On the basis of theory bi syndrome

ZhaiShuangQing Beijing university of Chinese medicine

China's traditional Chinese medicine to

        Bi person, closed also. Bi syndrome refers to feel the wind cold dampness evil etc, lead to blood closed resistance cause physical pain sour, numbness heavy, adverse joint flexion of the symptom such as a syndrome. On the basis of the theory of "bi" meaning mainly include: a name, referring to wind cold dampness evil qi and blood caused by meridians closed resistance impassability body bi; The two block impassability pathogenesis. The medical portal "cloud:" bi person, gas block impassability flow, or hurts, or paralysis, or brothers slow weak."

        Pathogeny and pathogenesis

        Neijing think, bi syndrome is a variety of the pericardium the result of joint action, the cause on the element asked · BiLun "based on" the wind cold dampness three gas mixed to one bi ". However, no vital qi deficiency also won't happen bi syndrome, so "spirit pivot · Yin and Yang 25 people" cloud: "all flesh is not required to less, feeling in cold dampness, then good bi bone pain," "flesh is less, no hair...... good expression paralysis jue foot bi." Points out that the flesh is insufficient, is not able to bear or endure evil attack is bi zheng happen internal factors. So "element asked · BiLun" in this body said bi "camp guard of the gas, also a bi on... inverse its gas is disease, from its gas is more, not with cold damp close, so not for bi." Put forward the external cause the wind cold dampness evil, only because of the camp, who QiNi disorderly situation, to have the opportunity to intrusive body and produce body bi.

        Viscera bi is also prior have viscera injury within the basis of spread and become a bi. That is, first of all, for evil is body bi time not more, every one in the Lord of the complex feeling in the wind cold dampness evil and hair dirty bi, explain not only evil exist and evil is filled. In addition the "element asked · BiLun" point out: "Yin qi person, static is god hidden, bipolar, die. Food from times, intestines and stomach is hurt." And in this paper include of the six fu-organs happened when pathogenesis cloud: "this is also the place to diet, as its disease this also." If the aim is that the god of hidden rashness interference with fire, will cause the dirty Yin fine loss, lack of vital qi. But food does not festival, daily life disorder, cause gastrointestinal injury is also cause the internal organs of the body bi pathological basis. Therefore only viscera first injury, wind cold dampness evil have up within the machine.

        classification

        According to the etiology classification

        According to the feeling of lay particular stress on and disease evil properties of the different, divided into migratory arthralgia, arthritis, bi, heat bi.

        Migratory arthralgia migratory arthralgia refers to feel the wind evil primarily bi syndrome, clinical to segments sore, wandering no place as the characteristic, also called wind bi. "Element asked · BiLun" cloud: "the atmosphere the winner for migratory arthralgia." For the wind sex good deeds and number change, in no place, the migratory arthralgia pain wandering no place.

        Arthritis arthritis refers to feel cold evil primarily bi syndrome, clinical pain severe, sore fixed as the characteristic, also called arthritis. "Element asked · BiLun" cloud: "cold winner for arthritis." Because of the cold for yinxu, and closes bring stagnate, therefore, arthritis pain intense and fixed position. "Element asked · BiLun" also cloud: "the pain is much also, have cold so pain also."

        The bi bi refers to the feelings hanya primarily bi syndrome, clinical to home heavy lag don't move, or remanent hemp goes as the characteristic, also called wet bi. "Element asked · BiLun" cloud: "moisture winner for bi also." Because of the wet sex heavy with viscous, touching refractory disease, so the pain caused heavy the numb, disease evil difficult to go to.

        Heat bi heat bi refers to feel wind cold dampness evil, if the patient's constitution partial heat, the meaning produce thermal depression wet resistance primarily bi syndrome, clinical pain severe, sore red glow for characteristics. "Element asked · BiLun" cloud: "the sun be the spirit, fever, Yin qi less, disease gas wins, Yang was cloudy, so for bi heat."

        Form classification

        According to different season by evil and position, is divided into five body bi, i.e., involving the bone, muscle, vein bi bi bi bi, muscle and skin.

        Involving the bone involving the bone for pathogenic wind cold dampness evil, kidney empty inside kui, couldn't have a bone marrow caused bi syndrome. Clinical with bone heavy do not lift, bone heavy ache for characteristics. "Element asked · BiLun" cloud: "bi is bone is heavy." The horse transplant note cloud: "bone heavy difficult to lift, pith of acid aches, and cold air to, disease into involving the bone."

        Reinforced bi because of its pathological changes in the bar for reinforced bi, clinical relative to limit urgent and of joints pain for characteristics. "Element asked · BiLun" cloud: "bi lies in the bar is not bowed out." "Element asked · long thorn section theory" also cloud: "disease in the bar, bar twin section pain, can not do, yue reinforced bi." ZhangZhiCong note cloud: "the bar all belong to the day, the twin bar section pain; disease in the bar down, but don't stretch, so don't feasible also."

        Vein caused by lack of ambition, wind chill hit veins, make blood stagnate and hair for vein bi, clinical to body poor blood flow, local pain, encounter cold weighting for characteristics. "Element asked · BiLun" cloud: "to the summer in this person for vein bi... lies in the vein is blood clots and not flow. The horse transplant note yue: "heart main summer, also the main vein, motive failure, the three gas into the vein, the name yue vein bi."

        Muscle caused by cold dampness invasion in muscle between, cold, vein setting, wet the block qi and blood and hair for muscle bi, clinical muscle remanent hemp heartless or pain for characteristics. "Element asked · BiLun" cloud: "that Yin in this person for muscle bi... is not the meat." ZhangJieBin note cloud: "lunar person wet soil, the gas damp pathogen, so also more for meat bi, cold dampness in the spleen, therefore, for cold."

        Skin caused by wind cold dampness evil by lung, guard table not solid and invade skin, leave and not to go, camp guard hindered and hair for skin bi, clinical with skin cold, insensitive to characteristics. "Element asked · BiLun" cloud: "to the autumn in this person for skin bi... lies in the skin is cold." The horse transplant note yue: "bi is not generous, with its skin less of qi and blood of the operation, so that the skin remanent fixed for not also."

        According to the classification of zang-fu organs

        By five body bi out of the development of renal bi, liver, heart, spleen bi bi bi bi, lung of the bi. If the cold damp in the zangfu shenshu point, and there were food drink injury and viscera, forming intestinal bi bi bi, cell of the organs of the body. Actually the viscera dysfunction syndrome.

        Renal bi for involving the bone not more, the complex feeling in evil or cold dampness inside cut in kidney and hair for renal bi. Its clinical manifestations in all swelling, the activity is limited, is what can sit not line, or can the can't back as the characteristic, has left drowned. Such as "element asked · BiLun" cloud: "renal bi person, good expansion, bottom to generation heel, ridge to generation head."

        Liver bi for reinforced bi unceasingly, heavy feeling in the wind cold dampness three gas, inner shekels in liver, etc. Close knot, qi stagnation, drain disorder, hair for liver bi. Clinical to night lie more surprised, more thirsty to drink, urinate frequency, abdominal distension full with the shape such as uteruses for features, plus the lack of power. Such as "element asked · BiLun" cloud: "liver bi person, night lie more surprised, polydipsia number urinate, for lead such as pregnant."

        Heart bi for vein bi is not more, the heavy feeling in the wind cold dampness evil, it is up to in the heart, motive closed knot, the heart Yang not xuan, hair for heart bi. Clinical to heart pulse stasis, palpitation restless, asthma, very the chest pain lead back to characteristics. Such as "element asked · BiLun" cloud: "heart bi person, vein impassability, bother the heart bottom drum, storm on gas and asthma, Ai dry good Ai, jue gas, it is fear."

        Spleen caused by muscle bi unceasingly, heavy feeling the wind cold dampness three gas, inner pieces in the spleen, the temper closed knot, shipping change dereliction of duty, hair for spleen bi. Clinical to new XiongGe full, muscle wasting, vomiting water and so on as the characteristic, both skin and energy. Such as "element asked · BiLun" cloud: "spleen bi person, four dismember fall, hair well bring juice, for the big plug."

        Lung bi because the skin bi unceasingly, heavy feeling in the wind cold dampness three gas, inner pieces in the lung, pulmonary gas closed knot, xuan drop estrangement, hair for lung bi. Clinical to breathing, breathing adverse, chest full, QiNi and bring and so on as the characteristic. Such as "element asked · BiLun" cloud: "lung bi person, full of asthma and gag."

        The classification of bi of the six fu-organs discussed are not comprehensive, only to intestinal bi, cell bi is given priority to. Intestinal bi for wind cold dampness evil invade colon, small intestine, hair for intestinal bi. Clinical go up to several water and urination, bowel dinner plates drain for characteristics. Such as "element asked · BiLun" cloud: "im bi person, number drink out may not, asthma, and strife, and divisions, hair when dinner plates drain." Cell bi for wind cold dampness evil invasion in the bladder, is cell bi. Clinical go up to the lower abdomen pain by bladder, urinate short acerbity, ardor and so on as the characteristic. Such as "element asked · BiLun" cloud: "cell bi person, the lower abdomen pain, according to the bladder within if wo to soup 濇 to urinate, for the qing nose."

        According to the characteristics of the classification

        According to the different features of symptoms, divided into the bi, zhou bi.

        The bi the bi "cold damp, guest at outside points between meat", resulting in forced together fluid for phlegm, sputum poly is "row points meat and division", produce bi syndrome of the pain. The pain in person of the up and down or so is paroxysmal, "or so corresponding" symmetry, and "every one in its place" showed that pain position is relatively fixed, but "more hair more check", when stop when Sue, uncertainty and faster, but not in the migration of sex. ZhangJieBin cloud: "every one in its place, with" gather and hair, not up and down all over, but or left or right, more hair more Sue, with no place, therefore, yue the bi."

        Week week bi bi disease woman "is of blood", bizu meridian of the general principles of the not produce corresponding symptoms, the pain throughout the body, "with the pulse above, with the pulse the following" to wander the gender aches for clinical characteristics of bi syndrome. ZhangJieBin note cloud: "can the can, but with the blood and in all over the body, so yue week bi, not if the bi around the might also."

        treatment

        "Classic" proposed "follow the pulse points, each have hair, each with its", the XunJing with disease, along with the pain acupoint selection of therapeutic principles, and in the concrete implementation process pay attention to combining the zangfu acupuncture points, all the hole for acupuncture.

        Migratory arthralgia, acupuncture treatment, ZhangJieBin cloud: "in points between stabbing pain meat, with the pain, for" in the complex and Samuel the thorn also "; Herbs on the treatment, can choose the kind of card to cut "wind soup.

        Arthritis, acupuncture therapy, "spirit pivot · life can die young" proposes fire Cui medicine ironing of law, proposed "the thorn cloth person, with fire Cui, thorn adult person, to medicine ironing"; Herbs on the treatment, can choose the kind of card to cut "add and subtract five product scattered.

        The bi, acupuncture therapy, "spirit pivot · four chi" proposes acupuncture foot three mile hole; Herbs on the treatment, can choose the kind of card to cut "rhizoma ligustici wallichii tuckahoe tonga radix astragali, rhizoma atractylodis macrocephalae, or dehumidification Juan bi tonga silkworm sand, prevent yourself, coix seed.

        Heat bi, herbs on the treatment according to different levels of wet and heat, choose xuan bi soup, heat moisture penetration soup, add to the flavor ermiao SAN and white tiger and guizhi soup, etc.

        Reinforced bi, acupuncture therapy, "spirit pivot · officer needle" proposes the use of small thorn and shut thorn of law, horse transplant note yue "small thorn, the side with needle puncture, complex for the needle, had before and after the reinforcement of the oscillation hurry, so cure reinforced bi", "close thorn, around puncture limbs, all bar above, is where the joint, so take reinforced bi also"; Herbs on the treatment, can choose the medical general zhang "antelope horn powder.

        Muscle bi, acupuncture therapy, "spirit pivot · officer needle" proposes the use of li4 thorn method, horse transplant note cloud: "close valley thorn, or so with the needle such as chicken foot however, needle in points between the meat, in order to take muscle bi"; Herbs on the treatment, optional dehumidification Juan bi tonga minus.

        Skin bi, acupuncture therapy, "spirit pivot · officer needle" load with burr method, ZhangZhiCong note cloud: "the burr, evil closed in fur between, still take the"; Herbs on the treatment, optional astragalus membranaceus chienchung decoction and notopterygium - wet tonga minus.

        Pulse bi, "the blood of real appropriate" for the principle, can choose Chinese angelica four inverse decoction and adjustable effect such as sovereign.

        Involving the bone, acupuncture therapy, "spirit pivot · five evil" proposes optional springs, kunlun hole, "spirit pivot · officer needle" proposes the use of short spines and lose thorn method, short sting is slowly into the needle, and shaking needle body make needle further to bone, fluctuation mention inserted to friction its bone. Lose stab the needle straight into straight out, acupoint selection less thorn deep and retaining needle long; Herbs on the treatment, can choose the right to drink the soup combined kidney.

        Heart bi, acupuncture therapy is optional god door, heart shu or according to the "spirit pivot · officer needle" proposed accidentally stabbing method treatment, namely when the pain, a needle in the chest, a needle its back, Herbs on the treatment, can choose the card to the criterion "five bi tonga polygala, tuckahoe, MaiMenDong, rhinoceros horn.

        Liver bi, acupuncture treatment optional taichong, lr 8 hole; Herbs on the treatment, can choose the kind of card to cut "five bi tonga jujube benevolence, radix bupleuri.

        Lung bi, acupuncture treatment optional too deep, chize hole; Herbs on the treatment, can choose the kind of card to cut "five bi tonga pinellia tuber, almond, ephedra, aster.

        Spleen bi, acupuncture treatment optional taibai, sp9 hole; Herbs on the treatment, can choose the kind of card to cut "five bi tonga cortex magnoliae officinalis, immature bitter orange, sand benevolence, the divine comedy.

        Renal bi, acupuncture treatment optional too creek, Yin valley hole; Herbs on the treatment, can choose the differentiation of symptoms and signs anecdote "renal bi tonga minus.

        Intestinal bi, acupuncture treatment optional quchi, the small hole; Herbs on the treatment, can choose the card to the criterion of scattered five lingya with mulberry, akebia, MaiMenDong or evodia rutaecarpa scattered.

        Cell bi, acupuncture therapy can be in excess, beam bone hole; Herbs on the treatment, can choose the card to the criterion of the renal soup, renal drain soup.

        The bi, acupuncture therapy, "spirit pivot · weeks bi" proposed "the pain is already check, will stab the place, do not make to rise again," Herbs on the treatment, optional ephedra powder add operation such as soup.

        Zhou bi, acupuncture therapy, "spirit pivot · weeks bi" proposed "the pain from the up and down, under which the first stab with, in order to take off its thorns; from the most pain under, first stab it with the sting, under which to take off"; Herbs on the treatment, can choose the kind of card to cut "Juan bi tonga cassia twig, rhizoma atractylodis macrocephalae, dog ridge, coix seed, or" Dan creek possess "3 gout party.

        To sum up, the treatment bi zheng general principles for removing the wind cold dampness evil outside, inside adjustable inverse disorderly camp guard gas. Above for clinical reference.