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Heal skin disease syndrome differentiation and ideas

2011年12月16日

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Heal skin disease syndrome differentiation and ideas

 

 

 

Our reporter XiaoFeng clothing LiXiaoLian correspondent learning

 

 

 

China's traditional Chinese medicine reported

 

 

 

        Traditional Chinese medicine to treat skin disease, use the cause of disease and syndrome differentiation with the principle of combining the. TCM holds that the occurrence of skin disease is often Yin and Yang qi and viscera function disorder outgoing performance, so often in the disease treated, follow the overall concept, to achieve the Yin pingyang secret. Traditional Chinese medicine is from different angles to analysis and induction, identify the human body state, using distinguishes the combination of disease and syndrome differentiation, local differentiation and combination, inside body syndrome differentiation with external treatment to the principle of combining, so that the human body to achieve a state of balance. Recently, in heilongjiang Chinese medicine academic society skin venereal professional committee was established on congress, the first director of YangSuQing professor said.

 

        Distinguishing the combination of disease and syndrome differentiation

 

        YangSuQing professor noted that most of the traditional Chinese medicine and modern medicine skin disease 'disease' is the corresponding, such as "addiction rash" equivalent to western medicine "urticaria", "wind hot sore" is equivalent to the "rose KangZhen", and some disease and no corresponding corresponding problems, some concept also is vague. Some people think that the traditional Chinese medicine in the western medicine disease differentiation is equivalent to the diagnosis. Have the disease diagnosis, can understand the disease in the development process and outcome. But Chinese medicine thinks the same disease due to the patient's constitution different and the progress of the disease to the different stages, clinical evidence is not the same type. We usually after syndrome differentiation and disease differentiation. The process of disease differentiation often and differential diagnosis inseparable, by questioning the history, inducing factors, prevalence, and clinical manifestation, should be established.

 

        Clear the disease diagnosis, according to the disease will be different development stages and with symptoms, on syndrome differentiation and analysis, the pattern identification and treatment. Such as eczema, should see its diagnosis of whether parts symmetry, her lesions characteristic show more pleomorphism and whether the tendency, whether with itch and so on. And then based on the course, skin rash, characteristics and determine the syndrome differentiation with symptoms of points, then determines therapeutic. Such as the acute phase a "hot and humid card" give priority to, middle stage a "wet filled the spleen deficiency syndrome" give priority to, ManXingQi is a "blood deficiency wind dry permit" give priority to, but because of individual differences, some patients with symptoms Yang, clinical so the temperature method, to "the cognition to the invigorating spleen dehumidification" give priority to.

 

        With different to different disease and illness development principles

 

        "The vision with disease to" means the behavior the same disease, but because, because, because when the different, or due to illness development, pathological changes, boils the differences growth, take different treatment. YangSuQing professor says, "different disease together cure" refers to the different disease in its development process, because there the same disease, so it is the same principle. The law of Chinese medicine cure, focusing not on the similarities and differences of disease, but look at the difference between the pathogenesis. With different different disease or illness to manage, both neither is decided in etiology, also not depend on the disease and syndrome, the key is to identify different disease pathogenesis of have common. The same pathogenesis, just can use the same treatment.

 

        For skin diseases, it mostly according to this principle of traditional Chinese medicine pattern identification and treatment. For example, for psoriasis, progress in the dry hot wind of blood for the disease, therapeutic to cool blood (, qingrejiedu Lord; Dormant period or regression period criterion with or blood stasis, blood or dry, or the wind cold dampness resistance network for the disease, were taken respectively, keep blood activating blood detoxification, dredging qufeng dryness and dehumidification for qufeng validates method; And for erythrodermic criterion with hot blood to the camp for the disease, therapeutic to clear camp cool blood, detoxification away spot for the law. Also, different disease pathogenesis as long as the same, its principle and method also can be the same. Such as chronic eczema, wind hot sores, urticaria, itchy skin disease and so on, as long as it has the wind the pathogenesis of prolonged dry, they can all be raise blood dryness (the treatment, with angelica YinZi add and subtract.

 

        Professor Yang evaluation pointed out, Chinese medicine cure is based on the development regularity and disease of disease causes and mechanism based on the analysis of the correct, it takes the overall and pay attention to local, whether disease differentiation or differentiation, are closely rely on the potential of clinical practice to the application to achieve the aim of treatment for all rivers run into the sea.

 

        Local differentiation and whole body combined with syndrome differentiation

 

        Local syndrome differentiation

 

        Professor Yang experience is, skin disease differentiation on one hand to cause local skin disease common symptom, on the one hand, will cause the nature of the skin. Common symptoms including self-conscious symptom and it sleep symptoms. Consciously disease symptoms of the most common is itchy, followed by pain, and in addition to heat, numbness, etc.

 

        Cause itching: itch seen in acute skin disease, also seen in chronic skin disease. Acute skin disease and the wind outside the itching, common cold, wind hot, rheumatic fever, pathogenic characteristics is rapid, on the symptoms of volatile, such as, cold sex urticaria, vessels and nerves edema, acute eczema, etc.; Chronic skin disease itching reason complex, cold, wet, phlegm, blood stasis, and bug with her, and the factors such as prolonged dry all can cause disease. And cold evil in addition to have the attacks from outside, still birth by spleen and kidney Yang in the cold.

 

        Cause pain: skin disease as much pain by cold evil, evil or TanNing heat and blood stasis, meridian caused by blocked. Cold sex pain often meet in cold cold accentuation, to alleviate temperature, such as cold sex pleomorphism erythema; Thermal pain local red hot, such as shingles acute period; TanNing blood stasis sexual pain for more pain site fixed, purple or local visible bruises or phlegm nuclear nodules, such as tuberous spots. Still have a kind of pain is "not honor the pain," such as senile herpes zoster neuralgia, possibly, due to weak, meridians to not pass, the skin caused by a loss.

 

        Distinguishes it sleep symptoms: it sleep symptoms is to point to her lesions performance, also is the shape of the lesion. Different skin disease have different characteristics in lesions, and the same performance are also visible lesions in a variety of skin diseases. General points of primary and secondary. Primary lesions mainly macula, papula, wind is round, nodules, herpes and pustules. Secondary her lesions is from primary to development, including scaly skin, erosion, ulcers, scabs, scratches, chaps, moss kind change and secondary pigment mark. Different skin reaction of disease and different properties, such as congestive erythema and blood hot related, petechial hemorrhages seen here and the blood hot or blood stasis or blood deficiency involved; The wind and the wind chill the white team, red with wind hot wind is round about; Blisters and toxin factor ShiXie pustular relevant.

 

        Systemic syndrome differentiation

 

        Professor Yang said that the main body is combined with syndrome differentiation looking, smell, ask, cut, that is, through look at form and tongue, WenShengYin smell; Q complained, history, diagnosis and treatment process, ask cold, sweat, and ErBian, women's menstrual, exposure, etc.; Pulse-taking, according to local lesion touch, four diagnostic methods and participation, and the comprehensive judgment disease patients, qi nature, its function and status.

 

        In combination with the cure cure

 

        Comes in

 

        (act: including breeze heat method, used for wind hot card (party choose YinQiao scattered etc.); The cold wind scattered, used for cold syndrome (party choose ephedra soup); Wind-wet, used to rheumatism card (party with live alone parasitic soup); Search the wind, dredging method, used in the dense tinea class (party with the snake ChanYi soup, whole worm party, etc.).

 

        Heat method: qingrejiedu method, used for real heat syndromes (party with five disinfection drinks, huanglian jiedu decoction); Heat cool blood method, used for blood heat syndromes (party with XiJiao to hope, etc.).

 

        Qushi law: concretion run smoothly method, used for hot and humid certificate or the dampness syndromes (party with a tonic liver soup, diarrhea ChenHao soup, the bitter clear soup); The spleen water removal, used in wet filled the spleen deficiency syndrome (party with desiccant stomach lingya soup); Yin water removal, used for Yin deficiency damp and hot card (party Yin dehumidifier with soup); The cognition to the water removal, used for Yang and wet card (party with rising Yang dehumidification wind soup).

 

        Dryness law: raise blood dryness method, used for blood deficiency wind dry permit (party with angelica YinZi); Cool blood dryness method, used for blood hot air dry permit (party with cool blood away the wind scattered, etc.).

 

        Blood-activation: blood-activation qi, blood stasis and used for card (party four things with pink soup); For activating blood circulation and eliminating stasis method, used for blood stasis grinds to a card (party use: tqbyp has good effect on allergic huoxue soup); Fill qi and activate blood circulation method, used for qi and blood stasis syndrome (party up with Yang also five soup, etc.).

 

        WenTong law: the cognition to the spread of cold, used for cold dampness block card (party with angelica four inverse soup); Validates the cognition to the method, used for cold dampness resistance network card (party with Yang and soup, etc.).

 

        In addition to ZhiWai in skin diseases, including external treatment. Clinical application to also must follow the pattern identification and treatment principle, according to the different forms and disease detected properties to choose different nature of the solution, powder, lotion, tincture, oil, ointment, etc, and another acupuncture, cutem method.

 

        YangSuQing professor concluded, Chinese medicine to treat skin disease, already disease differentiation and differentiation, more the cause is the combination of disease and syndrome differentiation, local differentiation and combination, inside body syndrome differentiation with external treatment to the principle of combining.