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Will the brain according to the images

2014年11月10日

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Will the brain according to the images 

  
- stroke six-channel syndrome differentiation data processing 
 
 

Feng Xuegong The cooperation of Chinese and western medicine hospital of Beijing 
 
 
China's traditional Chinese medicine to 

 

 

    At present, the clinical syndrome of stroke mainly include two categories: one is the variety of the national industry standard, 2 it is listed in a variety of materials. So many "gb" and "standard", "textbook" should be enough for a disease, but the status quo is: clinical truly according to the diagnosis and treatment of this kind of classification method is not much, these standards has not been widely accepted and approved. 
 
    Party card is not corresponding to the standard "don't hit" 
 
    Some experts believe that stroke "gb" and "standard" is accepted by the industry of reasons: one is the standard of classification by differentiation of qi-blood and meridian syndrome differentiation method of combining, for clinical representation is various, qi-blood of zang-fu organs and meridians to accurately identify what article relieving any meridian syndrome belonging to any dirty, suit-able for virtual to real, difficult task; 2 it is parting is more, clinical difficult to grasp; Three is relatively rigid, fixed points type, come on urgent, difficult to adapt to his stroke disease, syndrome dynamism, and carry more features, etc. 
 
    Surface reasons, the author thinks that: the above factors is "failed to sell" phenomenon is the fundamental reason is on the side the corresponding problems. Fang zhongjing treatise on febrile disease, the corresponding theory is the result of the disease certificate conform with a certain party, namely the indications for the application of a party, you can take a party. 
 
    Viscera, meridian, qi-blood and whether, eight principles, differentiation, or six-channel differentiation, eventually to implement on the card. Since differentiation syndrome, until something the end of the formulas, eventually achieve the goal of "party card corresponding". So the clinical curative effect of the key lies in whether the corresponding. After the party master Hu Xishu special emphasis on: "treatment of traditional Chinese medicine have curative effect, its key lies in whether party card was accurate", fully illustrates the importance of the corresponding. 
 
    By teaching material analysis certificate no 
 
    Teaching material is rules, norms, the criterion. Such as editor wang yongyan academician of the Chinese medicine colleges and universities for teaching the internal medicine of traditional Chinese medicine in stroke can be divided into 8 for treatment. Based on the above the corresponding understanding, the author begins with the related content, analysis from the perspective of party card corresponding classification between prescription and syndrome differentiation (square) between the fit. 
 
    The wind phlegm blood stasis, bizu context 
 
    Symptoms for hemiplegia, mouth askew, strong tongue Jian or not language, but it partial body is numb, dizzy. Dim tongue, tongue coating thin white or white greasy, pulse string and smooth. Appropriate of promoting blood circulation to remove blood stasis, phlegm and t2dm. Choose to phlegm t2dm soup, drugs of pinellia, poria cocos, atractylodes, bravery nanxing, tianzhu yellow, gastrodia elata, fragrance, red sage root, rhubarb. 
 
    Analytic: hemiplegia, mouth askew, strong tongue Jian or not language, but it partial body is numb, both for the performance of the stroke, stroke treatment of the disease from the basis, beneficial to disease, but no specificity for syndrome differentiation. 
 
    Dizzy, is the only primary symptom of the type of list, but also the lack of specificity, perhaps only a little bit of wind evil for disease characteristics of "dynamic". Dim tongue, tongue coating thin white or white greasy, pulse string, the objective performance of these lingual arteries and veins is the syndrome differentiation of phlegm turbid blood stasis bizu context. For the determination of tongue and pulse condition exists between the doctor and observability bias, so the accuracy of this type of some effects. 
 
    Look from the symptom, the type and has no obvious thermal image, there are even signs of sun be the spirit is insufficient, because the tongue, plus the moss greasy pulse slippery, should consider to have Yang gas shortage, the existence of phlegm turbidity resistance. 
 
    Take a look back at phlegm t2dm soup, material compatibility analysis says bravery nanxing, tianzhu Huang Qing phlegm heat and rhubarb on relieving blood spilled hot cold, also use sex cold for activating blood circulation of salvia miltiorrhiza. No heat treatment a as there are even signs of Yang deficiency syndromes, but with slant cold prescription, it is not satisfactory. 
 
    Liver Yang BaoKang, wind to fire 
 
    Symptoms for hemiplegia, partial body is numb, strong tongue Jian or not language, or your breath skew, dizziness have a headache, red face eye red, mouth pain, dry throat, upset, irritability, urine dry red. Red or red crimson tongue, thin yellow coating on the tongue, pulse string strong... 
 
    Resolution: the type of performance in addition to have a stroke master card, is dizziness have a headache, red eyes red, mouth bitter dry throat, upset, irritability, urine dry red then, tongue red or red crimson, thin yellow coating on the tongue, pulse string effectively the performance of these attributes can be used to distinguish syndrome. Stroke was in ill, has been to the liver Yang BaoKang, wind fire disturbance. 
 
    The hand in a series of performance, cause red face, upset, bitter pharynx dry mouth, dry it except liver Yang syndrome, there are heart stomach the existence of bile hot by five viscera and channels are linked together, thus BaoKang liver Yang, a few to start a prairie fire, do not affect other viscera is difficult to understand. 
 
    Gastrodia elata uncaria drink from the new meanings of miscellaneous disease cure, treatment of liver faint headache, dizziness, insomnia, the disease. Fang Zhongping force of liver, but has the product of eucommia bark, mulberry parasitism these removing, the heavy card is unfavorable. More important is the heat only Zhi, radix scutellariae, mountain for nearly five zang-organs all burn internal heat, light, there was seriously ill. Treatment at this time, under the qing dynasty is an important treatment, the role of the formulas is a better choice. 
 
    Qi deficiency and blood stasis 
 
    Symptoms for hemiplegia, breath askew, tongue Jian strong words or not language, partial body is numb, complexion Bai Guangbai, shortness of breath, spat salivate, spontaneous sweating, heart palpitations, loose stools, limbs swelling, dim tongue, thin white or white greasy tongue coating, pulse heavy fine, fine or thin... 
 
    Resolution: the type of performance in addition to stroke the main card, complexion Bai Guangbai, weakness of shortness of breath, spontaneous sweating, debility evident, with Yang also five soup should belong to bluff. But still quarrel salivate, heart palpitations, loose stools, limbs swelling, gas shortage, phlegm retention in stop, only to make up for Yang also rule has five soup, temperature should be supplemented by phlegm drink product to reach the corresponding. 
 
    Phlegm turbidity moncef mind 
 
    See ferrite Yang deficiency, wet phlegm implication. Disease characterized by god faint, hemiplegia, sputum salivary indicates, dim tongue, pulse setting sliding or slow... 
 
    Resolution: the type of performance in advanced disease, body relax, collapse is not warm, very inverse cold limbs, face dark, white lip ferrite Yang, as Yang evident even sun be the spirit out at any time. Phlegmy wet, although the sheng, the root cause is Yang deficiency can not drink, at this point when this first treatment. In polyester phlegmy drink is given priority to, tail wagging, polyester phlegm decoction have the south star at the same time, bamboo shavings, sexual cold, have a clear phlegm heat, for of Yang deficiency syndrome, has been made in virtual ring. The certificate for god faint, therefore in styrax pill begin to understand. 
 
    Styrax pill for the representative prescription of accident) applicable to stroke, gas, or their feelings: the gas of malaria, or sputum indicates gas resistance, suddenly faint or heart laments the proof of the sudden pain, god is a closed the cold shut in. Phlegm turbidity moncef mind of many performance, Yang deficiency, further development, it's feet hurt to take off the card. Treatment at this time when the temperature is given priority to, to keep it, again to the abuse of aromatic channeling air loss of Yang. 
 
    All of these have instructions for teaching of stroke article with the selected consistency between the formulas is poor, did not reach the state party card corresponding to the good. With the clinical curative effect is poor, or nothing is expected. Only syndrome standardization research, failed to carry out the corresponding party card corresponding research, is the root cause of the result in this kind of situation. 
 
    Six-channel syndrome differentiation is more suitable 
 
    Also in the above several card type, for example, using six-channel differentiation and treatment choice by the parties to see how party card to fit. 
 
    The wind phlegm blood stasis, bizu context 
 
    Analytic: in addition to the stroke master card, dizzy, little pulse string of Yang, pale tongue moss white greasy, pulse slide, for virtual slants cold, phlegm turbidity resistance). Comprehensive consideration, should belong to Yin of half exterior and half, namely jue Yin disease, combined with the tongue dark, shows the stasis, the selected wood Hu Gui branches ginger soup guizhi tuckahoe pills. 
 
    Liver Yang BaoKang, wind to fire 
 
    Analytic: the disease of pulse and tongue, prompt Yang Yang Ming disease, less than the heat. With major bupleurum decoction and the huang xie heart soup. With big bupleurum soup and less Yang, Yang Ming to qing. Three yellow enhanced qing xie xie heart soup hot. 
 
 
Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2014-11/07/content_92813.htm