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   Acupuncture
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 Introduction

  New medical paradigm 

 Constitution Medicine

 Uniqe Organ Theory

 Characteristics of
    the Four Constitutions

 Problems with the Four 
   Constitutional Classifications

 Eight-Constitution Medicine 

The First Soyangin    

 The Second Soyangin     

 The First Soumin

 The Second Soumin     

 The First Teumin    

 The Second Teumin

The First Teyangin  

 The Second Teyangin    

 Practice of Distinguishing     Between Constitutions

 O-ring test to determine     constitutions


The First Teumin (Soyanginesque Teumin)¿­ÅÂÀ½³².jpg
The first teumin has the organ structure in which the liver is the largest, pancreas relatively large, kidneys relatively small, and lungs the smallest. This can be indicated as liver > pancreas > kidneys > lungs.

                    bild15.jpg

                                      Illustration. Organ structure of the first teumin

This can be expressed as below following the organ theory of Lee Jema, who attributes the organs to the four jiaos.
                                                          
Largest: lower middle jiao: liver group (liver, small intestine, navel, nose, waist, hypodermic tissues).       
                                                          i
Medium large: upper middle jiao: pancreas group (pancreas, stomach, breasts, eyes, spine, muscles).   
                                                          
i
Medium small: lower jiao: kidney group (kidneys, large intestine, sex organs, mouth, bladder, bones). 
                                                          i
Smallest: upper jiao: lung group (lungs, esophagus, tongue, ears, brain, skin).

Liver is the first teumin's largest organ, so naturally its group, the lower middle jiao, is the most developed, including the liver, small intestine, navel, nose, waist and hypodermic tissues. The pancreas follows as relatively large organ, so its group, the upper middle jiao with pancreas, stomach, breasts, eyes, spine and muscles, is well developed.

The kidney is relatively small organ, so its group, the lower jiao with kidneys, large intestine, sex organs, mouth, bladder and bones, is not well developed. Lungs are the smallest of the four organs, so its group, the upper jiao with lungs, esophagus, tongue, ears, brain, and skin, is the least developed.

                            ¿­ÅÂÀ½.jpg
                                  
Illustration. Body shape of the first teumin.

Due to the well developed lower middle and upper middle jiaos, the first teumin has a wide chest and large waist. Generally he has a body shaped like a barrel, with the trunk being the largest part, often round and wide.

He is most characterized by the ease with which he becomes corpulent, due to his large liver and pancreas. The large pancreas strengthens digestion and absorption and causes corpulence. Liver is one of the digestive organs and hypodermic tissues belong to the liver group according to Lee Jema's organ theory. If the liver is well developed, the hypodermic tissues are also well developed and so he gets fat.

However, one doesn't get fat only from a large liver. There must also be a large pancreas with good digestion. Only two of the eight constitutions have both organs large, namely the first soyangin (pancreas - liver) and the first teumin (liver - pancreas). Therefore, corpulent people are found mostly among those who have one of those two constitutions. A difference is that the first soyangin often becomes obese because of the largest pancreas and large liver, while the first teumin seldom becomes obese.

In conclusion, a corpulent person can be regarded firstly as the first soyangin or the first teumin. It is difficult to give an absolute criterion to distinguish corpulence from obesity, but an obese person can be regarded firstly as the first soyangin. The other six constitutions can to some degree become overweight, but they do not become corpulent like these two.

The first teumin with large liver and pancreas has a good appetite and good digestion like the first soyangin, so he eats well any kind of food, likes meat and often drinks and eats too much. Many first teumins are gourmets or gluttons.
Although the first teumin has very good digestion from birth, to remain healthy, he must eat foods appropriate to his constitution and refrain from overeating.
Because of his large liver, he can tolerate alcoholic beverages to a degree, but from self confidence he usually drinks too much without fear and smokes a lot. In that way he often acts imprudently. He is inclined to sclerosis of the liver, paralysis, hypertension and various other chronic illnesses. Many of those with chronic illness are first teumins.

The first teumin has lungs as the smallest of the four organs, so skin, which belongs to the lung group, is weak. Therefore he visibly sweats a lot and is prone to such skin diseases as hives, eczema and allergies, and also to such diseases of the breathing organs as asthma, bronchitis, pneumonia and the common cold. He often has a weak voice and easily tires from talking a lot. It would be difficult for him to become an outstanding opera singer.

He usually perspires a lot, but that doesn't harm his health; on the contrary, for his health he should intentionally sweat a lot in a sauna or by other means.

Generally the first teumin has a large body and is fat especially in the belly and waist. The lower body gains weight more easily than the upper body, because teumin is a yin constitution. He is strong and active and his upper and lower body are developed. He likes sports. In fact, many athletes are first teumins.

Even though he has a constitution with a tendency toward corpulence, that doesn't mean that in all cases he becomes corpulent. If he puts various efforts toward avoiding corpulence or is in a non-fattening life-style, he won't become corpulent.

For example, if a first soumin and a first teumin are in the same fattening situation, according to the organ structure the first soumin doesn't become corpulent, while the first teumin does. Constitutional and life-style factors both influence corpulence. For that reason, many first teumins and first soyangins are not corpulent and have an ordinary body shape.
In clinical practice it is difficult to judge whether a corpulent patient is a first teumin or a first soyangin. Even though the two constitutions, one a yin and the other a yang, are totally different, it is not easy to distinguish them, because it's difficult at first glance to know the temperament and the trunk flexibility of a clothed patient.

The first teumin has well developed lower middle and upper middle jiaos, so the upper and lower trunk is developed, round and wide without any special characteristics. However, the first soyangin has well developed upper and upper middle jiaos, so the upper trunk is more developed than the lower trunk. This is the primary distinction between the first soyangin and the first teumin, but it is not easy to make the comparison through clothing.

The first teumin is mixed with soyangin and to some degree has soyangin temperament and body shape. If the first teumin has a relatively strongly soyangin temperament, he could be mistaken for a first soyangin due to the apparent yang temperament and body shape.

Teumin is a yin constitution like soumin and, like soumin, has a yin temperament. He acts slowly and barely reveals his heart. He thinks prudently first, instead of impetuously beginning any project. His temperament is such that he acts with dignity and persistently finishes whatever he has started. Many teumins are outstanding as politicians or businessmen due to their birthright of great body strength, tenacity, persistence and courage.

Teumin is greedy, is too interested in money and possessions, likes entertainment and can easily become addicted to gambling. That is the temperament of teumin. Mostly it is the first teumin that fits the descriptions of teumin in Lee Jema's book.

The first teumin is teumin mixed with soyangin. So depending on the degree of soyangin, the first teumin can have different outward appearances. For example, the first teumin with strong soyangin influence is extraverted and active, as if he were soyangin. That can confuse the distinction between the two.

In contrast to soumin, the first teumin is relatively outgoing and likes to joke. Whatever he does, he does fervently and persistently. Many attain great success in politics and commerce. That is because, although essentially a yin constitution, the first teumin is mixed with soyangin and has both yang and yin temperaments. If he wisely harmonizes the two temperaments, that naturally brings good results.

Useful foods for teumin
Grains:
rice, glutinous rice, whole grain (brown) rice, sorghum, corn, whole wheat.
Vegetables: tofu, beans, sesame, peanuts, radishes, taro, lotus root, shiitake, yam, arrowroot, bellflower root, pepper, carrot, potato, sweet potato, squash, garlic, onion, laver, sea lettuce, sea tangle.
Fruits: chestnuts, walnuts, apricots, plums, pears, apples, watermelons, lemons, ginkgo nuts, pine nuts, acorns.
Meats: beef, venison.
Fish: herring, eel, loach, shark, mandarin fish (siniperca scherzeri).
Others: honey, brown sugar, milk, deer antler.

Harmful foods for teumin
Grains:
buckwheat, barley.
Vegetables: lettuce, spinach, Chinese cabbage, cabbage, comfrey, bell peppers, wild garlic, pine mushroom.
Fruits: grapes, wild grapes, persimmons, dried persimmons, cherries, pineapple, figs, bananas, quince, mango.
Meats: pork, duck.
Fish: crucian carp, carp, mackerel, salmon, yellowtail, shellfish, ascidian, shrimp or prawns, crab, cuttlefish, raw fish.
Others: wine, beer, cognac, cacao.

Examples of the first teumin:
Winston Churchill, Kim Dae-yung, John Wayne, Ingrid Bergman
 


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