The theory of six exogenous pathogenic factors

Beijing University of Chinese Medicine - Zhai Shuangqing

China's traditional Chinese medicine reported

         " The wind is moving heat wins, wins are wins are swollen, dry cold dry, wins are floating, wins are soft and wet"," Yin and Yang is on, as big" on the six exogenous pathogenic factors clinical features description. In general, there are four nature five line changes, temperature and wind generated different climate, wind cold dampness too wounding is six kinky evil. Atmosphere too, can lead to a variety of features to shake the disease, such as limb shaking head tremor or vertigo; dryness too, then fluid dried up, cause the skin dry orifices, oliguria and stem; hot too, can cause gas flow of meat science, poly carbuncle swollen sore; cold evil too Yang Yang, injury, no, water becomes swollen; wet evil too, the spleen was dampness, losing Yu Jianyun, abnormal movements, water valley is due to diarrhea thin pond, also known as wet as it or diarrhea.

        First of all," the wind moving heat wins, wins are wins are swollen, dry cold dry, wins are floating, wins are soft and wet" presents a different etiology can lead to different diseases. This is the nature of wind-heat dry and cold climate change factors, its too much each having indicia, and its pathogenic showed the corresponding symptom. The animals here, swollen, stem, floating, or diarrhea is its corresponding symptom.

        Secondly, according to the symptom, explore the etiology pathology, proposed etiology of dialectical view, the clinical analysis of pathogenesis and treatment are important to establish. The etiology of the etiology, emphasize just outside of the cold wind and different climate namely six kinky, but also refers to the human body internally generated similar cold wind dampness of etiology and pathology, it is also called the" six gas", later known as the" six gas " disease pathogenesis theory. As will shake shaking symptoms such as, like, the body fluid dry performance for internal dryness by students, are to the original application. Of course, in clinical symptom of judgment is a regular in" wind, wins are moving." for example, the" move" as a judge, mainly by two points: one is the" real people", i.e. as part of normal human with no abnormal motion image, such as muscles, facial tics.; two is" too", i.e., normal human activity in the area, abnormal too dynamic image, such as the head shaking, limbs convulsive seizures, tremor, asthma. The abnormal animal can be considered as the wind. And as dry judgment, with orifices, chapped skin, skin dry mouth parched and tongue scorched, oliguria and stem mainly, but as heat is not obvious, no yellow urine, sputum yellow, red tongue with yellow, otherwise it should be hot hurt the body fluid into consideration, not belongs to dry.

        Finally, according to the etiology, examining reasons for treatment, is the so-called" treatment of root of disease". Here it should be noted, when distinguish etiology of or within the genus, due to the six treatments with" six gas" treatment is different. In case of external wind induced itching throat, coughing, when to divergent wind; wind induced asthma cough and genus, is when the Pinggan Xifeng to. On this basis, then lower lung, relieving cough and asthma. Dry autumn and belongs to the main gas, five gold, gas at the main symptom is descending, dry gas machine by descending arrhythmias, body fluid is caused by the application of cloth, hard temperature goods with divergent," Yin, to really big":" dry sex in, cure to suffer the temperature, with Xin Gan, to suffer under the." " Yin, reservoir gas when method of" urgent" fresh Xin Yirun, cou reason caused by open, fluid, ventilation is also" is a very good treatment guidelines, clinical apricot Su San ( Sage, pinellia, tuckahoe, Radix Peucedani, Campanulaceae, Fructus aurantii, almond, ginger, tangerine peel ), Sang Xing ( mulberry, almond soup, tempeh, Zhejiang Fritillaria Bulb, radix, gardenia peel pear skin for dryness ), which is also the use of. As to the inner dry treatment, should be based on symptoms, identify organs, treatment.

        The six exogenous pathogenic factors, cold and hot wet dryness-heat in damp relatively more complicated and changeable, the future generations of" wins are soft and wet" theory undertook relatively thorough play. As Shen Jinao" miscellaneous origins rhinoceros turbidity, diarrhea source said:" wet" wins are sun discharge, but only due to the wet ear? Never cold heat deficiency, although both for the disease, if the spleen without wet, four are not dry, He Zicheng out? Although the cold heat discharge of deficiency of different, and there is no source to the wet also." When the first emphasizes treating relief regulating spleen dampness. And, as a result of eliminating dampness has a variety of different approaches, which led to the clinical treatment of Dampness Method and formula of different. Such as the spleen to transport of moisture, temperature and light permeability, with bitter to dampness, dampness, aromatic to yang to temperature of cold, cold to purge damp and hot. This focuses on the following.

        In order to treat diarrhea spleen transporting wet: Li Zhongzi" must read medical case of diarrhea" cloud: "the spleen earth strong, since wins wet, no wet do not vent." Due to spleen to transport water, therefore the spleen invigorating prescription, the majority of both diarrhea treating function, such as" agent" records of the Bureau of Shenlingbaizhu powder ( white lentils, ginseng, white atractylodes rhizome, tuckahoe, liquorice, yam, lotus meat, Platycodon, coix seed, Amomum villosum ), Four Gentlemen Decoction ( ginseng, licorice root, tuckahoe, white atractylodes rhizome ), Qian Yi" pediatric medicine straight formula" in different reactive powder ( four, plus tangerine peel )," Li Dongyuan" of the theory of spleen and stomach in Buzhong Yiqi Decoction ( Astragalus root, licorice, ginseng, Chinese angelica, orange peel, Cimicifuga, white atractylodes rhizome ), with treating spleen-qi deficiency diarrhea effect.

        In order to treat diarrhea and bitter temperature:" to really want to take on," says:" sex in the wet, heat treated by bitter, with acid light, to suffer the dry"," q-law of dirty air" said:" the spleen is wet to dry, fresh urgency of bitter." " The Council" and agent in Pingwei Powder, used in the treatment of disharmony between spleen and stomach to anorexia, vomiting, diarrhea, Party of Atractylodes, Magnolia officinalis were bitter temperature agent; Huoxiang Zhengqi powder for cold, damp stagnation of diarrhea, the use of bitter orange, temperature, Magnolia" medical examination of Pinellia ternata;" in six and Decoction in the treatment of wet hurt the stomach cholera vomiting and diarrhea, use of Amomum villosum, pinellia, Magnolia.

        To purge damp cold: cold medicine for treatment of hot and damp diarrhea, such as" Lun" Gegen Qinlian Decoction in the treatment of febrile diarrhea, cholera, with Scutellaria Coptis;" of" even park Decoction for the treatment of damp cholera spit, with Rhizoma as medicine, etc..

        Wen Yanghua wet to cure diarrhea: wet evil, was Yang is, therefore, the warm yang and Yang medicine temperature of cold dampness, can play a role of antidiarrheal stopped lee. Such as" medicine" in the treatment of the predawn diarrhea Sishen pill, drug composition for psoralen, nutmeg, ginger, red dates, Evodia, Schisandra, Party of Psoralea corylifolia, Fructus evodiae were large temperature of the goods, with Warming Yang role. " Treatise on" in four ( Aconite Decoction, dried ginger, licorice ), Bai Tong ( scallion, ginger soup, aconite ), Wuzhuyu Decoction ( Fructus evodiae, ginseng, ginger, jujube), Zhenwu Decoction ( aconite, ginger, tuckahoe, peony, peony ) can treatment of Shaoyin disease of grain cleaning, can be as Wen Yanghua wet treatment of diarrhea is the concrete application of.

        Light inducing diuresis to cure diarrhea: Zhang Jiebin" King 's book," words" where diarrhea diarrhea disease, by the water valley is not divided, so as to benefit water is the best policy. ... ... , water valley, is and stop, so reducing adverse treatment of small water, not the rule." The later" Lee urine and stool .". This method in the treatment of diarrhea of typical prescription for Zhang Zhongjing" Treatise on Febrile Diseases" in the five water chestnutsdisperse, that this method can not only for the treatment of bladder storage card, is the treatment of cholera, vomiting and diarrhea to pay for the card. Zhu Danxi Ming Dynasty to five water chestnutsdisperse peace stomach powder composition gastric Ling decoction, treatment of heatstroke dyspeptic abdominal pain and diarrhea. " Typhoid specimens" talc, licorice consisting of six one powder in treating feel damp vomit and diarrhea, its principle is also lies in this.

        For these reasons, although the different discourse, recipe varies, but is derived from the" Yellow Emperor's Canon of internal medicine" in the" wet wins are or discharge" theory. Proceed from the one to the other, we should see " wind wins are wins are swollen, hot, dry, dry cold wins, wins are floating, wins are soft and wet" on the theory of traditional Chinese medicine have a tremendous impact, as the pathogenesis of Chinese medicine theory, dialectical thinking of establishing the foundation. Of course," after" of six exogenous pathogenic factors on many, everybody should read carefully, carefully figured out.