Integration of typhoid warm disease standard differentiation theory (one)

LiYongQing Inner Mongolia medical university college of traditional Chinese medicine

China's traditional Chinese medicine to

        For a long time,'s many people of insight has been calling for regulating differentiation theory system. However, due to the six channels theory, guard gas camp blood, the sanjiao theory of existence, pathogenic epidemiology two sides situation has not been completely resolved, so the uniform, standard differentiation theory, also becomes very difficult. Therefore, cold end temperature separation, realize cold-temperate unification, is to regulate the premise of dialectical theory.

        Differentiation of symptoms and signs, is a doctor to four diagnostic methods, to collect and syndrome differentiation of all kinds of relevant material to carry on the analysis, comprehensive and induction to determine lesion specific card type of a process, is guiding clinical legislation, in accordance with the basis of a prescription medication. Therefore, regulating differentiation theory, which is beneficial to the healthy development of the traditional Chinese medicine.

        Differentiation of symptoms and signs, including disease position and disease resistance, etiology and pathogenesis, disease stage and lesion development stage, patient's condition, evil change and pathogens and change, etc.

        Distinguishes the disease a

        Includes two contents. One is to determine the specific disease a lesion, i.e., the official opening, organs, limbs meridian joint, and other different specific disease position; One is to determine the lesions and out of a disease, namely table, half exterior and half, in three different list a disease.

        1. A specific disease including dominant disease position and recessive disease position.

        (1) dominant disease a clear lesions in which or what specific parts. Is viscera, or official opening, body meridian joint, etc.; Is single, or involving two or more specific parts; Based on internal organs is given priority to, in its occurrence and development process, involving or influence officer orifices, body meridian joint, etc., or in the official opening meridians, body joints is given priority to, in its occurrence and development process, involving the zang-fu organs or influence, etc.

        (2) the recessive disease a certain disease, especially eye ent, gynecology, skin disease such as the outside fractures, in addition to the dominant disease a outside, must according to the viscera and official opening, cell palace, skin, muscles, bones and other related theory, find out a recessive disease, which is that they happen in the developing process, which involves zang-fu organs or what is closely related with the zang-fu organs, etc.

        Such as common deafness, tinnitus, in most cases and closely related to the zang-fu organs, or because the liver fire on inflammation, or because of internal heat flourishing, or because of the deficiency of kidney essence, among them, the "ear" is a dominant disease, and "liver, heart and kidney" and so on are recessive disease position; Be like again gynecological menstruation to be not moved, down and traumatic fractures is not more long-term or relative in twin acute, muscle atrophy, etc., and with the viscera related, especially and liver spleen and kidney closer relations, among which "cell palace, bones, muscles" as dominant disease position, and "liver, spleen, kidney" and so on are recessive disease position; Even surgical malignant, sore, furuncle carbuncle, and so on, also some of the viscera and inner closely related.

        2. The disease including table, a half exterior and half in,.

        Among them, the disease in a table person, fever and evil cold and see; Disease in a half exterior and half person, fever and evil cold appear alternately; A disease in person, the fever without aversion to cold, or aversion to cold and not fever, or neither hot nor cold evil.

        Therefore, in a combination of disease, in addition to such as headache, and snuffle, deafness, tinnitus, conjunctival congestion, inspect content is not clear, the throat swelling and pain, voice hoarse, or cough, cough up phlegm, breathe, and or heartache, palpitation, or nausea vomiting, bowel diarrhea, wan pain in the stomach, or diarrhea and purulent blood, abdominal pain, tenesmus, or hypochondriac pain have a lump in the abdomen, body eye yellow, or malignant, sore, furuncle, carbone, or menstrual pain, a blood clot, or joint pain, expand the inconvenience, or bones and muscles injury, local blue swelling specific disease a performance outside, also according to whether they with chills and fever performance, as well as the chills and fever in the form of performance, to determine its list a disease.

        In addition, the evil attack table, sometimes symptoms is not very obvious, only appeared including nasal congestion, sneezing, runny nose, or evil (wind) cold, body sour malaise in the exclusion of nasal disease, strain, ferrite Yang deficiency, etc factors, shall be regarded as a disease in table.

        Differentiation of disease resistance

        Includes two contents. One is to determine the lesions chills and fever attribute, namely hot, chills and fever mixed, cold, One is to determine the nakedness of the lesions attribute, namely real, the actual inclusion, virtual.

        1. Chills and fever attribute

        Distinguishes the chills and fever, chills and fever is sure lesions attributes of the method, as well as understand are evil nature, Yin and Yang is an important basis of ups and downs.

        Generally speaking, Yang heat of the evil or Yang and Yin heat polluted evil phase noise and Yang heat of the evil caused by give priority to person, see more heating heavy aversion to cold light table heat and half exterior and half partial thermal performance, if the disease evil deep or further damage human body Yin fluid, have fever and not evil cold heat or in the virtual thermal performance; Yin turbidity of the evil or cloudy turbidity and Yang heat of the evil phase noise polluted by Yin evil primarily caused by person, see more evil cold heavy fever light table cold and half exterior and half partial cold performance, if the disease evil deep or further damage human sun be the spirit, have evil cold without heating the cold or in the performance of the virtual cold.

        Discrimination chills and fever attributes, in addition to fever without aversion to cold, and the evil cold without fever, chills and fever or there are and see, chills and fever exchanges, but heating and evil at different levels of cold outside, still must be combined with thirst and not thirsty, whether like drinking, xi cold drink, hot drinks, and presence of pharyngeal dry nasal dryness, mesh acerbity lip coke, the color of urine, and tongue vein should be discriminant. Especially in neither hot nor cold evil, thirsty and not thirsty, and presence of pharyngeal dry nasal dryness, mesh acerbity lip coke, the color of urine, tongue mass coating on the tongue, etc., but also identify the important basis of chills and fever attribute.

        In this process, in addition to distinguish between hot and cold mixed, cold outside, still must pay attention to distinguish true and false chills and fever.

        2. The actual attribute

        Distinguishes the false or true, false or true is judgment lesions attributes of the method, as well as understand evil is an important basis for growth and change.

        Generally speaking, the exterior syndrome, former, medium, and other such as indigestion, sputum resistance, qi, blood stasis and water fluid stay, or I calm temperament, depression, or evil hysteresis cell palace, supplement qi stagnant, or twist entitled tumbled, bones and muscles injury, blood stasis block, etc, are put evil real or evil real is virtual, with official opening, organs, limbs meridian joint of qi stasis, boils down to struggle is fierce stimulated performance is given priority to, mostly true or false or true inclusion and evil is real performance; Exterior syndrome later period, and other such as evil wound is, tapping cut too, or natural endowment deficiency, the day after tomorrow malnutrition and other reasons, to viscera essence of Yin and Yang, qi and tianjin deficiency, function is low performance is given priority to, mostly belong to virtual or false or true inclusion and are virtual performance is given priority to.

        In this process, in addition to distinguish real, the actual inclusion, virtual outside, still must pay attention to distinguish true and false false or true.

        Therefore, in the differentiation of disease resistance, in addition to fever without aversion to cold, or aversion to cold and not fever, chills and fever or there are and see, chills and fever exchanges, but heating and evil the weight of the cold outside at different levels, and other such as thirsty and not thirsty, whether like drinking, xi cold drink hot drink, drank much; Dry mouth, nose dry, lip focal; The secretion of shade, color, smell; Xi cold nearly cool, desire to gown, encounter heat to aggravate, cold slightly comfortable, or like warm temperature, to nearly gown, encounter cold aggravating, heat to alleviate; Burning pain, cold pain, refuse press, xi by; Interest high rich, or income low gas micro; Complexion rubeosis or blue, yellow or pale; Tongue body fat thin, and presence of indentation, tongue qualitative color, whether to have petechiae, ecchymosis, coating on the tongue color, oiliness, dry, flat stripping no moss; Pulse condition of late, number, virtual and real, etc., are all identify all kinds of disease of different attribute indispensable basis for actual chills and fever.