Integration of typhoid warm disease standard differentiation theory (two)

LiYongQing Inner Mongolia medical university college of traditional Chinese medicine

China's traditional Chinese medicine to

        Distinguishes the pathogeny and pathogenesis

        Including pathogenic factor and pathological mechanism.

        1. The pathogenic factors include wind, cold, heat, wet, dry, fire, I calm temperament, improper diet, work and rest is excessive, phlegm retention, blood stasis, stones, fall, play, twist, tumbled, etc.

        2. Pathological mechanism including health external function dereliction of duty, the conflict of vital qi and pathogens, movable lost company, officer orifices and limbs joint adverse, viscera dysfunction, operation, qi and blood, Upright damage, viscera essence of Yin and Yang, qi and tianjin deficiency, the function is low, or can't cheer up, temperature keep meridians, solid tight muscle Cou, instigation blood lines, or can't im qi and blood, compresses subtle, rong keep skin, nourish the bladder way, filling veins, etc.

        Distinguishes the other

        1. The disease period and lesion development stage includes initial - lesions beginning; Early - lesion development stage; Middle - lesions ridden stage; Late - lesions recovery stage.

        2. The patient's condition including the lesions and inverse, patient's condition of urgent and slow, and illness gradually increase gradually ease, etc.

        3. Evil positive growth changes including are put evil real, evil real is virtual, are virtual evil micro, vital qi deficiency.

        Generally speaking, disease in a table, half exterior and half and disease in a first, the earlier period, many are put evil real or evil real are virtual stage, or evil invade, defend the dereliction of duty, boils down to strive for, or evil stasis, boils down to divided, or evil supplement hysteresis, boils down to play, and strife, and divisions, or evil block, operation, qi and blood, so that the officer orifices and limbs meridian joint adverse, zang-fu organ dysfunction, etc as the basic pathogenesis, its sexual true or false or true inclusion and evil is real performance; And disease in the position in the late change, is virtual evil micro or vital qi deficiency stage, viscera function is low, upright dissipation, or can't cheer up, temperature keep meridians, solid tight muscle Cou, instigation blood lines, or can't im qi and blood, compresses subtle, rong keep skin, smooth joints, nourish the bladder way, filling veins, etc as the basic pathogenesis, and its property of virtual or false or true inclusion and are virtual performance is given priority to.

        So, through the disease bits, disease resistance, etiology and pathogenesis, as well as other related contents of the discrimination to determine the specific card type.

        Therefore, differentiation of syndromes is a judgment disease with disease resistance, analysis the cause and pathogenesis, understand lesions trend, disease stage and pathological changes happen stage of development, and the corresponding evil is regression changes and a series of relevant content of a complete process.

        epilogue

        1. The cold temperature to realize unified, standard differentiation theory, matter at present, affect the future. The relationship between close, reciprocal causation.

        End pathogenic epidemiology in two, and will give specification differentiation theory clear the obstacles; To build a complete theoretical system of differentiation of symptoms and signs, to realize unified cold-temperate paving the road. They are controversial, repeatedly questioned by a pair of, in the pathogenic epidemiology in two, differentiation theory not unified situation, any one party can possess.

        2. Differentiation of symptoms and signs, the basic theory of TCM is the basic knowledge and basic skills of comprehensive utilization, is the traditional Chinese medicine clinical discipline one of the core contents of the basis of formulate specific treatment, is to choose the application basis, it is to determine the various disease specific card type of a process. Complete master "syndrome differentiation" theory, one is to clear how bian, namely the basis of differentiation of symptoms and signs is what? One is to know what cause, i.e., the contents of the differentiation of symptoms and signs include?

        (1) the basis of syndrome differentiation and syndrome differentiation for four clinics of all kinds of relevant material.

        (2) the differentiation of symptoms and signs include disease position and disease resistance, etiology and pathogenesis, patient's condition, disease stage and lesion development stage, and the corresponding evil is growth and change, etc.

        In distinguishes the specific disease a process, in addition to the official opening, zang-fu organ, skin, muscle, bone, cell palace, meridian joint codominance disease a outside, must be based on TCM visceral (dirty and dirty, setting and setting, dirty and setting, viscera and official opening, etc.) related theory, find out a recessive disease. To clear lesions in which or what specific site, is single or involving two or several different specific site, is in its zang-fu organs lesions occur in the process of development in or influence officer orifices, skin, body meridian joint, etc., or official opening, skin, body meridian joint and other parts of the pathological changes, in the occurrence development process involving the or influence related viscera, etc.

        Especially eye ent, gynecology, skin disease such as the outside fractures, in addition to the dominant disease a outside, must find a recessive disease, which is that they have happened in the development process, which involves zang-fu organs or what is closely related with the viscera. Such as common eczema, its dominant position in the skin disease, but in most cases and closely related to the internal organs, or because of lung heat supplement quickly, or because of the spleen and stomach hot and humid, or because hepatic hot and humid, etc., among them, the "skin" is a dominant disease, and "lung, spleen and stomach, courage" and so on are recessive disease position.

        3. A complete dialectical process, including differentiation of disease patients (specific disease position and the disease a) and disease resistance (chills and fever attributes and the actual attribute), etiology and pathogenesis (pathogenic factor and pathological mechanism), patient's condition (slow, quick, is to further development, grow, deterioration, or gradually slowed, loss, better), disease stage and pathological changes happen development stage (lesions in disease period or stage, such as initial - lesions began to stage, stage of development, the early - lesions in mid - lesions stage, late - lesions recovery stage), and the corresponding evil is regression changes (are put evil real, evil real is virtual, are virtual evil micro, vital qi deficiency), and other content, the content of the discrimination not because of the disease types (pathogenic disease, medical diseases, women and families, skin disease outside fractures disease, etc.) and different change.

        4. Will watch, half exterior and half think disease belong to the sun (or lung health) and shaoyang (or film former), or in the hot real and Yang Ming (or gas points, camp points, blood points), virtual cold (hot) and three Yin (or with) associated with view, namely corresponding so-called six-channel differentiation (or guard gas camp blood and the sanjiao differentiation), is biased and divorced from reality. As for will list the nakedness chills and fever, Yin and Yang, qi and fine tianjin and official opening, organs, limbs meridian joint constant phase split, or the official opening zang-fu organs, meridians, body joints with chills and fever in nakedness, Yin and Yang, qi and fine tianjin phase separation results, also must be attended to.