| pattern | Blood Heat and Blood Movement |
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| alias | Blood-heat Disorder |
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Syndrome/pattern of blood-heat with blood stirring refers to clinical manifestations such as hemoptysis, vomiting of blood, bloody stool, and disturbance of mental activity caused by heat in the blood aspect, or heat evil invading the blood aspect, burning the blood collaterals, and forcing the blood to act recklessly. symptoms and signs. It is mostly caused by external contraction heat evil, emotional stagnation, and dietary addiction.
The main clinical manifestations are: hemoptysis, vomiting, hematuria bloody stool, spots, fever, upset, palpitation, or restlessness, thirst, constipation, yellow urine, red tongue texture, thready and rapid pulse, etc.
blood heat syndrome/pattern is commonly seen in "wind-warmth", "spring warmth", "summerheat warmth", "dysentery", "hematemesis", "epistaxis", "bloody stool" and other diseases. This syndrome should usually be associated with " syndrome/pattern of blood heat transforming into dryness ", " syndrome/pattern of blood heat complicated by dampness ", " syndrome/pattern of yin deficiency and blood heat " phase identification.[Identification Processing]
Syndrome/pattern of blood-heat with blood stirring Different diseases have different disease cause locations, clinical manifestations have certain characteristics and different treatments, so they must be analyzed in detail. syndrome/pattern of blood-heat with blood stirring is usually caused by the invasion of external evils, injury to the blood collaterals; or excessive emotions, five minds transforming into fire, or excessive drinking and spicy food, accumulating heat in the gastrointestinal tract, such as Linzheng Zhinan Yi'an ‧ hematemesis" said: "Wine, heat, and stomach upset can help stimulate blood flow." Or excessive fatigue, exuberance of heart fire, transfer heat to the small intestine; or chronic illnessRebing , liver kidney deficiency, frenetic stirring of ministerial fire, can all cause heat damage to the blood vessels, "blood will boil when it is hot", forcing the blood to act indiscriminately and causing bleeding. Zhang Jing-yue said: "Movement is mostly caused by fire, and when fire is strong, it forces blood to flow." The basic treatment principles are cooling blood and stopping bleeding. syndrome/pattern of blood-heat with blood stirring, regardless of hematemesis, epistaxis, hemoptysis, bloody stool, hematuria, all have bright red bleeding, red tongue and rapid pulse, as well as fever, upset, or irritability and madness. Thirst means liking to drink, constipation means yellow urine, spots, etc. In warm febrile disease, the syndrome/pattern of heat entering the blood phase, the symptoms include severe heat, body burning, dysphoria, unconsciousness, delirious speech, or convulsion, hematemesis, epistaxis, bloody stool, dense macula and papule all over the body, and tongue texture. Deep crimson, thready or weak pulse, etc., characterized by hemorrhage and blood consumption. Blood aspect syndrome/pattern is often caused by the incomprehension of nutrient aspect syndrome/pattern, which is introduced into blood aspect, or caused by the direct entry of qi aspect evil heat into the blood. When evil heat enters the blood, it is more serious than the nutrient aspect. It is usually the most serious stage in the development of warm febrile disease. It should be treated by clearing heat and cooling blood. Rhinoceros Horn and Rehmannia Decoction (Qianjin Yaofang ).
syndrome/pattern of blood-heat with blood stirring Due to disease cause; location of disease, specific treatments are also different. For example, epistaxis, gingival hemorrhage, macula and papule exposure, fever, upset, thirst, dark tongue, yellow coating, rapid pulse, should be treated by clearing lung heat, cooling blood and stopping bleeding. Rhinoceros Horn and Rehmannia Decoction (Qianjin Yaofang 》. Hematemesis manifests as hematemesis in multiple colors and bright red, body heat, swollen head, red eyes, flushed face, thick gas, large constipation knots, short red urine, and dark tongue Red, yellow and dry fur, rapid pulse. "It should be treated by clearing stomach fire, cooling blood and stopping bleeding. Use Jade Lady Decoction (Jingyue Quanshu) combined with Ten-Ash Powder (Shiyao Shenshu ). The symptoms of bloody stool include large constipation knots, bright red blood, body heat and sweating, thirst and cold drinking, flushed face and thick gas, large constipation knots, short red urine, red tongue, yellow and dry coating, and heavy and rapid pulse. It is powerful and should be used to resolute dampness, cool blood and stop bleeding. Use Heart-Draining Decoction (Jingui Yaolue) combined with Ten-Ash Powder (Shiyao Shenshu). , manifested by bright red hematuria, high fever, dysphoria, thirst, cold drinking, macula and papule, or epistaxis, large constipation knots or bloody stool, crimson tongue, yellow dry fur, rapid pulse, the treatment is suitable for clearing stomach fire, cooling blood and Stop bleeding, use Rhinoceros Horn and Rehmannia Decoction (Qianjin Yaofang). Although bleeding is common in syndrome/pattern of blood-heat with stirring blood, it has different manifestations in various diseases. Treat separately according to the characteristics of the above disease syndromes. In warm febrile disease, the syndrome/pattern of blood-heat with blood stirring is often prone to the following two mechanisms of disease outcomes: First, the evil heat cannot be resolved for a long time, and it penetrates into the lower energizer and burns the liver blood kidney essence. Damage to yin due to dryness, depletion of true yin, inability to moisturize body fluids and blood, dry mouth, burnt teeth, dry skin or cutaneous pruitus, flaccid tongue, sunken eyes, flushing of cheekbones, wriggling of limbs, or even convulsion, and a heavy heart. It is characterized by a dry tongue with less coating and a weak and large pulse. The treatment should be to promote fluid production and save yin, and use Fumai Chang (Wenbing Tiaobian). The second is that due to excessive evil heat, the healthy qi is weakened and the healthy qi is not supported, causing the healthy qi to burst out suddenly and the body fluids cannot be kept internally, so the body heat suddenly retreats, resulting in great dripping sweating, complexion, paleness, and shortness of breath. , dysphoria means restlessness, pulse manifestation means shortness and subtleness. The appropriate treatment is tonifying qi, and the prescription is Pulse-Reinforcing Powder ("Internal and external disease caused by cold").[Type Evidence Identification]
syndrome/pattern of blood heat transforming into dryness and syndrome/pattern of blood-heat with blood stirring: both have the appearance of blood heat, disease cause mechanism of disease are related to each other, heat and dryness are easy to damage to fluid blood consumption, movement Large amounts of blood or prolonged blood flow can easily lead to blood dryness, and dryness-heat is often seen clinically. In terms of disease cause, the syndrome/pattern of blood heat transforming into dryness is often caused by heat in the blood aspect, causing hemorrhagic damage to yin, or misuse of sweating, vomiting, purgative methods, resulting in deficiency of essence and blood, and the body loses nourishment, which often heals It occurs in those with yin deficiency, yang exuberance, or the elderly and infirm. The clinical manifestations are fever, dry mouth and throat, irritability, spots and spasms, withered hair, cutaneous pruitus, scaly skin, weight loss, and urination. Less dry stools, bleeding, red tongue texture, dry tongue coating and less fluid, thin and astringent pulse. syndrome/pattern of blood heat transforming into dryness, 1. Its dryness is easy to turn into wind, wriggling of limbs, and even convulsion, heart is agitated, convulsion goes crazy, etc.; 2. Its evil heat is excessive, which can eliminate healthy qi, Or the yin blood is depleted and damaged over time, unable to hold down the yang, causing healthy qi to break out. syndrome/pattern of blood-heat with blood stirring is usually caused by heat invading blood aspect, five minds transforming into fire, drinking too much, eating spicy food, or being overworked. The clinical manifestations include fever, hemoptysis, demons, Symptoms such as vomiting, dysphoria, etc. can also be seen. Syndrome/pattern of blood-heat with blood stirring must be characterized by hemorrhage, while syndrome/pattern of blood heat transforming into dryness is dominated by yin deficiency. It is not difficult to distinguish between the two.
syndrome/pattern of blood heat complicated by dampness and syndrome/pattern of blood-heat with blood stirring: Both syndromes are blood heat. In terms of disease cause, syndrome/pattern of blood heat complicated by dampness is mostly due to the feeling of dampness. -Heat evil, or improper diet, craving for alcohol, meat, fat, and sweet food, combined with the original blood heat. Although there is blood heat, the clinical manifestations are many signs of dampness evil. It can be seen that the head and body are heavy, dry mouth and no desire to drink. , abdominal distension and fullness, no desire to eat; tongue coating is yellow and greasy, and the pulse is often slippery and slippery, and is often accompanied by spleen soil due to dampness, spleen qi consumption injury, manifested as lack of strength, poor appetite, etc. Or the accumulation of dampness and fire may cause phlegm to clog the orifices, and the clinical manifestations include dysphoria, unconsciousness, delirious speech, etc. Syndrome/pattern of blood-heat with blood stirring is often caused by heat evil, spicy food, or overwork, heat invading blood aspect, burning blood collaterals, and causing blood-heat to behave indiscriminately. The clinical manifestations are often hemorrhage and heat evil. Loss of blood can also cause damage to yin, which is often accompanied by dry mouth and lips, dry eyes and itchy skin. It can be seen from this that syndrome/pattern of blood heat complicated by dampness and syndrome/pattern of blood-heat with blood stirring, although both have blood heat, the former can be seen as spleen deficiency due to dampness, and the latter can be seen as blood motility and yin consumption. Symptoms, which can be identified.
syndrome/pattern of yin deficiency and blood heat and syndrome/pattern of blood-heat with blood stirring See syndrome/pattern of yin deficiency and blood heat under "Syndrome Identification" for details.