Spleen qi deficiency syndrome and spleen Yang deficiency syndrome identification

ZhangMingXue Liaoning university of Chinese medicine hospital

China's traditional Chinese medicine to

        definition

        Spleen qi deficiency syndrome: temper deficiency, shipping change function is low, qi and blood metaplasia var source display abdominal distension, loose stools, loss of appetite, sallow complexion wait for a symptom.

        Spleen Yang deficiency syndrome: the JiaoYang qi failure, Yin cold endogenous, shipping change dysfunction has shown abdominal pain, xi WenXi according to, from the clear dilute, limbs don't mild temper virtual symptoms.

        cause

        Spleen qi deficiency syndrome: "food from times, intestines and stomach is hurt." Diet is not day, be hungry is full to be not moved, or thought LaoJuan, it is easy to damage temper, as the internal and external injury uncovering delusions theory "cloud:" otherwise diet dishonor, cold temperature discomfort, the taste is hurt, happiness, anger, sorrow, fear, and loss, Labour excessive spirit." Or get old and infirm, dirty qi failure, or chronic disease, consumption temper, which can lead to temper deficiency syndrome. So the surgical authentic "said:" good health person, day diet, adjustment and winters, ring, the provincial labor, this does not damage its taste also, such as otherwise, the spirit which qi and blood of the zang-fu organs and meridians, kui, which day loss, muscular body which day cutting, the so-called regulate a loss, how basic life."

        Spleen Yang deficiency syndrome: deficiency in temper, on the basis of the deficiency of Yang by lead to, and the formation of spleen Yang deficiency syndrome. It is also the cause of spleen qi deficiency syndrome. If cold food, damage spleen Yang, cold from birth, formation of the upper abdomen virtual cold syndrome, this is the theory of cure of cloud: "the person is not beyond the spleen and stomach health, intemperance disease namely then... feed more cold is cold life......" Or yuan Yang deficiency, gate of life fire failure, spleen, loss of warm, the luck not change. Therefore, the medical through "call:" food into the stomach, production of the kettle, the fire is not hot, spleen can be changed with the food, the whole borrow shaoyang phase of fire intangible person, in the lower portions steamed rot, beginning to luck, "said mourinho. The ZhangYuQing basis "theory yue:" taste of the mill change, especially in the kidneys of rice a true Yang steamed change, furnace salary not extinguish, kettle is." All expressed the spleen health luck, depend on the sun be the spirit WenXuHe push.

        pathogenesis

        Spleen qi deficiency syndrome: spleen is located in the upper abdomen, and stomach as list, the main shipping chemical production, absorbing the subtle, lose cloth water tianjin, therefore calls the taste for "the day after tomorrow", "the source of qi and blood metaplasia". The ancients to the spleen digest function, realize "spleen was killing individual person, not for grinding the functions of, pestle can churn also to suction, and the food is not pendant ears! How food into the stomach, so as to give a quality, quality, gas to ascending, and stomach gas fumigation, temperament, the future half-and-half temper a suction, the stomach gas help, food is fine to do stay, to the mass no gas, but that of the longitudinal, pyloric open and dross abandon yi" (the medical above "lead" medical participation "). Therefore, the temper deficiency, luck chemical essence, absorption subtle function abate, is a syndrome. "The east walls to taste a Lord of the spleen and stomach, and a disease not born, kui is born or impediment how".

        Spleen can change transport production, and can absorb, lose cloth, drain water fluid, and lung, kidney a maintain body fluid metabolic balance. Spleen is luck chemical water fluid function disorder, the water wet inside stop, edema, phlegm retention for the card do. Therefore the Ming medical refers to the palm "cloud:" theory: borrow food with birth, valley depend on spleen soil to change. If the spleen soil virtual, it can't system water, therefore, transfar disorder, renal water flood back to stain spleen soil, so the sanjiao stagnation, meridian choking, seepage in skin, note in muscle, and hair dropsy." "Read medical essay" think: "phlegm no matter for dryness phlegm, for wet phlegm, all due to the shortage of temper, not health luck and become are subtle. Cover production, the temper transfar reach in muscle and for blood to embellish the boring, reach on the physique and for fluid, and its symptoms. This temper is insufficient, soil don't give birth to a gold, shanzhong timidity, the force can't reach in muscle, and stop in the intestines and stomach, accumulate and become sputum self." Therefore, the temper deficiency, the shipping change hypothyroidism, lifting dereliction of duty, QingZhuo regardless of, food does not change, subtle not cloth, gather into wet phlegm into a drink. Spleen main general blood, maintain the blood in the vein way to the normal operation and not overflow pulse outside. If temper weak, QingYang does not rise, the blood loss of general, the blood overflow pulse outside, bleeding site, more for the lower, for the performance of the hematochezia, excessive bleeding, muscle non-traumatic, color lightness. Therefore, synopsis of heart Canon "cloud:" first blood donors blood under the toilet, the insufficiency of the spleen gas cold, the system of imperial power, and blood to keep not also." Spleen main up, its gas can not only increase the viscera have solid disturbing effect, and general blood normal operation. If temper deficiency, qi subsidence, lift fixed viscera function decline, the organ prolapse, and appear gastroptosis, uterine prolapse, rectal prolapse, etc. So the ZhaoLiGe wall "cloud:" woman Yin highlighted in such as bacteria, or a three-dimensional inch, is known as the Yin's stem, the deficiency of the next process......" If the deficiency of spleen and stomach, day long no longer, qi and blood biochemical exhaustion, the muscle wasting, flesh deficiency, as the surprise effect silver bullet "cloud:" taste a wound, true yuan qi corruption, born to the virtual the disease and die young life."

        Spleen Yang deficiency syndrome: how in the spleen qi deficiency syndrome, based on the virtual cold symptoms appear. Therefore, it has both the spleen hypothyroidism pathological foundation, and Yang cheng cold pathological features. Spleen Yang deficiency, luck function change slow, cannot WenYun essence, the moisture inside stop, Yin in the cold fill, wet resistance qi, QingZhuo is not divided, lifting dereliction of duty, and into the spleen deficiency cold syndrome. As the three for pole a syndrome party theory "said:" the spleen deficiency cold disease, diarrhoea, stomach full, QiNi, vomiting, upset may not lie, bowel, virtual expansion, diet, it goes without LaoJuan, virtual, we Ai xi jue, limbs cold, much less lying up, feeling not joy." If the spleen Yang deficiency, for a long time, "the wounds, poor will and kidney", the formation of spleen and kidney Yang deficiency syndrome, with moisture inside stop, Yin in the cold fill, for even diarrhoea pathological features. "The life of the yuan" think: "people disease drain, each to he is to the, the renal drainage also, with the fruit of Chinese magnoliavine scattered number clothing and more, for daily life inadvertent, drain complex, more than years is not bad, the gate of life fire virtual, have spleen soil, method when fill their parent, fire is the mother of soil, and also with eight taste pill complement her mother."

        Identify points

        Spleen qi deficiency syndrome: loss of appetite, languid, abdominal distension, eating you very, loose stools thin, bowel, muscle wasting, little gas lazy to talk, sallow complexion, or mild edema, tongue light moss white, vein relatively slow. With abdominal distention, NaCha, loose stools of spleen qi deficiency syndrome of health luck and were seen for clinical indications.

        Spleen Yang deficiency syndrome: abdominal distension, loss of appetite, abdominal pain, xi WenXi according to, from the clear dilute, limb end not temperature, languid, little gas lazy to talk, sallow complexion, or body trapped heavy, edema, urination, or whites clear dilute capacity is much, tongue mass light or fat, the side toothed mark, moss white slippery, vein sink late and weak. With spleen qi deficiency syndrome, with saw cold like for clinical features.

        Discriminatory analysis

        Spleen qi deficiency syndrome and spleen Yang deficiency syndrome is a disease of spleen deficiency syndrome of different development phase, the beginning is spleen qi deficiency, then can involve the spleen sun be the spirit, and appear spleen Yang deficiency syndrome, compared with spleen qi deficiency syndrome illness more deeply. Therefore, spleen Yang deficiency syndrome, including the pathogenesis of spleen qi deficiency syndrome and symptoms, so both have temper virtual common pathological basis, which have inappetence, languid, abdominal distension, eating you very, loose stools thin, little gas lazy to talk, sallow complexion common symptoms. The symptoms of identification is the key whether to have Yang deficiency in the performance of the cold.

        Spleen qi deficiency syndrome: namely the spleen and stomach transport change hypothyroidism combined with qi deficiency syndrome. Spleen have luck chemical essence, absorb subtle, compresses the rest of function, and in the stomach, the stomach main permissive, rotten, together complete ingesta digestion and absorption function, so the surgical authentic "cloud:" the spleen and stomach, spleen, stomach for the office of the granary for the sea of production. The stomach, spleen, Lord company's main away guide, a table 1, a nano a shipment, operation of life, biochemical infinite, as for general qi and blood, the land context, limb the skeleton, internal organs of the body, all take this to have." If temper deficiency, shipping change dereliction of duty, thus influence gastric permissive function, have food valley don't turn, water wet stop gather, the spleen and stomach in trapped, the abdominal distension, belong to for virtual cause expansion, not empirical abdominal distension, eating is trapped spleen more very, abdominal distension aggravating, loss of appetite, so the theory of the pathogenic syndrome "said:" the stomach and spleen by valley, grinding, two gas level tone, the GuHua and can eat. If false or true, ranging from food, so it make internal virtual expansion, or drain can't diet ", so the spleen and stomach enrages disaccord cannot diet also." Spleen water transport fluid, spleen soil not system water, water go between intestinal, the bowel loose stool, total by hanya caused by within stop. "Cover stomach for the sea of production, and spleen main transport and digest, make the spleen and stomach, the food rotten, and turn gasification blood to HangYing health. If diet dishonor, daily life from time to time, so that the spleen and stomach injuries, the water is wet, valley for hysteresis, essence of gas cannot lose change, but to close down pollution and diarrhea for yi" (the JingYue encyclopedia "). Spleen main limbs muscle, temper deficiency, subtle not throwing all over the body, the body angular, less gas lazy to talk, sallow complexion, therefore, "zhang ziping medical pass" said: "the spleen and stomach is given to lie, virtual laziness limbs don't accept." The peaceful holy benevolence formulae "also explains the insufficiency of the spleen, qi and blood metaplasia var source physiological and pathological characteristic of:" the spleen and stomach, essence of the sperm, into blood, qi and blood fill, the camp guard unobstructed, nourishes the body shape, and honor in muscle also, if the viscera is insufficient, the spleen and stomach virtual injury, not eating, we make qi and blood, reduce the body from thin also." If not luck spleen deficiency, the moisture inside stop, can appear mild edema, "spleen main soil, passenger muscle, earthiness this grams of water, this temper, but can't g away in water, moisture flush, scattered in the skin, so make swollen also" (" the pathogenic syndrome theory "). Tongue light moss white, vein relatively slow, are not in virtual shipment like.

        Spleen Yang deficiency syndrome: in addition to have the spleen qi deficiency symptoms outside, more must have both Yang wet water stop and Yang deficiency cold cheng symptoms. Because of the spleen Yang deficiency, cannot WenHua water liquid, water wet cohesion, the drain next thing more chilly; Water flood limbs, the head body trapped heavy, edema, "Yang deficiency of spleen deficiency, could not overcome wet, and wet - it can be born cold. Sun be the spirit because of cold, so losing day; gastric gas for wet, so day virtual. The disease is describe day, we diet degression or MaiXi see string fine, or body often afraid cold, or umbilical abdomen often dull pain, or string faint often many sleepy, or uneasiness in five drum, or add than qiu dong, but no heat syndrome can be according to, and often more dinner plates drain person, the total of virtual cold also" (" not in set "). Spleen Yang deficiency failure, Yin cold endogenous, cold sex stagnate closes bring, qi stasis, or Yang, choroid lost in the temperature raise, therefore, abdominal pain, xi WenXi press, accordingly, "zhang ziping medical pass" cloud: "continuous and pain, no increase and decrease to heat by hand, and like hot food, vein sink late person, cold also." Tongue light fat or toothed mark, moss white slippery, vein sink late and weak, are all Yang deficiency, cold dampness filled in the sign.

        Spleen qi deficiency syndrome and spleen Yang deficiency syndrome, its clinical symptoms speaking, both of these have abdominal symptoms, "cover for the womb to Yin, the land in the small intestine of the spleen and stomach intestine..." (the pathogenesis exchange theory "), is a "big belly of spleen" say. Spleen qi deficiency syndrome, abdominal symptoms were abdominal distension, Spleen Yang deficiency syndrome, abdominal symptoms were abdominal pain, xi WenXi according to; The former is not luck spleen deficiency and qi wet resistance of virtual abdominal distention; The latter is deficiency of Yang not temperature threads of virtual cold pain. Both of these have diarrhea symptoms, the former is loose stools thin, spleen loss caused by health luck; The latter is defecate purgation things clear dilute, due to the deficiency of Yang raw cold, wet spleen deficiency caused by filled. Spleen qi deficiency syndrome and spleen Yang deficiency syndrome, all can have edema, but the former is not of the necessary certificate, even if there is also only for mild edema, with emphysema is given priority to, according to the cave, that is, the raising his hand, in the lower extremities and foot fu dropsy, due to pixu (food not caused by luck; The latter edema with limb skin dropsy is given priority to, the depression by not, with cold dampness cheng performance: urination, body trapped heavy, leucorrhea clear dilute capacity is much, because the Yang cheng, spleen, not system water, water wet infiltration, with vein caused by stand. The former tongue vein is: tongue light moss white, vein relatively slow; The latter is tongue qualitative light, or edge toothed mark, moss white slippery, vein sink late and weak. In short, spleen qi deficiency syndrome, only for spleen hypothyroidism symptoms and qi deficiency syndrome (languid, little gas lazy speech) performance, spleen Yang deficiency syndrome, it is the further development of spleen qi deficiency syndrome, both the performance of spleen qi deficiency syndrome, and the deficiency of Yang Yin excess dampness, within the symptoms of stop.

        Spleen qi deficiency syndrome and spleen Yang deficiency syndrome, its pathogenesis patient's condition is concerned, the former pathogenesis is: temper deficiency, shipping change dereliction of duty, subtle not cloth, all within the water stop, qi wet resistance, belong to deficiency syndrome, can develop into spleen system fact, qi subsidence card. The latter pathogenesis is: sun be the spirit is insufficient, spleen luck of company, the endogenous dampness, with pulse stand; Or Yang can't temperature keep limbs the skeleton, the deficiency syndrome, can develop for spleen kidney Yang deficiency syndrome. The disease who have in the spleen, spleen deficiency syndrome is belong to disease, the former to qi deficiency is given priority to, the latter mainly to Yang.

        Spleen qi deficiency syndrome and spleen Yang deficiency syndrome, its etiology in terms of history, the former much diet is not festival, thought the cause of LaoJuan; The latter can also have the cause of cold food, spleen qi deficiency or history of kidney Yang deficiency.