Common sense of TCM syndrome differentiation

1. What is TCM syndrome differentiation treatment?

1. Mental deficiency.

Main symptoms: pale face, listlessness, cold limbs, chest tightness, palpitation when moving, low blood pressure, thready or imaginary pulse, pale tongue with thin white fur. Treatment: Yiqi Gutuo, Huiyang rescue inverse.

Prescription: Shenfu Decoction. Ginseng Rubra 5- 10g, Radix Aconiti Lateralis lateralis 5g.

Prescription: ginseng tonifies vitality, aconite is warm and strong, and the two drugs are used together, warming and nourishing, and returning to yang to save the moon. 2. Lack of effort.

Main symptoms: dizziness, fatigue, pallor, palpitation, pale tongue, thin and weak pulse or knot. Treatment: Nourish your mind.

Prescription: Guipi Decoction. Radix Codonopsis 65438 00g, Radix Astragali 65438 00g, Radix Angelicae Sinensis 5g, Rhizoma Atractylodis Macrocephalae 65438 00g, Poria 6g, Semen Ziziphi Spinosae 5g, Yuanrou 8g, Radix Polygalae 3g, Radix Aucklandiae 5g (bottom) and Radix Glycyrrhizae 3g.

2. What are the dialectical methods of TCM?

There are many methods of TCM syndrome differentiation, including etiology, meridians, qi and blood, body fluid, eight classes, viscera, six meridians, triple energizer and so on. But no matter which method is used, it is necessary to summarize and analyze Yin and Yang. The eight classes of syndrome differentiation commonly used in clinic are the general classes of various methods, and yin and yang are the eight classes that guide exterior-interior, cold-heat and excess-deficiency, that is, exterior-interior and excess-deficiency.

"Su Wen?" "Yin and Yang should correspond to each other" says: "A good diagnosis should be based on color and pulse, and yin and yang should be distinguished first", which means that for a doctor who is good at diagnosing and treating diseases, his first task is to distinguish yin and yang of syndromes by using the method of four diagnoses. For people who keep in good health, it is necessary to constantly check whether their bodies have the performance of yin and yang. Once found, measures should be taken immediately to make Yin and Yang "equal", as Engels said: "Relatively static objects and the possibility of temporary balance are the fundamental conditions for material differentiation, and therefore the fundamental conditions for life".

In order to obtain the basic conditions of this "temporary balance state" of life, maintaining the harmonious balance of yin and yang in the human body has become an important health care law. Whether it is the adjustment of spirit, diet, daily life and exercise, or self-care and drug use, it is inseparable from the harmonious balance and equality of Yin and Yang.

3. How to distinguish symptoms and signs in TCM common sense?

Generally speaking, TCM syndrome differentiation has certain application procedures, rules and steps besides eight commonly used syndrome differentiation methods.

Among them, the most important rule is to listen to the patient's chief complaint first, or look at the most painful and urgent symptoms or signs. Then, first distinguish between exogenous and internal injuries around the main symptoms.

If it is exogenous, it should be divided into cold and heat, and exogenous cold and evil belong to typhoid fever, which should be differentiated according to the procedure of six meridians; Exogenous heat pathogen belongs to fever. Syndrome differentiation should be based on defending qi and nourishing blood or triple energizer.

If it is an internal injury, it is generally necessary to distinguish between excess and deficiency, and deficiency syndrome is different from qi, blood, yin and yang. Demonstrations depend on what evil spirits they belong to.

No matter deficiency syndrome or excess syndrome, it should be finally implemented in zang-fu organs and meridians. As can be seen from the above, the so-called clinical syndrome differentiation is actually to locate and characterize the lesions.

As for how to locate the nature, there are its own dialectical steps, which are as follows: locating the exterior, interior, viscera and meridians. This mainly comes from the clinical manifestations of organ functional characteristics; Characteristics of organ signs; The relationship and influence between organs and seasonal climate; The relationship and influence between organs and body shape, physique, age and gender; The onset time and clinical treatment should be considered comprehensively.

Yin and yang, qi and blood, deficiency and excess, wind, fire, dampness, dryness and cold toxin. This should be mainly considered from the aspects of clinical syndrome characteristics, onset characteristics, course characteristics, onset season and inducing factors.

For example, according to the characteristics of syndromes, all the clinical manifestations of Yin syndrome are hypofunction, asthenia, degenerative diseases and inhibitory diseases, which can be characterized as Yin syndrome. Positioning and qualitative parameters.

This is a comprehensive consideration of the location and nature of the disease, such as liver disease, liver wind, location in the liver, sexual wind, sudden death, dizziness, convulsions, carbuncle and other symptoms. You must have internal organs first.

The so-called "five zang-organs must come first" means that when analyzing various pathogenesis, it is necessary to determine which zang-fu organ it belongs to or the pathophysiological changes that play a leading role in complex clinical manifestations according to its occurrence and development process. This is a method for complex diseases.

Such as liver disease and wind disease. First analyze from the positioning.

There are two kinds of liver diseases, one is the liver (gallbladder) disease, that is, the lesions are primary in the liver, such as liver (gallbladder) injury caused by depression and anger, hypochondriac pain and insomnia, depression and anger convulsions and so on. Second, it is secondary to other organ diseases, such as spleen (.

Stomach disease involves the liver, that is, spleen deficiency leads to liver wood multiplying spleen. The patient first vomits and has diarrhea, and then has acute spasm, or suffers from insomnia after satiation. After qualitative analysis: if there is wind syndrome, there is primary wind syndrome, which is manifested in the early stage of the disease, such as sudden dismissal after great anger, hemiplegia and so on.

In short, TCM syndrome differentiation has its own rules and steps, but the specific application depends on the specific situation.

4. What is the syndrome differentiation in TCM common sense?

Differentiation of symptoms and signs is an important link for TCM to understand diseases.

Among them, syndrome means syndrome, so syndrome differentiation means syndrome differentiation. Under normal circumstances, in order to understand the disease, Chinese medicine should first collect clinical data through four diagnostic methods to deeply understand the condition. On this basis, the theory of viscera, meridians, etiology and pathogenesis is used to analyze and summarize, so as to clarify what syndrome the disease belongs to.

This process of collecting data, inductive analysis, determining the nature of the disease and making a correct diagnosis is called syndrome differentiation. The process of syndrome differentiation is the process of diagnosis.

Syndrome differentiation of traditional Chinese medicine is to understand the essence of disease from the perspective of body reactivity. Through the analysis of symptoms and signs of disease, we can further understand the internal relationship of these clinical manifestations, thus inferring the regularity of their internal pathological changes, thus comprehensively and accurately reflecting the essence of disease and providing basis for treating diseases.

5. How to differentiate syndromes in TCM clinic?

The so-called clinical syndrome differentiation is actually to locate and characterize the lesions.

As for how to locate and characterize, there are its own dialectical steps, as follows: 1. The position of meridians in exterior and interior viscera.

This mainly comes from the clinical manifestations of organ functional characteristics; Characteristics of organ signs; The relationship and influence between organs and seasonal climate; The relationship and influence between organs and body shape, physique, age and gender; The onset time and clinical treatment should be considered comprehensively. 2。

Yin and yang, qi and blood, deficiency and excess, wind, fire, dampness, dryness and cold toxin. This should be mainly considered from the aspects of clinical syndrome characteristics, onset characteristics, course characteristics, onset season and inducing factors.

For example, according to the characteristics of syndromes, all the clinical manifestations of Yin syndrome are hypofunction, asthenia, degenerative diseases and inhibitory diseases, which can be characterized as Yin syndrome. 3。

Positioning and qualitative parameters. This is a comprehensive consideration of the location and nature of diseases, such as liver disease, liver wind, located in the liver, the nature of wind, symptoms can be seen suddenly dizziness, convulsions, epilepsy and so on.

4。 You must have internal organs first.

The so-called "five zang-organs must come first" means that when analyzing various pathogenesis, it is necessary to determine which zang-fu organ it belongs to or the pathophysiological changes that play a leading role in complex clinical manifestations according to its occurrence and development process. This is a method for complex diseases.

For example, liver disease and wind disease should be analyzed from the positioning first. There are two kinds of liver diseases. First, the liver (gallbladder) is self-sick, that is, the lesions are primary in the liver, such as liver depression and anger hurting the liver (gallbladder), hypochondriac pain, insomnia, syncope, syncope and so on.

Followed by other organ diseases, such as spleen (stomach) disease, liver, that is, spleen deficiency leads to spleen. The patient vomited and diarrhea first, then had an acute spasm, or suffered from insomnia after eating. After qualitative analysis: if there is wind syndrome, there is primary wind syndrome, which is manifested in the early stage of the disease, such as sudden dismissal of servants after great anger, hemiplegia and so on.

In short, TCM syndrome differentiation has its own rules and steps, but the specific application depends on the specific situation.

6. How does TCM differentiate syndromes?

Patients with liver cirrhosis should pay attention to rest and avoid strenuous exercise; We should keep an optimistic mood and build up confidence in overcoming the disease. 2. The food used should be digestible, nutritious, high in protein, high in sugar, high in vitamins and low in fat. 3. When ascites occurs, stay in bed, increase nutrition and limit salt intake. It is best to adopt a salt-free or low-salt diet, with the salt content not exceeding 5g (1 yuan) 4 per day. Generally, the daily drinking water should be controlled at 1 000ml (equivalent to 2 bottles of salt water bottles used in hospitals). Severe hyponatremia should be limited to 500 ml. 5. Patients with esophageal varices should avoid hard objects to avoid damaging esophageal varices and causing massive bleeding. 6. When hepatic coma is possible, protein should be restricted, and vegetables are the main meals.