The typhoid miscellaneous diseases theory of diagnosis and treatment law agent to jaundice

ZhuXiangLin EZhouShi hubei province of traditional Chinese medicine hospital

China's traditional Chinese medicine reported

        ZhangZhongJing in treatise on febrile disease of deals with jaundice, also in synopsis of golden chamber set of jaundice article, this according to two book discusses the syndrome differentiation and treatment law jaundice as follows.

        Jaundice justice

        Jaundice in modern medicine is a variety of diseases, especially in hot and humid/steam caused icteric model hepatitis relatively more see. The theory of say: "hot and humid/evaporate, people Dan when disease." Points out that Dan (Da) disease is hot and humid caused by the evil. The · flat plain question people meteorological theory "said:" all the yellow, repose, jaundice eye the yellow, yue... jaundice." The spirit of a disease diagnosis coffins · ruler "say:" body pain and color light yellow, yellow, ChiGou claws armour, jaundice and urine, huang huang also, pulse small and astringent, not the dads scoffing." Summarize the icteric model hepatitis the general condition and symptoms.

        However of jaundice is generalized zhongjing's. As if saying "the disease yellow home", "the yellow", and he said "jaundice constant urine color", "yellow urine from the man," and so on. Zhongjing's books have "female labor Da" say, call "the female of the work for". Think kidney disease can occur Da card, the wait "forehead black, the sweat and blood out of hot, dusk namely hair, bladder nasty, from the urine, yue female labor Da". Time can be turned into black Da, face the black light yellow, eye around green, in the heart such as bonsai garlic Xie shape, defecate pond black, skin and unfeeling, etc. Wine Da billowing can be turned into the black Da, such as icteric model hepatitis long delay is not more of the late and liver cirrhosis, can see this syndrome. This shows, the daughter of Da labor of zhongjing's shows the jaundice, as proposed in the differential diagnosis. Again the man virtual fatigue yellow, is caused by both qi deficient, also should be considered in the differential diagnosis. Zhongjing developed jaundice including today about the acute icteric model hepatitis, leptospirosis, acute cholecystitis, cholelithiasis and sepsis, relapsing fever, toxic infection, broad bean yellow, malaria, late portal cirrhosis, acute liver atrophy, Addison's disease, guillian barre anemia, are available for different stages yellow syndrome. Because of this, different disease they can manage with card. It can be anointed hair Fried pig jaundice, also can use the fumatory soup. Female labor Da evolved into black Da available "XiaoShi stone scattered, wine Da into black Da also can use. Jaundice is a disease of different actual cold syndrome, so different card with disease and the need to different cure. As the winner ChenHao soup with hot bitter, wet the winner from the scattered with ChenWuLing, virtual person with XiaoJian in the soup, ZhangZhongJing embodies the spirit of the syndrome differentiation and treatment of jaundice.

        Disease because

        Feeling the attacks "treatise on febrile diseases", said: "the typhoid fever and body yellow" (262), "typhoid seven eight days, such as orange and yellow color" (261), "typhoid stasis, the body will be hot in yellow" (263), which is caused by cold evil pathogenic jaundice. And as "master yue: disease jaundice, fever, chest full of dry bored out of the pilot, in cases, fire its sweat," two hot income. But the yellow house, from the wet the income ", that is Da disease caused by heat evil, ShiXie. Cold, heat, wet all belong to fever category, the "JinYiFang" say: "all bosoms, will meet the fever within the yellow and blood stasis." The three for party "say:" five Da besides, sometimes do DanNve, cold, heat and humidity Da card different." Feeling six poison can cause vessel jaundice. If the vessel to poison quickly, injury and camp blood, the FaJi yellow, but the severe jaundice. Such as "the source of the syndrome of · urgent yellow wait" and said: "taste a heat, steam, gas yu because of toxic heat added, so he ran yellow, heart full life for asthma, in, so the cloud urgent yellow also."

        Diet is not quarter synopsis of golden chamber yue: "how to hurt the spleen chakra Yang tight. The wind chill phase beat, the valley of food that dazzle, gas needless, in the valley of stomach bitter turbid, oil and gas mean, couldn't urinate all yellow, body... called Da valley." That is against jaundice in diet is not section or alcohol, damage function of spleen and stomach, food brewing damp and hot, fumigation courage, bile leaking excessive; With the skin and hair is yellow, so have Da valley, and the wine Da said.

        Yang of spleen and stomach such as "treatise on febrile diseases", said: "Yang disease, pulse late, food use hard enough, is full head, the vexed glare, the desire to urinate will be Dan valley" (200), "the body when the lunar, yellow" (192), is not the spleen Yang wet, cold dampness YuZu sheng, bile liquid were blocked, excessive to your skin, and hair is yellow. So the kind of card to cutting · jaundice "say:" Yin yellow department is not working, dampness spleen and bravery, the liquid with the muscle is hair and for spotting yellow."

        Virtual fatigue XieKui synopsis of golden chamber yue: "man, from the yellow urine, and virtual fatigue XiaoJian when the soup." This is deficiency syndrome jaundice. The YiZong JinJian "say:" woman by the collapse, hair yellow postpartum the take off the blood is yellow, the jaundice. This man to yellow, then know the urine from the hot and humid. Known for yellow and there will be blood loss of blood, so that death is virtual yellow color WaiXian, khan, the method of infiltration, only when all was not with virtual fatigue blood loss, so to XiaoJian partners in the soup, from the yellow camp who will do." If there is a virtual of jaundice yellow syndrome, also from virtual fatigue differentiation.

        Blood stasis moisture resistance synopsis of golden chamber said: "the feet chakras float for kidney damage." "HuangGuRi mostly have fever, but the aversion to cold, this is female labor." The card body is yellow, and forehead black, defecate will be black, but kidney blood stasis, caused by ShiXie block. Also have wine Da via treated not more, evil coming into the blood points, a long time into the black Da, its card face is black, and microstrip yellow, is by the spleen and kidney and also.

        Points of

        Zhongjing's theory of jaundice, in the "treatise on febrile disease for the valley of yellow, Dan (Da); In synopsis of golden chamber Da, wine is called the valley of Da, female labor Da, but wine Da, female labor Da time can be turned into a black Da, and a virtual fatigue yellow, a total of six, including female labor Da yellow and can be regarded as the differential diagnosis. The nakedness of Yin and Yang in the property, the heat and blood stasis yellow for real heat syndromes, Da have belongs to the valley of damp and hot, a pulse of the late dampness, wine Da for hot card, female labor Da for kidney empty heat and blood stasis, black Da for Yin deficiency and blood stasis, virtual fatigue is lost honor yellow qi. Heat and blood stasis yellow, valley Da heating, and the wine Da for jaundice Yang syndrome; Da valley of black Da, cold, yellow for jaundice, Yin card. ZhongJingMing theory six jaundice, to the sui dynasty nest yuan party card into nine Da according to wait, the tang dynasty WangDao more 36 yellow, which becomes increasingly numerous. The yuan dynasty ROM it by bo is the covenant, will jaundice is divided into two types of Yin card Yang syndrome. The Ming dynasty ZhangJingYue Pope said: "jaundice... no out two certificates of Yin and Yang, generally speaking, more real, Yin Yang card insufficiency, the actual card lost, the Florida to yi" (the JingYue encyclopedia · jaundice "), and the establishment of the Yin HuangYang yellow is named. But the qing dynasty ShenJinAo think, Yin HuangYang yellow is "hot and humid blue color, generally speaking, wet steam wins the smoked the color of black yellows of data, hot-the smoked color if orange bright, most appropriate were" (the rhinoceros miscellaneous diseases origin candle "). If JingYue with false or true points for jaundice Yin and Yang two certificates, passable summary of zhongjing's general jaundice theory, so ShenShi to damp and hot points of Yin and Yang, is just about zhongjing's part of jaundice.

        Prognosis ShunNi

        To date prognosis "jaundice, when the disease to 18,, rule for more than 10 days, the difficult to Chai play." Jaundice should be early treatment, generally in ten days or so are filled resist pathogens, the treatment for the, if more than 10 days treatment still did not get better, but evil filled is failure, cure difficult, then wait for counter.

        To thirsty or not prognosis "Da and thirsty, its Da refractoriness; Da and not thirsty, its Da easy cure." Thirsty and hot fill, the drinking water to help them wet, so difficult to cure; Not thirsty, heat evil don't fill, light more easily to cure disease.

        In general the stool or not prognosis shit on the whether jaundice, related to the disease of the evil way out. If the setting gas impassability, must be the next, not only Da wine, Da valley with XiaFa, from diarrhea to its evil shit, that such as female labor Da shit should also be unobstructed, such as service "XiaoShi stone scattered," disease to urinate, with urine is yellow, defecate is black, is wait ". Accordingly, that is the shit chang, their disease shun, defecate in expenses, their disease inverse.

        With full abdomen or not prognosis full abdomen for jaundice often symptoms. Such as "valley of Da though, as full abdomen," and as "the wine jaundice to spit full abdomen..." and so on, with icteric spleen in resistance is wet, angry machine caused by poor, and there is not of heavy wait. Only female labor Da time into a black Da, more with the diarrhea, difficult cure, with poor prognosis. Cover with female labor Da for kidney disease, if the full abdomen, and for kidney disease and spleen, by the prior and and the day after tomorrow, the source will use up, so difficult cure. Of course, if the general jaundice full abdomen, more not urine, oh Hui, but by the spleen and kidney, also for critical card.

        In general the urine or not prognosis of zhongjing's said: "Yang disease will be difficult, the urine... to be Da valley." "Pulse heavy, thirsty to drink, and to the yellow urination is." "Husband, will the disease wine jaundice urination." Explains the urination, wet no way, is the cause of the Da hair. And then the theory, the disease after jaundice, urinate still adverse, their disease of course also is serious. In ChenHao zhongjing's bitter after master said: "when the urine, urine such as soap Angle juice shape, color is red and yellow. Night abdomen decreases from urinate to also." After taking the drug through the urine that, the release of damp and hot, jaundice natural decrease. So the syndrome of the cause of "said:" yellow sick... but to have to pee, i.e. not fear death faster."

        "Treatise on febrile diseases", said: "YangMingZhong wind, pulse string float big and DuanQi, abdomen, full sash and heartache, long press of the gas impassability, nasal do not sweat, a lie, and face bore a yellow, urinate difficult, a hot flashes, and are always Hui, ear swollen... if not before and after urine abdomen, one with full Hui cure" (article 234). Three Yang and disease, jaundice and see Hui constantly, the gas of the stomach is bravery on inverse, carry on if ChongQi rush, there will be blood with QiNi, liver storing blood loss, damage and sending vomiting blood, Yang winding actions such as blood syndrome risk. Together with full abdomen, but gastrointestinal setting gas impassability; Urinate difficult, bladder gasification breach of duty; Then don't add Hui full abdomen urine that has affected the kidney failure, this is showing signs of uremia. Zhongjing's explicit that don't urine for does not treat, its prognosis sinister nature. Stressed: "the disease, but the house yellow its urinate." Made from urine discharge hot quickly, this is the supreme treatment jaundice.

        The pulse condition in treatise on febrile disease prognosis said: "typhoid pulse float and slow... body when yellow." (192) synopsis of golden chamber said: "cunkou pulse float slow... spleen color will yellow, stasis hot to do." Explains the float is often slow jaundice pulse condition. But if to black Da stage, "abdomen like water, not cure", then "their chakras float weak", is the essence of the kidney big falsely, are not resist pathogens, actually hard to cure. YangShiYing after the RenZhai pointed to "say:" Da pulse slow ones shun, string urgent and strong inverse the." String urgent and strong and for hyperthyroidism is disease of, so for inverse wait. The modern medical science thinks, the bravery of jaundice hematic disease, because the bile acid vagus nerve stimulation of the heart, visible slow pulse. Bile acid is stagnant blood and blood stasis stranded damp and hot results, so "the color yellow, heat and blood stasis in will be ok." The cause of the syndrome of "yue:" have become sick as the body is yellow, yellow, after death is not at the beginning of the body surface is yellow of the person, the wait sick but zealous the war is urgent yellow also." Nasty yellow and see the early "heart war", explain heart was badly damaged, will influence the pulse change, namely as about string urgent Yang and strong pulse condition of, or visible, so in serious condition, the poor prognosis, can fill of zhongjing's passes.