Synopsis of golden chamber rheumatism differentiation characteristics

DaiTianMu Hubei university of traditional Chinese medicine

China's traditional Chinese medicine reported

        "The formation of rheumatism is closely related to feel the attacks, but deficiency decisive.

        "The sweat and remove the universe is ZhiWai wet; Diuresis dehumidification in is to treat the supreme wet; By the temperature the Yang method can WenHua cold-warm, XuanTong sun be the spirit, not only suitable for the wet, and suitable for endogenous dampness.

        "The diuresis therapy in synopsis of prescriptions of the treat rheumatism is scattered with temperature, cold and running, which are characteristics of both.

        Rheumatism is to point to feel the wind chill ShiXie body joints caused muscle pain, heavy and sour, numbness or joint swelling, deformation, rigidity and restricted movement as the main symptoms of a class of disease and syndrome, including such rheumatoid arthritis, rheumatoid arthritis, osteoarthritis, gout, scapulohumeral periarthritis, neck lumbar spine bone hyperplasia, sciatica, disease, "classic" initiative called card, bi disease, and the "rheumatism" is the name in synopsis of golden chamber (hereinafter referred to as the "gold, want not"). The gold, want not "made the wet Ye disease spasm of paper (second article) and the" stroke calendar quarter disease "paper (fifth article) monograph rheumatism, and came to rheumatism, method, party, medicine is systematically discussed, started rheumatism continued in the syndrome differentiation and treatment for clinical differentiation rheumatism has an important effect.

        etiology

        The feeling the wind chill ShiXie external cause because, including air cooling, fog wet touch take place to live, damp, sit lie wetland, open to go to bed, wading in the rain, etc. If the original cloud: "the disease hurt in sweat out when the wind, or take long injury caused by cold also"; "Sick in the head cold dampness"; "Sweat in and out of the water"; "This is a when the wind caused by drinking sweat"; "Body sweat out, in the long, cold wet clothes of the".

        Internal cause internal cause including spleen and kidney Yang, liver and kidney Yin deficiency, blood loss, stomach has damp and hot, etc. Such as the original pulse theory to cause: "pulse sink and XiZhe"; "The virtual and astringent pulse float"; "Cunkou pulse sink and weak, sink or main bone, weak namely advocate muscle, sink for kidney, that is weak for liver"; "Little Yin and weak, weak pulse float is insufficient blood"; "Contacts and astringent small"; "How float and slippery, Yang meridians" slide is reality, and the valley of the khan gas float from the ". Concerning food festival, internal injuries liver kidney, such as "flavour acid is hurt, muscle injury is reinforced slow"; "Salt is break a bone, it is confused.

        The formation of the pericardium rheumatism is closely related, but internal cause deficiency is the decisive role, the first article cloud: "if completely of the yuan is unobstructed, as Ann and." Deficiency, wind cold ShiXie ChengXu human invasion, the muscle, channels, joint operation, qi, meridian block and the formation of rheumatism.

        Treatment method

        The sweat and sweat and remove the remove of ZhiWai is wet land, as zhongjing's "classic" "in the skin, the the sweat and hair" decree of, and points out that the "rheumatism is a beat, all pain, method and solution when sweat out", but the stressed no sweat, because of the "big sweat out, but to the atmosphere, moisture, thus it is in not more also", should be the hair the sweat, to make "rheumatism went to".

        Diuresis dehumidification rheumatism often known as the endogenous dampness, inside the wet not removed, the most easy to incur the wet, and into the internal and external and wet wet bi. Diuresis dehumidification in is to treat the supreme wet. Such as the original point out: "wet the hou, the initiative urination, defecate the fast, but when the its urinate." If ShiXie internal resistance, sun be the spirit is not successful, spleen trapped not luck, then urination, defecate pond discharge. Treatment with diuresis method, through the urine, the wet to in stool, switch to normal. In the wet to, sun be the spirit complex, may also help dispel the wet.

        By the temperature tong Yang rheumatism and for the wind cold dampness and more consistent and cause disease of the evil, and cold dampness for cloudy evil, easy to back the sun be the spirit. By the temperature the Yang method can WenHua cold-warm, XuanTong sun be the spirit, not only suitable for the wet, and suitable for endogenous dampness. The gold, want not "the party ephedra, cassia twig, dry ginger, proved the top are, by the temperature the Yang product.

        Syndrome differentiation and treatment

        Rheumatism disease in table saw "a pain, fever, all day which mostly play", aversion to cold is lighter. Put to appropriate the sweat XieBiao qufeng dehumidification, party YiYi ephedra almond with liquorice decoction (drug composition tsinghua name).

        Cold dampness evil disease in table saw heavy cold, hot light, no sweat, "body vexed painful" and heavy. Put to appropriate the sweat XieBiao, scattered cold dehumidification, with which the party with art soup (ephedra sinica, cassia twig, almond, liquorice, white atractylodes).

        Cold dampness in joint disease see joint cold pain or swelling transformation, pain, "do not stretch," quick don't move, local chills, pain reduction of heat. To promote the initiative should Yang, scattered cold dehumidification pain, party with the head soup (system, the sichuan ephedra sinica, astragalus, root of herbaceous peony, roasted liquorice).

        Cold dampness on the waist disease see "the body weight, the waist inter-cooled, such as sit the water", "loins and cold pain". To the cognition to the appropriate scattered cold, invigorating spleen to solve, party JiangLing Kennedy was with soup (licorice, dry ginger, tuckahoe, white atractylodes).

        Rheumatism and table qi disease see "pulse float, heavy, and the sweat out body evil wind", joint pain. Put to appropriate yiqi solid table qufeng dehumidification, with the party has astragalus soup (the self, astragalus, largehead atractylodes rhizome, liquorice, ginger, big jujube).

        Rheumatism disease and Yang see "body ache vexed, can't rotation side", "of the joints hurt vexed the lot, and shall not stretch, the pain is pain of nearly play, khan, a DuanQi urination, do not wish to evil wind, or slightly swollen clothing and the". Put to appropriate by the temperature help Yang qufeng scattered cold dehumidification, party with soup, licorice aconiti guizhi aconiti soup (cassia twig, ginger, roasted liquorice, big jujube, gun; lateral roasted liquorice, largehead atractylodes rhizome, gun aconite, cassia twig).

        Rheumatism and Yin deficiency disease see "all segments pain", quick micro hot, muscle angular, joint swelling, leg swelling numb, "head DuanQi glare," sick to vomit, dry mouth do not want to drink, coating on the less saliva. Put to appropriate qufeng dehumidification, scattered by the temperature cold, and nourish "Yin" clear heat, cassia twig herbaceous altogether with party soup (ephedra sinica, cassia twig, root of herbaceous peony, liquorice, ginger and white atractylodes, altogether, wind, gun aconiti).

        Compatibility of prescriptions characteristics

        Scattered with scattered evil is sudoriferous folding table of rheumatism comes, but not a sweat, a sweat will hurt table Yang, the wind to wet to save, difficult to cure disease. Therefore, in use XinWen FaHanYao, often solid table compatibility of sweat running to taste, spread in case too. As with art in which the soup, to which the limit (white atractylodes amount more than ephedra), monkshood soup to ephedra astragalus (could amount), are scattered gathered compatibility with, in case the sweating too.

        Cold-temperate and more for the wind evil and rheumatism dampness completely agree, the party of the product use of warm in dispersion cold dehumidification, but XinWenXin quality such as the heat with undeserved, can turn heat injury cloudy, therefore, often compatibility with the cold LiangYao. Such as guizhi herbaceous altogether in the root of herbaceous peony, soup, altogether cold to assist aconite, cassia twig of warm, monkshood soup in the cold cool feminine officinale, but with medicinal properties of warm dry fierce ephedra sinica, monkshood.

        Both the occurrence of rheumatism is evil, evil against is empty feeling, especially Yang, qi is the key of the internal cause the attacks. So in the formula, often to eliminate pathogenic factors and the centralizer taken into account. Such as guizhi herbaceous altogether ephedra sinica, cassia twig soup, windbreak, etc. To remove evil, the cognition to the lateral permanently; The head soup monkshood, ephedra remove evil, astragalus membranaceus yiqi centralizer solid table.