settingsJavascript is not enabled in your browser! This website uses it to optimize the user's browsing experience. If it is not enabled, in addition to causing some web page functions to not operate properly, browsing performance will also be poor!
Yibian
 Shen Yaozi 
home
search
patternFlood
aliasEdema Due to Yang Deficiency
smart_toy
[Concept]

Water-dampness syndrome refers to a general term for various symptoms of edema on the head, face, limbs, chest, abdomen, waist, back, and body caused by water-dampness retention due to disturbance of qi transformation, which spreads to the skin. This syndrome is mostly caused by external evils blocking yang qi, or yang qi being insufficient, causing qi to fail to flow and water to stay. The main clinical manifestations of this syndrome are: puffiness of eyelid, such as lying down, or edema of limbs. At first, the swelling occurs when you press it, and then it becomes numb when you press it, and even pleural effusion and abdominal retention of water appear; difficulty in urination. , heavy body: chest tightness, white and greasy coating, slippery or slow pulse, etc.

This syndrome is commonly seen in "edema" related lesions.

Syndrome/pattern of internal retention of water-fluid, "syndrome/pattern of dampness impacting the spleen and stomach", "syndrome/pattern of water binding with heat", "syndrome/pattern of dampness impacting the spleen and stomach", "syndrome/pattern of internal retention of water-fluid", "syndrome/pattern of dampness impacting the spleen and stomach", "syndrome/pattern of water binding with heat", "Yellow sweat syndrome" and "Yellow sweat syndrome" can be differentiated.

[Identification Processing]

Due to the different disease causes, mechanism of disease, and location of disease that cause water-wet flooding, the clinical manifestations also vary.

  1. For example, among the lesions of "edema", if the syndrome is caused by water-damp immersion, it is mostly due to wading in the rain, water-damp invasion, or improper diet, and the spleen is damp-stricken, yang qi Depression cannot be relaxed, so that the spleen cannot control water, and water and dampness linger. Symptoms include edema of the limbs, heavy body, chest tightness, poor appetite, and the urge to vomit due to general sun exposure. The tongue coating is white and greasy, and the pulse is heavy and wet. The treatment is suitable for invigorating spleen and resolving dampness. To relieve yang and diuresis, choose Five Ingredients with Poria Powder ("Disease caused by cold") combined with Five-Peel Decoction ( Sanyin Fang ) addition and subtraction.
  2. If spleen yang is weak and causes this syndrome, it is mostly caused by physical spleen deficiency and dietary overstrain, resulting in spleen yang being weak, middle qi being depleted, qi failing to promote water transformation, and the spleen not dispersing essence. When water and dampness lingers, the symptoms include edema all over the body, swelling below the waist, depression when pressed, complexion shallow yellow, mental fatigue lack of strength, anorexia, loose stools, abdominal distension and fullness, unfavorable diarrhea, white greasy and slippery coating. , the tongue texture is light and fat, the pulse is thin and wet, the treatment is suitable for invigorating spleen yang, warming water and dampness, choose Shen Cang White Atractylodes Powder ( Taiping Huimin Heji Jufang ), Or Spleen-Strengthening Decoction ( Jisheng Fang ) addition and subtraction.
  3. If this syndrome is caused by insufficient kidney yang, it is mostly due to excessive atrioventricular function, loss of kidney qi, and the kidney controls water. In kidney deficiency, water has no owner and wanders arbitrarily. The opening and closing of the bladder loses control and leads to less urination, resulting in water. Overflow and stop gathering, symptoms include complexion, whiteness, edema all over the body, especially swelling below the waist, no fingers when pressed, cold body and cold limbs, palpitation, frequent shortness of breath, heavy acidity, tongue texture, light fat, white and greasy coating, and deep pulse If it is late, the treatment should be to warm the kidney and disinhibiting water, and then choose True Warrior Decoction ("Disease caused by cold") plus or minus.

Water is yin, and dampness is yin pathogen. Water and dampness compete with each other and linger, causing haze to pervade and suppress yang qi. Therefore, this syndrome is characterized by yin exuberance and slight yang. Clinically, it can be seen that people with yang deficiency are prone to suffer from yang deficiency, bad luck and excessive water-dampness. This syndrome also often occurs in patients with spleen-kidney yang deficiency caused by external dampness causing internal dampness, improper diet, excessive drinking of raw and cold drinks, or excessive labor in the house, which depletes the yang. It must be pointed out that salty and cold food enters the kidneys. Excessive consumption of salty and cold food will damage the kidney qi. The disturbance of qi transformation will affect the opening and closing of the bladder, which becomes one of the important factors in the recurrence of this syndrome.

The dysfunction of the lungs, spleen, and kidneys, triple energizer disturbance of qi transformation, and loss of bladder opening and closing are the main mechanisms of disease that occur in this syndrome. This shows that the qi movement of the human body runs smoothly so that water and moisture will not be retained. Since there are many disease causes causing disorder of qi movement, this syndrome can be a combination of different diseases. For those with qi stagnation, it is mostly due to mood swings, depression and stagnation of qi movement. If qi stagnation means water cannot flow, and if qi stagnation does not flow water, symptoms such as stagnant urine, stranguria, and obstructed urination may occur. To regulate qi movement, moving qi Turn water into healing. Another example is blood stasis, which is mostly due to disturbance of qi transformation and poor blood flow. Jingui Yaolue ‧Water and Qi Abnormal Pulse Syndrome Treatment" says: "If blood is unfavorable, it will be water." Then it can be seen that the liver "Tympanites" of spleen blood stasis, menstruation of liver blood disorder in women and other diseases should be treated by moving qi to dissolve water, invigorating blood and resolving stasis. Edema due to yang deficiency is the main mechanism of disease, and warming and diuresis are the common treatments. However, warm medicines are easy to damage to fluid, have excessive penetration, and often cause water and body fluid deficiency. In the development process of the disease, this syndrome can yang qi deficiency and evolve into "deficiency of both" "qi and yin", symptoms such as edema all over the body, difficulty in urination, dry mouth and sore throat, upset, red tongue texture, turbid and greasy coating, thin and slippery pulse. Therefore, we should strictly abide by the principle of "stop when most of it is reduced", and use severe and fierce attacks regularly. If this syndrome persists for a long time, late stage [third stage] may also include body swelling, lethargy, dizziness, weak waist and knees, cold limbs, less and peeling fur, and a thin and weak pulse. and yang" performance. In the end, it will lead to the crisis of water turbidity, excess of evil and deficiency of righteousness, and separation of yin-yang.

[Type Evidence Identification]

  1. Syndrome/pattern of internal retention of water-fluid and water-fluid syndrome: both are caused by insufficient yang qi and abnormal water-fluid compress, and both have chest tightness, heavy body, and white greasy coating. and other symptoms. However, the syndrome/pattern of internal retention of water-fluid mainly refers to water retention in the chest, abdomen, gastrointestinal tract, limbs and other parts of the body. It is different from the syndrome of excessive water-fluid, which can spread throughout the body. The former clinically shows symptoms such as vibrating water in the middle and middle, squeezing sound in the intestines, pain when coughing, and back pain as big as the palm, while the clinical manifestations of the latter are mainly edema and difficulty in urination. syndrome/pattern of internal retention of water-fluid Although edema is sometimes seen, such as in "subcutaneous fluid retention" where the limbs are heavy and swollen, the edema is generally mild and is obviously different from swelling in the syndrome of water-fluid syndrome/pattern of internal retention. Retention of water-fluid is treated by drinking water, while for water-dampness syndrome, warming yang and excreting water are used. The two should be distinguished by this.
  2. syndrome/pattern of dampness impacting the spleen and stomach and water-dampness syndrome: both can show symptoms of spleen yang weakness, chest tightness due to dampness obstruction, heavy body, and lack of urination. However, the main lesions of syndrome/pattern of dampness impacting the spleen and stomach are middle energizer, which is a manifestation of dampness resistance due to dysfunction of the spleen and stomach. Symptoms include mental fatigue, abdominal distension and fullness, and heavy chest. body, not wanting to eat, or experiencing low-grade fever, greasy mouth, short urination, greasy coating, soft pulse, etc. Those that occur in summer are also called "summer non-acclimatization". The key points for distinguishing it from the syndrome of dampness and flooding are:
    1. syndrome/pattern of dampness impacting the spleen and stomach. The lesions are localized or have seasonal characteristics, while the syndrome of dampness and flooding refers to the whole body. Sexual water-dampness is a problem.
    2. The former is characterized by abdominal distension and fullness in the chest, lack of desire to eat, and heavy body, and its main symptoms are resolving dampness in luck, while the latter is characterized by edema of the head, face, limbs, and difficulty in urination, and its main symptoms are warming. yang and excreting water.
    3. If the spleen and stomach are trapped in summerheat dampness, you may sometimes feel a swollen face or swollen limbs. This is due to the seasonal characteristics of summerheat dampness and the tendency of summer heat to consume gas, causing qi deficiency and bloating. After all, the edema is slight. , and it is a secondary disease. This should be used as a distinction between the two.
  3. syndrome/pattern of water binding with heat and water-dampness syndrome: syndrome/pattern of water binding with heat is also called "thoracic accumulation syndrome", which is caused by exterior syndrome/pattern mistakenly inward. Invasion, transforms heat into the interior, and combines with water in the chest and hypochondrium, hence the name. Symptoms include pain in the chest and hypochondrium, or even from the bottom of the heart, at least the abdomen is hard and full, and the pain cannot be approached, but the head is slightly sweaty, dysphoria shortness of breath feeling of vexation , dry mouth, dry stool, etc. The difference between it and this syndrome is:
    1. Although both refer to water, the former refers to the intertwining of water and heat in external-contraction febrile disease. The lesions are located in the chest, flank, epigastrium, and posterior The latter is the flooding of water in internal damage Zabing, and its lesions are systemic.
    2. The former is characterized by chest and hypochondrium pain, refusal to press, but slight sweating on the head, while the latter is characterized by swelling. Therefore it is not difficult to distinguish between the two.
  4. Water and blood stasis syndrome and water-dampness overflow syndrome: Water and blood stasis syndrome refers to the symptom and sign of "liver and spleen blood stasis" in "tympanites" disease. Due to liver spleen qi stagnation, over time, Then the veins are stagnated and blood circulation is unfavorable, spleen deficiency causes water and dampness to cohere, liver blood coagulates and the blood cannot move water. Symptoms include abdominal distension and fullness, abdominal distension and fullness pain, exposed veins, pleural effusion, and abdominal retention of water, complexion is dark, thirst is not wanting to drink, difficulty urinating, tongue color is purple, there are ecchymoses, and the pulse is thin, slippery or heavy, etc. The key points for distinguishing it from the syndrome of excessive water-dampness are:
    1. Although both have the symptoms of pleural effusion, abdominal retention of water, and difficulty in urinating due to the accumulation of water-dampness in the chest and abdomen, the former The water overflow part of the patient is mainly in the abdomen, while the water overflow part of the latter can spread throughout the body.
    2. The zang-fu organs of zang-fu syndrome with water stasis syndrome are mainly the liver, spleen, and kidneys, while this syndrome involves dysfunction of the lungs, spleen, and kidneys.
    3. Water and blood stasis syndrome not only has the symptoms of abdominal retention of water, but also has obvious symptoms of static blood retention, such as veins in the abdomen, and vascular structures on the head, face, neck, chest and back, etc. nevus, blood streaks, red marks on the palms, gingival hemorrhage, ecchymosis or bruising on the tongue, etc. Therefore, this should be used as a distinction.
  5. Water-stagnation yellow sweat syndrome and water-dampness overflow syndrome: Water-stagnation yellow sweat syndrome is also called "yellow sweat". This is because the evil of water-dampness soaks the skin and hair, and the evil of dampness suppresses the heat, forcing it to Symptoms include body heat, chest fullness, swollen limbs, head and face, heavy pain in the body, spontaneous coldness of the limbs, yellowish sweat, slow and slow pulse, etc. The difference between it and the syndrome of water-dampness is:
    1. Although both can see the evil of water-dampness, which blocks the circulation of qi movement and causes swelling of the limbs, head and face, the former is suppressed by dampness-heat, and the latter is dampness-heat. The person is yang qi Yu Ke.
    2. The lesions of the former are in the skin and flesh, while the lesions of the latter are in the lungs, spleen and kidneys.
    3. The main characteristics of water stagnation and yellow sweat syndrome are sweat staining clothes like cypress juice, while the main characteristics of water dampness syndrome are edema and difficulty in urination. Therefore, this should be used as a distinction.

[Documentation]

  1. Suwen-Yinyang Bie Lun: "Three yin constipation is called water."
  2. Lingshu-Shuizhang: "Water begins to rise, puffiness of Eyelid, as if newly lying down, with pulsation in the neck, occasional cough, coldness in the genitals and thighs, swollen feet and legs, a large abdomen, and water has formed. "
  3. Jingui Yaolue Xindian ‧ "Water and Qi Abnormal Pulse Syndrome and Treatment": "Wind edema, water is caused by wind, and water disease is caused by wind. Wind damages the skin and hair, and moisture flows to the joints, so the pulse is averted to wind and the joints are painful. Skin edema, water It travels in the skin and connects lung qi internally, so its pulse is also floating and does not incorporate wind, so it does not aversion to wind, that is, Neijing 𪔣𪔣but not aversion to wind. It means hard. If the disease is in the skin and the intestines are deficient, so there is bloating on the outside but no fullness and breathlessness on the inside, it should be solved by sweating, so it is said that it should be caused by sweating. Stony edema refers to the accumulation of water that does not flow. Typical edema takes advantage of the deficiency of yang and invades the upper energizer, so the pulse is slow and breathless. Stony edema is knotted in the lower abdomen due to the excess of yin. Abdominal distension and fullness without panting. Yellow sweat, sweat stains clothes like cypress juice, resulting in dampness-heat. Dampness resides outside the heat. If it accumulates in the upper part and Yang is not active, the body will be hot, the chest will be full, and the limbs will be full. If the head and face are swollen for a long time, it will invade the inside and become blocked, which will go against the physical structure and lead to paralysis and pus. "
  4. Yizong jinjianJingui Yaolue Note: " Those with water are called water diseases. To treat all water diseases, you should know the method of distinguishing the upper and lower parts of the body. If the swelling above the waist is caused by water, it will be cured by sweating. This is also the case with Yueyu, Qinglong and other decoction syndromes; If there is water in the lower part of the body, it will be cured if it is used to facilitate urination. It is also caused by Wuling, Polyporus and other soups."

expand_less