Cold dampness trapped spleen syndrome and damp and hot accumulate spleen identification card

ZhangMingXue Liaoning university of Chinese medicine hospital

China's traditional Chinese medicine to

        definition

        Cold dampness trapped spleen card: the cold dampness evil, stuck to the upper abdomen, shipping change of company performance by syndrome. Clinical common wan abdominal distension new boring with pain, loss of appetite, vomiting to spit or jaundice, spleen and stomach dysfunction and cold dampness in the performance of the filled.

        Damp and hot accumulate spleen syndrome: hot and humid of evil, combine the upper abdomen, nano luck dereliction of duty performance by syndrome. To wan abdominal distension full new stuffy, do not think of food, nausea want to vomit, jaundice, spleen and stomach dysfunction and cold dampness in the symptoms of filled features.

        cause

        Cold dampness trapped spleen syndrome: pathogenic damp for more needed, in the rain wade, long lie wetland; Internal cause much by eating cold, melon and fruit water drink, wine and cheese quality. Spleen for wet soil, like attracts like., vulnerable to damp pathogen invasion. Hanya heavy turbidity stasis, its sexual belong to Yin, the most easy to damage sun be the spirit, Yin cold endogenous, cold dampness consistency, it in the spleen, and become cold dampness trapped spleen syndrome.

        Damp and hot accumulate spleen card: the pathogenic factors of the evil by pathogenic damp and hot, damp pathogen or don't understand, depression and turn heat, hot and humid close evil, accumulate knot taste, or wine dads scoffing cheese fatness, with wine heating, hot and mass wet, and eating fatty food, easy brewing hot and humid and damage the spleen and stomach.

        Cold dampness trapped spleen syndrome and damp and hot accumulate spleen card, all is a precise definition hanya, often because of the constitution and the weak, the sun be the spirit ups and downs and cold dampness, damp and hot is different. If YangCheng ferrite, feel dampness evil easily from thermalization and the hot and humid; If ferrite Yang, feel easily from the cold damp pathogen is changed and become cold dampness syndrome. "YangCheng is cremation, into a hot and humid, Yin excess the water wins, into cold dampness" (the medical through "). "If the person color pale red and thin, muscle robust person, its body is Yang, in addition feeling hanya, the heart is easy to turn heat; if endogenous dampness evil, because of the rich men's wine feels ashamed, the heart with hot and humid, wet disease of fire. If the person color white and fat, muscle soft person, its body belong to Yin, if pathogenic dampness evil, is not easy to turn heat; if the endogenous wet, cold for tea too, will suffer from cold dampness of the disease.

        pathogenesis

        Cold dampness trapped spleen card: the cold dampness can be outside also can endogenous. Outside the cold dampness by more for empirical, the endogenous dampness in spleen Yang deficiency failure, water wet not formed on the base of luck, because virtual to real, and for this virtual standard empirical, water wet what more, the more trapped the spleen Yang, spleen Yang callus, the water wet increasingly stop together without digestion, form malignant pathological cycle. Cold dampness yu sheng applies, block courage, qi stagnation, the excessive outside bile, the disease hair jaundice, belong to Yin yellow. "Yin yellow because of, or fever, with a cold, or true YangSu virtual, lunar Yin cold coagulation, spleen and kidney injury in, the Yin yellow of the disease into yi" (the disease for vein to "). If cold dampness internal resistance, yu to spleen Yang, water wet not luck, stop internal storage, supplement qi stagnant, is bloating (abdominal distension such as drum). If the spleen Yang deficiency caused by the cold dampness in stop, day long easy damage kidney Yang, form the spleen and kidney Yang deficiency, the moisture inside stop, flood skin edema.

        Damp and hot accumulate spleen syndrome: hot and humid fumigation courage, the excessive outside bile, the disease hair jaundice, belong to Yang yellow. "The pathogenic syndrome theory" cloud: "jaundice syndrome: this by food and drink excessive, viscus feud, production phase and product in taste, complex with wet for preaching, stasis" do not come loose, heat depression evaporate, make the body appearance and onyx urinate all yellow." If the hot and humid clip temperature poison plague evil, steamed forced bile, not abide often way and spillovers, the disease become impatient yellow, high fever, thirst, rapid onset. So "the pathogenic syndrome theory" said: "the spleen and stomach, valley wind-cold qi depression evaporate, because hot poison upon, so he ran yellowing, heart full asthma, life in tilting moment, the cloud urgent yellow." If the damp and hot accumulate knot the spleen and stomach, spleen, not system water, water wet stop poly, silt tunnel, the supplement qi, it also into bloating, big belly bulge full, such as capsule wrapping water. "If the hot and humid supplement cheng, taste not luck chemical water fluid, qi lifting dereliction of duty, water flooding in skin, limbs and become edema, if the hot and humid bet on intestinal, QingZhuo is not divided, hybrid down, then into diarrhoea, hot and humid fumigation intestinal, the gas YuZu, qi and blood stagnate, damage context, into purulent blood, then for dysentery, or shit down blood, or for intestinal abscess.

        Identify points

        Cold dampness trapped spleen syndrome: wan abdominal distension new boring with pain, KouDan boring, limbs heavy distress, loss of appetite, vomiting to vomit, loose stools thin, urination, body dropsy, mouth not thirsty, or women leucorrhea capacity is much mass dilute, complexion HuangHui, or white eye, skin, yellow face, the color dark smoke smoked, tongue mass light fat toothed mark, moss white greasy, vein relatively slow. To fill in the cold dampness and spleen luck loss of health for clinical features.

        Damp and hot accumulate spleen syndrome: wan abdominal distension full new stuffy, do not think of food, nausea want to vomit, head body trapped heavy, loose stools thin, urinate short yellow, or white eye, skin, face all yellow, colour and lustre is yellow-bright infusion such as orange. What is onset urgent heavy, yellow like gold, with a high fever, be agitated, god faint ravings and bleeding the disease. Bitter taste, disgusted with is fat, the skin pruritus, or edema, skin shine tight, or fever or body heat lift up, tongue mass red, moss yellow greasy, pulse number and moist. In hot and humid intrinsic and spleen luck change dysfunction for clinical features.

        Discriminatory analysis

        Cold dampness trapped spleen syndrome and damp and hot accumulate spleen card, all by hanya material, therefore, have new wan abdominal MenZhang full, do not think of food, nausea vomiting, head body trapped heavy, loose stools thin, jaundice, moss greasy, vein relatively common symptoms.

        Cold dampness trapped spleen syndrome and damp and hot accumulate spleen card, all because water wet inside stop, repression of the upper abdomen, the supplement qi, spleen Yang was trapped, and influence of the spleen and stomach permissive luck change functions, qi lifting disorder caused a series of digestive function disorder symptoms and signs. The spleen and stomach cohabitation of the upper abdomen, spleen, xi dryness and evil wet, dry evil and stomach xi embellish. The spleen and stomach lifting phase for, dry wet phase ji, nano shipping phase, together to achieve their individual qi transforming function for digestion, absorption, transport function, if dampness evil outer invasion, often easily trapped spleen, like attracts like., and become wet supplement the change of the upper abdomen. Spleen Yang deficiency or kidney Yang deficiency, WenYun gasification water fluid dysfunction, often in the wet stop poly, injury of the spleen and stomach qi, health luck dereliction of duty, the new MenZhang full abdomen wan. Wet trapped the spleen and stomach, the stomach not permissive do not think of food, the stomach estrangement drop, stomach gas on inverse, the nausea and vomiting, hanya trapped to taste, temper not luck, water wet don't change, QingZhuo regardless of, and go colon, the loose stools thin. The main body of the spleen muscles, limbs for spleen wait outside, hanya trapped spleen, spleen, not luck chemical essence, subtle not cloth, hanya trapped the muscle table main and collateral channels, sun be the spirit block can't reach outside, the head body trapped heavy. Hanya repression of the upper abdomen, taste and solid, the threat of its very the courage, hanya immersed, the liver and gallbladder lost to drain, bile is resistance, not abide often way, the outside of the skin, overflow white eye, not note bladder and jaundice. Hanya trapped the sun be the spirit, resistance pressure pulse way, the moss greasy, vein and moist.

        Cold dampness trapped spleen syndrome: due to Yin cold partial cheng, water wet digesting, water flood skin, the body dropsy, Body fluid was not hurt, the KouDan not thirsty; Water wet repression, bladder gasification adverse, so short to urinate. Therefore, the east medical bao jian ":" edema spleen deficiency by wet wins, setting closed permeability way, with particular folly, so the whole body look brothers are floating and swollen, thin skin and light, hand in hand into that is full of also." Cold dampness trapped spleen syndrome caused by edema, if by sit lie wetland, trips wade, or in the rain and dew line, the water wet inside cut, supplement hysteresis taste, the influence of triple warmer to blaspheme, bladder gasification and the edema, Yang water; If because of spleen Yang deficiency, gas don't turn the water, health luck dereliction of duty, water wet stop in the upper abdomen, flood caused by skin edema, much as the Yin water. The former is swollen potential gradually spread the whole body, the latter is swollen potential to waist the following, foot fu department edema which is seen, and often easy to involve the kidney Yang, and into the sun be the spirit spleen and kidney failure syndromes. Cold dampness infiltration, with pulse not solid, so down clear dilute capacity is much. Wet trapped sheng, the spleen and stomach and the production function obstacle, the subtle not cloth, qi and blood metaplasia var source, can't top honor skin, so HuangHui complexion. Namely "cold dampness endogenous, the color will lag dark, become yellow to become black, all heavy and unknown" (the medical original "). If cold dampness supplement resistance of the upper abdomen, block courage qi, biliary not abide often way, pan on the skin, white eye, dirty bladder and hair for jaundice, with cold dampness is given priority to, called Yin yellow. So the clinical guidelines basis "cloud:" Yin yellow work, wet from cold water, spleen Yang can't turn heat, bile to wet the resistance, stains on spleen and absorb muscle, overflow in the skin, the color such as yellow fume." Yin yellow of jaundice performance for white eye, skin, yellow face, the color dark smoke smoked. Tongue mass fat toothed mark, for water wet cloth soaking, tongue body fat big and by tooth edge caused by oppression. Wet trapped qi, the vein to idle slow.

        Damp and hot accumulate spleen syndrome: due to hot and humid into resistance of the upper abdomen spleen and stomach, fumigation courage, courage drain dereliction of duty, biliary not abide often way and spillover, hair for jaundice. Hot and humid trouble, Yang huang, "Yang yellow work, wet from the cremation, yu heat in, bravery hydrothermal drain, and gastric turbidity gas common and, shall not be subject to any more, not drain, fumigation to depression, cut in the lung is body eye all yellow, heat flow bladder, drowned color to become red, yellow such as orange color" (the clinical guidelines basis "). Yang yellow, the white eye, skin, face all yellow, colour and lustre is yellow-bright infusion such as oranges, what is hot poison ablaze, and persecute the bile to overflow, mind interference, the yellow as gold, high fever, be agitated, god faint wild talk. Hot and humid absorb skin, the skin itching. Hot and humid into steamed, spleen, not system water, become the skin between tunnel, the disease hair oedema, tighten bright, "hot and humid body the swelling disease, body heat surface yellow, urinate red acerbity, chest stuffy, abdominal distension limbs yellow swollen, thirsty upset, the hot and humid be swollen, namely Yang water disease" (the disease for vein to "). In the damp and hot smoked, bile excretion adverse, overflow is bitter taste, "evil in bravery, reverse in the stomach, biliary drainage liquid is bitter taste" (" spirit pivot "). Hot and humid phase ", because of the wet sex adhesive ZhiChong turbidity, heat for the wet, cementing the difficult solution, so the body heat lift up, heating not to sweat solution. Tongue mass red, moss yellow greasy, vein and moist number, are all hot and humid inside put signs.

        Cold dampness trapped spleen syndrome and damp and hot accumulate spleen card, the clinical symptom is concerned, both are jaundice, but Yin yellow, Yang huang of the points. Cold dampness trapped spleen card, its performance for face skin yellow, dark yellow smoke smoked, namely Yin yellow; Damp and hot accumulate spleen card, its performance for white eye, skin, face all yellow, colour and lustre is yellow-bright infusion such as oranges, worse disease hair "urgent yellow", is a Yang yellow. Both of these can have edema, the former for limb edema with urinate less color clear dilute, loose stools thin, mouth not thirsty; The latter dropsy, skin shine tight, with short yellow urine, loose stools diarrhea not great or constipation, body heat lift up. That is the former have cold dampness filled in the performance, the latter has a hot and humid intrinsic performance, and from the tongue vein comparison, more prove it, cold dampness trapped spleen card, tongue mass light fat toothed mark, moss white greasy, vein relatively slow; Damp and hot accumulate spleen card, tongue mass red, moss yellow greasy, pulse number and moist.

        Cold dampness trapped spleen syndrome and damp and hot accumulate spleen card, the pathogenesis patient's condition is concerned, the former pathogenesis as: cold dampness in the spleen and stomach trapped, shipping change dysfunction, water wet not luck, qi lifting disorders, very is immersed courage, the excessive outside bile, appear icteric (Yin yellow), the certificate day long, can damage the spleen and stomach qi, qi wet resistance, form the bloating, or spleen qi deficiency syndrome, spleen kidney Yang deficiency syndrome. The latter pathogenesis is: in the hot and humid, resistance to supplement the spleen and stomach, shipping change dereliction of duty, qi adverse, fumigation courage, the excessive outside bile, the hair jaundice (Yang yellow), can also outbreak Yang yellow. If the hot and humid supplement resistance by tunnel, qi wet resistance, the disease hair bloating, If water wet flood skin, the disease edema; If the hot and humid betting large intestine, have diarrhoea or dysentery of e. hot and humid card. In a word, both have the taste function obstacle, a disease of the upper abdomen spleen and stomach were in, but the former is cold sex disease belong to Yin, while the latter disease resistance of thermal belong to Yang. The former at the beginning the acute phase and performance in the cold dampness fill, so belong to empirical, chronic stage, the total for YangSu spleen deficiency, water wet not luck or complex feeling the wet, internal and external phase approach, the whole and pathogenic, often for this virtual standard empirical. The latter hot and humid trouble, can be related, but also endogenous, belong to the empirical, cold dampness trapped spleen syndrome and damp and hot accumulate spleen syndrome, both also can transform into each other.

        Cold dampness trapped spleen syndrome and damp and hot accumulate spleen syndrome, its etiology in terms of history, the former has in the rain wade, place to wetland, eating cold melon and fruit cause, the latter can also have the etiology, but shall be wet YuHua hot pathological process. The former, physical Yang susceptibility cold; The latter, physical YangCheng susceptibility to hot, so the former can have a history of Yang, and the latter can have YangCheng history.

        Cold dampness trapped spleen card, the treatment should be scattered cold dehumidification, spleen temperature, party with wormwood Chen four inverse soup (the zhang ziping medical pass "); Damp and hot accumulate spleen card, the treatment should be thanh hoa hot and humid, the spleen lidan, square with artemisia capillaris tonga minus (treatise on febrile disease). As the class certificate to cut "cloud" Yang yellow system stomach intestines suffocating of damp and hot, and bile drainage more, cut lung is hair for yellow, its color clear as orange, treat in the stomach, artemisia capillaris soup; Yin yellow system spleen cold dampness is not working, and bile immersed, outside stain muscle, the hair is yellow, and its color and smoke smoked, treat in the spleen, herba artemisiae four inverse soup." In addition, the urgent yellow one certificate, for "kill the most urgent", "miscellaneous disease origin blade candle" so the treatment should be spilled hot cold blood, detoxification begin to understand, party with god blade Dan (the warm jinwei ").