[Tae Hunn]

How do NOAK drugs change the Xue and Qi balance?

I’m GP and meet many patients who have this medicine.

If Xue houses Shen what would be the result when Xue is thinner?
What would it be the effect on Hun?

• This topic was modified 1 year ago by Tae Hunn.
• This topic was modified 1 year ago by Monika.

[Joan]

Thank you for this important question. It isn’t directly about Constitutional Acupuncture, but it is related.

First, a quick clarification: anticoagulant medication does not actually make the blood thinner. Instead, it blocks certain proteins involved in blood clotting. Because of this, there is a higher risk of bleeding. Doctors prescribe these medications for a valid medical reason, to reduce the risk of dangerous clots.
From the perspective of Chinese Medicine and the Five Phases theory, as described by Dr van Buren and confirmed in clinical observation, blood clotting is linked to overactivity of the dry Qi of Yang Ming, especially the Large Intestine. When Large Intestine Qi becomes too dry, the Blood also becomes “dry,” which makes clotting more likely. However, this pattern usually begins with weak Heart Qi and weak Spleen Qi.

According to the Ke Cycle:
• The Heart can no longer properly control the Large Intestine.
• Weak Spleen Qi fails to nourish Lung Qi.
• When Lung Qi weakens, the movement of Blood slows down, and this increases the risk of clotting.

This leads to further complications:
• Kidney Qi declines, because weak Lung Qi does not properly nourish the Kidneys via the Sheng cycle and Kidney Qi is the Opposite/Unlike Qi of the overactive Large Intestine – Branches.
• Liver Qi weakens through the Ke cycle, Large Intestine overacts on the Liver, and Liver Qi is the Unlike Qi of the overactive Large Intestine – Stems).
• As a result, Liver Qi nourishes the Heart Qi less, creating even greater Heart Qi deficiency and worsening the cycle.
• The body attempts compensation through Gallbladder Qi, which tries to control the Large Intestine via the Mah Cycle (reverse Ke cycle).

Constitutional Acupuncture follows three core principles:
• Treat the root cause first: in this case, by strengthening Heart Qi and Spleen Qi.
• Consider the person’s constitutional Qi: first look at the birth chart (Four Pillars and Six Divisions) together with (pulse) diagnosis, so we treat the individual, not just the symptoms of the disease. And take into account contributing factors such as diet, inherited imbalances, and daily lifestyle habits, etc.
• Restore balance indirectly: instead of treating the imbalanced organ directly, we use Like Qi and Unlike Qi relationships to create long-lasting harmony.

The side effects of these medications mainly affect the three Yin leg channels. The severity and nature of these side effects largely depend on the constitutional strengths and weaknesses of these Qi (again, as seen in the birth chart). With prolonged use, they can indeed influence the related Shen, Yi, Po, Zhi, and Hun.
It should also be clear that these medications do not resolve the underlying issue. By addressing the dry Qi of the Large Intestine, they merely postpone the manifestation of deeper problems. However, in the long term, they tend to further weaken the Heart and Spleen Qi.

[Author]

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