[Concept]

Syndrome/pattern of dampness and heat is the general name for "heat retention due to block of dampness" and "dampness-heat steaming" caused by the evil of dampness-heat filthy turbidity, or poor spleen and stomach, and dampness-heat internalization. . It is mostly caused by external contraction of pathogenic qi, or alcohol and cheese, damage to the spleen and stomach, dysfunction of spleen in transportation, dampness-heat cross-blockage.

The main clinical manifestations are: hiding fever, heavy head and body, dry mouth with no desire to drink, chest tightness, abdominal distension and fullness, no desire to eat, or yellow face and body, itchy skin, red and unfavorable urine, leukorrhea yellow in women Thick, filthy turbidity and odor, greasy tongue coating, slow or rapid pulse.

Syndrome/pattern of dampness and heat is common in "diarrhoea", "dysentery", "jaundice", "tympanites", "edema", "stranguria", "ischuria", "atrophy-flaccidity disease", "impediment diseases" ”, “ dampness warm disease ”, “ latent summerheat ”, “ summerheat warmth ”, “ leukorrhea ” and other diseases.

This syndrome should usually be distinguished from "syndrome/pattern of cold dampness" and "syndrome/pattern of dampness obstruction in qi phase".

[Identification Processing]

Syndrome/pattern of dampness and heat can appear in a variety of diseases, each with its own clinical characteristics and different treatments, which must be differentiated.

1. If syndrome/pattern of dampness and heat is seen in diarrhea disease, it usually manifests as diarrhea abdominal pain, urgent diarrhea, or unpleasant diarrhea, yellowish-brown and smelly feces, burning anus, thirst, and urination. The characteristics of "dampness-heat pouring down" such as short yellow color are caused by feeling the evil of dampness-heat, or being addicted to alcohol, cheese, fat, and sweetness, which damages the gastrointestinal tract, causing abnormal transmission and transformation, and causing dampness-heat pouring down. The treatment should be clear. To resolving dampness heat, use Pueraria, Skullcap and Coptis Decoction ("Disease caused by cold") to flavor.
2. If syndrome/pattern of dampness and heat is seen in dysentery disease, its clinical manifestations are usually abdominal pain, tenesmus, red and white diarrhea, burning anus, short red urine, red tongue, yellow and greasy coating, slippery and rapid pulse, etc. "Dampness-heat dysentery" is characterized by "dampness-heat dysentery", which is mostly caused by external dampness-heat and epidemic toxin. Internal damage refers to unclean diet, which damages the spleen, stomach, and intestines. Caused by blood, the treatment should be clearing heat and draining dampness to stop dysentery, and use Aucklandia and Coptis Pill ( Taiping Huimin Heji Jufang ).
3. If the syndrome/pattern of dampness and heat is seen in jaundice disease, the clinical manifestations are yellow eyes and body, yellow as bright as orange, fever thirst, or hiding fever, yellow and greasy tongue coating, and stringy or wet pulse. This is mostly caused by seasonal pathogens that attack externally and are depressed, or due to improper diet, excessive drinking, injury to the spleen and stomach, dampness-heat cross-section, fumigation of the liver and gallbladder, and overflow of gall fel to the skin. Treatment should be clearing heat and draining dampness. Huang, use Virgate Wormwood Decoction ("Disease caused by cold") or Powder of Capillaris and Five Ingredients with Poria (Jingui Yaolue ) addition and subtraction.
4. If syndrome/pattern of dampness and heat appears in tympanites disease, it may manifest as abdominal distension and fullness, epigastric pain, dysphoria, bitter taste in mouth, thirst without desire to drink, constipation, or body and eyesight Symptoms such as yellowing are caused by the addiction to spicy wine and cheese, causing dampness-heat, or jaundice, abdominal mass and other diseases, which persist over time and cause the dampness-heat to aggregate and stop. The treatment is to clear heat and draining dampness, expelling water by For purgation, use Middle Fullness Separatively Eliminating Pill ( Lanshi Micang ) plus or minus; for constitution, Boats and Carts Pill ( Danxi Xinfa ) expelling water by purgation, diarrhea will stop.
5. If syndrome/pattern of dampness and heat appears in disease with edema, clinical manifestations include edema all over the body, moist and shiny skin, stuffiness in the chest and abdomen, irritability, short red urine, yellow and greasy fur, and a heavy pulse. It is characterized by several symptoms of "dampness-heat congestion". This is caused by feeling external evil, or wading in the rain, water and dampness invades internally, or improper diet, dampness accumulates in the body, dampness stagnation turns into heat, and dampness-heat accumulates. Internally, it is caused by the inability of the bladder to transfuse. It should be treated by dispersing wind expelling pathogen through exterior, which is divided into draining dampness and heat. Dredging and Channelling Decoction ( Shiyi Dexiao Fang ) addition and subtraction.
6. If the syndrome/pattern of dampness and heat appears in gonorrhea and ischuria, the clinical manifestations include hot and astringent urine and pain, or even a blocked drip, yellow-red urine, or turbidity like rice water, abdominal distension and fullness, Symptoms of "dampness-heat in lower energizer" such as bitter taste in mouth, or thirst and reluctance to drink, are characterized by dampness-heat accumulating in the bladder, or the kidney transferring heat to the bladder, and dampness-heat intertwining in the bladder. qi transformation is caused by unfavorable conditions. To treat it, clearing heat and draining dampness should be treated with Eight-Ingredient Rectification Powder ( Taiping Huimin Heji Jufang ) or Cheng's Rhizoma Dioscoreae Decoction for Clearing Turbid Urine ( Yixue Xinwu ) addition and subtraction.
7. If syndrome/pattern of dampness and heat occurs in atrophy-flaccidity disease, the clinical manifestations include flaccidity and weakness of the limbs, which may also be accompanied by slight swelling and numbness, especially in the lower limbs, or fever, gastric stuffiness in the chest, difficult and Painful urination is characterized by symptoms such as living in wetlands for a long time, or working in water, external dampness invades, stays and does not go away, and the stagnation turns into heat for a long time, or the diet is not temperate, craving for fat and sweet food, injury to the spleen and stomach, dampness arises from the inside, accumulation of dampness and heat , caused by dampness-heat soaking the tendons, it should be treated by clearing heat and draining dampness, and add flavored Two Wonderful Herbs Powder ( Zabing Yuanliu Xizhu ).
8. If syndrome/pattern of dampness and heat is seen in impediment diseases, the clinical manifestations are often redness, swelling and burning of joints, pain that refuses to be pressed, and relief when cooled, often accompanied by fever, sweating, aversion to wind, mouth sticking, and boredom. , dark urine, yellow and greasy tongue coating, etc. are characterized by yang qi in the body, or yin deficiency with yang hyperactivity. When apoplexy wind-cold dampness occurs, the yang turns into heat, resulting in multiple abscess meridian joints. , the treatment should be to clear away heat and dredge collaterals, dispelling wind draining dampness, and use Impediment-Diffusing Decoction ( Wenbing Tiaobian ) to add or subtract.
9. If syndrome/pattern of dampness and heat is seen in skin diseases such as eczema, the clinical manifestations are skin flushing, swelling, erosion, constipation or diarrhea, short red urine, red tongue with yellow and greasy coating, and slippery pulse. , this is caused by dampness-heat internal and external contraction wind-dampness, which is caused by the accumulation of wind-dampness heat in the skin. It should be treated by clearing heat and draining dampness. Use Gentian Liver-Draining Decoction ( Lanshi Micang ) addition and subtraction.

The triple energizer syndrome of dampness-heat can be seen in external contraction dampness-heat diseases such as "dampness warm disease", "summerheat warmth" (summerheat dampness disease), "latent summerheat", "pestilence" (warm fever disease), etc. ：

1. upper energizer dampness-heat manifests as aversion to cold, mild fever, or not fever, or fever in the afternoon, heaviness of head such as wrapping, heavy limbs, chest tightness without sweating, and sluggish consciousness , sticky mouth but no thirst, gastriciness anorexia, or bowel sounds, loose stool, tongue coating is white and greasy, and the pulse is moist and slow. This is mostly caused by the feeling of dampness, evil stagnation on the muscle surface, and spleen stuffqi internal sleepiness. The treatment is suitable for warming and dispersing the surface. For dampness, use Patchouli Qi-Righting Powder ( Taiping Huimin Heji Jufang ); for those with obvious heat symptoms, it is appropriate to treat heat by resolving dampness. For heat, use Huopu Xia Di Soup ("Medical Source").
2. middle energizer dampness-heat manifests as hiding fever, or heat is reduced by sweating, and then reheated, or severe fever in the afternoon, heavy limbs, gastric stuffiness in the chest, vomiting and nausea without hunger, no desire to drink, complexion shallow yellow, or complexion, light yellow, dull and talkless, or even unconsciousness, short and red urine, loose stool, or white scab, gray fur, yellow leucorrhea, soft and rapid pulse, this is caused by upper energizer dampness-heat It may be caused by the evil of summerheat dampness or internal damage to the spleen and stomach. The treatment should be to clear the heat of resolving dampness and use Sweet Dew Detoxicating Pill ( Wenre Jingwei ); phlegm For those with seven orifices and blurred consciousness, it is advisable to resolving phlegm for resuscitation and use Acorus Curcuma Root decoction ("Warm Disease Complete Book").
3. dampness-heat in lower energizer manifests as urinary ischuria, inability to drink much when thirsty, or obstruction of stool, hard and full lower abdomen, distended head, unconsciousness, greyish white and yellow greasy coating, and wet and rapid pulse, which are defined by dampness-heat The evil spreads lower energizer, blocking the bladder and large intestine, causing the bladder qi transformation to fail. The large intestine is caused by obstruction of qi in the fu organs. The treatment should be to dilute the infiltration and distinguish it, and then use tuckahoe peel soup (Wenbing Tiaobian), or If Daozhuo is stagnant, use Xuanqing Daozhuo Decoction (Wenbing Tiaobian).

It can be seen from the above that the triple energizer syndrome is divided into upper, middle and lower parts through the parts and sequence of zang-fu organs injured by dampness-heat. It is also the initial and middle parts of dampness-heat disease. , the last three stages. Obviously it is a self-contained system in theory, and its meaning is not exactly the same as Zabing syndrome/pattern of dampness and heat. In short, although the symptoms and signs belong to dampness-heat, the symptoms of different diseases have their own characteristics, and the clinical analysis can be based on the characteristics of the above diseases and syndromes.

Also, syndrome/pattern of dampness and heat mostly occurs in summer and autumn. When there is more rainfall and humidity, people with spleen-stomach weakness are more likely to suffer from it. Women with syndrome/pattern of dampness and heat are mainly characterized by numerous and sticky leucorrhea, fishy smell, yellow color or blood. Treatment should be "treatment in accordance with individuality".

Moisture is yin pathogen and heat is yang pathogen. The two are entangled with each other and are difficult to resolve. In particular, dampness-heat diseases tend to linger the longest and change more in the middle energizer, which is related to the fact that moisture traps the spleen and the spleen cannot transport and transform. Generally speaking, its outcome can be roughly divided into two situations: heat from yang or cold from yin: heat from yang is due to the patient's constitution yang qi Su Sheng, or the symptom and sign type is that heat is heavier than moisture, Or during the treatment process, excessive use of warm dryness products will cause the dampness to gradually recede and the heat to become stronger, eventually turning into dryness-heat. From yin to cold, it is because the patient's body is yang deficient, or the symptom and sign type is that dampness is heavier than heat, or during the treatment process, bitter and cold products are used to reduce yang qi, so that the dampness does not go away and the heat gradually subsides , and finally developed into evidence of cold-dampness.

[Type Evidence Identification]

1. Syndrome/pattern of dampness obstruction in qi phase and syndrome/pattern of dampness and heat: Both syndromes belong to the category of dampness disease. In terms of disease cause, syndrome/pattern of dampness and heat is mostly caused by direct feeling of dampness - The evil of heat, or unclean diet, craving for spicy, fatty and sweet food, injury to the spleen and stomach, failure of the spleen to transport and transform, internal stasis of water and dampness, stagnation and heat transformation, dampness-heat caused by steaming. Heat is in dampness, dampness-heat is steaming, so hiding fever, very hot in the afternoon; dampness-heat is obstruction, qi movement is not smooth, abnormal lifting and lowering, so chest gastric stuffiness is stuffy, vomiting, not hungry, not eating; heat damage to fluid , dampness overcomes heat, so thirst does not want to drink too much or is not thirsty; dampness-heat steams the liver and gallbladder, and gall fel overflows, causing the face to turn yellow; dampness-heat blocks dysentery and burns, and the qi is not smooth, so the urine is short and red, and the stool is large and loose. Displeased, women can see that leukorrhea is sticky and filthy turbidity is smelly. syndrome/pattern of dampness obstruction in qi phase is also caused by improper diet, eating raw, cold, fatty and sweet foods, injury to the spleen and stomach, failure of the spleen to transport and transform, and internal stasis of water and dampness. Damness obstruction is caused by the obstruction of dampness in the middle energizer. The clinical manifestations include general sleepiness, lack of strength, chest tightness, abdominal distension and fullness, bland taste in mouth, inability to eat, short urination, and thick and greasy coating. It can be seen that syndrome/pattern of dampness and heat has a thermal image, while dampness obstruction has no thermal image, so it can be distinguished.
2. syndrome/pattern of cold dampness and syndrome/pattern of dampness and heat: Both also belong to the category of dampness pathogenicity. Cold-dampness mostly belongs to spleen yang, which cannot transport water and dampness and cause dampness due to cold transformation, endogenous cold-dampness, see abdominal distension and fullness, defecation and other symptoms, or phlegm-fluid retention, edema, etc. The dampness-heat is mostly caused by the direct feeling of dampness-heat, external evil, or excessive food, intense stomach fire, and dampness due to heat transformation. The difference between syndrome/pattern of cold dampness and syndrome/pattern of dampness and heat is that syndrome/pattern of cold dampness has a cold aspect, while syndrome/pattern of dampness and heat has a heat aspect.

[Documentation]

1. "Shen Zhai's Posthumous Letter - Dysentery": "Dysentery is mostly caused by diet, dampness and heat compete with each other. If tenesmus is severe, the body is not feverish, and the diet is as usual, this is true dysentery. Because the spleen and stomach are surplus, it should be dredged first. , and then use Skullcap Root Peony Root soup to prepare it. "
2. Yixue Xinwu ‧ jaundice": "In jaundice, the eyeball is yellow, and it gradually reaches the skin, and it is also yellow. This dampness-heat is blocked. It is similar to the stagnation of dampness-heat, and it becomes yellow. However, the yellow color of dampness-heat is like orange and cypress skin, which is radiant due to fire. This is called yang jaun dice... yang jaun dice, Gardenia and Phelloendron. Decoction, if constipation disease is unavailable, Virgate Wormwood Rhubarb Rhizoma decoction should be used. …Those with food damage (dyspepsia) are called dietary jaundice, those with alcohol damage are called alcoholic jaundice, and those with sweating and dyeing clothes are called yellow sweat, both are yang. jaun dice and the like. "
3. Zhengzhi Huibu ‧ atrophy-flaccidity": "Dampness-heat impotence, soaked by rain and dampness, pathogenic qi steaming the spleen, flowing to the limbs, conscious of reverse foot meridian. Rising of qi, or soreness, swelling and pain in the limbs, numbness and itching of the toes, red and astringent urine, and heavy and rapid pulse are all caused by dampness-heat. "
4. "Syndrome and Treatment Source: Bu‧ dampness syndrome. /pattern": "Any jaundice, yellowness, swelling, stuffiness, diarrhea, stranguria, turbidity, leukorrhea, swelling and pain in weight, abscesses, dysentery and backache are all caused by dampness-heat. When Treat it separately. For example, if dampness prevails, it is better to clear away the dampness. If heat prevails, it is better to clear away the heat. If dampness prevails, heat cannot be treated. If heat cannot be treated, use cold medicine to make the dampness worse. If heat prevails over dampness, dampness cannot be treated. To treat it, use dry medicine to make the heat better. "
5. "Zhang's Medical Han·Wilting Impediment": "Dampness-heat patients will suffer from pain in the limbs, heavy shoulders and back, unfavorable chest and diaphragm, and lower legs and feet. Pain and Swelling, Angelica Pain-Relieving Decoction. ”