Thupi lathu ndi madzi 75% ndipo maselo athu onse amadzazidwa nawo. N'zosavuta kumvetsa kuti Chilala chikhoza kukhala chinthu chofunika kwambiri cha pathogenic. Pamene Chilala chomwe chimadziwonetsera mwa zamoyo motsatizana ndi chilengedwe, chimatchedwa Chilala chakunja. Ikhozanso kubwera kuchokera ku thupi lokha, popanda kusungunuka kwa chinyezi cha chilengedwe chozungulira; ndiye za chilala chamkati.

Pali kusinthana kosalekeza kwa chinyezi pakati pa thupi ndi kunja, zinthu ziwirizi zikuyang'ana "kusungunuka kwa chinyezi". Mwachilengedwe, nthawi zonse ndi chinthu chonyowa kwambiri chomwe chimasamutsa chinyezi chake kupita ku chowuma. Motero, m’malo a chinyontho kwambiri, thupi limatenga madzi kuchokera ku chilengedwe. Kumbali ina, pamalo owuma, thupi limatsogolera zakumwa zake kunja ndi mpweya: umauma. Nthawi zambiri izi ndizomwe zimayambitsa kusalinganika. Izi zikachitika kwa nthawi yayitali kapena ngati muli pamalo owuma kwambiri, zizindikiro monga ludzu, kuuma kwambiri kwa mkamwa, mmero, milomo, lilime, mphuno kapena khungu, komanso chimbudzi chouma, mkodzo wochepa, ndi tsitsi losalala, louma. Malo owuma kwambiriwa amapezeka m'madera ena anyengo, komanso m'nyumba zotentha kwambiri komanso zopanda mpweya wabwino.

Kuwuma kwamkati nthawi zambiri kumawonekera kutentha kwakukulu kapena kutsatira zovuta zina zomwe zapangitsa kuti madzi atuluke (kutuluka thukuta kwambiri, kutsekula m'mimba, mkodzo wambiri, kusanza kwambiri, etc.). Zizindikiro ndizofanana ndi za Kuuma Kwakunja. Ngati kuyanika kwamkati kumafika m'mapapo, tidzapezanso mawonetseredwe monga chifuwa chowuma ndi zizindikiro za magazi mu sputum.

Traditional Chinese Medicine amawona kuti m'mimba ndi gwero lamadzi am'thupi, chifukwa ndi m'mimba yomwe imalandira madzi kuchokera ku chakudya ndi zakumwa. Kudya nthawi zosawerengeka, mothamanga kapena kubwerera kuntchito mwamsanga mutatha kudya kungasokoneze ntchito yoyenera ya m'mimba, ndipo motero zimakhudza ubwino wa madzi m'thupi, zomwe pamapeto pake zimabweretsa Kuuma Kwamkati.