Study On Syndrome Differentiation And Classification Of Yangming Syndrome

Purposes:According to the view that the six meridians all have exterior and interior syndrome,this paper systematically combs the interior syndrome of Yangming,and tries to establish a relatively standardized diagnosis and treatment framework of the interior syndrome of Yangming.Methods:1.By using Chinese medical dictionary,CNKI and other literature databases,we searched some ancient and modern physicians’ discussion on "Yangming syndrome",collected the contents of "Yangming syndrome","stomach","large intestine","esophagus","anus" and "Yangming syndrome" in classic and modern literature such as treatise on Febrile Diseases and differentiation of febrile diseases,and conducted the first round of screening.2.All the selected contents were classified according to deficiency and excess,deficiency syndrome according to the changes of Qi,blood,Yin,Yang,fluid,etc.,and excess syndrome according to internal six Yin,phlegm,dampness,blood stasis,dry excrement,drink,etc.(Note:If the conditions permit,the classification of gas and blood should be carried out)3.According to the basis of syndrome differentiation,analyze the etiology,location and pathogenesis one by one;distinguish the etiology and location,and screen the content again to eliminate the turnip and save the turnip.4.The main symptoms,etiology and pathogenesis,syndrome differentiation,treatment,prescription selection and medication of Yangming Li syndrome were comprehensively analyzed and sorted out,and supported by typical medical records.Result:1.Various syndromes and main prescriptions of Yang Ming Li syndrome:1.1 Yang Ming’s stomach syndrome:(1)The method of excess heat syndrome is clearing stomach and relieving heat,and the main prescription is Qingwei powder and Baihu Decoction.(2)The method of excess fire syndrome is bitter cold and reducing fire.The main prescription is Dahuang Huanglian Xiexin Decoction.(3)The method of dryness heat syndrome is clearing stomach and moistening dryness,and the main prescriptions are Baihu jiarenshen Decoction and Yushi Qingwei decoction.(4)The method of stomach dampness syndrome is dryness dampness and stomach.If the dampness is too hot,Yinchenhao Decoction is used;if the dampness is too cold,yinchenzhufu decoction is used.(5)The method of excess cold syndrome is to disperse cold and regulate qi,and the main prescription is Liangfu pill.(6)The method of Weifeng syndrome is Qufeng Hewei,and the main prescription is Weifeng decoction.(7)The main method of excess phlegm syndrome is Tongli Huatan Decoction.Among them,the main cold side,with tangerine peel soup addition and subtraction;hot side,with Xiaoxianxiong soup addition and subtraction.(8)The main method of Weiyin syndrome is warming,transforming and promoting diuresis.The main prescription is Fuling Gancao Decoction.(9)The main method of stomach blood stasis syndrome is removing blood stasis and dredging collaterals.(10)The method of stomach(intestines)retention of food is to eliminate food stagnation,and the main prescriptions were Guadi powder,Baohe Pill and Zhishi Daozhi pill.1.2 Yangming large intestine syndrome:(1)Clearing and discharging intestinal heat is the main method of excess heat syndrome.The main prescriptions are tiaoweichengqi Decoction and Gegen Qinlian decoction.(2)The method of excess fire syndrome is bitter cold purging fire,and the main prescription is Dahuang Huanglian Xiexin Decoction.(3)Heat clearing and bowel moistening is the main method of dryness heat syndrome,and the main prescription is modified maziren pill.(4)The method of excess cold syndrome is warming intestine and dispersing cold.The main prescription is Taohua pill and Dahuang Fuzi decoction.(5)The method of large intestine wind syndrome is dispelling wind and intestines.The main prescription is Fangfeng Shaoyao Decoction and Huaihua powder.(6)Dampness of large intestine syndrome is treated by eliminating dampness and regulating intestine.Among them,the heat clearing and dampness removing formula is Gegen Qinlian Decoction and Shaoyao Decoction;the cold dispersing and dampness removing formula is Huoxiang Zhengqi powder and Weiling decoction.(7)The main method of Chongji syndrome is to drive Ascaris lumbricoides and kill insects.(8)The main method of large intestine phlegm syndrome is Tongli Huatan Decoction.(9)The method of large intestine water drink syndrome is warming,transforming and benefiting.Among them,the cold side,with Gansui Banxia Decoction;hot side,with Jijiao Lihuang pill.(10)The main method of dryness and excrement syndrome is to attack heat knot,and the main prescription is Dachengqi decoction.(11)The method of breaking blood and removing blood stasis is used for the large intestine blood stasis syndrome,and the main prescriptions are DIDU Decoction and Taohe Chengqi Decoction.2.1 Yang Ming’s stomach deficiency syndrome:(1)For Qi deficiency syndrome,the main prescription is Yigong powder.(2)Yang deficiency syndrome is treated by warming and tonifying the stomach,and the main prescription is Ding Kou Li Zhong pill.(3)Yin deficiency syndrome is treated by Yiwei Shengjin decoction.(4)There is no blood deficiency syndrome.(5)Body fluid deficiency syndrome is the same as yin deficiency syndrome.2.2 Yang Ming’s large intestine deficiency syndrome was as follows:(1)Qi deficiency syndrome is based on Invigorating Qi and strengthening intestines.The main prescriptions are Huangqi Decoction and Buzhong Yiqi Decoction.(2)The method of blood deficiency syndrome is nourishing blood and moistening intestines,and the main prescription is Runchang pill.(3)The method of body fluid deficiency is increasing fluid and moistening intestine,and the main prescription is increasing fluid decoction.(4)Yang deficiency syndrome is treated by Warming Yang and stopping discharge,and the main prescription is Fuzi Lizhong decoction.(5)Yin deficiency syndrome is the same as body fluid deficiency syndrome.3.Syndrome of deficiency and excess in yangmingli(list and supplement):(1)The stomach heat was burning,and the deficiency of Qi was treated with the method of clearing stomach heat to supplement Qi and generate Qi.The main prescription was supplemented and subtracted by Baihu and Ginseng decoction.(2)Qi was badly hurt,and there was residual heat in the stomach.The method of supplementing Qi,generating fluid,relieving heat and the stomach was used.The main prescription was made with bamboo leaf gypsum decoction.(3)Stomach(Qi)deficiency phlegm obstruction syndrome with qi to reduce phlegm,and stomach inverse method,the main prescription with Xuanfu Dahe Decoction.(4)The method of stomach(qi)deficiency and phlegm heat syndrome is to replenish qi,clear heat and dissolve phlegm,and to reduce stomach.The main prescription is to use orange peel and zhu ru decoction.(5)the large intestine body fluid is insufficient,dry excrement in the syndrome to nourish Yin and increase liquid,heat clearing and constipation as the method,the main prescription with increase liquid Chengqi decoction.(6)Insufficient Qi and Yin in the large intestine,and the syndrome of dry excrement is formed by the method of nourishing Qi and nourishing Yin,clearing heat and relieving constipation.The main prescription is added and subtracted by Xinjianhuanglong decoction.(7)Insufficiency of Qi and blood in the large intestine,the syndrome of dry excrement in the bowel by capturing defecation,replenishing Qi and nourishing blood as the method,the main prescription with Huanglong decoction.Conclusion:1.Yangming syndrome is more positive than deficiency syndrome.2.The research on syndrome differentiation and classification of Yangming interior syndrome is carried out under the guidance of the theory that all six meridians have exterior interior syndrome.It can effectively guide clinical syndrome differentiation and treatment by organically integrating the disease location,etiology and pathogenesis.3.Yangming syndrome involves stomach and large intestine.The syndrome of deficiency with deficiency and excess as the main principle,internal six Yin and pathological product changes as the main form of excess,and Qi blood body fluid Yin and Yang physiological material changes as the main form of deficiency have their own identification points and treatment methods.4.Some contents of diagnostics of traditional Chinese medicine are supplemented:In Yangming syndrome of TCM diagnostics,there are four syndrome types of stomach excess: cold stagnation,food stagnation,fire and qi stagnation,and three syndrome types of stomach deficiency: Qi deficiency,Yang deficiency and yin deficiency.On this basis,this study supplemented six Yangming stomach syndromes,such as stomach dryness syndrome,stomach dampness syndrome,stomach phlegm syndrome,stomach drink syndrome,stomach wind syndrome and stomach stasis syndrome,and distinguished stomach heat syndrome and stomach fire syndrome.Yangming stomach deficiency syndrome is the same;Yangming large intestine excess syndrome has damp heat syndrome,Fu excess(dry excrement),insect accumulation three syndrome types,large intestine deficiency syndrome has body fluid deficiency one syndrome type.On this basis,this study supplemented 9 syndrome types,such as large intestine heat syndrome,large intestine fire syndrome,large intestine dry heat syndrome,large intestine cold syndrome,large intestine wind syndrome,large intestine phlegm syndrome,large intestine water drinking syndrome,large intestine dampness syndrome,large intestine blood stasis syndrome.The large intestine dampness heat syndrome is under the category of large intestine dampness syndrome,and there are also large intestine cold dampness syndrome.The deficiency syndrome of large intestine is supplemented with three syndrome types of Yang deficiency,Qi deficiency and blood deficiency,and seven syndrome types of deficiency and excess in the classic Yang Ming Li syndrome are supplemented,which fills the blank of deficiency and excess syndrome of Yang Ming Li syndrome in diagnostics of traditional Chinese medicine.5.The classification method of single etiology can be used in clinical practice,which is helpful for clinical diagnosis and treatment of complex syndromes.In addition,the later part of this paper supplements the classic syndrome of deficiency and excess in yangmingli,which is compared with the single cause syndrome to deepen the understanding and help clinical practice.