The character for worry or over-thinking
Si is one of the emotions associated with the Earth Element. This is sometimes translated as over-thinking or obsessive thought, and can also be called preoccupation, rumination or cogitation.
Weiger (1965, lesson 40A) says of this character, ‘When one is thinking, the vital fluid of the Heart ascends to the brain’.
Si is sometimes combined with
lu as in
si lu, where
lu means to meditate (
Weiger, 1965, lesson 40A for
si lu).
The character for
si consists of a brain with the Heart radical below it. It demonstrates the nature of thinking – which the Chinese believed required the brain to be in communication with the Heart. If the Heart/brain connection is lost, the images of the mind do not constitute focused thinking. There is a difference between directed, purposeful thought and random images floating through the mind. When the connection between the brain and the Heart is lost, thoughts can become obsessive and repetitive.
Su WenChapter 39 states, ‘When there is obsessive thought, the
qi is knotted’ (
Larre and Rochat de la Vallée, 1996, p. 159).
It is not that worry produces intense movements of qi as do the emotions of fear, anger, joy and grief. In this sense si does not truly describe an emotion.
Sympathy
Another emotion commonly associated with the Earth Element is sympathy. Although this is not mentioned in Chinese texts, J. R. Worsley observed that this emotion becomes affected when people have an imbalanced Earth Element. This is an innovation in Chinese medicine in Five Element Constitutional Acupuncture. It is a significant contribution to an understanding of the Five Elements.
There are two directions for sympathy, giving it and receiving it. Both the ability to give sympathy and the ability to receive it are related to Earth. When Earth is in relative balance, both of these, the giving and the receiving, are smooth and function appropriately.
What is the core emotion for Earth?
As with the other Elements there are emotions or feelings that are natural, appropriate and resonate with the Element. It is not so easy to label Earth’s core emotion. ‘Worry’, ‘over-thinking’ and ‘concern’ describe an aspect of Earth’s dysfunction, but they do not touch the heart of the Earth emotion. J. R. Worsley introduced the term sympathy, which is as good a word as we have in English.
It helps to consider the context of sympathy. It comes out of mankind’s social nature. Although there are odd exceptions, humans cannot or do not live alone. Individuals belong to various communities, for example, families, tribes, groups of friends, neighbourhoods, gangs, fans of a sports team, the team itself, work colleagues, professional associations, committee members, citizens of a country, and so on.
People within a group have either common aims and/or an emotional bond. These bonds increase the person’s awareness of others’ welfare and can stimulate mutual support. Support can range from physical help to verbal and non-verbal acknowledgement of another’s predicament. Slightly different ‘feelings’ are associated with giving and receiving ‘sympathy’. But both are resonant with a person’s Earth Element.
These feelings are more easily understood by going back to our first dependence, the relationship to our mother or initial carer. Babies who are never held or touched can die. Our early receiving of ‘sympathy’ is being held and fed. In the mother there is a natural urge to hold, feed and care for. As we get older, the nature of sympathy or support changes, reflecting our varying degrees of dependence and independence. One challenge is to maintain a balance between being independent and allowing ourselves to be cared for when appropriate. Another challenge is to maintain a balance between caring for ourselves and being sensitive to the needs of others.
Sympathy at different ages
It is useful to consider how the nature of appropriate sympathy or support changes with age. When a 4-year-old falls and scrapes a knee, the sympathy expressed by the mother will probably involve both attention to the injury and some physical comfort. For example, the mother may find out if it’s serious and ask if it needs a bandage or plaster. She may also kiss it better, sit her child on her lap and/or give her or him a hug.
When an adult complains about a hard day at work with an even worse prospect tomorrow, another adult does not behave like the mother. Instead, they give some acknowledgement, for example, ‘Yes, this sounds like a difficult time for you.’ If the feeling is authentic and heartfelt the voice tone and facial expression will be congruent. Sometimes a hug and a cuddle may well be appreciated. The naturalness of what the mother does seems obvious. What the acknowledgement does for the adult is similar and also different. For adults, the net result is that the burden is somewhat eased and they often feel better knowing that someone appreciates their situation.
A writer, on the subject of emotions, describes a feeling he had at 15 when he was welcomed into a rock band. He had various descriptions, but, in short, it was a ‘feeling of acceptance, of belonging, of being valued by a group of people whom I was proud to call my friends’. He later discovered that the Japanese had a word for this which he says is ‘comfort in another person’s complete acceptance’. He also refers to the original Chinese character, a breast on which the baby suckled. This suggests a feeling that is based early on in the act of suckling and that evolves and exists in a different form, as we grow older (see
Evans, 2002, pp. 1–3).
As the child grows up two abilities arise. One is knowing how to give support, that is, expressing it at the right level. People do not usually put a 35-year-old on their laps and say ‘There, there, it will be all right.’ The other is for people to create a balance between getting support and giving it to others. Only taking or only giving does not indicate a balanced Earth.
The varieties and extremes of ‘sympathy’
What happens when the natural flow of giving and receiving sympathy is not supported by a balanced Earth? The four most obvious patterns are:
1 excessively wanting sympathy and support
2 rejecting any help, support or sympathy from others
3 excessively feeling and giving sympathy
4 being untouched by others’ distress.
These indicate an imbalanced Earth
Excessively craving sympathy and support
This pattern is not being able to truly receive sympathy in such a way as to satisfy the person. The way in which patients tell the practitioner about their symptoms is an excellent time to observe this aspect of a person. Sometimes, when the Earth qi is weak, food can appear in the stools undigested or not transformed. Similarly, a person can take in sympathy, but does not appreciate or benefit from it. It is similar to being given a box of chocolates and eating one after another and then, looking down at the empty box, wondering where they all went.
It is this lack of deep satisfaction that characterises this pattern. The person is often perceived as ‘needy’ owing to their compulsion to seek support and care from others. Their response to what they feel as others’ lack of consideration and sympathy can be anger, withdrawal, agitation or depression.
A patient says: ‘When I am not well, I just want someone to pay attention and listen to me. I go on and on and whinge and complain and I can’t stop. I know I have lost friends, but I am very demanding and behave a bit like a spoiled brat. The rest of time I am fine with others.’
Rejecting sympathy
There are times and situations when it is normal to accept support or sympathy from others. Some Earth CFs find it difficult to accept sympathy. They might, for example, complain about their situation, but when they are given sympathy they decline it by denying that they complained or readjusting the information so their situation does not sound so bad. Other people do this because receiving care and sympathy was outside their experience as a child. They might feel the neediness but unconsciously feel that it is a sign of weakness. Thus, when given sympathy or support, they feel the need for it but in response they feel a stronger need to deny the neediness and behave as if they are independent. This is probably more common with men, but also occurs in women.
This pattern is often easy to miss. It is usually necessary for the practitioner to give sympathy and see if it evokes discomfort in the patient. Many people can take or leave sympathy, but when this pattern is marked, sympathy will provoke an awkwardness in the patient.
Excessively expressing sympathy
A common pattern demonstrated by Earth CFs is to be overly sympathetic. An example is people who are always looking after others, especially when their own needs are not being met. As C. S. Lewis wittily wrote about a character ‘She is the sort of woman who lives for others – you can always tell the others by their hunted expression.’ (The Screwtape Letters).
People with this tendency often find others’ distress almost unbearable. The idea that their children or other family members are unhappy is often a source of great concern, frustration or sadness. Sad movies, the idea of cruelty to animals or the harsh fact of world poverty and famine are examples of situations that evoke intense feelings in such people.
This is not to suggest that caring for others is pathological. There are many situations in life when offering sympathy or assistance to others truly ‘meets the needs of the situation’. It is pathological when people need to care a lot for others and especially if they do not care appropriately for themselves.
The stereotype of the Jewish mother illustrates a combination. She is excessively caring so as to be smothering (‘eat an extra portion, you need it’) and at the same time she puts out a very strong ‘poor me, no one really cares’ message.
An Earth CF was on a postgraduate training course. She disappeared every lunchtime and came back a few minutes late for the afternoon session. When asked about this she said that she was seeing patients who she was unable to accommodate in the evenings. It turned out that she worked 70+ hours a week, frequently didn’t charge, and rarely had time for lunch or a proper evening meal. When asked what would happen if she didn’t do her caring with such fervour she said she thought ‘the whole world would collapse’.
Being untouched by others’ distress
This pattern is most common in people who reject sympathy themselves. When other people are in need of some support or care, for example when ill, it evokes little feeling of sympathy in the person. It can even induce slight feelings of contempt or disdain. In extreme cases they are completely unmoved by suffering, especially if it is a consequence of the sufferer’s own behaviour.
This hardening is characteristic. Whereas people who crave sympathy or who care a great deal for others can usually be described as tending to be ‘soft’, the hardness of those who reject sympathy and feel little for others is often striking.
Summary
Worry, over-thinking and over-concern are definitely part of the pathology associated with the Earth Element. We find, however, that sympathy and its variations also describe the normal and pathological emotional expressions that resonate with the Earth Element. In practice there is a range of words associated with the emotions of this Element (
Table 14.2).
Table 14.2 Examples of the range of emotions associated with the Earth Element
Worry |
Obsession, over-thinking, fixation, fretfulness, angst, over-concern, insecurity |
Sympathy |
Over-concern, over-supportive, needy, over-condolence, commiseration |
Lack of sympathy |
Unsympathetic, uncaring |
The supporting Earth resonances
These resonances are considerably less important than the ‘key’ resonances given above. They can often be used to indicate that a person’s Earth Element is imbalanced but they do not necessarily point to it being the person’s CF (
Table 14.3).
Table 14.3 Supporting Earth resonances
Season |
Late summer |
Power |
Harvest |
Climate |
Dampness/humidity |
Sense Organ/Orifice |
Mouth |
Tissues and body parts |
Muscles and flesh |
Generates |
Fat |
Taste |
Sweet |
The season for Earth is late summer
The character for late summer
The character for late summer is chang xia (Weiger, 1965, lessons 113A and 160D). This character represents abundant long hair tied back by hand. This is an image of luxurious growth, suggesting that this time of year is when the harvest can be taken.
Late summer
As stated above, Earth is sometimes located in the centre of the other Elements but usually it takes its place in the sheng cycle between Fire and Metal. The latter arrangement is used by Five Element acupuncturists. It comes after the peak of high summer and before the leaves drop in autumn. This season is very marked in Northern China but in some countries it barely exists. The actual times will vary from country to country, but the growth of most plants has peaked and the harvesting of grains and fruits is taking place. (For example in Southern England, where the authors live, it usually starts in mid August and finishes in early October.)
What is most striking about this season is the sense of time standing still. The peak of yang is over and the days are getting shorter but the leaves are still on the trees and the weather can still be extremely warm. The melancholia of autumn is yet to begin. It is a time when yin and yang are finely balanced.
The power for Earth is harvest
The character for harvest
The character for harvest is shou. This character is made up of two radicals. The first represents tangled or creeping plants, and the second the right hand. By extension this might be translated as a hand picking the crops when they are fully grown (Weiger, 1965, lessons 45B and 43B).
Harvest
This is the time of year when crops come to fruition. At one time the harvest also meant carefully storing the crops so that there was a plentiful supply throughout the winter. If there had been adverse weather conditions there might have been no harvest. Nowadays we would import more food from other countries but at one time this would have led to a famine and not enough food for the winter months. At this time of year people traditionally gave thanks for an abundant harvest.
Practitioners might consider if their patients are reaping a harvest. For example are they gaining the benefits from eating good quality food. They may also ask whether they have psychologically benefited from what they have experienced. Does their study go into their mind and bear fruit? Can they transform what they take in into thoughts or ideas or whatever will be useful? Are they satisfied with what they have received or are they still hungry for more?
The climate of Earth is dampness or humidity
The character for dampness
The Chinese character for dampness is shi (Weiger, 1965, lessons 125A and 92E).
Humidity and dampness both refer to the atmosphere where there is a higher degree of moisture than normal. When people have ‘Damp’ then their body has a higher than appropriate degree of fluids. They may have oedema, a bloated abdomen or a muzzy feeling in the head. Like a humid atmosphere outside, they have too much moisture on the inside.
There is a relationship between good quality Earth and the occurrence of Damp. Earth transforms and, as it transforms, food and drink are moved and fluids distributed. When the Earth is weak, the transformation process is weak and fluids can accumulate.
One diagnostic consequence is that people with deficient Earth Elements usually dislike damp or humid weather. Too much Damp on the inside makes them more likely to complain about the excess damp on the outside. Such people are susceptible to joint pain, aching muscles, headaches or lethargy that is worsened by damp or humidity.
It is useful to ask patients how they respond to damp or humid weather. If they ‘hate’ it, then this suggests that their Earth is imbalanced.
In Chinese medicine, certain foods are classified as ‘damp-forming’. Dairy products, all greasy foods and alcohol increase the damp in the body. Thus it becomes important to check a patient’s food intake. The Earth cannot be expected to deal with an abnormal balance of foods that cause us to retain fluids. In the same way, in a location where the rain is excessive and the run-off from the soil poor, the earth becomes too sodden to grow many crops.
A practitioner had been struggling to help an Earth CF, who also had Damp. Progress had been slow, but in the process of a consultation the patient mentioned keeping the windows open during the winter. When asked why, she said that the walls of her flat were so wet that it was better to be cold and get them somewhat drier than it was to be warm. Her practitioner responded by encouraging her to buy a de-humidifier. Ultimately she changed her living situation.
The sense organ/orifice for Earth
The character for the mouth
The character for the mouth is
kou (
Weiger, 1965, lesson 72A).
The mouth and taste
The sense organ of Earth is that of taste and the orifice is the mouth. That the mouth and taste resonate with Earth is not surprising. The sustenance of the Earth enters our mouth and its taste is crucial. Taste guides what we eat. Unfortunately, people today are guided by many factors other than taste. The ability to taste foods for their freshness, nutritional value and relevance for oneself is often limited.
Ling ShuChapter 17 says:
The energy of the Spleen is in connection with the mouth, when the Spleen is healthy, the mouth is able to absorb nourishment normally.
If the Earth Element is healthy, people have a good sense of taste. If it is weak, people may lose their taste, have a sticky taste in the mouth or have difficulties with digestion.
The colour of the lips should be bright, red and moist. It is a poor sign when the lips are dry, dull and of a pale colour. Saliva should not be excessive or deficient. None of these confirms a CF diagnosis, but they do suggest some weakness of the Earth Element.
The tissues and body parts for Earth are muscles and flesh
The character for muscles and flesh
The character for muscles and flesh is ji rou (Weiger, 1965, lessons 65A (jou), 20A (ji) and 65A (ju)).
The muscles and flesh
The quality and function of the muscles and flesh depend on the qi of the Earth Element. Poor muscle tissue will indicate a weakness of the Earth Element. Lumps and swelling under the skin indicate poor transformation and thus a weakness of Earth.
The practitioner can feel the flesh for its smooth consistency in order to gauge the efficiency of the Stomach and Spleen’s transformation process. This will give some insight into the balance of the patient’s Earth Element, though it may not be the CF.
Earth generates fat
Fat is said to be generated by flesh. Excess fat, which sometimes occurs in lumps under the skin, is interpreted in Chinese medicine as Damp or as Phlegm, which is a thicker form of Damp. So any excess fat on the body suggests some weakness of the Earth. There are other weaknesses that might lead to fat, but imbalance in the Earth Element is one major one.
The taste for Earth is sweet
The character for sweet
The character for sweet is kan (Weiger, 1965, lesson 73B). This character literally means ‘the sweetness of something held in the mouth’.
In
Su Wen it states that, ‘The Earth produces sweet flavours’ (
Veith, 1972, p. 119). Most people associate the sweet taste with the strong sugary taste of sweets, candies, cakes, chocolate and other foods commonly eaten in the West. The sweet flavour described by Chinese medicine is pre-white sugar and is a more subtle flavour. The sweet taste is found in many different foods – rice, carrots, corn, chicken, cabbage, pumpkin and peanuts – to name a few. In the herbal
‘materia medicas’ of Chinese herbal medicine, the sweet taste is said to have a strengthening effect on the body.
Sweet is also the predominant taste of breast milk. It is the sole nourishment for babies in the first few months of their life and enables them to grow strong and healthy. If people eat a balanced amount of this subtle taste it will, like breast milk, be strengthening to their qi.
Many people do not stop at eating a small amount of this flavour, however, and start to crave it in large quantities. Eating too much sweet food will weaken the Earth Element and the Stomach and Spleen. Weakness of the Stomach and Spleen in turn creates a stronger craving for the sweet taste. A vicious cycle is produced. Often, the more depleted the Earth becomes the more we crave sweetness and the Stomach and Spleen correspondingly become even more deficient.
Summary
1 Along the sheng cycle Earth is the mother of Metal and Fire is the mother of Earth. Across the ke cycle Earth controls Water and Wood controls Earth.
2 A diagnosis of an Earth CF is made primarily by observation of a yellow facial colour, a singing voice, a fragrant odour and imbalance in the emotion of sympathy.
3 Worry and a lack of caring support are detrimental to the Earth Element.
4 When the Earth Element is imbalanced, the following tendencies arise:
• excessively wanting sympathy and support
• rejecting any help, support or sympathy from others
• excessively feeling and giving sympathy
• being untouched by others’ distress
5 Other resonances include the season of late summer, humidity, the mouth, muscles and flesh, fat, the power of harvest and the sweet taste