Yin deficiency edema theoretical discussion

KaoXiLiang Shandong university of traditional Chinese medicine hospital

China's traditional Chinese medicine to

        The current higher education in the "eleventh five-year plan" national planning textbook the internal medicine of traditional Chinese medicine "for edema a syndrome to parting and no Yin deficiency edema a card, but there is no lack of such clinical syndrome types of patients, and now the related to the etiology, pathogenesis, clinical manifestation, treatment principle and clinical application to elaborate personal point of view.

        Etiology and pathogenesis

        The cause of Yin deficiency edema roughly three:

        One is the patients themselves belong to Yin deficiency constitution, water fluid transport change disorder and stop together. Yin deficiency leads to the formation of edema from viscera function look, body fluid metabolism need of lung, spleen and kidney viscera function is normal, no matter, or Yin Yang, can make viscera function decline, not normal to play its effectiveness, namely Yin deficiency can make viscera hypofunction and cause oedema, the doctor of traditional Chinese medicine with the overall view, From the Yin and Yang mutual root look, "spirit pivot Ben god" said: "Yin deficiency, no gas," sun be the spirit of im is fine as the foundation, Yin Yin deficiency, namely the sun be the spirit im Yin Yang also make virtual, causing edema formation. The theory of fact of word "Yin deficiency can't change water, the urination is this meaning. Clinical often can see whatever the reason of type blood deficiency anemia, time all can appear edema, this is a kind of typical Yin deficiency induced edema disease.

        The second is edema break out repeatedly, by use of a large number of diuretics, the water injury Yin can produce this edema. Body fluid is im shading tianjin, alienation can form edema, from this sense both homologous not assimilation, in edema formation process will make Yin jin change source shortage and Yin deficient. Edema and phlegm retention is the product of alienation. The kits secret record "so-called" ShengTan body fluid is not green blood "can also be used to explain edema formation and lead to Yin deficiency. Edema formation, water wet as pathological product will hinder the formation fluid, lose cloth, drainage, aggravating Yin deficient, synopsis · moisture disease pulse syndrome and to "cloud:" spleen water of the person, the big belly, limb pain weight, body fluid not born, but bitter less gas, urinate difficult ", this is edema formation, water wet trapped spleen, spleen, loss of the shipment, body fluid not born Yin deficient. Edema treatment by sweating, diuresis, by water and WenHua all can lead to injury Yin, and at the same time, water wet, the evil YuJiu turn heat and consumption cloudy, edema often accompany vomiting, loss of appetite also make Yin deficient. In short, edema in formation, stop poly, treatment, transformation process all can lead to deficiency of Yin. The early clinical nephritis can appear lower limbs and facial edema, and even chest water, ascites, time can lead to anemia Yin deficient symptoms. This is a typical edema cause deficiency diseases.

        The third is that drug toxicity injury lead to Yin deficiency edema. Include drugs and traditional Chinese and western medicines. In traditional Chinese medicine are adhering to the "temperature of medicine and the slightly, the application of temperature drying spicy quality treatment Yin water, the water and lead to YinShang, day long form Yin deficiency edema. The more see more clinical drug toxicity caused by edema, the western medicine adverse reaction caused by glucocorticoid. Edema patients long-term application of glucocorticoid hormone therapy, appear cheeks flush airing, lumbar acid spermatorrhea, thirsty drying, five upset heat, dizzy and red tongue pulse count clinical manifestation. Especially shock therapy, large doses of corticosteroids to play the role of the additive, easy to make the cold dampness and heat of the fire, and accumulate poison, light is hurt tianjin air, heavy then burning LianYe Yin Yin, injury syndrome is quite obvious. Application of hormone therapy, edema although fade quickly, but the injury of Yin more outstanding.

        The above three clinical often can influence each other lead to Yin deficiency edema. Yin deficiency edema of pathology can be summarized as follows: or because of spleen Yin deficiency, shipping change dysfunction; Combined liver and kidney Yin deficiency, moisten the failure, affects the triple warmer gasification; Or drug consumption injury Yin jin, leading to water metabolism disorders and become. Such as "the pathogenic syndrome theory · edema disease the passenger" point out edema "is the camp guard no acerbity, triple warmer not adjusted, mansion hidden weak born, although different name card, and make body puffiness, breathing the air, urine yellow acerbity". Especially and kidney Yin deficiency is closely related to the deficit due to kidney essence, gas loss change source, renal function of gasification is lost, beyond transpiration throwing, water wet flood on the skin for swollen; On the other hand, for a kidney Yin Yin fluid of the source, kidney Yin deficit since the lung, spleen, liver and heart lost to nourish and Yin also kui, spleen Yin deficiency cannot come loose at lung, lung of refrigerant can't pass adjustable channel, lose bladder, water solution don't walk the way, flood skin for edema. Zhang jingyue said "but lower portions of the true water have a beginning, can distinguish" from kidney essence fill Angle provided Yin deficiency edema production.

        Clinical manifestations

        Many of the modern medicine clinical disease all can appear Yin deficiency edema, such as cardiac, kidney disease resistance, liver disease edema, anterior pituitary hypothyroidism, Cushing's syndrome, idiopathic edema, etc. Clinical manifestation is the primary disease in edema and systemic Yin deficiency syndrome of the many. Mainly oral or throat dry, not like drinking and drink, zygomatic red, dizzy, five upset heat and less gas weakness, systemic or local edema, urinate less and yellow. Red tongue less tianjin or color crimson, no moss or less moss. Clinical often have oral diuresis or cortical hormone drugs history, edema has break out repeatedly, and often to older patients which is.

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