What is Fifth's Disease?

Symptoms of the five internal organs are reversed, which does not include the complex symptoms of the internal organs of the five internal organs. The heart is palpitations; the lungs are coughs; the liver is speech; the spleen is swallowed; the kidneys are sneezes. It has guiding significance for clinical syndrome differentiation treatment.

Symptoms of the five internal organs are reversed, which does not include the complex symptoms of the internal organs of the five internal organs. The heart is palpitations; the lungs are coughs; the liver is speech; the spleen is swallowed; the kidneys are sneezes. It has guiding significance for clinical syndrome differentiation treatment.

Chinese name

Five diseases

Provenance

The Yellow Emperor's Canon

Category

Basic Chinese Medicine Terms

Concept

Refers to the symptoms of the five internal organs qi becoming sick

Five Diseases Interpretation

"Su Wen · Xuanming Wuqi Pian": "The disease of Wuqi: Heart is suffocation; Lung is cough; Liver is speech; Spleen is swallowing; Kidney is sneezing; Stomach is qi reversal, suffocation and fear; Large intestine The small intestine is leaking; the lower coke overflow is water; the bladder is unhealthy, not about drowning; the bile is angry, it is called the five diseases. "Zhang Zhicong called" the disease caused by the five internal organs, "but" the disease is caused by the five internal organs. " Therefore, it can not include the complex symptoms of five internal organs disorders. Also: Five diseases should refer to the five internal organs, so it may be a posterity from "stomach is Qi-reverse" to "bladder is angry", which is mistakenly entered into the text.

The description of the clinical symptoms of the five internal organs of Qi reversal, the five internal organs of Qi are imbalanced, and each has its own symptoms: heart qi is not suffocating as belching, lung qi is unfavorable as coughing, liver qi is stagnation and multilingual, and temper is swollen with acid. , Kidney qi exhaustion is yawning. The five internal organs are also called the five internal organs.

Five diseases of traditional Chinese medicine

Heart is

The first question of "Five Qis and Diseases" in "Su Wen · Xuanming Wuqi Pian" firstly states "Heart is sorrowful." "Yi", "Said the text" says "satisfying and eating too", so today people mostly use qi, which is attributed to the spleen and stomach air machine. However, "Su Wen · Xie Jie Pian" reads: "The so-called walking heart is the one who walks in the yin sheng and walking up to Yang Ming. Yang Ming is the heart, so it is said that the walking heart is the same." Zigui Xinzhu is because the Yin of the Taiyin (Spleen Meridian) is stronger and goes up to the Yangming Meridian (Stomach Meridian), and the Yangming Meridian is connected to the heart through the collaterals.

From this point of view, the rule of radon (qi) is not only the way of reversing the stomach. At the same time as reducing stomach inversion, combining Kaixinqiao, tonifying heart qi, warming heart yang, nourishing heart yin and other methods are all good methods for treating belching (belching qi), especially the clinical treatment of refractory belching. Both can cure the "" from the "heart" and every good effect is achieved, which is also the way to cure the "base". Most of the clinical treatments of refractory belching and hiccups are based on dialectical treatment. They are supplemented by happy qi, Tongxinqiao, Xinxinjing, and Qingxinhuo such as Polygala, Shichangpu, Yujin, Coptis huanglian, etc., and every effect is good. Other aroma-preparing medicines such as musk, borneol, savory, camphor, toad cake, etc. have this effect, but because of its sexual taste is too spicy and dry, it is often used in pills.

Specific to the commonly used clinical formulas, such as those who are cold and belching in the stomach (belt gas), give clove powder; those who are upset and belching (bellowing gas) in the stomach, give bamboo leaf gypsum soup; Wumo Yinzi; those with spleen and kidney yang deficiency and belching (belching qi) should be given Fuzi Lizhong Decoction; those with insufficient stomach yin and belching (belching qi), and Yiwei Decoction. For the clinical treatment of radon (qi), it is necessary to make a legislative prescription based on dialectical treatment, and then add or subtract rulings. Among them, Polygala, Shichangpu, and Yujin are special effects and general drugs for treating hiccups. , Qi, and even cymbals have better effects.

Lungs for cough

The "Huang Di Nei Jing" discusses cough in many places, and its "Su Wen · Ke Lun Pian" has fully explained the mechanism of "cough". There is more to play. In "Su Wen · Xuan Ming Wu Qi Pian", "lung is a cough" is commonplace. For example, in "Su Wen · Cui Lun Pian", "the skin is the one who has the lungs. The cold diet enters the stomach, from the lung veins to the lungs, the lungs are cold, the lungs are closed internally and externally, and the evil is called the lung cough ", as in the" lung cough, coughing and wheezing, Even spitting. " Clinical evidence needs to grasp the main symptoms in order to correctly grasp the pathogenesis.

Liver words

"Liver is a language" is a pathophysiology concept. The Nei Jing has already discussed the liver in detail, but the "liver" in it is not a simple anatomy concept, but a pathophysiology concept. Therefore, "liver as a language" should also be a pathophysiology concept, suggesting that the physiological state, pathological manifestations, and functional regulation of "liver" are closely related to "language".

Physiologically, the larynx is the human articulation organ and is closely related to speech. As far as the meridian circulation parts are concerned, "Lingshu · Meridian articles": "The veins of liver, foot and jue yin are ... Branch, from the lower part of the eye line to the cheek, inside the lip. " In the twelve meridians of "Lingshu · Meridian articles", the liver meridian is one of the meridians that is clearly described as the "menstrual meridian" (in addition to the meridian of the foot meridian of the Meridian and the meridian of the meridian of the foot Shaoyin). It is closely related to "language".

Pathologically, liver and language have the following links:

1. Liver fever can cause rabidity. "Liver fever ... Hot contention is frantic and frightening." ("Su Wen · Spirit Heat Chapter 32")

2. "Ji Ni in the liver" and "Lan Qi Qi" can cause slang. "Jueyin Jueyi, ... spoken words, the person who treats the disease." ("Su Wen · Ju Lun forty-fifth")

3. Multilingual and lesser languages can alternate. "The pulse of Jueyin ... its illness is kind, silent, dissatisfied, and thorny."

4, "language" is a disease "proof". "Spring thorns and winter points, evil qi hiding, it is bloating, the disease is not healed, and you want to speak."

5, horror can be aphasia. "The liver pulse is violent and horrifying, and the pulse is not as strong as the pulse, and he will not heal himself." Hey, can't speak either (silence, don't say anything). Explain that horror can make the liver gas turbulent and pulseless. This card is "because of the panic, no treatment is needed and he will recover on his own";

6. Abnormalities in the "speech" after acupuncture in the liver are critical. "Stabbed in the liver, died in five days, its movement is speech." "Suwen · Stabbing Theory" discusses the main points of contraindications to acupuncture, "Stabbing the liver, which will die in about five days, and its changes will cause" talking to himself ", suggesting that the liver is qi," stabbing the liver " Later, if there is evidence of abnormalities in "language", it is a sign of death.

There are three main aspects of clinical application:

1. "Word" is a symptom of "liver" disease. "Speech" is a clinical symptom caused by Foot Jue Yin Liver Disease. If the patient has abnormalities in "language", clinically, the disease of the foot and liver yin should be considered clinically. Attention should be paid to identifying abnormalities in the physiological functions such as the main blood, main tendon, main drainage, main soul, and enlightenment. no. The abnormalities of "language" caused by foot Jue Yin liver disease, the clinical symptoms are not only "multilingual", but also include: "silently silent", "silent (or even silent)", "talking to oneself", voice Anomalies and semantic inconsistencies (or even rants and slang).

2. Abnormalities of "language" can be treated from "liver". "Speech" is a kind of disease "syndrome" caused by foot Jue Yin liver disease. Patients with evidence of "speech" abnormalities can be treated clinically from the liver. Treatment with drugs or other methods, such as nourishing the liver and relieving the liver, relieving the liver and regulating qi, clearing the liver and purging the fire, and relieving the liver and regulating the liver, regulating the functions of the liver's main blood, main tendons, main drainage, and main soul "Speaking" of the disease.

3. "Lang Yu" can be treated with "language". Yao Zhilian's "Su Wen Jie Jie" commented on "Liver is the language": "Speakers, so the joy in the middle is also happy, the liver is happy and evil, so the language is to declare the depression of the Qi." "Speech" can be used as a form of self-regulation of the liver. Through "speech", it can be used to expel Qi and relieve liver stagnation. "Liver depression" is closely related to modern TCM cognition of various psychological, spiritual and psychosomatic diseases; therefore, the theory of "Liver as a Word" of "Five Qi Diseases" in "Su Wen" is in clinical practice of modern Chinese medicine psychotherapy Very important position. It is similar to the "grooming therapy" commonly used in modern psychology.

Spleen is swallowed

Because the spleen mainly transports water, it is sexually damp, its saliva is in the liquid, and it is opened to the mouth. Saliva is oral fluid, which is the thinner part of saliva. It is secreted more when eating. It has the functions of protecting oral mucosa, moisturizing the oral cavity, and helping food to swallow and digest. "Su Wen · Xuan Ming Wu Qi" said: "The spleen is saliva", so there is a saying that salivation overflows the stomach out of the spleen. "Su Wen · Yu Ji is really dirty" said: "However the spleen is good or evil can be seen? Qi Bo said: the good is not visible, the evil is visible." Although this is for the pulse method, but it can also be explained Under normal circumstances, saliva flows up the mouth, but does not overflow the mouth, so there is no abnormal swallowing movement. If the temper is disturbed, and the spleen and stomach are inconsistent, leading to a sharp increase or a significant decrease in salivary secretion, many lesions characterized by frequent "swallowing" appear clinically, so "spleen is swallowing" means that spleen disease is prone to abnormal swallowing symptoms .

Wet Sheng "swallowing"

"Huang Di Nei Jing Su Wen Ji Ji" said: "The spleen is the stomach to run its body fluid, and the spleen is not irrigated to the four internal organs, then the body fluid back to the mouth of the spleen, it is evidence of swallowing." Increased "swallowing" cards. For many causes of external sensations and internal injuries, if the disease sees salivation in the mouth, swallows frequently, it should be blamed on the spleen.

Hot and humid spleen "swallows"

The spleen and stomach live together in the middle coke. The "Classic Classics · Tibetan Elephants" said: "If the upper coke is inactive, the water floods the plateau; if the central coke is inactive, the water stays in the middle; if the lower coke is inoperative, the water will be messy." The phlegm saliva stays in the stomach sputum, overflows the throat, and then swallows frequently, and even vomits water and sputum. The "salivation" card of Shui Liuwei is more common in children, and the symptoms at night are obvious.

Phlegm condensation "swallowing"

"Chinese and Western Huitong Medical Classics Essence · Zangfu as a disease" cloud: "The spleen controls Gu Shengjin, and those who have less fluid in their mouths are often swallowed. Reverse swallowing for vomiting is also the reason why Mizutani is persistent, all of which are splenic diseases. You can explore each other. "It means that the splenic disease is abnormal, the fluid is lost, the saliva is insufficient, the mouth is not moist, and it is often swallowed to relieve the symptoms of pharynx.

Spleen Master "Acid Swallowing" Card

Regarding the "spleen master swallow", "Su Wen Shi" explained: "Swallow, which means swallowing acid and swallowing (Pingmai Fayun: swallowing and swallowing acid, can't stop eating.) And cloud: those who don't return to the coke, Gong Tingxian Yun: Swallowing acid is different from spitting acid. Swallowing acid is also stabbing heart; spitting acid is also spitting acid water. "I think the acid swallowing card belongs to spleen disease. The so-called acid swallowing refers to the symptoms of acidic water in the stomach attacking the mouth, swallowing, and swallowing less than vomiting, also known as pharynic acid. "Yin Lin Sheng Mo · Tuan Suan Tuo Su" said: "People who swallow acid, their appetite is attacked by the acid, so that they may swallow less than they spit out. The sour taste is irritating, as if swallowing acid." Therefore, the symptoms of acid swallowing in patients are that the acidic water floods from the stomach, and then swallows. The throat and esophagus are hot and noisy, if they swallow acid. At the same time, clinical observations found that many patients like to swallow a small amount of food to relieve the irritation of the throat and esophagus. The etiology and pathogenesis of acid swallowing have been discussed by medical doctors of all ages. "Shou Shi Bao Yuan Swallowing Acid" said: "Diet into the stomach, damp and hot depression, food can not be eaten, so it is swallow acid." Acid swallowing is different from spitting acid. Swallowing acid has the symptoms of depression, restraint, and convergence. It belongs to yin, which is cold and damp, and spleen. It is hot for a long time, and the moss is thin and greasy. As for its treatment, the "Zhengzhi Huibu Swallowing Acid Chapter" states: "Swallowing acid is insufficiency in qi, sputum saliva is stagnation, and it must be used to develop unblocked products." "Acid" Yun: "Where the stomach is not dying, the age is strong, or it is cold or eaten, and occasionally accumulates as acid, it is advisable to use a stagnation and warming agent, such as Erchen Decoction, Pingwei San, and Wei Yin The main thing is. "Therefore, it is mainly to regulate the spleen and stomach qi in the conditioning, and to dry the damp and clear the heat.

Kidney is owed

This sentence is the most controversial in "Five Qi Diseases". There are 11 "ows" in the "Yellow Emperor's Canon", as stated in "Lingshu · Nine Acupuncture": "Kidney is owed" in the "five internal organs" disease. Yanwen. In addition, "The Origin of Malaria" in "Su Wen Malaria" also began with hairless hair, and stretched back and forth. It was tired and stretched, and then "Lingshu · Interrogation" stated: "Yang is not exhausted, Yang leads up, Yin leads down, Yin and Yang lead each other, so the number is owed." Here, "ow" is used as a solution to yawn. When ordinary people are tired, yawning and stretching their waists are more common, but if this is often the case of kidney deficiency and insufficiency, the "kidney owe" symptom should cause great attention from doctors and patients.

"Owing" has two meanings. The first is the name of the certificate, from "Lingshu · Interrogation". Also known as yawning, owing, and yawning, there are physiological and pathological differences. Physiology is more common in exhaling breath when tired; pathology is not limited to time, it is frequently done, and counts as owe. The second is the meaning of shortage and shortage. For example, "Lingshu · Meridian": "The urine counts but owes it." Then how does the pathological "ow" arise? "Lingshu · Xuanming Wuqi Pian" clearly states that "kidney is owed", "Lingshu · "Nine Needles" also contains: "Kidney owes", "Jin Kui Yao Lue · Diarrhea, Cold Hernia, Sudden Diseases and Food" has "Cold Cold Family Happiness". Many medical doctors of this era have said that they think that "yawning" is caused by yin and yang, and kidney deficiency.

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