From professor zhang lei, two medical record about - how to understand "sick from using"

Time: 2016-07-08

Source: China's traditional Chinese medicine

Author: marin

, "sick from using" theory is the result of the Canon of the yellow emperor, grain asked · meridians BieLun ":"... it is the spring and autumn winter and summer, Yin and Yang, sick from use, this is often also." This kind of "sick to use" point of view in neijing occupied large proportion of the cause theory, become one of the basic ideas and outstanding characteristic of TCM etiology.

In this paper, two medical records is the clinical common disease, dialectical medication but accurate curative effect is not significant. Careful analysis, two patients got sick all have obvious etiology, were "sick to use", so the follow-up for etiological treatment, quickly relieve symptoms.

Henan university of Chinese medicine professor zhang, the second batch of the old Chinese medicine expert academic experience inheritance work instruction in the country teachers, for years, has a solid theoretical foundation and rich clinical experience. He is good at discover etiology, considerate, refining. Professor zhang lei in the diagnosis and treatment to "sick from using" earnestly warned the patient, let a danger, we serve people also very inspired. Now speak of from the two medical record of professor zhang, teach people how to understand "sick in use".

"Case analysis"

Medical record 1 a, female, 19 years old, high school students, from henan, December 28, 2015 with insomnia for 3 years, aggravating for six months was the chief complaint. Three years, because of study pressure big, poor sleep, every day at noon occurrence palpitate, hands trembling, dizzy pain at night, to sleep, irritability, sad to cry, good heave a deep sigh, I don't know hunger. Have medicine treatment effect is poor. Menstruation is normal, defecate is little, the tip of the tongue is red, moss white is a bit thick, fine vein.

Medical record 2 a, male, 52, shanxi people, on November 13, 2015, in order to diagnosis heat, bilges frowsty was not more than five years as the chief complaint. Described the diagnosis hot, pantothenic acid, like eating cold things, bilges frowsty, occasionally ache is unwell, belching. Have a perennial oral cure stomach medicine, after reducing, stopped again and again. Have medicine treatment, symptoms don't reduce. Gastroscope examination showed: chronic gastritis. Mainland, tongue is red, thick moss greasy, pulse heavy.

These two medical records is the clinical common disease, why Chinese and western medicine treatment, curative effect is not significant? Careful analysis, in the medical record 1 a was a high school student, study pressure big, to worry about, ask the element theory of Yin and Yang should be like a big piece of "said:" the spleen in ambition for thoughts ", and the heart blood hide god, so thought can worry about, the consumption of work injury, damage to temper, can appear mind alongwith the heart palpitations, flustered, forgetfulness, insomnia, much dream and spleen health of stay, abdominal distension, loose stool and other symptoms. A burning sensation in the medical record in the 2 a, all the year round the diagnosis, cure repeatedly not work, professor zhang to see who had taken medicine there is nothing wrong with this place, and looked into life diet, originally he xi vinegar, three meals a day will drink, every time I drink about 100 ~ 150 ml, hobby sour taste for a long time, time damage internal organs, lesions. The above two patients, aimed at pathogeny cure, quickly relieve symptoms.

From the five aspects to interpret with pathogenic 】 【

The cause of disease variety: six, seven emotions, diet, and tired, trauma, under normal circumstances, Yin pingyang secret, spirit is the cure. With the imbalance of Yin and Yang, the disease is born. The so-called "with", refers to transcend degrees, often excessive use. "Sick from using" theory comes from the Canon of the yellow emperor, grain asked · meridians BieLun ":"... it is the spring and autumn winter and summer, Yin and Yang, sick from use, this is often also." This kind of "sick to use" point of view in neijing occupied large proportion of the cause theory, become one of the basic ideas and outstanding characteristic of TCM etiology. But also to later generations medical and medical theory has exerted a far-reaching influence. "With pathogenic" can be roughly from the following five aspects to talk about:

Diet not festival

Diet is necessary for human survival, but the diet must be temperate, diet DaJi feast, or overheating too cold, or partial addicted, "with" phenomenon, all is by the spleen and stomach digestion, not of diet, eating main damage spleen, spleen aberrant, appear often abdominal distension full, anorexia, decay hey swallow acid, dysentery, hemorrhoids, etc, or get wet ShengTan hot, become his/her disease. "Element, ask BiLun," said: "food from times, intestines and stomach is hurt." Often eating too much, not only can cause indigestion, but also can affect the blood circulation, stasis, diarrhea or hemorrhoids. "Element asked, angry tongtian theory" said: "feed, transverse ribs that solution, intestinal fetish for hemorrhoids." Overeating fat GanHou flavour, easily causes the disease such as the ulcer chuangdu im internal heat. "Change of sorghum, sufficient raw big ding". Now the economy developed, rich in goods, diet not festival is also a modern diseases such as obesity, diabetes, cardiovascular disease, fatty liver, gout, the cause of diseases such as tumors or contributing factor.

Diet partial addicted

Diet should not be addicted to, get all sorts of nutrition needed to make the human body. If eating slants cold, eat cold drink if the melon can be harming the sun be the spirit, lead to cold dampness endogenous, abdominal pain, diarrhea disease; Partial addicted XinWen hot and dry, make intestines and stomach heat, constipation, abdominal distension full, etc. Eating five partial addicted will also cause the disease. Such as the medical record in the 2 a, acidophilus, lead to a perennial diagnosis heat. Hobby a food for a long time, will make the function of dirty partial sheng, lesions. "Element asked angry tongtian theory", "Yin", this in five, five palace, Yin injury in five. Is it taste too acid, move to tianjin, temper is unique; taste too salty, the big character, short muscle, a better mousetrap; suppression taste too sweet, heart filled with asthma, color black, kidney not scale; taste too bitter, temper is not speech &drama, stomach gas is thick; taste too sheen, falling in chi, spirit is." Points out that the mixed partial, will hurt multiple viscera, produce a variety of diseases, long the bottom go to, affect the body health. "Element asked, generation of five" say again: "feed more salty, condensate tears and discoloration of arteries and veins; eating bitter, from bark and Mao Ba; eating sheen, jin urgent and claw bitter; eating acid, meat Zhi wrinkle and lip jie; eating gan, bone pain and show mercy." Now people entertainment, overeating fat GanHou flavour and seafood, such as drinking, drinking too much can lead to acute or chronic alcoholism and rely on, and can produce the secondary disorder such as depression, irritable. Therefore diet with be the cause of many diseases and conditions. In neijing on diet with the onset of view in today still has a lot of guidance.

Seven emotions too

So-called seven emotions, that is, happiness, anger, sorrow, to think, sadness, fear, surprised seven modern changes, is that people are different response to the objective things. Under normal circumstances, won't make people ill, only in the long lasting of modern stimulation, more than normal tolerance limit of human itself, will make people angry machine disorder, disorder of qi and blood, Yin and Yang of the viscera, lead to disease. Neijing to achieve things are many too sick. "The theory of element, ask for pain," pointed out: "anger is on gas, xi is slow gas, sadness is gas elimination, fear is... surprised under gas is gas disorderly... thought is gas knot." "Pivot, the mouth asked" pointed out: "the Lord of the heart, intestines and also... so sad sorrow sorrow heart, move the insides are shaking." "Element asked, flesh shape of" yue: "born in good shape for panic, meridian impassability, disease." It is not hard to see from the above provisions, the so-called seven emotions, caused by seven emotions "too". Rage after a stroke is very common now, big in professor zhang's medical record, for either unbearable examples abound.

Too much work

Excessive work usually include two aspects of overwork and excessive comfort. (1) physical and mental. Appropriate exercise can make the blood flow of labor, strong physique. But overworked and to produce a great impact on the healthy body. With the accelerating rhythm of modern social work, strain effects on human health is more and more obvious, such as now the social pressure, mental work intensity is too big, appear many premature death phenomenon, and popularize people physical labor is lighter, due to mechanization but because people pay attention to health, sports, also led to many because of fatigue cause deficiency diseases. Neijing have discuss, "pain, gas consumption" "pain, breathing the sweat out of, in all the more, so the gas consumption" "long line of injured muscle, long bone injury". (2) the deviating. Human body need appropriate activities every day, qi and blood to open, the pivot · ulcer "yue:" meridians "popularity, and goes against degrees, more than with to match ji... blood camp guard, circumfluence endlessly." Excessive leisure, can cause poor blood, bones and muscles, muscle weakness, set, unresponsive. Such as sleeping too long, will feel sleepy head heavy, drift like a drunk; Long lie, his deathbed will make weak muscles impotent, body don't have to. "Element asked, declared five gas" word "gas" long lie "sedentary injury meat", is a typical example of deviating pathogenic.

Drugs with

Medicine to preserve one's health, but also by the carnage, the predator most of a decision. Medicine has a fever cold, four gas mixed, dose, toxic and nontoxic, such as size, used properly, can be growing; In this paper, the improper, into the cause. Modern people no matter their compatible or not, or taking hot tonic more at ordinary times, such as country garden cream, and rubber, etc., I don't know an overdose of liquid water dried up, instead of disease. "Big element, ask the p5, political theory of" yue: "big poison cures, ten to the six; often poison cures, ten to the seven; small poison cures, ten to eight, non-toxic, ten to nine; valley of meat, fruit and nourishment to the best of it, that have no, the injury is also." Ye Tianshi JingYue encyclopedia play cloud: "shen twenty year, parents love, take all the deer pills in winter and early spring, and with the whole body ache, gradually thin do not eat, not for just a few days and the extremely hot die", heat medicine that the medical record is described. The cold room medical notes "records:" huang, chills, June in ChongMian furred robe, wearing a black sheep fur hats, eat to bed furnace, hot rice dish up, people can't entrance, he still felt cold ", one is parents mistakenly "secret after day two winter paste, wheat is the most wonderful", make its use in the morning and evening, take 3 years, hence make cold sex into the dirty, the use of LiangYao hurt also. Neijing is put forward according to the specific condition of patients decided to medication. Such as "big element, ask the p5, political theory of" yue: "can poison with thick drug, cannot be poison to thin medicine." And made the form size. The element theory of ask to be really big yue: "toxic nontoxic, the cure is given priority to, suitable size for the system is", warned people cannot abuse, with drugs, with the deflection. Neijing this medicine should not be biased, with thought's influence on the later generations is very big, so the drug should be that disease in check, and don't have to do agent, otherwise hypercorrection, easy to bias. Now, surge in tumor patients, appear all sorts of reaction after chemotherapy, professor zhang often enough is enough, not too much. So when use should follow the "failure of its most and check" thoughts.

"Sick from using" as the basic ideas of TCM etiology, not only the theory and clinical practice on the cause of past dynasties doctor has had a profound and extensive influence, and the etiological study of modern medical model, especially for chronic disease etiology research, there is still a reference can also be for clinical disease diagnosis, treatment and prevention provide valuable help, worth further discussing.