[Concept]

Yin deficiency syndrome/pattern refers to the general term for the clinical manifestations of yin deficiency resulting from insufficient semen and blood or loss of body fluids, and yin does not control yang. It is mostly caused by congenital loss, long-term illness and strain, or Rebing anus fluid depletion. The yin deficiency syndrome/pattern mentioned in this article refers to the overall yin deficiency syndrome/pattern of the body, which is related to and different from the yin syndrome/pattern of each zang-fu organ. The yin deficiency syndrome/pattern of each zang-fu organ is respectively It is introduced by the relevant entries and will not be repeated in this article.

Yin deficiency syndrome/pattern The main clinical manifestations are: weight loss, dry mouth and throat, vertigo insomnia, tidal fever night sweat, vexing heat in chest, palms and soles, red cheeks in the afternoon, oligouria and yellow color, dry and hard stools. Red tongue with little coating, thready and rapid pulse.

Yin deficiency syndrome/pattern is commonly seen in "consumptive disease", "labor therapy", "consumptive thirst", "vertigo" and other diseases.

This syndrome should be clinically distinguished from "blood deficiency syndrome/pattern", "fluid deficiency syndrome/pattern", and "dampness-stagnation-heat syndrome".

[Identification Processing]

Yin deficiency syndrome/pattern can be found in a variety of diseases. Due to its different disease cause and location of disease, the clinical manifestations are also different.

• For example, consumptive disease and yin deficiency syndrome/pattern are mostly caused by insufficient endowment, excessive housework, depletion of yin essence, and zang-fu organ deficiency. Symptoms include dizziness, red cheeks, and sore throat. , insomnia, night sweat, vexing heat in chest, palms and soles, backache, seminal emission, red tongue with peeling coating, thready and rapid pulse. These are all symptoms of yin deficiency with effulgent fire. It is best to strengthen the master of water to control the sun. Six-Ingredient Rehmannia Pill ( Xiao'er Yaozheng Zhijue ) .
• If this syndrome is seen due to pulmonary tuberculosis, it is mostly caused by tuberculosis invasion, lung damage, and lung yin loss over time. Yin deficiency causes internal heat, so steaming bone fever, red cheeks, cough, hemoptysis, and chest are seen. Rib pain, night sweat, upset insomnia, red tongue, thready pulse and other symptoms should be treated with enriching yin and clearing the lung. Large Gentian and Turtle Shell Powder ( Weisheng Baojian ) addition and subtraction.
• If yin deficiency syndrome/pattern occurs due to consumptive thirst, it is mostly caused by physical yin deficiency, overwork, emotional imbalance, thick taste, and heat damage to yin. It manifests as severe thirst leading to drinking, overeating and weight loss, frequent urine with sweet taste, red tongue texture, and thready and rapid pulse. The treatment should be to nourish the yin fluid and use Six-Ingredient Rehmannia Pill plus or minus.
• If yin deficiency syndrome/pattern appears in vertigo disease, it is mostly due to yin deficiency causing internal stirring of liver wind, so vertigo tinn itus, limb tremor, muscular twitching, vexing heat in chest, palms and soles, nausea vomiting, tongue Symptoms such as redness and thready pulse. To treat nourishing yin and extinguishing wind, choose Major Wind-Stabilizing Pearl ( Wenbing Tiaobian ) to add or subtract.

Yin deficiency syndrome/pattern is common in chronic diseases, and the disease easily consumes Yin fluid over time. People who like to eat broiled and stir-fried foods are prone to heat accumulation and damage to yin, leading to yin deficiency syndrome/pattern. Wu Ju-tong said: "Wherever the heat passes, the yin will be damaged." Therefore, warm febrile disease late stage [third stage] has the potential to damage yin, and yin deficiency syndrome/pattern often occurs.

There are often three situations in the evolution of mechanism of disease:

• One is yin deficiency with less fluid, yang qi losing its control, and yin deficiency turning into wind. Syndrome/pattern of yin deficiency and wind stirring. Its clinical manifestations are headache vertigo, numbness and tremor in the limbs, wriggling of limbs, and difficulty speaking;
• The second is yin deficiency syndrome/pattern that persists for a long time, yin deficiency and yang deficiency syndrome/pattern of both yin and yang deficiency. Its clinical manifestations include tidal fever night sweat, vexing heat in chest, palms and soles of yin deficiency syndrome/pattern, and fatigue, lack of strength, fear of cold and cold limbs of yang deficiency syndrome/pattern;
• The third is warm disease late stage [third stage], or some internal damage Zabing, loss of yin fluid, original qi is also injured, syndrome/pattern of qi and yin deficiency appears, manifested as fatigue, lack of strength, shortage of qi laziness, dry mouth and throat, low-grade fever or tidal fever, vexing heat in chest, palms and soles, spontaneous sweating, night sweat, weak and rapid pulse, etc.

[Type Evidence Identification]

1. blood deficiency syndrome/pattern and yin deficiency syndrome/pattern: blood deficiency syndrome/pattern belongs to the category of yin deficiency syndrome/pattern. The disease cause mechanism of disease and clinical manifestations of the two are similar. Blood deficiency syndrome/pattern is caused by spleen-stomach weakness, insufficient generation and transformation, or excessive thinking, dark consumption of yin blood, or excessive loss of blood. The main clinical manifestations are complexion or shallow yellow, pale lip and tongue color, palpitation insomnia, dizziness, dizzy vision, numbness of limbs, and thready pulse. Yin deficiency syndrome/pattern is caused by insufficient endowment, excessive thinking, damage to yin fluid consumption, chronic bleeding, long-term disease damage to yin fluid, or warm febrile disease damage to yin fluid consumption. In addition to the symptoms of blood deficiency syndrome/pattern, clinical manifestations include tidal fever, night sweat, irritability, red cheeks, red tongue, and thready pulse in the afternoon. The key to distinguishing blood deficiency syndrome/pattern from yin deficiency syndrome/pattern is that yin deficiency syndrome/pattern has the heat phenomenon of yin not controlling yang.
2. fluid deficiency syndrome/pattern and yin deficiency syndrome/pattern: body fluids belong to yin, fluid deficiency syndrome/pattern also belongs to the category of yin deficiency syndrome/pattern, but yin deficiency syndrome/pattern includes a wider range, fluid deficiency syndrome/pattern It can further develop into yin deficiency syndrome/pattern. Fluid deficiency syndrome/pattern is caused by profuse sweating, vomiting and diarrhea and dryness-heat damage to fluid. The main symptoms include dry throat, dry lips and tongue, dry or shriveled skin, short urine, dryness accumulation in stool, and thready pulse. The symptoms of yin deficiency syndrome/pattern include dizziness, dizzy vision, palpitation insomnia, tidal fever night sweat, vexing heat in chest, palms and soles, etc. Yin blood deficiency and endogenous heat syndrome are used to distinguish it from body fluids deficiency. point.
3. Dampness-heat syndrome and yin deficiency syndrome/pattern: Fever manifested by dampness-heat syndrome often "appears like yin deficiency, but the disease is difficult to cure", so it should be differentiated. The dampness-heat syndrome is caused by the dampness-heat climate, or wading in the rain, or living in a humid place. Damp evil invades the human body. The dampness is heavy and turbid, hindering yang qi, and the heat cannot be dissipated and emitted. The main clinical manifestations are hiding fever, severe fever in the afternoon, persistent sweating, lack of strength, abdominal distension and fullness, heaviness of head, heavy limbs, loss of appetite, thick and greasy tongue coating, and rapid and rapid pulse. Performance. Abdominal distension and fullness of the chest, anorexia, heaviness of head, heavy limbs, greasy coating and other symptoms of dampness obstruction syndrome are not seen in yin deficiency syndrome/pattern, and its hiding fever, sweating and fever do not go away. , and is different from the yin deficiency syndrome/pattern of vexing heat in chest, palms and soles, afternoon cheek redness.

[Documentation]

1. Suwen-Tiaojing Lun: "The emperor said: yin deficiency leading to internal heat, what can I do? Qibo said: there is an overstrain, the body energy is weak, the grain energy is not strong, the upper energizer is not good , the lower abdomen is blocked, stomach qi is hot, and the heat is in the chest, so there is internal heat. ” Therefore, the shortage of qi is caused by heat and sweating. "
2. Lingshu-Benshen Chapter: "The five zang-organs are the ones that store essence. They should not be injured. If they are injured, they will lose their strength and cause yin deficiency. If there is no Qi, then you will die. "
3. Yixue Zhengzhuan ‧ Medicine may ask: "Yin deficiency is the true meaning of kidney essence. The disease is mostly high fever, so it is responsible for it. If there is no water, the treatment method is to add Anemarrhena, Phelloendron Bark and other medicines to blood tonic, or Major Yin-Tonifying Pill, enriching yin Major Tonifying Pill, etc. "
4. Zhengzhi Huibu ‧ vomiting": " Yin deficiency causes vomiting, not only the gastrointestinal system is a disease, the so-called absence of yin causes vomiting."