The pathogenesis

- theory neijing of article 19 pathogenesis (1)

ZhaiShuangQing Beijing university of Chinese medicine

        Editor's note: disease pathogenesis is mechanism change, it is the disease clinical manifestation and development outcome of the inner basis. "Element asked · to true to big theory on the pathogenesis of this article nineteen, namely we later said" pathogenesis article 19 ". Beijing university of Chinese medicine ZhaiShuangQing professor thinks, the meaning of article 19 pathogenesis, is it from the six air disorder pathogenic of demonstration clinical trial machine for generic methods. Article 19 pathogenesis follow the same format "the...... all belong to......" Expression, one of the "the", "all" is said indefinite most, avoid by all means is admitted as "everything", "all", "all", and prevent provisions absolutization, the symptom of should, according to the characteristics of the six gas causes disease position and disease resistance of classification analysis, in order to ascertain the essential attribute of disease and syndrome, so as to provide basis for prevention and control. ZhaiShuangQing professor will "pathogenesis article 19" five points and pathogenesis, pathogenesis, pathogenesis, hot wind raw pathogenesis four parts elaboration, this publication this up every Friday.

        The wind off bewildered all belong to the liver

        "The wind off bewildered, all belong to the liver". Pointed out that body off-again and leader swimmy disease and syndrome, mostly belong to the liver lesions. Drop, wave also, including the head, limbs jitter and muscle ­À dynamic, etc.; Bewildered, namely vertigo, refers to inspect content are dim rotation, dizzy, as if sitting in vessel and vehicle of the shape, is that what's sleep very dizzy, can not stand. Fall, bewildered, all have a trait, that is, "move". "Element asked · Yin and Yang should be like the big theory" cloud: "the wind - is moving, so it is both belong to the wind card category. And liver for wind wood of dirty, main storing blood, host a fascia, begin to understand in the eye, so if you have liver disease, which affected the riveting of bar, Lord of the mesh qiao, will see off, bewildered and wind card image. Because of the disease a in the liver, produced in inside, so it is called "liver wind", "endogenous wind". Wind card have different false or true, blood deficiency was born the wind, appropriate siwu tonga reduced; Yin deficiency pneumatic person, use of 6 flavour glutinous rehmannia soup, always Fried add to the flavor; The hyperactivity of liver Yang, usable town liver out wind soup, rhizoma gastrodiae uncaria soup rule; Heat very raw wind person, the antelope uncaria soup to heat wind out.

        Medical record for example

        Zhang mou. Head dizzy dazzled, accept less extensive evil, tongue numb, pulse condition string slide. Renal water this deficit, liver Yang perturbation on empty, wet phlegmy in resistance, the stomach of drop and; Appropriate soft liver latent Yang, phlegm and stomach. Raw radix paeoniae alba second money, black ·t bean clothing three money, Fried HangJu money half, raw stone never (first Fried) put the money, and fushen three money, simmering rhizoma gastrodiae eight, Tong thistle three money, Fried bamboo shavings money half, JiaoGu bud three money, fairy pinellia tuber money half, mint carbon (later) eight, sophora japonica carbon two money. (the DingGan kernel clinical basis ")

        According to: the cases of shaoyin water deficiency, water is not han wood, liver Yang interference, pinch phlegm turbidity into resistance, the stomach estrangement drop. Method take kidney and liver stomach pathogenesis, soft liver latent Yang, phlegm and stomach.

        The cold closes bring all belong to the kidney

        "The cold closes bring, all belong to the kidney". Tip body curled up, limb arrested't comfortable, adverse joint flexion of the cold venereal card, mostly belong to the renal pathological changes. Kidney for cold water is dirty, main warm transpiration gasification. If the function virtual failure, it lost its WenHua duty, resulting in blood will set gathered, a relative loss, there JuLuan relative, adverse joint flexion and wait for a symptom. Cold has the branch of inside and outside, inside cold (produced in Yang deficiency, for kidney for personal sun be the spirit of the root, so in the formation of the cold with kidney Yang is not the key; The cold cuts the card, is by the guard gas caused by weak guard, adventitious roots from kidney of the Yang, and also closely related to the kidney. The clinical cure inside cold when the temperature the kidney Yang is given priority to, ZhiWai cold cuts out of the person, also when considering scattered table cold and warm kidney Yang simultaneously.

        Medical record for example

        The waist line flash of pain, breathing adverse, fear cold cannot expand. Odd after eight pulse into injury, in order to WenTong main and collateral channels for cure. Angelica body three money, light congrongtongbian two money, cumin a money five points Fried, qizi a money five points Fried, sand garden thistle two money, cornu cervi degelatinatum eight. (the NaYa hall · menstrual function basis door ")

        According to: the waist, government office of kidney. Deficiency of the kidney waist lost to moisten, and the attention of blood line on cell palace, waist caused flash pain, Kidney empty can't accept gas, and cause respiratory adverse; Kidney empty lost in the temperature raise, odd after eight pulse into injury, then fear cold cannot expand. Party to angelica, Chinese wolfberry immunity, desertliving cistanche, cumin, sand garden thistles, cornu cervi degelatinatum temperature adjusting the kidney Yang, dispersing cold. Kidney Yang fill, strong bones and muscles, odd after eight vein to raise, then the disease since except.

        The gas Ben depression on all belong to the lung

        "On the gas Ben depression, all belong to the lung". Pointed out that promoting dyspnea, chest expansion stuffy and so on gas disease, mostly belong to the lung lesions. Ben month, QiNi take urgent; Depression, new stuffy. Lung main gas, company breathing, dispersing pertains to lowering, can reach muscle on the table, fur, can be in on general internal organs of the body, so the gas for disease, first responsibility is to the lung. Lung of the mission drop disorder, gas in the chest or supplement the inverse, then see breathing out of breath, in the chest stuffy, new plug impassability wait for a symptom. But yu supplement in lung of the evil, there is wind, cold, damp, dryness and sputum, fire is different, also have lung kidney qi deficiency, lung spleen qi deficiency, cardiopulmonary qi deficiency and lowering the weak because of, the clinical to detailed differentiation of disease evil, false or true, divide and conquer.

        Medical record for example

        Li mou, male, 15 years old. Fever lasts 10 days without return, the temperature often in 39 ¡æ or so, cough asthma to promote, breathing difficulties, the alar incite, spit sticky and take color, then dry Sou red, Beijing union medical college hospital diagnosed with lobar pneumonia, by use of penicillin, streptomycin, the effect is not shown, specially to see a doctor. Coating on the tongue white matter red crimson, pulse number and soft. Differentiation of symptoms and signs legislation: cold evil make lung, depression and turn heat, pulmonary gas supplement expansion not xuan, cough asthma nasal fans. Body fluid not cloth, vexed hot thirsty. Decodes heat releasing lungs anti-asthma to cure. Prescription: radix glehniae 10 grams, main ephedra 1.5 grams, plaster stone (first Fried) 12 grams, Fried almond 6 grams, fresh WeiGen 15 grams, article wine Qin 10 grams, Chen chrysoidine 5 grams, main Perilla 5 grams, semen lepidii (the big red jujube 5 pieces to nuclear with cloth) 5 grams, Chen tangerine pith 5 grams, before the main hu 5 grams, Fried fructus aurantii immaturus 5 grams, bitter platycodon grandiflorum 5 grams, white mulberry root-bark (main) 6 grams, roasted liquorice 3 g. Two diagnosis: take three agent, heat back to asthmatic cough reduce. Go ahead WeiGen, add pinellia tuber song 10 grams, tianzhu yellow 6 grams. Three diagnosis: take three agent, out of already stop, micro a cough, but food drink has not been back to front to ephedra, gypsum, radix scutellariae, add malt, rice sprout, but the more. (the "yellow emperor research dacheng")

        The wet swollen full, all belong to the spleen

        "The wet swollen full, all belong to the spleen". Pointed out that dropsy and properties such as abdominal distension full of wet disease, mostly belong to splenic lesion. Swollen, namely swelling, edema, Full, namely the full belly ". Spleen for soil of dirty, the main shipping chemical water wet, main limbs, should be in the abdomen. If the shipment of spleen, water tianjin loss of cloth, cohesion of the upper abdomen or flood skin, will see wan abdominal distension full, limb swelling and other symptoms. Edema from the spleen, mainly in: pixu (spleen outside wet trapped, the patient's condition slow, the course of a long, edema first by the limbs began, many accompanied by head body trapped heavy, stuffy chest, vomiting of the disease, usable stomach lingya soup, five skin dayuan drink rule; Spleen Yang deficiency damage and loss of WenHua, its swollen in lower limb why, repeatedly not more, often with god, NaCha arrived, loose stool wait for disease, usable spleen dayuan drink. In fact, edema and kidney, lung, liver, the triple warmer, clinical when to distinguish. Belly full of the spleen, basically have: cold dampness trapped the spleen disease, see more full abdomen according to the immortalization, loss of appetite, nausea vomiting, loose stools thin, etc., can be used three stomach soup, cortex magnoliae officinalis temperature reduction in tonga treatment; The spleen and stomach and deficiency cold to full person, belly full xi xi according to heat, and accompanied by the power of god fatigue syndrome, appropriate is used in tonga Daniel reduced; Damp and hot accumulate knot caused the spleen and stomach full person, common new wan, vomiting, not thirsty to drink, loose stool not great, moss yellow greasy, pulse affect the number of disease, to use even dayuan drink piao, Accommodation food stagnation of the belly is full, common eh rot swallow acid, bad breath anorexia, treat appropriate bohol pill and so on; Real hot inside knot in the gastrointestinal abdominal full, see more belly is full, dryness and strong, solid, when to bearing gas from the class. In a word, the full belly for disease, is of the spleen and stomach bowel is belong to the different, also have chills and fever of false or true vision, clinical disease according to the different pulse tongue, to identify.

        Medical record for example

        LiZhai to zhang XianCheng, over 50 years, two leg swelling, or have ªþ °N, pee frequency less, sound like a VAT out, the pulse diagnosis right off heavy slow, the spleen qi deficiency, moisture empty into yet. HeJian cloud: the wet swollen full, all belong to the earth; According to the not, all belong to the wet. Meaning to Yin land, joint between, moisture stagnate, and water dirty, temper is virtual, Ann can transport bulk, unless the XinWen medicine, opened cou justified, make the menses invigorate the circulation of blood, the evil cannot divergent, hence take five product scattered two agent, potential minus half; More to 6 gentleman tonga radix aucklandiae, cohosh, radix bupleuri, YiRen, two months and more. (the national famous doctor class case · roll seven ")

        According to: the certificate is wet injury of the spleen disease and syndrome, "element asked · six yuan is discipline big theory" cloud: "wet cheng, diarrhea, affect what the water closed dropsy." Wet cheng injury spleen, spleen qi deficiency and lost in transport and digest, the water fluid stay, first to five product scattered dredge silt up, again with six gentleman tonga taste tonic temper, make temper fill, the water fluid to transport and digest, edema natural dissipation.

        The hurts boils all belong to the heart

        "The hurts boils, all belong to the heart". Mature sores and hurts and so on fire card, mostly belong to heart disease. This article to the understanding of the pathogenesis, the note's different understanding. Jin LiuWanSu think this points pain, itching, boils three disease, such as "element asked tells the original disease type" cloud: "the person who nearly internal heat, slight fever is urticant, what heat is pain, burning and near for boils, all the use of fire." In Ming dynasty ZhangJieBin argues that this "boil" as the core, itch and pain are aimed at "boil" is concerned, such as "class the · epidemic" cloud: "what heat is the sore, hot micro is itching sores. Heart belongs to fire, its turn heat, so sore ulcers are belong to the heart also." Also some people thought is the administration, such as clear · ¸ßÊÀ–ò "element asked straight solution" cloud: "the hurts boils, all belong to the fire. The fire, the old and the heart, this change." According to "said wen" : "itching, ulcers also." Visible "itching sores" namely "ulcers sore. Mature sores, including carbuncle, gangrene, furuncle, erysipelas, swelling and pain is the main symptoms. Heart for Yang dirty, the fire, the main one of the blood. If KangCheng indicates, hot YuChi in blood, corrosion local skin, can form of carbuncle swollen sore ulcers wait for disease, as the prime asked · angry unto heaven theory "cloud:" the spirit not from, inverse in meat reason, but born of carbuncle swollen." Clinical mature sores in the majority of fever, is a cold person is less, but also have, cause you.

        Medical record for example

        Sun, male, 30 years old. On March 15, 1991 make a diagnosis and give treatment. The left mandibular born sore, red hot pain, swell potential make mouth show þZ oblique, boils local high up such as walnut size, according to the hard, disease has 5, defecate 3 days, did not solution. The tip of the tongue is red, vein string slide number. Card blood hot raw sores, to call for cool blood. Hu coptis 10 grams, red paeony root medicine 15 grams, cortex moutan 15 grams, bunge corydalis herb 15 grams, honeysuckle 15 grams, forsythia 12 grams, born rhubarb 3 grams, Fried gardenia 10 grams, wind 5 grams, costus root 4 grams, powder liquorice 6 grams, ageratum eight grams. 4 agent, water frying clothing, 3 day suit do. Avoid spicy greasy. After medicine red subsidise, section and the diet for several days. (the WangHongTu classic clinical play ")

        According to: mature sores opinion red, swollen, heat, pain is for Yang card, the disease is much by poison heat invasion, make the blood running disorders, guard gas hindered in points between meat and fever, camp guard inverse chaos so happen first local swollen pain, after is visible in the fever, or evil with cold. The etiology and pathogenesis is bright, drug treatment is when "keep pathogenesis", therefore use the coptis chinensis clearing away heat, the coptis chinensis with hu, with its especially can reducing skin table evil fire; With radix paeoniae rubra, Dan skin cool and activating blood to pass adjustable rong blood; DeDing, honeysuckle, forsythia, clear away heat and detoxification, Rhubarb the purging heat, pass move bowels, make evil have way; Licorice can mediate the medicine, and clearing away heat and toxic material function; Wind, ageratum, radix aucklandiae USES have 2: darling scattered outside the evil, both to help invigorate the circulation of blood gas line of work, make cool blood and not stasis.