the common people. The Horse is a particularly fascinating symbol for the Heart, which I could talk for a long time about. But consider just a few simple items. The horse is tireless, constantly galloping away, carrying great loads, even fighting in battle - just as our physical Heart must
persist throughout our lifetimes. The horse seems to share a Shen level connection with the human being - a really close rider and horse seem to read one another’s minds, few verbal commands are needed when the relationship is strong. The horse is one of the most beloved animals in all cultures, people sometimes take better care of their horses than they do their children!
I am certain there is more to understand about the horse - I would love to hear what people come up with in the comments to this post - please post below!
As always, there are many more symbols that we can pull from the organ clock to help us understand the Heart more deeply - but let’s work with what we have so far.
How does this help us understand the Heart more completely?
There’s a lot one could say about these symbols. The most important take-home message I have received is the crucial nature of respecting the Yin nature of the Heart. However, I don’t think you should start dousing your anxiety ridden patients with cooling herbs! On the contrary, they probably need Fu Zi. Which actually brings me to an important relationship and my overall point. You’ll excuse me if I diverge a bit into conjecture and philosophical exploration? Thanks.
We often talk about the relationship of the Heart and Kidney - fire and water. They are obviously related via their Liuqi designation of Shaoyin, or lesser Yin. We learn that the Shaoyin fire of the Heart must descend through the Earth to reach the Shaoyin water of the Kidney. In doing so, the cold Kidney water, the depth of our wisdom and lineage, is animated by the pure fire of Spirit and consciousness. Wisdom without use of that wisdom is nothing but a lifeless puddle. Likewise, the pure Kidney water must be steamed up to cool and contain the sometimes over-exuberant Heart Shen. Consciousness without wisdom quickly becomes tyranny and zealotry.
This is one way that I understand the importance of using Fu Zi even in the case of patients who appear to have lots of flaring Heat - such as patients with intense insomnia and anxiety. So many TCM physicians would balk at serving Fu Zi to such a patient. To provide one example of a powerful use of this principle, let’s go to that little book known as the Shang Han Lun.
下之後．復發汗．晝日煩躁不得眠．夜而安靜．不
嘔不渴．無表證．脈沈微者．乾薑附子湯主之
Xià zhīhòu．fù fāhàn．zhòurì fánzào bùdé mián．yè ér ānjìng．bù
ǒu bù kě. wú biǎozhèng．mài chén wēi, shēn wú dà rè zhě,gān jiāng fùzǐ tāng zhǔ zhī.
When precipitation has been used, yet sweating is then promoted so that the person in the daytime is vexed, agitated and sleepless, but by night time becomes peaceful and retching, thirst, exterios signs and great generalized heat are all absent, and the pulse is sunken adn faint, then Gan Jiang Fu Zi Tang governs (Mitchell/Ye/Wiseman version).
While I would like to think that most doctors would see patient with this picture - particularly the faint pulse - and realize that an intensely warming formula can be indicated, I think that most would still shun such strength and instead use something milder, more cooling, and most likely less effective.
One more point and then I’ll close this article. I believe that this fire-water relationship and the general Yin nature of the Heart leads us to realize the wisdom of having a well-developed spirituality. Only by combining the deep wisdom of contemplation (dwelling in the water) with the animating ecstacy of consciousness (dwelling in the fire) can we have balance. Advising our patients to nourish themselves in this way - of course without necessarily promoting a particular practice or tradition - may go a long way to helping them achieve greater health.
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Tags: balance, clinic, earthly branches, fire, heiner fruehauf, horse, insomnia, law, organ system, Organ systems, organ-clock, shang-han-lun, spirituality, symbolism, taiji, traditional-chinese-medicine, waterRelated posts
Learning how to keep life in balance
It’s time for my March Year of Sagely Living update! I believe that my efforts were successful, overall. My true goal this month was two-fold. First, I wanted to pay close attention to the two hour time periods associated with each organ system on the Chinese medicine organ clock. Second, I wanted to create and maintain space for my family and myself amid the festering chaos of medical school.
Attempting to pay attention to the times associated with the organ clock was more difficult than it may sound. I found that I looked at the clock and really paid attention at the same times each day. This was usually around mealtimes, when I had a natural break in my work cycle. Regardless, it was valuable to take a few minutes to really absorb the energy of those times. Interestingly, I noticed that my ability to clearly take in the energy of the “day time” organ systems became stronger as the sun became stronger. I also found that my ability to access the energy of each organ system was easier during the period associated with that organ system. I tested this by doing meditations on organ systems during other than their associated times.
I noticed how attempting to align my daily activities with the various organ system times yielded some appreciable benefit. For instance, eating breakfast closer to “Stomach time” (7-9am) definitely yielded less indigestion given the same meal than eating breakfast closer to “Heart time” (11am - 1pm) or even earlier during “Lung time” (3-5am). I also noticed that the general cycle of the 12 organ systems and their associated time made a lot of sense and following this flow more often than not created a harmonious feeling within me. By the end of March (aside from some rocky times during Finals week) I had settled into the following pattern (taken and edited from my journal notes):
- Waking up and doing breathing exercises doing Lung time (3-5 am) considerably easier than any other time, yields greater benefit in energy through the day. I always found that taking a nice walk, alone and in a natural area, yielded a lot of intuitive insight and positive emotional breakthroughs.
- Going to the bathroom between 5 and 7am (Large Intestine time) seems easier, more complete and now that I do this I find that I have far fewer digestive problems overall - all things being equal. Maybe a funny thing to point out, but important from a medical standpoint.
- Eating as close as possible to 8 am (in the 7-9am period, Stomach time) seems to yield relatively few digestive problems through the day. You can see above for more explanation.
- Avoiding too much exercise during the 9-11am time frame (Spleen time) seems to enhance my digestion. I like to spend this time doing more “passive” work like reading, easy writing projects and hanging out in the back yard. When I have to go to a difficult class during this time, I invariably have indigestion.
- Heart time (11am-1pm) is especially well used doing work that connects firmly to my purpose. I find that if I do creative writing projects, formulas study and conscious business development during this time I get really good work done. Much harder to do anything else like eating, doing menial work, heavy physical activity, etc…
- 1-3pm is a great time for more menial or “have to” projects. I connected this with the Small Intestine’s function as the fu organ of the Heart - it transmits the vision and purpose of the Heart which is best expressed through SACRIFICE. Perhaps most interestingly, I found this to be the best time for lunch. When I eat closer to noon, it tends to upset my digestion.
- 3-5pm was a little difficult to nail down. In my journal I have listed the following observations: good time for spiritual activity like prayer and devotional reading, best time for just sitting with family, excellent period for a daily review. In the end, I think that Bladder time is best for more “visioning” activities, taking a larger view of my life and embracing that aspect of daily living.
- Kidney time 5-7pm seems best suited for evening walks and deep relaxation. For instance, Qigong during Kidney time seems to be particularly fruitful - which is a surprise. I’ve always done my Qigong in the morning.
- 7-9pm, Pericardium time, is absolutely beautiful for sharing a meal with my family and really nourishing my connection with them. This was the best family time and I experienced no trouble with digestion as long as I ate by 9pm. After 9pm, I just wasn’t hungry.
- Triple burner time, from 9-11pm, is when I must go to bed. If I stay up much into Gallbladder time, I’m in trouble - when it gets to be about midnight, I’m usually up until 3 or so. I just can’t settle down. I think this makes a lot of sense given the mysterious Triple Burner network, the organ system of dreams, of in-betweens and of delving deeply into the Yin.
- I didn’t have much experience of either Gall Bladder or Liver time, although I did have a stretch of insomnia that would have me waking smack dab in the middle of the two (always right around 1:30am) needing desperately to go for a walk or eat something terribly bad for me. :)
All of this being said, I’m not entirely sure how I feel these two hour periods should be viewed and used. I can’t say that the experience was so profound that I would want to live my life aligning my activities closely with them. It’s also quite difficult for me to do as little work as the organ system cycle seems to demand. But it did remind me that I need to make sure to take time for myself and for my family. It also made me much more intense about continuing to wake up around 5am to do walking and breathing. SUCH a benefit - I can recommend it to absolutely everyone. But there was, for me, clear benefit in the exercise. Overall, I think a few basic lessons were learned by engaging in this habit during the month of March:
- The general progression is valuable to experience.
- Great alterations away from the basic progression usually yields feelings of dis-ease.
- For the purpose of understanding organ systems, spending time observing nature or human society during key periods is very instructive.
- I think that further research could be helpful, especially in terms of learning more about chrono-acupuncture.
- It may be that like everything, there are acceptable individual variations from the norm that are still supportive of health. However, straying far from the basics is probably never healthy.
The other major goal, making sure to leave weekends open for my family and myself, was the most wonderful part of March’s Year of Sagely Living activity. I was very good at keeping this time open, even when I had a lot of very pressing work to do. I would frequently do work on Saturday mornings, but often it was in tandem with my partner. I can’t tell you what this did for my psyche. Even though my finals week was extremely difficult, I was able to weather it and did wonderfully well on my tests. I felt that I integrated a lot more of what I was learning and feel more open to the lessons of next term even though we only get a week off. I am going to continue this habit because it was so powerful.
I think that this is one of the most potent lessons we can teach our future (and current) patients - our culture asks us to be “on” ALL the time. We are told that if we aren’t willing to “go hard” we should “go home.” I do believe in the immense power of hard work and I believe that many people are working far below their capacity. However, it is an absolute MUST to leave time to reconnect with the source of your personal power. This means your friends and family, visioning your personal and professional life and simply having time to relax in your garden or go for leisurely walks. While these activities don’t pay much per hour and they can often be VERY hard to justify in a maelstrom of work commitments, they are what ultimately pays the greatest dividends.
Coming next, my commitment for the month of April. Stay tuned and thanks for reading.
Eric
Tags: activity, Acupuncture, balance, chinese-organ-clock, Organ systems, organ-clock, rest, Year of Sagely LivingRelated posts
Why I am about to become slave to the clock
As I described in my last post on the Year of Sagely Living, March is meant to have us focus on the balance of rest and activity in our lives. I’ve thought more about this category than the two prior, because nothing immediately sprang to mind as a perfect practice to undertake. This is especially true because I am attempting to maintain my January and February practices and having some success with both of them.
Ultimately, because I’m trying to stay as focused on explicit Chinese Medicine material as possible, I think I’m going to focus on the organ clock. It’s such a ubiquitous part of our lives at school, we talk about it in almost every class. Some laughingly shrug it off, others take it seriously but don’t seem to evaluate it much. I’d like to use March as a kind of organ clock laboratory. Using Brandon Brown’s widget to help me keep to the true organ system periods, I will be doing a brief (3-5 minute) meditation on the organ systems as the energy reaches its peak within each. This will require me to be vigilant in watching the clock, which shouldn’t be too much of a problem because of the relatively regimented quality of my normal schedule.
There are some caveats. Obviously, sometimes I will be in class when I should be doing a meditation. I won’t be able to do each organ system every day. Over the course of March, however, I should get a good sense of the reality of the organ clock at each position. Another problem is that I will be sleeping during a portion of the organ system times. I considered having a weekend where I set an alarm for each organ system during the night to get a sense of their qualities. However, because we have finals coming as well as our clinical entrance exams, I don’t think that’s a fantastic idea. The most yin of the organ systems are going to have to wait to be tested.
Along with this, I will continue to maintain my practice of leaving Sunday completely open for family time - rest and relaxation. Saturday is also a family/home day, but I let myself do some work-related things such as my Weekly Review. I have already seen such great benefit from doing this, I can’t think of any reason not to continue.
One final goal, and I’m afraid this is a bit of a doozy. The “one goal at a time” advocates will not be happy with my do-it-all approach. :) Starting tomorrow, I will begin weaning myself until I reach a solid habit of waking at 5am. The early morning time is my very favorite and while I currently wake around 6, I don’t feel that it is early enough. I would like to take that early morning time to recharge myself in a variety of ways - through brisk walks through the neighborhood, Yijing readings, tea on the deck, Qigong, meditation or any other quiet activity that fits well with the gentle early morning energy. I have lots of help on how to achieve this goal - many bloggers have written about it. Steve Pavlina is one of my favorites as far as this topic is concerned.
So, to recap - my March Year of Sagely Living practices are:
1. Organ clock meditations during the peaks of the energy for each organ system.
2. Continuing my practice of spending weekends on family/home oriented rest and relaxation.
3. Going through the process to achieve the goal of waking at 5am daily - including weekends.
Thanks for listening.
Eric
Tags: balance, meditation, organ system, Organ systems, personal commitment, Personal Development, relaxation, Year of Sagely LivingRelated posts
Another scholar reviews his first month of Sagely Living
This is an article that Michael Givens, author of the recent article “Why does Chinese Medicine seem so complicated?” sent to me last night. He was one of the first on board for the Year of Sagely Living, but doesn’t have an online home - so he’s posting his insights here.
——-
Since this is the last day of January and near the new moon (and new seasonal node), I thought it would be fitting to write up a review of the month for me in this “Year of Sagely Living.” I have been participating, but have not shared my experience in the discussion, so perhaps I’ll try to continue to after this with more monthly reviews. I am very appreciative of all of your efforts, Eric, and inspiration. This project could not have come at a better time.
At the beginning of the month I made the following personal commitment:
1. School work
I committed myself to study for each class on one day a week for two hours, as well as a 30 minute formulas review each day. I also choose one other subject each day to research further and deeper than was taught to me. I have 8 classes, so I needed to combine two classes to one day (one hour for each). This may seem like not a lot of studying for classes, but I have to keep in balance a family (I have two children) and my wife is also a Naturopathic Physician who is beginning to open her own practice. So, I have to keep my study time focused and efficient.
2. Classical Texts Personal Study
I am enrolled in two classical texts courses at NCNM (one on the Shanghan Lun and the other on the 19 lines of Pathology in the Neijing), but they are focused on exploring the texts in Chinese, so much of the work is in improving my continuous study of classical Chinese as well as deeply engaging specific aspects of the essential classical texts. In my personal study, I am committed to not only familiarize myself with the classical cannon of Chinese medicine, but to know as much of it by heart as I can. So, I practice memorizing lines or specific information from the texts. In this project, I committed my self to continue to study the Ling Shu (of the Neijing), the Shanghan Lun, the NanJing, the Jia YiJing and the Shennong Bencao Jing. I have been studying these texts for a while now, so I chose specific chapters to focus on, or specific texts to complete (if I hadn’t read it through completely yet). I committed myself to focusing on this study at least two hours a day, two days a week. This is as much as I am able to fit into my schedule.
3. Writing
I also committed myself to writing for a half an hour a day, every day. I wanted to choose a topic and explore it in depth. I also committed myself to writing one article per week to be submitted somewhere or saved for a later submission.
So, how successful was I with this project?
Terribly unsuccessful, I’m sad to say. Yet, it has been a great lesson for me, and by continuing to simply view it as a lesson and an experiment, I did not beat myself up about it, but rather, kept reminding myself of my goal. In the first week (prior to school beginning) I was very successful in my study and classical text reading, yet could not get myself to sit down to write. By the time school began, I was able to maintain only my classical text study. This may seem strange, for it means that I neglected my school studies and chose my personal studies, but it shows me that when I do not have my life in balance, I uphold only what I truly want and put off what I need to do, but can do later.
I feel that I put a lot of intention into my plan that was really quite intense and in doing so I believe that I sabotaged myself. It was as if since I couldn’t wait to get started, I jumped in too quickly, planning on doing too much, and the energy I put into my plan carried too much weight; I simply couldn’t find a rhythm with it. By the third week though, I felt much more detached from the outcome and the plan itself, and simply tried every day to participate as much as I could in my commitment, and soon I found myself much more on track than the weeks before. This last week, I have even written an article which Eric graciously posted. Thus, I’ve greatly benefited from this project already, but I have also learned to return to following more of a middle path in life, to keep the extremes and the intensity to a more harmonious central rhythmic flow.
I enjoyed focusing on the Scholar aspect of this time, though I see that it is the time of the Gall Bladder moving toward the Liver. Though I think this has been a perfect time of year (especially for students) to focus on strengthening the Scholar, another perspective of the twelve archetypes of the seasons is that it is the Ram who is the true scholar, the Small Intestine (the sixth month), the King Wen archetype, who, locked away, worked out the scholarly mapping of the energy of the Bagua. The Gall Bladder, who is the Rat (this first month), is much more of the King Wu archetype, who, seeing the eclipse at noon (much like transition from the old year to the new year) initiated the great battle and marched his troops to attack the Shang by “crossing the great water.”
Thus, perhaps I was more taken away with my Gall Bladder intensity of initiating this project, and unable to maintain the scholar’s rhythm and cultivation. I am hoping that as the Wood energy rises in this node of “Li Chun” or “Spring Standing Up” time of the Liver, I will be able to sustain my plan and continue to flow with it. In harmonizing with the Qi of the seasons, I believe I will be able to do so. I’ll let you know how it went.
Michael Givens
Tags: balance, Classical Texts (general), commitment, Cultivation, focus, January, Michael Givens, personal commitment, scholar, students, studyingRelated posts
The importance of the Spleen in studying Classical Chinese Medicine
I’ve been trying to find a way to make my Year of Sagely Living posts interesting to folks who are not specifically following my progress in that area. To that end, I have created a Year of Sagely Living page of the website where you can see more regular “updates” of my progress, as well as easily access all of the information about the project. When important insights come from that activity, I will expand them into full blog posts here on the main blog. My first insight of enough interest to generate a post involves the symbolism of the Spleen organ system.
脾 Pi - Spleen : Lessons learned from Yin Earth
Earthly Branch Si - The Snake : Lesson - You can take in a lot more than you think, but don’t overdo it
The Spleen is associated with the 6th Earthly Branch 巳 - Si. This is one of the few earthly branches that actually is a picture of the animal that came to be associated with it - the Snake. However, I should note that many people also posit that it is a picture of an infant. The oracle bone figures look more like snakes than babies to me, and as a picture of a snake is how I learned it, but certainly you may disagree.
The snake is a fascinating animal that both attracts and repulses most people. There are many characteristics of the snake that relate to the Spleen in structure and function. I’d like to just mention one that has been particularly helpful to me this week. As the title of this section suggests, I’m interested in the ability of a snake to consume prey much larger than itself.
Now, on the one hand, the Spleen really doesn’t like to be asked to do too much at once - as anyone can attest after a big Thanksgiving dinner. So, perhaps it’s not a perfect symbolic match. On the other hand, the function of the Spleen is to take whatever has been consumed and release the pure essence of that sustenance at a reasonable rate to the rest of the body. Often, even with big meals, we surprise ourselves with our ability to take it in and use it with some effectiveness. As a student, I am consistently asked to shove more information into my head than I think is possible. However, by approaching things deliberately and with confidence, I consistently surprise myself. No jaw dislocation required.
Phase element Earth - the Center : Lesson - Having a solid substrate allows for great transformation
The Spleen is the Yin Earth organ of the body, and as such serves as the stable substrate through which all of the activity of the body takes place. One of our professors mentions how people talk about the Spleen in an inappropriately “active” way. In fact, it is the organ that exemplifies that Wu-Wei principle of getting everything done while doing nothing. It is the rich humus that nourishes everything, yet serves as only a medium for that nourishment - not an active partner in it. Sure, mycobacteria and various little critters serve a vital function in keeping plants healthy, but these are not part of the Spleen principle. The Spleen Earth serves as a healthy place for these organisms to do their work, simply that - and that is more than enough.
Creating a super stable life management system for myself has been vital in my success. Still, it is always a work in progress. Unfortunately instability in my system was one of the keys behind why I was not so productive this week. I thought my system was more or less functional, and that I could work out any kinks quickly and simply. I was wrong. Several scheduling issues emerged that required my immediate attention. I had not fully “cleared my mental inbox” during my last Weekly Review (leaving many projects in an implicit mental stage, cluttering my mind). Most importantly, I had not settled my finances and finished budgeting. Thus, about 80% of my time this week was devoted to rectifying those situations. By the end of this weekend, all of that work will be done and it will serve me for the rest of the term. It will be the medium through which I am able to do all of the other work I do.
Clock pair/hexagram pair with the Triple Burner : Keep a balance between Yin and Yang
Around the organ clock, we can find many interesting relationships among the organ systems. The relationship between Spleen and Triple Burner is particularly interesting because these organs are united by their hexagram relationship and their actual position around the clock. When two organs are directly across the organ clock, we call them clock pairs and as I’ve mentioned before, we were taught to think of them as being able to “take one another’s shift” so they share some type of functionality. Hexagram relationships are more subtle and difficult for me to understand. Here is a diagram I drew during my first 
year at NCNM showing the hexagram relationships around the organ clock. The drawing is, admittedly, a little shaky. :)
The Spleen is associated with Hexagram 1 - 
Qian 乾, often translated as force, heaven, the creative and, sometimes, simply as Yang. It is made of six Yang lines, and is the most Yang hexagram of the Yijing. Funny considering what I just said about Earth and the Spleen! That’s the way of Chinese medicine philosophy sometimes. The hexagram of the Triple Burner is #2 - Kun 坤, often translated as
the receptive, Earth and sometimes, simply as Yin. It is made of 6 Yin lines and is the most Yin hexagram of the Yijing. Unlike the Spleen, this makes a lot of sense for the mysterious and seemingly immaterial Triple Burner organ system.
It’s easy to see the relationship between these two hexagrams - they are opposites and create the dynamic Yin-Yang tension that characterizes the fundamental state of the entire Universe. I’ll briefly explore the Triple Burner-Spleen relationship, but certainly there is much more to say about the shared symbolism of these two important organ systems.
The Spleen and Triple Burner are both responsible for aspects of fluid metabolism, in a way they help to keep a balance between wet and dry in the body. Another organ with a relationship with wet-dry balance is the Lung, which is united to the Spleen in its 6 conformation assignment as Tai Yin. Wet and dry are two obvious manifestations of Yin and Yang, respectively. Another Yin/Yang symbol within Spleen and Triple Burner is the relationship between being in the world and being removed from it. The Triple Burner is the mysterious organ system of deep darkness and in-between-ness. The Spleen is more straightforward, and engaged in the vital business of getting things done in the world, despite it’s passivity that I discussed before.
Extending these analogies, I found myself considering the vital importance of balancing two categories of intellectual activity. First, the more “Yang” activities of memorization, reading and listening to lectures, and studying explicitly for tests. On the other hand, the more “Yin” activities of contemplation, creative thinking, and experiencing Chinese medicine principles as they operate in nature. When I don’t achieve a balance between these two types of activity, pandemonium results.
I was experiencing strange digestive and mental symptoms all this week, and found myself really perplexed by it until I thought of Spleen. It is often said that student life harms the Spleen and Heart the most. The Heart because of the incessant use of the mind, which is related with the Heart in Chinese Medicine. The Spleen because of its association with pensiveness/overthinking and worry. When we find ourselves thinking something to death or being obsessively concerned with some event - our Spleen suffers. This was certainly happening to me and I definitely noticed. As a solution, I have decided to look at my schedule again and find a way to incorporate more straightforward “study” (memorization, reading and rewriting notes, etc) with more contemplative creativity. Although the latter may not help me on tests, it will definitely help me as a practitioner and help keep my Spleen from suffering overmuch.
Archetype : The Great Yu - Channel things away instead of damming them up
One of the archetypes we learn about being related to the Spleen is the Chinese folk hero the Great Yu. It is said that he was able to stem the great flood when his father failed. His father’s strategy was to create huge earthen dams to hold back the floodwater, which inevitably broke. Yu took a different perspective, creating great ditches to lead the water away to the ocean. We are often taught in Chinese medicine school that the Spleen does something similar in water metabolism of the body - guiding dampness away from the body at a steady clip, instead of trying to create barriers to keep it away from vital organs and processes.
I learned this Spleen lesson gradually through the week. A number of projects dumped on to my lap and it was only listening to David Allen’s Getting Things Done Fast on audiobook that jolted me into healthy Spleen mode. One of the things that Mr. Allen recommends is to look at every project/action you have in front of you and figure out whether it actually BELONGS to you. Many times we take on projects that are not properly or best left with us. Delegate! Delegate! Delegate! Lead the floodwaters away. :)
There’s plenty more to say about all of these symbols, as usual - I’ve only just scratched the surface of the surface. Noone knows this stuff like Heiner Fruehauf, my esteemed teacher. Be sure to visit his website at Classicalchinesemedicine.org if you’re interested in learning this kind of information in more depth from someone who actually knows what they’re talking about! Also be sure to visit the Year of Sagely Living page and consider joining us in our quest to be the best human beings we can be.
Eric
Tags: academics, balance, Character, chinese-medicine, classical-chinese-medicine, etymology, habits, hexagram, Learning, Organ systems, snake, spleen, study, studying, symbolism, Year of Sagely Living
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