Wen Bing headache

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					Wen Bing 1




             1
       General Introduction
• History of Wen Bing
• The well-known TCM doctor from Wen
  Bing school: Wu Youke, Ye Tianshi, Xue
  Shengbai, Wu Jutong, Wang Mengying




                                           2
• Features of Wen Bing
  – specific causes—— warm disease pathogenic
    factors
  – infectious, epidemic, seasonal, regional
  – the development has phases.
  – common clinical manifestations




                                            3
• Classification of Wen Bing
  – According to dominating qi
  – According to season
  – According to onset features
  – According to infectious degree
  – According to syndrome features
  – According to disease loacation


                                     4
• Relationship between Wen Bing and
  Shang Han




                                      5
                  Causes
• Commonness
  – Exogenous
  – Heat feature
  – Fast onset
  – Related with seasons
  – Different disease locations


                                  6
                   Onset
• Onset factors
  – Body constitution factor
  – Nature factor
  – Society factor




                               7
            Infectious Route
• Air borne infection through respiratory
  ducts.
• Food borne infection through mouth
• Contact infection through skin.




                                            8
             Onset types
• Newly onset Wen Bing
• Hidden Wen Bing




                           9
    Differentiation Theories
• Wei-Qi-Ying-Xue differentiation
• San Jiao Differentiation




                                    10
  Wei-Qi-Ying-Xue Differentiation
  Ye Tianshi
                Stimulates the body defensive
                function and a set of
                reactions occurs.
 Warm disease
pathogen
invades body
                Physically damages related
                Zang-Fu organs and their
                functions


                                                11
1.Wei Stage
•Main symptoms:
     fever, slightly aversion to wind-cold,
headache, no sweating or with little sweat, or
with cough, slightly thirsty, thin white tongue
coating, red tongue tip and edge, floating
rapid pulse.
•Pathogenesis


                                              12
•Development
  – Mild pathogen with undamaged vital qi
    push pathogen out. With correct treatment
    on time, the disease can be cured.
  – Severe pathogen and weak vital qi, improper
    or delayed treatmentdirectly transmit to
    Ying stage or even to blood stage. Dangerous
    situation.




                                                   13
2. Qi Stage
Include half interior and half exterior
paten
Widely covered the disease in L, St, Sp,
intestines, GB, etc.




                                           14
• Formation route
  – Transmit from Wei Stage
  – Directly invade Qi stage
  – Hidden warm disease pathogen transmit
    outwardly
  – Ying Stage Qi stage




                                            15
•Main symtoms
  – Excessive heat, no aversion to cold, heavy
    sweating, thirst desire for cold water,
    concentrated urine, red tongue body with
    yellow coating, rapid, forceful pulse.
•Pathogenesis




                                                 16
•Development
  – Severe pathogenic qi vs. strong vital qi, with
    accurate on time treatment  cured
  – Vital qi is weaker than pathogenic qi, with
    improper treatment developed into Ying,
    Blood stage, worsened.
  – After the battle, both pathogenic qi, especially
    yin fluid, and vital qi reduced vital qi can be
    recovered after a period time of treatment
    cured



                                                  17
3. Ying Stage
• Formation
  – The Qi stage pathogenic heat hasn’t been
    cleared, or damp-heat transformed into fire 
    enters Ying Stage
  – Wei stage Ying stage
  – Hidden warm disease pathogen
  – Directly invade Ying Stage



                                               18
•Main symptoms
  – Fever worsen at night, thirst but not desire for
    drink, restlessness, insomnia, delirium , macula
    scattered, deep red tongue body, thin rapid pulse
•Pathogenesis




                                                  19
•Development
  – Ying Stage  Qi Stage
  – The heat pathogen approaches to Xue
    Stagelarge area of macula, internal
    bleeding
  – Convulsion, coma




                                           20
4.Xue Stage (Blood stage )
•Formation

   – Unsolved Ying stage heat Xue Stage

   – Wei Stage, Qi Stage Xue Stage

   – Hidden Warm diseas pathogen in Xue Stage
     directly manifested as Xue Stage syndromes.




                                                   21
•Main symptoms
    – Fever with burning feeling on examiner ‘s
      hand, restlessness, even in coma or mania,
      vomit blood, blood in stools, urine, large area
      covered by macula, crimson tongue
•Pathogenesis




                                                        22
•Compare Xue Stage and Ying Stage




                                    23
•Development

  – Accurate on time treatment hope of being
    cured

  – Death

  – Unrecovery damage



                                                24
      San Jiao Differentiation
    Wu Jutong

•Upper Jiao syndromes: chest, L, Pc

•Middle Jiao syndromes: abdomen, St, SI, LI, Sp

•Lower Jiao syndromes: Lower abdomen, K, Liv.




                                            25
•Upper Jiao syndromes

  – Pathogenic factor attacks L

  – Excessive heat in L

  – Damp-heat in L

  – Heat sink into PC

  – Dampness covers PC



                                  26
•Middle Jiao syndromes

   – Excessive Yangming syndrome

   – Yangming heat and substantial turbid
    combination

   – Damp-heat obstruction in Middle Jiao

   – Damp-heat and substantial turbid combination

   – Dampness obstruct in LI


                                                    27
•Lower Jiao syndromes

   – K Essense consumption

   – Deficient wind stirring internally




                                          28
Transmissions in Wen Bing




                            29
  Relationship between Wei-Qi-Ying-Xue
Differentiation and San Jiao Differentiation.




                                                30
Diagnostics of Wen Bing




                          31
•   Fever , hot sensation
•   Sweating
•   Thirst
•   Shen
•   Convulsion
•   Maculea (Bai Pei)


                            32
          Tongue Examine
• Dynamic Change of Tongue Phenomenon
  – Color of Tongue Coating
  – Thin or Thick of Tongue Coating
  – Dry or Moist Tongue Coating
  – Color of Tongue Body
  – Shallow or Lustrous of Tongue Body




                                         33
• Influence of Season on the Tongue
• The Differentiation of Stained Tongue




                                          34
• White Tongue Coating.
  – Thin white tongue coating without moisture, red
    margin and tip of tongue.
  – Dry, thin and white coating
  – Thick, sticky greasy white coating
  – Dry thick white coating
  – Deep-Red tongue with white greasy coating
  – Accumulated powder like glossy and greasy, thick
    white coating
  – Alkali like white coating
  – White sand like coating (Crystal coating) .
  – Glossy white coating                            35
• Yellow Tongue Coating
   – Thin yellow coating without dryness
   – Dry, thin yellow coating
   – Concurrent yellow coating and white coating.
   – More white than yellow Coating
   – Half yellow and half white coating
   – More yellow than white coating
   – Dry yellow coating
   – Deep-yellow coating
   – Deep-yellow coating without fluid
   – Pale tongue with deep-yellow coating
   – Turbid yellow coating
   – Yellow greasy coating
   – Thin greasy yellow coating
   – Thick greasy yellow coating
   – Suffusion greasy yellow coating
   – Pale tongue with greasy yellow coating
                                                    36
   – Dry thick yellow coating
• Gray Tongue Coating
  – Dry, Gray Coating
  – Greasy, Gray Coating
  – Thin, Greasy, Gray Coating
  – Thick, Greasy, Gray Coating
  – Glossy, Gray Coating




                                  37
• Black Tongue Coating
  – Dry, Black Coating with Prickles
  – Dry, Black CoatingBlack Coating, like Obscure
    Bituminous Coal
  – Dry, Black Coating, Pale Tongue Body




                                                    38
• Red Tongue Body
  – Red tongue tip
  – Red tongue with red spot
  – Red and tender tongue without coating
  – Red tongue with greasy tongue coating




                                            39
• Deep Red Tongue Body
   – Deep luster and red tongue
   – Dry deep red tongue
   – Deep red tongue with whitish yellow tongue coating
   – Deep red tongue with greasy and turbid tongue coating
   – Deep red and moist tongue with greasy tongue coating
   – Deep red and lusterless tongue with greasy tongue
     coating ..
   – Deep red and dry tongue with greasy tongue coating
   – Deep red and mirror-like tongue
   – Dry, dull and flaccid, deep red tongue
   – Tongue with deep red and dry center
   – Deep red tongue
                                                             40

				
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posted:1/26/2011
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