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Principles of treating diseases in traditional Chinese medicine
Traditional Chinese medicine believes that the human body is an organic whole system with five internal organs as the center and six internal organs as the coordination, and five bodies, five senses, nine orifices and hundreds of limbs are combined through the meridian system, so the human body is also a small universe. As long as there are local lesions, it is part of the overall pathological reaction.
1. Adjusting the overall balance can start with adjusting Yin and Yang.
Yin and yang are the foundation of all things, just like gossip, white is yang and black is yin. As Chinese medicine says? Cold is cold, and yang is hot? Water and phlegm will appear on cloudy days, and symptoms of dryness, heat and qi stagnation will also appear on sunny days. Therefore, when yang is out of date, it is necessary to reduce yang through various specific treatment methods such as warming, clearing, benefiting and reducing health. Yin deficiency is to make up for the decline of its yin; So there is a difference between nourishing yin and yang.
2, moderate medication
Adjust the overall balance, but also pay attention to the use of drugs. For example, when attacking evil spirits, we should pay attention to the fact that drugs should not be used too hard, so as not to hurt healthy qi; We should also be careful not to make up too much when making up deficiency, because tonic has the function of nourishing boredom, although it makes up healthy qi, it also leaves evil spirits; Heat-clearing drugs are mostly cold, and excessive use of yang hurts the body; Drive away the cold like sweating. Excessive sweating will reduce body fluid, easily hurt yin and so on.
The principle of finding the mechanism by examining the syndrome is to find out the causes of the occurrence and development of diseases and the mechanism of the occurrence of diseases. As long as the main contradictions and key links of the disease are solved, all complicated problems will be solved. There are two basic applications in clinical practice:
1、? Different treatments for the same disease? Application of
Different treatment for the same disease means different treatment for the same disease. Like headache, there is a difference between exogenous headache and internal injury headache. Exogenous headache is different from wind-cold headache, wind-heat headache and rheumatic headache. Headache due to internal injury also includes headache due to hyperactivity of liver yang, headache due to phlegm turbidity and headache due to blood stasis. It is necessary to understand the syndrome types and give different treatments, such as pungent warming to relieve exterior syndrome, expelling wind to overcome dampness, calming liver and suppressing yang, resolving phlegm and calming wind, promoting blood circulation and dredging orifices, etc., in order to have better curative effect.
2、? Treat different diseases together? Application of
Simultaneous treatment of different diseases means that if different diseases have the same pathological changes, that is, when the same syndromes are formed, the same treatment methods can be adopted. For example, amenorrhea (that is, dysuria or urinary retention) and enuresis are two diseases with completely different clinical manifestations, but they are all related to the kidney, which may be caused by insufficient kidney yang. Therefore, the use of Jinkui Shenqi Pill to warm the kidney can help Yang Can recover the function of bladder gasification, and enuresis can restore the fixation of kidney qi. It can be seen that different diseases with the same etiology can be treated with the same method.
The principle of distinguishing the urgency of specimens refers to superficial symptoms; This is the root, which guides the source of symptoms. For example, righteousness is the foundation and evil is the standard; Disease first, then disease as the standard; Internal disease is the foundation and external disease is the standard; Chronic disease is the foundation, and acute disease is the standard.
The occurrence and development of diseases are extremely complicated, and there are often problems such as the rise and fall of pathogenic factors, the urgency of etiology and pathogenesis, the recurrence of old diseases, and the coexistence of exterior and interior diseases and syndromes. Therefore, it is necessary to distinguish the symptoms and priorities of diseases in clinic and treat them by the following methods, which is the principle of distinguishing the severity of diseases.
1, emergency is the standard:
It refers to the principle that in the process of disease development, if there is an acute and critical illness that affects the safety of patients, it must be solved first and then treated. For example, patients with abdominal distension and ascites are short of breath and difficult to lie down, and the other is unfavorable. Healthy qi can be maintained, and water can be used to control its standard. When the water relieves the disease, in order to improve the foundation, the spleen and liver will be replenished again.
2. Slowness is the cure:
It means that the disease should be treated fundamentally in remission. Because the disease is caused by this disease, the disease is solved, and the disease is naturally solved. If there is hemoptysis due to yin deficiency, hemoptysis is the standard, and yin deficiency is the foundation. In the case that there are not many hemoptysis and the symptoms are not urgent, the symptoms of hemoptysis can be eliminated by nourishing yin and moistening dryness, and hemoptysis can be treated fundamentally and the root of yin deficiency can be treated.
3. Treat both the symptoms and root causes:
In the case of treating both the symptoms and root causes, the principle of treating both the symptoms and root causes must be adopted. If edema is manifested as cough and asthma, chest tightness, low back pain, dysuria, systemic swelling, aversion to cold, etc. It is originally kidney deficiency and excessive water, which is marked by wind-cold binding the lungs. It is urgent to treat both the symptoms and the root causes. We must use the therapeutic methods of warming the kidney to help yang, sweating and promoting diuresis to warm the interior and relieve exterior syndrome.
Grasp the principle of dynamic change, the process of disease is a process of struggle between good and evil, change and development. Each stage of the disease has different pathological characteristics, so we must grasp its dynamic changes and treat it by stages. For example, abdominal mass (benign tumor of western medicine) is not hard at the initial stage of onset and should be eliminated through treatment; In the middle stage, the deposit gradually hardens, so the treatment should be softened; In the later period, the healthy qi is weak, so it is appropriate to attack and replenish it, and judge its primary and secondary treatment.
The occurrence and development of diseases that conform to the principle of adapting to the times are affected by many aspects, such as seasonal climate and geographical environment. In particular, the individual physical factors of patients have a greater impact on the disease. Therefore, when treating diseases, we must choose appropriate treatment methods according to different characteristics such as season, climate, region, patient's physique and age. This is the principle of adapting to the time, which includes three aspects: adapting to the time, adapting to local conditions and adapting to people.
1, by time.
Treatment should combine the characteristics of different seasons and different time periods and consider the principle of medication. This is called? According to time? . The change of climate in four seasons will have certain influence on the physiological function and pathological changes of human body. For example, there is spring temperature in spring, summer heat, dryness in autumn and cold in winter.
2, according to local conditions
Treatment according to the characteristics of geographical environment in different regions, the principle of considering therapeutic drugs is called? Adapt to local conditions? . For example, in the northwest of China, the terrain is high and the rain is cold, so the disease is dry and cold, and the treatment should be moist; Southeast China is low-lying, warm and rainy, so its disease is damp and hot, so it should be treated according to syndrome differentiation.
3. Adapt people to their needs
According to the different characteristics of patients' age, physique, gender and living habits, the principle of treatment and medication is considered. What's your name? Meet people's needs? . For example, female patients have special circumstances such as menstruation and maternity, so the treatment of drugs must be cautious. However, the elderly have less qi and blood decline and their physical function declines. Most diseases belong to deficiency syndrome or positive deficiency and evil excess. Deficiency syndrome should be supplemented, and those who need to attack evil should be careful not to damage healthy qi.
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