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Yin and Yang in TCM Treatment
Yin and Yang become imbalanced in a variety of ways, sometimes with a true excess or deficiency of one over to the other, other times with a relative excess or deficiency. One example of a true excess of Yang over Yin is a raging fever (redness and heat belong to Yang) from an acute flu or infection in an otherwise healthy person. The person's store of nourishing, cooling Yin fluids has not yet been damaged by the high fever, which has just begun; thus, the overall state of the Yin remains unchanged although the Yang blazes (normal Yin, excessive Yang). In this case, the treatment principle would likely be to sedate the Yang, rather than to nourish the Yin. The goal of treatment would be to bring the person back to equilibrium before strengthening their immune system to prevent future attacks.

An example of a relative excess of Yang over Yin is the low-grade fever and night sweats associated with menopause. Over the course of a woman's life, she may consume her Yin in ways both natural (childbearing, menstrual bleeding) and unnatural (relating to her lifestyle, such as smoking, over-consumption of spicy foods, not getting enough sleep). In this state, even if her Yang is at normal levels, her deficient Yin will show up as Heat, or a relative excess of Yang. In this case, the treatment principle would likely be to nourish the Yin, which is deficient, rather than sedating the Yang, which remains at normal levels.

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