Leading up to my online CEU course on Jing and nurturing life practices (
2 hours of CEUs for FREE, sign up here
), I sat down with scholar and Chinese medicine practitioner Dr. Phil Garrison to discuss Jing (Essence) and the less discussed Jing Shen.
PCOM-NY faculty member Jeremy Pulsifer was featured cooking a healing soup to treat a cough on PCOM alumna Jill Blakeway’s show “Grow Cook Heal”. Check it out!
And at #7: the Power of Placebo, featuring Ted Kaptchuk–Pacific Symposium 2013’s keynote speaker and a longtime PCOM associate!
“ 32 - Because joining a ragtag band of fellow travellers, cooks and guides as I trekked back from La Ciudad Perdida in Colombia reminded me of the joy of sharing your journey with others.”
In 404 CE, the first foreign medicine was imported into Japan from Korea, which has been deduced as being mostly herbal in nature.
During this time, waves of migration from the Korean peninsula brought Chinese technology and writings to the island nation. It was through these transplants that the native Japanese learned of Chinese medicine and acupuncture. As passageways between China and Japan became more open, the first formal introduction of acupuncture in Japan occurred in 562 by a Chinese monk name Zhi Cong. He made the trek across the Sea of China east and brought with him medical treatises on herbal medicine and acupuncture meridians including the Mingtang tu, also known as the Illustrated Manual of Channels, Collaterals, and Acupuncture Points.
Thanks to the Tunnel to Towers Foundation for honoring Pacific College for our support for the important work they do. And thanks to Dr. Jeff Poplarski who makes it all possible.
David Rich Sol, Dean of Asian Holistic Health and Massage of PCOM’s Chicago campus, talks extensively about this method to reduce pain and tension.
Exploring the Spiral of Life: Jing, Qi, and Shen in Aging
Aging in Chinese medicine is often described less as a straight decline than as a changing rhythm. The body moves through seasons of growth, reproduction, maturation, conservation, and renewal. Each stage asks for a different relationship with energy, rest, activity, purpose, and connection. This cyclical view offers a way to consider longevity without reducing health to appearance or the absence of illness.
At the center of this perspective are the Three Treasures: Jing, Qi, and Shen. Jing is commonly associated with constitutional essence and the deep reserves that support development. Qi refers to the functional vitality that animates the body and organizes its processes. Shen encompasses consciousness, spirit, emotional presence, and the capacity to engage meaningfully with life. These concepts overlap, yet each contributes a distinct lens for understanding change over time.
Within this framework, aging is not treated as a problem to defeat. It is a gradual transformation that can be supported through attention to sleep, nourishment, movement, relationships, emotional health, and appropriate medical care. Traditional Chinese medicine does not offer a single formula for every person. Instead, it emphasizes pattern, timing, individuality, and the ongoing conversation between inner reserves and the world around us.
Three Treasures as a Dynamic Map
Jing, Qi, and Shen are sometimes presented as separate substances, but their relationship is more useful when understood as a living continuum. Jing provides a deep foundation, Qi expresses that foundation through daily function, and Shen gives direction and awareness to the whole person. In classical theory, each treasure supports the others: Jing generates Qi, Qi nourishes Shen, and Shen guides the wise use of Qi and Jing.
The Three Treasures also help distinguish levels of vitality. Someone may have considerable physical stamina but feel emotionally scattered, suggesting that Qi is active while Shen lacks steadiness. Another person may be mentally engaged yet physically depleted, indicating that the deeper reserves require care. These observations are not diagnoses by themselves. They are traditional ways of organizing questions about energy, recovery, motivation, sleep, digestion, and resilience.
Aging changes the balance among the treasures. Jing is traditionally believed to be limited and gradually consumed across a lifetime, while Qi can be replenished through food, breath, rest, movement, and cultivated habits. Shen may mature through experience, even as the body’s pace changes. This means later life can bring greater discernment and inner clarity, provided activity is adjusted to the body’s current capacity.
Jing and the Architecture of Time
Jing is often translated as essence. In Chinese medicine, it is connected with growth, development, fertility, constitutional strength, bone health, marrow, and the life cycle. It includes inherited potential, sometimes called prenatal Jing, as well as acquired essence supported by food, breathing, rest, and lifestyle. The distinction does not imply that destiny is fixed. It suggests that people begin with different constitutions and can influence how their reserves are used.
The reproductive life cycle offers one traditional setting for discussing Jing. Menstruation, fertility, pregnancy, childbirth, and menopause are viewed as transitions involving deep resources and changing patterns of Yin and Yang. Contemporary readers can explore this framework alongside responsible reproductive healthcare. For a discussion that places acupuncture within fertility care and emphasizes informed expectations, see fertility acupuncture.
Jing is also associated with gradual changes in strength, hearing, hair, teeth, bones, and sexual vitality. These associations should not be interpreted as a complete explanation of aging or as a substitute for medical assessment. Persistent fatigue, unexplained weight change, bone pain, memory changes, or alterations in hearing and vision deserve evaluation by qualified healthcare professionals. Traditional theory can provide a complementary language for supporting well-being, while biomedical care identifies conditions that require specific treatment.
Protecting Jing, in practical terms, means avoiding a lifestyle that constantly demands more than the body can restore. Chronic sleep deprivation, overwork, extreme dieting, excessive substance use, and unrelieved stress may all be understood as depleting patterns. Adequate nourishment, regular rest, moderate exercise, and respect for recovery are simple ways to honor the principle of conservation.
Qi and the Changing Rhythm of Vitality
Qi is the movement and function of life. It is described through many forms, including Defensive Qi, which relates to protection; Nutritive Qi, which supports nourishment; and ancestral or original Qi, which reflects constitutional vitality. Qi is not identical to a measurable biomedical substance. It is a traditional concept used to describe patterns such as circulation, warmth, breath, digestion, activity, and the ability to adapt.
In youth, Qi may appear as quick recovery, vigorous movement, and a strong capacity to tolerate irregularity. With age, the quality of healthy Qi may become quieter and more economical. The goal is not constant intensity. It is efficient function: steady digestion, comfortable breathing, restorative sleep, appropriate strength, and enough energy for meaningful activity.
The following comparison shows how the Three Treasures can be considered across different dimensions of aging:
| Treasure | Traditional association | Possible expression in aging | Supportive focus |
|---|---|---|---|
| Jing | Constitution, development, fertility, marrow, deep reserves | Recovery capacity, bone and reproductive transitions, long-term resilience | Rest, nourishment, moderation, constitutional care |
| Qi | Movement, function, warmth, breath, protection | Stamina, digestion, circulation, mobility, adaptation | Regular movement, breathing practices, balanced meals |
| Shen | Spirit, awareness, emotion, presence, meaning | Memory, engagement, purpose, emotional integration | Community, creativity, reflection, meaningful activity |
Qi responds to rhythm. Alternating effort with recovery can be more sustainable than attempting to maintain the same level of exertion throughout life. Walking, swimming, tai chi, qigong, strength training, or another enjoyable practice may help preserve mobility and confidence when adapted to individual needs. The appropriate intensity depends on age, conditioning, injury history, medications, and medical status.
Traditional Chinese medicine also pays attention to the quality of Qi: whether it is deficient, stagnant, rebellious, sinking, or out of balance. These descriptions can guide an individualized treatment plan, but they should not be used to dismiss symptoms. Chest pain, shortness of breath, sudden weakness, severe dizziness, and acute confusion require prompt medical attention rather than self-treatment.
Shen, Meaning, and Inner Vitality
Shen is often translated as spirit, but the concept reaches beyond religion or a vague sense of optimism. It includes consciousness, mental clarity, emotional expression, sleep, insight, and the quality of presence a person brings to relationships. In aging, Shen may be reflected in curiosity, humor, attention, memory, creativity, and the ability to remain connected to personal values.
Aging can bring grief, role changes, retirement, caregiving responsibilities, bereavement, and physical limitations. These experiences affect Shen as well as the body. Traditional Chinese medicine recognizes that emotional life is part of health, while contemporary mental health care offers essential support for depression, anxiety, trauma, loneliness, and cognitive concerns. Seeking help is an act of stewardship, not evidence of spiritual weakness.
The Shen-centered view of longevity asks what makes life feel inhabited and worthwhile. Purpose may come from family, teaching, music, service, art, spiritual practice, gardening, or learning. The activity itself matters less than the sense of participation it creates. A smaller social circle can still be deeply nourishing when it includes trust, reciprocity, and opportunities to contribute.
Sleep is another meeting point of Shen and Qi. A settled evening routine, reduced exposure to stimulating media before bed, regular daylight, and attention to caffeine and alcohol may support healthy sleep habits. Persistent insomnia or major changes in sleep should be discussed with a healthcare professional, especially when accompanied by mood changes, pain, breathing problems, or memory difficulties.
Aging Through Seasonal Cycles
The seasonal model of Chinese medicine provides another way to understand the spiral of life. Spring is associated with emergence and flexible growth, summer with expansion and connection, late summer with nourishment and integration, autumn with refinement and release, and winter with storage and restoration. These seasons are environmental patterns, yet they also describe phases within a person’s life.
Later adulthood may carry more of winter’s qualities: conservation, reflection, depth, and selective use of energy. This does not mean withdrawal from life. It suggests a movement away from proving capacity through constant output and toward choosing activities that align with priorities. A winter-oriented rhythm might include warm meals, earlier rest, gentle strength work, contemplative practices, and time for transmitting knowledge to others.
Seasonal care should remain grounded in individual experience and safety. Older adults may need extra protection from extreme heat or cold, and people with cardiovascular, respiratory, metabolic, or mobility concerns may require tailored guidance. A licensed practitioner can adapt acupuncture, herbal medicine, dietary advice, or movement recommendations to a person’s pattern and medical history.
The same principle applies to reproductive and family transitions. Traditional therapies may be considered in supportive care, but pregnancy requires careful coordination with qualified clinicians. For readers interested in the evidence and clinical context surrounding one traditional approach, moxibustion evidence offers a useful example of why treatment decisions should account for research, timing, safety, and practitioner expertise.
Cultivating Balance in Daily Life
The Three Treasures become most meaningful when they inform ordinary choices. A person does not preserve Jing through one special food, strengthen Qi through a single exercise, or nourish Shen through one moment of meditation. Health develops through repeated patterns that fit real circumstances. Small, sustainable actions often matter more than ambitious routines that cannot be maintained.
Aging well also requires flexibility. The body may need more recovery after exertion, different portions or meal timing, more attention to balance, or new ways to participate in familiar activities. Adaptation is not a loss of identity. It is a form of intelligence that allows a person to remain active without ignoring changing needs.
- Protect consistent sleep and create a calming transition into the evening.
- Choose nourishing meals with sufficient protein, fiber, fluids, and variety.
- Combine mobility work with safe strength and balance training.
- Make regular space for friendship, creativity, learning, or service.
- Seek individualized care for persistent symptoms rather than relying on self-diagnosis.
A qualified acupuncturist or Chinese medicine practitioner may assess pulse, tongue, symptoms, history, and lifestyle to develop a personalized approach. Herbal formulas and supplements deserve particular caution because they can interact with prescription medicines or may be inappropriate for certain conditions. Open communication among all members of a healthcare team supports safer, more coordinated care.
The spiral of life is a fitting image because each return is also a transformation. Rest resembles earlier seasons of life but carries different wisdom; movement may become gentler while gaining greater intention; vitality may express itself through steadiness rather than speed. Jing, Qi, and Shen offer a traditional vocabulary for recognizing these changes and responding with care.
Explore the Three Treasures through study, reflective practice, and respectful clinical guidance. By observing how energy, reserves, purpose, and relationships change over time, you can make aging a process of informed participation—one that values restoration, connection, and the continuing possibility of growth.