Edema first started from the eyelids, and then spread to the head, face, limbs, abdomen and back, and even the whole body swelled. Some edema starts from the lower limbs and then spreads to the whole body. In light cases, only the eyelid or gaskin is swollen, while in severe cases, the whole body is swollen, and the swollen skin is tense and bright, which will swell immediately after being suppressed, or the skin will be slack, which is not easy to recover after being suppressed, even like mud. If the swelling is serious, abdominal distension, chest tightness, palpitation, asthma, inability to lie flat, dark lips, lack of basin, umbilical process, equal back, and pleural effusion may occur.
Yang-water: The lung function and spleen function are mostly lost due to the pathogenic factors of wind, water dampness, sore poison and damp heat. The onset is more acute and the course of disease is shorter, once every few days. Swelling mostly starts from the head and spreads to the whole body from top to bottom, or the upper body is swollen, and the swollen skin is tense and bright, and it will start as soon as it is suppressed. Often accompanied by upset, thirst, red urine, constipation and other exterior, solid, heat syndrome. Yin water: it is mostly caused by fatigue of diet, chronic illness, deficiency of both spleen and kidney, and unfavorable gasification. The onset is slow, mostly gradual, or transformed from yang water, with a long course of disease. Most of the swelling starts from the lower limbs and gradually reaches the whole body, or it is very swollen below the waist. The swollen skin is slack and it is not easy to recover when pressed. What's more, like mud, not thirsty. Often see less urine but not red or astringent, loose stool, mental fatigue and fear, and so on. Although the basis of syndrome differentiation is yang water and yin water, which are essentially different, it should be noted that under certain conditions, yang water and yin water can also be transformed into each other and need to be identified from a dynamic perspective. If yang water persists for a long time, healthy qi is weak and water evil grows, it can be turned into yin water; On the other hand, if exogenous pathogenic factors are induced by yin water, the lung will lose its function, the spleen will lose its health, and the swelling will increase sharply, which can also be manifested as excess heat syndrome, and yang water will be the first treatment.
The treatment principle of edema should be divided into yin and yang. Yang water is mainly used for sweating, diuresis, lung and spleen. When the water is flooded, it can be temporarily attacked as appropriate, mainly to eliminate evil. Yin water is mainly used for warming yang, benefiting qi, strengthening spleen, tonifying kidney, strengthening heart, promoting diuresis and removing blood stasis, and should be treated as appropriate. It is usually treated by strengthening the body resistance and benefiting qi. Seeing both reality and surplus, we will attack and make up for it.
"yang water"
Feng shui flooding
Symptoms: edema starts from the eyelid, then the limbs and the whole body swell, even the eyelid edema, unable to close your eyes, acute onset, aversion to cold and fever, limb pain, short urine and other symptoms. People who are prone to wind-heat are accompanied by sore throat, thirst, red tongue and slippery pulse. People with wind-cold aversion to cold and no sweat, headache, stuffy nose, cough and asthma, thin and white tongue coating, and slippery or tight pulse. If edema is serious, this type can also be seen by pulse depth.
Treatment: dispelling wind and clearing heat, dispersing lung and activating water.
Prescription: Yuemai Jiajiashu Decoction.
This prescription uses ephedra to disperse lung and sweat to relieve exterior syndrome, so as to remove exterior dampness; Gypsum plaster can relax tendons and clear heat; Atractylodes macrocephala, Glycyrrhiza uralensis Fisch, Ginger and Jujube strengthen the spleen and eliminate dampness, which means worshiping soil and making water. Duckweed, Poria cocos and Alisma orientalis can be added as appropriate to help diffuse lung, promote diuresis and reduce swelling. If wind-heat is excessive, Fructus Forsythiae, Radix Platycodi, Radix Isatidis and fresh lalang grass rhizome can be added to clear away heat, relieve sore throat, detoxify and disperse hard mass, cool blood and stop bleeding; If the wind and cold are severe, remove the gypsum and add perilla leaf, cassia twig and divaricate Saposhnikovia root to help ephedra relieve exterior syndrome; If the cough and asthma are severe, almond and Peucedanum praeruptorum can be added to reduce qi and relieve asthma; If you see that sweat is evil and Wei qi is weak, use Ji Fang Huangqi Decoction to help Wei relieve exterior syndrome. If the symptoms and signs are gradually relieved and the weight and edema do not retreat, it can be treated as water-wet immersion type.
Fresh duckweed, regardless of quantity, is decocted and bathed. Used in the early stage of acute nephritis, the whole body is swollen, especially in the head and face. It is better to sweat. Avoid the wind and cold after sweating, and don't catch cold.
Wet poison soaking
Symptoms: skin sores, even ulceration, sore throat, or worm-eaten swelling and pain, followed by eyelid edema, and spread to the whole body, adverse urination, fever due to bad wind, red tongue, thin yellow fur, floating or slippery pulse.
Treatment: It is suitable for lung detoxification, diuresis and detumescence.
Prescription: ephedra, forsythia and red bean soup combined with Wuwei disinfection drink.
Ephedra, almond and catalpa bark (instead of mulberry bark) are used in front to promote lung function and promote diuresis, forsythia is used to clear away heat and dissipate stagnation, and adzuki beans are used to promote diuresis and reduce swelling; Flos Lonicerae, Flos Chrysanthemi Indici, Herba Taraxaci, Herba Violae, and Herba Solani Stellati are used in the rear to enhance the power of eliminating dampness and detoxifying.
If sepsis is very serious, dandelion and viola yedoensis should be reused; If wet and erosive, Radix Sophorae Flavescentis, Rhizoma Smilacis Glabrae and Cortex Phellodendri are added. For those with severe wind itching, Cortex Dictamni and Kochiae Fructus are added; If blood heat is red and swollen, Cortex Moutan and Radix Paeoniae Rubra are added; If the stool is blocked, increase the yellow nitrate.
Water wet impregnation
Symptoms: general edema, short and red urine, physical weakness, chest tightness and abdominal distension, loss of appetite, aversion, white and greasy fur, slow pulse, slow onset and long course of disease.
Treatment: strengthen the spleen and eliminate dampness, and promote yang and diuresis.
Prescription: Ling Wei Soup and Wupi Drink.
Atractylodes macrocephala and Poria are used to strengthen the spleen and eliminate dampness, Atractylodes lancea, Magnolia Officinalis and Pericarpium Citri Tangerinae are used to strengthen the spleen and eliminate dampness, Polyporus umbellatus and Alisma orientalis are used to induce diuresis to reduce swelling, and Cinnamon is used to warm yang and turn qi into water. After that, Cortex Mori, Pericarpium Citri Tangerinae, Pericarpium Arecae, Poria, and Rhizoma Zingiberis Recens were used to invigorate the spleen, eliminate dampness, and promote qi circulation and diuresis. If the upper body is swollen or even wheezing, Herba Ephedrae, Semen Armeniacae Amarum and Semen Lepidii can be added to disperse lung and drain water, which will cause wheezing.
Stagnation of damp-heat
Symptoms: edema, tense and bright skin, chest tightness and fullness, upset and thirsty, or bitter and sticky mouth, short and red urine, dry stool, red tongue, yellow and greasy fur, and slippery or heavy pulse.
Treatment: divided into damp heat.
Prescription: Shu Chi silver.
Notopterygium root and Gentiana macrophylla in the prescription dispel wind and relieve exterior syndrome, so that the water on exterior syndrome can relieve exterior syndrome; Pericarpium Arecae, Poria, and Rhizoma Zingiberis Recens cooperate with Notopterygii Rhizoma and Radix Gentianae Macrophyllae to remove skin moisture; Alisma orientalis, Akebia Akebia, Zanthoxylum bungeanum, and kidney beans are matched with Phytolacca acinosa and Areca catechu to facilitate defecation and take away the water evil in the house from the bottom. Dredging exterior is beneficial to dredging interior, which helps to dredge exterior, separate exterior from interior, and relieve damp-heat evil, so that swollen heat can be eliminated by itself. If the abdomen is full and the stool is blocked, you can combine Zanthoxylum bungeanum and Huangwan to help stop diarrhea, so that water can be discharged from the stool; If the symptoms are dysuria and hematuria, and the pathogenic damp-heat is poured into the bladder, which hurts blood collaterals, you can add blood-cooling and hemostatic products, such as Cirsium japonicum and imperata rhizome. If the swelling is serious, and you can't lie down with heavy breathing, the pulse is strong, and there is water in your chest, you can use Granule Jujube Xie Fei Decoction combined with Wuling Powder to add almonds, Ji Fang and Akebia, so as to purge the lungs and drain water, and take it up and down; Dampness and heat for a long time will cause dryness and damage yin, with symptoms of dry mouth, dry throat and dry stool. Zhu Ling decoction can be used to nourish yin and promote diuresis.
As for the attack and drainage, it is originally a method to treat yang water, which means "removing ridges and ridges" in Neijing. However, it should be used with caution. It is only suitable for patients with high body edema, asthma, palpitation, ascites, dysuria, constipation or dry stool, aversion to food, heavy and strong pulse and healthy qi. At this time, we must seize the opportunity. If we are in a hurry, we must treat the target, and directly grasp the water potential by combining attack and pursuit, so that the water evil can quickly stay away from defecation. You can use ten jujube soups. Once the flood recedes, we will discuss the adjustment to make it better.
Black and white ugly 65g, brown sugar 125g, ginger 500g, jujube 60g, ground into fine powder or pounded into pills, and taken three times a day. Nephrotic edema has a good effect of eliminating water, but it is not consolidated.
"yin water"
Spleen yang deficiency
Symptoms: body swelling, especially below the waist, depression, abdominal distension, anorexia, dull complexion, listlessness, cold limbs, short and red urine, pale tongue, white greasy or slippery fur, slow or weak pulse.
Treatment: Warming yang and invigorating spleen, regulating qi and promoting diuresis.
Prescription: Shipi drink.
In the prescription, dried ginger, aconite root and Amomum tsao-ko warm the yang to dispel cold and regulate qi, while Atractylodes macrocephala, Poria, Radix Glycyrrhizae Preparata, Ginger and Jujube strengthen the spleen and replenish qi, Pericarpium Arecae, Poria and Fructus Chaenomelis diuresis, and Radix Aucklandiae, Cortex Magnolia Officinalis and Pericarpium Arecae regulate qi and promote blood circulation. Atractylodis Rhizoma, Ramulus Cinnamomi, Polyporus, and Alisma orientalis can be added to patients with excessive dampness, abdominal distension, and short and red urine to enhance the efficacy of regulating qi and diuresis. If the symptoms are fatigue, shortness of breath, and qi deficiency, Radix Astragali and Ginseng can be added to invigorate the spleen and replenish qi.
There is also a kind of edema, which is due to long-term eating disorder, insufficient intake, or weakness of the spleen and stomach, physical activity is reduced, subtle, sallow at first glance, mild edema all over the body, very swollen head and face in the morning, very swollen lower limbs after sitting for a long time, fatigue and fatigue during eating, defecation or defecation, body edema, normal or excessive urination, and weak pulse. This is different from the above-mentioned spleen-yang deficiency and excess water, because the spleen is weak, and it can't clear yang and can't be adjusted. Shen Ling Baizhu Powder can be used for supplementing qi and nourishing yang, strengthening spleen and eliminating dampness. Adding Radix Astragali and Ramulus Cinnamomi to promote qi and yang and eliminate dampness; For patients with yang deficiency, aconite and psoralea corylifolia are added to warm kidney and help yang, so as to strengthen gasification. Moreover, proper attention should be paid to nutrition, and soybeans and peanuts can be used as paving treatments, which can be cured.
Kidney yang decline
Symptoms: facial edema, especially below the waist, palpitation and shortness of breath, cold pain and soreness in the waist, decreased urine output, cold limbs, chills and fatigue, pale or gray face, pale tongue, white fur, deep and thin pulse or delayed weakness.
Treatment: Warming kidney to help yang, transforming qi and benefiting water.
Prescription: Jisheng Shenqi Pill, Zhenwu Decoction.
Kidney is the dirty of fire and water. According to the principle that yin and yang are mutually rooted, those who are good at nourishing yang must seek yang from yin, and then yin helps yang, which is endless in biochemistry. So use Liuwei Dihuang Pill to nourish kidney yin. Using aconite and cinnamon to warm kidney yang, the combination of the two drugs will make water replenish fire and warm kidney yang; Diuretic with Atractylodes macrocephala, Poria, Alisma orientalis and Plantago asiatica; Ginger warms the cold gas; Paeonia lactiflora opens the yin knot to facilitate urination. Achyranthes bidentata leads the medicine downward, reaching the lower coke and strengthening the waist and knees.
If palpitation, astringent lips, pulse deficiency or knot or number are caused by water evil, inhibition of heart yang and blood stasis as internal resistance, it is advisable to reuse Radix Aconiti Lateralis Preparata, and add Ramulus Cinnamomi, Radix Glycyrrhizae Preparata, Radix Salviae Miltiorrhizae and Herba Lycopi to warm yang and remove blood stasis; If palpitation, shortness of breath, fatigue, cold limbs, spontaneous sweating, dark purple tongue, pulse deficiency or stagnation, edema, Zhenwu decoction should be used as the main ingredient, and ginseng, cassia twig, salvia miltiorrhiza and Eupatorium adenophorum should be added. Heart and kidney yang should be warmed to remove blood stasis and promote diuresis. If you see shortness of breath, excessive breathing, less inhalation, sweating, and floating pulse, it is the water evil that affects the lungs and the kidneys. Ginseng, clam, Schisandra chinensis, Cornus officinalis, oyster and keel should be reused to prevent asthma.
This syndrome is lingering, healthy qi is declining day by day, and external evil is heavy. Symptoms are aversion to cold, fever, increased swelling and less urine. At this time, it can be treated according to geomantic omen, but it is necessary to take into account the lack of vital qi and not to use external medicine. Mahuang Fuzi Asarum Decoction combined with Wupi Decoction should be used as the main method, and drugs such as Radix Codonopsis, Radix Astragali and Semen Cuscutae should be added as appropriate to strengthen the body resistance and eliminate pathogens.
If the disease reaches the later stage, the kidney yang will decline for a long time, resulting in deficiency of kidney yin, and symptoms such as repeated edema, fatigue, backache and nocturnal emission, dry mouth and throat, fever due to five annoyances, red tongue with little coating, and rapid pulse appear. Treatment should be based on nourishing kidney and yin, benefiting water and dampness, but nourishing yin should not be too cold and too greasy, and yang should be damaged by waterproof evil. Alisma orientalis and Poria cocos can be added into Zuogui Pill.
If kidney yin deficiency, water without wood, liver and kidney yin deficiency, hyperactivity of liver yang, excess on the upper body and deficiency on the lower body, symptoms such as flushing, dizziness, headache, palpitation and insomnia, backache and nocturnal emission, weakness in walking, or trembling limbs, it is advisable to nourish yin and subdue yang, with Zuogui Pill, mother-of-pearl, oyster, keel and turtle shell as the main products for subduing yang.
Spleen-yang deficiency syndrome and kidney-yang deficiency syndrome often appear at the same time, showing spleen-kidney yang deficiency and excessive water and dampness. Therefore, the two methods of invigorating spleen and warming kidney often go hand in hand, but to distinguish the severity of spleen and kidney deficiency, the treatment should be focused.
Edema lasts for a long time and blood stasis is blocked. Its treatment is often combined with the method of promoting blood circulation and removing blood stasis, which means that blood can be drained. Motherwort, Eupatorium adenophorum, peach kernel and safflower are commonly used in modern clinic. Practice has proved that it can strengthen diuretic effect.
prognosis
Where the course of edema is short, or edema caused by malnutrition, as long as it is treated in time and nursed back to health reasonably, the prognosis is generally good. If the course of the disease is long, it will recur, and it will be difficult to heal if you are in love with deficiency and evil. If the swelling is serious, the symptoms are black lips, uneven pelvis, flat umbilical process, flat feet and flat back, or palpitation, swollen lips, shortness of breath, inability to lie down, and even urinary incontinence and bleeding. These are all very critical. For example, a long illness leads to vital qi failure, turbid pathogens overflowing, foul smell in the mouth, nausea and vomiting; Liver wind moves internally, causing headaches, convulsions and other symptoms, and the prognosis is poor. It is easy to get rid of the syndrome every time, so we should closely observe the changes of the condition and deal with them in time.
Prevention and adjustment
This disease is very edema, so you should eat a salt-free diet. When the swelling gradually subsides, we should gradually change to a low-salt diet and finally return to a normal diet. Avoid spicy, tobacco and alcohol and other irritating foods. If the swelling is caused by malnutrition, it is not necessary to overemphasize avoiding salt, but to eat a nutritious protein diet in moderation. In addition, we should pay attention to health care, don't overwork, especially control the atrium and ventricle to prevent injury, prevent exogenous diseases in daily life, strengthen nursing and avoid bedsores.
label
Edema is a common disease, which can be caused by exogenous and internal injuries. The pathological changes are mainly in the lung, spleen and kidney. The lung has lost the function of promoting blood circulation, the spleen has lost its healthy exercise, and the kidney has lost its opening and closing, which leads to the retention of body fluid and flooding the skin, which is the cause of the disease, especially the kidney. Clinical syndrome differentiation takes yin and yang as the key link, and exterior excess heat syndrome is mostly yang water, while interior deficiency cold syndrome is mostly yin water, but attention should be paid to the transformation between them. The treatment principle of edema is based on yin and yang. Yang water is mainly used for sweating, promoting diuresis, dispersing lung qi and strengthening spleen. When the water is flooded, it can be temporarily attacked as appropriate, mainly to eliminate evil. Yin water is mainly based on warming yang and benefiting qi, strengthening spleen and tonifying kidney, strengthening heart and promoting diuresis, removing blood stasis and strengthening body resistance. Seeing both reality and surplus, we will attack and make up for it. In the adjustment, we should pay special attention to avoid salt when edema, prevent exogenous diseases and avoid overwork. After the edema subsides, we should adhere to the pathogenesis, strengthen the spleen and replenish qi, tonify the kidney and consolidate the foundation to prevent recurrence.