Hot pathogenesis

- theory neijing (3) of article 19 pathogenesis

ZhaiShuangQing Beijing university of Chinese medicine

China's traditional Chinese medicine to

        Pathogenesis of fire

        Belong to the pathogenesis of fire five:

        First, "the hot Mao Chi, all belong to the fire. High fever, god faint, limb tic and so on disease and syndrome, mostly belong to fire lesions. Mao, faint boring; Chi, Chi Zong, convulsions, brothers lot smoke, when stretch contraction, "element asked · jade machine really dirty theory" yue: "disease relative phase lead and nasty, disease Chi called." Fire for Yang pole, fire shing is body heat. Heart hidden god, main veins, belong to the fire. The perturbation hot heart, hoodwinked blinds our eyes, then see god know be darkened; The fire burning Yin blood, a relative loss, then see body twitch.

        Second, "the forbidden drum chestnut, such as loss of god keep, all belong to the fire. Don't keep mouth open and drum chine panic, cannot control person, mostly for fire caused by evil. The forbidden, and keep silent, refers to keep mouth does not open; Drum, refers to the drum chine; Chestnut, refers to panic, chill. All the evil in cold like. Keep wailing as god, refers to chill and so on some body action can't control, like the gods cannot host, as WuKun "element asked wu note" cloud: "god can the form, is known as the god, keep the drum chestnut is god cannot the shape, such as the loss of their god keep self." Hot closure, and may not be up to outside, YangCheng lattice Yin, the apparent mouth keep silent, drum chine, trembling and similar cold syndrome symptoms, and patients can't control. The reason lies in the fire in closure.

        Third, "the inverse rush, all belong to the fire. Oh, Hui, cough asthma, etc QiNi rush on the card, mostly for fire caused by evil. Inverse rush, refers to the shortness of qi on inverse syndrome, such as vomiting, Ai gas, hiccups, cough asthma, vomiting blood, etc. Resistance inflammation, disturbance qi, can cause viscera qi upward shock inverse, the clinical shortness of qi to see the inverse illness card, first of all should consider the pathogenesis of fire.

        Fourth, "the manic more, all belong to the fire. God know frenzy, behavior YueLi, brothers and sisters and rashness disturbing the card, mostly for fire caused by evil. Rashness, refers to the perturbation calm restless; Crazy, refers to the language and behavior disorder; The more, words and deeds good vision, lost its often degree. Heart god, belong to the fire. Resistance of Yang, active. Fire therein is disturbed mind, consciousness disorder, and see zealotry scold Li, ou people destroy content, conduct disorder; Fire serve in limbs, the restless better, more than what is visible walls on the house.

        Fifth, "the disease 胕 swollen, painful acid horror, all belong to the fire. Skin swelling ulcers run, pain sour and horror restless and card, mostly for fire caused by evil. 胕, pass rot, 胕 swollen, namely flesh swollen canker, namely rot is swollen. Hot blood supplement hysteresis flesh, it will lead to blood stasis meat rot, as the prime asked · angry unto heaven theory "cloud:" the spirit not from, inverse in meat reason, but born of carbuncle swollen." And the main performance is see: affected part red fester, pain or sour. In the hot forced viscera, interference and the gods, can appear astonished restless.

        Medical record for example

        Li mou, male, 2 1/2 years old. 1991 January 9 diagnostics. 1 years sudden absence, glared, lower the head, boom rigidity, 5 ~ 10 seconds later clever eyes, and smile, smile, smile everything returned after again, every attack 2 ~ 3 times. Shit adjusted, urine is cloudy and fingerprint purple, forehead because touch down things and have hematoma. A children's hospital, nerve hospitals were diagnosed "infantile spasms". This is the hot heart two of the card. Cure to cool the check liver spasm, keep blood to tranquilize the nerves, party with antelope uncaria tonga minus. Agent: antelope horn powder 0.25 g (points impact), uncaria 6 grams, Chu chrysanthemum 5 grams, salvia miltiorrhiza eight grams, raw radix rehmanniae 8 grams, frost mulberry leaf 5 grams, angelica 6 grams, Fried gardenia 6 grams, red radix paeoniae alba each 6 grams, polygala 6 grams, calamus eight grams. Daily 1 agent, water frying points temperature 3 times clothing, 6 agent. January 16 second examination: medicine 3 days after the beginning to reduce, nearly two days only one attack. Then to the top 6 agent, FuFa ibid. On January 23, three diagnosis: this weekend come on, little Sou still is cloudy, there is no exception. Then add and subtract ahead. Agent: antelope horn powder 0.25 g (impact), Chu chrysanthemum 5 grams, frost mulberry leaf 6 grams, uncaria eight grams, raw radix rehmanniae 6 grams, whole angelica 6 grams, Bi Xie 5 grams, rhizoma acori graminei 10 grams, Fried gardenia 5 grams. 5 agent, alternate days 1 agent. Recover. (the WangHongTu classic clinical play ")

        According to: hot excess, the interference of mind, and can cause faint take don't know man, it is for "Mao"; Hot burning tianjin, muscle loss moisten, and hair tic and so on symptoms, and as "Chi". Antelope uncaria soup for cool liver XiFeng, increase fluid check the spasm, the strategy, is the use and effect. Due to illness in mind, the match with polygala, calamus.

        Pathogenesis of heat

        The pathogenesis of heat the four:

        First, "the bulge big belly, all belong to the hot". Abdominal swelling the card, mostly for heat caused by evil. The bulge big belly, mainly refers to the full belly bulge of lung, from pain by, defecate not bottom, true is hot. Exogenous evil heat into, supplement and gastrointestinal, leading to qi lifting disorder, heat and the real, the visible bulge big belly, etc.

        Second, "the disease, such as sound of drum drum, all belong to the hot". Stomach bowel sound, abdominal distension such as drum the card, mostly for heat caused by evil. Sound, refers to the intestinal ringing; The drum such as drum, refers to rap abdominal such as drums, empty noise. Invisible heat supplement hysteresis gastrointestinal, leading to adverse qi, transfar hysteresis, then see bowel sound, abdominal distension hollow such as drum wait for disease.

        Third, "the turn against crime, water fluid turbidity, all belong to the hot". Twitch JuLuan, waist back buckling reverse zhang and urinate turbidity the card, mostly for heat caused by evil. Turn, twist, Back, back against zhang; Crime, the body bent and not straight. Turn back crime refers to activate channels due to torsion, make the body is a distorted, anti zhang, etc. Various kinds of state, but different from tic. Water liquid, refers to the urine, nose, salivary, saliva, sputum secretion, leucorrhea, etc. Hot burning activate channels or thermal injury tianjin blood, leading to a relative loss, the relative see JuLuan, torsional, body bent flexion not straight, even opisthotonos wait for disease. Hot filled fluid decoction, the nose, salivary, phlegm, urine, such as liquid waste down make turbidity.

        Fourth, "the vomiting acid, wild downpour forced, all belong to the hot". Vomiting swallow acid, JiBao diarrhea and tenesmus the card, mostly for heat caused by evil. Wild note, refers to the sudden diarrhea falls in torrents, potential such as injection; Forced down, refers to want to then and not then, anal pain in distress, namely tenesmus. Bravery heat make stomach, or heat of dyspepsia, stomach estrangement drop and inverse, then see vomiting SuanFu or swallow acid. Hot go between intestinal, transfar disorder, then see diarrhea. Thermal resistance of Yang, because of its characteristics of diarrhea much performance is sudden diarrhea falls in torrents, potential such as injection. Heat evil hybrid wet turbidity, heat quick wet slow, then see the anus glow distress, tenesmus, feces particle smelly.

        Medical record for example

        A flood, male, 56. On June 24, 1980, first visit. Private prosecution in patients with abdominal pain, diarrhoea repeated attacks more than 8 years, and each attack left epigastric inevitable dull pain, or paroxysmal pain, the pain will have diarrhoea, a day of several times, successively in medical hospitals, all diagnosed as "chronic colitis", through the treatment for several years, but before they get better, therefore, in Mr Concerns. When a patient v. : abdominal pain diarrhoea, after reducing pain reduction, a days, then the SuanFu, chest distress, wan abdominal distension painful, appetite decrease, o faithless rot swallow acid, listlessness, Tongue mass red, moss thin yellow greasy, pulse number slip. The doctor of traditional Chinese medicine diagnosis: diarrhea. Differentiation of symptoms and signs: wet and heat resistance, with qi and blood. Treatment: concretion run smoothly, harmonic qi and blood. Prescription: paeonia lactiflora tonga minus, red paeony root 9 grams, angelica 9 grams, radix bupleuri 9 grams, radix scutellariae 9 grams, rhizoma coptidis 3 g, cinnamon 6 grams, betel nut 9 grams, radix aucklandiae 9 grams, sand kernel 9 grams, faeces (packet Fried), myrobalan 9 grams. Water Fried clothing, day 1 agent, 5 agent. On June 30, 1980 two diagnosis: abdominal distension abdominal pain reduce stool forming once a day, appetite increase, Tongue reddish, moss thin yellow greasy, vein string number. With the former treatment, above change cutting, take medicine 2 weeks diarrhoea not relapse, but if it loses the disease.

        Note: Mr Think, although known as "long spilled no fire" theory, but the patients disease for a long time, but see red tongue, moss yellow, vein string number, "swallow acid corrosion, and SuanFu etc under the heat sign, so do not rigid vest in virtual cold; This is the liver and spleen long yu aggregates hot, so that the stagnancy of qi and blood stasis, therefore, to appropriate thanh hoa liver and spleen hot and humid, and at the same time, qi and blood, and gives a peony soup to clear the intestinal wet hysteresis, regulate qi and blood. (the basis LiuZhiMing pure solution ")

        Above simple talked about the "fire" and "hot" different pathogenesis, in neijing, "fire" and "hot" in the concept of a different name similar, the same, the difference as the "yellow emperor research dacheng · pathogeny and pathogenesis of cloud:" fire can refer to the fire of pathology and physiology, can also refer to the "less", fire and heat can refer to heat evil, but also refers to the symptoms of fever, traditionally, the fire is one of the five elements and tangible, heat is one of six gas and the invisible; extent, hot fire's gradual, fire for the extremely hot; etiology, inside the living evil fire, heat evil all can say, a pathogenic says hot (or summer heat, Ye, temperature) and less says fire; lesions range, evil fire limitation and more deeply, heat and much dispersion and shallow."