| pattern | Yin Deficiency with Internal Heat |
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syndrome/pattern of yin deficiency and internal heat refers to the symptom and sign of yin deficiency and internal heat deficiency, with low-grade fever, dry mouth, night sweat, red cheeks, dry stools, etc. as common symptoms, mostly due to external contraction. It is caused by long-term failure to heal, emotional depression, excessive sexual fatigue, and loss of recuperation after a serious illness.
The main clinical manifestations are: low fever, night sweat, red cheeks, vexing heat in chest, palms and soles, dry mouth and desire to drink, short red urine, dry stools, ankyloglossia, red texture, less fluid, thready and rapid pulse, etc.
Blood heat syndrome/pattern is commonly seen in diseases such as "pulmonary tuberculosis", "consumptive thirst", "lumbago", "seminal emission", and "internal damage fever".This disease should usually be distinguished from "yin deficiency syndrome/pattern", "fluid deficiency syndrome/pattern", and "syndrome/pattern of yin deficiency and yang hyperactivity".
[Identification Processing]
Syndrome/pattern of yin deficiency and internal heat Clinically, the clinical manifestations vary due to different causes and locations of the lesions. For example, this syndrome can be seen in pulmonary tuberculosis. It is often caused by insufficient congenital endowment, acquired excessive drinking and sex, or a serious illness that cannot be treated for a long time, causing damage to yin blood body fluids, reduced disease resistance, and infection with worms. Mingyi Zazhu ‧ pulmonary tuberculosis" said: "When a man is around his twenties, excessive sexual desire, injury to the essence and blood will produce yin deficiency, fire disease, night sweat during sleep, fever in the afternoon, cough, fatigue and weakness, and eating less. , or worse, phlegm and saliva may be bloody, vomiting and bleeding, or hemoptysis, hematemesis, epistaxis, body heat, rapid and rapid pulse, and muscle weight loss. This is called pulmonary tuberculosis, which is the most severe and difficult to treat. In mild cases, dozens of medications must be taken, and in severe cases, it is difficult to treat. The period depends on the age. However, the patient must love his life, be determined, stop having sex, stop delusional thoughts, avoid anger, and eat moderately to cultivate its roots. Otherwise, even good medicine will be useless. It is easy to treat this disease early. If the muscles are burnt, settled in the bed, and the pulse is slow and thready, it will be difficult." It elaborates on the disease cause mechanism of pulmonary tuberculosis, its clinical manifestations, the care and prevention of the disease, the duration of medication, and its early stage. The importance of treatment is that Moonlight Pill ( Yixue Xinwu ) should be used to treat nourishing yin and moistening lung.
For example, in lumpago disease, the waist is the home of the kidneys and is the area irrigated by the essential qi of the kidneys. The kidneys and bladder are the exterior and interior of each other. Wherever the foot great yang passes, there are Ren, Du, Chong, There are many veins in it, so the internal damage is nothing more than kidney disease. Every time due to long-term illness, old age, infirmity, or excessive sexual indulgence, the kidney essence is depleted and cannot nourish the muscles and veins, resulting in Lumbago. Jingyue Quanshu ‧ Lumbago" says: "Lumbago syndrome manifests itself as long-lasting and recurring symptoms of kidney deficiency." Zhengzhi Huibu ‧ Lumbago" states: "The only treatment is The first step is to nourish the kidneys, and then treat the disease according to the symptoms. Symptoms include soreness and softness of the lumbago, likes to be pressed and rubbed, weakness of loins, and fatigue, often recurring, low-grade fever, night sweats, upset, insomnia, and dryness of the mouth and throat. , red cheeks, feverish feeling in palms and soles, red tongue texture, less coating, stringy and thready pulse, should be treated with nourishing kidney yin, use Major Yin-Tonifying Pill ( Danxi Xinfa ) combined with Young Maid Pill (Hejiju Fang). If this syndrome is seen in consumptive thirst, it is mostly caused by yin deficiency in the body, improper sexual intercourse, and consumption of yin essence, resulting in yin deficiency with internal heat. Consumptive thirst is divided into upper, middle, and lower three types according to its location of disease. remove. "Principles of Syndrome Theory - Xiaohe" says: "Thirsty and excessive drinking is upper consumptive thirst; eliminating grain and good hunger is middle consumptive thirst; being thirsty and having ointment in stools is lower. Consumptive thirst (called lower consumptive thirst) "This disease should be based on yin deficiency and dryness-heat as the standard syndrome. Its clinical manifestations include polydipsia and polydipsia, dry mouth and throat, frequent urination, and cloudiness like cream, or There are sweet urine, dry mouth and scorched lips, dysphoria insomnia, feverish feeling in palms and soles, tidal fever night sweat, seminal emission, red tongue texture, and thready and rapid pulse. Upper consumptive thirst should be treated by clearing heat and moistening lung, and Erdong Decoction (Yixue Xinwu) is used; middle consumptive thirst should be treated by clearing stomach fire, nourishing yin and supplementing fluid, and Jade Lady Decoction (Jingyue Quanshu ); lower consumptive thirst should be treated by enriching yin and clearing heat, and Anemarrhena, Phelloendron and Rehmannia Pill ( Yifangkao ) should be used. Jingyue Quanshu ‧Sanxiaoganke pointed out: "If the true water is insufficient, it is all yin deficiency. No matter it is upper, middle or lower, it is necessary to treat the kidneys in an emergency, so that yin qi will gradually replenish and the essence and blood will gradually recover. The disease will heal on its own. If you only know how to clear the fire, the yin will not be generated, and it will gradually disappear, which will make you trapped."For those who see this syndrome in seminal emission, kidney yin is consumed due to excessive indulgence, and yin does not control yang. Overwork, non-interaction between heart and kidney, the spirit moves upward, and the essence flows downward, resulting in seminal emission. Symptoms include dreamfulness seminal emission, restless night dreams, easy sexual intercourse, irritability and heat in the heart, dizziness, tinnitus, dry mouth, red tongue texture, less coating, and stringy and thready pulse. For treatment, nourishing yin and reducing fire should be treated with Anemarrhena, Phelloendron and Rehmannia Pill (Yifangkao).
If this syndrome is seen in internal damage fever, it is mostly due to body yin deficiency, or Rebing over time, damage to yin fluid consumption, or lack of treatment, mistreatment, etc., leading to yin deficiency. Deficiency of essence, decline of yin and victory of yang, water does not control fire, and endogenous heat from deficiency causes fever, such as Zhubing Yuanhou Lun ‧ consumptive disease "Hot Conditions" says: "Consumptive disease and heat are yin qi Insufficient; yang qi is excessive, so it is generated by heat internally and externally, not caused by pathogenic qi from outside. "Symptoms include fever in the afternoon or at night, steaming bone fever, tidal fever, fever of hands and feet, night sweat, red cheeks, dry mouth and burnt lips, upset and insomnia. The symptoms are red and yellow, with large constipation knots, a dry red tongue or cracks, no or little coating, and a thready and rapid pulse. Treatment should be to enrich yin and clearing heat, and use Bone-Clearing Powder (Zhengzhi Zhunsheng).
syndrome/pattern of yin deficiency and internal heat manifests itself differently in many diseases, and each clinical manifestation has certain characteristics.
syndrome/pattern of yin deficiency and internal heat is more common in body yin deficiency, or Rebing with time, injury to yin and fluid, or excessive sexual desire, emotional imbalance, or mistreatment, The depletion of yin fluid leads to yin deficiency yang exuberance, water cannot control fire, and fever occurs. For example, Jingyue Quanshu ‧ fire syndromes/patterns" says: "People with yin deficiency can develop fever. This is due to the loss of true yin and water cannot control fire."
However, the syndrome/pattern of yin deficiency and internal heat has different zang-fu organs, different degrees of deficiency, different ages and genders, and different clinical manifestations. For example, taking kidney yin deficiency and internal heat as an example, the elderly , hair loss, tooth loss, tinnitus, deafness, vertigo amnesia, constipation and astringent urine are common; in middle-age men, insomnia, seminal emission, premature ejaculation are common; in women, menstrual irregularities, sterility or early abortion are common.
syndrome/pattern of yin deficiency and internal heat In the development process of the disease, according to the theory of yin-yang interdependence and mutual transformation, its evolution is mostly that yin deficiency causes more heat, burning and dryness, and yin becomes more deficient. The more dryness-heat is, the more dryness-heat is, the more yin is deficient, yin deficiency and dryness-heat interact with each other, creating a vicious cycle, making the condition worse; and those with yin deficiency are always susceptible to the evil of dryness-heat. On the other hand, yin-yang can be converted into each other. As time goes by, yin impairment affects yang, and it can be seen as a syndrome of dual injury of qi and yang or deficiency of dual yin and yang, which should be paid attention to.
[Type Evidence Identification]
yin deficiency syndrome/pattern and syndrome/pattern of yin deficiency and internal heat: Both syndromes can be caused by insufficient congenital endowment, excessive labor, Rebing damage to yin, etc., resulting in a lack of yin fluid and multiple clinical manifestations. Physical weight loss, dry mouth and throat, red cheeks, night sweat, upset insomnia, red tongue with less coating, thready pulse, but yin deficiency syndrome/pattern is mostly caused by deficiency of yin fluid, inability to nourish, limbs, tendons and seven orifices Mainly, the heat it transforms is light, while syndrome/pattern of yin deficiency and internal heat can be seen that fever is difficult to retreat and worsens at noon and night, and vexing heat in chest, palms and soles, its heat potential is heavy. When treating deficient, yin deficiency syndrome/pattern can develop into syndrome/pattern of yin deficiency and internal heat, but the root of syndrome/pattern of yin deficiency and internal heat is always yin deficiency. Clinical syndrome differentiation should know its root and understand its changes. , to identify.
fluid deficiency syndrome/pattern and syndrome/pattern of yin deficiency and internal heat: Both syndromes can be mistreated due to external contraction or internal damage, dryness-heat injury body fluids, excessive sweating, vomiting and diarrhea, and mistreatment of disease causes. Become. But fluid deficiency syndrome/pattern refers to the deficiency of various fluids that the human body depends on for survival, such as sweat, saliva, urine, intestinal juice, etc. The clinical manifestations are dry mouth and throat, dry cough loss of voice, dry nasolabial cracks, and dry eyes. Less tears, dry skin, less urine, dry stools, red tongue with less fluid, less fur or peeling coating, thin and astringent pulse, etc. The main symptoms are dryness, and those with frequent thirst often have obvious thirsty drinking. Syndrome/pattern of yin deficiency and internal heat refers to the deficiency of yin fluid and the internal generation of deficiency heat. Symptoms include tidal fever night sweat, red cheeks and face, aggravated in the afternoon and into the night, insomnia, feverish feeling in palms and soles, tinn itus Vertigo is characterized by soreness and weakness in the waist and knees, a red tongue with less coating, and a thready and rapid pulse. It is characterized by low-grade fever that persists and worsens in the afternoon and at night. In the treatment of fluid deficiency syndrome/pattern, it is advisable to nourish yin fluid. Syndrome/pattern of yin deficiency and internal heat is a deficiency in origin and then turns into heat. The method should be to "strengthen the master of water to control sunlight", which is not the method of enriching yin and clearing heat. Fever cannot be reduced. In the process of disease development, fluid deficiency syndrome/pattern can develop into syndrome/pattern of yin deficiency and internal heat. Fluid deficiency syndrome/pattern is often seen first, and if it does not heal over time, it may cause injury to zang-fu organs, yin fluid, and then yin. The syndrome of deficiency is when yin declines and yang prevails, and water does not control fire, resulting in a syndrome/pattern of yin deficiency and internal heat.
syndrome/pattern of yin deficiency and yang hyperactivity and syndrome/pattern of yin deficiency and internal heat: See syndrome/pattern of yin deficiency and yang hyperactivity under "Syndrome Identification" for details.