Pathogenesis of three state

And theory of six-channel when the actual condition of Yin and Yang

Time: 2015-10-14

Source: China's traditional Chinese medicine

Author: Liu Guantao

Wang guowei in "art", when it comes to research should pass three state. The author believes that the traditional Chinese medicine syndrome differentiation under the banner of "keep pathogenesis", there are three level. In the "normal" syndrome differentiation on the basis of a sexually transmitted disease (disease), give the macro overall insight (alone on tall buildings, hope all tianya road) and microscopic one pace reachs the designated position, that person but in the lights dim.

"Philosophical" divided into two categories: real and virtual is Yang (that is, philosophical "three Yang"); Deficiency of Yin "three Yin" (i.e., images). Empirical is divided into the table (the sun), in (i.e., Yang Ming). Deficiency syndrome were divided into in the coke (lunar), in the whole body (that is, the less Yin). Actual condition in the mixed: be actually less Yang, be empty for jue Yin. Images only "the sun" belongs to the table, the other are in (including half exterior and half). As mentioned in the philosophical framework, can determine the direction of differentiation. Within the philosophical framework and contains specific disease sex "nakedness, fever, qi-blood" and the specific disease, up and down, "list" of zang-fu organs and meridians is the philosophical system of "refinement"

【 Kong Bohua admired six-channel disease 】

Kong Bohua is "typhoid warm disease achieve mastery through a comprehensive theory", in the medical notes when jai, typhoid warm disease to synthesize said:

"Disease have thousands of end treatment change, quality-oriented system in a six-channel. Zhongjing's method" on typhoid miscellaneous diseases "but not both of the book, and the method of well, the relationship just, series Gai all diseases is the general rules of all disease diagnosis and treatment.

Ye Tianshi wei qi camp blood of evidence-based medicine, what is the weight of that warm disease shallow depth different performance stage, not the disease evil really into into the air, the camp into the blood. The sanjiao (triple energizer) points of wu JuTong card, also explains the deep or shallow, the warm disease rather than disease evil indeed according to in the upper energizer, upper and lower. Zhongjing who are enough to wings, such us not uptight. "

And Kong Bohua cloud "images", has been included, covering all "venereal" without omission.

As he said: "the book of typhoid miscellaneous disease theory embodied by syndrome differentiation theory, and the records, the formulas of the traditional Chinese medicine has always been will not only cause theory, theory of zang-fu organs, meridian theory, and the four diagnosis of two classes of six to dialectical method, all connected, and summarizes the sweating, vomiting, and, warm, clear, filling, eight method, make the theory of evidence-based medicine in TCM is the embodiment of the complete..."

"The content of" typhoid miscellaneous disease theory ", mainly for the vertical six-channel outline, syndrome classification, also the disease syndromes are divided into the sun, Yang Ming, shaoyang, lunar, shaoyin, jue Yin six categories, is advantageous for the syndrome differentiation and treatment decision, such as referred to in the sun on the theories of disease, yangming disease, namely the righteous ears. Zhongjing "of the disease, but the actual is also syndrome such as group, this is" typhoid miscellaneous disease theory "characteristic, can't and the writings for later times. The solution of zhongjing, according to the table, in, cold, heat, deficiency and excess and treatment based on syndrome differentiation."

Someone will say, Chinese medicine syndrome differentiation and treatment to disease resistance (the actual situation, fever, qi-blood) and disease (table, up and down, viscera and channels). Why is famous for its good governance warm disease Kong Bohua, so promoting six-channel solution? Why Hu Xishu in differentiate "six-channel, eight principles (including qi-blood)", the basis of proposing "party card is dialectical last tip"?

On Kong Bohua "typhoid warm disease mastery" and "Hu Xishu" six-channel - eight principles - party card ", on the basis of academic thoughts, try to "keep mechanism".

"Three level of traditional Chinese medicine from wang guowei said"

Wang guowei in "art", when it comes to research should pass three state. The author believes that the traditional Chinese medicine syndrome differentiation under the banner of "keep pathogenesis", there are three level.

The first: last night, westerly winds carved jade tree, alone on tall buildings, hope the tianya road. Corresponding macroscopic syndrome differentiation, treatment solution (six-channel differentiation).

The second: pine will not regret for the gadites gaunt. Corresponding to the conventional dialectical: disease venereal disease.

Third: he found thousands of baidu, suddenly look back, that person but in the lights dim. Corresponding to the microcosmic syndrome differentiation: syndrome drugs.

Of traditional Chinese medicine (TCM) in traditional Chinese medicine clinical, almost all my colleagues, for disease resistance (eight principles such as the six evils of the syndrome differentiation and syndrome differentiation, qi-blood syndrome), disease, syndrome differentiation of zang-fu organs and meridians, etc.) and "pine will not regret". And a respective between illness and disease, disease is divided into the actual situation, fever, qi-blood; Disease is divided into table, up and down, viscera and channels. And disease specific can be divided into the sun be the spirit (real hot, and qi stagnation), blood Yin jin sheng (solid cold, dampness, phlegm, drinking water, food retention, blood stasis); Sun be the spirit virtual (Yang deficiency, qi deficiency), and blood deficiency (Yin deficiency, blood deficiency, tianjin).

For the syndrome differentiation and treatment of the poles, macroscopic and microcosmic syndrome differentiation and syndrome differentiation may seriously enough.

Indeed, if a clear and typical disease resistance, disease, such as pure blood deficiency syndrome, qi stagnancy and blood stasis, typical corresponding natural "mistresses" the formulas. However, more clinical factors, fever, qi-blood and mixed noise from inside of the same disease, viscera and disease.

At this point, if you want to have a more clear and accurate grasp on pathogenesis, will be in the "normal" syndrome differentiation on the basis of a sexually transmitted disease (disease), give the macro overall insight (alone on tall buildings, hope all tianya road) and microscopic one pace reachs the designated position, that person but in the lights dim.

The macroscopic syndrome differentiation, is a "solution" high degree of differentiation, of course the premise is to be able to all disease and venereal disease, but more importantly, to be able to "jump out" the specific pathogenesis, to macro view of the complexity of the conventional pathogenesis.

And microcosmic syndrome differentiation is the etiology and pathogenesis of common combination, directly to the card medicine syndrome (and even the person is medicine syndrome and syndrome medicine the combination, such as a small radix bupleuri tonga plaster stone soup of evodia rutaecarpa) let healer "one pace reachs the designated position" in the form of direct grasp the specific pathogenesis. Commonly used formula, which are mentioned in the current teaching material, of course, did not completely cover all the microcosmic syndrome differentiation, still needs we make up a filling "basic microcosmic syndrome differentiation" "escape".

Said the three level of TCM syndrome differentiation, and vice versa, no order, all but one, just from different entrance keep pathogenesis.

The macroscopic syndrome differentiation to consider three issues 】

So, how to use "macroscopic syndrome (cure solution) of both" all "venereal"? The author's consideration is that no matter what, to solve a few unavoidable clinical focus:

Macroscopic syndrome differentiation to perfect tolerance "eight"

For more, by applying the method of clinical eight table card - sweat; The empirical - sweat to vomit area; Deficiency syndrome - fill; In a word, false or true, and; Cold syndrome - temperature; Heat - qing dynasty. The focus of the problem is: the theory of typhoid miscellaneous disease, with particular emphasis on "swallow", how to determine the properties of Yin and Yang?

But if use fever to Yin and Yang, the sweat, vomit, play the Yin and Yang. Large bearing gas soup, for example, under the "cold" (solid heat + junction), rhubarb monkshood asarum soup "warm" (solid cold + junction) belonging to yangming disease (definition: heat in the Yang Ming), lunar disease (definition: cold in the lunar).

If with the actual situation to Yin and Yang, the large bearing gas soup "cold" (solid heat + junction) and rhubarb monkshood asarum soup "warm" (solid cold + junction) belong to yangming disease (definition: it is Yang Ming).

The author thinks that, if not to Yin and Yang, "swallow" in eight method with Yin and Yang, while "WenQing" single belong to Yin or Yang, unclear; If with the actual situation to Yin and Yang, eight method "swallow" the single genera of Yang, while "WenQing" respectively with Yin and Yang.

Macroscopic syndrome differentiation to all inclusive "venereal disease"

Disease of disease differentiation including eight principles in the teaching material, qi-blood, viscera and channels.

Many typhoid famous for the classification of three Yin and three Yang, fever to Yin and Yang, but as a result, qi-blood (and qi stagnation, blood stasis and wet phlegm diet product, qi deficiency, blood deficiency, deficiency), tianjin should belong to Yin category, or Yang? Especially if belong to qi-blood unbiased fever "flat", should belong to which kinds of Yin and Yang? If he can't go into the, explain the theoretical system is still not perfect.

The author thinks that, if not to Yin and Yang, is not convenient to classify qi-blood as "three Yin and three Yang" six-channel, qi-blood often appears in "six-channel and certificate". And with the actual situation to Yin and Yang, it is easy to classify "fever, qi-blood" as images of Yin and Yang, not directly to qi-blood "six-channel syndrome".

Integrated with the actual situation to Yin and Yang, than with a fever of Yin and Yang, may be more convenient for clinical application.

Macroscopic syndrome differentiation should be highlighted accurate depth and breadth

For doctors, the sole criterion for evaluating theory, is convenient for clinical use. Who read on system, that is both inclusive and solve the problem of more clinical, who read it better. If you can interpret six-channel differentiation for typhoid fever, warm disease, miscellaneous diseases, such as Taoism, so, you can be located in the scope of application of six-channel differentiation "Gai all diseases".

Of course, doctrine to strengths and cannot replace each other. The author instead of the other meaning of dialectics, and useless six-channel differentiation is emphasized here: everybody masters' understanding of six-channel differentiation, indeed a very different breadth and depth.

From what has been discussed above, the author after repeated weighing comparison, finally decided to adopt the way of "taking the actual situation of Yin and Yang".

"" images" to the actual situation on Yin and Yang"

"Philosophical" divided into two categories: real and virtual is Yang (that is, philosophical "three Yang"); Deficiency of Yin "three Yin" (i.e., images).

Empirical is divided into the table (the sun), in (i.e., Yang Ming).

Deficiency syndrome were divided into in the coke (lunar), in the whole body (that is, the less Yin).

Actual condition in the mixed: be actually less Yang, be empty for jue Yin.

Images only "the sun" belongs to the table, the other are in (including half exterior and half).

As mentioned in the philosophical framework, can determine the direction of differentiation. Within the philosophical framework and contains specific disease sex "nakedness, fever, qi-blood" and the specific disease, up and down, "list" of zang-fu organs and meridians "refinement" is a philosophical system.

In a word, when faced with actual condition in the clinical, the first need to determine the actual situation of the "big" mixed (generally be real or imaginary). Colleges and universities of Chinese medicine, for example, the July edition of the pharmacology teaching material, the true Wu Shang included in the category of water wet card. In a word, from the point of view of water dampness syndromes, the actual situation of true Wu Shang card, although there is water wet the empirical, but general direction or not positive but deficiency syndrome, in terms of overall for the deficiency in the whole body (that is, the less Yin).

Don't discern direction (images), fundamental directional error will occur. If see true Wu Shang syndrome of water wet and heavy attack evil benefit water, put in the "really" and regardless of "virtual", there could be a serious disease. Identify six-channel direction, of course, also want to discern subtle path, namely the specific disease sex and specific disease.

If really Wu Shang card direction as "empty in the whole body (that is, the less Yin)", and to have the reality of the water wet, treatment when treated solid don't forget to put to virtual, should lay particular stress on tonify deficiency explored, supplemented by the water moisture penetration. True Wu Shang so-called "pan Yang water of pathogenesis, cause and effect, relationship between primary and secondary: Yang deficiency, for this, give priority to, by water flooding for fruit, as the standard, as times. Causal regardless of primary and secondary, and his mouth was wrong.

Reason for "six-channel differentiation", Taoism is different. But if let us seek common ground while shelving differences, "common language", is nothing more than to "disease (the actual situation, fever, qi-blood) and disease (table, up and down, viscera and channels)", to disease to define images of qi and blood "eight principles", is inseparable from the discrimination of the disease To define six-channel disease a "pie" of zang-fu organs and meridians, is inseparable from the disease of sex discrimination.

And six-channel differentiation, identify the sun Yang, Yang Ming, less, lunar, shaoyin, jue Yin "direction", but also fine distinguishes the specific disease sex "the actual situation, fever, qi-blood and specific disease, up and down," list "of zang-fu organs and meridians.

Based on eight method as the theoretical basis of six-channel differentiation, table card namely, "the sun" with the sweat method; Empirical in the "yangming disease with reducing method (khan to vomit area); Deficiency syndrome in the "lunar disease (local), shaoyin disease (full body)" by filling method; False or true word, namely "shaoyang disease (half exterior and half), jue Yin disease (in the)" and method. As for cleaning method, the temperature method, are subservient to other treatment.

Specifically:

Whether it is real cold (cold) in the table, or excessive heat in the table (hot) wind, or not slant cold, not partial hot property in the table (the wind), or water wet in table/rheumatism (fengshui), are available in the category of "the sun", namely the table card.

Whether it is a pure real hot, and qi stagnation, cold, wet phlegm, blood stasis in the diet, or a variety of empirical composite, all can be classified as "yangming disease" (empirical) in the category.

Whether pure Yang deficiency, qi deficiency, Yin deficiency, blood deficiency in, or a variety of deficiency syndrome of the compound, all can be classified as "lunar disease, shaoyin disease (deficiency syndrome).

False or true indicates a mixed factors

Because "in a word, false or true" is most common in clinic, so, we have a single "in a word, false or true" in the "little sun" and "jue Yin", is typical of all "in a word, the actual situation, if use" xie fill WenQing "will attend, must be a different approach, by the method of" reconciliation "(xie fill WenQing sticks) and two Goodyear, otherwise, in a word, the actual range is wide, it is not convenient to clinical application.

The actual situation in the "real" in the mixed (including half exterior and half, such as small bupleurum decoction syndrome), known as "little sun". In the actual condition in the mixed partial virtual (such as plum pill), referred to as the "jue Yin".

Since "factors" for the most common disease, but it is tapping, virtual and repairs, or clinical response, but it is important to note: the "factors" of "multiple pathogenesis", the relationship between the pathogenesis and mechanism, can be either "cause-and-effect" relationship, can also be no or not there will be a causal relationship between "equal" relationship, and even can be "dilemma" relationship.

If "cause-and-effect" relationship, treatment only need to "cure" or "curing" is ok; If "equal" relationship, commonly known as "and disease or disease, treatment only need to" close ".

But if it is a "dilemma" relation, one sector, dilemma, you get tricky to treat, must be in a "reconciliation" method and two Goodyear. (note: not weigh the poor-country cities, "two evils choose the light")

So, we put the "attend, dilemma" particular "factors" the special case of a single, "a word, false or true," is the name given to the mean, if a bit not careful, is likely to commit serious!

In fact, a lot of teaching materials on the "factors" and "actual" mixed as synonyms, and even considered different versions of a word, the reason we use "in a word, false or true" to refer to shaoyang disease, jue Yin disease, play is not a simple word games, but seriously highlight a "wrong" word, to a clinical characters on alert.

Shaoyang disease, jue Yin disease, then, the "actual" mixed with the ordinary "factors" what's the difference?

We put the cure of the solution "and", defined as treatment "in a word, the actual" this kind of special cases, namely treatment "attend, dilemma" special circumstances. Multiple pathogenesis belongs to other "factors" card "causality", "parallel relationship"; Shaoyang disease and jue Yin disease as "actual" mixed card, its multiple pathogenesis belong to "dilemma".

In other words, if the "factors" for the treatment of ordinary card, treat or cure the method of virtual alone, alone may have certain curative effect. And if "factors" for the treatment of special card namely shaoyang disease, jue Yin disease, if use real alone or cure cure the method of virtual, is not only cannot have certain curative effect, also often leads to illness have increased due to attend.

Based on the clinical situation, we must put "in a word, the actual" shaoyang disease, jue Yin disease, from the common "factors" "yangming disease, lunar, shaoyin disease" of "single" combination.

As for shaoyang disease and distinguish jue Yin disease, in clinic, we usually put "real hot or and qi stagnation in the half exterior and half", called the shaoyang disease, such as small bupleurum decoction syndrome, four inverse scattering; And the other than shaoyang disease "in a word, the actual card", known as jue Yin disease, such as free and unfettered scattered, this decoction decoction syndrome, wood Hu Gui branches ginger soup, soup of angelica four inverse.

So-called "half exterior and half less Yang syndrome", the author thinks that is a special case of the "in", that is to say, the disease: "in the bore of the" (mouth, throat, eyes, ears, nose, etc. Usually the cloud "is neither pure in the table is not pure in", that is to form a has so-called "half exterior and half"); Little Yang meridians or "in" (under the chest, and head side, etc.), at this point, no disease can be as pure virtual (sun be the spirit of sheng), can also be for the actual condition of partial real mixed.

Easier to remember, we usually put "no disease of sex of pure virtual, and disease in half exterior and half" belongs in the "disease of sex of the actual situation of partial real mixed, and disease in the" category.

The author thinks that, although Kong Bohua six-channel division, there is no clear specific propositions, but the author's philosophical system, with its philosophical definition of "typhoid warm disease mastery" may have deep well, so I write this article to consult your sage.