Winter disease and summer treatment also need syndrome differentiation
Respiratory Department Geng Limei
Winter disease and summer treatment is a traditional characteristic therapy in Chinese medicine. It has thousands of years of theoretical foundation and practical experience. With the development of clinical work, the scope of treatment is also expanding. From the initial treatment of bronchial asthma, chronic bronchitis, and allergic rhinitis , Chronic pharyngitis, recurrent colds and other respiratory diseases gradually expanded to treat pulmonary heart disease, spleen and stomach disease, frozen shoulder, frostbite, rheumatoid arthritis, rheumatoid and other diseases, but winter disease and summer treatment can not be treated indiscriminately. The treatment depends on the person, which requires a combination of disease differentiation and syndrome differentiation. This embodies the traditional Chinese medicine theory of "nourishing yang in spring and summer", "harmony between man and nature", "treatment at the right time", and "treatment of the disease without treatment".
One must rule by time
"Suwen·Four Qi Regulating Spirits" says: "A husband who has four seasons of Yin and Yang is the root of all things. Therefore, the sage nourishes the sun in spring and summer, and nourishes the yin in autumn and winter, so that from its roots, all things sink and float in the gate of growth." Time refers to the four seasons of spring, summer, autumn, and winter. The changes and divisions of the four seasons are caused by the advancing and retreating of yin and yang. This is not only the case in nature, but everything in nature is like this. As the spirit of all things, humans also follow the path of yin and yang. . Governing by time, in spring and summer nourish yang qi, autumn and winter nourish yin qi, in order to follow the natural yin and yang changes.
He also said: "Yin and yang are in the four o'clock, the end of all things, the foundation of death and life, the inverse is the disaster, and the harshness of it is the way." People can only conform to the law of the four o'clock and the world. The natural yin and yang changes are consistent in order to "cannot afford to be severely sick", and if they do well, they will "get the way." When the yang qi grows in nature in spring and summer, the yang qi of the human body will also become stronger. Following the growing yang qi to nourish the yang, it will get twice the result with half the effort. If you go against it, it will inevitably have little effect, and the same is true in autumn and winter.
It can be seen that the treatment of winter disease and summer treatment is the essence of the four-time regimen of TCM. In winter, the climate is cold, which can cause great harm to the human body. Especially for people with insufficient Yang Qi, they are prone to colds, asthma, cough and asthma, bronchitis and other diseases, and some of them are difficult to heal, and they attack when the climate is cold. In summer, the temperature is high, the natural sun is full, plants grow luxuriantly, and the human body's sun adapts to the changes in nature, and it is also in a state of fullness at this time. The "winter diseases" that tend to occur in winter or aggravate in winter are mostly deficient and cold diseases. Under the favorable conditions that the human body is in a state of full yang, the warm-heat treatment method is adopted according to the situation, that is, the winter disease and summer treatment method, to eliminate cold pathogens and store Yang qi regulates the balance of yin and yang in the human body, can enhance physical fitness, and is beneficial to the recovery of deficiency and cold diseases. China has a vast territory, and the climate varies greatly from place to place in the same season. The first day of fall is not always the hottest day and the most sunny day in all places. Winter sickness and summer treatment are not only on the day of fall to achieve the best results. Asthma, arthritis and other patients with severe illness in winter and still onset in summer, treatment can be started after the summer solstice, which can increase the number of treatments to enhance the effect; patients with onset or aggravation in winter but not onset in summer can start treatment after falling into the abundance. The next treatment can be performed ten days after each treatment, a total of three to five treatments, and the number of treatments can be increased according to the situation.
Second, we must rule by people
"Suwen·Baoming Quan Xing Theory" says: "Heaven and earth unite Qi, fate is called man." Human beings are born with the qi of heaven and earth, which is homologous to all things in nature, and has the same structure of yin and yang and five elements, and the ebb and flow of yin and yang, and the five elements. The law of health restraint. That is, man and nature have the same origin, same structure and same path. This is the corresponding internal reason of heaven and man. "Lingshu · On Pain" also said that "the strength of the muscles and bones, the brittleness of the muscles, the thickness of the skin, and the density of the body are different." Therefore, Chinese medicine emphasizes that human diseases, regardless of internal injury or external sensation, should be considered in the region. The climatic difference of the physique, the ups and downs of yin and yang of physique, dialectical treatment.
The same is true for winter disease and summer treatment. The most effective treatment of winter disease and summer treatment is respiratory disease. Especially in TCM syndrome differentiation and treatment of yang deficiency (spleen and kidney yang deficiency), qi deficiency (lung, spleen and kidney qi deficiency), deficiency and cold. Winter disease and summer treatment are suitable for all yang-qi deficiency, lung-qi deficiency, as well as cold diseases and some diseases with low immune function, but for hemorrhoids, eczema, yin deficiency and hyperhidrosis, qi deficiency and hyperhidrosis, vomiting yellow sputum, expectoration with blood As well as skin allergies and other conditions, or people with yang-heat physique is not suitable. If you see a loud voice, ruddy complexion, aversion to heat and cold, happy winter and autumn, fear of spring and summer, strong pulse, strong body, easy tongue sore, dry stool, this is a sign of strong yang, just There is no need to nourish yang, only yin. Especially in the autumn and winter seasons, it is more necessary to take advantage of the strong yin qi in autumn and winter to replenish the yin qi of the human body. If the yin is not well nourished in autumn and winter, and internal heat is cleared, febrile disease will easily occur in the spring of the following year. If you see shortness of breath and laziness, your complexion is chlorosis or even pale, aversion to cold and warmth, spring and summer, fear of fall and winter, weak pulse, cold limbs, easy stool diarrhea, long urine, some chronic diseases such as Asthma, cough, edema, diarrhea, etc., the symptoms will be relieved in spring and summer, and will be aggravated in autumn and winter. This is a sign of yang deficiency. It is necessary to take advantage of the strong yang in spring and summer to take advantage of the trend and use some large supplements. The method of yang qi supplements the body's yang qi and prevents diseases caused by the deficiency of yang qi from getting worse in autumn and winter, which is the so-called "strike while the iron is hot."In other words, whether it is asthma, chronic bronchitis, allergic rhinitis or other various diseases, as long as it is a constitution with deficiency of Yang Qi, winter disease and summer treatment can be used.
Third, the combination of disease differentiation and syndrome differentiation
There are many specific methods for summer treatment of winter disease, such as moxibustion, cupping, and hyperthermia. The therapy of applying acupoints with plaster is the most commonly used in summer treatment of winter disease. However, before the treatment of winter disease and summer treatment, it must be diagnosed by a doctor of Chinese medicine, treated according to syndrome differentiation, and the treatment plan can be determined. Take the most commonly used acupoint application therapy, the effect of the application is related to the taste, efficacy and pharmacological effects of the selected Chinese medicine. The commonly used medicine white mustard seeds is pungent, warm in nature, has the effects of warming the lungs, expelling phlegm and promoting qi, dispersing masses, dredging collaterals and relieving pain; It is warm in nature, has the effects of promoting blood circulation, removing blood stasis, regulating qi and relieving pain, sweet and bitter in taste, and cold in nature. The drug is applied to the acupoints of Feishu, Xinshu, Pishu and Shenshu, which can produce a synergistic effect. Feishu has the effect of relieving cough and resolving phlegm, Xinshu has nourishing blood and soothing the nerves, Pishu has the function of cultivating soil and promoting gold, and Shenshu has the effect of soothing qi and consolidating the body. Has a permanent cure. It can be used to treat bronchial asthma, which is inadequate to the heart and kidneys, and the kidneys do not receive qi. Feishu, Xinshu, Pishu, and Shenshu are mostly concentrated on the back sympathetic nerve chain. Applying drugs to these acupoints can make the upper, middle and lower triple focus communicate, balance the yin and yang, and achieve "the memory of righteous qi, and the evil can't interfere." "The effect of disease prevention and treatment. Of course, clinical points should be selected according to disease differentiation. For patients with bronchial asthma, Yongquan and Dingchuan points can be added; for chronic cough and phlegm, Zhui and Fenglong points can be added; for rheumatoid arthritis and gouty arthritis, they can be added. Yanglingquan, knee and eye; cold gastric ulcer can be added to Zhongwan, Zusanli; for dysmenorrhea, Guanyuan, Zhongji, etc. can be added. In addition, pay attention to the condition and dosage of the medication. If the patient is chronically ill and thin and has severe cardiopulmonary insufficiency, the dosage of the medication should not be too large, and the application time should not be too long; if the patient is in the acute attack stage (such as Patients who are coughing and wheezing, acute pharyngitis, fever, yellow sputum, hemoptysis, acute attacks of chronic cough and asthma, etc.) should not be applied. For severe skin diseases, such as those with blisters, boils, and damaged skin, or those with a large amount of blisters after a short application, it is not suitable to apply.
Of course, in addition to the diagnosis and treatment of patients, the patients should also pay attention to the combination of treatment and nourishment during the winter and summer treatments, and be restrained in diet and life. Don't be greedy for cold and eat less cold drinks, so as not to stagnate the cold air deposited in the body. Efficacy: Ensuring adequate sleep. Sufficient sleep can relax muscles and ease emotions, thereby improving the recognition of meridian acupoints to drug stimulation, and guiding drugs directly to the lesion; do not eat seafood, shrimps and other hair materials and fatty, sweet and greasy foods to avoid phlegm Wetness affects the therapeutic effect, and if necessary, participate in certain physical exercises to enhance physical fitness.