廣中醫(yī)中醫(yī)診斷hea(已修改)
2025-01-18 03:39 本頁面
【正文】 Visceral syndrome differentiation ? Tang rongcuan : ? If a doctor doesn’t know viscera, he could not distinguish the cause of disease and set up the principle of prescription. Concept ? Based on :theory of zang fu –viscera ? A dialectic辯證 method ? Analyze and synthesize clinical data (four methods) ? Define location, the nature, pathological mechanism, wax and wane of genuine qi and evils(邪正盛衰 ) content ? 1. zang syndrome differentiation ? 2. fu syndrome differentiation ? 3. plicated syndrome differentiation What we should pay attention to? ? The nature and change of the viscus (viscera) ? The relationship between viscus and other ans and tissues ? The relationship between viscus and other zang fu viscera Syndrome differentiation of heart ? Think over the following aspects ? Locates in the chest ? Dominates the blood ? Mind stays in heart ? Monarch fire belongs to the heart ? Matches joy in emotions ? Tongue as its out orifice, face and sweat ? Palpitation(心悸 ) ? Vexation(心煩 ) ? Cardiac pain(心痛 ) ? Insomnia and dreamy(失眠多夢 ) ? Poor memory(健忘 ) ? Delirium a(譫妄、神昏 ) ? Intermittent pulse（間歇脈） ? Red tongue tip crimsin tongue(舌尖紅 ) ? Yellow urine with urodynia（排尿痛） Heart qi deficiency ? Syndrome of heart dysfunction ? Congenital defect, aging, chronic disease, over think…. ? Palpitation ? chest distress胸悶 ? shortness of breath ? Sweating ? listlessness（倦?。? and deteriorated by exertion ? pale plexion ? weak pulse ? Keys of clinical manifestations ? Palpitation ? Qi deficiency Heart yang deficiency ? Heart yang on decline, the severe deficiency of heart qi. ? Impairment by cold evil, over sweating and purgation ? HQD manifestation plus cardiac pain, intolerance to cold(畏寒） , cold limbs，lusterless plexion， Faint pulse Loss of heart yang ? Separation of yin and yang due to sudden depletion of heart yang . ? Critical or emergency disease ? Blue lips, cold sweating, serious cold limbs , severe palpitation, feeble breath, stupor or a. Heart blood deficiency ? Lack of blood in the heart and the heart being lack of nourishment ? Congenital defect, over mental activities, blood loss and chronic disease ? Pale or sallow plexion, pale lips and tongue, lusterless nails, insomnia, poor memory, profuse dreams, thready pulse Heart yin deficiency ? Malnourished heart due to heart yin d
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