On the basis of mechanism analysis method

ZhaiShuangQing Beijing university of Chinese medicine

China's traditional Chinese medicine to

        On the basis of each chapter in all contain the rich pathogenesis theory, "classic" to evil is ups and downs, the imbalance of Yin and Yang, lift disorder interpretation of the basic mechanism of the lesions, and put forward the famous "evil cheng is real, took the essence is virtual" and "all ills are born in gas" academic thesis. "Element asked · to true to big theory" is the only one of the "classic" clearly put forward "pathogenesis" chapter, this article in the clinical common symptoms and summarizes the pathogenesis, including "judges of pathogenesis, no loss of gas appropriate... keep pathogenesis, each department of the genus, have person for the, no person for, against, who filled the virtual against", it is pointed out on the basis of the analysis of the method of pathogenesis.

        Keep the company belongs to the pathogenesis

        Analysis of pathogenesis, first of all to do "to keep the pathogenesis, the company of", find the main disease because of. And the Lord of the disease by looking for main method is: to the performance of diseases like as the object, according to the theory of the Tibetan like five, six gas characteristics, using the type compare method, classification, identify belong to judgment. To explore the occurrence of six gas because of, the place and so on, that is to find out the cause, symptom and disease of a subordinate relationship.

        In the etiology, neijing with six gas to generalize, as the prime asked · to true to big theory "cloud:" husband of basic living also, all was born in wind continual wet dry fire, to change the change also." And six air their characteristic features and different, caused by the performance of the disease also each different, accordingly, according to the characteristics of six gas to diseases shown symptoms to carry on the analysis, it can be to search for the cause of disease, so as to guide therapy. Such as resistance inflammation, the impact of the potential, the symptom if saw a inverse and triumph in the image are think are mostly the fire therein for, such as vomiting, hiccups, Hui, cough asthma, gas rush on chest, 19 in pathogenesis article "the inverse rush, all belong to the fire" is the. Of course, the six air not only refers to the pericardium, including inner body disorder caused by the pathological changes, changes were caused by the pericardium, or endogenous six for gas, still need to fine bian.

        In a disease, neijing think the zang-fu organs is human body organ summary, and five zang-organs and belong to the five elements, each have its special function characteristics, therefore, although the lesions like differ in thousands ways, but can always according to the nature of the ownership to judge, respectively, to determine the position of the disease, and treatment. Such as kidney in the north, five line of water, the sex to cold, and cold and the Lord closes bring, tuff gathered, therefore, the lesions like saw a body curled up, body don't stretch, joint JuLuan person, mostly belongs to the kidney, is the so-called article 19 pathogenesis of "the cold closes bring, all belong to the kidney". Of course, here's the refers to the system, including both the Lord's setting, body, opening, China, meridians and so on, their function of the Lord is not a single, judge a dirty which system level, what function abnormality, still need according to specific lesions performance analysis.

        On the basis of the analysis of the cause, disease a method, actually later causes differentiation, the prototype of the five zang-organs syndrome differentiation, as well as the formation of TCM syndrome differentiation and treatment laid a foundation.

        A person for the no person for the

        "Person" and "no," the note home to roughly four kind of explanation: one is without symptoms; The second is whether climate cold temperature cool dry changes, The third is "person" for real, "no person" for the virtual; The fourth is "to have" refers to the scriptures have been discussed clearly, "no" refers to the scriptures not described in. Integrated the original context and clinical practice investigation, the first kind of interpretation is more reasonable.

        "There is person for the, no person for the" means have the symptoms or without such symptoms, are all required to explore the concourse, and clinical symptoms appear, with differences in similarities, in different, and to clear the truth, is clear about the pathogenesis. Among them, the first requirement is to some symptom appear whether must be accurate judgment, that is what is "to have" or "no", cannot ambiguous, whether is because symptom without cause, disease a analysis of the premise. If the tongue, pulse are incorrect judgment, four diagnostic methods and loss of comprehensive, is the truth unknown, difficult to differentiation of symptoms and signs. Secondly, to appear symptom to explore it appears the reason, it used method is to identify similarities and differences. The same disease and syndrome, can have different pathogenesis, which is known as "the card machine vision". Article 19 if pathogenesis of "off bewildered", "the lead", "critical rigor", "a spasm, the strong", "turn back crime", "Mao Chi" are relative to JuLuan, convulsions of the card, but a disease has belong to liver, kidney of the don't, cause it is of the wind, is wet, are the hot, belong to different of fire. "The wet swollen full", "the bulge big belly", "the disease, such as sound of drum drum" is wan abdominal distension of the full card, but pathogenesis but is of the spleen, belong to the different heat. Also, different syndrome, its pathogenesis is basically the same, which is known as "the card machine vision with". Article 19 if pathogenesis of "Mao Chi", "forbidden drum chestnut", "manic more", "胕 swollen, painful acid horror", "inverse triumph in the" card all by the fire caused by evil, and "vomit acid, wild downpour forced", "turn against crime, water fluid turbidity", "sound, the drum of the disease such as drum" and so on all is due to the heat did. Therefore, according to the symptoms without judgment is the key of pathogenesis, syndrome differentiation and treatment is the premise.

        The filled against virtual person of responsibility

        "Cheng against those who, virtual against", to emphasize the actual differentiation of symptoms and signs, is to analyze the important link of the pathogenesis, clinical diagnosis and treatment is an important prerequisite. "Element asked · through evaluation theory of false or true" cloud: "evil cheng is real, took the essence is virtual", the "evil" can be understood as all the pathogenic factors, including the six evils and hysteresis gas, blood stasis, phlegm retention, JiShi, the insect, etc. "Essence", that is, the vital qi, including business health, and cases of gas and the gas of zang-fu organs, meridians of the gas and JingXie, body fluid, etc., including any kind of loss, can form the vital qi weakness.

        As we all know, the occurrence of diseases, justice and evil is the result of the interaction of the, every evil strong belong to empirical, upright weak belongs to qi deficiency syndrome. But cannot "evil cheng" and "took the essence" of people to understand, because the actual clinical often exist at the same time. From the study Angle character, "element asked · review fever theory" cloud "evil of gather together, the gas will be virtual," evil can invasion of the human body, it is because there are virtual the gap can take. And in disease recovery stage, may evil act has not obvious, the hysteresis gas, blood stasis, phlegm retention, JiShi and pathological product also can not be ignored. Therefore, "classic" said false or true, is based on the balance of power and pathogens of synthetic judgment on, is to the symptom of the major aspects of summarization, clinical syndrome and no simple empirical and simple deficiency syndrome, and the virtual and real is relative and dynamic change, and is not fixed.

        In addition, the "element asked · menstrual function theory" and "from the flesh in, a real a virtual" say, its main focus is in the meridians of the qi and blood lose cloth disorder, which qi and blood and place for real, the qi and blood from place for virtual, qi and blood to have an evaluation standard, this is using the channels and collaterals theory cure all kinds of therapy, such as acupuncture, moxibustion, massage and theoretical basis. Diseases of the main contradiction, we once decision and give the solution, the problems can be solved, therefore, false or true judgment is an important method of analysis of pathogenesis, the later syndromes according to the eight principles is the technical secondary school "false or true differentiation", but also to show the importance of it.

        No loss of gas should be judges of pathogenesis

        Gas appropriate, refers to the six gas and progressive Lord; No loss of gas appropriate, that is to say, we judge, analysis and pathogenesis from the six gas when the Lord set out, and when treatment is also don't go against the law of the Lord six air when, diagnosis and treatment of traditional Chinese medicine for views reflected, but also pay attention to "man and heaven and earth and the coherent" integral concept embodied. The six air Lord, from a certain perspective can also be interpreted as seasonal change and neijing think seasonal climate change to human disease influence is very great.

        First, seasonal climate change is the result of natural growth of Yin and Yang, Yin and Yang regression directly affects the disease development, as the prime asked · Yin and Yang should be like the big theory "cloud: YangCheng disease" can winter cannot summer, "Yin excess disease" can summer not winter ".

        Secondly, each season, each of the main gas is their main gas, if fill her too, the visible season frequently encountered disease, or fell to the next seasons; If the Lord not gas, the visible he gas or by or threat and disease.

        Again, five zang-organs and all season there is link should relations, the change of season, every part of disease having a major impact, such as "spirit pivot · ShunQi is divided into four a day," said: "to dirty air place when be what person, to the victory of their time up". "Element asked · dirty air method theory of the" cloud: "the husband evil guest in body also to overcome additive, to the born more, to the very and very, but born hold, and its position and up".

        Modern research also shows that all kinds of meteorological factors, including temperature, pressure, humidity, wind speed on the human body the pathological process of all can produce certain effect. Such as "front", "depression" and so on the climate condition can make the deterioration of angina pectoris syndrome, "high humidity" climate can cause myocardial infarction attack, "gas pressure drop with high wet" weather can lead to multiple arthritis recurrence, "unstable cold air and inversion layer" climate may increase the bronchial asthma attacks, "hot and humid" climate may increase the risk of stomach ulcer, etc.

        It is because of seasonal climate change have an important influence on disease, so as a analysis method of pathogenesis, "classic" proposed "no loss of gas appropriate", it should cause our attention.