On the basis of theory edema

ZhaiShuangQing Beijing university of Chinese medicine

China's traditional Chinese medicine to

        Edema card for water flood skin edema, "classic" called "water", "water expansion". "Spirit pivot · water expansion" on edema symptoms described, cloud: "water ShiQi, effective eye on micro swollen, such as new lie on the form, its neck pulsating, cough, Yin strands between cold, foot shank is swollen, abdomen is big, the water has become a yi. To hand according to the abdomen, conveniently and up, such as wrapped water form, this its syndrome". "Element asked · water hot hole theory" yue: "fluctuation overflow in the skin, so to 胕 swollen swollen, 胕 who gather water and ill". This water wet flood, seepage in the skin, performance in order to head, eyelid, limbs, be bloated features.

        Pathogeny and pathogenesis

        Water for cloudy, Yin material but Yang Yang, and the disease, the overall responsibility is to the false and true, i.e., Yang, don't turn and sun be the spirit pent up all can cause water wet digesting, and for edema. As to cause human body Yang deficiency and YangYu reason, "classic" and that there are many, wind cold dampness evil, inner made in the lung, spleen, kidney, triple warmer zang-fu organs, etc, so that the viscera dysfunction, water wet stagnation and become. "Element asked · water hot hole theory" yue: "its this in the kidney, the end in the lung. ZhangJieBin cloud: "all the card such as edema, but lung, spleen, kidney three dirty coherence of disease. Cover the water to cloudy, so its this in the kidney, hydration in gas, so its scale in lung; water only fear soil, so the system in spleen. This lung virtual is gas don't turn fine and change water, insufficiency of the spleen is soil not system water and reverse grams, kidney empty the water is the main and folly."

        1. External

        "Element asked · flat people meteorological theory" cloud: "the face swollen for the wind." Edema can be made of wind evil attack table or who lived wetlands, wade in the rain caused. The wind for the six evils, invade lung health, lung lost through adjusted, feng shui phase stroke caused edema. "Element asked · six yuan is discipline big theory" cloud: "wet - is what speech &drama, drain the water closed 胕 swollen." "Element asked · to true to big theory" also cloud: "the wet swollen full, all belong to the spleen. Pointed out that if the pathogenic water wet, water wet inside cut, trapped the spleen and stomach, spleen Yang lost its rise clear drop turbidity, water have no system, hair for edema.

        2. Internal

        Much by diet is not section or natural endowment insufficiency, the long illness caused by LaoJuan, etc. "Element asked · water hot hole theory" yue: "yong and what labor, the renal sweating, meet in the wind, shall not be in in viscera, the outside may not be in the skin, the guest house in hole, line in lining, it is 胕 swollen"; "Kidney is gastric close, close the door adverse, so gather water from their kind also." If overfeeding fat GanHou taste, long is hot and humid in resistance, spleen and stomach injury; Or because of nutritional deficiencies, lost temper to raise, so that the spleen luck don't health, water wet supplement hysteresis, and send edema. If natural endowment is weak, kidney qi deficiency, bladder movable adverse, gasification disorder; Or the day after tomorrow LaoJuan orgies no quarter, damage spleen and kidney, water flood skin, hair for edema.

        classification

        "Classic" in the name of the certificate of edema "feng shui" and "stone water", "surge", "excessive drinking", etc. According to the symptoms and edema syndrome pathogenesis is different, briefly described as follows.

        1. Feng shui card

        "Spirit pivot · theory disease diagnosis rule" yue: "visual of the eye on the effective micro carbuncle, such as new lie up form, its neck pulsating, cough, according to their brothers in Yao and not person, feng shui skin expansion also." ZhangJieBin note cloud: "eye effective, who lie silkworm place also. Carbuncle, and supplement, i.e., a new micro swollen shape. Neck vein, crowd pulse also. Yao and not, according to the nest also. Is that feng shui skin expansion wait outside." Feng shui is related to the wind and cause oedema, visible feng shui when a table card, its disease in the kidney, common face edema, urination, cough, physical pain, and the evil wind, vein floating, etc.

        2. Excessive fluid syndrome

        "Element asked · vein to subtle theory" cloud: "hepatic vein... its Ruan and scattered, colour and lustre is person, when disease excessive drinking. Overflow drinkers, thirsty storm polydipsia, and easily into the muscle skin intestines and stomach besides also." ZhangZhiCong note cloud: "the inferior color person, when disease excessive drinking. Synopsis of prescriptions of the cloud: husband disease water people, look bright ze, cover the water in skin, so its color moist also. Liver advocate drain, etc. Virtual and thirsty storm polydipsia, so that the overflow from the skin outside intestines and stomach for drink also." Liver advocate drain, etc. Virtual, drain dereliction of duty, the spleen wet - luck to turn, the water for edema. Excessive drinking its disease see more drink water flood in limb skin, water storage subcutaneous is BoZe and bright skin.

        3. Stone water card

        "Spirit pivot · evil viscera disease form" cloud: "renal vein micro greatly stone water, the umbilical the following abdominal 腄 腄 but at least." "Element asked · Yin and Yang BieLun" also cloud: "Yin and Yang" oblique, much less Yin Yang, yue stone water, the lower abdomen swollen." ZhangJieBin note cloud: "renal vein... if the micro big, kidney Yin deficiency, Yin deficiency also does not change, don't turn the gas water supply product for stone water." Cold water is evil condensed in the lower abdomen, water for Yin class, so little abdominal distension full and have heavy fall feeling. Stone water its disease see more heavy fall lower abdomen swelling is given priority to.

        4. Water gushing card

        "Element asked · qi jue theory" cloud: "lung shift cold in kidney, for water gushing. Water gushing person, according to the belly not strong, moisture guest at large intestine, peg is singing bare, such as the sac wrapped slurry, the water disease also." ZhangZhiCong note cloud: "renal a water hiding, lung main raw original is lung of the cold evil, down in the kidney, and kidney of moisture, the upwelling in the lung yi. E. is lung of the mansion, lung in ke, the guest of moisture in the large intestine, peg is singing bare sound, such as the sac wrapped slurry person, do not touch water flow, go in between the intestinal also." The lungs by evil downloading in kidney, kidney disease is gas don't turn the water, the water stops drink together, and from the upwelling in the lung, lung and colon phase exterior-interior, water wet seep in the large intestine, the water for water gushing together. Water burst its disease see more full belly bulge, according to not hard, be like the bag wrapped water.

        5. The spleen disease edema

        "Element asked · vein to subtle theory" cloud: "spleen vein... soft and scattered, the color not ze person, when disease 胕 swollen foot if aqueous also." ZhangJieBin note cloud: "if the Ruan scattered and color not jersey, especially those of pixu (spleen vein, the. The thumb from the medial malleolus former water, followed Heng bone, surrender jue Yin, the disease before Heng swollen foot if aqueous person, spleen deficiency can't system water also." Spleen main transport and digest, spleen wet trapped, body fluid no, stagnant water, water wet flood is swollen. The disease in 胕 swollen feet heavy give priority to.

        6. Yang deficiency edema

        "Element asked · angry unto heaven theory" cloud: "from gas for swollen, four dimensional phase generation, the sun be the spirit is." ZhangJieBin note cloud: "from the air, all health gas camp gas reservoir mansion of the gas, gas are also, one has to be not moved, all can cause disease. Four limbs, also. Phase generation, alternation and disease also, because gas is swollen, airway can't also. Limbs for ZhuYang, the stomach qi place, disease even to four dimensional phase generation... the sun be the spirit of that dragon's." Gas for Yang, Yang can change gas, gasification the water line. Yang is gas failure, gas failure is not water, water for swollen together. These heavier, see more limb edema changes happen, when the swollen away, touching refractory. In addition the "element asked · water hot hole theory" cloud: "the most two belong to the kidney, and liquid water"; "The kidney, stomach, close the door shut and the adverse, so gather water from their kind also," said it is also the kidney Yang deficiency caused by failure of edema.

        7. YangYu edema

        "Element asked · soup liquid mash feels ashamed theory" cloud: "it is not from vellus is born, the Yang to dragon's also." Wang2 bing note cloud this sentence as "the sun be the spirit failure" of righteousness. ChengShiDe editor of the "classic notes" is considered the "fountain, repression meaning. The sun be the spirit be resistance, suppress not cloth, body fluid don't change, so gather for edema". The disease for the performance of the empirical, virtual image wouldn't show, swollen potential urgent.

        8. Triple warmer block edema

        "Spirit pivot · five Long fluid don't" cloud: "Yin and Yang airway impassability, universal block, triple warmer don't diarrhea, body fluid don't change, food parallel stomach, don't in the ileum, leave in the field, and shall not permeability bladder, the lower portions expansion, the water is water expansion." ZhangJieBin note cloud: "the body fluid as water expansion also to blaspheme. Triple warmer of the officer, bladder for government office of body fluid, gas don't turn the water not line, so the sanjiao can't diarrhea, bladder can't permeability, and swelling by the disease. Edema day long, triple warmer block, water fluid no, gas don't turn the water, can't permeability note bladder, the water wet stagnation. The disease in abdomen, lower limb swelling is given priority to.

        treatment

        From the above mentioned visible, edema general pathogenesis is deficiency of Yang and YangYu zang-fu organs, with kidney, lung, spleen primarily, therefore neijing for edema treatment although have many specific discussed, but always by harmonic Yin and Yang, cognition, tonifying Yang, general Yang as a general principle, in order to adjust the kidney, lung, spleen viscera function as the means, "element asked · soup liquid mash feels ashamed theory" put forward "flat governance in balance", that is, the emphasis on this. In particular, this paper also puts forward "to Wan Chen Cuo", "open ghost gate", "clean government", "micro quadrupole", "warm clothes", "Samuel stab the place" and so on the treatment principles and methods. Open ghosts door namely sweating method; Clean the house that urine; To Wan Chen Cuo its righteousness has two, one for get rid of body the stasis of excess water fluid, the second for removing blood stasis in the meaning of the old, "spirit pivot · small needle solution" cloud: "wan Chen is in addition to the person, go to blood", i.e., acupuncture bloodletting of law. Micro quadrupole, wang bing note cloud: "micro limbs, make the sun be the spirit gradually to XuanHang." ZhangZhiCong note: "warm clothes, to warm pulmonary gas; Samuel thorn, with adjustable flesh." Overall treatment principle with adjustable air line article mainly water.

        In acupuncture treatment, "element asked · bone empty talk" and "element asked · water hot hole theory" put forward "water shu 57 hole" say, namely the water conservancy acupuncture fifty seven. Concrete is divided into three groups, the first group in the bottom, a total of 25 hole. Bottom bone up, a total of five line, spinal cord to bank of China, du meridian two alongside each a line, the outer man on each side a line, each line five hole; The second group in v Tu, 20 hole; The third group in the ankle, around each row a line, six hole, twelve hole. Clinical go up to 57 hole treatment edema has good therapeutic effect. In the meantime, "spirit pivot · four chi" is also put forward the method of ascites paracentesis, the full treatment of ascites have enlighten.

        In the herbs on the treatment, feng shui card, to drain the wind and the water method, can choose put forward in synopsis of prescriptions of the maidservants soup or fangji huangqi tonga reduced; Excessive drinking card to sweating and water, regulate law of liver and spleen, can choose the synopsis of prescriptions of the large and small rose tonga reduced; Stone water card to kidney meridian, change the law of water gas, can choose zhenwu tonga reduced; Water gushing card to the kidney and releasing lungs, pass YangLi water method, can choose five lingya and scattered; Spleen disease edema, the spleen and the cognition to the water method, can choose spleen dayuan drink; Yang deficiency edema, to the kidney and help YangLi water method, can choose to born kidney qi pill close zhenwu tonga reduced; The sanjiao (triple energizer) is block edema, in order to pass the triple warmer, eliminating stasis line of water, can choose therapeutic method with this. Application of promoting blood circulation to remove blood stasis method to treat oedema, reveals the blood stasis and water fluid within the inner relationship between stop, by the tianjin blood mutual change physical contact, water fluid inside stop and blood stasis exists between the cause and effect of each other pathological contact. Therefore remove blood stasis of law can promote blood line, thus further promoting body fluid operation and eliminate edema.