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Eight principles differentiation

2011年04月16日

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Eight principles differentiation

 

 

 

 

 

Eight principles of TCM syndrome differentiation is all based.

Differentiation, namely analysis, identify disease syndrome, is understanding and diagnose disease process and the method of main. Bian, namely recognize, distinguish, is also analyzed. Card, namely syndrome is the body's role in causes and conditions, the body and the environment between, zang-fu organs, meridian, and the relationship between the disorder of qi, blood, body fluid, so comprehensive performance, clearly a syndrome, is the cause of disease development stage, disease bits, evil is weak, the Yin and Yang of the struggle of partial shing partial failure pathological conditions generalizations.

Dialectical process, is the zang-fu organs, meridian, and qi-blood, pathogeny theory as the basis, look, for through smell, ask, cut four clinics collection of symptoms, signs and other data comprehensive, conclude and analysis, reasoning, judgment, discern its inner link, and the relationship between various lesions, and understanding disease, make the correct diagnosis.

Differentiation and treatment in, is university.hense, France, square, medicine in clinical specific important two links, both mutual connection and inseparable. Syndrome differentiation, treatment is to recognize disease is for disease and syndrome adopt corresponding treatment means and methods. Syndrome differentiation and treatment is the premise and basis of syndrome differentiation, treatment is purpose and inspection of the correct or incorrect objective standard syndrome.

"Disease" refers to a single symptoms, traditional Chinese and western medicine is consistent, such as understanding headache, fever, cough, flustered, nausea... Etc.

"Disease", it is to point to any, TCM say only a small number of disease of disease with western medicine is consistent, such as measles, diphtheria, tetanus, asthma, dysentery, strokes, and most of the way is different. Due to the theoretical system of traditional Chinese and western medicine to disease know different are not the same. Western medicine to disease known is based on human anatomy, pathophysiology, clinical diagnosis based on the basis of disease is the patient's self-conscious symptom, physical examination, laboratory examination; Yin and Yang of traditional Chinese medicine thinks disease is the result of partial shing partial failure, clinical syndrome based primarily on the patient's symptoms and signs (tongue, pulses), diagnosis any, but not necessarily be sure to clear is what "certificate.

"Card", i.e., the abbreviation of evidence, syndrome, it is not a simple symptoms or subjective feeling, but a group of symptoms of traditional Chinese medicine, also of diagnosis of diseases. "Testimony" is a set of specific clinical manifestations (symptoms, signs, etc), and contains the etiology, the lesion site, lesions properties, compared to distinguish right bilateral force in the aspects of the concept of synthesis. "Testimony" from analyzing the signs and symptoms begin, inductive become more than symptoms that disease the concept of nature.

TCM syndrome differentiation in long-term clinical practice is formed, there are multiple ways, basically have eight principles, the etiology differentiation, syndrome differentiation, pure jin qi zang-fu differentiation, guard gas camp blood tri-jiao differentiation, differentiation, such as six-channel differentiation. One of the eight principles of dialectical syndrome is based.

Eight principles according to the four diagnostic differentiation is obtained materials, comprehensive analysis, in order to seek the nature of disease, the weight of the BingShi lesion site, the weak, and organism reaction of power of the comparison to distinguish right, reduced to Yin, Yang, exterior, interior, cold, heat, deficiency, a solid eight class syndrome, is the basic methods of TCM syndrome differentiation of syndrome differentiation, the total, Louisiana from various dialectical method is summarized in the character the similarities, in the diagnosis of disease processes, which has a hold Jane yu numerous, mention Qie brought on role.

Though extremely complex diseases of the performance, but the basic can baconian in among the eight principles, disease category, it Yin certificate in two types, Yang syndrome; The depth of illness, can divide a in table in; The bias of Yin and Yang, YangCheng or Yin deficiency is heat syndromes, or Yin Yang cheng is cold syndrome; Evil is filled the ups and downs of the call, evil, upright failure of call empirical deficiency syndrome. Therefore, the eight principles is protean disease syndrome in accordance with table and with hot and cold, virtual and actual, Yin and Yang this simple LiangDianLun to analyze various contradictions, make lesions, thus fully revealed in the table in catch cold in hot, for real, are false is the contradiction of Yang belong to Yin, this is the basic spirit of the eight principles.

A list

List the lesion site is that two of the depth and illness weight classes. Generally speaking, fur, skin and by the superficial of form; Zang-fu organs, blood, bone marrow and body meridian, table of issuing, namely illness in muscle list, disease a shallow and illness light; In the card namely disease, disease a deep and viscera illness heavy.

(a) table card

Table card is a disease in a shallow skin syndromes. General for six evils from fur, the muzzle the pericardium after invading the body, evil, appear healthy leave muscle table (guard gas) rejected a series of symptoms, and more than the earlier stage for these diseases. Table card with onset acute, of short duration, ill a shallow and the characteristics of illness lighter. In the early stages of the exogenous febrile disease such as upper respiratory tract infection, and acute infections and other infectious disease in the beginning stages of.

Lord card: by fever evil cold (or evil wind), headache, thin white, pulse floating coating for basic syndromes, often and see limbs joints and muscles ache, stuffy nose, cough.

Because of the attacks have cold, upright rupture of the pericardium portion ability has strong or weak dissimilarity, table card and divided into table cold, table hot, table empty, table empirical.

1. Watch cold syndrome

Lord card: evil cold heavy, fever light, head, no sweat and the pain is obvious, flow Ti, mouth thirst not clear. Tongue qualitative reddish, moss thin white and embellish, pulse float tight.

Pathogenesis: cold evil beam in muscle table or cou justified, contend to distinguish right, so evil cold fever, evil, to defend infringing surface meridian qi camp operation impeded, so blood body body ache head. The vital-qi and pathogens is in form, so pulse float.

XinWen XieBiao principle:.

Common formula: ephedra soup

2. Watch heat syndromes

Lord card: fever heavy, light, headache, evil cold sore throat, sweat, flow turbidity Ti, thirsty. Tongue qualitative slightly red, moss thin white not embellish, pulse floating number.

Pathogenesis: evil is competing in table, so fever, evil cold. Hot evil committed pk company, lost guard, is sweat were leaked. Thermal injury tianjin and thirsty. Hot in table, reason and pulse floating number.

Zimbabwe XieBiao therapeutic: cool.

Formula: YinQiao used scattered.

3. Watch deficiency syndrome

Lord card: table card and evil, evil cold wind has khan. Qualitative light, thin coating on the tongue, pulse float to white.

Pathogenesis: physical element WeiYang not solid, deficiency, wind, sweat out is evil, pulse float and weak.

Therapeutic guard, solution with muscle published camp.

Common formula: guizhi decoction.

4. Watch empirical

Lord card: fever, evil cold, body pains, no sweat. Thin coating on the tongue qualitative reddish, white, pulse float powerful.

Pathogenesis: evil shing is long, evil bunch of muscle table, upright resist pathogens, muscle table, so solid pk secret evil cold without sweat heat pulse float, and strong.

XinWen XieBiao principle:.

Common formula: ephedra soup.

Identify table cold syndrome with tables heat syndromes, the weight of the evil cold fever is based on the tongue like pulses with. Table cold syndrome is evil cold heavy fever light, table heat syndromes is calorific heavy evil cold light, table cold syndrome white, thin coating on the pulse float tight, embellish of coating thin white table heat syndromes and not embellish, pulse floating number. In addition, chill of the evil and turn heat can be cloying, the table cold syndrome become table heat syndromes, the attacks after the invasion muscle table to table in turn heat, cold syndrome (or table heat syndromes) can be converted into the heat certificate.

Identify table deficiency syndrome, combining with table demonstration, in order to have patients constitution without juice based. Khan Watch for table card and empirical without sweat, young as strong person see more; Table deficiency syndrome and sweat for tables, the elderly and infirm or see more long illness.

(2) card

Watch card with the certificate is relatively, is a deep within disease (zhangfu, qixue and bone marrow, etc) syndromes,

The cause of the card, to roughly three conditions: one is the table card further development, and to watch in the puzzled and viscera, infringe upon and a 2 it is the pericardium invaded directly, such as abdominal viscera disease such as food or catch cold catch cold cold reason can cause in cold syndrome; Three is LaoJuan, diet seven emotions, internal factors such as the direct causes of viscera function obstacle, and become, such as liver disease, the dizziness, flank pain by palpitations, shortness of breath, lung, spleen cough, asthma disease abdominal distension, diarrhea, nephropathy lumbago, urine closed, etc. Therefore, the clinical manifestations of the card is complex, whoever the table card are those of all the syndrome in card. These diseases with the card still need the etiology differentiation, guard syndrome, and blood gas camp miscellaneous diseases, the etiopathogenisis mainly by viscera differentiation. To distinguish the card in the cold, heat, deficiency, a real (in the cold, alternation of syndrome differentiation in discussion).

Identify with the card table card, according to the inquiry, history of disease and syndrome chills and fever and coating on the tongue, pulse condition changes. Generally speaking, the new disease, of short duration person, see more at table syndrome; Elders, and in long illness, duration of the card. Fever to the table evil cold syndrome; Fever not evil cold or but cold not the ReZhe, belong to the card. There is no change in coating often watch card, or only in the red; pointed tongue edge The coating on the card, abnormal findings have the pulse float for table syndrome; The pulse sink, for in card.

(3) half a half mile card. Watch

Disease evil neither list, and fails in between, between the exterior-interior relationship, but appear is different from the table, and different from issuing the certificate syndromes, called half table in the half certificate.

Lord card: cold come-and-go, chest pain, stalking, bilge full mouth dry throat, upset, desire oh, do not think of food, dizzy. The tongue is red, moss huangbai glare, pulse concurrently.

Contend pathogenesis: evil is in half, each other in the half a watch showdowns, so cold exchanges. Evil committed half table half, bravery withstand disease, therefore, stalking, bilge full mouth chest pain. Bravery hot liver, so upset stomach, dizzy with to ou, do not think of food.

Principle: reconciliation list.

Common prescription: small entrapement soup.

(4) with disease (exterior-interior exterior-interior relationship mixed)

With the disease is refers to the table inside the card and card in the same period, common have 3 kinds of cases: the beginning disease namely a table card saw in card. 2 it is only table card, disease due to illness after the and see evil, but watch the certificate issuing unsolved, also known as the list, with disease, this disease is satisfactory in three marking disease concurrently again, such as the original, intradermic injury, and feeling the pericardium, or have first pathogenic, hurt again diet etc, also belong with disease. Exterior-interior relationship Treatment principles for exterior-interior double solutions.

Second, cold

Cold is identify disease properties of two classes, is to generalize the ups and downs of Yin and Yang of two kinds of syndromes, generally speaking, cold syndrome is the insufficient or feel cold evil sun showed syndromes, heat syndromes are the body's partial filled or feeling hot sun and display syndromes. The so-called "YangCheng is hot, Yin shing is cold" "Yang, Yin is cold, hot". Identify when treatment is cold medicine or cold LiangYao use warm the basis of the so-called "cold, heat, ReZhe cold."

(a) cold syndrome

Cold syndrome is feeling Yin cold of the evil (such as cold evil, ShiXie) or Yang cheng, viscera Yin is the sun weak, functional activity attenuation performance syndromes, can be divided into table cold syndrome and the cold syndrome, a table of cold syndrome has to watch card discussion, citcc for in cold syndrome.

Lord card: chills, form cold, cold extremities mouth not thirsty or xi hot, pale white, cough white sputum, abdominal pain xi warm, defecate rare pond, urinate qing long. Tongue qualitative light, moss white, pulse sink late.

Pathogenesis: Yang cheng, patients cold turn Yin, so feared cold cold, cold extremities, so abdominal pain xi spleen vein slump, warm and the sun sank late.

In principle: remove cold temperature

Commonly used in proprietary: Daniel aconite soup

(2) heat syndromes

Heat syndromes is feeling the heat of the evil (Yang wind evil, heat evil, evil fire, etc.) or the sun YangCheng Yin deficiency, viscera KangCheng and Yin fluid loss, functional activity performance, hyperthyroidism syndrome can be divided into table heat syndromes and heat syndromes, table heat syndromes in table card has been discussed for the heat, citcc syndrome.

Lord card: fever, not evil cold, irritability, thirsty and like cold drinks, red eyes red face, sputum yellow viscous, abdominal pain xi cool, dry and urine stool, short red. Tongue qualitative red, moss yellow, pulse number.

Pathogenesis: Yang hot partial quickly, so cool, thermal injury fever xi like drinking, body fluid and thirsty urine stool, short red dry ". Hot filled so see pulse number.

Principle: heat method.

Common formula: baihuling soup, etc.

(3) real heat and virtual hot

And, because the experience is hot by the formation of the real heat syndromes, and the body Yin fluid loss or hyperthyroidism of virtual heat syndromes, caused the clinical manifestations and principle are not the same. See the table below

Table 3-3 real heat syndromes and virtual heat syndromes identification

Real heat syndromes virtual heat syndromes

Come on urgent, of short duration, the course of a long slow onset

High fever, afraid of hot, big sweat out low thermal, bone steaming hot, night sweats

God ZhanYu what is mad, feed five upset hot, insomnia

Vexed thirsty lead drink dry mouth, but drink much

Cough vomit yellow viscous phlegm, phlegm, or coughing up blood phlegmy less, sputum sticky, or phlegm take silk

BiJie urine stool, short red defecate quantity is little, urinate yellow, quantity is little

Two red eyes red face blushing zygomaticomandibular

Red tongue, moss HuangHou red tongue, little moss or no moss

Pulse flood pulse count number

Hot ChiCheng Yin and KuiHao, empty caustic liquid is within

By hot evil cause (more than much by such as infection) caused by hyperthyroidism

Governance by purging fire to clear heat for Yin

(4) cold true and false

In the progress of the disease to the HanJi or hot extremely critical stage, we can find some "HanJi like hot", "heat is very cold" false appearance, the essence is the clinical performance for the cold and heat syndromes as of call "really hot false cold", and its essence is the cold syndrome and performance for hot like called "true winter holiday hot". This kind of situation often say disease is more serious. If not catch essence, will be confused by the illusion, and send misdiagnosis.

1. "true winter holiday hot" : such as chronic depleting diseases body heat, two patients with common ibs zygomaticomandibular RNC restless, blushing, moss black, pulse float big etc, seeming are hot like, but patients had xi overcame withering heat cover, spirit, glance, lying curled up pale white, moss tongue mass black and embellish, pulse is floating big but weak. Fill in for Yin Yang at outside, glen, its essence is still cold syndrome, it is called "true winter vacation hot" treatment in with temperature, getting back to the Yang to yuan.

2. "it's really hot false cold" : namely has really hot and outside see false cold syndromes, such as thermal venereal poisoning heavier glance, sleepy when visible expression, lazy to talk, brothers and sisters and hair is cool, thin, coarse pulse sink, but look like cold syndrome and a mouth nose gas hot, hot and cold drink was thirsty and like and constipation, urinate short red. Red tongue Jiang, moss HuangGan, pulse is heavy fine but several powerful. For Yang hot outside within reach, not cloying, heat syndromes essence is the friend says "it's really hot false cold", should be clear on the treatment of diarrhea, dredging of sun heat.

Generally speaking, cold, hot representation of mark, is an illusion; Inside, the cold, heat belong in this, is its nature.

Identify cold syndrome and heat syndromes, can't isolated according to a judge, signs or symptoms to comprehensively examine full expression of disease, especially cold, thirst thirst not, the complexion, cool, ErBian limbs, tongue, looked like a few respects such as more important. Namely chills xi for cold, heat, be afraid of hot xi cold fever for hot; KouDan not thirsty for cold, thirst, and like drinking for hot; Pale red for hot; Brotherhood for cold, cold more costly for hot more limbs vexed hot; Qing long, defecate rare urine for cold, urinate short takes place dry red, defecate knot have hot; Tongue for cold, pale moss white red tongue moss yellow for hot, etc. From cold syndrome and heat syndromes comparative can see: cold syndrome of Yin and Yang, fill, and see; Heat syndromes of YangCheng, often have KuiHao performance liquid Yin.

Three, false or true

The human body is distinguish auror unionizing intensity and disease of two classes. Evil ups and downs Generally speaking, implicit vital qi deficiency syndrome is insufficient, auror syndrome by the shortage, and solid performance had filled pullbacks, empirical means by which had filled is pullbacks performance syndromes. The grain asked. The review said: "the theory of virtual reality, fill is pullbacks are virtual" took the essence. If both parties from strength to distinguish right view, deficiency is insufficient, and is upright pullbacks also not filled; Empirical although is evil, but had not failure filled auror, table vital-qi and pathogens is acuteness syndromes. Debate unionizing, is the treatment is not using the centralizer for virtual) or (real) attack evil (purging the basis, the so-called "virtual reality of those who, for the" diarrhoea.

(a) deficiency syndrome

The formation of deficiency syndrome, or because of physical element weak (congenital, the day after tomorrow, or because of insufficient) long illness, or because of bleeding injury is pure, sweating, allowing the pericardium, or for reasons such as invasive damage vital qi and the "essence is virtual" took.

Lord card: pale or yellow, spiritual statuses, body, palpitation and shortness of breath, fatigue strength cold limbs cold or five image

Upset hot, spontaneous sweating night sweats, diarrhoea, loose stools urine incontinence, tongue as less moss or no moss, pulse virtual weakness, etc.

Clinically because of qi, blood, Yin and Yang deficiency can be divided into the deficiency of Yin and Yang, blood deficiency, of the zang-fu organs, due to a shortage of each viscera deficiency syndrome (such as pulmonary deficiency of Yin deficiency, liver, painstaking care, spleen qi deficiency, kidney Yang, etc.). The following list illustrate deficiency of Yin and Yang, blood deficiency, and therapeutic syndrome. The zang-fu viscera deficiency syndrome differentiation in discuss.

Table 3-4 deficiency of Yin and Yang, blood deficiency, identify table

Classification common therapeutic syndrome different prescriptions syndrome used

White or yellow complexion deficiency, body and spiritual statuses weary lazy to talk, the voice low power, spontaneous sweating, as pale fat, less, tongue shortness of breath, fatigue dynamic pulse weakness is flustered and wait for disease obvious, pulse virtual weakness yiqi sijunzi decoction, etc

Yang, chills, form cold, cold extremities, the qing long, urinating under pulse late qing valley, for CanRong kidney shot, Yang wandeng

Hemopenia angular, dizziness, dizzy, insomnia, palpitations, pulse fine pale yellow limbs numb, unsophisticated or pale white nails, lip, tongue qualitative light, unable to keep blood pulse thin siwu soup, etc

Yin deficiency, low heat or red, damp zygomaticomandibular five centers hot, dry mouth, pharynx dry, night sweats, red tongue Jiang, qualitative thin or have crack, no moss or less moss, pulse count ziyin liuwei dihuang pill, etc

As can be seen from the graph of Yang, qi difficiency and the sun is insufficient, reason clinical manifestations are similar and white, god fatigue strength complexion symptoms such as, spontaneous sweating, but both have difference, asthenia is empty and no "cold like", Yang is empty and have "cold like" - afraid of the cold, cold, cold extremities form pulse late, etc. Blood deficiency of Yin Yin deficiency and liquid, so clinical manifestations are similar and rot, dizziness, palpitations, the symptom such as insomnia, but both have difference, blood deficiency is empty and no "hot like", Yin Yin fluid loss caused not constraints, it is the sun hand as virtual and have "hot like" -- low thermal or hot, dry mouth, pharynx dryness, etc.

(2) the empirical

Empirical formation, or by patients constitution, because the pericardium meal strong wh0 BaoBing, or viscera caused by some of the dysfunctional in product, such as pathological and blood stasis, sputum water wet coagulation, insect product, food sluggish, etc.

Clinical manifestations due to the nature of disease of infringement and viscera and different present different syndromes, its characteristic is evil, upright failure, filled the vital-qi and pathogens is drastic stage. Common symptom is high fever, red face, be agitated, delirium, sound high rich, abdominal distension full pain and refuse to click, sputum saliary warm and constipation, filled with blood stasis, or urination delay mass, edema, and food, insect thick tongue coating deposition, greasy, pulse real powerful, etc.

Principle; Xie real attack evil is the main method to treat the empirical fact, so-called "diarrhoea." But purging fire, aperient, by water, eliminating phlegm, qi, promoting blood circulation to remove blood stasis and elimination of conductivity and insecticide etc different purging method used in different disease evil to produce a variety of empirical, will discuss in the relevant sections.

Dialectical deficiency syndrome and empirical evidence from the following several aspects can be from the incidence of time to consider: new disease, early, illness or of short duration of empirical, as more than the long illness or course, longer belong to deficiency syndrome; More from etiology, pathogenic of empirical, intradermic injury are deficiency syndrome; From the constitution, young as strong person are empirical, the infirm are deficiency syndrome; From clinical symptoms and signs, under reference table identification.

Table 3-5 deficiency and empirical identify table

Disease with body shape of therapeutic levy

Deficiency syndrome was white, white, yellow weary voice low god looks lazy to talk force according to home xi tongue light moss white or less moss pulse virtual powerless to fill empty

Empirical noodles red fidgety ZhanYu sound high squads pain rejected HuangHou according to red tongue moss pulse real strong compaction bored of diarrhea

Four, Yin and Yang

Yin and Yang are identify diseases properties of outline, is both the sum of the eight principles, and cold, false or true upcoming list to be generally summarized again. The kind of "by. Yin and Yang, said:" people will have the disease,... this, or this in overcast, or this in Yang, though many, its this disease is a ", points out the syndromes although complex and changeable, but always choosing two types of Yin and Yang, and the old to also must first discern its belong to Yin Yang, so of Yin and Yang is the sum of the eight principles, general table, solid, heat syndromes belong to Yang syndrome, and empty, cold syndrome belong to Yin certificate. Yin and Yang license issuing the etiology and pathogenesis, clinical manifestations, treatment and cold in list already described, thus among six classes. But by clinical syndrome in Yin deficiency of syndrome, Yang cold syndrome by license issuing the real heat syndromes.

(a) Yin certificate

Yin deficiency syndrome is the body decline, Yin slant sun bowls syndromes. Generally speaking Yin card will see cold like to body chills, fever, limb cold, spirit is dispirited, pulse sink weakness or late which card. The zang-fu organ function, the body reaction low attenuation and form, see more at old and frail, or prolonged illness, become a cold empty performance.

(2) Yang syndrome

Yang syndrome is the body KangCheng sun, upright remain syndromes. In general Yang card will see hot like to body fever, evil hot, limb is warm. Fidgety thirsty, pulse several powerful which card. Hyperthyroidism by the zang-fu organs and form, see more at body strong person, new disease, early presents one faction real hot disease performance.

Yin and Yang of issuing issuing main clinical manifestations may refer to the table below:

Table 3-6 Yin and Yang identification card table

syndrome

The four diagnostic

Yin card Yang syndrome

Look pale or dim, body weight, tired and weak, up lie, flagging tongue qualitative light and fat white tender, coating on the lubrication flush on face or red, violent, lip, tongue dry crack Jiang, thick tongue coating quality red, dry crack what is born, or black thorn

Wice, static and low smell say less, breathe timidity, shortness of breath, vexed and zhuang calendar wice what wordy, historically, boastful talk and breathing heavily promoting phlegm grass

Q diet reduce, xi tepid, mouth not thirsty, KouDan insipidity, loose stools thin, urinate qing long or less dry mouth mouth bitter, xi cool, vexed thirsty to drink, move bowels dry "leads, urinate short red

According to cut pain, body cold feet like cold, pulse heavy, fine, astringent, late, weak and powerless, body heat by pain refus warm, pulse float, full flood, smooth, number, solid and strong.

(3) wu Yin and Yang wu

Wu Yin and Yang, died during a disease, two risk syndrome in high fever, sweating, intense, more than TuXie blood much Yin liquid or the sun WangShi cases appear quickly, especially in shock patients. Wu Yin wu Yang deficiency syndrome though an area, but because of illness, and BingShi WeiDu special and is different from general deficiency syndrome.

Wu Yin and Yang, died the clinical manifestations of the various critical primary diseases except outside the symptom, all have different degrees of sweat out. But wu Yin and sweated the sweat heat and sticky, and see the skin temperature, heat and blood thirsty and like drinking, a pulse count the disabilities Yin dried by syndrome and anode; Wu Yang sweat, kubla khah dripping wet, cold sweat not sticky, and see chills tiredly lie, his limbs jue cold, spirit is dispirited, pulse micro desire unique etc off and Yin Yang cheng syndromes. Because Yin and Yang are mutual root, Yin depletion is no liquid attachment and disperse the sun, sun failure is the liquid without im and exhaustion Yin Yin and dead died, so the clinical manifestations, difficult to Yang entirely separate, meantime can quickly transform, arise, just have successively primary and secondary different just.

Wu Yin and Yang in the treatment of death are mainly centering solid take off. Wu Yin shall yiqi converges shade, save by using greatly tonifying qi Yin Yin liquid with birth and death, commonly used to free FangYouSheng veins Yang scattered; Wu Yang shall yiqi solid off and back to Yang save inverse, commonly used are alone and soup, the senate with soup, etc.

Wu Yin and wu Yang, see the table below for evidence.

Table 3-7 wu Yin wu Yang identified table

Khan limbs other symptoms therapeutic tongue veins

Wu Yin sweat heat, taste salty and sticky still WenWei hot flush on face, body heat, be agitated, coma, shortness of breath, thirsty xi cold drinks Jiang and dry red according to a count of weakness or virtual big yiqi converges Yin

Save Yin carambola

Wu Yang sweat cold, taste light not sticky jue cold chills complexion is pale, the whole body hair is cool, indifference, coma, gas micro, mouth not thirsty or xi hot pale white lubrication subtle desire unique or float and empty yiqi solid take off

Back to Yang save inverse

Five, the relationship between the eight principles and the use of eight principles dialectical

Exterior-interior and cold, the actual situation, Yin and Yang of the eight principles and not pure, distinguish isolated from each other, still unchanged, but complex, mutual connection, transform into each other. To sum up, the eight principles exist between "phase and", "inclusion", "convert" relationship.

(a) phase and relationship

"Phase and" shall mean the two classes more symptoms also appear, such as exogenous febrile disease, saw a table card early, still must further distinguishes its and cold or and hot, it can be divided into table cold syndrome and table heat syndromes; How long, when further cause deficiency syndrome of virtual cold syndrome or the virtual heat syndromes. Phase and card occurrence, can't see, but the average secondary and affiliate relationship, such as table cold, table heat syndromes are mainly watch card, cold or heat from belongs to the table card, treatment with XieBiao respectively, when XinWen mainly with XieBiao or zinn cool XieBiao; Cold empty, empty heat syndromes are mainly deficiency syndrome, cold or hot also from belong to deficiency syndrome, treatment when to make up for virtual primarily, respectively for Yin Yang or with the method. As for exterior-interior phase and, in what certificate is given priority to, must see detailed illness and decide.

(2) inclusion relations

"Inclusion" means that the patients had also appeared properties of oppose each other two outline symptoms such as cold inclusion, false or true impurity, exterior-interior inclusion (habits with disease) disease called exterior-interior. In addition, in the course of disease development, also can appear some illusion, such as really hot false cold really winter vacation fever etc. So, in dialectical process, want careful observation, comprehensive analysis, the true, seize the essence, lest cause misdiagnosis, delay's condition.

(3) transformation relationship

"Convert" namely means an outline of the party to its opposite symptoms of transformation. List and cold between, between unionizing between between, Yin and Yang is contradictory, but under certain conditions conversion. Such as exogenous evil cold cold see such table of fever, headache, cold syndrome if because of illness development or cure is undeserved, the disease can be from the table and the nature of the disease by cold, heat, finally turn by table cold syndrome into the heat syndromes; Empirical can be because, allowing cure disease and other reasons, the delay of asymptotic, though, and pullbacks auror, gradually transformed into also hurt deficiency syndrome, deficiency syndrome can because of insufficient, cannot cloth auror, so that produce phlegm retention or water wet, blood stasis and or real evil, and appear as variety of empirical. The transformation is under certain conditions can happen at any time, syndrome differentiation of judges must change and timely diagnose pathogenesis treatment, avoid disease to worsen direction development, promoting disease to heal direction transformation.

Eight principles by syndrome differentiation, first identify the parts, sure lesions exterior-interior relationship; Then tell cold, the actual situation, to distinguish lesion properties, understand both sides of strength condition; to distinguish right Finally can be generally summarized with Yin and Yang.

summary

Eight principles of disease syndrome is unprotected from exterior-interior and cold, eight aspects, Yin and Yang comprehensive analysis a method of diagnosis, although it also defended the etiology and differentiation, such as blood gas camp combined syndrome diagnosis can more perfect, but it is all sorts of differentiation foundation, rise to hold Jane yu numerous, teaches role.

Eight principles of each card is not static, but by certain conditions and conversion; Table card for disease preached in the heat is aggravating, BingShi to watch for issuing the; Heat syndromes become cold syndrome, empirical become more numerous deficiency syndrome is evil and cold syndrome hot certificate, deficiency become more for upright resumed gradually empirical.

Though the eight principles have different testimony, but rarely is simple, isolation, but there are "phase and", "inclusion" complicated relationship, and sometimes appear "illusion". Therefore, in the dialectical process to seriously investigation and study, coherent rise through the phenomena of thinking, caught the disease in grasping the essence, the transformation, the only way to have relevant analysis, the correct diagnosis, and thus for proper treatment.

 

(medical nets finishing)