What is the main syndrome of bulging, and in the later stage of bulging disease, the common syndrome

Distension refers to a type of disease in which the abdomen is distended like a bulge, also known as single abdominal distention. Clinically, the main characteristics are abdominal distension, skin urgency like a drum, and vein exposure. "The Soul of Water Swelling" records:

What about bulging? ......Abdominal distention, the body is large, large and skin swelling, etc., the color is pale yellow, and the abdominal tendons are raised, which is also the waiting. According to the different pathogenesis of this syndrome, it is divided into qi, water, blood, and worms, but the three causes of qi, blood and water are often implicated in each other, so there is only a primary and secondary division, rather than a separate problem.

Western medicine ascites in cirrhosis, portal cirrhosis, necrotizing cirrhosis, ascites in biliary cirrhosis, tuberculous peritonitis, chylous ascites, and advanced intra-abdominal malignant tumors all fall within the scope of this syndrome. Jaundice, accumulation and distension are both different and related, and the three may be different stages of evolution and development, and can be mixed and seen in the course of the disease, so the predecessors pointed out that jaundice and accumulation are the root of the disease of fullness and swelling.

1. Pathogenesis.

Bloating is a symptom of distension, mostly due to uncontrolled diet, seven emotions, exertion, and infection with other diseases, liver and spleen disorders, and then kidney involvement.

1) Unhealthy diet: Usually heavy drinking or excessive drinking, damaging the spleen and stomach, brewing dampness and heat, and then depleting the liver yin, damaging the liver body, and causing both liver and spleen injuries; If the diet is not adjusted, hunger and satiety, long-term malnutrition, and the spleen and stomach are damaged, it can lead to spleen deficiency and liver depression. The spleen is not healthy, the liver is lost and discharged, and the subtlety of the water valley is lost in the cloth, which causes dampness and turbidity to cohesive, obstructs the qi machine, and the water stops in the abdomen, and becomes distended.

2) Emotional failure: depression and anxiety, hurting the liver and spleen, causing qi imbalance, liver loss of order, liver stagnation, and over time by qi and blood, blood stasis, transverse injury to the spleen, abnormal transportation, water and dampness internal stop, and blood stasis intertwined, ruffian obstruction in the middle of the focus, over time, gradually spread to the kidneys, showing three diseases, hair for expansion.

3) Jaundice accumulation and untreated: the evil of external epidemic poison, cold and dampness, dampness and heat accumulates in the liver and veins, and is infected with jaundice, obstruction of qi and blood, and gradually becomes bloating; Or accumulate for a long time, the qi and blood stagnate day by day, and the water and dampness stop inside, and become swollen.

4) Infected by schistosomiasis, prolonged and untreated, liver and spleen damage over time, vein stasis, abnormal rise and fall, turbidity and confusion, qi, blood and water stop in the abdomen and become distended. Bloating is a syndrome, mainly in the liver, spleen, and kidneys. The liver qi has been suppressed for a long time, and it has become a trend to defeat the spleen and soil, or the spleen has been defeated, and the liver wood has taken advantage of it.

The liver and spleen are injured, the subtlety of the water valley is lost in the cloth, the turbidity and yin do not fall, and the water and dampness cannot be discharged from the body, so the turbidity is mixed. Liver qi is depressed for a long time, qi stagnation and blood coagulation, blood stasis and water condensation, and then it becomes bloating. Long-term illness and kidney, kidney yang deficiency, no way to warm the spleen and soil, kidney yin deficiency, water does not contain wood; In addition, kidney deficiency and bladder gasification are unfavorable, water turbidity is difficult to discharge, and swelling is excessive.

In short, stagnation of liver qi, blood and vein stasis, and internal arrest of water and dampness are the main pathological changes in the formation of swelling.

Characteristics of the disease: Bulging refers to a kind of disease in which the abdomen is distended like a drum, and the clinical symptoms are characterized by a large abdomen, a tight and urgent drum, a pale yellow skin, and a vein exposed, hence the name bulging.

Dialectical Argument:1. Qi stagnation and dampness obstruction syndrome.

Symptoms: abdominal distension is not firm, flank fullness or pain, decreased diet, distension after eating, belching and sagittal qi are slightly reduced, urine is short, tongue coating is thin and white and greasy, and the pulse is stringy.

2。Dampness and spleen trapping syndrome.

Symptoms: The abdomen is swollen and full, and the face is slightly swollen, the lower limbs are swollen, the belly and abdomen are swollen, and the heat is comfortable, the spirit is sleepy, the cold is lazy, the urine is less, the stool is loose, the tongue is white and greasy, and the pulse is slow.

3。Hydrothermal accumulation.

Symptoms: abdomen is large and full, abdominal distension is urgent, hot and bitter, thirsty and does not want to drink, or yellowing of the face, eyes, **, astringent urine, constipation or dirt, red tongue, yellow greasy or gray black, pulse like a number of strings.

4。Stasis and water retention certificate.

Symptoms: The abdomen is full, the green tendons are exposed, the flank crux is painful like a pinprick, the complexion is dull and dark, or there are red blood wisps, blood moles or crab claw lines appear on the face, neck, chest, and arms, the mouth is dry and does not want to drink water, or the stool is black, the tongue is purple or has purple spots, and the pulse is thin and astringent.

5。Yang deficiency and water are abundant.

Symptoms: large and full abdomen, resembling a frog's belly, anxious towards the wide twilight, pale or pale, dull and sluggish, tired and cold, cold and swollen limbs, short and unfavorable urination, fat tongue, purple, pale white moss, thin and weak pulse.

6。Yin deficiency water suspension.

Symptoms: abdomen is swollen, or the face is dull when the green tendons are exposed, the lips are purple, the mouth is dry and dry, the heart is upset and insomnia, sometimes epistaxis, the gums are bleeding, the urine is short, the tongue is red, the moss is less or the skin is peeled, and the pulse strings are fine.

Answer]: B Test Center: 1 Bulging diet and life adjustment:

Eat foods that are light, nutritious and easy to digest. It is forbidden to eat raw, cold, unclean, spicy, greasy, coarse and hard food. In general, patients should eat a low-salt diet; When the lower limbs are swollen and the amount of urine is small, salt should be avoided.

It is advisable to adjust the mood, recuperate with pleasure, rest with peace of mind, and avoid overwork. Strengthen nursing, pay attention to cold and warmth, and prevent the attack of good and evil. If you feel the external evil, you should be clear and envious in time**.

2 Critical prognosis of bulging disease to the late stage: the bulging disease is extended to the advanced stage, such as yin deficiency and blood fever, and pulse bruising, which can cause epistaxis, tooth extremism, or even a large amount of hematemesis and blood in the stool; or liver and kidney yin deficiency, evil from heat, evaporation phlegm Inner Mongolia heart, induce the manuscript posture liver wind, then see faint speech, convulsions and other serious syndromes; For example, the spleen and kidney are deficient in yang, damp and turbid in the inner Mongolia, blinding the mind, and can also lead to the change of fainting, which will eventually lead to the evil falling into the right and deficiency, the qi and yin are depleted, and the condition is extremely sinister.

LS has already explained it very clearly and thoroughly, so I won't add to it.