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In traditional Chinese medicine, there is the "differentiation of yin and yang", "deficiency and reality", "appearance and interior", cold and heat, and qi, blood and fluid. The so-called disease is the battle carried out by the body's defense forces against various elements that invade the body from the inside or outside, that is, the hostile forces of the body. From the inside, there are cancers, lesions, and autoimmune diseases; Pathogenic microorganisms such as bacteria, viruses, and malaria parasites, as well as light, dust, and smoke come from the outside.
The so-called defense force is the reticuloendothelial system of the body, that is, the system that maintains the health of the body through humoral immunity and cellular immunity. Disease is a state in which these two forces use their bodies as a battlefield to fight, and both sides of the war will win or lose.
In the initial stages of the battle, the strength of the Defence Force is almost 100%, and as the battle progresses, the balance of forces between the two sides changes significantly. By death, the strength of the opposing side will reach almost 100%, while the defense force will drop to zero.
But in the middle of the battle, there was a period when the forces of the enemy and the enemy were evenly matched. For the body, before this time, it is in a period of advantage, and after that, it is in a period of disadvantage.
In traditional Chinese medicine, the period of superiority is called "yang" and the period of disadvantage is called "yin". That is to say, yin and yang are both the "standard" for the development of the disease and the "standard" for physical exertion and growth.
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Do you know the dialectical treatment of Chinese medicine?
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TCM syndrome differentiation** refers to the diagnosis of a patient's specific signs and diseases through TCM theories such as observation, smell, medical history, and pulse. Under normal circumstances, the so-called syndrome differentiation refers to the fact that according to the data collected from the four diagnoses, through analysis and synthesis, the disease, its nature and location, as well as the relationship between the first type of syndrome and the positive factors, can be determined and generalized into a certain type of syndrome.
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The syndrome differentiation methods of traditional Chinese medicine include: Eight Gang Pattern Differentiation, Viscera Pattern Differentiation, Six Meridian Pattern Differentiation, Weiqiying Blood Pattern Differentiation, Sanjiao Pattern Differentiation, Qi, Blood and Fluid Pattern Differentiation, etc.
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1. Eight-outline dialectic.
He said in "Typhoid Fever": "The so-called Eight Guidelines, Yin, Yang, Surface, Inside, Cold, Heat, Void, and Reality are also, and the ancient medical workers observed the symptoms of various diseases, and summarized them into eight outlines in terms of their different properties. ”
This dialectic method is mainly based on the depth of the disease, the nature and prosperity of the disease, and the strength and weakness of the body's righteousness, and comprehensively analyzes and summarizes a syndrome differentiation method that takes yin, yang, surface, interior, cold, heat, deficiency and reality as the key link, and summarizes the syndrome as the manifest pattern, the internal pattern, the cold pattern, the heat pattern, the false pattern, the empirical evidence, the yin pattern and the yang pattern.
Bagang embodies several main aspects of the various contradictions in the process of lesions, but in clinical application, the relationship between them. For example, to distinguish between the inside and the outside, it must be connected with the cold, heat, and the void. To distinguish between the virtual and the real, we must connect with the cold and heat on the outside.
Therefore, when using eight steel for dialectic, it is necessary to be proficient in the characteristics of each of the eight types of symptoms, and also pay attention to the interrelationship between them in order to use them flexibly. Specifically, there are dialectics of the inside and outside, the dialectic of cold and heat, the dialectic of the virtual and the real, and the dialectic of yin and yang.
2. Syndrome differentiation of viscera.
According to the physiological and pathological characteristics of the viscera, the clinical manifestations of the disease are analyzed and summarized, so as to deduce the pathogenesis, judge the location of the lesion, and the prosperity and decline of good and evil. Therefore, the diagnosis of viscera dialectic is based on the physiological dysfunction of each viscera and the witness of the meridian route. Whenever you encounter the symptoms of abnormal function of the organs, you can determine where the disease is.
For example, if you see symptoms of palpitations, apprehension, upset, marketability, and dreams, you should consider it as a heart attack; Symptoms of cough, wheezing, chest pain, and hemoptysis should be considered pulmonary lesions. Therefore, the dialectic of viscera is the core and basis of dialectical treatment, and is often used in various clinical departments, especially in the diagnosis of internal injuries, because the viscera and between the viscera and various tissues and organs are closely related, so it is necessary to start from the overall concept, pay attention to the connection and mutual influence between the viscera, and make a comprehensive and correct diagnosis.
The dialectic of viscera includes seven aspects: heart and small intestine syndrome, lung syndrome, spleen syndrome, gastrointestinal syndrome, hepatobiliary syndrome, kidney and bladder syndrome, and viscera and viscera disease.
The dialectic of viscera is the basis and core of all kinds of dialectic, because people take viscera as the basic unit of life activities, and all diseases will affect the function of related viscera to varying degrees and cause symptoms, whether it is clinical internal medicine, pediatrics, or ** diseases, are related to visceral disorders.
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The methods of syndrome differentiation in traditional Chinese medicine mainly include ** syndrome differentiation, qi, blood and fluid differentiation, meridian pattern differentiation, viscera pattern differentiation, six meridian pattern differentiation, Weiqiying blood pattern differentiation, three-focal pattern differentiation, etc. Although these syndrome differentiation methods have different characteristics and emphasis, they can be related and complementary to each other in clinical application.
Among them, the syndrome differentiation focuses on distinguishing the symptoms from the perspective of the first and is the basis for the differentiation of external diseases. The visceral dialectic is mainly applicable to the diagnosis and diagnosis of miscellaneous diseases in internal medicine, and is the basis of various syndrome differentiation methods.
The six meridians, Weiqi Yingxue, and Sanjiao syndrome differentiation are mainly suitable for the diagnosis of typhoid fever and warm disease**. The dialectic of meridians and qi, blood and fluid is a dialectical method that complements each other. In addition, now due to the rise of the Jing Fang, there is also a constitution dialectic, that is, according to the person's constitution, it is divided into qi deficiency, yang deficiency, liver depression, blood stasis, cold and damp heat type constitution, which can be used as a supplement to the dialectic of the viscera.
TCM syndrome differentiation ** to diagnose the disease, first use the methods of looking, smelling, asking, and cutting to understand the condition, and then analyze and synthesize to distinguish the eight outlines of the surface and the inside, cold and heat, virtual and real, yin and yang. According to the pathological changes such as the location of the viscera, the qi and blood fluids, according to the attributes of the syndrome, the method is decided, and the corresponding drugs are used, and there are many dialectical methods, all of which have their own characteristics, but they complement each other, which is the basic principle of the disease of traditional Chinese medicine, and it is also the characteristic and essence of traditional Chinese medicine.
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