2 English references Yin Ethiopia and Yang Deficiency and Water Flooding Syndrome [Chinese Medicine Terminology Examination Committee]. Terminology of traditional Chinese medicine (20 10)]
3. Define the syndrome of water flooding due to yin deficiency [1], which refers to water flooding due to yang deficiency, retention of body fluid and skin flooding, characterized by high body edema, adverse urination, palpitation and shortness of breath, abdominal distension and diarrhea, chills and cold limbs, light and fat tongue, white and slippery fur and heavy pulse.
4 Symptoms of Yin-water Yang Deficiency and Water Flooding Syndrome Patients with Yin-water Yang Deficiency and Water Flooding Syndrome are highly swollen, especially below the waist, unable to droop, palpitation and shortness of breath, full abdomen and chest, lying flat and shortness of breath, severe cold pain in the waist, less food intake, decreased or increased urine output, cold limbs, chills and fatigue, sallow complexion, gray stagnation or? The tongue is pale, white and fat, with teeth marks on the edge, white fur, thin and heavy pulse or late weakness. [3][4][5]
Syndrome analysis: deficiency of kidney yang, weakness of qi and steam, retention of water and fluid: spleen edema, which will hurt kidney yang for a long time. Below the waist and knees, kidney qi dominates, kidney qi is weak, yang qi does not turn into qi, and water is wet, so it is swollen below the waist and can't stand depression. Water vapor causes palpitation and shortness of breath. The waist is the house of the kidney, with kidney deficiency and abundant moisture, and low back pain. Kidney and bladder surface, kidney yang deficiency, bladder gasification is not feasible, so the urine volume is reduced, or edema and polyuria occur because of the instability of the lower element. Deficiency of kidney-yang, failure of life and fire, inability to be warm, so cold limbs, chills and tiredness. If there were no warmth and splendor in Yang Can, it would be less, with cold limbs, sallow complexion and gray stagnation. White. Fat and light tongue, teeth marks on the edge, white fur, thin and slow pulse or weakness are all symptoms of yang deficiency and water dampness. [3][4]
6. Treatment of Yin-water deficiency and Yang-water flooding syndrome 6. 1 Treatment method: Warming the kidney to help yang, transforming qi into water [4][3][5].
6.2 Prescriptions can be used to treat Yin-water, Yang-deficiency and flooding syndrome, such as Zhenwu Decoction and Shenqi Pill in Synopsis of the Golden Chamber [6].
Deficiency of Yin and Yang can be treated with Jisheng Shenqi Pill [Remarks] Yanshi Jisheng Prescription Shenqi Pill (Yanshi Jisheng Prescription): Radix Rehmanniae, Rhizoma Dioscoreae, Corni Fructus, Cortex Moutan, Poria, Alismatis Rhizoma, Radix Aconiti Lateralis Preparata, Ramulus Cinnamomi, Achyranthis Radix, Plantaginis, Zhenwu Decoction [Remarks] Zhenwu Decoction (Treatise on Febrile Diseases): Radix Aconiti Preparata and Radix Aconiti Lateralis Preparata. Kidney is the dirty of fire and water, and it is the principle of mutual root of yin and yang. Those who are good at nourishing yang must seek yang from yin, which is endless in biochemistry. So use Liuwei Dihuang Pill to nourish kidney yin; Using cinnamon and aconite root to warm and tonify kidney yang, compatible with each other, can tonify middle fire and warm and tonify kidney yang; Diuretic with Atractylodes macrocephala, Poria, Alisma orientalis and Plantago asiatica; Ginger warms the cold gas; Paeonia lactiflora regulating yin; Achyranthes bidentata leads the medicine downward, reaching the lower coke and strengthening the waist and knees. If the urine is turbid, remove Alisma orientalis and Plantago asiatica, and add Semen Cuscutae and Fructus Psoraleae to warm the body. If palpitation, astringent lips, pulse deficiency or stagnation are caused by water pathogen rushing upward, heart yang being inhibited, and blood stasis blocking collaterals, aconite root should be reused, and cassia twig, roasted licorice root and salvia miltiorrhiza should be added to warm yang and remove blood stasis. If you see shortness of breath, sweating and pulse floating, it is that water evil affects the lungs and the kidneys are not satisfied. Ginseng, gecko, Schisandra chinensis, Cornus officinalis, oyster or swallow black tin [Note]: black tin, sulfur, Toosendan, fenugreek, radix aucklandiae and prepared aconite. [4]
The decline of kidney qi often occurs at the same time as the weakness of spleen yang, indicating that both spleen and kidney are deficient and Shui Han is sufficient. Therefore, strengthening the spleen and warming the kidney often go hand in hand, but it is necessary to distinguish the importance of spleen and kidney and focus on treatment. [4]
For example, the course of disease is lingering, healing repeatedly, healthy qi is gradually declining, exogenous pathogenic factors, symptoms such as fever, aversion to cold, sharp increase in swelling, and short and red urine. At this time, Feng Shui should be treated, but the side of healthy qi and qi deficiency should be taken into account, and external drugs should not be used excessively. Yuemai Decoction should be used as the main ingredient, and drugs such as Dangshen and Semen Cuscutae should be added as appropriate to strengthen the body resistance and eliminate evil. [4]
In the late stage of the disease, kidney-yang failure for a long time may lead to kidney-yin deficiency, and symptoms of kidney-yin deficiency may also appear, such as recurrent edema, mental fatigue, backache and nocturnal emission, dry mouth and throat, fever of five senses, red tongue and rapid pulse. Treatment should be based on nourishing kidney and yin, benefiting water and dampness, but nourishing yin should not be too cold and too greasy to prevent it from helping water evil and hurting Yang Qi. Prescription Zuogui Pill [Remarks] Zuogui Pill (Jingyue Encyclopedia): Radix Rehmanniae Preparata, Rhizoma Dioscoreae, Corni Fructus, Semen Cuscutae, Fructus Lycii, Radix Cyathulae, Colla cornus Cervi, Colla Plastri Testudinis, Alismatis Rhizoma, Poria, and Semen Malvae. [4]
There are also long-term kidney yin deficiency, water containing no wood, liver and kidney yin deficiency, hyperactivity of liver yang, and deficiency of upper solid and lower solid, with symptoms such as flushing, dizziness and headache, palpitation and insomnia, backache and nocturnal emission, thin skin and shoes floating, or limb trembling. This is caused by yin deficiency of lower liver and kidney and imbalance of upper liver yang. Zuogui Pill can also be used for treating yin deficiency and yang deficiency: Radix Rehmanniae Preparata, Rhizoma Dioscoreae, Fructus Corni, Semen Cuscutae, Fructus Lycii, Radix Cyathulae, Colla cornus Cervi and Colla Plastri Testudinis, such as mother-of-pearl, Os Draconis, Concha Ostreae, Carapax Trionycis and Herba Taxilli. [4]
If the kidney is extremely qi-deficient, the middle yang declines, the turbid yin does not drop, and the mental fatigue and lethargy are serious, it is appropriate to combine Radix Aconiti Lateralis, Radix et Rhizoma Rhei, Rhizoma Coptidis and Rhizoma Pinelliae to detoxify and reduce turbidity. [4]
In addition, the treatment of edematous diseases is often combined with the method of promoting blood circulation and removing blood stasis, and blood collection and water circulation can also be used. For example, as pointed out in the "Prescriptions for the Treatment of Swelling Diseases", angelica, rhubarb, cinnamon and red peony are used. Motherwort, Eupatorium adenophorum, peach kernel and safflower are commonly used in modern clinic. Practice has proved that it can strengthen the role of diuresis and detumescence. [4]
6.3 Acupuncture Treatment [3]
6.3. 1 Renmai point and Beishu point are the main points. Take Shenshu, Guanyuan, Sanjiaoshu, Shuishui, Pishu and Zusanli. Shenshu warms kidney yang, and moxibustion Guanyuan helps yang to turn qi. Sanjiaoshu regulates the gasification function of Sanjiao, and divides water to benefit water evil. Spleen Shu and Zusanli strengthen the spleen, transport water and eliminate dampness.
6.3.2 If loose stool acupoints match the syndromes, add Shu Tian and Shangju deficiency.
6.3.3 Acupuncture moxibustion can be supplemented by moxibustion.
6.4 Dietotherapy 6.4. 1 Recommended ingredients for patients with yin deficiency and yang hyperactivity syndrome should be cassia twig, Schisandra chinensis, oyster, poria cocos, plantain seed, cinnamon, Alpinia oxyphylla, dried ginger, galangal, ylang ylang, star anise, fennel, clove, wolfberry fruit, mulberry, mutton, dog meat and beef [5].
6.4.2 Recommended dietotherapy prescription [5]
1. Jiangguiren decoction: dried ginger 15g, Alpinia oxyphylla 15 ~ 30g, cinnamon 5 ~ 10g, Poria 30 ~ 60g, waxgourd peel 30 ~ 60g, Lycium barbarum 15 ~ 30g, Mulberry. After the above ingredients are boiled 15 minutes, add a proper amount of mutton or beef and continue to cook until the meat is cooked. Eat soup with meat every other day or often until you recover.
2. Sanxiang porridge: fennel 15 ~ 30g, clove 5g, star anise 5g, cinnamon 5g, medlar 15 ~ 30g. Decoct the above ingredients in a pot twice, each time for 30 minutes. Take juice and cook porridge, eat it every other day or often until you are cured.
3. Second ginger tea: 5g of dried ginger,15g of galangal, 5g of cinnamon, soaked in water instead of tea.
7 Edema Edema (edema [1][7]) is the name of the disease [8][9]. Published Su Wen's Hydrothermal Theory in Huangdi Neijing. Also known as water vapor [8]. In ancient times, it was called water, water vapor, water disease and water swelling [9]. It is a general term for diseases characterized by skin edema [1]. The patient's body fluid stays and overflows the skin, causing edema of eyelids, head, face, limbs, abdomen, back and even the whole body. Severe cases may be accompanied by pleural effusion and ascites [4]. An edema syndrome is a manifestation of systemic gasification dysfunction. The main pathological changes are lung, spleen and kidney dysfunction, unfavorable bladder gasification and edema. According to clinical manifestations, it can be divided into two types: yang water and yin water. Exogenous pathogens, the onset is more urgent, and most of them start from the head and face, and the swelling is above the waist. The location of the disease is mostly in the lung and spleen, mostly due to excess and yang water; The onset of internal deficiency is slow, generally starting with tarsal swelling. The swelling potential is below the waist, and the disease is located in the spleen and kidney. Most of them are deficiency syndrome, which is yin water [4][3][9].
The treatment methods of edema include sweating, diuresis, expelling, strengthening spleen, warming kidney, reducing turbidity and removing blood stasis. If the common treatment fails, or there are signs of blood stasis, the method of promoting blood circulation and removing blood stasis can be used [4]. The above methods, either used alone or in combination, are selected according to the needs of the disease [4]. Acupuncture has a certain curative effect on the syndrome, and has a good effect on improving symptoms, strengthening physique and reducing recurrent attacks.
Edema in internal medicine of traditional Chinese medicine can be seen in diseases such as cardiogenic (such as congestive heart failure) edema, nephrotic (such as acute and chronic glomerulonephritis) edema, hepatopathic (such as cirrhosis) edema, endocrine disorders, malnutrition edema and so on [4][3].