Syndrome/pattern of blood deficiency and wind-dryness is the symptom and sign of wind-dryness due to the deficiency of essence and blood in the body and the loss of nourishment. It is mostly caused by internal damage Zabing, chronic illness, internal semen and blood loss, or excessive loss of blood. Clinically, in addition to the symptoms of blood deficiency syndrome/pattern, there are also symptoms of wind and dryness.

The main clinical manifestations are: pale complexion, dizziness, vision, palpitation insomnia, tremor in the hands and feet, muscle twitching, numbness of the limbs, dry mouth and throat, hoarseness, dry cough with little phlegm or blood in the phlegm, dry and rough skin, dry and dry hair. Rong, or cutaneous pruitus, oliguria, constipation, pale red tongue with dry coating, thin or thready pulse.

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This syndrome should be distinguished from "syndrome/pattern of blood deficiency generating wind", "syndrome/pattern of blood dryness", "external dryness syndrome/pattern", "blood deficiency syndrome/pattern", etc.

[Identification Processing]

The key points of this syndrome differentiation are blood deficiency and mechanism of disease changes. syndrome/pattern of blood deficiency and wind-dryness is often caused by excessive loss of blood, internal semen and blood loss due to long-term illness, aging and lack of semen and blood, or static blood internal blockage and lack of new blood, resulting in insufficient nutrient-blood and skin problems. The tendons and veins are not nourished by moisturizing and are caused by wind and dryness. Insufficient nutrient-blood, lack of nutrients in the mind and body will cause dizziness, dizzy vision, and palpitation insomnia. If the blood vessels are empty, the blood will not nourish the liver, and if the muscles and vessels are not nourishing, there will be internal stirring of liver wind, tremor in the hands and feet, tremor in the muscles, and numbness in the limbs. Blood deficiency causes dryness and skin failure, which manifests as dryness of the mouth and throat, dry and rough skin or cutaneous pruitus, and hair loss. This syndrome can be seen in a variety of diseases with different clinical manifestations.

1. For example, in consumptive disease, it manifests as emaciation, vertigo, insomnia dreamfulness, numbness of limbs, soreness or cramping of muscles, difficulty in moving limb joints, dull claws and nails, scaly skin, pale tongue with white coating, Pulse is weak. Yin fluid, the essence of blood, has the functions of nourishing and nourishing. If the blood is not good enough, the head will not be nourished, and you will see dizziness and dizziness. If the blood does not nourish the heart, there will be failure of mind to keep to its abode, palpitation insomnia. If the blood is not nourishing the liver, the internal stirring of the liver wind, and the muscles and veins are not nourished, the limbs will be numb, the muscles will be painful or cramped, and the joint movements will be unfavorable. Blood deficiency causes dryness and lack of nourishment of the skin, resulting in dry and cracked nails and scaly skin. Treatment is mainly based on tonifying deficiency. Treatment should be tonifying blood, dispelling wind and moistening dryness. Fang uses Four Ingredients Decoction ( Hejiju Fang ) to add and subtract.
2. Dry impediment is a syndrome/pattern of blood deficiency and wind-dryness, which is more common in women. This is related to the physiological characteristics of women’s menstruation, pregnancy, childbirth and lactation. Women are based on blood, and blood is used during pregnancy and lactation, which is prone to blood consumption. In addition, spleen-stomach weakness, the source of Qi and blood generation and transformation is insufficient, resulting in Yin blood deficiency, dryness evil, and dryness evil. It can cause further damage to fluid blood, causing the muscles and meridians to lose nourishment, the meridians to become depleted, and the meridians to become blocked and cause dry impediment. Clinical manifestations include dry mouth and nose, dry and itchy eyes, loose and brittle teeth, desire to cry without tears, dry cough with little phlegm or blood in the phlegm, dry skin, accompanied by dizziness, dizzy vision, and even soreness of the waist and knees, tongue Light coating, less fluid, thin or thready pulse. It is mostly caused by the depletion of fluid and blood, dryness and wind, the body loses moisture, and body fluids cannot be uptaken, which manifests as dry mouth and nose, floating and brittle teeth, and dry and itchy eyes. Blood deficiency causes dryness, the lungs lose moisture, and dysfunction of lung qi results in dry cough with less phlegm and blood in the phlegm. Blood deficiency transforms dryness, and dryness evil transforms into fire, which further damages yin and consumes body fluids. Over time, liver-kidney yin deficiency will lead to symptoms such as dizziness, dizzy vision, soreness and weakness in the waist and knees. Treatment should be to nourish the liver and kidneys, nourishing blood to moisten dryness. The prescription is Qiju Rehmannia Decoction ("Medical Grade").
3. constipation syndrome/pattern of blood deficiency and wind-dryness, clinical manifestations include dry stool, dry lips, dry and itchy skin, oliguria, physical weakness, mental weakness, and muscle weight loss. It is mostly caused by internal deprivation of essence and blood due to long-term illness, old age and frailty, or excessive sweating and vomiting, resulting in loss of fluid and blood, resulting in insufficient fluid and blood, wind and dryness, and gastrointestinal dampness. The treatment is suitable for nourishing blood and dispelling wind, nourishing yin and moistening dryness, and laxative. Use Four Ingredients Decoction ( Hejiju Fang ) combined with Five-Kernel Pill ( Shiyi Dexiao Fang ).
4. The syndrome/pattern of blood deficiency and wind-dryness of "psoriasis" is mainly clinically manifested by skin lesions. Symptoms include dry skin, desquamation, roughness, hypertrophy, cutaneous pruitus, etc., and clinical symptoms come and go. Attacks are also accompanied by dizziness, vision, complexion, pale tongue with thin coating or less fluid, and a thready and stringy pulse. It is mostly caused by lack of essence and blood, lack of nourishment of the skin, and wind and dryness. The treatment is suitable for nourishing blood and dispelling wind. Use Shengxue Moisturizing Drink (Yixue Zhengzhuan).
5. Amenorrhea syndrome/pattern of blood deficiency and wind-dryness is mainly characterized by amenorrhea, thin body, scaly skin, dark face, dizziness, tremor or convulsion of limbs, and even coma. The treatment is suitable for nourishing blood and promoting menstruation, extinguishing wind and moistening dryness. Fang uses Four Ingredients Decoction ( Hejiju Fang ) to add and subtract.

This syndrome tends to occur in people who are old and frail, and suffer internal damage due to long-term illness. It is caused by dryness and wind on the basis of deficiency of fluid and blood, and dryness further damages fluid and damage to yin. Liver-kidney yin deficiency, yin deficiency To control yang, deficiency heat is generated internally, and this cycle repeats over and over again, yin impairment affecting yang, life gate fire decline, then the deficiency of dual yin and yang.

[Type Evidence Identification]

1. syndrome/pattern of blood deficiency generating wind and syndrome/pattern of blood deficiency and wind-dryness: both are due to the depletion of nutrient-blood, blood nourishing liver, internal stirring of liver wind, tendons and veins It is caused by malnutrition, so the disease cause mechanism of disease and clinical manifestations are similar, but there are certain differences. syndrome/pattern of blood deficiency generating wind is a syndrome/pattern of dynamic wind syndrome/pattern manifested by lack of essence and blood and lack of nourishment of tendons and arteries. Symptoms include vertigo tinn itus, complexion, tremor in the hands and feet, muscle twitching, numbness in the limbs, and dull claws and nails, etc., with the syndrome/pattern of blood deficiency and wind-dryness being the most prominent, while the syndrome/pattern of blood deficiency and wind-dryness is due to old age and frailty. The disease is caused by internal damage, internal deprivation of essence and blood, and wind and dryness. Clinically, in addition to the symptoms of syndrome/pattern of blood deficiency generating wind, there are also symptoms of internal dryness, such as dry lips and tongue, dry eyes, dry and rough skin, dry and dull hair, oliguria and constipation, which are not difficult clinically. identification.
2. syndrome/pattern of blood dryness and syndrome/pattern of blood deficiency and wind-dryness: Both syndromes are caused by the lack of essence and blood in the body, resulting in the body losing moisture. syndrome/pattern of blood dryness is caused by deficiency of essence and blood, which further transforms into dryness. Clinical manifestations include dryness syndromes/patterns such as dry mouth and throat, dry and rough skin, dry hair, muscle weight loss, oliguria and constipation; while the syndrome/pattern of blood deficiency and wind-dryness is due to the depletion of yin blood, which further deteriorates. Caused by dryness and wind. Clinically, in addition to dryness of blood, there are also symptoms of wind, such as tremor in the hands and feet, muscle twitching, and joint tension, which can be used for identification.
3. blood deficiency syndrome/pattern and syndrome/pattern of blood deficiency and wind-dryness: Both syndromes are caused by blood depletion. There are many similarities in the disease cause mechanism of disease and clinical manifestations. blood deficiency syndrome/pattern is the basis for the syndrome/pattern of blood deficiency and wind-dryness. blood deficiency syndrome/pattern Without active treatment, the condition will further develop and become wind-dryness syndrome/pattern of blood deficiency and wind-dryness. The former simply manifests as blood deficiency, while the latter not only has the manifestations of blood deficiency, but also has clinical manifestations of wind and internal dryness. This can be used for identification.
4. external dryness syndrome/pattern and syndrome/pattern of blood deficiency and wind-dryness: external dryness syndrome/pattern refers to the dryness in autumn and winter, which is in season, or the external climate is dry, dryness attacks externally, and damages the body fluids. A range of dryness syndromes/patterns. Since the skin, mouth, nose, and lung systems are most closely in contact with the outside world, dryness will cause damage to fluid, and the lungs will be protected by pathogenic factors. Therefore, xerosis of the skin, seven orifices, and lung systems is the most prominent manifestation, such as dryness of the mouth, nose, and throat, and thirst. , dry skin, even rhagade, desquamation, dry cough with less phlegm, sticky phlegm that is difficult to cough up, short yellow urine, dryness accumulation in stool, and dry tongue coating. The syndrome/pattern of blood deficiency and wind-dryness is a symptom of xerosis caused by the body's loss of nourishment due to blood deficiency, which belongs to the category of "internal dryness". The former shows excess syndrome/pattern, and the treatment should focus on moistening dryness and dispelling evil; while the latter is a deficiency in nature of disease, and the treatment should focus on nourishing blood to moisten dryness. It is not difficult to identify.

Traditional Chinese medicine can effectively treat dry eye syndrome, floaters, retinopathy, and various chronic eye diseases

[Documentation]

1. Zhengzhi Huibu ‧ Dryness syndromes/patterns》: "Wind-dryness, due to the inability of the liver blood to strengthen the tendons, causes tendon pain and cracked claws."
2. "Shen Zhai's Posthumous Letter‧Resultation": "Dryness-heat disease is similar to heat syndrome/pattern. The stomach qi is not good. There is no body fluids in it and it is dry. Ask for soup to drink to save yourself. It is not thirsty, but the mouth. Dryness. Although the tongue is dry but the root of the tongue is moist, if you want to drink but don't drink much soup, and the pulse is weak and dry, it is also unconscious murmuring but not delirious speech, which is a sign of blood dryness. "