Tag Archives: Treatment Plan

Examples of Five Element Relationships in Traditional Chinese Medicine

Five Element Relationships in Traditional Chinese Medicine

In each example, the circled grey element is the Kyo and is therefore seen as the cause of the illness rather than the symptom.

Mother failing to nourish son.

In this case, treatment would be to: –

Five Element Relationships - Mother failing to nourish son

  1. Providing that the mother is not excessive, tonify the son then the mother.
  2. If the mother is excessive, sedate the mother and tonify the son.
  3. Alternatively, tonify the son and then tonify the controller of the mother.


Son taking too much from mother.

In this case, treatment would be: –Five Element Relationships - Son taking too much from mother

  1.  Sedate the excess (the son).
  2.  Tonify the mother.
  3. Tonify the controller of the son.



Controller exerting too much control.

In this case, treatment would be: –Five Element Relationships - Controller exerting too much control

  1. Sedate the excess element.
  2. Tonify the Controlled element.
  3. Tonify the Controller of the excess element.


Controlled element rebels against/insults the Controller.

In this case, treatment would be: –Five Element Relationships - Controlled element insults the Controller

  1. Sedate the Insulter.
  2. Tonify the Insulted.
  3. Tonify the Insulted’s parent


When using the Five Element theory it must be understood that the Kyo/Jitsu methodology of working is still valid – as Kyo/Jitsu are in an energetic relationship, you can find area of Kyo within an excessive (Jitsu) meridian, and areas of Kyo within a deficient (Kyo) meridian.  To confirm the relationship use palpation, treating and listening, and find the connection.

  • When treating a deficiency problem, look at the Sheng cycle to create/boost energy.  On the Sheng cycle, deficiencies occur when the parent is not feeding the child, or when the child is taking too much from the parent.
  • When treating excess, look at the Ko cycle

Diagnosis and Treatment

  1. Symptoms and observation.
  2. Diagnosis from Hara etc., using kyo and jitsu.
  3. Recognise the relationships between (a) and (b).
  4. Make up a composite diagnosis.
  5. Use Five Element theory to decide what meridians should be treated.
  6. Prepare treatment plan.
  7. Treat.
  8. Conclusions.

Example 1.

LI kyo – Inability to release.treatment plan 1

HT jitsu – Emotional problems.

Causes: –

Internalisation causing emotional problems, with an inability to let go.


Tonify BL (Ko for HT).

Working down the body, tonify ST (Sheng for LI) and LI.


Example 2.

LV kyo – Control, planning, decision making.treatment plan 2

HG jitsu – Emotional protection.

Causes: –

Lack or over control, with an inability to make decisions, leading to emotional problems.

Treatment: –

Sedation of HG.

Tonify Water, KD (Sheng for LV) and BL (Ko for HG).



Aromatherapy for Sports People

Aromatherapy for Sports

I work alongside the physiotherapist of a successful, Junior League, football club, it was agreed that it would be of  interest to see if the introduction of essential oils into my sports massage work would make any perceptible difference to the players.

The normal routine for the players is to play their game on Saturdays and have two practice sessions per week, Mondays and Wednesdays from approximately 6pm until 9pm. I decided to recruit from the players that were most often in for treatment.

Peter was a prime candidate. He never appeared to have any actual injuries, but tended to request massage because of tight hamstrings and calf muscles or painful lower back, neck or shoulders. He exercises every day and, generally, keeps in good health although he has a record of contracting colds.  We agreed that for the next five practice evenings we would both make time and I would give him an aromatherapy massage, to legs, back, neck and shoulders.

Treatment Plan: 

The first priority, for Peter, was the reduction of stiffness in his calf muscles and hamstrings, with a lessening of the pain in the lumber region, neck and shoulders. It was also important to boost his immune system.

I decided to carry out aromatherapy massage to his calf muscles, hamstring, back, neck and shoulders, blending 5 drops each of black pepper (piper nigrum), sweet marjoram (origanum marjorana) and rosemary (rosmarinus officinalis) in 25mls of grapeseed oil (3% dilution). All three essential oils have analgesic properties and should help with tired, tight and painful muscles.

I also provided a mix of rosemary, sweet marjoram and grapefruit (citrus paradisi) in a shower base cream to be used after training and other exercise sessions. Use a 3% dilution, 10 drops of each in 50mls of base cream. Grapefruit is particularly good for breaking down lactic acid after exercise.

The first three sessions: I did lots of effleurage and worked deeply into the areas where Peter had muscle spasm. I did a good deal of stripping out of the muscles, followed by more effleurage then tapotement. Peter found that even after one treatment there was much less tightness in his muscles, he thought he moved more easily during practice. He felt the shower preparation gave him a real lift and the grapefruit certainly did not keep him from sleeping at night.  By the end of first three sessions, Peter thought his back pain was almost gone and he had a lot more movement in his neck and shoulders muscles. His legs lost the tightness.

Fourth & fifth sessions:  On the fourth treatment session, I replaced the black pepper with tea tree (melaleuca alternifolia). The treatment for the muscular pain and spasm was going well and I was keen to use the tea tree to help boost Peter’s immune. We stayed with the tea tree on the fifth treatment, and Peter was delighted with his increased flexibility, he had no pain at all in his back, neck or shoulders and the tightness was almost gone in his legs. He said he was feeling great.