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MENTAL MODEL · M2139

Propping Rheum / Zhi Yin

Propping Rheum / Zhi Yin
BehaviorHigh supportOrganizational Behavior
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Updated 2026-08-01

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INTRODUCTION

English translation pending.

CORE DEFINITION

Propping rheum (zhi yin) is one of the four rheum patterns in Chinese medicine, in which fluids accumulate in the chest and diaphragm and prop up the lung, obstructing the qi mechanism. Patients cough and gasp, can breathe only when propped up, feel short of breath, and cannot lie flat because the fluid floods the lung when they do. It arises from spleen failure to transform, lung failure to regulate, and kidney failure to transform water, and is treated by warming and transforming the rheum or by draining the lung.

SCAFFOLDING EFFECT

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- Jack under the lung: read the fluid as a physical prop that compresses the lung and blocks the qi mechanism - Posture tells: treat the inability to lie flat as the clue that fluid shifts onto the lung - Drain route: choose between warming and transforming the rheum and draining the lung directly

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Fluid metabolism depends on the spleen transforming, the lung regulating, and the kidney transforming water. When these fail, fluid pools in the chest and diaphragm and props up the lung, blocking the qi mechanism from descending. Lying flat lets the pooled fluid flood the lung, which is why such patients can breathe only when propped up. Warming transforms the rheum so that it moves again, and draining the lung removes what has collected; the qi mechanism recovers once the water is gone.

MINIMUM ACTION

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Source support: Explicit

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    baike.baidu.comhttps://baike.baidu.com/view/15060950.htmZH · Explicit
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