Classification of syndromes and treatments: 1. Epistaxis: 1. Syndrome of heat evil invading the lungs: nasal dryness and blood, dry mouth and throat, or both body heat, nausea, headache, cough, less phlegm, etc., red tongue, moss Thin, pulse number. Syndrome summary: dry heat hurts the lungs, bloody heat goes wrong, overflows to clear the orifice. Therapeutic method: To clear away the heat of the lung, cool the blood to stop bleeding. Representative: Sang Juyin addition and subtraction in "Differentiation of Febrile Diseases". Prescription: mulberry leaf, chrysanthemum, mint, forsythia, platycodon, almond, licorice, reed root, paeononia, thatch root, Eclipta prostrata, arborvitae leaves. 2. Stomach fever syndrome: epistaxis, or cumulus epistaxis, bloody red, thirsty to drink, dry nose, dry mouth, foul smell, irritability, constipation, red tongue, yellow coating, pulse count. Syndrome summary: inflammation of the stomach fire, blood pressure. Treatment method: clearing the stomach and purging fire, cooling blood to stop bleeding. Representative: "Jingyue Quanshu" Jade Girl Decoction. Prescription: Gypsum, Anemarrhena, Rehmannia, Ophiopogon japonicus, Achyranthes, Habitat, Big thistle, Small thistle, Imperata cylindrica root, Lotus root joint. 3. Liver fire syndrome: epistaxis, headache, dizziness, tinnitus, irritability, red eyes, bitter mouth, red tongue, pulse strings. Synopsis of the card machine: Fiery inflammation, forced blood to act rashly, overflow and clear orifice. Treatment method: clearing liver and purging fire, cooling blood to stop bleeding. Representative prescription: "Lanshi Secret Store" Longdan Xiegan Decoction Modified. Recipe: Gentian, Bupleurum, Gardenia, Scutellaria, Mutong, Alisma, Plantago, Habitat, Angelica, Licorice, Imperata cylindrica, Typha, Thistle, Thistle, Lotus Root. 4. Qi and blood deficiency syndrome: epistaxis, or concomitant tooth and muscle, fatigue, pale complexion, dizziness, tinnitus, heart palpitations, restless sleep soundly at night, pale tongue, thin and weak pulse. Syndrome summary: Qi deficiency is not taken, blood overflows to clear orifice, blood removes qi injury, and both Qi and blood loss. Therapeutic method: invigorate qi and ingest blood. Representative prescription: "Jishengfang" Guipi Decoction addition and subtraction. Recipe: Codonopsis, Poria, Atractylodes, Licorice, Angelica, Astragalus, Sour date seed, Polygala, Longan, Muxiang, Ejiao, Agrimonia, Rubia, Fushen, Ginger, Jujube. 2. Alternaria: 1. Stomach fire syndrome: Alternaria, red blood, swelling and painful gums, headache, bad breath, red tongue, yellow coating, pulse flood. Synopsis of Syndrome: Stomach fires internally, offenses along the meridian, burns blood collaterals. Treatment method: clearing the stomach and purging fire, cooling blood to stop bleeding. Representative prescription: (Experimented prescription) Modified Qingwei San and "Golden Gui Yaolue" Xiexin Decoction. Recipe: raw rehmannia, paeonol, buffalo horn, rhubarb, coptis, scutellaria, forsythia, angelica, licorice, cypress root, thistle, small thistle, lotus root joint. 2. Yin Deficiency and Fire Prosperity Syndrome: dentistry, reddish blood, slow onset, often induced by heat and fatigue, weak teeth, red tongue, less moss, thin pulse. Synopsis of Syndrome: Insufficiency of Kidney Yin, Inflammation of Deficiency Fire, Collateral Damage and Blood Overflow Treatment method: nourishing yin and reducing fire, cooling blood to stop bleeding. Representative prescription: the addition and subtraction of Liuwei Dihuang Pills (experimented prescription) Qiangen Powder in "Straight Jue of Pediatric Medicine Syndrome". Recipe: Rehmannia root, Chinese yam, Cornus officinalis, Alisma orientalis, Poria cocos, Paeonol, madder root, Scutellaria baicalensis Georgi, Ejiao, Platycladus orientalis, Habitat, Licorice. 3. Coughing up blood: 1. Dry-heat and lung injury syndrome: itchy throat and cough, blood in sputum, dry mouth and nose, or body heat, red tongue, less fluid, thin yellow coating, pulse count. Synopsis of Syndrome: Dry heat hurts the lungs, the lungs are depleted, and the lungs are damaged. Treatment: clearing away heat and moisturizing the lungs, calming the collaterals and stopping bleeding. Representative: Sang Xing Tang addition and subtraction in "Differentiation of Febrile Diseases". Recipe: mulberry leaf, gardenia, light tempeh, adenophora, pear skin, fritillaria, almond, cypress root, madder, lotus root, arborvitae leaves. 2. Liver fire invading the lung syndrome: coughing, bloody or pure blood in the sputum, chest pain, irritability, bitter mouth, red tongue, thin yellow coating, pulse string. Synopsis of the card machine: wooden fire to punish money, the lungs are purged, the lungs are damaged. Treatment method: clearing liver and purging fire, cooling blood to stop bleeding. Representative prescription: "Xiebai San" in "Straight Jue of Pediatric Medicine Syndrome" combined with the addition and subtraction of Dai Ha San in "Prescriptions of Traditional Chinese Medicine". Prescription: Mulberry Bark, Digu Bark, Japonica Rice, Licorice, Indigo Naturalis, Sea Clam Shell, Eclipta Prostrata, Imperata Root, Thistle, Thistle, Scutellaria. 3. Yin deficiency and lung-heat syndrome: cough with less sputum, blood in the sputum, or repeated hemoptysis, red blood, dry mouth and throat, red cheeks, hot flashes and night sweats, red tongue, thin pulse. Synopsis of Syndrome: Deficiency of fire burns the lungs, the lungs are purged, and the lungs are damaged. Treatment method: nourish yin and nourish lung, calm collaterals and stop bleeding. Representative prescription: "Medical Prescriptions Collection" Baihe Gujin Decoction addition and subtraction. Recipe: Lily, Ophiopogon, Scrophulariaceae, Habitat, Rehmannia, Angelica, White Peony, Fritillaria, Licorice, Baiji, Lotus Root, Imperata Root, Madder, Platycodon. 4. Vomiting blood: 1. Stomach fever syndrome: abdominal distension, nausea, noisy discomfort, even pain, vomiting blood is red or dark purple, often with food residue, bad breath, constipation, black stool, red tongue, yellow coating Greasy, slippery pulse. Syndrome summary: Stomach heat and internal depression, heat hurts the stomach and collaterals Treatment method: clearing the stomach and purging fire, removing blood stasis and stopping bleeding. Representative prescription: "Jingui Yaolue" Xiexin Decoction combined with "Ten Medicine Book" and ten ash powder addition and subtraction. Prescription: Rhubarb, Scutellaria baicalensis Georgi, Coptis chinensis, Big thistle, Small thistle, Platycladus orientalis leaf, lotus leaf, Madder root, Gardenia jasminoides, Mahogany root, Dan bark, Palm bark.2. Liver fire in the stomach syndrome: vomiting blood red or dark purple, pain in the mouth and hypothermia, upset and irritable, sleepless sleeplessly, more dreams, red and crimson tongue, pulse strings. Syndrome summary: liver-fire, gastric collateral damage. Treatment method: purging liver and stomach, cooling blood to stop bleeding. Representative prescription: "Lanshi Secret Store" Longdan Xiegan Decoction Modified. Prescription: Gentian, Bupleurum, Scutellaria, Gardenia, Alisma, Mutong, Plantago, Habitat, Angelica, Imperata cylindrica root, Lotus root, Eclipta prostrata, madder. 3. Qi-deficiency and blood-overflow syndrome: lingering blood, light and heavy, dim blood, fatigue, heart palpitations, shortness of breath, pale complexion, pale tongue, weak pulse. Synopsis of the card machine: Deficiency of Qi, no power to control the blood, blood spillage. Treatment method: invigorating the spleen, replenishing qi and ingesting blood. Representative prescription: "Jishengfang" Guipi Decoction plus and minus. Prescription: Codonopsis, Poria, Atractylodes, Licorice, Angelica, Astragalus, Muxiang, Ejiao, Agrimonia, Paojiang Charcoal, Baiji, Squid Bone, Fushen, Ginger, Jujube, Longan Meat, Sour Date Seed, Polygala. V. Hematochezia: 1. Intestinal damp-heat syndrome: stools are bloody red and sticky, stools are not smooth or loose, or abdominal pain, bitter mouth, red tongue, yellow and greasy coating, and a few pulses. Synopsis of Syndrome: Damp and heat accumulates, veins are damaged, blood overflows intestines. Treatment method: clearing damp heat, cooling blood to stop bleeding. Representative prescription: (experimented prescription) Diyu San combined with "Danxi Heart Method" Huaijiao Wan addition and subtraction. Prescriptions: Diyu, Qiangen, Scutellaria, Coptis, Shanzhi, Poria, Sophora japonica, Angelica, Stir-fried Citrus aurantium, Parsnips. 2. Deficiency of Qi: The stool is bloody red or dark purple, lack of food, tired body, chlorosis, palpitations, lack of sleep sound, pale tongue, thin pulse. Syndrome summary: Deficiency of Qi, Qi does not ingest blood, and blood overflows the stomach and intestines. Governing Law: Replenishing Qi and Ingesting Blood Representative prescription: "Jishengfang" Guipi Decoction plus and minus. Recipe: Codonopsis, Poria, Atractylodes, Licorice, Angelica, Astragalus, Sour date seed, Polygala, Longan, Muxiang, Ejiao, Sophora japonica, Diyu, Agrimony, Poria, Ginger, Jujube. 3. Spleen and stomach deficiency and cold syndrome: blood in the stool is dark and purple, even black, abdominal pain, like hot drinks, poor complexion, tired and lazy, loose stools, pale tongue, thin pulse. Synopsis of Syndrome: Deficiency and coldness in middle Jiao, weakness in blood control, gastrointestinal bleeding. Treatment method: invigorate the spleen and warm the middle, nourish blood and stop bleeding. Representative: Addition and subtraction of loess decoction in "Golden Guilds". Recipe: Zhaxintu, Paojiang, Atractylodes macrocephala, Aconite, Licorice, Rehmannia, Donkey-hide gelatin, Scutellaria baicalensis, Baiji, Squid bone, Panax notoginseng, stamen. 6. Blood in urine: 1. Xiajiao damp-heat syndrome: yellow and red burning in urine, bright red blood in urine, upset and thirst, red face and mouth sores, restless sleep soundly at night, red tongue, pulse count. Synopsis of Syndrome: Heat injures the yin collaterals, blood infiltrates the bladder. Treatment method: clearing away heat and removing dampness, cooling blood to stop bleeding. Representative party: "Jishengfang" addition and subtraction of Xiaojiyinzi. Recipe: small thistle, habitat, lotus root joint, typhus yellow, gardenia, tongcao, mutong, bamboo leaves, talc, licorice, angelica. 2. Kidney deficiency and fire-prosperity syndrome: short red urine with blood, dizziness, tinnitus, mental fatigue, zygomatic red hot flashes, sore waist and knees, red tongue, thin pulse. Synopsis of the card machine: the virtual fire is burning inside, and the veins are burned. Treatment method: nourishing yin and reducing fire, cooling blood to stop bleeding. Representative party: "Yi Zong Jin Jian" Zhibai Dihuang Wan addition and subtraction. Recipe: Rehmannia glutinosa, Chinese yam, Dogwood, Poria, Alisma, Paeonol, Anemarrhena, Cork, Eclipta prostrata, Thistle, Small thistle, Lotus root, Typhae. 3. Syndrome of failure of spleen to control the blood: chronic illness with hematuria, or even with alveolar and muscle joints, lack of food, fatigue, shortness of breath, low complexion, pale tongue, weak pulse. Syndrome summary: Deficiency of Qi, weakness in blood control, blood infiltrates the bladder. Therapeutic method: invigorate the middle and invigorate the spleen, replenish qi and ingest blood. Representative prescription: "Jishengfang" Guipi Decoction plus and minus. Recipe: Codonopsis, Poria, Atractylodes, Licorice, Angelica, Astragalus, Sour date Seed, Polygala, Longan, Woody, Rehmannia, Ejiao, Agrimonia, Sophora japonicus, Poria, Ginger, Jujube. 4. Insufficiency of Kidney Qi: Chronic illness with blood in urine, reddish blood, dizziness, tinnitus, mental exhaustion, backache, pale tongue, and weak pulse. Synopsis of Syndrome: Deficiency of the kidney is not solid, and the blood is not captured. Therapeutic method: to replenish kidney qi, solidify to stop bleeding. Representative prescription: "Taiping Huimin He Jifang Prescription" with the addition and subtraction of incomparable shan pill. Prescription: Rehmannia root, Chinese yam, Cornus officinalis, Achyranthes bidentata, Cistanche, Dodder, Eucommia, Morinda officinalis, Poria, Alisma, Schisandra, Azalea, Agrimonia, Puhuang, Sophora japonica, Echinacea, Poria. Seven, purpura: 1. Blood-heat rash syndrome: bruising spots or plaques on the skin, or accompanied by epistaxis, dentition, blood in the stool, blood in the urine, or fever, thirst, constipation, red tongue, yellow coating, pulse The number of strings. Syndrome summary: heat constriction of meridians, forced blood to go unnoticed, blood overflowing muscles. Treatment method: clearing away heat and detoxification, cooling blood to stop bleeding. Representative party: "Book of Ten Medicines" plus or minus ten ash powder. Prescription: thistle, small thistle, arborvitae leaf, madder root, Imperata cylindrica root, palm bark, paeonol, gardenia, rhubarb, lotus leaf. 2. Yin-deficiency and fire-prosperity syndrome: bruising or plaques appear on the skin, which will only occur from time to time, often accompanied by epistaxis, epistaxis, or menorrhagia, redness, upset, thirst, hot hands and feet, or hot flashes, night sweats , Red tongue, less coating, fine pulse.Synopsis of Syndrome: Insufficient fire, burning in the veins, blood overflowing muscles. Treatment method: nourishing yin and reducing fire, calming collaterals and stopping bleeding. Representative: "Jing Yue Quan Shu" Qiangen San addition and subtraction. Prescription: madder root, scutellaria baicalensis, arborvitae leaves, raw land, donkey-hide gelatin, licorice. 3. Syndrome of inadequacy of qi and blood: repeated occurrence of musculoskeletal disease, chronic illness, fatigue, fatigue, dizziness, pale or chlorosis, loss of appetite, pale tongue, and weak pulse. Synopsis of Syndrome: Deficiency of middle qi, weakness of control, blood overflowing muscles. Therapeutic method: invigorate qi and ingest blood. Representative prescription: "Jishengfang" Guipi Decoction addition and subtraction. Recipe: Codonopsis, Poria, Atractylodes, Licorice, Angelica, Astragalus, Sour date seed, Polygala, Longan flesh, Muxiang, Agrimony, Palm charcoal, Sanyu, Puhuang, Rubia root, Lithospermum. Identification of Diseases and Syndrome: (1) Nose Button: 1. Internal Medicine Nose Button and Traumatic Nose Button: If the nose button is caused by blood vessel rupture caused by bruising, nose picking, etc., the bleeding is mostly on the injured side, and the local hemostatic treatment is not Bleeding again, no systemic symptoms, which is different from the nose button discussed in internal medicine. 2. Internal medicine nasal button and meridian button blood: Meridian button blood is also known as menstruation and retrograde menstruation. Its occurrence is closely related to the menstrual cycle, and it occurs more often in the premenstrual or menstrual period, and the mechanism of the nasal button is different from the internal medicine. (2) Tooth button: Tooth button and tongue button: Tooth button is blood overflowing from the teeth and gums; tongue button is blood from the tongue surface, and there are often needle-like bleeding spots on the tongue surface, which is not difficult to distinguish from the tooth button. (Three) hemoptysis: 1. hemoptysis and vomiting blood: both hemoptysis and vomiting blood are discharged through the mouth, but they are completely different. Coughing up blood comes from the lungs. It comes out with coughing through the airway. The blood is mostly bright red and often mixed with sputum. Before hemoptysis, there are many symptoms such as cough, chest tightness, and itchy throat. After a large amount of hemoptysis, sputum can be seen After a few days of blood, stools are generally not black. Hematemesis is blood that comes from the stomach and comes out after vomiting. The blood is dark purple and often contains food residues. Before vomiting, there are many symptoms such as gastric discomfort or stomach pain and nausea. After vomiting, there is no blood in sputum, but the stool is mostly black . 2. Coughing up blood and oral bleeding: patients with bleeding in the nasopharynx, gums and other parts of the oral cavity often have pure blood or come out with saliva, with low blood volume, and corresponding symptoms of oral and nasopharyngeal lesions can be found. Different from hemoptysis. (4) Hematemesis: Hematemesis and bleeding in the nose, mouth, and throat: Hematemesis comes out through vomiting, the blood is dark purple, with food residues, and there is often a history of stomach problems. Bleeding in the nasal cavity, oral cavity and throat, bright red blood, no food residues, relevant examinations in the Department of Otology can determine the specific location. (5) Hematochezia: 1. Hematochezia and dysentery: At first, dysentery has symptoms such as fever and chills, and the blood in the stool is both pus and blood, and there are symptoms such as abdominal pain, tenesmus, and anal burning. The blood in the stool is not tenesmus, and there is no pus and blood, unlike dysentery. 2. Hemorrhoids and hemorrhoids: Hemorrhoids are a surgical disease. The blood in the stool is characterized by bleeding during or after the stool, often accompanied by foreign body sensation or pain in the anus. During anorectal examination, internal or external hemorrhoids can be found, which is similar to that of internal medicine. Blood in the stool is not difficult to identify. 3. Distant blood and near blood: The distance of blood in the stool refers to the distance of blood from the anus. Distant hemorrhage is located in the stomach and small intestine (upper digestive tract). The blood and feces are mixed, and the blood color is as dark as black or dark purple. Near blood comes from the sigmoid colon, rectum, anus (lower gastrointestinal tract), the blood is separated from the stool, or the stool is covered with blood, and the blood is often bright red or dark red. 4. Intestinal wind and visceral poison: both are blood in the stool. Intestinal wind, bloody color, fresh and thin, like splashing underneath, is caused by wind-heat. Dirty, poisonous blood color is dark, turbid, sticky, not dripping smoothly, caused by damp heat (toxic). (6) Blood in urine: 1. Blood in urine and blood in urine: Both blood in blood and blood in urine are manifested as blood coming out of the urethra, and the two are distinguished by pain and pain when urinating. If there is no pain, it is blood in urine and pain. ) Is bloody. 2. Hematochezia and Shilin: Both have blood in the urine. However, there are sometimes sand and gravel inclusions in the urine of Shilin, astringent and stagnant urine, sometimes interrupted urination, or abdominal cramps, etc. If the gravel is discharged from the urine, the pain will stop, which is different from blood in the urine. (7) Purpura: 1. Purpura and rash: both purpura and rash have local skin color changes. Those with punctate purpura need to be distinguished from the rash. The purple spot is hidden in the skin, does not fade when pressed, and does not interfere with the touch; the rash is high on the skin, fades when pressed, and hinders the touch. And the causes and disease positions of the two are different. 2. Purpura and febrile plaque: Although purple plaque and febrile plaque may be similar in the appearance of plaques on the skin, the condition, condition and prognosis of the two are quite different. Febrile disease has a sudden onset of spotting, often accompanied by high fever, irritability, headaches such as splitting, delirium, limb twitching, nose buttons, tooth buttons, blood in the stool, blood in the urine, red tongue, etc. The condition is dangerous and changeable. Miscellaneous disease spots (purple spots) are generally not as rapid as febrile disease, and they often have a history of recurrent episodes, and sometimes occur suddenly. Although there are symptoms of hyperthermia from time to time, the tongue is generally not red and crimson, and there is no rapid transmission of febrile disease. Features. 3. Purple spots and erysipelas: erysipelas is a surgical skin disease, named after the skin color is as red as red lead. The lighter ones will fade under pressure, and the severe ones will not fade, but the local skin is burning and swelling, which is different from the purple spots.(8) Identification of the main types of blood syndromes: 1. Heat-suppressing blood syndrome: It mostly occurs in the early stage of blood syndrome. Most of them have a rapid onset and bleeding, accompanied by fever, irritability, thirst and desire to drink, constipation, yellow urine, Red tongue, yellow fur and less fluid, pulse string or slippery syndrome. 2. Yin-deficiency and fire-prosperity syndrome: Generally, the onset is relatively slow, or it is caused by the prolonged transformation of the syndrome of hyperactive heat and blood. Manifestations of repeated bleeding, accompanied by dry mouth and throat, red zygomatic, hot flashes and night sweats, dizziness, tinnitus, waist and knees soreness, red tongue, less fur, and pulse count. 3. Deficiency of qi syndrome: it is more common in patients with bleeding with a long course of disease and chronic illness. It is manifested as slow onset, repeated bleeding, accompanied by fatigue, palpitations, shortness of breath, dizziness, loss of appetite, pale or chlorosis, weak tongue, weak pulse and other symptoms. Diagnosis basis: 1. Nose button: Any blood spilling from the nasal passage rather than caused by trauma or menstruation can be diagnosed as a nose button. 2. Tooth button: blood spills from the gums or interdental gaps, and if the cause of trauma is excluded, it can be diagnosed as tooth button. 3. Coughing up blood: blood comes from the lungs and airways, and comes out after coughing, or feels throat itching and chest tightness, and the blood is bright red, or the foam is mixed, or the sputum is mixed with blood in the sputum. Most have a history of chronic cough, phlegm, tuberculosis, etc. 4. Hematemesis: sudden onset, nausea, gastric discomfort, and dizziness before hematemesis. Blood comes out with vomiting and is often accompanied by gastric contents such as food residues. The blood color is mostly brown or dark purple, but it can also be bright red. The stool color is black as lacquer, or dark red. He has a history of stomach pain, hypochondriac pain, jaundice, and syndrome. 5. Hematochezia: stools are bright red, dark red or dark purple, or even black as tar-like, increasing the frequency. A history of gastrointestinal or liver disease. 6. Hematuria: There is blood mixed or bloodshot in the urine, and there is no pain when urinating. 7. Purple spots: Bruise spots appear on the skin, which are as small as a needle tip, and the larger ones are fused into pieces, which will not fade. Purple spots occur on the limbs, especially the lower limbs, and often recur. Severe cases may be accompanied by nasal buttons, tooth buttons, hematuria, hematochezia and metrorrhagia. Both children and adults can suffer from this disease, but it is more common in women. Related examinations: 1. Haemoptysis: Laboratory examinations, such as erythrocyte sedimentation rate, sputum culture bacteria, sputum examination for acid-fast bacilli and exfoliated cells, as well as chest X-ray examination, bronchoscopy or imaging, chest CT, etc., help to further clarify cough The cause of blood. 2. Hematemesis: Fiber gastroscopy, upper gastrointestinal barium meal radiography, B-mode ultrasound, gastric juice analysis and other examinations can further clarify the cause of hematemesis. 3. Hematochezia: vomit and stool occult blood test, routine stool examination, digital rectal examination, rectal sigmoidoscopy, etc., help to further clarify the cause of hematochezia. 4. Blood in urine: Urine routine is a check that must be done when urine is blood. In addition, urinary bacteriological examination, urinary X-ray examination, cystoscopy, etc. can be further performed according to the situation. 5. Purpura: blood and urine routine, stool occult blood test, platelet count, clotting time, vasoconstriction time, prothrombin time, capillary fragility test, etc. are frequently required checks, which help to clarify the cause of bleeding and help diagnosis. Principles of treatment: The treatment of blood syndrome should be based on the etiology and pathogenesis of various blood syndromes and the differences in the damage to the viscera, combined with the deficiency of the syndrome and the severity of the disease. "Jingyue Quanshu·Blood Syndrome" says: "When treating blood syndrome, you must know its essentials, and the cause of blood movement is only fire but ears. Therefore, those who detect fire must observe whether there is fire or not, and those who observe qi must observe their qi deficiency. In fact, knowing these four and getting the right reason, the blood treatment method has no meaning." In summary, the treatment of blood syndrome can be summarized into three principles: treating fire, treating qi, and treating blood. 1. Treatment of fire: fire heat, scorching, damage to the veins, is the most common pathogenesis of blood syndrome, according to the different syndromes of deficiency and excess, the actual fire should be used to clear heat and relieve fire, and the deficiency of fire should be used to nourish yin and reduce fire, and should be combined with the different affected organs , Select appropriate prescriptions respectively. 2. Treatment of Qi: Qi is the commander of blood, and Qi can control the blood. Blood and Qi are closely related. Therefore, "Yiguan·Xue Syndrome" says: "Blood depends on Qi, and Qi must be regulated before blood." For empirical evidence, it should be clearing qi and lowering qi, and deficiency syndrome should be tonifying qi and replenishing qi. 3. Treatment of blood: "Blood Syndrome · Hematemesis" says: "If you save one point of blood, you will have one life." To achieve the goal of treating blood, the most important thing is to perform syndrome differentiation and treatment based on the etiology and pathogenesis of various syndromes, including appropriate selection of prescriptions for cooling blood to stop bleeding, astringent bleeding, or removing blood stasis and bleeding. Key points of syndrome differentiation: 1. Different syndromes: blood syndrome has clear and prominent clinical manifestations-bleeding, which is generally not easy to be confused. However, due to the different causes of bleeding and the different locations of bleeding, attention should be paid to distinguish different syndromes. For example, blood spit out from the mouth can be divided into vomiting blood and hemoptysis; bleeding in urine can be divided into blood in the urine and hemorrhage; blood in the stool has blood in the stool and hemorrhoids. It should be differentiated based on clinical manifestations and medical history. 2. Distinguish the difference of visceral diseases: the same blood syndrome can be caused by different visceral diseases.For example, both belong to the nose button, but the diseased organs are in the lungs, stomach, and liver; hematemesis has the disease in the stomach and the liver; the tooth button has the disease in the stomach and the kidney; the blood in the urine has the disease in the bladder. , Kidney or spleen. 3. Syndrome Differentiation of Deficiency and Excess: Generally, the initial illness is more real, and the chronic illness is more deficient; those caused by fire and blood pressure are real, and those caused by yin deficiency and fire prosperous, qi deficiency, and even yang deficiency and decline are deficient. Etiology and pathogenesis: 1. Feeling of exogenous evils; 2. Excessive emotions; 3. Irregular diet; 4. Exhaustion and physical weakness; 5. After a long illness. Blood syndrome can be caused by a variety of reasons such as feeling external evils, excessive emotions, improper diet, overwork, chronic illness or fever. And its pathogenesis can be attributed to two types: fiery burning, forced blood to act rashly, qi deficiency and inadequacy of qi deficiency, and bleeding outside the vein. [Abstract]: "Lingshu · All diseases are born": "Yang collateral injury will cause blood spillage, blood spillage will result in button blood; Yin collateral injury will cause blood spillage, and blood will cause later blood." "Suwen·Daqi Lun": "When the pulse arrives and beats, the blood button will die." "Golden Guilds · Symptoms of Palpitation, Pain, Blood, Blood, Blood, Blood, and Pulse, Syndrome Treatment": "Insufficient heart-qi, vomiting blood, blood in the button, Xiexin Decoction". "Taiping Shenghui Prescriptions · Recipes for the Treatment of Blood in the Urine": "If the husband urinates blood, the bladder has guest heat, and the blood seeps into the bladder. The blood gets hot and goes rashly, so because of heat dissipation, it seeps into the bladder and urinates blood." . "Three Causes, Extremes and One Disease Syndrome · Blood Loss Narrative Theory": "The husband's blood is still water, water travels through the earth, and all rivers are governed, so there is no danger of a decisive decision. The cycle of blood flows in the honor, the classics, the government, Yu, the outside is not hurt by the four qi, and the inside is not depressed by the seven emotions. It is natural and comfortable. In case of a slight refreshment, it will be blocked. Therefore, the blood must not flow through the meridians. Disperse, or go down and die back, or conversely overflow, there are all kinds of syndromes such as vomiting, button, stool, profit, sweat, and phlegm." "Jishengfang·The Gate of Blood Diseases": "The husband's blood is not caused by heat. The blood is hot and the blood is hot. The blood follows the qi, but the button is vomiting." "Medical Biography·Blood Syndrome": "Hematemesis from the stomach overflows into the mouth." "People who cough and cough blood come from the lungs." "Xian Xing Zhai Medical Notes · Vomiting blood": "Three essential methods of vomiting blood: blood should not stop bleeding. If the blood does not pass through the meridian, the qi will go up and down, and the blood will flow through the meridian. Blood coagulation results in fever and bad eating, which will linger on the day of illness. It is advisable to invigorate the liver but not to cut the liver. The scripture says: The five internal organs are also the ones who store essence and qi without diarrhea. The liver is the official of the general and the main storage of blood. Those who vomit blood, the liver loses it. Responsibility. Nourishing the liver will calm the liver qi and return the blood to some extent. If the liver is weakened, the blood will not be stored, and the blood will heal. If the qi does not rise, the blood travels with the qi, and there is no risk of overflowing the upper orifice. To reduce the fire, you must use a cold medicine to counteract the stomach qi. If the stomach qi is injured, the spleen cannot control the blood, and the blood cannot return to the meridian." "Jingyue Quanshu·Blood Syndrome": "The blood coming out of the gums between the teeth is the button of the tooth. This is the disease of the second meridian of Yangming of the hands and feet and the kidney of the foot Shaoyin. Cover the hands and Yangming into the lower teeth, and the foot Yangming into the upper In the teeth, the kidneys dominate the bones, and the teeth are the end of the bones. Although this is a dental disease, but blood comes from the meridian, Yangming is the most important." "Blood in the stool is not the same as the intestines. Those who cover blood in the stool will have more solid stools and blood from the bottom. In the intestines, they will see pus and blood due to diarrhea, that is, dysentery."
Types of symptoms and treatments: 1. Phlegm: 1. Spleen-yang weakness syndrome: full chest and flanks, nausea under the heart, vibrating sound in the stomach, vomiting of clear water, phlegm, vomiting, and vomiting easily after drinking. , You are thirsty and do not want to drink, dizziness, heart palpitations, shortness of breath, lack of food, stool or loose stools, gradually thin body, white and slippery tongue coating, and thin and slippery pulse. Syndrome summary: the spleen yang is weak, the drinking stops in the stomach, the clear yang does not rise. Treatment method: warm the spleen and drink. Representative: "Golden Guides" Linggui Shugan Decoction and "Golden Guides" Xiaobanxia plus Fuling Decoction. Prescription: Poria, Guizhi, Atractylodes, Licorice, Pinellia, Ginger. 2. Drinking gastrointestinal syndrome: the heart is full or painful, self-interested, and the hindsight is quicker, although it is good, the heart continues to be full, or the water goes between the intestines, leaking sound, full abdomen, constipation, dry mouth, tongue coating Greasy, white or yellow, pulse sinking or floating. Syndrome summary: Drinking water is blocked, staying in the gastrointestinal tract, preventing long-term heat. Governing Law: Take down to drink. Representative: "Golden Synopsis" Gansui Banxia Tang combined with "Jingui Synopsis" Jijiao Lihuang Wan. Recipe: kansui, pinellia, peony, licorice, fangji, pepper, Tinglizi, rhubarb, white peony, honey. 2. Suspended drink: 1. Evil chest and lung syndrome: cold and heat exchanges, body heat ups and downs, less sweating, or fever but not aversion to cold, sweating but heat incomprehension, cough, less phlegm, shortness of breath, chest pain, breathing, Turn side pain aggravated, hard subcardia, retching, bitter mouth, dry throat, thin white or yellow tongue coating, pulse string. Syndrome summary: evil offenses on the chest and lungs, cardinal failure, and lung failure. Governance: reconciliation and profit. Representative: "Introduction to Medicine" Chaizhi Banxia Decoction. Prescription: Bupleurum, Scutellaria, Fructus Trichosanthis, Pinellia, Citrus aurantium, Green Bark, Red Peony, Platycodon, Almond, Licorice.2. Symptoms of chest and thigh-flank drinking stop: chest pain, cough and saliva induce pain, the pain is less than before, but the dyspnea is aggravated, cough and wheezing, shortness of breath cannot lie supine, or can only lie on the side of the stop, The intercostal space on the sick side is full, and the thoracic bulge on the sick side may be seen, the tongue coating is white, and the pulse is sinking or slippery. Synopsis of Syndrome: Drinking to stop the chest and hypothermia, obstructed veins and stagnation of lung qi. Governance: Xiefei Quyin. Representative prescription: Jiaomu Gualou Decoction combined with "Treatise on Febrile Diseases" Shizao Decoction or "Three Causes and One Disease Prescriptions" to control salivary pills. Prescription: Chuanjiaomu, Gualou Seed, Tinglizi, Mulberry Bark, Suzi, Pinellia, Poria, Tangerine, Tribulus, Gansui, Euphorbia, Coriander, Jujube, White Mustard Seed, Plantago Seed, Almond , Fructus Aurantii, Polyporus umbellatus, Alisma, wax gourd peel. 3. Syndrome of collateral-qi discord: pain in the chest and thigh, such as burning like thorns, chest tightness, uncomfortable breathing, or coughing, even prolonged, prolonged, prolonged, more rainy, deformed chest on the sick side, thin tongue coating, Dark in nature, pulse string. Syndrome summary: long-term depression due to evil drinking, unfavorable qi machine, obstruction of collaterals. Governing Law: Regulate Qi and Collaterals. Representative party: Modification of Xiangfu Xuanfuhua Decoction in "Differentiation of Febrile Diseases". Prescription: Inula, Suzi, Bupleurum, Cyperus rotundus, Citrus aurantium, Turmeric, Corydalis, Angelica, Red peony root, Agarwood, Coix seed, Pinellia, Poria cocos, Orange peel. 4. Internal heat syndrome of yin deficiency: when coughing and choking, vomiting a small amount of sticky sputum, dry mouth and throat, or afternoon hot flashes, zygomatic redness, upset, heart heat in the hands, feet, night sweats, or chest and hypochondriac tightness and pain, the illness will last for a long time , Body weight loss, red tongue, less coating, pulse fraction. Synopsis of Syndrome: Drinking prevents qi stagnation, reduces heat and injures yin, yin deficiency and lung dryness. Treatment method: nourishing yin and clearing away heat. Representative prescription: "Differentiation of Febrile Diseases" Adhesive Ophiopogon Decoction and "Straight Jue of Pediatric Medicine and Syndrome" Xiebai Powder. Prescription: Adenophora, Ophiopogon japonicus, Polygonatum odoratum, mulberry leaves, licorice, trichosanthes, raw white lentils, mulberry white bark, Digupi bark, japonica rice. 3. Overdrinking: Cold and internal drinking syndrome: the body is heavy and painful, and even the limbs are swollen, aversion to cold, no sweat, or cough and wheezing, phlegm and foamy, chest tightness, retching, not thirsty, white fur, pulse The string is tight. Syndrome summary: lung and spleen disorders, cold water stays in, overflowing limbs. Governing law: publish chemical drink. Representative: Xiaoqinglong Decoction in Treatise on Febrile Diseases. Recipe: ephedra, cassia twig, pinellia, dried ginger, asarum, schisandra, white peony, licorice. IV. Drinking: 1. Cold Drinking Lung Syndrome: Can't lie down with full cough and asthma, sputum and white foam are too much, it does not heal for a long time, cold weather aggravates, and even causes edema on the face. Or usually lie down and do not work, it will happen when you encounter cold, and it will cause cold and heat, back pain, low back pain, eyes weeping spontaneously, and the body vibrates. The tongue coating is white and slippery or greasy, and the pulse string is tight. Syndrome summary: cold drink is inferior to the lungs, when cold is triggered, the lungs fail to declare and descend. Treatment: Xuanfei Huayin. Representative: Xiaoqinglong Decoction in Treatise on Febrile Diseases. Recipe: Ephedra, Guizhi, Dried Ginger, Asarum, Pinellia, Magnolia, Suzi, Almond, Licorice, Schisandra. 2. Syndrome of spleen and kidney yang deficiency: wheezing is worse, heart palpitations, shortness of breath, or cough and timidity, excessive phlegm, lack of food, chest tightness, cold limbs, fatigue, abdomen, irritability, and movement under the navel Palpitations, difficulty in urination, foot tarsal swelling, or spitting and dizzy head, fat and big tongue, light texture, white or greasy fur, heavy, thin and slippery pulse. Syndrome summary: Drinking for a long time, spleen and kidney yang deficiency, drinking Lingling heart and lungs. Treatment method: warm the spleen and kidney, drink with water. Representative prescription: Jingui Shenqi Pills from "Golden Synopsis" and Linggui Shugan Decoction from "Jingui Synopsis". Recipe: Aconite, Cassia twig, Rehmannia glutinosa, Chinese yam, Dogwood, Poria, Alisma, Danpi, Atractylodes macrocephala, licorice, Astragalus, Chinese yam, Suzi, Dried ginger, Coltsfoot, stalactite, Agarwood, Buguzhi Differentiation of disease and syndrome: 1. Suspended drink and chest pain: both have chest pain. However, chest paralysis is pain in the prosthesis of the chest or precordial area, and can be caused to the left shoulder and back or the inner side of the left arm. It often occurs suddenly after fatigue, full meal, cold, or emotional agitation. It lasts a short time, after rest or medication It can be relieved; while the suspension drink is chest pain, continuous confusion, often accompanied by coughing saliva, turning side, pain aggravated when breathing, full intercostal space, and cough, sputum and other pulmonary syndromes. 2. Overflowing drink and Fengshui syndrome: Fengshui syndrome of edema can be divided into two types: superficial reality and superficial deficiency. If it is true, there is edema without sweating, and the body is painful, which is basically the same as the overdrinking of the water panmuscular surface. If you see swelling of the limbs and sweating bad wind, it is a manifestation of deficiency, which is different from overflowing. 3. Zhiyin, Fuyin and lung distension, wheezing syndrome, wheezing disease: The above-mentioned diseases have symptoms such as coughing up the air, wheezing full, and expectorating sputum. However, pulmonary swelling is a result of the accumulation of many chronic diseases of the lung system over time; asthma syndrome is an important main symptom of many acute and chronic diseases; asthma is an independent disease with recurring episodes; Zhiyin is a type of phlegm. It is caused by drinking evil to support the chest and lungs; the so-called Fu Yin refers to the drinking certificate issued from time to time while Fu Yin. Its occurrence, development, and outcome are all different, but there are also certain connections between them. Such as lung swelling in the acute stage of disease, it can show the syndrome of Zhiyin; asthma syndrome has two syndromes of lung cold and phlegm, and often has characteristics of Zhiyin; asthma is also in the scope of Fuyin.Diagnosis basis: 1. Phlegm drink: the heart is full of nausea, vomiting, clear water, phlegm and saliva, gastrointestinal leaching sound, the body used to be fat and thin now, it belongs to the stomach and intestines. 2. Suspended drink: full chest and flanks, cough and saliva cause pain, shortness of breath, unable to lie flat, or a history of tuberculosis, belong to the underside of drink stream. 3. Overdrinking: The body is painful and heavy, and even the limbs are swollen. When sweating but not sweating, or accompanied by coughing and wheezing, it is a drinking over the limbs. 4. Zhiyin: Cough and lean on breath, short breath can not lie flat, its shape is swollen, it belongs to the chest and lungs supported by evil drinking. Related inspections: There are many diseases involved in the four drinks, and the clinical examination should be combined with relevant inspections. For example, chest X-ray and B-ultrasound examination show that there is pleural effusion, the conventional specific gravity of pleural fluid is greater than 1.018, the protein content is greater than 2.5%, and the cell count is mainly lymphocytes, which is helpful for the diagnosis of exudative pleurisy. Gastroscopy examination of gastric mucosa with inflammation, congestion, erosion, or gland atrophy, positive for Helicobacter pylori, is helpful for the diagnosis of chronic gastritis. There are clinical manifestations of cardiac insufficiency, increased pulmonary capillary wedge pressure (PCWP), or increased jugular venous pressure, which is helpful for the diagnosis of left or right heart failure. Routine urine examinations have hematuria and proteinuria. The urine sediment has a large amount of red blood cells, white blood cells, hyaline casts and granular casts, which is helpful for the diagnosis of acute glomerulonephritis. Treatment principle: The treatment of phlegm drink is based on warming. Because drinking is a yin evil, it gathers when cold, and when it gets warm, it is OK. By warming Yang Qi, the formation of drinking water can be prevented. Therefore, the article "Golden Guilds · Phlegm Drinking Cough Disease and Pulse Syndrome Treatment" puts forward: "Sick phlegm drinkers should be treated with warm medicine." At the same time, corresponding treatment should be taken according to the difference between the real and the virtual. For those with prosperous drinking water, they should dispel the drink to treat the symptoms; for those with weak yang, warm the yang to cure the root cause; those who are on the surface, sweat when warm; those who are inside, should warm and dilute water; Attack it; if it belongs to the evil, the real and the deficiency, it should be used to eliminate and supplement; if the drink is mixed with heat, it should be used as warm and clear. The main points of syndrome differentiation: 1. The order of distinguishing specimens: master the characteristics of yang deficiency and yin prosperity, and the essence of deficiency and superficiality. The original deficiency refers to insufficient yang energy, and the standard real refers to staying together by drinking water. No matter how long the disease is, it is necessary to distinguish between the two according to the symptoms. 2. Differentiation of pathogenic factors: Although phlegm drinking is a yin-evil, the cold syndrome is mostly, but there are also those who suffer from depression and heat for a long time; if there are symptoms of cold and heat at the first time, it is a clamping surface evil; if the accumulation of drinking does not change, the movement of Qi is blocked , Often and Qi stagnation. Pathogenesis: 1. Exogenous cold and dampness; 2. Improper diet; 3. Exhaustion and physical weakness. Phlegm is caused by cold and dampness from the outside, improper diet, or injury caused by exertion, resulting in dysfunction of the lungs, spleen, and kidneys. The water and valleys must not be transformed into the body and the body fluid will stop accumulating. [Abstracts of literature]: "Golden Guilue · Phlegm Drinking Cough Disease and Pulse Syndrome Treatment": "Question: There are four husband drinks, what is it? The teacher said: There are phlegm drinks, there are hanging drinks, there are overflow drinks, and there are stick drinks. Asked: What is the difference between the four drinks? The teacher said: The person is so thin that he is thin today, the water flows from the intestines, and the leaching is sound, which is called phlegm drinking. After drinking, the water flows under the flanks, coughing and saliva causing pain, called hanging drinking. Drinking water Popularity is attributed to the limbs. When sweating but not sweating, the body hurts a lot, which is called overdrinking. Coughing and relying on the breath, short breath cannot lie down, its shape is swollen, which is called drinking." "The Confucian Family, Drinking Dangdang to Replenish Water Temperature and Replenishing Drama": "In this theory, there are five sources of income from drinking: there are those who get it from anger and depression, those who get it from depression, and those who get it by thinking. There are those who get it from swigs, and those who get it from injury when it is hot. Although there are many drinking certificates, there is no reason for this." "Keys for Syndrome Treatment·Stop Drinking Phlegm": "Those who are good at treating phlegm will treat qi without treating phlegm, and qi shun is the body's body fluid, which also goes along with the qi. Symptoms should not be entangled by the evidences, arrogantly make a name, and treat drinking as the first priority, drinking and eliminating the evidence will heal itself.” "Medical Law · Phlegm Drinking Gate": ""Golden Guild" refers to the point where the water essence is not distributed, and the five classics are not parallel, to express the disease. ······The shallow ones are inside the body and outside the viscera. ······One flows from the stomach down to the intestines, one flows from the stomach to the side of the flanks, one from the stomach to the outside out of the limbs, and the other from the stomach to the top into the thoracic diaphragm. The essence turns into turbidity, and then it becomes phlegm. It must first reunite in places where it is difficult to breathe, so it is threatened by the intestines, and the limbs will gradually stain on the chest and diaphragm, and its momentum will become more and more negative. No one does not start from the stomach." "Medical Law · Phlegm Drinking in the Rest": "Deficiency and cold phlegm, one or two in the young and strong ten, four or five in the elderly and children, four or five in ten. If the spleen and stomach are insufficiency and cold, eating and drinking, yin-qi congestion, vomiting Those with salivation should be warmed up. Those with true yang deficiency can make up for it, and the medicines on the clear are not available." "Jingyue Quanshu · Phlegm Drink": "The phlegm and the drink are of the same kind, but in fact they are different. Gai drink is a kind of water liquid, where vomiting and clear water, chest and abdomen fullness, sour rot, vomiting, etc. This is the proof that the sputum cannot be accumulated while the water is in the valley. It is the so-called drinking. If the sputum is different from the drinker, the drinking is clear and the sputum is thick and turbid, and the drinking only stops accumulating in the stomach and the stomach, but the sputum is everywhere. For those who drink, their illnesses all originate from the spleen and stomach; those who turn into phlegm in nowhere can cause injuries to the five internal organs. Therefore, those who treat this should be aware of and discerning, rather than observing the root cause." "Clinical Guide Medical Records · Phlegm Drink" Zou Zijiu's note: "In short, the work of phlegm drink must arise from the lack of vitality and the decline of Yin and Yang, so that the body fluid is stagnant and cannot be transfused and stays in the chest. The clear water is known. When it becomes turbid, water accumulates yin, it is drinking, drinking yang to condense yang is phlegm······Yang prosperous yin deficiency causes water qi to condense and phlegm, yin prosperous yang deficiency causes water qi to overflow and drink”.
Classification of syndromes and treatments: 1. Dissipation: Lung-heat and body-injury syndrome: thirst and polydipsia, dry mouth, frequent urination, excessive heat and sweating, red sharp tongue, thin yellow coating, red pulse. Synopsis of the card machine: the lungs are hot and dry, and the body fluid is lost. Treatment: clearing away heat and moisturizing the lungs, producing body fluids to quench thirst. Representative side: "Danxi Heart Method" diminishes the thirst side addition and subtraction. Prescription: Trichosanthes, Pueraria lobata, Ophiopogon japonicus, Shengdi, lotus root juice, Coptis, Scutellaria baicalensis Georgi, Anemarrhena, human milk, ginger juice, honey. 2. Zhongxiao: 1. Stomach fever syndrome: eating too much, thirsty, urination, weight loss, dry stool, yellow fur, slippery and strong pulse. Synopsis of the card machine: the internal fire of the stomach is blazing, the stomach heat is eliminated, and the body fluid is consumed. Treatment: Clearing the stomach and purging fire, nourishing yin and increasing fluid. Representative: "Jingyue Quanshu" Jade Girl Decoction. Recipe: Raw Gypsum, Anemarrhena, Coptis, Gardenia, Scrophulariaceae, Raw Rehmannia, Ophiopogon, Sichuan Achyranthes, Rehmannia. 2. Qi-yin deficiency syndrome: thirst and drinking, eating and loose stools, or reduced diet, lack of energy, weak limbs, thin body, pale red tongue, white and dry fur, weak pulse. Synopsis of Syndrome: Insufficiency of Qi and Yin, loss of spleen and health. Therapy: To replenish qi and invigorate the spleen, promote body fluid and quench thirst. Representative prescription: addition and subtraction of Qiwei Baizhu Powder in "Straight Jue of Pediatric Medicine Syndrome". Recipe: Astragalus, Codonopsis, Atractylodes, Poria, Huai Yam, Licorice, Muxiang, Huoxiang, Pueraria, Asparagus, Ophiopogon. Third, lower elimination: 1. Kidney-yin deficiency syndrome: frequent urination, turbidity such as grease, or sweet urine, sore waist and knees, fatigue, dizziness, tinnitus, dry mouth, dry lips, dry skin, itching, red tongue, less coating, pulse Count down. Syndrome summary: kidney yin deficiency, kidney failure. Treatment method: nourishing yin and strengthening kidney. Representative prescription: Addition and subtraction of Liuwei Dihuang Pills in "Straight Formula for Pediatric Medicine Syndrome" Recipe: Rehmannia, Chinese Yam, Cornus, Poria, Alisma, Dan Bark, Chinese Wolfberry, Schisandra. 2. Yin and Yang deficiency syndrome: frequent urination, turbidity such as ointment, even drinking, haggard face, dry ears, sore waist and knees, low limbs, cold limbs, impotence or irregular menstruation, pale and dry tongue coating, The pulse is weak and weak. Syndrome summary: Yin damages yang, kidney yang declines, kidney insufficiency. Treatment method: nourish yin and warm yang, nourish the kidney and consolidate astringent. Representative: Jingui Shenqi Pills addition and subtraction from "Golden Synopsis". Recipe: Rehmannia root, Chinese yam, Cornus officinalis, Poria cocos, Alisma orientalis, Dan bark, Chinese wolfberry, Schisandra, Aconite, Cinnamon. Identification of Diseases and Syndrome: 1. Diabetes and thirst: Thirst is a clinical symptom of thirst and drinking water, which can appear in the course of many diseases, especially fever. However, this kind of thirst has corresponding clinical symptoms according to the different disease syndromes. It is not accompanied by the characteristics of polyphagia, polyuria, sweet urine, and obesity. 2. Diabetes and gall disease: gall disease is the type of qi stagnation transforming fire and yin deficiency and fire, which are characterized by emotional agitation, eating more and prone to hunger, weight loss, heart palpitations, protruding eyes, and swelling on one or both sides of the neck feature. Among them, polyphagia is easy to hunger and weight loss, which is similar to that of Diabetes, but with prominent eyeballs and visible anterior neck gall, it is different from Diabetes, and there is no polydipsia, polyuria, sweet urine and other symptoms of Diabetes. Diagnosis basis: 1. The characteristic clinical symptoms of polydipsia, polyphagia, frequent urination, weight loss or sweet urine are the main basis for diagnosing diabetes. 2. Some patients have no symptoms of "three mores", but if they develop after middle age, and they are addicted to eating ointment, thick flavor, alcohol and wine, and prolonged disease complicated by dizziness, pulmonary tuberculosis, chest pain, heartache, stroke, bird eye, sore carbuncle For those with a disease syndrome, the possibility of diminishing thirst should be considered. 3. Since the occurrence of this disease is closely related to insufficient endowment, the family history of Diabetes can be used as a reference for diagnosis. Related examinations: Check fasting, 2 hours post-meal blood sugar and urine sugar, urine specific gravity, glucose tolerance test, etc., which will help to make a clear diagnosis. When the condition is severe, blood urea nitrogen and creatinine need to be checked to understand renal function; blood ketones are checked to know whether there is ketoacidosis; carbon dioxide binding capacity and blood potassium, sodium, calcium, chloride, etc. Understand acid-base balance and electrolytes. Treatment principle: The basic pathogenesis of this disease is yin deficiency as the root, dryness and heat as the target, so the treatment method of clearing heat and moisturizing dryness, nourishing yin and promoting body fluid is the main disease. "Medical Enlightenment · Three Eliminations" says: "For those with upper-level elimination, it is advisable to moisturize their lungs and clear their stomachs"; "for those with middle-level elimination, it is advisable to clear their stomachs and nourish their kidneys"; Nourish its kidneys and nourish its lungs", which can be said to be the key to the treatment of thirst. Due to the frequent occurrence of blood stasis, yin damage and yang lesions, as well as easy complications such as carbuncle, eye disease, and cough, it is necessary to promptly and rationally choose to promote blood circulation to remove blood stasis, clear heat and detoxification, invigorate spleen and replenish qi according to specific conditions. Nourishing kidney yin, warming kidney yang, etc. Key points of syndrome differentiation: 1. Position of disease: the "three-to-many" symptoms of diabetic disease often exist at the same time, but according to their severity, there are three eliminations, as well as dryness of the lung, heat of the stomach, and deficiency of the kidney. do not. Usually, those with dryness of the lungs and prominent symptoms of polydipsia are called Shangxiao; those with stomach heat and more prominent symptoms of polyphagia are called Zhongxiao; those with kidney deficiency and more prominent symptoms of polyuria. It is called the next elimination.2. Specimen identification: The disease is based on yin deficiency and dryness and heat as the criterion, and the two are mutual cause and effect. Often due to the length of the disease and the severity of the disease, the manifestations of yin deficiency and dryness and heat have their own focuses. Generally, the first disease is mainly dry and hot, and the longer the course of the disease is that the deficiency of yin and dryness and heat are mutually seen. 3. Differentiating the syndrome and complications: polydipsia, polyphagia, polyuria and fatigue, weight loss are the basic clinical manifestations of this disease, and many complications are prone to occur as another feature of the disease. The relationship between this disease and complications is generally based on this disease, followed by complications. Most patients see this disease first, and complications occur with the development of the disease. However, there are also a few patients who are on the contrary. For example, a few middle-aged and elderly patients have no obvious symptoms such as "three more" and weight loss. They are often diagnosed as the disease due to clues such as carbuncle, eye disease, and heart and brain disease. Etiology and pathogenesis: 1. Insufficient endowment; 2. Eating disorder; 3. Emotional disorder; 4. Excessive overwork. The etiology of Diabetes is more complicated. Diabetes can be caused by reasons such as insufficient endowment, eating disorder, emotional imbalance, and overwork. The viscera of diabetic lesions are mainly in the lungs, stomach, and kidneys. Its pathogenesis is mainly the loss of yin and body fluids, and the partial victory of dryness and heat, while the deficiency of yin is the basis, and dryness and heat are the standard. 【Abstracts】: "Suwen·Tongping Xingxue Theory": "Following the treatment of spleen, sluggish attack, partial dryness, dysfunction, qi full of rebellion, fat and noble people, then anointing the disease of the beam". "Lingshu·Five Changes": "Those who are weak in the five internal organs will eliminate the sickness of the disease." "Jingyue Quanshu·Three Elimination of Dry Thirst": "The first method to cure and eliminate dryness is to distinguish between deficiency and reality. If you observe the pulse syndrome, the actual fire will cause the body fluid to be consumed, but if the fire is removed, the body fluid will regenerate itself, and the thirst will be eliminated. If there is insufficient real water, it is known as Yin deficiency. Regardless of upper, middle, or lower, it is necessary to treat the kidneys urgently, which will gradually fill the yin qi and gradually recover the essence and blood, and the disease will heal itself. If you know that the fire is clear, there is no yin To survive, and to see the decay day by day, the benefit will be difficult." "Medical Enlightenment · Three Eliminations": "The symptoms of the three eliminations are all dry and hot and congregate. Dafa should moisturize the lungs and clear their stomachs when treating the upper elimination. Stomach nourishes its kidneys, and Shengdi Bawu Decoction is the main one; if it is cured, it is better to nourish its kidneys and replenish its lungs. Dihuang Decoction and Shengmai San are the mainstay of it. If the husband eliminates the stomach, it will prevent the stomach from burning. It hurts the lungs; it eliminates the kidneys and prevents the fire from attacking the stomach; eliminates the lungs and nourishes the source to produce water. The treatment of the three eliminations does not need to focus on the basic classics, but to nourish the source, then The disease is easy to recover." "Clinical Guide Medical Records · Three Eliminations" Zou Zijiu's note: "If the disease is in the upper middle, the place of the diaphragm becomes the field of the starting prairie fire, that is, the jade girl of Jingyue is fried, and the six flavors are combined with two winter, tortoise shells, and Eclipta in With the heat of Qingyangming, to nourish the yin, and to save the yin of the heart and lungs, and then go to the real liquid. If the yuan yang changes to eliminate the chaos, use the nectar drink of the river to promote body fluid to clear heat, moisturize dryness and nourish yin Gan relaxes the yang. As for strengthening water to control sunlight, there are six flavors to nourish the three yin, and psyllium and achyranthes guide the liver and kidney. Considering flexibility, Sicheng is good."
Spontaneous sweats---night sweats:
Classification of syndromes and treatments: 1. Lung guarding inconsistency syndrome: sweating and bad wind, especially sweating a little bit, or showing half of the body, sweating in a certain part, easy to catch a cold, fatigue, body sorrow, pale complexion, shaohua, thin coating White, weak pulse. Synopsis of Syndrome: Insufficient lung qi, deficiency and solidification of appearance, discord between camp and guard, and sweat leakage. Governing Law: Replenishing Qi and solid form. Representative prescriptions: Guizhi plus Huangqi Decoction in "Golden Guild Synopsis" or Yupingfeng Powder in "World Medicine Decoction". Prescription: Guizhi, peony, ginger, jujube, licorice, astragalus, atractylodes, fangfeng. 2. Cardiovascular deficiency syndrome: spontaneous or night sweats, palpitations, lack of sleep sound, mental fatigue, shortness of breath, pale complexion, pale tongue, thin pulse. Synopsis of the card machine: The heart is exhausted and the heart is not hidden. Governing Law: Nourish blood and nourish the heart. Representative prescription: "Jishengfang" Guipi Decoction addition and subtraction. Recipe: Ginseng, Astragalus, Atractylodes, Poria, Angelica, Longan Meat, Sour Date Seed, Polygala, Schisandra, Oyster, Floating Wheat, Poria, Woody, Licorice, Ginger, Jujube. 3. Yin deficiency and fire prosperous syndrome: night sweats at night, spontaneous sweating, five upset heat, or hot flashes in the afternoon, red cheeks, thirst, red tongue, little moss, pulse count. Synopsis of the card machine: the virtual fire burns inside, forcing the Jin to leak out. Governing Law: Nourishing Yin and Decreasing Fire. Representative: "The Secret Collection of Orchid House" Angelica Liuhuang Decoction addition and subtraction. Recipe: Angelica, Radix Rehmanniae, Rehmannia, Scutellaria, Coptis, Cork, Astragalus, Schisandra, Wumei. 4. Evil-heat stagnant steaming syndrome: steaming and sweating, sweat sticks, sweat easily makes clothes yellow, red and hot face, irritability, bitter mouth, yellow urine, thin yellow tongue coating, stringy pulse. Synopsis of the card machine: dampness and heat are inherent, forcing the body to leak out. Treatment method: clearing the liver and venting heat, reducing dampness and camping. Representative prescription: "Lanshi Secret Store" Longdan Xiegan Decoction Modified. Recipe: Gentian, Scutellaria, Gardenia, Bupleurum, Alisma, Mutong, Plantago, Angelica, Habitat, Glutinous Rice Root. Identification of Diseases and Syndrome: 1. Spontaneous sweating, night sweats, and sweating: sweating is manifested as profuse sweating, sweating like beads, often at the same time with low interest rate, mental exhaustion, cold limbs, weak pulse or weakness It usually appears when the disease is critically ill. It is a sign of critical illness, so sweating is also called absolute sweating.The condition of sweating and the degree of illness are more serious than spontaneous and night sweats. 2. Spontaneous sweats, night sweats and war sweats: mainly appear in the process of acute fever, manifested as sudden chills and trembling, sweating all over the body, fever, thirst, irritability, signs of fighting for evil. If after sweating, the heat will disappear and the pulse will be quiet, the breath will be smoothed, the righteousness will be resisted, and the disease will get better. It is quite different from the yin and yang imbalance, the spontaneous sweats and night sweats caused by the discord between the camp and the guard. 3. Spontaneous sweating, night sweats and yellow sweat: yellow sweat is excellent yellow, dyeing clothes color, often accompanied by sticky mouth, thirsty not to drink, difficulty in urination, yellow and greasy moss, slippery pulse and other damp-heat depression. It can be the hot evil steaming type in spontaneous sweating and night sweats, but the degree of sweating is more yellow. Diagnosis basis: 1. People who sweat on the head, face, neck, chest, limbs, and whole body will not be affected by the external environment. They will sweat day by day, and they will be sweaty when they move. The sweat will produce fluid during sleep, and the sweat will stop after waking up. Night sweats. 2. Exclude spontaneous sweating and night sweats caused by other diseases. As spontaneous sweats and night sweats that occur in the course of other diseases, due to different diseases, each has the symptoms and signs of the disease, and most of the sweating is not prominent. 3. After illness, physical weakness, physical weakness, wind, worry, overwork, uncomfortable emotions, addiction to spicy food, etc. are easy to cause spontaneous sweating and night sweats. Related examinations: Perform erythrocyte sedimentation rate, anti-"O", T3, T4, basal metabolism, chest X-ray film, sputum smear, etc. to rule out rheumatic fever, hyperthyroidism, tuberculosis and other diseases caused by increased sweating. Treatment principle: Deficiency syndrome should be treated according to the different syndromes to replenish qi, nourish yin, enrich blood, and harmonize camping and health; empirical evidence should be used to clear the liver and release heat, dissipate dampness and promote camp; if the deficiency and excess are mixed, it is appropriate according to the priority of deficiency and excess Both. In addition, since spontaneous sweating and night sweats are common lesions with unsettled body fluids and leakage of body fluids, ephedra root, floating wheat, glutinous rice roots, schisandra, dried peaches, oysters and other solid and astringent sweat-trapping products can be added. Enhance antiperspirant function. Key points of syndrome differentiation: It should focus on distinguishing the deficiency of Yin and Yang. Generally speaking, there are many people with a weak sweat syndrome. Spontaneous sweats are mostly qi deficiency and not solid, and night sweats are mostly yin deficiency and internal heat. However, it is empirical if it is caused by liver fire, damp heat and other evil heat stagnation steam. Those who have a longer course of disease or who are seriously ill will have mixed yin and yang deficiency and excess. Prolonged spontaneous sweating can damage yin, long night sweats can damage yang, and there is a syndrome of deficiency of both qi and yin or yin and yang. Etiology and pathogenesis: 1. Physical weakness after illness; 2. Irregular emotions; 3. Addiction to spicy food. Sweating is a physiological phenomenon of the human body. In the case of hot weather, over-clothing, drinking hot soup, emotional agitation, working and running, etc., sweating increases, which is normal. Sweating is also a way to get rid of evil spirits when you are on your watch. It requires sweating to relieve your watch. The causes of spontaneous sweating and night sweating mainly include five aspects: physical weakness after illness, physical weakness and wind exposure, excessive thinking and fatigue, uncomfortable emotions, and addiction to spicy food. Its pathogenesis is mainly yin and yang imbalance, unconsolidated physiology, disharmony between camp and guard, resulting in abnormal sweat leakage. [Abstract]: "Suwen·Xuanming Five Qi": "The five internal organs are transformed into liquid, and the heart is sweat". "Lingshu · Jueqi": "Sweet hair to vent, sweating, is called Jin". "Lingshu·Bing Health Association": "Those who take blood have no sweat, those who take sweat have no blood". "Suwen·Zangqi Law and Time Theory": "Kidney patients sweat during bedtime and hate the wind". "Suwen · Pulse to the essence of theory": "Lung pulse······It is soft and scattered, and perspiration when sick." "Golden Guilds: Syndrome and Treatment of Blood Arthralgia Deficiency and Exertion": "Men are flat people, those with weak and subtle pulse, like night sweats." "The Recipe for Health and All Khan Gates": "Human qi and blood should be yin and yang, harmony will result in peace, and partial disease will result. Yin deficiency and yang will gather together, so fever and spontaneous sweating; Sweat. In addition, colds, heatstroke, dampness, moodiness, panic, atrioventricular, wasting, calendar festivals, intestinal carbuncle, phlegm, puerperium and other diseases can all cause it." "Medical Orthography·Sweat Syndrome": "If a husband sweats spontaneously and night sweats, his illness may seem to be different. If he sweats spontaneously, he will get rid of it from time to time, and if he is moving, he will suffer from yang deficiency. People who have night sweats, sleep and go like a bath, knowing that when they come, they are yin deficiency, and they are the master of yin. Mostly, spontaneous sweating should nourish yang and regulate defense, and night sweats should nourish yin and reduce fire." "Jingyue Quanshu·Sweat Syndrome": "Sweat-removing and anti-perspirant agents, such as ephedra root, floating wheat, ebony, northern five flavors, small black beans, keel, and oysters, can be used at will." "Medical must read sweat": "The heart is hidden, the inside is blood, the outside is sweat. The sweat is also the heart fluid, and the kidney governs the five fluids, so sweat syndrome is not due to heart and kidney deficiency. ". "Syndrome and Treatment Huibu·Hydrosis": "Fire and spontaneous sweating must be dry and hot; dampness and spontaneous sweating, drowsiness, body weight, cloudy weather, cold and spontaneous sweating, headache, body heat, cough, boredom, clear nose Runny nose; spontaneous sweating from summer heat, body heat and thirst, irritable face stain; phlegm syndrome, spontaneous sweating, dizziness, nausea, chest full of spitting." "Medical Sweat": "Sweat, water, and the kidney is the master. It contains fluid, when it rises, it is fluid, when it drops, it is urine, and if it is leaked, it is sweat."
Internal injury and fever:
Syndrome classification: 1. Yin deficiency fever syndrome: afternoon hot flashes, or night fever, not wanting to be close to clothes, hot hands, feet and heart, irritability, less sleep and more dreams, night sweats, dry mouth and throat, red tongue, or cracks, Little or no moss, fine pulse. Synopsis of the card machine: yin deficiency and yang are prosperous, and virtual fire is blazing within. Treatment method: nourishing yin and clearing away heat. Representative: "The Criterion of Syndrome and Treatment" Qinggu San addition and subtraction. Prescription: Silver Bupleurum, Bupleurum, Licorice, Anemarrhena, Coprinus coptis, Digupi, Artemisia annua, Gentiana, Turtle shell. 2. Blood deficiency and fever syndrome: fever, mostly low-grade fever, dizziness, dizziness, fatigue, palpitations, restlessness, pale face, pale lips, pale tongue, and weak pulse. Syndrome summary: blood deficiency and no nourishment, yin is not worthy of yang. Governing Law: Nourishing Qi and Nourishing Blood. Representative prescription: "Jishengfang" Guipi Decoction addition and subtraction. Prescription: Astragalus, Codonopsis, Poria, Atractylodes, Licorice, Angelica, Longan Meat, Sour Date Seed, Polygala, Muxiang, Fushen, Ginger, Jujube. 3. Qi-deficiency and fever syndrome: fever, low or high heat, often onset or aggravated after exertion, fatigue, shortness of breath, lazy speech, spontaneous sweating, easy to catch colds, lack of food, loose stools, pale tongue, thin white fur, pulse Fragile. Synopsis of the card machine: lack of qi, and yin fire is born. Therapeutic method: To replenish qi and invigorate the spleen, and to remove heat with warmth. Representative prescription: Modification of Buzhong Yiqi Decoction in "Spleen and Stomach Theory". Prescription: Astragalus, Codonopsis, Atractylodes, Licorice, Angelica, Tangerine Peel, Cimicifuga, Bupleurum. 4. Yang-deficiency and fever syndrome: fever and desire to be close to clothing, cold and timid, cold limbs, lack of energy and laziness, dizziness, lying down, sore waist and knees, poor appetite for loose stools, pale complexion, pale tongue, or There are tooth marks, white moss, and weak pulse. Synopsis of Syndrome: Deficiency of kidney yang, fire does not return to its original form. Treatment method: warming and replenishing yang, igniting fire and returning to the original. Representative: Jingui Shenqi Pills addition and subtraction from "Golden Synopsis". Prescription: Aconite, Cassia twig, Rehmannia glutinosa, Cornus, Chinese yam, Poria, Alisma, Peony. 5. Qi stagnation and fever syndrome: fever is mostly low-grade fever or hot flashes, the heat often fluctuates with mood swings, depression, fullness of the flank, irritability, dry and bitter mouth, reduced appetite, red tongue, yellow coating , Pulse number. Synopsis of the card machine: Depressed for a long time, turning fire into heat. Treatment: Soothing the liver and regulating qi, relieving stagnation and removing heat. Representative: "Medical System" Danzhi Xiaoyao San addition and subtraction. Prescription: Paeonol, Gardenia, Bupleurum, Peppermint, Ginger, Angelica, White Peony, Atractylodes, Poria, Licorice. 6. Phlegm-dampness stagnation-heat syndrome: low-grade fever, extreme heat in the afternoon, heart upset and heat, chest tightness, swelling, not thinking about eating, thirsty or not wanting to drink, nausea, thin or sticky stools, greasy or yellow tongue coating, pulse number. Synopsis of Syndrome: Phlegm and dampness are contained inside, which prevents heat. Treatment method: dry dampness and resolve phlegm, clear heat and neutralize. Representative prescription: "Prescriptions for Emergency Preparedness" Huanglian Wendan Decoction and "Danxi Heart Method" Neutralizing Decoction. Recipe: Pinellia, Tangerine Peel, Poria, Licorice, Fructus Aurantii, Zhuru, Coptis, Jujube, Atractylodes, Radix Scutellaria, Radix Root, Magnolia officinalis, Tongcao, Bamboo Leaf. 7. Blood stasis and fever syndrome: fever in the afternoon or night, or consciously some parts of the body fever, dry mouth and throat, but do not drink too much, limbs or trunk have fixed pain or lumps, complexion is chlorosis or dull, tongue is blue or stasis Spots, ecchymosis, stringy or astringent pulse. Syndrome summary: blood stagnation, blood stasis and heat endogenous. Therapy: Promoting blood circulation and removing blood stasis. Representative: Modification of Xuefu Zhuyu Decoction in "Medical Forest Correction". Recipe: raw rehmannia, licorice, angelica, chuanxiong, red peony root, rehmannia, peach kernel, safflower, achyranthes, bupleurum, citrus aurantium, platycodon. Identification of Diseases and Syndrome: Internal injury fever and exogenous fever: The diagnosis points of internal injury fever are as follows. The characteristics of exogenous fever are: it arises from the feeling of exogenous pathogens, the onset is more rapid, and the course of the disease is shorter. Most of the initial fever is accompanied by aversion to cold. The fever is mostly high, and the type of fever varies with the type of disease. At first, there are often symptoms of head and body pain, nasal congestion, runny nose, cough, and floating pulse. Exogenous fever is caused by the feeling of exogenous evil and the struggle between good and evil, and most of them are positive. Diagnosis basis: 1. Internal injury fever has a slow onset and a long course, mostly low-grade fever, or consciously fever, but the body temperature does not rise, and there are fewer patients with high fever. Do not hate the cold, or although there is cowardice, but the clothes are warm. Often see dizziness, mental fatigue, spontaneous sweating, night sweats, weak pulse and other symptoms. 2. Generally, there is a history of deficiency of Qi, blood, yin, and Yang, or Qi depression, blood stasis, dampness, or a history of repeated fever. 3. No feeling of head and body pain, nasal congestion, runny nose, floating pulse caused by external evil. Related examinations: Fever, especially long-term chronic fever involves multiple diseases. If necessary, relevant laboratory tests can be performed to further assist in diagnosis. Three routine examinations of blood, urine, and feces, erythrocyte sedimentation rate determination, electrocardiogram, and X-ray chest fluoroscopy or radiographs should be considered as necessary examinations for chronic fever. When connective tissue disease is suspected, the titer of streptolysin "O", blood lupus cell examination, and related serum immunological examination are performed. When liver disease is suspected, perform routine liver function tests.When thyroid disease is suspected, perform basic metabolic examination. If the cause of severe anemia cannot be explained, a bone marrow examination is required. Principles of treatment: According to different syndromes and pathogenesis, specific treatments are adopted. If it is true, the treatment should be mainly for relieving depression, promoting blood circulation, dehumidification, and appropriate compatibility to clear away heat. In the case of deficiency, it should replenish qi, nourish blood, nourish yin, and warm yang. Except for yin deficiency and fever, which can be appropriately compatible with drugs for clearing deficiency and heat, the rest should be based on tonic. It is advisable to give consideration to those who are mixed with reality. As the "Jingyue Quanshu·Fire Syndrome" said: "The actual fire should be reduced, the virtual fire should be supplemented, and the law should be strengthened. However, if there is the real in the virtual, the treatment should be based on supplementing, but it has to be clear; ··· ···If there is a deficiency in the reality, the treatment should be based on cleansing and supplementing." Key points of syndrome differentiation: 1. Differentiation of deficiency and excess of syndrome: The deficiency and excess of syndrome should be differentiated based on medical history, symptoms, pulse condition, etc. This is of great significance to the determination of treatment principles. Internal injury and fever caused by Qi stagnation, blood stasis, and phlegm dampness are true; internal injury and fever caused by Qi deficiency, blood deficiency, Yin deficiency, and Yang deficiency are deficient. If the evil-excess injury is positive and the deficiency is caused by the deficiency, the symptoms of deficiency and excess should be analyzed. 2. Distinguish the severity of the disease: long duration of the disease, high fever, persistent fever or repeated attacks, failure to heal after treatment, declining stomach qi, high deficiency of righteous qi, and multiple trapped diseases, all of which are manifestations of more severe disease. Otherwise, the condition is mild. If there is no substantial disease in the internal organs, it is only caused by general physical weakness and the condition is mild. Etiology and pathogenesis: 1. Chronic illness and physical weakness; 2. Eating and tired; 3. Emotional disorder; 4. Trauma and bleeding. The main causes of internal injury and fever are chronic illness, fatigue, emotional disorder, and traumatic bleeding. Its pathogenesis is mainly deficiency of qi, blood, yin, and yang, as well as stagnation of qi, blood, and dampness. class. 【Abstracts】: "Golden Gui Yaolue · Syndrome and Treatment of Blood Bi Deficiency and Pulse Syndrome": "Insufficiency, palpitations, button, abdominal pain, dream loss, sore limbs, irritated hands and feet, dry mouth and throat , Xiaojianzhong Tang Zhuzhi". "Theories on the Causes of Various Diseases and Heat of Deficiency": "Those who are exhausted and hot have insufficient yin qi and excess yang, so internal and external are born with heat, and non-evil qi can multiply from outside." "Introduction to Medicine·Fever": "Internal injury and labor, fever, weak and weak pulse, fatigue and weakness, no aversion to cold, but the sinking of true yang in the stomach, internal deficiency and heat, it is appropriate to supplement Zhongyiqi Decoction." "Jingyue Quanshu·Cold and Heat": "For those with yin deficiency and heat, it is advisable to strengthen the water to level it; those without roots should benefit from fire to cultivate it." "Medical Law · Consumption Theory": "Blood numbness means that new blood will not regenerate, and the blood that has been known, but also stasis will not work, blood stasis means prosperity, and prosperity means fever. "Medical Enlightenment · Fire Word Explanation": "External fire, wind, cold, heat, dampness, dryness, fire and heat-injury diet, thieves are also fire, thieves can drive but not stay. Internal fire, seven erotic desires, exhaustion of labor, Zi Huo, Zi can be raised but not harmed." "There are four methods of adopting fire: one is to reach: the so-called Muyu is to reach it, such as Xiaoyaosan and the like; the second is to say: the so-called Lord of Zhuangshui, to town Sunshine, such as Liuwei Tang, is also; the third is Wen: ······Through the laborer is warm, and the sweet and warm can eliminate the heat, such as nourishing the middle and replenishing the qi; the fourth is: ······With Xin-heat mixed in the Zhuang water medicine, it is guided under the guidance. The so-called lead the dragon into the sea and lead the fire back to the original, such as Bawei Tang." "Syndrome and Treatment Huibu·Fever": "Blood deficiency and fever, all vomiting blood in the stool, postpartum uterine bleeding, blood deficiency can not be matched with Yang, Yang hyperactivity and fever, treatment should be nourishing blood." "Syndrome and Treatment Huibu·Fever": "Yang deficiency and fever, kidney deficiency and cold water, fire does not return to the meridian, and fever due to parade. "Yilin Gaicuo·Symptoms Treated by Xuefu Zhuyu Decoction": "The body is cold outside, but the heart is hot, hence the name Lantern disease, with blood stasis inside. Think of deficiency and heat, more tonic and stasis; think of actual fire, more cool More condensed". "There is a burst of heat late, every night, and the skin is hot." "Medical Lin Correction · Qi and Blood Harmony Theory": "Fever in the second half of the day, worse in the first half of the night, mild in the second half of the night, and no fever in the first half of the day. This is blood stasis in the blood house. The blood stasis is mild, regardless of four stages. However, it burns for two o'clock before and after sunset; the lighter one, or one o'clock. In this case, the burning is also hot."
Types of syndrome and treatment: 1. Deficiency of Qi: pale or chlorosis, shortness of breath, lazy speech, low voice, dizziness and fatigue, weakness of limbs, pale tongue, white fur, thin and weak pulse. 1. Lung Qi Deficiency Syndrome: weak cough, thin sputum, short breath and spontaneous sweating, low voice, cold and hot, usually easy to catch a cold, pale face. Synopsis of Syndrome: Lung Qi is insufficient, and the appearance is not solid. Treatment method: Tonic lung qi. Representative: "Yong Lei Zou Fang" Bufei Decoction addition and subtraction. Prescription: ginseng, astragalus, adenophora, rehmannia, schisandra, lily, aster, mulberry bark. 2. Heart-qi deficiency syndrome: heart palpitations, shortness of breath, especially fatigue, fatigue, spontaneous sweating. Summary of the card machine: lack of energy and loss of support. Governing Law: Replenishing Qi and Nourishing Heart. Representative: "Jing Yue Quan Shu" addition and subtraction of Qi Fu Yin. Prescription: ginseng, atractylodes, roasted licorice, rehmannia, angelica, jujube seed, polygala, almond.3. Spleen-qi deficiency syndrome: reduced diet, uncomfortable stomach after eating, fatigue, loose stools, and pale complexion. Synopsis of Syndrome: Deficiency of the spleen, lack of health and lack of biochemistry. Governance: invigorating the spleen and qi. Representative prescription: Modified Sijunzi Decoction in "Three Causes, Extremes, and One Disease". Prescription: ginseng, astragalus, atractylodes, licorice, poria, white lentils. 4. Syndrome of kidney qi deficiency: fatigue, weakness of waist and knees, frequent and clear urination, clear and thin leucorrhea, weak tongue, weak pulse. Synopsis of the card machine: Insufficient kidney qi, loss of support for the waist, and no right to take photos. Therapy: To replenish qi and nourish the kidney. Representative: "Jing Yue Quanshu" Dabu Yuanjian addition and subtraction. Prescription: ginseng, yam, roasted licorice, eucommia, cornus, rehmannia, medlar, angelica. 2. Blood deficiency: pale yellow or pale complexion, pale lips, tongue, and nails, dizziness and dazzling, rough skin, pale red tongue, less fur, thin pulse. 1. Heart-blood deficiency syndrome: heart palpitations, forgetfulness, insomnia, dreaminess, and pale complexion. Synopsis of the card machine: Deficiency of heart and blood, loss of heart to support. Governance: nourish blood and calm the heart. Representative: "The Criterion of Syndrome and Treatment" Yangxin Decoction. Recipe: ginseng, astragalus, poria, schisandra, licorice, angelica, chuanxiong, cypress kernel, wild jujube kernel, polygala, cinnamon, pinellia, phoshen. 2. Liver-blood deficiency syndrome: dizziness, dizziness, hypochondriac pain, numbness of the limbs, fast muscles and pulses, or tendons to be suspicious, and women with irregular menstruation will lead to amenorrhea, and the complexion will be poor. Syndrome summary: Liver blood deficiency, dystrophy of muscles and veins. Treatment method: nourishing blood and nourishing liver. Representative party: "Taiping Huimin Heji Prescription" Siwutang addition and subtraction. Prescriptions: Rehmannia, Angelica, Peony, Chuanxiong, Astragalus, Codonopsis, Atractylodes. 3. Spleen blood deficiency syndrome: anorexia, chlorosis, general fatigue. Summary of card machine: Deficiency of spleen and blood, running out of time. Governance: invigorate the spleen and nourish blood. Representative prescription: "Jishengfang" Guipi Decoction addition and subtraction. Recipe: Atractylodes macrocephala, Fushen, Astragalus, Longan meat, Sour date kernel, Ginseng, Muxiang, Licorice, Angelica, Polygala, Ginger, Jujube. 3. Yin deficiency: cheek redness on the face, red lips, low-grade fever, hot flashes, hot hands, feet, and heart, irritability, night sweats, dry mouth, light red tongue, less fluid, weak pulse. 1. Lung Yin deficiency syndrome: dry cough, dry throat, even aphonia, hemoptysis, hot flashes, night sweats, flushing complexion. Synopsis of Syndrome: Deficiency of lung yin, and lack of clean and moist lung. Treatment method: nourishing yin and nourishing lungs. Representative: "Differentiation of Febrile Diseases" Adhesive Ophiopogon Decoction Modification. Prescription: Adenophora, Ophiopogon japonicus, Polygonatum odoratum, Trichosanthes, mulberry leaves, raw licorice, raw white lentils. 2. Heart-yin deficiency syndrome: heart palpitations, insomnia, irritability, hot flashes, night sweats, or sores on the tongue, flushing complexion. Synopsis of the card machine: loss of heart yin, loss of heart nourishment. Governing Law: Nourishing Yin and Nourishing Heart. Representative: "School Notes for Women's Remedies" Tianwang Buxin Dan addition and subtraction. Prescription: Shengdi, Scrophulariaceae, Ophiopogon japonicus, Asparagus, Ginseng, Poria, Schisandra, Angelica, Salvia miltiorrhiza, Boziren, Sour date kernel, Polygala, Platycodon, Cinnabar. 3. Spleen and stomach yin deficiency syndrome: dry mouth, dry lips, not thinking about diet, dry stool, even retching, hiccups, flushing complexion. Syndrome summary: spleen and stomach yin injury, loss of nourishment. Treatment method: nourish yin and stomach. Representative: Modification of Yiwei Decoction in "Differentiation of Febrile Diseases". Recipe: Adenophora adenophorum, Ophiopogon japonicus, Habitat, Polygonatum odoratum, White peony root, ebony plum, licorice, corn bud, Gallus gallus domesticus, rose flower, rock sugar. 4. Liver Yin Deficiency Syndrome: headache, dizziness, tinnitus, dry eyes, photophobia, unclear vision, irritability, or numbness of the limbs, fear of fleshy muscles, flushing of the face. Synopsis of the card machine: yin deficiency and yang hyperactivity, upper disturbance is cleared. Treatment: nourish liver yin. Representative prescription: "Golden Mirror of Medicine", addition and subtraction of liver-buying decoction. Prescription: raw rehmannia, rehmannia, angelica, peony, chuanxiong, papaya, licorice, dogwood, shouwu, wild jujube seed. 5. Kidney Yin Deficiency Syndrome: backache, nocturnal emission, weak feet, dizziness, tinnitus, even deafness, dry mouth, sore throat, red zygomatic, red tongue, shaojin, heavy and thin pulse. Synopsis of Syndrome: Insufficient kidney essence, loss of nourishment. Treatment method: nourish kidney yin. Representative: Addition and subtraction of Zuogui Wan in "Jingyue Quanshu". Recipe: Rehmannia root, tortoise shell glue, medlar, yam, dodder, hyssop, dogwood, antler glue. 4. Yang Deficiency: pale or dull complexion, coldness, cold hands and feet, cold sweats, mental fatigue, weak breath, or swelling, severe lower limbs, fat and tender tongue, tooth marks on the sides, pale and moist coating, pulse Subtle, heavy or large. 1. Heart Yang Deficiency Syndrome: Heart palpitations, spontaneous sweating, tiredness and addiction, heart suffocation and pain, cold limbs, and pale complexion. Synopsis of Syndrome: Deficiency of heart yang, deficiency of heart qi, and weakness of blood transport. Governance: Yiqiwenyang. Representative: "Boai Heart Jian" Baoyuantang addition and subtraction. Prescription: ginseng, astragalus, cinnamon, ginger, licorice. 2. Spleen-yang deficiency syndrome: pale complexion, lack of appetite, cold form, fatigue, lack of energy, lazy speech, loose stools, bowel and abdominal pain, which are exacerbated by cold or careless eating. Synopsis of the card machine: Deficiency of Zhongyang, weakness of warmth, abnormal movement and transformation. Governance: Wenzhong and invigorating the spleen. Representative: "Taiping Huimin Heji Bureau" Fuzi Lizhongtang addition and subtraction. Prescription: Codonopsis, Atractylodes, Licorice, Aconite, Dried ginger.3. Kidney Yang Deficiency Syndrome: back pain, nocturnal emission, impotence, polyuria or incontinence, pale complexion, chills, cold limbs, diarrhea in the lower Liqinggu or Wugeng, pale tongue, and tooth marks. Synopsis of Syndrome: Deficiency of kidney yang, loss of warmth, and no right to solidify. Treatment method: warming kidney yang. Representative: "Jing Yue Quan Shu" Yougui Wan addition and subtraction. Prescription: aconite, cinnamon, eucommia, cornus, dodder, antler gum, rehmannia, yam, wolfberry, angelica. Differentiation of disease syndromes: 1. Deficiency and tuberculosis: Before the Tang Dynasty, the two disease syndromes had not been distinguished, and they were generally included in the consumptive. After the Song Dynasty, there was a clear understanding of the difference between wasting and tuberculosis. The key points for distinguishing the two are: tuberculosis is caused by insufficient righteousness and being invaded by tuberculosis. The main disease is in the lungs. It is infectious. It is characterized by Yin deficiency and fire, and cough, sputum, hemoptysis, hot flashes, and night sweats. , Weight loss is the main clinical symptom; while fatigue is caused by many reasons, long-term deficiency, longer course of disease, non-infectious, with deficiency of visceral qi, blood, yin and yang as the basic pathogenesis, which appear respectively Various symptoms of deficiency of five internal organs, Qi, blood, Yin and Yang. 2. Deficiency syndromes of asthenia and other diseases: Deficiency syndromes in other diseases and syndromes in internal medicine are similar in clinical manifestations and treatment prescriptions. There are two main differences between the two: (1) Various syndromes of asthenia Symptoms are all characterized by a series of symptoms of deficiency of essence and qi, while the main clinical symptoms of other diseases and syndromes are prominent. For example: the spleen-yang deficiency type with vertigo syndrome has symptoms of qi and blood deficiency, but dizziness is the most prominent and basic manifestation; the spleen-yang deficiency type with edema syndrome has symptoms of spleen-yang deficiency , But edema is the most prominent and basic manifestation. (2) The syndrome of consumptive work is longer and more severe, often involving multiple organs or even the whole. Although the deficiency syndrome of other disease syndromes is mostly chronically ill, there are also those with deficiency syndrome due to a short course of disease and single diseased organs. For example, the weak type of spleen and stomach with the first syndrome of diarrhea mainly manifests diarrhea accompanied by the symptoms of spleen and stomach deficiency. Diagnosis basis: 1. It is more common to see physical and mental decay, lean body, loss of fat, less food, anorexia, heart palpitations, shortness of breath, spontaneous sweating, night sweats, haggard face, or five upset and hot, or cold limbs, weak pulse and other symptoms. If the course of the disease is long and the deficiency does not return for a long time, the symptoms may be progressively worse. 2. Possessing pathogenic factors and a long medical history that can cause fatigue. Related examinations: Consumption involves many diseases. It is necessary to selectively check the main symptoms based on the specific conditions of the patient in order to focus on the condition of the disease. Generally, blood routine, blood biochemistry, electrocardiogram, X-ray film, and immune function test are often used. In particular, related inspections should be done in conjunction with the primary disease. Principles of treatment: For the treatment of consumptive fatigue, according to the theory of "deficiency will replenish it" and "the loss will benefit it", the basic principle should be tonic. When replenishing, first, according to the different pathological attributes, the treatment prescriptions of replenishing qi, nourishing blood, nourishing yin, and warming yang must be taken separately; second, the prescriptions must be selected according to the different diseases of the five organs to strengthen the treatment Targeted. At the same time, the following three points should be noted: (1) Pay attention to the role of tonic spleen and kidney in the treatment of asthenia. Take the spleen and stomach as the foundation of acquired nature, as the source of qi and blood biochemistry, the spleen and stomach are healthy, and the internal organs and the limbs can nourish. The kidney is the foundation of the innate, embodied in the yin and yang, and is the essence of life. Paying attention to nourishing the spleen and kidney, and being invincible one after another, can promote the recovery of various organs. (2) For those who have the insufficiency in the deficiency and the extremity and the feeling of external evils, when invigorating and reducing them, strengthening the body and eliminating evil. From the perspective of dialectical relationship, eliminating evil can also play a role in consolidating righteous qi and preventing further damage to righteous qi due to evil love. (3) Deficiency can cause illness due to deficiency or deficiency due to illness. Therefore, due to the combination of syndrome differentiation and disease differentiation, according to the peculiarities of different diseases, on the one hand, we should make corrections to restore the deficiency and seek the cause to cure the disease. . Syndrome differentiation points: 1. Distinguish the deficiency of yin and yang in the five internal organs, qi and blood: Although there are many syndromes of asthenia, they are always related to the five internal organs, and the differentiation of the five internal organs is nothing more than qi, blood, yin, and yang, so the differentiation of the deficiency and fatigue The key points should be qi, blood, yin and yang, and the deficiency of the five internal organs should be the target. Just as the "Rhino Candles with Miscellaneous Diseases Origin and Loss of Tuberculosis Sacrifice" said: "Although the five internal organs are divided, but the five internal organs are nothing more than essence and energy, there are four causes of damage, namely deficiency of qi, deficiency of blood, deficiency of yang, and yin. "Deficiency", "Qi, blood, yin, and yang have their own masters, and they can treat them only when they recognize the truth." Since Qi and blood share the same source, Yin and Yang are rooted in each other, and the five internal organs are related, the depletion caused by various reasons often affects each other, from one deficiency to two deficiency, from one internal organ to the other internal organs, making the disease more complicated and serious. Pay attention to syndrome differentiation. 2. Differentiation of the presence or absence of combined disease syndrome: Consumption generally has a longer course of disease, and attention should be paid to the presence or absence of combined disease syndrome in the diagnosis and treatment of syndromes, especially the following three conditions: (1) Deficiency due to disease, prolonged deficiency If it does not relapse, it should be distinguished whether the original disease still exists.If the person is deficient due to fever, cold or stasis, whether the primary disease has been cured. (2) Whether there is a performance that is due to falsehood. For example, blood stasis is formed due to deficiency of qi and inability to transport blood; deficiency of spleen qi cannot transport and transform water dampness, so that water dampness stops. (3) Whether it also contains external evil. People who are overworked are susceptible to external evil because they are not solid outside the guard, and it is not easy to recover after being infected. The treatment medication is also different from that of ordinary people. Etiology and pathogenesis: 1. Weak endowment and poor quality; 2. Excessive overwork, damage to the five internal organs; 3. Irregular diet, damage to the spleen and stomach; 4. Serious illness, chronic illness, failure in conditioning; 5. Incorrect treatment, loss of essence ; 6. The young are born with deficiencies, and the old are deficiencies acquired. "Lixu Yuanjian · Six Causes of Deficiency Syndrome" says: "There are congenital causes, acquired causes, acne and post-illness causes, external feelings, circumstances, and medicine." [Abstract]: "Suwen·Yin-Yang Yingxiang Dalun": "Those who are inadequate in form, warm it with qi; those with insufficient essence, replenish it with flavor". "Theories on the Sources of All Diseases·Disease of Deficiency and Diseases": "While the husband is underworked, five labors, six poles, and seven injuries are true. "Jingyue Quanshu·Deficiency": "The depletion of the disease is different from the metamorphosis. Because there are five labors and seven injuries, the card has the viscera. However, in short, the person depends on life, but this essence, and the disease is the depletion. There is only this essence and qi. Those with qi deficiency are yang deficiency; those with essence deficiency are yin deficiency." "Jingyue Quanshu·Eight Lue of New Formulas": "Those who are good at replenishing yang must seek yang from yin, and then yang gains the help of yin and the biochemical infinite; those who are good at tonifying yin must seek yin from yang, and yin gains yang And the fountain is endless". "Medical must-read · Consumption": "The deficiency of the lady does not belong to the qi, but it belongs to the blood, the internal organs and the six internal organs, and can not be exaggerated. But for the spleen and kidney alone, water is the source of all things, and soil is the mother of all things. The two internal organs are in peace, the whole body can be cured, and all diseases will not reproduce." "Li Deficiency Yuan Jian · There are three cures for deficiency": "There are three cures for deficiency, lung, spleen, and kidney. The lung is the heaven of the five internal organs, the spleen is the mother of a hundred skeletons, and the kidney is the root of life. Treating lung and spleen , Cure the kidney, cure the deficiency." "Buju Collection·Part 1·Volume Ten": "Due to prolonged exhaustion, all medicines are ineffective, and those who rely on fearlessness have stomach qi. The body is covered by stomach qi, and stomach qi is prosperous. The five internal organs are affected by shade, water essence is four cloths, the flow of machinery, the diet gradually increases, the body fluid becomes more prosperous, so that the blood is congested and the sperm is produced, and the deficiency of true Yin is restored."
Classification of syndromes and treatment: 1. Stomach-heat stagnation syndrome: polyphagia, dissipate grains and improve hunger, body obesity, abdominal distension, ruddy complexion, upset, dizziness, dry mouth, bitter mouth, abdominal burning pain, noisy, slow eating , Red tongue, yellow greasy fur, slippery pulse string. Syndrome summary: stomach heat, spleen dampness, subtle inability, and ointment and fat stasis. Treatment method: clear the stomach and purify the fire, and assist with the elimination. Representative: "Treatise on Febrile Diseases" Xiaochengqi Decoction and "Danxi Heart Method" Baohe Pills. Prescription: Rhubarb, Fructus Aurantii, Magnolia officinalis, Hawthorn, Divine Comedy, Pinellia, Poria, Tangerine Peel, Forsythia, Lai Scutellaria. 2. Syndrome of phlegm and dampness: body fat, heavy body, drowsy limbs, full chest and diaphragm, phlegm and salivation, dizziness, dry mouth and do not want to drink, addiction to fat and alcohol, sleepiness, tiredness, sleepiness, The fur is white and greasy or slippery, and the pulse is slippery. Syndrome summary: phlegm and dampness are intensified, the spleen is trapped, and the qi is blocked. Treatment method: dry dampness and resolve phlegm, regulate qi and eliminate pimple. Representative party: Modified and subtracted Taotan Decoction in "School Notes for Women". Prescription: Pinellia, Southern Star, ginger, tangerine peel, orange, Citrus aurantium, wax gourd peel, Alisma, cassia, scutellaria, Atractylodes, Poria, Licorice. 3. Spleen deficiency syndrome: obesity and swelling, mental fatigue, fatigue, body sleepy and heavy, chest tightness and swelling, mild swelling of the limbs, light in the morning and heavy in the evening, obvious after fatigue, eating as usual or less, and more history of overeating in the past. Difficulty in urination, loose stools or constipation, pale tongue, tooth marks on the sides, thin white or greasy coating, thin pulse. Synopsis of Syndrome: Weak spleen and stomach, have no right to transport and chemistry, and stop in water. Treatment method: invigorating the spleen and replenishing qi, oozing diuresis and dampness. Representative prescription: "Tai Ping Hui Min He Ji Ju Fang" Shen Ling Bai Zhu San combined with "Jin Gui Yao Lu" Fang Ji Huang Qi Decoction. Recipe: Ginseng, Atractylodes, Poria, Licorice, Chinese Yam, Lotus Meat, Lentil, Amomum, Coix Seed, Platycodon, Radix Fang, Astragalus, Ginger, Jujube, Codonopsis, Tangerine Peel, Polyporus, Alisma, Psyllium. 4. Syndrome of spleen and kidney yang deficiency: body obesity, face collapse, sleepiness, shortness of breath, abdominal distension, loose stools, spontaneous sweating and wheezing, more severe movement, cold limbs, edema of lower limbs, frequent urination during the day and night, tongue Pale fat, thin white fur, deep and thin pulse. Synopsis of Syndrome: Deficiency of spleen and kidney yang, failure of qi transformation, stop drinking water. Treatment: warming the spleen and kidney, promoting hydration and transforming drinks. Representative prescription: "Treatise on Febrile Diseases" Zhenwu Decoction combined with "Golden and Guizhou Synopsis" Lingguishugan Decoction, prescription: Paofuzi, Atractylodes macrocephala, Poria, Radix Paeoniae Alba, ginger, Guizhi, Licorice. Distinguishing the syndromes: 1. Obesity and edema: When the edema is severe, the weight increases, and the accompanying symptoms of obesity may also occur. However, the edema is mainly swelling of the face and limbs. In severe cases, the abdomen is full and the whole body is swollen. The symptoms are different.After the edema is excreted from the body by the treatment of pathological water and dampness, the weight can be quickly reduced to normal, and the weight loss of obese patients is relatively slow. 2. Obesity and yellow fat: Yellow fat is caused by intestinal parasites and food accumulation. It is characterized by yellow fat and enlarged face, which is very different from obesity. Diagnosis basis: 1. Poor eating habits such as excessive eating, eating fat and sweet taste, or lack of exercise, or a family history of obesity. 2. The weight is significantly higher than the standard weight, or the body is heavy, dizzy, fatigue, slow to move, or even wheezing when moving. 3. Exclude edema and other organic diseases. Related examinations: Obese patients should measure height, weight, abdominal circumference, waist circumference, blood pressure, and check blood lipids, blood sugar, serum insulin, cortisol, testosterone, and luteinizing hormone. If necessary, take a head X-ray film or CT scan of the head and both adrenal glands to determine T3, T4, and TSH to determine the cause of obesity. Treatment principle: According to the characteristics of obesity, the treatment should be based on the principle of replenishing the deficiency and reducing the solid. To replenish deficiency is commonly used to invigorate the spleen and qi; spleen disease and kidney, combined with qi and kidney. To reduce dampness and phlegm, combined with the methods of promoting qi, diuresis, digestion, clearing the organs, and removing blood stasis, to remove pathological phlegm, water dampness, blood stasis, and ointment in the body. Among them, the method of removing dampness and removing phlegm is the most commonly used method to treat this disease, which runs through the treatment process of this disease. The main points of syndrome differentiation: 1. Distinguish the deficiency of the specimen: The disease is mostly due to the deficiency of the specimen. It is necessary to distinguish between qi deficiency and yang deficiency. It is necessary to distinguish between phlegm dampness, water dampness and blood stasis. 2. Identify the location of the visceral disease: obesity is different in the spleen, kidneys, and heart and lungs. It needs to be differentiated in detail during clinical treatment. Obesity lesions are most closely related to the spleen. The clinical symptoms include physical weight, fatigue, abdomen fullness, heavy head and chest tightness, or nausea and excessive sputum, and the lesions are mainly in the spleen. The disease affects the kidneys for a long time. The symptoms are soreness and pain in the waist and knees, asthma, lethargy, cold limbs, edema of lower limbs, and frequent nocturia. Those with heart and lung disease may see heart palpitations, shortness of breath, lack of qi, lazy speech, fatigue and spontaneous sweating. Etiology and pathogenesis: 1. Old age and infirm; 2. Irregular diet; 3. Lack of exercise; 4. Innate endowment; 5. Gender; 6. Geographical environment. Obesity is mostly caused by aging and weakness, overeating, fat and sweet, lack of exercise, innate endowment, etc., which lead to the formation of qi deficiency and yang failure, phlegm dampness and stasis. [Abstracts of literature]: "Suwen · Strange Disease Theory": "This person must be sweet and rich in fat. The fat person makes the inner heat, and the sweet person makes the heart full, so his qi overflows , Turn to Diabetes". "Suwen·Yin-Yang Yingxiang Dalun": "Yin and Yang are 40 years old, but Yin Qi is also halfway, and daily life is declining. 50 years old, weight, ears and eyes are not smart." "Danxi Heart Method · Middle Wetness": "Any fat person who is sleepy and lazy is damp and hot, suitable for atractylodes, tuckahoe, and talc. Anyone who is fat and white, sleepy and lazy, is due to qi deficiency, and is suitable for two masters, ginseng, pinellia, Caoguo, Magnolia officinalis, Peony". "Jingyue Quanshu·Miscellaneous Syndrome Mo·Feifeng": "Why is fat man against excessive qi deficiency? ······The fat man is more flexible than rigid, and yin is better than yang, and flesh is made of blood, total All are yin, so fat people have evidence of Qi deficiency." "Secret Record of the Stone Chamber·Fatty Treatment Method": "Fat people have more phlegm, but the qi is deficiency, and the qi cannot run if phlegm produces it. If the phlegm is produced, the phlegm can cure the phlegm alone? It must replenish the qi and then eliminate it. Phlegm is to gain ears. However, the qi tonic method cannot purely replenish the soil of the spleen and stomach. It should also be used to replenish the fire of the gate of life. Covering the fire can generate soil. If the qi is sufficient, the phlegm will disappear by itself.
Classification of syndromes and treatment: 1. Brain tumor: 1. Syndrome of phlegm and blood stasis obstructing orifice: dizziness, headache, strong nape, dizziness, blurred vision, vomiting, insomnia and forgetfulness, numbness of the limbs, dark red or purple lips, and dark purple tongue Or petechiae or petechiae, astringent pulse. Synopsis of Syndrome: Phlegm and blood stasis mutually condense, block obstruction and clear orifice. Therapeutic method: dispel wind and resolve phlegm, remove blood stasis and relieve orifice. Representative: "Medical Forest Correction" Tongqiao Huoxue Decoction addition and subtraction. Recipe: Shichangpu, peach kernel, safflower, Chuanxiong, red peony root, Panax notoginseng, white mustard seed, dannanxing, musk, old onion, ginger, jujube, wine. 2. Wind-toxin disturbance syndrome: headache, dizziness, tinnitus, dizziness, blurred vision, vomiting, flushed eyesight, insomnia, forgetfulness, numbness, dry throat, dry stool, convulsions, tremor, or hemiplegia, or angular arch Reflex, or delirium, strong nape, red or crimson tongue, yellow fur, stringy pulse. Synopsis of Syndrome: Yang hyperactivity transforms wind, heat toxin is inflamed, and upper disturbance clears the orifice. Treatment method: To calm the liver and suppress yang, clear away heat and detoxify. Representative prescription: "New Meanings of Miscellaneous Diseases and Treatments" Tianma Gouteng Decoction combined with "Waitai Secret Yao" Huanglian Jiedu Decoction. Recipe: Gastrodia, Uncaria, Cassia, Chuan Achyranthes, Morus parasiticum, Eucommia, Shan Zhi, Scutellaria, Motherwort, Zhu Fu Shen, Yejiao Vine, Coptis, Phellodendron, Rhubarb. 3. Yin deficiency and wind movement syndrome: headache, dizziness, fatigue, fatigue, restlessness, numbness, astringent speech, neck stiffness, hand and foot movement or tremor, crooked mouth and eyes, hemiplegia, dry mouth, short red urine, dry stool , Red tongue, thin coating, thin or fine pulse string.Syndrome summary: liver and kidney yin deficiency, internal movement due to deficiency of wind. Treatment method: nourishing yin and suppressing yang to dispel wind. Representative: Addition and subtraction of Dading Fengzhu in "Differentiation of Febrile Diseases". Recipe: donkey-hide gelatin, rehmannia, white peony root, tortoise shell, turtle shell, oyster, uncaria, rigid silkworm, raw rehmannia, hemp seed, schisandra, Ophiopogon japonicus, roasted licorice, chicken yellow. 2. Lung cancer: 1. Syndrome of stagnation of lung and collaterals: poor cough, chest tightness, suffocation of breath, fixed chest pain, such as cones and thorns, or dark red sputum and blood, dark purple lips, dark tongue or petechiae, petechiae , The moss is thin, the pulse is stringy or fine. Synopsis of Syndrome: Qi stagnation and blood stasis, blockage in the lungs. Treatment: Promoting qi and promoting blood circulation, dissipating blood stasis and eliminating knots. Representative: Modification of Xuefu Zhuyu Decoction in "Medical Forest Correction". Recipe: peach kernel, safflower, chuanxiong, red peony root, achyranthes, angelica, rehmannia, bleu, citrus aurantium, licorice, raw rehmannia, platycodon. 2. Phlegm-dampness accumulating lung syndrome: cough and expectoration, suffocation of breath, thick sputum, white or yellowish white phlegm, chest tightness, chest pain, nausea, loose stools, fatigue, fatigue, pale tongue, white and greasy fur, slippery pulse. Syndrome summary: spleen dampness produces phlegm, phlegm dampness accumulates lung. Treatment method: invigorate the spleen and dry dampness, promote qi and expectorant. Representative: "Tai Ping Hui Min He Ji Fang Fang" Erchen Decoction, "Golden Gui Yao Lue" Gualou Xie Bai Banxia Tang addition and subtraction. Prescription: Pinellia, Poria, Tangerine Peel, Licorice, Trichosanthis, Scallion White, Pinellia, Wine, Aster, Coltsfoot. 3. Yin deficiency toxin-heat syndrome: cough with no sputum or little sputum, or blood in the sputum, or even hemoptysis, chest pain, upset sleep soundness, low-grade night sweats, or strong fever, persistent longing, thirst, stool Dry knot, red tongue, yellow tongue coating, thin or large pulse. Synopsis of Syndrome: Deficiency of Lung Yin, Excessive Heat Toxin. Treatment method: nourishing yin and clearing away heat, detoxification and dissipating congestion. Representative prescription: "Differentiation of Febrile Diseases" Adhesive Ophiopogon Decoction and "Yi Zong Jin Jian" Wuwei disinfection drink addition and subtraction. Recipe: Adenophora, Ophiopogon, Polygonatum, mulberry leaf, licorice, Trichosanthes, raw white lentils, honeysuckle, wild chrysanthemum, dandelion, Viola dianthus, Begonia fimbristipula. 4. Deficiency of both qi and yin: coughing less sputum, or thin sputum, low and weak cough, shortness of breath, shortness of breath, fatigue, fatigue, pale complexion, thin and nauseous wind, spontaneous or night sweats, dry mouth and less drinking, tongue quality Red or pale, weak pulse. Synopsis of Syndrome: Deficiency of Qi and Yin Injury, Pulmonary Absence and Disuse. Governing Law: Nourishing Qi and Nourishing Yin. Representative prescription: "Prescriptions for Emergency Preparations" Shengmai San combined with "Medical Prescriptions" and Baihe Gujin Decoction. Recipe: Ginseng, Ophiopogon, Schisandra, Habitat, Rehmannia, Ophiopogon, Fritillaria, Lily, Angelica, Peony, Licorice, Scrophulariacea, Platycodon. 3. Liver cancer: 1. Liver-qi stagnation syndrome: right flank swelling and pain, lower right flank lumps, chest tightness, uncomfortable rest, less appetite, sometimes diarrhea, irregular menstruation, thin and greasy tongue coating, chord pulse. Synopsis of Syndrome: Uncomfortable liver qi, stagnation of qi. Treatment: Soothing the liver and strengthening the spleen, promoting blood circulation and removing blood stasis. Representative: "Jing Yue Quanshu" Chaihu Shugan Powder addition and subtraction. Prescription: Bupleurum, Fructus Aurantii, Cyperus rotundus, Tangerine Peel, Chuanxiong, Red Peony Root, Licorice. 2. Qi stagnation and blood stasis syndrome: severe pain in the right side, such as thorns and thorns, worse at night, even painful to the shoulders and back, large agglomerations under the right side, hard to resist, or at the same time see a lump under the left side. Facial complexion is chlorosis and dark, fatigue, abdominal distension, even bloating, pale skin color, exposed veins, loss of appetite, irregular stools, irregular menstruation, dark purple tongue, petechiae, astringent pulse string . Synopsis of Syndrome: Qi stagnation and blood stasis, the formation of the disease, the pain is not clear. Treatment: Promoting qi and blood circulation, removing blood stasis and accumulating. Representative: "Medical Invention" Fuyuan Huoxue Decoction plus and minus. Recipe: peach kernel, safflower, rhubarb, angelica, tricornu, turmeric, corydalis, turmeric, leech, pangolin, bupleurum, licorice, trichosanthes. 3. Damp-heat accumulation syndrome: pain in the right side of the side, even pain in the shoulders and back, agglomeration of the right side, yellow eyes, yellow eyes, dry mouth, bitter mouth, upset and irritable, eat less oily, full of abdominal distension, dryness and redness, The tongue is red, the coating is yellow and greasy, and the pulse string is slippery or slippery. Synopsis of the card machine: dampness transforms heat, gathers and becomes poison. Treatment method: clearing away heat and promoting gallbladder, purging fire and detoxification. Representative: "Treatise on Febrile Diseases" Yinchenhao Decoction addition and subtraction. Prescription: Yinchen, Gardenia, Rhubarb, Oldenlandia diffusa, Scutellaria, dandelion. 4. Liver Yin Deficiency Syndrome: flank pain, lumps under the flank, hard refusal to press, five upset fever, hot flashes, night sweats, dizziness, poor appetite, abdominal distension, and even hematemesis, blood in the stool, and subcutaneous bleeding. The tongue is red with little moss, and the pulse is thin. Syndrome summary: longer course of disease, dark drain of yin and blood, deficiency of liver yin. Treatment: Nourish blood and soften liver, cool blood and detoxify. Representative: "Liuzhou Medical Talk" has always been decocted. Prescription: Shengdi, Angelica, Chinese wolfberry, Adenophora, Ophiopogon japonicus, Chuanmeizi. 4. Colorectal cancer: 1. Damp-heat stagnation syndrome: abdominal pain, blood in the stool or mucus, pus and blood in the stool, tenesmus, or dry and irregular stool, burning anus, or fever, nausea, chest tightness, dry mouth, yellow urine, etc. Symptoms, red tongue, yellow greasy coating, slippery pulse. Synopsis of Syndrome: Intestines and intestines are damp and hot, burning blood to stasis, and heat is full of poison. Treatment: clearing away heat and dampness, removing blood stasis and detoxification. Representative: "Danxi Heart Method" Huaijiaowan addition and subtraction. Prescription: Sophora japonicus, Sanyu, Platycladus orientalis, Scutellaria baicalensis, Coptis, Cork, Nepeta, Parsnips, Citrus aurantium, Angelica.2. Syndrome of stasis toxin internal resistance: Abdominal refusal to press, or agglomeration in the abdomen, tenesmus, pus and blood in stool, dark purple color, large volume, irritated heat and thirst, dull complexion, or faulty skin, dark purple or tongue There are petechiae, petechiae, and astringent pulse. Syndrome summary: blood stasis internal formation, stasis stagnation to dissipate heat, endogenous heat toxin. Treatment: Promoting blood circulation and removing blood stasis, clearing away heat and detoxification. Representative: Modification of Gexia Zhuyu Decoction in "Medical Forest Correction". Recipe: peach kernel, safflower, Wulingzhi, Corydalis, peony root, red peony root, angelica, chuanxiong, Cyperus rotundus, black medicine, citrus aurantium, coptis, cork, paitin, licorice. 3. Syndrome of spleen and kidney double deficiency: abdominal pain, warmth and pressing, or agglomeration in the abdomen, diarrhea under the clearing and clearing of the grains or diarrhea, or seeing blood in the stool, pale complexion, lack of energy, cold limbs, backache and cold knees , The fur is thin and white, the tongue is fat, with tooth marks, and the pulse is heavy and weak. Syndrome summary: spleen and kidney qi deficiency, qi loss and yang. Governing Law: Wenyang Yijing. Representative: "Jing Yue Quanshu" Dabu Yuanjian addition and subtraction. Prescription: ginseng, yam, astragalus, rehmannia, eucommia, wolfberry, dogwood, cistanche, morinda, angelica, roasted licorice. 4. Liver and kidney yin deficiency syndrome: faint abdominal pain, or lumps in the abdomen, constipation, blood in the stool, weakness in the waist and knees, dizziness and tinnitus, dizziness of vision, five upset and hot, dry mouth and pharynx, night sweats, nocturnal emission, irregular menstruation, Poor shape and thinness, poor appetite, red tongue with little fur, fine pulse string. Syndrome summary: liver and kidney yin injury, yin deficiency and fire. Treatment: nourish the kidney and liver. Representative party: "Yi Zong Jin Jian" Zhibai Dihuang Wan addition and subtraction. Prescription: Rehmannia glutinosa, Cornus officinalis, Chinese yam, Poria cocos, Alisma orientalis, Danpi, Zhimu, Phellodendron amurense. 5. Kidney cancer, bladder cancer: 1. Damp-heat accumulating toxin syndrome: low back pain, waist and abdomen discomfort, hematuria, urgency, frequent urination, painful urination, fever, weight loss, anorexia, red tongue, yellow greasy coating, pulse number. Synopsis of Syndrome: Damp heat accumulates and burns, and bladder gasification is unfavorable. Treatment method: clearing heat and removing dampness, detoxification and leaching. Representative prescription: "Taiping Huimin Heji Bureau Prescription" and "Lanshi Secret Store" Longdan Xiegan Decoction addition and subtraction. Recipe: Chuanmutong, Plantago Seed, Fructus Chinensis, Dianthus, Talc, Licorice Tip, Rhubarb, Gardenia, Rush, Gentian, Alisma, Habitat, Angelica, Bupleurum, Scutellaria, Glauber's Salt, Forsythia. 2. Blood stasis internal resistance syndrome: dark complexion, pain in the waist and abdomen, or even lumps in the waist and abdomen, blood in the urine, fever, dark purple tongue or petechiae, petechiae, thin white fur, astringent pulse. Synopsis of Syndrome: Blood stasis accumulates, obstructing Qi machine. Treatment: Promoting blood circulation and removing blood stasis, regulating qi and dispelling stagnation. Representative party: Modification of Taohong Siwu Decoction in "Yi Zong Jin Jian". Recipe: peach kernel, safflower, angelica, chuanxiong, white peony, rehmannia, xiangfu, woody, citronella, red peony. 3. Deficiency of the spleen and kidney: low back pain, abdominal distension, hematuria, lumbar lumps, anorexia, nausea, weight loss, shortness of breath, fatigue, loose stools, chills, cold limbs, pale tongue, thin white fur, heavy and thin pulse. Syndrome summary: spleen and kidney qi deficiency, qi loss and yang. Therapeutic method: invigorate the spleen and kidney, soften the firmness and dispel lumps. Representative: "Jing Yue Quanshu" Dabu Yuanjian addition and subtraction. Prescription: ginseng, yam, astragalus, rehmannia, eucommia, wolfberry, cornel, angelica, roasted licorice. 4. Internal heat syndrome of yin deficiency: low back pain, lumps in the waist and abdomen, five upset heat, dry mouth, short red urine, constipation, weight loss, red tongue, thin coating, yellow shaojin, pulse count. Synopsis of Syndrome: Yin deficiency of liver and kidney, deficiency of fire endogenously. Treatment: nourishing yin and clearing away heat, removing blood stasis and relieving pain. Representative party: "Yi Zong Jin Jian" Zhibai Dihuang Wan addition and subtraction. Recipe: Rehmannia, Cornus, Yam, Alisma, Poria, Paeonol, Anemarrhena, Cork. Identification of Diseases and Syndrome: 1. Brain tumors and cerebrovascular diseases: Some patients with brain tumors can see high intracranial pressure and hemiplegia, and attention should be paid to distinguish them from cerebrovascular diseases. Cerebrovascular diseases are more common in the elderly, often with a history of hypertension and arteriosclerosis, and often suddenly appear coma, and may have symptoms of increased intracranial pressure and hemiplegia. CT and MRI are helpful for identification. 2. Brain tumors and epilepsy: Patients with brain tumors can have symptomatic epilepsy, often accompanied by symptoms of increased intracranial pressure (such as headache, vomiting, decreased vision, etc.) and other focal symptoms (such as mental disorders, sensory disorders, movement Obstacles, etc.) persist. Primary epilepsy usually lacks focal brain symptoms, and there are usually no obvious symptoms after the seizure. CT and MRI are helpful for identification. 1. Lung cancer and tuberculosis: Both tuberculosis and lung cancer have symptoms such as cough, hemoptysis, chest pain, fever, weight loss, etc. The two are easy to confuse, and attention should be paid to distinguish them. Tuberculosis occurs mostly in young adults, while lung cancer occurs in middle-aged and elderly men over 40. The scars of the lungs caused by the healed tuberculosis foci of some tuberculosis patients can become lung cancer. Anti-tuberculosis treatment is effective for tuberculosis, but the condition of lung cancer is not improved by antituberculosis treatment. With the help of lung X-ray examination, sputum tuberculosis examination, sputum shedding cytology examination, fiberoptic bronchoscopy, etc., it is helpful to distinguish the two. 2. Lung cancer and pulmonary carbuncle: Patients with pulmonary carbuncle may also have fever, cough, and sputum expectoration, and attention should be paid to distinguish them. Typical lung carbuncle is acute onset, high fever, chills, coughing, coughing and vomiting a lot of pusty sputum, blood in the sputum, accompanied by chest pain; the onset of lung cancer is slow, the fever is generally not high, coughing, uncomfortable expectoration or sputum Blood in the middle, accompanied by systemic symptoms such as fatigue and weight loss.Patients with lung cancer may also experience symptoms such as high fever and increased coughing when experiencing exogenous pathogens. At this time, they should ask for a detailed medical history, combine four consultations, and use lung X-ray examination, sputum and blood pathogen examination, and sputum exfoliated cytology. Check and other laboratory tests to identify. 3. Lung cancer and lung swelling: Lung swelling is a chronic lung disease caused by multiple chronic pulmonary diseases recurring and unhealed. The disease course lasts for several years and recurs. It mostly occurs in people over the age of 40. The main symptoms are cough, sputum, wheezing, and chest fullness; lung cancer is more insidious, with cough, hemoptysis, chest pain, fever, and shortness of breath. The main clinical manifestations, accompanied by systemic symptoms such as weight loss and fatigue, are not difficult to identify with the help of lung X-ray examination and sputum exfoliation cytology. 1. Liver cancer and jaundice: Jaundice is mainly jaundice, body yellow, and yellow urine. The main pathogenesis is dampness and turbidity. The bile fluid does not flow out of the normal way and becomes yellow. The onset is rapid and slow. The course of the disease is long and short. The color of jaundice There are light and shade, and the treatment principle is to promote dampness and detoxification. Liver cancer is characterized by pain in the right side, progressive liver enlargement, hard texture, enlarged abdomen, fatigue, and gradual weight loss. It may be accompanied by jaundice in the middle and late stages. At this time, jaundice is only regarded as a symptom rather than an independent disease. The principle of treatment is to strengthen the body's vital energy (to replenish qi and blood) and to eliminate evils (soothe the liver and regulate qi, promote blood circulation and remove blood stasis, clear away heat and dampness, clear fire and detoxify, dissipate stagnation, etc.), taking into account both specimens, and combine western medicine with anti-cancer treatment. In addition, combined with serum total bilirubin, urine bilirubin, direct bilirubin determination and serum alanine aminotransferase, alpha-fetoglobulin, liver area B-ultrasound, CT scan, etc. to confirm the diagnosis. 2. Liver cancer and swelling: liver cancer is incurable, and patients with advanced ascites may have symptoms of abdominal distension, pale yellow skin, and exposed veins, which are a special type of swelling. The swelling caused by liver cancer is critically ill and has a poor prognosis. On the basis of syndrome differentiation and treatment of swelling, it is necessary to combine western medicine with anti-cancer treatment. It can be combined with laboratory tests to confirm the diagnosis and assist in treatment. 1. Colorectal cancer and dysentery: There are similarities between dysentery and colorectal cancer in clinical symptoms such as abdominal pain, diarrhea, tenesmus, pus and blood in the stool, so pay attention to the difference. Dysentery is a contagious exopathic disease characterized by abdominal pain, diarrhea, tenesmus, and discharge of red and white pus and blood in the stool. Generally, the onset is more acute, often starting with fever accompanied by vomiting, followed by abdominal pain and diarrhea, tenesmus, red and white pus and blood in the stool as prominent clinical features. The abdominal pain is mostly paroxysmal, and often relieves after diarrhea. The number of diarrhea can reach every 10-20 times a day, the stool is jelly-like, pus-blood-like. The onset of colorectal cancer is relatively insidious, and the early symptoms are usually mild or not obvious. In the middle and late stages, there are obvious systemic symptoms, such as fatigue, weight loss, etc., abdominal pain is often persistent, dull pain, and diarrhea is common, but not many times a day It is characterized by alternating diarrhea and constipation. In addition, laboratory tests are of great value to the diagnosis, such as blood routine, stool bacterial culture, stool occult blood test, digital rectal examination, and colonoscopy. 2. Colorectal cancer and hemorrhoids: Hemorrhoids are also common clinical manifestations of blood in the stool, anal swelling, or foreign body sensation, and attention should be paid to the difference. Hemorrhoids are a surgical disease with a slow onset and long course. They are generally not accompanied by systemic symptoms. Their blood in the stool is characterized by bleeding during or after the stool, often accompanied by anal swelling or foreign body sensation, usually due to fatigue, overeating and spicy etc. And induce or aggravate. Digital rectal examination, proctoscopy and other examinations can help confirm the diagnosis. 1. Kidney cancer and polycystic kidney disease: Polycystic kidney disease usually has waist and abdominal pain, hematuria or proteinuria. There are more patients with renal dysfunction and hypertension, and they often have other polycystic organs. B-ultrasound, CT, MRI can help differential diagnosis. 2. Kidney cancer, bladder cancer and urinary calculi: Urinary calculi often have acute pain, which may be accompanied by blood in the urine. B-ultrasound and abdominal X-rays are helpful for diagnosis. 3. Kidney cancer, bladder cancer and kidney and bladder tuberculosis: Kidney and bladder tuberculosis also often have urinary tract irritation, hematuria, pyuria, and symptoms such as low fever, night sweats, weight loss, and tuberculosis bacilli in the urine. Effective anti-tuberculosis treatment. Diagnosis basis: 1. Brain tumor: (1) The patient has clinical manifestations such as headache, vomiting, and visual impairment. (2) There are corresponding local symptoms depending on the damaged part of the brain tissue, which is helpful for localization and diagnosis. For example, a tumor in the frontal lobe of the brain can show mental disorders, personality changes, progressive dementia, seizures, etc.; tumors in the posterior inferior frontal gyrus can cause motor aphasia; compression of the central anterior motor area of the posterior frontal lobe produces contralateral hemiplegia . Tumors in the parietal lobe of the brain are dominated by sensory disturbances, and the ability to locate and distinguish feelings disappears. The tumors of the temporal lobe of the brain are mainly hearing impairment. The localization sign of the tumor in the occipital lobe of the brain is visual field defect. The psychiatric symptoms of corpus body tumor are obvious. Midbrain tumors are prone to hydrocephalus in the early stage, and headache, optic disc edema and vomiting may occur. Cerebellar tumors are characterized by dyskinesia. Pontine tumors are characterized by cross hemiplegia, cross sensory numbness, vertical eye tremor, and ocular abduction palsy.2. Lung cancer: (1) Recent coughing, refractory dry cough that does not heal for several weeks, or repeated hemoptysis, or unexplained intractable chest pain, shortness of breath, fever, or accompanied by weight loss, fatigue, etc. (2) It mostly occurs in men who are over 40 years old and have long-term smoking history. 3. Liver cancer: (1) Unexplained right side discomfort or pain, exacerbation of the original liver disease symptoms with general malaise, decreased appetite, fatigue, weight loss, etc. should be included in the scope of examination. (2) The liver on the right flanks is progressively enlarged, and the texture is hard and refuses to press. There are nodules and bulges on the surface. This is a sign of diagnostic value, but it is in the middle and late stages. 4. Colorectal cancer: Patients over the age of 30 should pay attention to the following symptoms and consider the possibility of colorectal cancer: (1) Recent persistent abdominal discomfort, dull pain, flatulence, and symptoms that are not relieved by general treatment; (2) Changes in bowel habits without obvious triggers, such as diarrhea or constipation; (3) Stool with pus, blood, mucus, or blood in the stool, without history of dysentery, chronic intestinal inflammation, etc.; (4) Lumps in the colon; (5) Unexplained cause Anemia or weight loss. 5. Kidney cancer and bladder cancer: Early kidney cancer is often asymptomatic, and some patients with advanced stages may have the typical triad: hematuria, waist pain, upper abdomen or lumbar masses. The typical clinical manifestations of bladder cancer are hematuria, urgency, frequent urination, painful urination, or persistent urge to urinate. Related examinations: 1. Brain tumor: CT, MRI to detect the location, size and infiltration of the tumor are the main methods of diagnosing brain tumors. 2. Lung cancer: (1) Chest X-ray examination, CT, bronchial lipiodol angiography can help early diagnosis of lung cancer. (2) Sputum exfoliation cytology is a simple and effective method for early diagnosis of lung cancer. The positive rate is about 80%, and the positive rate of multiple tests can be increased. (3) Fiberoptic bronchoscopy, which can determine the nature of the disease and do pathological examinations, is an important method to diagnose lung cancer. 3. Liver cancer: liver area B ultrasound, CT scan, MRI, liver puncture, serological examination (such as alpha-fetoglobulin), etc., help confirm the diagnosis. 4. Colorectal cancer: When the above-mentioned clinical manifestations occur, detailed medical history should be asked, a comprehensive physical examination, and timely digital rectal examination, colonoscopy, barium enema X-ray examination, serum carcinoembryonic and colorectal cancer-related antigen detection, and intrarectal ultrasound Scan, CT and other examinations to confirm the diagnosis. 5. Kidney cancer and bladder cancer: Urine examination can show gross hematuria and microscopic hematuria; urine exfoliated cytology has a certain value in the diagnosis of early kidney cancer and bladder cancer; B-ultrasound, CT, MRI can determine the location, size and infiltration of the lesion Wait. In addition, cystoscopy is also an important method to diagnose bladder cancer. Among the above-mentioned cancer diagnosis, the cytological classification diagnosis of various cancer diseases, such as lung cancer, squamous cell carcinoma, small cell carcinoma, adenocarcinoma, etc., although it belongs to the category of western medicine, it is useful for estimating the condition, judging the prognosis, and choosing The treatment plan is of great significance, so it is necessary to understand the cytological nature of cancer as much as possible, combining the patient's general condition, tumor development, etc., to arrange a comprehensive treatment plan reasonably. Principles of treatment: Cancer is a type of disease in which the righteousness is weak and the evil is overwhelming, and the evil is prosperous and the righteous is declining. It is necessary to combine clinical data such as medical history, course of disease, four diagnoses and laboratory examinations, comprehensively analyze, and perform treatment based on syndrome differentiation. In the early stage, the evil spirit is not obvious and the deficiency of the righteousness is not obvious, and it should be attacked first; the middle stage should be attacked and supplemented; in the late stage, the righteous energy is severely injured, and it is intolerant to attack. The method of strengthening the body is mainly based on the different emphases of the deficiency, combined with the main diseased viscera to adopt the treatment methods of invigorating qi, blood, yin, and yang respectively; the anti-evil method mainly adopts regulating qi, dehumidification, dispelling phlegm, and promoting blood circulation. The methods of removing blood stasis, clearing away heat and detoxification should be appropriately compatible with Chinese medicines with anti-tumor effects. Early detection, early diagnosis, and early treatment have positive significance for the prognosis. Good prevention is of great significance to reduce the incidence. After an illness, strengthen the diet, regulate emotions, and pay attention to rest, which is conducive to the recovery of cancer. Key points of syndrome differentiation: Firstly, the location of various cancer diseases should be distinguished in the clinic; the nature of pathogenic factors should be distinguished, the differences in clearing phlegm, dampness, stagnation of qi, blood stasis, and heat toxin, and whether there are both clamps; Distinguish the priority of the deficiency and excess specimens; distinguish the yin and yang of the visceral organs, distinguish the yin and yang imbalance of the affected viscera, qi and blood; distinguish the stages of the disease course, make clear that the patient is in the early, middle and late stages, so as to choose the appropriate treatment and estimate the prognosis. Etiology and pathogenesis: 1. Six evils and evil poisons; 2. Seven emotions and depression; 3. Eating disorders; 4. Residents with old diseases; 5. Long-term sickness, old age and physical failure. Cancer is a type of malignant disease that occurs in the internal organs and limbs. Mainly due to internal deficiency of righteous qi, feeling of evil toxins, depression of emotions, food damage, old diseases and other factors, which make the viscera dysfunction, the qi, blood and body fluid function abnormally, resulting in stagnation of qi, blood stasis, phlegm condensation, dampness, heat Pathological changes such as toxins accumulate in the viscera and organs, which are entangled with each other, and gradually become a type of malignant disease.