Qi subsidence card and spleen fact system identification

ZhangMingXue Liaoning university of Chinese medicine hospital

China's traditional Chinese medicine to

        definition

        Qi subsidence card: because of the upper abdomen spleen and stomach qi deficiency, lift weakness, organ prolapse syndrome performance. Clinical common organ prolapse: gastroptosis, uterine prolapse, rectocele and spleen qi deficiency syndrome.

        Spleen system fact: temper deficiency, commander in chief solid perturbation blood function dereliction of duty, the blood by pulse outward spread over the performance of syndrome, with hemorrhage (hematochezia, excessive bleeding, muscle non-traumatic) and qi deficiency syndrome features.

        cause

        Qi subsidence card: its etiology and spleen qi deficiency syndrome causes the same. Diet is not day, be hungry is full inappropriate, all can damage of the upper abdomen spleen and stomach qi, "hunger shall not diet, the stomach gas empty, this is insufficient; food from times and stagnation person, stomach gas were injured, the shortage and to spare" (the spleen and stomach theory "). If LaoJuan excessive, consumption energy-sapping, also can cause the deficiency of the spleen and stomach, diarrhea or time, to temper virtual failure, qi subsidence, qi deficiency is can't lift fixed viscera, as zhang jingyue said: "there are for long xie long flow field, spleen, kidney and to take off the dragon's person, is because of the deficiency of the cold, can't accept perturbation and the take off, because Labour vomiting and diarrhoea, hurt liver spleen and to take off the person, have with wine wet injury spleen, kidney damage and the concupiscence off." If old qi deficiency, or long sick body weak and production overexert, or postpartum overworked, can also damage qi, and appear air pocket not litres of pathological changes.

        Spleen system fact: much by the further development of spleen qi deficiency syndrome. Diet is not festival, damage qi, "satiety too tired, the temper, not luck what change subtle, toward sunset injury loss, QingZhuo confusion, so under the dyspepsia deteriorates between large intestine and to a disease and the spleen and stomach. Cover a virtual, pulmonary gas also var, and e. gas also thus virtual, the liver wood to ChengXu dirty and for intestinal wind disease" (the medical days "). If a long illness, LaoJuan also easy to damage temper, spleen, not all blood and become hematochezia, hematuria, such as excessive bleeding out blood trouble syndrome. So zhang jingyue said: "the deficiency of the spleen and stomach and shit down blood donors, its blood not very bright red or purple or black, the Yang defeated but, therefore, for no heat syndrome and or see nausea and vomiting. Cover the spleen governs the blood, spleen qi deficiency is can't accept perturbation, spleen, change blood, spleen qi deficiency is not to transport and digest, is all blood is the Lord, and to take off the dragon's folly. Speed should be removing the spleen and stomach, and spleen decoct, bedding in soup, Fried the raise, spleen-invigorating soup or tonic soup and so on the Lord."

        pathogenesis

        Qi subsidence syndrome: is the temper deficiency, lifting caused by weak. Spleen qi deficiency is the further development of the pathology outcome. Therefore it has a temper losses, luck to turn the pathological change, and qi subsidence, QingYang not litres of pathogenesis characteristics. Spleen Lord rises, stomach main drop, spleen, desiring to clear diet things turn of food subtle, lose heart, into blood, weeks cloth whole body and fixed lift viscera, gastric drop turbidity is food digestion after the dross to the small intestine, escherichia continuously transfer, and discharge in vitro. If temper deficiency, hypothyroidism, then rise clear function dereliction of duty, subtle cannot transport, qi and blood can't metaplasia, very is air pocket not rise and appear a variety of disease and syndrome: rectocele, gastroptosis, uterine prolapse, defecate slippery drainage incontinence. The four sacred heart source "to fully understand the spleen and stomach qi lifting disorder caused by the disease:" qi lifting, is born. Yin and Yang Yin and Yang, and the upper and lower two gas utmost weeks... qi of a defeat, the soil has not rise and fall QingYang. Amyl soil don't drop and drop gas on inverse, the deficiency of Yin Yang origin also." If temper does not rise, often can cause bleeding, especially the lower bleeding, so the four sacred heart source "said:" the rise of the scattered all right lies in the spleen, the temper does not rise is JingXie chi go and Yin off." If insufficient temper, lifting dereliction of duty, QingZhuo regardless of, also often cause diarrhoea, abdominal distension, abdominal pain and so on the happening of the disease. Such as "phong kits secret record" cloud: "husband, fluctuation are in its corners. If the cardinal in properties of the gas, healthy and vigorous enough to spare, is under the gas displacement properties in the small intestine. From before and after the two Yin deficiency, but, the weak under transport line. Back under the wan by oil and gas in the stomach that QingZhuo chaos, for pain for the expansion by also." Therefore, the spleen and stomach lifting disorders, generally for the performance of the two aspects: QingYang darling does not rise and deficiency of vital energy subsidence; Darling turbidity Yin don't drop and subtle not cloth leader.

        Spleen system fact: is also spleen qi deficiency, cannot general blood. Because of the spleen is main green blood and main system blood, so TangRongChuan said: "the" cloud "the spleen governs the blood", the blood running up and down, all depends on spleen and spleen Yang deficiency. It can't system blood, spleen Yin deficiency and can't breed blood." If temper deficiency, blood system has no right to, the blood does not follow vein way and overflow in pulse outside, because the Lord temper rises, spleen qi deficiency is can't lift, so much performance is lower bleeding, upper hemorrhage is rare, with excessive bleeding, hematochezia, hematuria, subcutaneous hemorrhage is given priority to. Ren is constantly dripping wet, bleeding time is longer, hematochezia is long-term. "Whoever avalanche long into leakage, the years of endlessly. This qi subsidence, yuan not solid also." Zhang jingyue in hematochezia evidence to mentioned "... have taste Yang and cannot system blood donors, and so do the blood also trapped person......" If temper deficiency, not only system has no right to blood, blood transportation is weak, thus easy to qi deficiency and blood stasis, if repeated hemorrhage, lack of effort, liver blood also virtual, what blood is with air pockets and bottom out more than, the gas also with blood off the dragon's breath and to wu, certainly will "Yang not system Yin", "Yin and Yang also died with death" (the fact theory ").

        Identify points

        Qi subsidence card: wan flatulence stuffy tenesmus (gastroptosis), eating food you very, or he meaning frequency, anal fall heavy, or long xie long flow field, anal emerge, but no pain, or small Sou cloudy such as m Gan or Yin quite, and see loss of appetite, languid, abdominal distension, eating you very, loose stools thin, little gas lazy to talk, sallow complexion, tongue light moss white, vein weak. To organ prolapse and spleen qi deficiency syndrome were seen for clinical features.

        Spleen system fact: shit down blood, the toilet first blood, hematuria, muscle non-traumatic (subcutaneous hemorrhage), women's menstrual quantity many, the leakage, the bleeding, color dark mass thin, and abdominal distension, after dinner you very, loss of appetite, loose stools thin, languid, little gas lazy to talk, sallow complexion, tongue light moss white, vein thin. To hemorrhage (hereinafter department hemorrhage is seen) and spleen qi deficiency syndrome were seen for clinical features.

        Discriminatory analysis

        Qi subsidence card and spleen system are in fact temper virtual pathology on the basis of the development, and some books will qi subsidence card and spleen deficiency syndrome fact system called temper of a card. This shows that the two card with all the temper the clinical manifestations of deficiency syndrome: abdominal distension, after dinner you very, loss of appetite, loose stools thin, languid, little gas lazy to talk, sallow complexion, tongue light moss white, vein weak. The pathological evolution trend is different, so each have characteristics.

        Qi subsidence card: in addition to the performance of the spleen qi deficiency syndrome outside, because the temper virtual failure, luck chemical essence, absorption and lose cloth subtle in nutritional organs function dereliction of duty, unable to lift solid holder, therefore, appear splanchnic prolapse symptoms: wan flatulence stuffy drop, after eating food into the stomach, increasing the potential of the drop, the more feel discomfort. Long xie long flow field of injury, sun be the spirit, qi deficiency is beyond lifting and subsidence, affects the colon or rectal solid secret role, so he meaning frequency, anal fall heavy, very the emergence anus. The certificate to virtual is given priority to, no tangible real evil qi obstruction, so there's no pain; The spleen and stomach weak, lifting dereliction of duty, QingZhuo is not divided, subtle bet bladder, the urine is cloudy such as m Gan; Temper deficiency, qi subsidence, subtle cannot lose, viscera, alongwith, channels and collaterals maintain weakness, lost in the lift, therefore, gastroptosis, The deficiency of subsidence, cell palace collaterals lost to sustain, disturbing nano dereliction of duty, the uterus down emerge.

        Spleen system fact: in addition to spleen qi deficiency syndrome has the main performance of the outside, it is because of the deficiency of subsidence, the blood displacement perturbation, the blood with air pockets, the blood in the overflow, so the blood stool, the toilet first blood, hematuria. The spleen of general and rushed let not solid, the excessive bleeding, dripping wet constantly, the color light mass dilute.

        Qi subsidence card and spleen fact system, the clinical symptom is concerned, in addition to a spleen hypothyroidism performance outside, qi subsidence card, focusing on the deficiency of vital energy unable to lift and subsidence of the organ prolapse aspects: anal fall heavy, rectocele, gastroptosis, uterine prolapse, Spleen fact system, focusing on the deficiency of vital energy can't over solid perturbation blood, the blood of XunJing and lower bleeding aspects: hematochezia, hematuria, excessive bleeding and subcutaneous hemorrhage. In short, qi subsidence card and spleen fact series, is the splenic function impairment of two forms. If the bleeding is called the spleen is not fact system. If the organ prolapse give priority to is called qi subsidence card.

        Qi subsidence card and spleen fact series, the pathogenesis in patient's condition, all due to insufficient temper, lifting dysfunction, and so do not rise mention, gas into the characteristics of syndrome, what is different now is that the former lift weakness and viscera next to take off, the latter solid perturbation dereliction of duty and lower bleeding. Qi subsidence card, also because of deficiency of vital energy, lifting dereliction of duty, QingZhuo is not divided, hybrid, and go colon, form diarrhoea, or QingYang does not rise, and causes dizziness vertigo, or qi wet resistance, shipping turn obstacles, qi stagnation and cause abdominal pain. Spleen system fact, if not to the blood, storage leave local, blood stasis in stop, the formation of blood stasis syndrome, or blood out too much, gas with blood to take off, and send wu sun be the spirit to take off.

        Qi subsidence card and spleen fact series, the history course is concerned, both can have temper insufficient medical history, all can have had a long, repeated attacks of characteristics. But the former, can have long xie long flow field, or women's reproductive overmuch, intrapartum force or postpartum strain, the cause of its damage, and the latter causes mainly with deficiency of vital energy.

        Qi subsidence card, the treatment should be fill in beneficial is angry, rise YangJu trap, square with fill in yiqi decoction (the spleen and stomach theory "). Spleen system fact, the treatment should be fill in the spleen, solid perturbation hemostatic, square with spleen-invigorating soup (the economic life party "). The wake up first observed medical wide notes "think:"... force service excessive, internal lesion caused by overexertion qi, spleen, not all blood and from the opening, the lender with fill in ShangSheng to lift.