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Stomach Yin deficiency and stomach heat syndrome identification

2012年11月22日

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Stomach Yin deficiency and stomach heat syndrome identification

 

 

ZhaiShuangQing Beijing university of Chinese medicine

 

 

China's traditional Chinese medicine to

 

 

 

        definition

 

        Stomach Yin deficiency: stomach Yin fluid is insufficient, virtual thermal endogenous, stomach estrangement drop the performance of syndrome. Clinical common epigastric dull pain, hunger nor to food and Yin deficiency syndrome.

 

        Gastric heat syndrome: the stomach physical in fire flaming, stomach gas estrangement, supplement qi and blood syndrome by hysteresis performance. Clinical common epigastric burning pain, thirsty, constipation and the heat flourishing syndromes.

 

        cause

 

        Stomach Yin deficiency: for acute stomach trouble, prolonged not more, the wound tianjin loss fluid, or hot venereal disease, warm disease, consumption of tianjin burning liquid, or vomiting, next, Yin fluid loss too much. Or usually dads scoffing spicy grilled 煿 food, plunder stomach Yin, or mental depression, day long change fire, irascibility consumption gastric juice, or LaoJuan excessive, consumption of both qi and Yin is the injury, the internal Yin was born.

 

        Gastric heat syndrome: by pathogenic cold evil, or dryness evil, in turn heat, or I calm temperament, gas YuHua fire, fire forced a stomach, or pathogenic heat evil, direct infringement of stomach intestines, or diet is not festival, dads scoffing spicy dry fierce Fried the product, the product thermal intrinsic.

 

        pathogenesis

 

        Stomach Yin deficiency: the stomach for dry soil, xi embellish and evil dry, feeling catch a disease and easily and in hot and dry, tortured body fluid, "Randolph the stomach of the earth, the earth seems like fire and don't like water, however soil no moisture, soil into scorched earth, why biological zai? Condition of the soil in the stomach, Yang and soil, Yang soil not cloudy water without a stomach, no water break difficult compound, water failure and things hard to change, the hope his water to solution the dry person, would such as severe drought during the hope rain" (the differentiation of symptoms and signs record "). Therefore, the stomach Yin deficiency, the loss of YuRun raise, stomach estrangement drop, endogenous often leads to the production of body fluid. Stomach main permissive, rotten food, spleen, main transport and digest, physiological condition, finish the food digestion and absorption subtle function, "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 one away, operation of life, biochemical infinite, as for general qi and blood, black and context, limb the skeleton, internal organs of the body, all take this to have" (the surgical authentic "). Only the taste function healthy and vigorous, permissive luck chemical essence, qi and blood and subtle lose cloth and nutrition all over the body, can keep healthy without disease, so the Ming medical mixed the "cloud:" gastric department permissive, spleen, transport and digest, a company accept a shipment, im essence, body fluid to rise, draff decreased, no disease, the self." If stomach Yin deficiency, permissive than, for the performance of the diet anomaly. Pass down adverse, performance is defecate abnormalities. If stomach estrangement drop, qi inverse chaos, can appear stomach virtual QiNi illness card. In the stomach Yin fluid is insufficient, the visible tianjin hurt a stomach dry, time consumption injury kidney Yin, can cause stomach kidney Yin fluid KuHe.

 

        Gastric heat syndrome: for stomach hot ablaze, so hyperfunction, stomach heat elimination valley and cause diabetes card. Gastric heat flourishing, stomach fire on inflammation, blood with fire to rise, the visible upper hemorrhage: vomiting blood, epistaxis, tooth non-traumatic. If stomach heat flourishing, body fluid drying dry, ErBian impassability (constipation, urine dry), diet not bottom, but the reverse, is to choke ke. If the upper abdomen aggregates hot, shipping change disorder, attack on oil and gas, qi stasis, can cause new full, Yang Ming's hotness, hyperfunction, "YangSheng is hot", often can cause body heat, "and in the stomach the properties between, the stomach gas hot, hot on the inflammation, the smoked in the chest, and also for internal" (" medical classics back Hui set). Stomach hot tianjin injury, loss of a relative, the disease wind-warm. Evil thermal XunJing direct prominent, the disease have a headache, as zhang jingyue said: "evil fire headache person, although each is the fire card, and only but for the Yang Ming, is in yangming stomach fire serve in a prominent and direct head d, therefore, the pain will be very, its pulse will flood, the card will be more, its internal mind or vibration and vibration pain and swelling, and no table evil person, will be evil fire also." if stomach fire flaming, long supplement of the upper abdomen, the performance of Yin fluid, often fire therein injury Yin and into deficiency syndrome: the stomach Yin deficiency. If stomach Yin deficiency day long, often can involve the stomach qi, final induced gastric qi Yin dragon's all the card.

 

        Identify points

 

        Stomach Yin deficiency: hunger nor to food, NaCha, epigastric dull pain, oropharynx dry, stool stem node or and lack of meaning, or new wan department full discomfort, or body angular, or hiccups retching, or afternoon and night vexed hot, red tongue less tianjin, very the tongue have crack, pulse count. With epigastric dull pain, hunger nor to food and Yin deficiency were seen for clinical features.

 

        Gastric heat syndrome: epigastric department hot pain, thirsty and like cold, hot in the stomach, acid regurgitation noisy, or eating namely vomit, or away GuShan hunger, can eat wasting or gum red hot pain fester, or epistaxis, tooth non-traumatic, or vomiting blood red, or bad breath upset, constipation, urinate short red, red tongue moss yellow, pulse number slip. With epigastric burning pain, thirsty, constipation, etc for the heat flourishing card for clinical features.

 

        Discriminatory analysis

 

        Stomach Yin deficiency and stomach heat syndrome are thermal image, with the tianjin hurt a stomach hot, stomach estrangement drop, nano luck dereliction of duty common pathogenesis, so have stomach pain, hunger, thirst, and good mouth stool stem node, vexed fever, vomiting, body weight, red tongue and pulse number of common symptoms.

 

        Stomach Yin deficiency: for stomach fluid is insufficient, Yin not system Yang, the production of body fluid endogenous, stomach empty hot, qi adverse, stomach estrangement, the nano food reduce, hunger and not to food, as the zhang ziping medical pass "cloud" hunger cannot eat; this includes two aspects: the one is in the stomach virtual heat, six gentleman add ginger, fry sichuan. A even belong to Yin fire by stomach, LiuWei pill and red guangxi five." Hunger, for heat elimination valley, do not want to eat are poor appetite. In the stomach Yin jin kui var, the stomach complex loss in moist embellish nourish, the meridians of shipment, qi impassability, choroid arrested nasty, then epigastric department ache steadily. In the stomach for JiaoYang soil, begin to understand in the mouth, if tianjin wound fluid drying, cannot affect embellish the esophagus and oropharynx, the oropharynx drying, belong to Yin jin is insufficient, the real HuoHao tianjin, so that not drink also. The ancient and modern medical system guinnessworldrecords think: "if stomach virtual wu liquid Yin deficient for thirsty, the blood diseases also, commonly used GanWen octylic acid of the agent zi the cloudy, Yin born dry, dry in addition to in addition to and thirsty world has passed away." Gastrointestinal connect, gastric juice enough, then can run intestines, transfer dregs into feces and eduction body outside, if Yin fluid is insufficient, e. lost in lubrication, conduction dereliction of duty, have stool stem node, or and lack of meaning, "by the spleen and stomach have hot, sweating too, the dragon's body fluid, fluid, the dragon's stomach, dry, hot, move bowels impassability also" (" the pathogenic syndrome theory "). Stomach is empty hot, qi stagnation, the stomach gas estrangement, therefore, epigastric department with new frowsty, because the new virtual. "New full and expansion, with different expansion is full of internal expanding and outside also form, the new awareness within new stuffy, and outside without expanding shape of urgent also...... full of new, appropriate adjustment of qi and blood, disappear for new heat, tapping complement the" (" the life of the yuan "). Yin fluid is insufficient, JingXie not imitation, the thin body. Stomach Yin deficiency loss, the stomach may not affect embellish, stomach gas loss in the drop in reverse, it is retching. In the production of body fluid inverse dynamic ke, the hiccups, Stomach Yin deficiency, the production of body fluid endogenous, the afternoon and night vexed heat. Red tongue less tianjin, very the tongue have crack, pulse count for Yin jin don't deck, the production of body fluid in the like.

 

        Gastric heat syndrome: stomach aggregates hot, supplement hysteresis meridian, qi and blood inverse disorderly, qi block, the department of epigastric pain hot. The heat flourishing, burning tianjin loss fluid, tianjin don't deck, the polydipsia, save water. Liver meridian muggy, unreasonableness g make stomach soil, liver stomach gas hot, inverse and rush, visible swallow acid noisy, vomiting, eating namely vomit. To spit acid disease evil disease position, the jade machine micro righteousness "think:" I spit acid according to a card to pathogenesis of words, belong to heat, with the theory of viscera, the spleen and stomach diseases ". LiuWanSu think: "the vomiting acid storm downpour forced, all belong to the hot. Flow and not rot, moving and not prey, so spit oh. Acid person, stomach ke hot very, the stasis in gas, things don't turn for acid also. Acid person, liver wood the flavor of words, or spit acid for cold person error also." "Stomach ke hot very is oh, internal heat inflammation of the elephant". The disease for vein governance "on the stomach hot vomiting syndrome:" stomach fire vomiting of the disease, eating namely vomit, its taste or acid or bitter, five upset hot, night lie restless mouth, thirst, ErBian resistance acerbity, the stomach fire vomiting of the disease also." In the stomach fire, fire can kill valley, rotten excess, the valley of extinction, valley away is good hunger, "diabetes main stomach... and are in extinction, stomach heat storage, good food and thin, hot and dry what yu..." Stomach intestines aggregates hot, XunJing on steam, supplement qi stagnant, the gum red hot pain canker, yangming heat fumigation, fire forced QiNi, thermal injury and blood, the blood with internal heat up inverse and is the upper hemorrhage: epistaxis, tooth non-traumatic, vomiting blood red, rot in the stomach polluted gas with fire ascending, the bad breath. In the hot fill, burning away in the intestinal fluid, e. Yin fluid loss var, cannot nourish intestines, conduction dereliction of duty, the constipation. Supplement stomach fire fill, and bladder, hot filled injury tianjin, pee turn source kui var, the short red urine. Therefore, the plague theory commentary "think:" hot to bladder, in whom the evil in the stomach, the stomach hot burning in the lower portions. In bladder but there is hot and no evil, but to urinate red just, its cure the stomach." Tongue mass red, moss yellow, vein slide number, for the heat inside quickly, qi and blood running speed of the sign. So the meridian "yue: vein" slide in the stomach disease, have heat."

 

        Stomach Yin deficiency and stomach heat syndrome, its clinical symptoms speaking, both of these have stomach pain, but the former is epigastric department ache steadily, belong to Yin fluid is insufficient, stomach complex loss caused by a; The latter is epigastric department burning pain, true qi heat caused by stomach intestines. Both are good hunger, but the former is hunger and do not want to eat, belong to the production of body fluid filled, but NaCha stomach; The latter is away GuShan hunger, belong to stomach fire shing, rotten had caused by 6. Both are tianjin injury symptoms, but the former is oropharynx drying, belong to Yin deficiency not affect embellish the mouth, throat by The latter is thirsty and like cold drink, the evil real heat quickly, injury tianjin loss fluid. Both of these have defecate dry and hard, but the former is Yin fluid deficiency, don't run large intestine, conduction dereliction of duty; The latter is hot filled intestinal dry, not dross. Both of these have vexed hot, the former is Yin deficiency fever and upset; The latter is hot filled disturbed mind and irritable. Both of these have vomiting, but the former is the production of body fluid QiNi retching hiccups, The latter is stomach fire carry on inverse vomiting diarrhea swallow acid noisy. In addition, the stomach Yin deficiency, it is with loss of appetite, epigastric new full stomach Yin deficiency, permissive function of low symptoms. And stomach heat syndrome, it has a good appetite, and have gum red hot pain fester, bad breath, epistaxis, tooth non-traumatic, vomiting blood red stomach intestines function hyperfunction, hot steamed stomach complex, forced blood folly and stomach hot oil and gas carrying on inverse symptoms. Stomach Yin deficiency tongue vein is red tongue less tianjin, very the tongue have crack, pulse count; Gastric heat syndrome tongue vein is red tongue moss yellow, pulse number slip. The former is Yin jin injury; The latter is hot cheng qi and blood running speed.

 

        Stomach Yin deficiency and stomach heat syndrome, its pathogenesis patient's condition is concerned, the former pathogenesis for stomach Yin fluid deficiency, lost its moisten the moist, can't embellish pharynx, can't slip intestinal, permissive function is low, the stomach estrangement drop, the production of body fluid endogenous; The latter pathogenesis for stomach fire flaming, permissive function hyperfunction, hot filled injury tianjin, heat forced blood line, and drop disorder, supplement qi and blood fill. The former is the internal Yin born for virtual heat syndromes; The latter is hot on inside for the real heat syndrome. Yin deficiency to heat more fill, fill and heat loss Yin fluid, and the deficiency of Yin with irritability, both reciprocal causation, clinical Yin deficiency and heat can be filled at the same time and see, no matter is the cause of Yin deficiency, or heat quickly, end can lead to deficiency of Yin's hotness common pathological outcome. If stomach Yin day long, can also damage the kidney Yin, form stomach kidney Yin is liquid dry; If the stomach fire flaming, jin wound fluid drying, can form choke diaphragmatic; Evil thermal pinch turbidity qi, qi supplement, it can cause new full; On heat in the stomach, transpiration on outside, can cause body heat. Tianjin injury of a relative, the disease wind-warm; Evil heat attack on XunJing, the disease headaches; If stomach hot day long, air injury Yin, can form the stomach qi and Yin deficiency syndrome. Stomach Yin deficiency and stomach heat syndrome, both were in a disease of the upper abdomen gastral cavity, but the latter is often related with liver.

 

        Stomach Yin deficiency and stomach heat syndrome, its history course is concerned, the former has stomach trouble break out repeatedly, prolonged not more history, see more at hot venereal disease or warm disease later, jin injury not complex; The latter more inductive evil turn heat, or hot evil offence, or stomach turn fire, or dads scoffing spicy decoct to fry the etiology of the product. The former have disease slow, had a long, epigastric dull pain, the chronic attack, when you stop when; The latter onset is sharp, short course of disease, epigastric burning pain, acute attack.

 

        Stomach Yin deficiency, the treatment should be Yin nourishing the stomach, send a fire and, party with nourishing the stomach soup (the clinical guidelines basis "), the class certificate to cut "think:" if spleen Yang not the kui, the stomach have dry fire, then when using incense rock nourishing the stomach Yin of law. All disease after thermal injury lung and stomach fluid, so that new virtual not food, tongue crimson Ai dry, polydipsia insomnia, and not great, the nine orifices are not stomach trouble, or can stilbene operation up to Mr. Wood on? It will drop gastric method, the so-called stomach should drop, and person, the symplectic open bitter drop, nor the experience to damage from stomach gas, but GanPing, or sweet cool and moist embellish, nourishing the stomach Yin, the body fluid reflex, make pass drop it. This is Pope neijing 'organs of the body is the alternations between emptiness and don't hide' to pass for the bedding also. So cure stomach Yin deficiency not hunger nano with clear fill......" Gastric heat syndrome, the treatment should be clear stomach purging heat, drop back and, party with clear stomach powder (the spleen and stomach theory ").