Moisture run heart syndrome and heart Yang deficiency syndrome identification

ZhangMingXue Liaoning university of Chinese medicine hospital

China's traditional Chinese medicine to

        definition

        Moisture run heart syndrome: every because spleen lung qi deficiency, drinking stop to do not change, repression heart Yang, or spleen kidney Yang deficiency, water stop lower portions, and causes moisture on inverse ling heart caused by the palpitation, cough asthma, god fatigue strength, systemic or local edema wait for a symptom, called moisture run heart syndrome.

        Heart Yang deficiency syndrome: heart sun be the spirit is insufficient, agitate for blood, temperature keep mind impairment caused by the palpitation palpitation, chest distress, short short, and cold limbs cold, heartache wait for a symptom, called heart Yang deficiency syndrome.

        cause

        Moisture run heart syndrome, common have drink resistance in heart and water on the wet pan two types of syndrome.

        Drink resistance in heart: if cough asthma day long, damage the lungs gold, dispersing pertains lowering dereliction of duty, to drink the stop; Or LaoJuan injury spleen, water wet don't change, or body fat much sputum, or diet fatness, breeding sputum saliva, sputum drink stay of the upper abdomen, dry in heart, the phlegm retention internal resistance in heart. As the not in set "cloud:" cover sputum of living also, because of the spleen, and virtual loss, no temper not virtual are. Spleen qi deficiency is not the subtle in the lung, in order to change the body fluid and... the phlegm to also, because lung, and virtual damage, pulmonary gas not not virtual are. Lung qi deficiency is not water pure four cloth, and turbidity phlegm coagulation also."

        Water wet on generic: if the natural endowment is insufficient, yuan YangSu virtual; Or use cold tapping cutting, educating and injury of the spleen and kidney Yang; Or feel the cold dampness evil, day long not more, the wet - is YangWei, make the spleen and kidney sun be the spirit damage, its WenYun essence, gasification water fluid function dereliction of duty, water wet stop poly, run in heart. The YiZong required "think, deficiency edema, the main duty is to the kidney fire virtual failure:"... virtual people edema person, soil virtual can't system water. Water is also made in the spleen, actually system in the renal. Renal this water dirty and yuan Yang house the number, gate of life fire failure, can neither homemade Yin cold, also cannot raise spleen soil temperature, the Yin from Yang and refine not for water, the edema of the card are fire failure also."

        Heart Yang deficiency syndrome: if long sick body virtual, come to dirty qi failure, or sweat, vomit, the sun be the spirit damage, can cause sun be the spirit is insufficient, the heart Yang also virtual; Or heart qi deficiency syndrome, further development, can also lead to the heart Yang deficiency, the so-called "qi deficiency and Yang".

        pathogenesis

        Moisture run heart card's drinking resistance in heart type: lung and spleen in water fluid metabolism and lose cloth, coordination, lung and dispersing pertains transforming, pass adjustable channel, make water fluid constantly lose the bladder, spleen to transport is changed and lose cloth water fluid function, so as to prevent water liquid flood or retention local; And splenic lose cloth water tianjin, scattered in lung, but also help to lung through adjustable channel function, if the spleen and lung qi deficiency, the water metabolism disorder, water wet inside stop, gather into wet phlegm into drink, accordingly, "YiZong the" think: "phlegm syndrome in temper deficiencies, for temper stasis person, is because of the gas of lienal lung the losers......" If water drink phlegm turbidity stop in together, repression heart Yang, Yang of heart, feel ill at ease, air fort, as into no do as cloud: "the stop drinkers, the water stop under the heart. Heart main fire and EShui, water is inside, the heart does not stop from Ann, is Ji also."

        Moisture run heart card water wet on generic: spleen main shipping chemical water fluid, and renal transpiration gasification function in water fluid metabolism process for each other, to complete the liquid water metabolism and excretion. Spleen electropositive radical in kidney Yang, the essence in kidney, depend on the spleen and stomach and the essence, qi and blood metaplasia, can obtain the imitation to raise, kidney qi kidney essence can exuberant stage. If the spleen and kidney deficiency of Yang, shipping change dereliction of duty, water cold does not change, the moisture inside stop, the forced on heart Yang, water drinking ling heart. As the the pathogenic syndrome theory "said:" water sick, by renal spleen and the virtual. Kidney empty can't steamed pass moisture, spleen and can't system water, the overflowing of moisture, seepage skin, flow times limbs, so the whole body swollen also." "SAN ji always record" also cloud: "if water stop, moisture heart by heart, also make Ji also."

        Moisture run heart card although have drink resistance in heart and water on the wet pan two card type, but eventually involvement in heart, can often lead to the heart of the Yin and Yang with a person liver, kidney, lung, spleen function failure, and appear blood stasis, jaundice, bleeding, true Yang wu to take off the pathological outcome.

        Heart Yang deficiency syndrome: the heart Yang deficiency, the heart of temperature raise, malaise, Heart main blood, promote blood operation function, the heart of the sun be the spirit is insufficient, instigation blood done hypothyroidism, the blood supply to the heart function obstacle is low and virtual cold syndrome features. If heart Yang, cannot the kidney under water, kidney Yang also virtual, cannot gasification line water, make water cold don't change, grinds to a lower portions, ling gnomonic lung, heart is formed namely renal don't pay, the heart kidney Yang deficiency, the moisture inside stop, cold water run heart pathology outcome. Clinical manifestations of visible: palpitation, cough asthma, urine less, reinforcement ­À taking meat; Form cold limbs cold, somnolent to sleep, oral blue wait for disease, its pathogenesis for Yin in the cold fill, moisture inside stop, blood supply obstacles.

        Identify points

        Moisture run heart syndrome, mainly palpitation palpitation, cough asthma, dropsy, god NaCha arrived, moss white slippery, vein string slip for clinical features.

        Moisture run heart syndrome of the drink resistance in heart type: palpitation cough asthma, coughing up phlegm quantity the color white, chest full, not prostrate, prominent dropsy, nausea NaCha, vertigo, god fatigue strength, coating on the tongue white slippery, vein string slide.

        Moisture run heart card water wet on generic: palpitation asthma, anasarca, lower limb you very, wan abdominal bentonite full, urinate short, his face white, not thirsty to drink, god tired limb lack, brothers faint cold, nano food reduce, nausea vomiting, tongue light fat, moss white slippery, vein sink late weakness or string slide.

        Heart Yang deficiency syndrome: palpitation palpitation, chest distress not easy, moving, you very, shortness of breath since sweat, complexion is pale or BaiGuangBai, form cold limbs cold, or heartache, tongue light fat, moss white slippery, vein sink late. With heart qi deficiency syndrome (cardiac function impairment) with cold like for clinical features.

        Discriminatory analysis

        Moisture ling and Yang deficiency syndrome heart card, all have heart palpitations, chest distress, form cold limbs cold, pale tongue fat, moss white slippery common symptoms.

        Moisture run heart card's drinking resistance in heart type: spleen deficiency of lung, spleen, loss of health shipment, food does not change, the subtle cannot lose in the lung, water wet inside stop, gather and into the drink. "But for the source of spleen ShengTan, husband 'drink into the stomach, swam overflow essence, lost in spleen. Temper scattered essence, return on lung, pass adjustable channel, lose bladder. Water pure four cloth, the five classics parallel', any sputum have spleen deficiency, but not to be skillful in lung, aqueduct, the qing is hard to achieve, turbidity is difficult to drop, leave of tp delay, silting and become phlegm" (the kits secret record "). Phlegm retention in stop, stuck to the heart Yang, feel ill at ease, the palpitation palpitation; Drink left chest lung, and may not announced lowering, forced on lung qi, qi bi chip, lifting hindered, the chest full, not prostrate, Phlegm retention internal resistance, pulmonary gas on inverse is cough asthma, coughing up phlegm quantity multicolor white; Spleen lung qi deficiency, water fluid lose cloth metabolic disorders, water wet retention, then see prominent edema; Insufficiency of the spleen, shipping change less than, the stomach estrangement drop, nano luck dereliction of duty, therefore, nausea NaCha; QingYang does not rise, the vertigo; Insufficiency of the spleen, subtle not cloth all over the body, then god fatigue strength, Coating on the tongue white slippery, vein string slippery, is phlegmy drink inside the park like.

        Moisture run heart card water wet on generic: spleen kidney Yang deficiency, spleen, not system water, renal function of the gasification dereliction of duty, the moisture inside stop, so see anasarca, lower limb you very, wan belly full of; Bladder gasification disadvantage, then urinate be few; Moisture on flood, ling gnomonic lung, the palpitation palpitation asthma, as the miscellaneous disease origin blade candle "cloud:" water asthma to promote, but moisture retrograde by lung, lung water and floating, asthma can't lie, gas shoulds not be pass." Spleen main limbs, renal house really Yang, sun be the spirit virtual failure, not temperature raise head, limbs the skeleton, meet the color white, god tired limb lack, brothers faint cold; Within the water stop, gas don't turn tianjin, tianjin don't deck, so thirsty, with water wet, so thirsty and not to drink; Spleen Yang deficiency is weak, the upper abdomen luck change permissive function dereliction of duty, the stomach estrangement drop, therefore, nausea and vomiting, diet reduce; Tongue light fat, moss white slippery, vein sink late weakness, for Yang of water stop like.

        Drink evil resistance core and water wet on generic, although all have edema, but due to illness a different, edema of the site also has the branch of up and down. The former above focal chest full, prominent dropsy is given priority to, the latter is wan belly full of extremities, swollen very, or both are edema, but the former is only local (head) edema, the latter is anasarca (especially in the lower limb why), swollen potential heavy. Although both lesions involving the end in mind, but the former is mainly of pathological changes of lung, spleen (therefore edema many located on the); The latter disease position in the spleen and kidney (the edema in more). Both of these have water cold phlegm retention on forced, ling gnomonic lung, heart Yang spot, pulmonary gas on inverse common pathological changes, but the former has to cough and gasp the much sputum color white phlegmy drink inside filled syndrome; The latter has a pee deficient, cold limbs inverse, general edema of Yang in the water stop card.

        Heart Yang deficiency syndrome: the heart Yang deficiency, and the mind lost to raise, the palpitation palpitation; In cases of gas operation weakness, the bosom is frowsty not easy; Sweat heart for the fluid, Yang deficiency can't solid table, the spontaneous perspiration, Sun be the spirit is insufficient, qi and blood running adverse, can't top glory in surface, the complexion is pale or BaiGuangBai; Yang deficiency can raise the body temperature, so form cold limbs cold; Yang Yin in the cold fill, qi haemorrheological nature, the heart pulse bizu, general clauses pain, so see heartache; Moss white slippery, vein sink late, for Yang deficiency, cold dampness filled in the like.

        Moisture ling and Yang deficiency syndrome heart syndrome, the clinical symptoms speaking, both have the palpitation, but heart Yang deficiency syndrome compared with moisture run heart card degree light, is only a heart of temperature, namely "have sun be the spirit in virtual, the heart next empty, shape if connected with" (the card to the criterion "); And moisture run heart syndrome by the palpitation water by fire, a caused by out of one's mind, so "palpitation palpitation, vibration vibration restless". Both have the bosom is frowsty, but heart Yang of the chest distress syndrome compared with moisture run heart card light, only in the chest of gas shortage, running weakness; And moisture run heart card, because water wet phlegm retention tangible trends, applies the supplement, ling gnomonic lung, the performance chest expansion full, asthma can't lie low. Both of these were cold limbs cold syndrome, but moisture run heart card a heart Yang deficiency syndrome is heavy, the former because of spleen and kidney deficiency of Yang, spleen, main limbs muscle, kidney inside house a yuan Yang, Yin Yang fill, sun be the spirit does not reach at the end of four, so see faint cold limbs; The latter is the heart Yang deficiency, limb loss in the temperature raise, and see form cold limbs cold.

        Moisture run heart card clinical symptoms, can be roughly divided into three types of syndrome: one kind is to drink water phlegm turbidity, ling gnomonic lung, stuck to the heart Yang, Yang heart of symptoms, namely palpitation palpitation, chest full of asthma, One kind is phlegmy drinking water in gas stop symptoms, namely oedema, much sputum color white; One kind is not luck spleen deficiency symptoms, namely nausea NaCha, god fatigue strength.

        The clinical manifestations of heart Yang deficiency syndrome, can be divided into two groups of symptoms: a set of cardiac function impairment of the heart qi deficiency symptoms, namely palpitation palpitation, chest distress not easy, moving, you very, shortness of breath since sweat, complexion is pale; A set of Yang deficiency cold cheng performance, namely type cold limbs cold, or heartache. Generally no cough take much sputum, edema, NaCha and so on many viscera function disorder performance, and moisture run heart card, is often of lung, spleen kidney multiple viscera Yang deficiency water stop lesions further development, involvement in heart than heart Yang deficiency syndrome, patient's condition is heavy, the course of a long, prognosis is poor.

        Moisture ling and Yang deficiency syndrome heart syndrome, the pathogenesis in patient's condition, moisture run heart syndrome pathogenesis is: water cold phlegm retention, under the heart, the heart Yang applies trapped, sun be the spirit of; Lung, spleen, kidney disorders, water solution of dispersing pertains lowering dereliction of duty, shipping turn lose cloth disorder, gasification transpiration loss of company, the moisture inside stop, phlegm retention in v, Yang cheng cold, wet with water flooding to Yang for this, the hydrosphere phlegm retention supplement on heart run for scale. A heart disease, and lung renal spleen relevant. If water drink ling heart day long, Yin and Yang of the heart all loss, hepatorenal lung function decline, it is easy to form jaundice, bleeding, true Yang wu take off the crisis. The pathogenesis of heart Yang card for: the heart Yang deficiency, and the mind, alongwith, slow blood supply, the heart work is low, raw cold Yang, Yin in the cold fill, qi haemorrheological nature. Pure for deficiency syndrome, disease position in mind, if the heart Yang deficiency, involving the kidney Yang, the heart renal don't pay, the YiXing intentionally kidney Yang is, the moisture inside stop, cold water run gnomonic lung pathology outcome.

        Moisture ling and Yang deficiency syndrome heart syndrome, its etiology in terms of history, the moisture run heart syndrome, there are many edema drink stop history, drinking evil resistance core, have to cough and gasp the years, namely "chronic cough several years" history; Water wet on generic, spleen and kidney deficiency of Yang's history. Heart Yang deficiency syndrome, can have sweat is much hurt Yang cause, or to qi deficiency in the history.

        Clinically, the heart disease and syndrome of the prominent feature is the palpitation palpitation, not only heart Yang deficiency syndrome, moisture run heart card can appear fright, and heart qi Yin deficiency, blood stasis, phlegm turbidity, qi depression, haemorrheological nature, Yang heat can also cause Ji, clinical may, according to the characteristics of pathogenesis, syndrome to identify, such as blood deficiency type except palpitation outside, with mind, face, tongue, vein blood loss moisten the symptoms, Yin deficiency type except palpitation outside, have lost a mind, the production of body fluid endogenous performance, blood stasis type have palpitation, tingling, breath blue sign, phlegm turbidity type have palpitation, much sputum, chest distress, is what becloud blinds our eyes's mind coma symptoms.

        Moisture run heart card, drink evil resistance core, the treatment should be WenHua water drink, exciting heart Yang, party with lingya guangxi art sweet soup (synopsis of prescriptions of the). "Disease sputum drinkers, the temperature of the medicine and. Heart have phlegmy drink, chest threat a full, dizzy, lingya guangxi art sweet soup of the Lord" (synopsis of prescriptions of the). Water wet on generic, the treatment should be removing spleen and kidney, change gas line water, party with real WuShang (treatise on febrile disease). Heart Yang deficiency syndrome, the treatment should be removing the heart Yang, general pulse yiqi, a party with cassia twig liquorice keel oyster soup (treatise on febrile disease).