Wang was born GanWen heat treat sepsis experience

Li Bo Jiangxi college of traditional Chinese medicine affiliated hospital

Ma Chaoying School of life science and engineering, southwest jiaotong university

China's traditional Chinese medicine to

        GanWen wang sees application in addition to the heat treatment of sepsis syndrome differentiation should be based on spleen and stomach qi deficiency, Yin fire endogenous. For the definition of the "Yin fire", he believes that "fire of Yin and Yang, is Yang fire disease belong to appropriate heat treatment and avoid wen qing, Yin fire disease belong to cold treatment and the appropriate temperature, avoid is clear.

        Extended look at the causes of "Yin fire" can be cold dampness, medicial, eating cold accumulation and blood stasis phlegm turbid Yin disease factors, clip is empty and as a "virtual reality" and clinical symptoms, the disease not on heart and kidney also includes the spleen, liver, lungs and other organs. In the process of sepsis, it is particularly important.

        Professor wang was born is a famous contemporary Chinese medicine clinical, theorist and educator. In jiangxi province, the first one of the special government allowances of the state council has outstanding contribution expert. More than 60 years, he works very abundant. Although left we have 10 years, but its academic thought has been affecting the construction. This article only briefly introduce he applied in the treatment of sepsis GanWen heat removal method of experience, to miss.

        Sepsis (deficiency syndrome) factors

        Sepsis (blood poisoning) from early to septic shock and multiple organ dysfunction of the disease process, and its pathogenesis evolution can combine traditional Chinese and western medicine in China proposed by the professor of emergency medicine founder Wang Jinda "3 card 3 laws" (heat syndrome, blood stasis syndrome, deficiency syndrome) is the governance rules for reference. Among them, the pathogenesis of sepsis (deficiency syndrome), including "qi Yin depletion", "the sun be the spirit and anxiety" and "internal organs failure, Yin deficiency"; But clinical practice sepsis (deficiency syndrome) pathogenesis evolution include "shut off" and deficiency of clip has not yet to take off the stage, pathogenesis is complicated.

        , according to one study in sepsis deficiency syndrome factors, there are 56 cases (56/74, 75.7%), and is deficiency in qi deficiency is most common. Factors, therefore, the deficiency of fever in the evolution of sepsis and pathogenesis of occupies an important position.

        Correct understanding of Yin fire

        TCM syndrome differentiation treatment sepsis fever is the most common methods are: qingrejiedu, releasing lungs t2dm of truncation attempt; For toxic heat heat cool blood and purging fire detoxification of flourishing; For Yang Ming the thermal heat of the fluid; For hot colon of relieving heat and relieving diarrhea, bao Yin save Zimbabwe; In view of the hot qing battalion of the camp blood detoxification, qi and nourishing Yin; Direct against heat into the pericardium heat cool blood detoxification, begin to understand wake up. But for sepsis lower-jiao, predominantly GanWen in addition to the heat treatment (against) the fever again attention recently.

        GanWen wang sees application in addition to the heat treatment of sepsis syndrome differentiation should be based on spleen and stomach qi deficiency, Yin fire endogenous. For the definition of the "Yin fire", he thinks that "fire of Yin and Yang, is Yang fire disease belong to appropriate heat treatment and avoid wen qing, Yin fire disease belong to cold treatment and the appropriate temperature, avoid is clear." The "Yin fire" of a wide range, not just confined to the kidney. Heart or kidney disease (life) with fire, both have their Yin and Yang, sex heart disease is not belong to heat and should be clear, the kidney disease (life) fire sex is at the appropriate temperature, also have sex heart disease at the appropriate temperature, renal disease (life) fire of fever and should be clear.

        Professor wang born academic inheritance Wan Lan clear explanation: Yin fire is relative to the Yang pathological concept put forward by the fire, the fire is refers to the phenomenon of heat, Yin refers to the nature of the thermal image. Namely, Yin fire refers to disease for the Yin cold hot pathological concept, essence of Yin fire is disease of sex of cold conditions for hot, belong to heat the cold syndrome. And Yang fire (specimen with heat).

        Production of Yin fire, much by diet not festival, LaoJuan excessive, seven emotions and careless ease, daily life, such as make broadcast nearly eviscerated; Or outside the vagina yinxu depressive, or cold food inside the stem, the sun be the spirit may not be fully dispersing pertains to. The former hair of Yin fire is deficiency syndrome, the latter for empirical Yin fire.

        Accordingly, extending the "Yin fire" the cause can be cold dampness, medicial, eating cold accumulation and blood stasis phlegm turbid Yin disease factors, clip is empty and is shown as "virtual reality" and complex clinical symptoms of the disease who involves not only include the heart, kidney spleen, liver, lungs and other organs. In the process of sepsis, it is particularly important.

        From another point of view, as not the evil fire, Yin fire wang sees the evil fire with the actual situation, real fire refers to disease (symptoms) hot steam resistance to evil and evil means strong, this sees more at these diseases. In the production of body fluid is refers to the fire disease (hot symptoms) are virtual and resist evil powerless, see more at the injury." "Include the production of body fluid for disease, with qi and blood, Yin and Yang, fire belongs to Yin blood deficiency of Yang disease, cure proper ziyin yangxue, multi-purpose food cold heat method (this is often method), belong to the sun be the spirit virtual Yin fire, disease and cure should help YangYi gas, multi-purpose GanWen heat removal method (this is political reform."

        Sun be the spirit must also see hot symptom of deficiency in the "virtual Yang exuberance and xu Yang of two aspects of sinking is an issue", "empty sink Yang failure" is the word "often" on the one hand, the born due to Yang deficiency cold, the air is cold, often is pathology, so the sun be the spirit is insufficient, see more commonly Yin cold syndrome. "Xu Yang hyperactive" said its "change", on the other hand, its reason basically has two:

        What is a virtual temper, causing blood deficiency, gets no attached, cause deficiency Yang irritability, see fever pixu (spleen deficient) Yin fire certificate; 2 it is the kidney Yang deficiency, cannot be hidden and float more, so that xu Yang exuberance, and see the kidney empty, Yang Yin fire certificate (of course it must be with "real" hot winter vacation syndrome identification).

        Since then, Wan Lan qing wang gave birth to "Yin fire" of the pathogenesis of invaded invasion or eating cold or seven emotions too LaoJuan or form, easy priming xu Yang exuberance and see the sun be the spirit of outward floating upward like virtual high, and points out that it contains three disease namely Yin fire is deficiency syndrome (pixu (spleen deficient) Yin fire card and card of kidney Yin fire), Yin fire empirical and "Yin and Yang fire and the fire".

Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2013-06/20/content_74469.htm