itred and deficiencies
Qi aie deficiencies
Qi deficiency is mostly caused by congenital insufficiency of endowment, or acquired malnutrition, or excessive wear and tear, or prolonged illness, or impaired functions of organs such as lungs, spleens and kidneys, and insufficient biochemistry of qi. Comparing modern medicine from the causes, symptoms and pulse signs of disease, Qi deficiency is very similar to the concept of "sub-health" in modern medicine. The basic cause of sub-health is the insufficiency of yin and yang, Qi and blood, and the low function of the five viscera, which is also consistent with the insufficiency of vital energy and Qi deficiency.
Qi deficiency involves five zang-organs. Qi is the most basic substance that constitutes the human body and maintains its life activities, and belongs to the category of human essence. The essence of the human body is stored in the five zang organs respectively, so the book Su Wen Wu Zang Bi Lun says, "The so-called five Zang people can store the essence without purging it". Therefore, from the point of view of the source of Qi, the Qi which constitutes the human body and maintains the human life activities mainly includes two aspects: the innate essence and the acquired essence. In terms of the relationship between the generation of Qi and the viscera, the five zang organs all contain essence, especially the lung, spleen and kidney.
Qi deficiency and five Zang-organs Qi deficiency. Qi deficiency refers to the pathological state of viscera function decline and low disease resistance, which will produce a series of clinical symptoms. But because the gas reservoir is in the five Zang organs, under normal circumstances, Qi deficiency is inevitably related to the function of the Zang organ. Su Wen Fang Sheng Fall Theory describes the different dreams caused by lung Qi deficiency, kidney Qi deficiency, spleen Qi deficiency, heart Qi deficiency and liver Qi deficiency. Therefore, the pathological concept of Qi deficiency should include five Zang-organs Qi deficiency.
Clinical manifestation
Qi deficiency syndrome can involve all aspects of the body, such as Qi deficiency, weakness of external defense, weak muscle surface, and easy sweating; Qi deficiency, muscle loss of limbs and limbs, fatigue and weakness of the whole body; Qi deficiency, the lack of ascension of Qingyang, loss of refreshment and mental atrophy, dizziness and tinnitus; Qi deficiency, the inability to conduct with handsome blood, weakness or minuteness of pulse; Qi deficiency, water and liquid. Metabolic disorders, imbalance of water and fluid, obstruction of distribution, can coagulate phlegm into drinking, or even water evil overflow into edema; Qi deficiency can also lead to viscera function decline, thus showing a series of viscera weakness symptoms.
1. Lung Qi Deficiency
Pulmonary Qi, Division of breathing, outer fur, water diversion channel. Lung Qi deficiency, then its main descent, Division breathing, regulating water metabolism, resist external pathogens will be weakened, appear shortness of breath and sweat, low voice, cough and asthma, chest tightness, easy to catch cold, even edema, urine adverse and other diseases.
2. Kidney Qi Deficiency
Shen Juyaofu, Tibet essence, Si Eryin open and close. Essence fills the five viscera and ascends to the brain. Kidney Qi deficiency, loss of honor, God fatigue, dizziness and forgetfulness, waist and knee weakness, urination frequency and clear, leucorrhea thin, weak tongue, weak pulse. If the kidney is not breathable, it will breathe shallowly and breathe more and breathe less.
3. Deficiency of temper
The spleen is in the middle of the coke, the main transport, the division of ascension, blood circulation. Spleen-qi weakness, unable to transport the essence of valley, lack of biochemical source of Qi and blood, symptoms of reduced diet, epigastric discomfort after eating, fatigue, fatigue, emaciation, thin stool, yellowish complexion, thin tongue coating, weak pulse.
4. Heart-Qi Deficiency
The heart governs the blood vessels and hides the gods. Deficiency of heart and Qi can neither stimulate blood vessels nor nourish the mind. Therefore, palpitation, shortness of breath, sweating, fatigue, fatigue, weak tongue and weak pulse can be seen.
5. Yang (Qi) Deficiency
Qi deficiency is characterized by pale complexion, dizziness, less gas and laziness, fatigue and even fainting. In addition to Qi deficiency, Yang deficiency has cold limbs, spontaneous sweating, slow pulse or weak, fat and pale tongue coating.
1. Lung Qi Deficiency
Syndrome: shortness of breath, spontaneous sweating, low voice, cough, asthma, chest tightness, easy to catch cold, even edema, adverse urination and so on. Therapeutic Principle: Supplementing Lung Qi. Main prescription: Sijunzi soup and Yupingfeng powder. Prescription: Codonopsis pilosula, Poria cocos, Atractylodes macrocephala, Licorice, Astragalus membranaceus, Fangfeng, etc.
2. Kidney Qi Deficiency
(1) General syndrome of kidney-qi deficiency; fatigue, dizziness and forgetfulness, weakness of waist and knee, frequent and clear urination, sparse leucorrhea, light tongue, weak pulse. Principles: tonifying kidney and tonifying qi. Main prescription: Shenqi pill added or subtracted. Prescription: Psoralea corylifolia, Lycium barbarum, Cuscuta, Aconite, Cinnamomum twig, Polygonatum, Poria cocos, Cornus officinalis, Huaishan, Mulberry parasitic, Codonopsis pilosula, Atractylodes macrocephala.
(2) Kidney Qi deficiency syndrome; in addition to the general kidney Qi deficiency syndrome, there are frequent urination, or excessive urination, nocturnal urination, enuresis; or premature ejaculation of spermatorrhea in men, women with a large number of clear and sparse; or irregular menstruation or fetal movement, slippery fetus. Principles: tonifying kidney and strengthening astringency. Prescription: Kidney Qi Pills are added or subtracted, or Jinsuo Gujing Pills and Shuquan Pills are used. Prescriptions: Psoralea corylifolia, Lycium barbarum, Cuscuta, Aconite, Guizhi, Huangjing, Poria cocos, Cornus officinalis, Huaishan, Mulberry parasitic, Mulberry cuttlebone, Cherry, Yizhiren, etc.
(3) syndrome of kidney insufficiency of breath; on the basis of kidney insufficiency of breath, cough and asthma with persistent illness, excessive breathing, shortness of breath and severe asthma with movement. Principles: invigorating the kidney and invigorating qi. Main prescription: Qiweidu Qiwan plus Shenfulong Mu, etc. Prescription: Schisandra chinensis, cooked earth, Paeonia peel, alisma, Poria cocos, cornel meat, Huaishan, wolfberry, dodder, aconite, ginseng, keel, oyster, clam, Cordyceps sinensis, seadragon, hippocampus, etc.
3. Deficiency of temper
(1) General syndrome of spleen-qi deficiency: reduced diet, uneasy stomach after eating, fatigue, emaciation, thin stool, pale yellow complexion, thin tongue coating, weak pulse. Principles: invigorate the spleen and invigorate qi. Main prescription: Six gentlemen soup. Prescriptions: Codonopsis pilosula, Poria cocos, Atractylodes macrocephala, licorice, Pinellia ternata, orange peel.
(2) Syndrome of subsidence of mid-Qi: abdominal distension caused by heavy fall of abdomen, even benefit from eating, or frequent stool, anus fall again; or prolonged dysentery, or even prolapse of anus; or uterus droop; or turbid urine such as miashi. It is accompanied by lack of energy and fatigue, low voice and laziness, dizziness and dizziness. The tongue is white and the pulse is weak. Principle: Buzhong Yiqi. Main prescription: Buzhong Yiqi Decoction. Prescription: Astragalus membranaceus, Ginseng, Atractylodes macrocephala, Licorice, Cimicifuga, Bupleurum chinense, Angelica sinensis, Aurantium trifoliate, Pinellia ternata, Citrus peel.
(3) Spleen does not control blood syndrome: most of the symptoms of chronic hemorrhage, such as menorrhea, metrorrhagia, hematochezia, subcutaneous hemorrhage, etc. In addition to bleeding, some symptoms of weakness of the spleen must be seen at the same time. Principles: invigorate spleen and absorb blood. Main prescription: Guipi decoction. Prescription: Astragalus membranaceus, Angelica sinensis, Yuanmei, Muxiang, Yuanzhi, Ziziphus jujuba, Ginger, Date, Codonopsis pilosula, Atractylodes macrocephala, Licorice, Ejiao, etc.
4. Heart-Qi Deficiency
Syndrome: palpitation, shortness of breath, sweating, fatigue, fatigue, weak tongue and weak pulse. Principle of treatment: tonifying the heart and qi. Main prescription: Sijunzi soup, Yangxin soup. Prescription: Codonopsis pilosula, Poria cocos, Atractylodes macrocephala, Licorice, Astragalus membranaceus, Polygala, Angelica sinensis, Cypress seed, Ziziphus jujube seed, etc.
5. Yang (Qi) Deficiency
Syndrome: pale face, dizziness, lack of breath and laziness, fatigue, even fainting. In addition to Qi deficiency, Yang deficiency has cold limbs, spontaneous sweating, slow pulse or weak, fat and pale tongue coating. Principle: Buyang Yiqi. Main prescription: Shenfu Decoction. Prescription: ginseng, aconite, astragalus, etc.
blood deficiency
It refers to blood deficiency, viscera, meridians and body dystrophy, with pale or yellow complexion, pale lips, tongues and claws, dizziness, dizziness, palpitation and dreaming, palpitation of hands and feet, numbness of women's menstrual volume, pale, late or amenorrhea, fine pulse and other common symptoms.
Etiology and pathogenesis
This syndrome is mostly caused by eating disorders, excessive fatigue, emotional failure, excessive blood loss, chronic illness or physical weakness.
Clinical manifestation
Pale or yellowish complexion, pale lips, tongues, claws, nails, dizziness, palpitations, dreams, numbness of hands and feet, women's menstrual volume, pale, late or amenorrhea, fine pulse and other symptoms.
Differentiation of symptoms and signs
1. Blood Deficiency Syndrome in Palpitation
Syndrome: palpitation, dizziness, insomnia and dreams, white face, tiredness and fatigue, pale red tongue, weak pulse. Principles: nourishing blood, nourishing heart, replenishing qi and soothing mind. Main prescription: Guipi decoction. Prescriptions: Atractylodes macrocephala, Angelica sinensis, Poria cocos, Astragalus membranaceus fried, Polygala tenuifolia, Longan meat, Jujube seed fried, Codonopsis pilosula, Muxiang, Licorice fried, Ginger, Date.
2. Blood Deficiency Syndrome in Deficient Labor Disease
The main clinical manifestations were heart and liver blood deficiency.
(1) Heart and blood deficiency syndrome: palpitation, forgetfulness, insomnia, dreamless, not brilliant complexion, light tongue, fine pulse or generation. Principle: nourishing blood and tranquilizing spirit. Main prescription: Yangxin soup. Prescription: Angelica sinensis, Radix Rehmanniae, Radix Rehmanniae Prepared, Codonopsis pilosula, Ophiopogon japonicus, Schisandra chinensis, Braised licorice, Cypress seed, Poria god, Cornflower, Lotus seed.
(2) Syndromes of liver-blood deficiency: dizziness, dizziness, tinnitus, hypochondriac pain, alarm, irregular menstruation, amenorrhea, even skin armor, pale complexion, light tongue and fine pulse. Principle of treatment: nourishing blood and nourishing liver. Main prescription: Siwu soup with flavor. Prescription: Angelica sinensis, Rehmannia glutinosa, Paeonia lactiflora, Ligusticum chuanxiong.
3. Blood Deficiency Syndrome in Vertigo
Syndrome: dizziness, aggravation of movement, fatigue, pale face, pale lip nail, often concurrently see fatigue, lack of breath and lazy speech, palpitation and insomnia. Principles: nourishing blood, nourishing heart, replenishing qi and soothing mind. Main prescription: Guipi decoction. Prescriptions: Atractylodes macrocephala, Angelica sinensis, Poria cocos, Astragalus membranaceus fried, Polygala tenuifolia, Longan meat, Jujube seed fried, Codonopsis pilosula, Muxiang, Licorice fried, Ginger, Date.
4. Blood Deficiency Syndrome in Headache
Syndrome: Headache, dizziness, dull pain, aggravated fatigue, shallow complexion, palpitation, fatigue, loss of appetite. Principles: nourishing qi and blood. Main prescription: Bazhen soup. Prescription: sun-dried ginseng, white Poria cocos, Atractylodes macrocephala, roasted licorice, cooked rehmannia, Angelica sinensis, Paeonia lactiflora, Ligusticum chuanxiong.
5. Blood deficiency syndrome in constipation
Syndrome: Dry stool, difficult discharge, fatigue, dull complexion, dizziness, palpitation, pale lips, fine veins. Principles: nourishing blood, moistening intestine and relieving bowel movement. Main prescription: Runchang pill. Prescriptions: Angelica sinensis, Radix Rehmanniae, Peach kernel, Hemp seed and Fructus Aurantii.
6. Blood Deficiency Syndrome in Hemorrhagic Diseases
Syndrome: epistaxis, or both teeth and muscles, fatigue, pallor, dizziness, tinnitus, palpitation, weak pulse, etc. Principles: invigorate Qi and absorb blood. Main prescription: Ginseng Guipi Decoction. Prescription: Astragalus stir-fried, Atractylodes macrocephala, angelica, Poria cocos, polygala, longan meat, jujube seed stir-fried, sun-dried ginseng, wood fragrance, licorice stir-fried, ginger, jujube.
7. Blood Deficiency Syndrome in Fever
Syndrome: Fever, heavy night and light day, palpitation and fatigue, poor complexion, fine tongue and pulse. Principles: Clearing heat and nourishing blood. Main prescription: Danggui Buxue Decoction. Prescription: Angelica sinensis and Astragalus membranaceus.
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