San Jiao
Encyclopedia
San Jiao is a term found in traditional Chinese medicine
Traditional Chinese medicine
Traditional Chinese Medicine refers to a broad range of medicine practices sharing common theoretical concepts which have been developed in China and are based on a tradition of more than 2,000 years, including various forms of herbal medicine, acupuncture, massage , exercise , and dietary therapy...

 (TCM), as part of modelling the workings of the human body attempted by early Chinese medical writers. References to it can be found in the oldest Chinese medical texts available, including the Yellow Emperor
Yellow Emperor
The Yellow Emperor or Huangdi1 is a legendary Chinese sovereign and culture hero, included among the Three Sovereigns and Five Emperors. Tradition holds that he reigned from 2697–2597 or 2696–2598 BC...

's Huang Di Nei Jing.

San Jiao has been translated as "triple heater," triple warmer (or three warmers)," and "triple burner," the latter of which is probably favored because of the involvement of the San Jiao in metabolism
Metabolism
Metabolism is the set of chemical reactions that happen in the cells of living organisms to sustain life. These processes allow organisms to grow and reproduce, maintain their structures, and respond to their environments. Metabolism is usually divided into two categories...

. The current WHO standard term is "Triple Energizer" (TE), but many authors still prefer to use San Jiao.

The San Jiao as a body model

There are three "burning spaces":
  • The Shang Jiao (upper burner) - corresponding to the thoracic cavity. This space includes Fei (lungs) and Xin (Heart), and is associated with respiration.
  • The Zhong Jiao (middle burner) - corresponding to the upper part of the dorsal cavity. This space includes Wei (Stomach), Pi (usually called "Spleen", but better called the "nutrient uptake system", eg in WMS
    WMS
    -Technology and computing:*Warehouse management system, a component of the movement and storage of materials within a warehouse*Web Map Service, a specification which comprises a definition for Internet map servers...

     terms the Hepatic Portal System, various secretory pancreatic cells, perhaps the duodenum, portions of the lymphatic system carrying chyle
    Chyle
    Chyle is a milky bodily fluid consisting of lymph and emulsified fats, or free fatty acids . It is formed in the small intestine during digestion of fatty foods, and taken up by lymph vessels specifically known as lacteals...

    , as well as catabolic and transaminoic functions of liver cells) and is associated with digestion.
  • The Xia Jiao (lower burner) - corresponding to the lower part of the dorsal cavity. This space includes Xiao Chang (small intestine), Da Chang (large intestine), Shen (Kidneys), Pang Guang (Bladder) and is associated with elimination.


Other Zang Fu
Zang Fu theory
The zàng-fǔ organs are functional entities stipulated by Traditional Chinese medicine . They constitute the centre piece of TCM's general concept of how the human body works...

 organs were not included in the San Jiao model.

The Hand Channel
Meridian (Chinese medicine)
The meridian is a path through which the life-energy known as "qi" is believed to flow, in traditional Chinese medicine. There is no physically verifiable anatomical or histological basis for the existence of acupuncture points or meridians.- Main concepts :...

 of San Jiao Shao Yang is so called because of its generalized effects across the San Jiao. San Jiao is not an organ
Organ (anatomy)
In biology, an organ is a collection of tissues joined in structural unit to serve a common function. Usually there is a main tissue and sporadic tissues . The main tissue is the one that is unique for the specific organ. For example, main tissue in the heart is the myocardium, while sporadic are...

. In fact, many Zang Fu organ translations do not directly correspond with their defined western organ.

The Shao Yang channel is the second shallowest channel in the six divisions of channel theory
Meridian (Chinese medicine)
The meridian is a path through which the life-energy known as "qi" is believed to flow, in traditional Chinese medicine. There is no physically verifiable anatomical or histological basis for the existence of acupuncture points or meridians.- Main concepts :...

, and its hand division - San Jiao - starts at the fingernail of the ring finger, travels up the outside center of the hand and arm, encompasses the elbow, continues to the back of the Acromio-clavicular joint (part of the shoulder), meeting with the other Yang channels at the junction of the seventh cervical and first thoracic vertebrae (GV-14 "da zhui"), before travelling up the neck to behind the ear, encompassing the external ear and terminating at outer tip of the eyebrow. Aside from Wai Guan (TE-5), its points' most common clinical uses are for local problems.

San Jiao relationships

In TCM theory, the San Jiao is a yang organ paired with the pericardium
Pericardium (Zang)
As distinct from the Western medical concept of pericardium, this concept from Traditional Chinese Medicine is more a way of describing a set of interrelated parts than an anatomical organ....

 (Xin Bao) which is the yin organ associated with it. Yang (Fu) organs are typically hollow, whereas yin (Zang) organs are more solid. The triple burner, however, is said to be primarily energetic and does not have a physical component, unlike all the other organs in TCM. In dissecting
Dissection
Dissection is usually the process of disassembling and observing something to determine its internal structure and as an aid to discerning the functions and relationships of its components....

 a body, one would not be able to find a structure that could be called the San Jiao.

The San Jiao's Hand-Foot partner is Dan (Gall Bladder).

San Jiao function

The San Jiao is also said to be a metabolism mechanism similar to an old-fashioned water wheel
Water wheel
A water wheel is a machine for converting the energy of free-flowing or falling water into useful forms of power. A water wheel consists of a large wooden or metal wheel, with a number of blades or buckets arranged on the outside rim forming the driving surface...

 that is turned by incoming water and creates energy
Energy
In physics, energy is an indirectly observed quantity. It is often understood as the ability a physical system has to do work on other physical systems...

 for accomplishing a task, such as grinding grain in the case of the water wheel, or for metabolising and digesting
Digestion
Digestion is the mechanical and chemical breakdown of food into smaller components that are more easily absorbed into a blood stream, for instance. Digestion is a form of catabolism: a breakdown of large food molecules to smaller ones....

 food
Food
Food is any substance consumed to provide nutritional support for the body. It is usually of plant or animal origin, and contains essential nutrients, such as carbohydrates, fats, proteins, vitamins, or minerals...

 in the case of the San Jiao. The San Jiao is closely associated with the spleen
Spleen (Zang)
The Spleen is one of the zàng organs stipulated by Traditional Chinese Medicine . It is a functionally defined entity and not equivalent to the anatomical organ of the same name.-In the context of the zang-fu concept:...

 functions of transformation and transportation, particularly the metabolism of incoming food. The San Jiao is also closely associated with the kidney
Kidney (Zang)
According to Traditional Chinese Medicine, the Kidney refers to either of the two viscera located on the small of the back, one either side of the spine. As distinct from the Western medical definition of kidneys, the TCM concept is more a way of describing a set of interrelated parts than an...

's function in TCM. The San Jiao, however, is not limited to one metabolism function as the spleen or kidneys are, but is a general metaboliser which can be applied to a variety of metabolism needs.

This dual usage of San Jiao to refer to a specific metabolic function and to refer to the areas of the body is a source of confusion, and care should be taken to make it explicit which is being referred to.

San Jiao and Wu Xing

San Jiao is related to the fire element of the Chinese Five Elements
Five elements (Chinese philosophy)
The Wu Xing, also known as the Five Phases, the Five Agents, the Five Movements, and the Five Steps/Stages, are chiefly an ancient mnemonic device, in many traditional Chinese fields....

.
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