

Acupuncture Center Zurich
TCM & Medical Massage combined

The 5 elements
Go-Dai
The Five Elements in Japan and Classical Chinese Acupuncture
In Japan, two distinct five-element systems coexist: the Daoist-inspired Gogyō, comprising fire, earth, water, wood, and metal, and the Buddhist-influenced Godai, consisting of earth, water, fire, wind, and void (ether). While Gogyō is closely associated with martial arts and the cyclical dynamics of Yin and Yang, Godai represents the fundamental constituents of the universe and finds expression in architecture and philosophy—most notably in The Book of Five Rings by Miyamoto Musashi.
In classical Japanese acupuncture, the Godai system plays a central role in both diagnosis and treatment. Each element embodies essential forces within the human body:
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Earth: stability and digestion
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Water: bodily fluids and kidney function
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Fire: vitality and cardiovascular health
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Wind: movement and respiration
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Void: mental clarity and consciousness
Together, these elements provide a refined framework for identifying imbalances and restoring the harmonious flow of Qi, thereby supporting equilibrium between body and mind.


The 5 pillars
Pillar 1: Acupuncture and Moxibustion
Pillar 2: The pharmaceuticals
Pillar 3: Qi Gong
Pillar 4: Tuina Massage
Pillar 5: Nutrition
Pillar 1: Acupuncture and Moxibustion
In Japan, acupuncture is often referred to as "Shinkyu" (鍼灸), which is derived from the words "Hara" (鍼, needle) and "Kyuu" (灸, moxibustion). Japanese acupuncture differs from the traditional Chinese form in several aspects, particularly in technique and philosophy.
Japanese view on acupuncture:
- Thoughtful technique: Japanese acupuncturists often use finer needles and less invasive techniques. The needling technique is often gentler, which many patients find less painful.
- Diagnosis: The diagnosis is also based on an energetic understanding, but often has a stronger focus on the physical symptoms and the personal constitution of the patient.
Japanese perspective on moxibustion:
- Application: In Japan, moxibustion is traditionally used in conjunction with acupuncture. Indirect moxibustion is often preferred, where the moxa is not placed directly on the skin but burns at a distance to avoid burns.
- Heat and energy: Moxibustion is considered to strengthen Qi and to treat cold or dampness problems in the body. Many Japanese people appreciate the calming and relaxing effect of the heat.

Pillar 2: The medicinal herbsmedicinal mushrooms
Chinese herbs are an important part of traditional Japanese medicine (Kampo) and have been used for centuries to promote health and treat various ailments. These herbs are often distinguished by their diversity and specific applications.
Even though I am not trained in herbal medicine myself, my focus is entirely on adaptogens – those silent power boosters from mushrooms that so wonderfully support the body in times of change.

Pillar 3: Qi Gong
Qi Gong: The exercises are gentle and flowing, often designed to improve flexibility and balance.
Breathing: Breathing plays a central role in supporting and harmonizing the flow of Qi.
Meditation: Often, mindfulness is combined with a meditative attitude to reduce stress and improve concentration.
Advantages:
Qi Gong can help increase energy levels, strengthen the immune system, reduce stress, and improve overall health. It is often used as a preventative measure against health problems and promotes both physical and mental relaxation.

Pillar 4: Tuina Anmo - Massage
Tuina is a traditional Chinese therapeutic massage that is part of Chinese medicine. It combines techniques from acupressure and joint mobilization to promote Qi (life energy) and treat health problems.
Differences from classical massage:
1. Objective: Tuina has a therapeutic focus on energetic balance, while classical massage primarily serves to relax the muscles. Tuina is also used, for example, for coughs, organic problems, psychological ailments, and orthopedic conditions, whereas classical massage is more commonly practiced in orthopedics.
2. Techniques: Tuina uses specific techniques such as acupressure, joint mobilizations, stretches, etc., while purely classical massage mainly uses kneading and stroking techniques.
3. Philosophy: Tuina is based on the principles of Traditional Chinese Medicine (TCM) with precise Zangfu (organ) diagnostics, while classical massage takes more anatomical and physiological aspects into account.
In summary, Tuina takes into account physical, energetic and mental aspects of health, while classical massage focuses more on muscle relaxation.

Pillar 5: TCM nutrition
Fundamental Principles of TCM Nutrition
1. Qi and Jing
Qi (气): In the context of Traditional Chinese Medicine (TCM), Qi is understood as the vital life force that flows throughout the body. It plays a central role in health, as all physiological functions are directly connected to it. A balanced diet is intended to support the generation, circulation, and harmonious flow of Qi.
Jing (精): Jing refers to essential substances stored in the kidneys, responsible for growth, development, and longevity. Certain foods contribute to strengthening Jing by nourishing kidney energy.
2. Yin and Yang
TCM is founded on the principle of duality between Yin (cool, feminine, moist) and Yang (warm, masculine, dry). A balanced diet seeks to maintain harmony between these two forces. An excess of Yin may lead to coldness and dampness in the body, whereas excessive Yang can result in heat and dryness. Therefore, food choices should reflect these energetic qualities.
3. The Five Elements
Foods and their properties are associated with the Five Elements (Wood, Fire, Earth, Metal, Water). Each element corresponds to specific organs, emotions, and seasonal cycles. For example:
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Wood: Liver – green vegetables
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Fire: Heart – red foods such as peppers
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Earth: Spleen – yellow foods such as millet
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Metal: Lungs – white foods such as radish
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Water: Kidneys – black foods such as black beans
Practical Aspects of TCM Nutrition
1. Food Classification
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Thermal Nature: Foods are categorized according to their thermal effect on the body:
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Cold foods: watermelon, cucumber (cooling effect)
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Warming foods: ginger, cinnamon (warming effect)
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Flavor Profile: Foods are also classified by taste, each with specific functions:
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Sweet: nourishes and harmonizes
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Sour: supports the liver
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Bitter: clears heat and dries dampness
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Pungent: promotes circulation
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Salty: nourishes the kidneys and moistens
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2. Individual Constitution
TCM takes into account each person’s unique constitution. Factors such as age, gender, lifestyle, and health condition influence dietary recommendations. For instance, an individual with Yang deficiency (cold and weak) may be advised to consume more warming, cooked foods, whereas someone with excess Yang (heat sensitivity) should favor cooling foods.
3. Seasonality
Seasonal influence is a key principle in TCM nutrition. Diet should be adapted accordingly:
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Spring: light, green foods to support renewal
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Summer: cooling foods for hydration and heat reduction
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Autumn: nourishing, moistening foods to support the lungs
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Winter: warming, nutrient-dense foods to strengthen the body against cold
4. Preparation Methods
The method of food preparation plays a crucial role. Cooked, steamed, or stewed foods are generally easier to digest than raw foods, as they enhance nutrient availability. Fermentation and the use of spices are also common practices to support digestion.
5. Regularity and Moderation
Regular meal times help stabilize Qi. It is recommended to eat at consistent times each day. Moderation is equally important; overeating and excessive consumption of processed foods should be avoided to prevent strain on the digestive system.
Foods and Their Organ-Specific Effects
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Legumes: strengthen the spleen and support Qi production
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Bitter foods such as bitter melon (and grapefruit): clear heat and support liver function
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Pungent vegetables such as garlic and ginger: benefit the respiratory system, promote circulation, and help dispel cold and dampness
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Nourishing grains such as oats and rice: support spleen function and strengthen Qi
Conclusion
Nutrition in TCM represents a comprehensive and holistic system that integrates physical, energetic, and emotional dimensions of dietary choices. By considering individual needs, seasonal variations, and the energetic properties of foods, TCM offers a highly personalized approach to promoting health and well-being. A solid understanding of these principles can play a significant role in disease prevention and in enhancing overall quality of life.