Lung (Chinese medicine)

The Lung (肺，Fei) is one of the zang organs stipulated by Traditional Chinese Medicine. It is a functionally defined entity and not equivalent to the anatomical organ of the same name.

In the context of the zang-fu organs

The Lung is a zang organ meaning it is a yin organ. Situated in the thorax, it communicates with the throat and opens into the nose. It occupies the uppermost position among the zang-fu organs, and is known as the “canopy” of the zang-fu organs. Its meridian connects with the large intestine, with which it is internally-externally related. The Lung and its paired organ are associated with the element of metal and the emotion of grief. The peak time for the Lungs is from 3-5am.^[1]

Lung functions

The Lung has five principle functions:

• governing qi and controlling respiration. They take in clear and expel turbid Natural Air Qi (Kong Qi)
• controlling disseminating and descending
• regulating the water passages
• controlling the skin and body hair
• opening into the nose
• housing the Po

Dominating qi and controlling respiration

Dominating qi has two aspects: dominating the qi of respiration and dominating the qi of the entire body. Dominating the qi of respiration means the lung is a respiratory organ through which the qi of the exterior and the qi from the interior are able to mingle. Via the lung, the body inhales clear qi from the natural environment and exhales waste qi from the interior of the body. Dominating qi of the entire body means that the function of the lung in respiration greatly influences the functional activities of the body, and is closely related to the formation of pectoral qi, which is formed from the combination of the essential qi of water and food, and the clear qi inhaled by the lung. When the lung’s function of dominating qi is normal, the passage of qi will be unobstructed and respiration will be normal and smooth. Deficiency of lung qi may lead to general fatigue, feeble speech, weak respiration, shortness of breath and excessive perspiration.^[2]

Dominating descending and regulating the water passages

As a general rule, the upper zang-fu organs have the function of descending, and the lower zang-fu organs the function of ascending. Since the lung is the uppermost zang organ, its qi descends to promote the circulation of qi and body fluid through the body and to conduct them downwards. Dysfunction of the lung in descending may lead to upward perversion of lung qi with symptoms such as cough and shortness of breath.

Regulating the water passages means to regulate the pathways for the circulation and excretion of water. Circulation of body fluids is a function of many organs working together as a team, including the lungs. The role of the lung in promoting and maintaining water metabolism depends on the descending function of lung qi. Under normal circumstances, the lungs are capable of sending fluids downwards to the kidneys, which pass the fluids to the bladder for excretion. Dysfunction may result in dysuria, oliguria, and oedema.^[3]

Notes

Bibliography

• Cheng, X.-n., Deng, L., & Cheng, Y. (Eds.). (1987). Chinese Acupuncture And Moxibustion. Beijing: Foreign Languages Press.
• Lu, Henry C. (1994). “Chinese Natural Cures” New York, NY: Black Dog & Leventhal Publishing
• Maciocia, G. (2005). The Foundations Of Chinese Medicine: A Comprehensive Text For Acupuncturists And Herbalists. Philadelphia, MA: Elseverier Churchill Livingstone.
• Zhiya, Z., Yanchi, L., Ruifu, Z. & Dong, L. (1995). Advanced Textbook On Traditional Chinese Medicine And Pharmacology (Vol. I) . Beijing: New World Press.
• Yin, H.-h., & Shuai, H.-c. (1992). Fundamentals Of Traditional Chinese Medicine. Beijing, China: Foreign Languages Press.