[Concept]

syndrome/pattern of dual exuberance of wind and heat refers to the symptoms and signs of wind-heat pathogenic qi that stagnates the skin.

The main clinical manifestations are: fever, thirst, cold drinking, redness, swelling and pain in the face or throat, red skin eruption, or boil and sore redness, swelling, burning, itching and pain, yellow stools, yellow urine, red tongue with yellow coating, etc.

syndrome/pattern of dual exuberance of wind and heat is common in "muscle impediment", "vertigo", "ulcerative gingivitis", "wind-heat sore (pityriasis rosea)", "rash", "carbuncle", "boil" and sore", "wind red sore (eyelid dermatitis)", "eyelid dermatitis" and other diseases.

syndrome/pattern of dual exuberance of wind and heat should be distinguished from "syndrome/pattern of wind and heat invading the upper", "syndrome/pattern of congestion and exuberance of fire and heat and pathogenic toxin".

[Identification Processing]

Muscle impediment is one of the five body constituents. Zhubing Yuanhou Lun points out the mechanism of disease in detail: "If a person has weak striae and interstice, he or she will be injured by wind-dampness; It fights in the blood and Qi. If the blood and Qi are not strong enough, it will not be released. True and evil will attack each other between the muscles, so the skin will be painful. However, the meridians of the Yangs will spread through the body through yang qi, and the wind-dampness Qi will stay in the skin. , initially it is paralysis, if the yang meridians are injured, the yang qi will be sluggish, the organs will be relaxed, and the muscles and veins will not be retracted, so the wind-dampness paralysis will return to the body and the hands and feet will fail. "See this symptom and sign, the factors are aggregates. Heat, external contraction, wind, heat, toxin, evil, pathogenic qi, stagnation of the skin, caused by the conflict between qi and blood. Symptoms include: muscle pain, non-palpable, or muscle swelling and pain, muscle weakness, and scattered erythema on the skin, mostly around the eyelids and on the chest and back, purple in color; accompanied by aversion to cold with fever, joint pain, and even high fever. , dark urine, dry and hard stool, red tongue texture, yellow fur, and rapid or floating pulse. The treatment is suitable for clearing heat and cooling blood and removing toxin for dispersing wind. The prescription is clearing heat and removing toxin decoction WANG> ("Ancient and Modern Medical Review").

Vertigo is caused by pathogenic qi. It was first seen in Lingshu-Dahuo Lun's record: "Therefore, the evil is in the neck, because when the body is weak,... it enters the brain and the brain turns. The brain turns. The eye connector is urgent, and the eye connector is dizzy vision. Vertigo's syndrome/pattern of dual exuberance of wind and heat is seen in people with strong liver. Vision, dizziness, swelling, even vertigo, discomfort in the chest, vomiting, red tongue texture, floating pulse. To treat dispelling wind, clear away heat and use Notopterygium Soup ( Lanshi Micang ), or Saposhnikovia Sage-Inspired Powder ("Xuanming Lun" 》).

syndrome/pattern of dual exuberance of wind and heat is seen in wind-heat sore (pityriasis rosea), which is caused by wind-heat evil that stagnates the lungs and occurs on the skin. The clinical manifestations are: papules and cutaneous pruitus on the limbs, chest and hypochondrium, which may form sores if scratched for a long time, and may even ooze blood. Treatment should be to clear away heat, dispersing wind to stop itching, and use Wind-Dispersing Powder ( Waike Zhengzong ).

syndrome/pattern of dual exuberance of wind and heat is seen in rashes, mostly due to wind-heat evil that stagnates the lungs, closes the nutrient aspect, and originates from the blood collaterals. Symptoms include small red dots on the skin, shaped like foxtail millet rice, which are difficult to touch. The rash is bright red or purple, which indicates excessive heat. If the rash is purple or black, it indicates severe poison. It is accompanied by fever thirst, dysphoria, chest tightness, and tongue texture with reddish veins. In detail, ventilating lung clearing nutrient aspect and promoting eruption should be treated with Lonicera and Forsythia Powder ( Wenbing Tiaobian ) plus clearing nutrient aspect.

syndrome/pattern of dual exuberance of wind and heat is seen in carbuncle, which is caused by wind-heat knotting on the skin. It manifests as: local redness, swelling, heat and pain with clear boundaries, easy to disappear, easy to converge, easy to ulcerate, and easy to form. Pus, accompanied by body heat, yellow fur, floating pulse, mostly in the upper part, should be treated by dispersing wind and clearing heat, and also invigorating blood and resolving stasis. Use Burdock Muscle-Relieving Decoction ( Yangke Xinde Ji ), those with exterior syndrome/pattern can use Schizonepeta and Saposhnikovia Toxin-Vanquishing Powder ( Waike Lili ).

syndrome/pattern of dual exuberance of wind and heat is seen in boil and sore, mostly due to improper diet and external contraction of wind-heat evil poison, which manifests as foxtail millet at first, hard and deep roots, and then red fever. The pain is severe, the swelling is increasing, and the abscess boil and sore will heal when the root comes out. Treat with clearing heat and removing toxin, and use Five-Ingredient Toxin-Eliminating Decoction ( Yizong jinjian ).

syndrome/pattern of dual exuberance of wind and heat is seen in ulcerative gingivitis. It mostly occurs in people with Yangming Yun-heat in the body. Yangming Yun-heat competes with wind-heat evil and attacks the gums. Redness and swelling of the gums are seen at the beginning of the disease. Pain, fever or Hanre attacks, followed by gum erosion, accompanied by bleeding, large constipation knots, nausea and vomiting, tongue texture with red and thin yellow coating, should be treated with dispersing wind and clearing heat, clearing heat and removing toxin , use Stomach-Clearing Powder ( Lanshi Micang ) with dispersing wind.

Wind-fire eyes are caused by the accumulation of wind-heat attacking the eyes. Symptoms include: red and painful eyes, tearing due to photophobia, astringent heat in eyelids, and increased secretions. Treatment should be dispelling wind to clear away heat, and use to drive it away. Wind dissipating heat drink( Shenshi Yaohan).

Wind red sore (eyelid dermatitis) As described in "Shen Shi Zunsheng Shu": "Due to the accumulation of wind and heat in the spleen, sores appear on both eyelids like red smears." The main manifestations are: eyelid and eyelid redness and ulceration, pain, cutaneous pruitus, red tongue texture, floating pulse. Treatment should be dispelling wind, clearing away heat, and removing toxin. Use Five-Exuviae Powder ( Shiyi Dexiao Fang ) or Four Ingredients Decoction ( Yizong jinjian ).

syndrome/pattern of dual exuberance of wind and heat is seen in children with palpitation due to fright, as recorded in Taiping Shenghui Fang: "In children with palpitation due to fright, heat is caused by heart blockage and is wind. If it is caused by evil, it will cause a lot of fright. If you are frightened, you will have constant palpitations. "The treatment should be to clear away the heat and calm the fright, and then use Cow-Bezoar Pill ("Hundred Questions for Infants and Children") or Redness-Removing Powder ( Xiao'er Yaozheng Zhijue ) addition and subtraction.

syndrome/pattern of dual exuberance of wind and heat often occurs in people with strong constitutions and accumulated heat in the body. It is prone to occur in young adults and children, as well as in smokers and alcoholics. The consequences are as follows: firstly, heat overcomes blood motility; secondly, wind-heat can easily cause convulsions, which is especially common in children; thirdly, heat can damage fluid and easily turn into syndrome/pattern of yin deficiency and internal heat, which is common in ophthalmology diseases. In people with the disease, the four symptoms can turn into syndrome/pattern of qi and yin deficiency, which is seen in patients with surgical diseases such as sore and ulcer boil and sore boil.

[Type Evidence Identification]

1. syndrome/pattern of dual exuberance of wind and heat and syndrome/pattern of wind and heat invading the upper: Both feel the evil of wind and heat, and both can see fever, thirst, red tongue, pulse Representation of floating numbers. However, the main clinical symptoms are different due to the different parts of the body visited by wind-heat evil. The former is caused by wind-heat blocking the face and the skin cannot vent, so the face is red, or the skin develops sores, boils and sores, etc., while the latter is caused by wind-heat. When the upper heat block is cleared, headache, deafness, etc. are seen. The former has a stronger heat block, while the latter tends to occur in the upper area and has mild symptoms, so it is easy to identify.
2. syndrome/pattern of dual exuberance of wind and heat and syndrome/pattern of congestion and exuberance of fire and heat and pathogenic toxin: Both of them carry the heat evil, and both can show local skin redness and swelling, and both can see hemorrhage. However, the former is caused by wind evil, because the wind-heat is blocked in the face and the skin cannot vent, resulting in red eyes, boils and sores on the skin, so cutaneous pruitus can be seen moving around, or vertigo, waiting for the wind to move. Elephant, the latter is a heat-inflicted poison. The heat is contained in the body, which is most likely to cause bleeding. Therefore, the macula and papule are more obvious and the symptoms of internal heat are more severe. Commonly seen are high fever, dysphoria, and tongue texture as red as Chinese wax. myrtle bark, the rash is usually purple-red in color, so it is easy to identify.

[Documentation]

Zhubing Yuanhou Lun ‧The princes of wind diseases: "Mrs. yang qi, external deficiency will lead to profuse sweating, sweating will occur when wind, wind qi beats in the muscles, and when combined with heat, it will produce 㾦㿔. The shape is like a mad bean. , or even become swollen and become sores when scratched."