Firm soft differentiation of symptoms and signs for the digestive system psychosomatic disease

WangJianDong China academy of traditional Chinese medicine hospital gate

China's traditional Chinese medicine to

        With the development of modern society, the increase of the working pressure, psychosomatic disease in the pathogenesis of more and more get the attention of clinical doctors. Teacher of Chinese academy of sciences at guang an men hospital of traditional Chinese medicine ZhaoZhiFu psychosomatic medicine, says professor in traditional disease, digestive system diseases are psychosomatic disease, syndrome differentiation theory can guide the clinical treatment, the curative effect is distinct. The author follow teacher clinical, markets, the teacher can treat digestive system disease differentiation theory summary of experience that is as follows.

        Syndrome differentiation can hold Jane yu numerous

        ZhaoZhiFu think, common digestive system disease are psychosomatic disease, because of its occurrence, development and closely related to the psychological and social factors, especially and psychological characteristic factors stimulate disease have a close relationship, so the clinical differentiation theory can guide the treatment effect, ideal. Firm soft differentiation theory is that psychosomatic disease often first action in the liver, with the firm soft nature and development, its just person and heart, soft and the lungs and heart to fire, such as the stomach, spleen deficiency disease resistance for the identification of the liver can not, and to drain dereliction of duty, and then lead to qi and blood stasis, blood stasis and phlegm obstruction wet trapped or QiNi change fire, heat injury cloudy, lifting of company, etc., time is much by real turn virtual, become a card. The pathological changes in the digestive system disease is particularly common, such as liver stomach don't cause stomach pain, belching, acid regurgitation, Spleen stomach to threat expansion, loose stool, NaCha, etc.

        Treatment, take "the gentle person to just system soft, just person with softness" method, for just syndrome patients multi-purpose root of herbaceous peony, salvia miltiorrhiza, Fried jujube kernel AIDS such as liver soft liver, promoting blood circulation, removing For patients with soft card use four inverse scattered with turmeric, sweet attached, green dried tangerine or orange peel and soothing the liver qi, removing phlegm. On this basis, and with the certificate, or harmonic liver and spleen, stomach, bravery pathogenesis or change wet and stomach, fill in beneficial is angry, etc.

        Therefore, diagnosis and treatment can digestive system psychosomatic disease is based on pay attention to all kinds of psychological factors, especially all kinds of bad mood stimulus to the harm of human body, on the basis of this process in the liver, often become pathogenic initiating factor, then sweep bravery, taste, etc.

        Pay attention to ZhongYang careful with bitter cold

        ZhaoZhiFu think of the sun be the spirit, as the prime ask · angry tongtian theory "said:" the sun be the spirit, if the day, the first of the SheShou and inconspicuous..." , definitely the sun be the spirit in human life activities, especially the important function of the upper abdomen spleen and stomach and the sun be the spirit is the essence, qi and blood metaplasia of power, and then affects hepatobiliary drain function and other internal organs function, so the sun be the spirit of the upper abdomen guard for the treatment of diseases of the digestive system and maintain the health of human body is very important.

        In view of this, ZhaoZhiFu in the treatment of diseases of the digestive system, always pay attention to the protection of the upper abdomen sun be the spirit, often in the differentiation of symptoms and signs in the party to join tuckahoe, Fried largehead atractylodes rhizome, cinnamon, gun ginger isothermal luck of the upper abdomen, especially cinnamon and more profound. "This the" call cinnamon "fill in beneficial is angry," the truth of materia medica ", "GanXin cinnamon, smell, and the color purple red, have encouraged the flesh can... can this replenishing, compound can flee reaches to the table, in order to pass the guard," visible cinnamon work in a temperature of the upper abdomen, harmonic camp guard, inspire vitality, join in the party to inspire, and cinnamon sheng sun be the spirit of good shaoyang wood gas, pass the triple warmer, qi yu open and vigorous, in psychosomatic disease also is very appropriate.

        Pay attention to diet health praise highly

        ZhaoZhiFu esteem rulers of a necessary from is "health supplements when theory, cure when medicine tapping" training, clinical attention food therapy regimen in the treatment of diseases of the digestive system and the application of rehabilitation, often teach patients from food cold greasy, recommend usually feed more cumin, ginger, etc., to warm the stomach Yang, and often say "man shall not three days no ginger". Exam cumin of temperature taste symplectic, into the kidney, stomach, bladder, the function appetizer eat, qi scattered cold, at the same time also is commonly used seasoning. Modern medical research fennel contains the main composition is anise oil, can stimulate the gastrointestinal nerve blood vessels, promote the secretion of digestive juice, increase gastric bowel peristalsis, eliminate stored up gas, so have stomach qi, the effect; Sometimes gastrointestinal peristalsis in excited and can be reduced, thus help to relieve spasm, alleviate pain; Ginger XinWen, warm stomach dispersing cold wizardry check oh, so both are very suitable for food therapy health care; In addition, ZhaoZhiFu also encourage patients usually appropriate feed more radish, keep the air flow, etc., all see way of speech.

        The heart of give attention to two or morethings pathogenesis

        From the medical point of view, the hidden god, all kinds of characteristic factors through the influence of the function and the operation of qi and blood to influence the health of human body, and the spleen and stomach and the function of the liver and gallbladder, pathogenesis, therefore, the digestive system disease, development and characteristic is closely related to the factors, as the prime ask · drain five a theory of cloud: "every did not ask, who will ask taste after your base, although not be bewitched, ill from endogenous, and was called off after the camp, taste rich, poor called lost essence", its disease "body losing, qi no essence, disease deep no gas, when SaSaRan surprised," describes "to take off the camp" and "loss of fine" the pathogenesis and clinical manifestations of traditional Chinese medicine, can be regard as the psychosomatic medicine theory foundation.

        Combined with the development of modern society, in production, study, and the judge three class (that is to say, the enterprise managers, researchers and government officials) the digestive system psychosomatic disease incidence rate is particularly high, agony and sorrow is hushed into stagnation, swayed loss, such as I want time with them, long thought of spleen, not hurt temper; Stomach not easy, the temper is not working, lead to a variety of gastrointestinal disease, hepatic disease of digestive system such as the happening of the disease.

        In view of this, the treatment of digestive system psychosomatic disease to the pathogenesis of give attention to two or morethings, psychosomatic. Teachers often in drug treatment at the same time to carry on the cognitive behavioral therapy intervention, teaches patients to correctly handle contradictions in work and life, to gain and loss to come to terms with; In the life, work must be strict with oneself, wide in them, and constantly inside view, in order to reflect the harmonious interpersonal relationship, etc. In addition, it is also very necessary psychotic, every day of work for a certain amount of physical movement, such as daily walk ten thousand steps, etc to balance the mental and physical labor.

        Medical record for knee

        Just card

        Wang mou, male, fifty years old, November 23, 2009 to begin.

        Chief complaint right threat pain with epigastric pain of two years. In the past two years in patients with right threat pain, and in June, 2009, was in xuanwu hospital do abdominal B to exceed, prompt the gallbladder wall thickening of the coarse with multiple cholesterol crystal, diagnosis "chronic cholecystitis", since the suit antiphlogistic lidan tablet and bright bacteria such as oral liquid can alleviate. For patients in the unit in various business, entertainment, together with their drink no quarter, so two years come, not stop when hair treatment system. Nearly two weeks of constant pain don't understand reason to diagnosis.

        Right now LianJi epigastric pain of threat, worried what pain, mouth smelly particle, make urine, sleep not beautiful, it is not easy to sleep and easy to wake up early and red tongue moss yellow greasy, pulse condition string slide.

        Diagnosis: bravery expansion (liver, gallbladder fan sputum depression with stomach).

        Application: soft liver pain, cholagogue and stomach.

        Agent: inula flower (packet Fried) 12 grams, Perilla 10 grams, Sue terrier 10 grams, system sweet with 10 grams, green tangerine peel 12 grams, sand kernel (later) 6 grams, Fried gold in 9 grams, turmeric 10 grams, gardenia 10 grams, root of herbaceous peony 10 grams, salvia miltiorrhiza 30 grams, Fried jujube kernel fifty grams, Fried immature bitter orange 12 grams, magnolia officinalis 9 grams, born rhubarb 6 grams, system yuan hu 10 grams, radish seed 30 grams, Fried betel nut 10 grams, Fried hawthorn and grams, main licorice 6 grams.

        14 agent, water frying clothing, day one agent.

        And above take two weeks, significantly reduce symptoms. Return visit to betel nut, hawthorn, following suit and agent to rehabilitation.

        According to the case in patients with speed faster, sound high rich, fat face red, and quick-tempered, belong to just card, combined with the clinical symptoms such as threat wan pain, angry aggravating, bad breath drowned yellow, red tongue moss yellow greasy, pulse string slide, judge its pathogenesis for diarrhea drain too caused liver prosperous; In addition, intemperance dads scoffing, fat GanHou taste can be stuffed ShengTan wet, phlegmy wet block, resulting in the upper abdomen stomach gas don't drop and appear epigastric expansion full, bad breath, etc., the comprehensive judgment for the pathogenesis of liver, gallbladder fan sputum depression with stomach. The treatment of the root of herbaceous peony, salvia miltiorrhiza, Fried jujube kernel soft liver pain; Inula flower, Perilla, Sue terrier, immature bitter orange and magnolia officinalis drop stomach gas, with radish seed, hawthorn, Fried betel nut drop gas phlegm, and strengthen its elimination product change food work, especially with raw rhubarb in group of medicine, more profound. "This the" load rhubarb "cleanse intestines and stomach, pushing ChenZhiXin, pass the food, adjustable sinochem food..." , so the work also in harmonic intestines and stomach, promote metabolism, stomach gas descending is provided with ventilation, the treatment of biliary expansion constant use.

        Soft card

        LiangMou, female, age and on December 9, 2009 in first visit.

        Chief complaint epigastric expansion full 6 years, aggravating two weeks. 6 years ago in patients with acute pancreatitis surgery, postoperative recovery is good, but left gastric expansion symptoms, six months ago in a hospital diagnosis of chronic superficial gastritis, but not system treatment. Nearly two weeks because of working pressure, more entertainment, in addition to eat and drink too much stomach expansion weighting for don't understand and see a doctor.

        Now patients was yellow matt, speak slowly. Consciously epigastric expansion full, like drinking hot water, loose stools thin, poor sleep, sleep wake, easy limbs cool, red tongue moss thin white greasy, pulse string.

        Diagnosis: the stomach expansion (spleen stomach grams).

        Treatment: liver qi, chemical wet and stomach.

        Agent: bupleurum 12 grams, root of herbaceous peony 10 grams, raw fructus aurantii immaturus 12 grams, system sweet with 10 grams, green tangerine peel 6 grams, turmeric 10 grams, Fried rhizoma atractylodis macrocephalae and grams, mother of pearl (first Fried) 30 grams, chicken gizzard 10 grams, Sue terrier 10 grams, poria cocos and grams, stone calamus 10 grams, sand kernel (later) 6 grams, gun ginger 10 grams, cinnamon 3 grams, main licorice 6 grams.

        Seven agent, water frying clothing, day one agent.

        Return visit: after taking the patient conscious stomach expansion significantly reduce loose stools, thin and sleep better, etc. Then based on his own little things add and subtract, continuous for 3 months, the stomach bulge forming basic disappear, shit, and more sleep not beautiful, told the peripateticism pill to rehabilitation.

        According to this case patients according to its stomach bloated, loose stool, pulse string and its pathogenesis diagnosis for stomach grams of spleen, wet hysteresis of the upper abdomen. The treatment with system just soft, using four inverse scattered flavored with, green tangerine peel, turmeric, etc XieYu liver; Fried rhizoma atractylodis macrocephalae, poria cocos, gun ginger, cinnamon isothermal vibration spleen soil; Because of the wet hysteresis of the upper abdomen, bravery stomach, so don't stomach bloated, loose stool, moss thin white slightly greasy, treat with tuckahoe, stone calamus, sand kernel change wet and stomach, Sue terrier drop stomach qi, spleen and stomach of chicken gizzard help digestion, the medicine share common liver played the spleen and stomach, and to change the wet the work, the effect such as Fu drum.