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Wen Bing 1 by qingyunliuliu

VIEWS: 17 PAGES: 27

									Wen Bing 5




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Autumn Dryness




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          Autumn Dryness
• Dryness pathogenic factor attack in Autum
• Starts from LU
• Dryness damages body fluid




                                          3
• Etiology and Pathology
  – Cool dryness
  – Warm dryness




                           4
• Diagnosis
  – Seasonal factor: beginning of Autumn
  – LU Wei-stage symptoms with dry mouth, nose,
    skin, etc
  – LU,ST, seldom transmit to Lower Jiao




                                              5
• 1. Autumn Dryness in LU Wei-stage
  – Fever, slight aversion to wind cold, cough with little
    phlegm, hoarse voice, dry throat, dry nose, slight
    thirst, red tongue tip and edge with dry thin white
    coating, rapid large pulse on right
  – Sang Xing Tang
     •   桑叶sang ye (Folium Mori Albae)
     •   杏仁xing ren (Semen Pruni Armeniacae)
     •   沙参sha shen (Radix Adenophorae seu Glehniae)
     •   贝母 bei mu (Bulbus Fritillariae)\
     •   豆豉dou chi (Semen Sojae Praeparatum)
     •   栀子zhi zi (Fructus Gardeniae Jasminoidis) skin
     •   Pear skin


                                                             6
• 2 Autumn dryness in Qi-stage
  – 2-1 Dryness disturbs orifices
  – 2-2 Dryness heat injures LU
  – 2-3 LU dryness and LI heat with bleeding
  – 2-4 Dryness in LU with constipation
  – 2-5 LU & ST yin injury




                                               7
• 2-1 Dryness disturbs orifices
  – Fever, thirst, tinnitus, red eyes, swollen gums, sore
    throat, dry yellow tongue coating, rapid pulse
  – Qiao He Tang
     •   薄荷bo he (Herba Menthae Haplocalycis)
     •   连翘lian qiao (Fructus Forsythiae Suspensae)
     •   甘草gan cao (Radix Glycyrrhizae Uralensis)
     •   栀子zhi zi (Fructus Gardeniae Jasminoidis) skin
     •   桔梗jie geng (Radix Platycodi Grandiflori)
     •   绿豆lu dou (Semen Phaseoli Radiati) skin


                                                            8
• 2-2 Dryness heat injures LU
   – Fever, thirst, restlessness, non-productive cough, fullness in
     chest, rib pain, dry throat, dry nose, red tongue tip and edge, thin
     white dry or thin yellow dry coating, rapid pulse
   – Qing Zao Jiu Fei Tang
       •   石膏shi gao (Gypsum)
       •   桑叶sang ye (Folium Mori Albae)
       •   甘草gan cao (Radix Glycyrrhizae Uralensis)
       •   人参ren shen (Radix Ginseng)
       •   黑芝麻hei zhi ma (Semen Sesami Indici)
       •   阿胶e jiao (Gelatinum Corii Asini)
       •   麦门冬mai men dong (Tuber Ophiopogonis Japonici)
       •   杏仁xing ren (Semen Pruni Armeniacae)
       •   枇杷叶蜜炙pi pa ye (Honey –fried Folium Eriobotryae Japonicae)

                                                                        9
• 2-3 LU dryness and LI heat with bleeding
  – Itchy throat and non-productive cough at beginning,
    follows severe cough with sticky phlegm with blood,
    chest pain, burning in abdomen, diarrhea, red tongue
    with thin yellow dry coating, rapid pulse
  – E Jiao Huang Qin Tang
     •   阿胶e jiao (Gelatinum Corii Asini)
     •   黄芩huang qin (Radix Scutellariae Baicalensis)
     •   杏仁xing ren (Semen Pruni Armeniacae)
     •   桑白皮sang bai pi (Cortex Mori Albae Radicis)
     •   白芍bai shao (Radix Paeoniae Lactiflorae)
     •   甘草gan cao (Radix Glycyrrhizae Uralensis)
     •   车前草che qian cao (Herba Plantaginis)
     •   Sugar cane
                                                        10
• 2-4 Dryness in LU with constipation
  – Cough with phlegm, fullness in chest and abdomen,
    constipation with dry stools, dry red tongue
  – Wu Ren Ju Pi Tang
     •   杏仁xing ren (Semen Pruni Armeniacae)
     •   郁李仁yu li ren (Semen Pruni)
     •   桃仁tao ren (Semen Persicae)
     •   柏子仁bai zi ren (Semen Biotae Orientalis)
     •   Pine nut
     •   陈皮chen pi (Pericarpium Citri Reticulatae)


                                                        11
• 2-5 LU & ST yin injury
  – After fever or with slight fever, non-productive
    cough or with little phlegm, dry nose, dry
    throat, thirst, dry tongue body with little
    coating, thin rapid pulse
  – Glehnia and Ophiopogonis Decoction 沙参麦
    门冬汤sha shen mai men dong tang



                                                   12
• 3. Autumn dryness in Ying or Xue-stage
  – Fever, thirst, restlessness, with all kinds of
    bleeding, deep red tongue body with yellow
    dry tongue coating, rapid pulse
  – Bai Hu Jia Di Huang Tang
     • Bai Hu Tang
     • Sheng Di




                                                     13
Warm Toxin




             14
             Warm-Toxin
• Acute infectious
• High fever, swollen pain, bleeding macula
  in face, head and throat

• Epidemic infectious disease




                                              15
              Da Tou Wen
• Etiology and pathogenesis
  – Wind-heat toxin attack through nose and
    mouth and obstructed in channels red
    swollen face




                                              16
• Diagnosis
  – Acute onset, high fever, aversion to cold, red
    swollen face, burning pain in local area
  – Winter, Spring




                                                     17
• 1. Pathogen attacks LU Wei-stage
  – Aversion to cold, fever but not high, no
    sweating or little sweating, headache, red
    swollen face, soreness pain all over body, red
    eyes, sore throat, thirst, thin yellow tongue
    coating, floating rapid pulse
  – Jia Wei Cong Chi Jie Geng Tang ( Xian Cong
    Bai, JIe Geng, Zhi Zi, Dan Dou Chi, Bo He,
    Lian QIao, Gan Cao, Dan Zhu Ye, Niu Bang
    Zi, Jin Yin Hua, Da Qing Ye, Chan Tui)

                                                 18
• 2. Excessive toxin in LU ST
  – High fever, thirst, restlessness, swollen pain
    in face, severe sore throat, red tongue with
    yellow coating, rapid excessive pulse
  – Pu Ji Xiao Du Yin (Huang Qin, Huang Lian,
    Xuan Shen, Lian Qiao, Ban Lan Gen, Ma Bo,
    Niu Bang Zi, Bo He, Jiang Can, Jie Geng,
    Sheng Ma, Chai Hu, Chen Pi, Gan Cao)


                                                     19
• 3. Excessive toxin in LU ST & Intestines
  – Fever like burning, fast heavy breathing, restlessness,
    thirst, sore throat, red eyes, red swollen pain in face
    and around ears, constipation, concentrated urine,
    red tongue with yellow coating, rapid pulse
  – Tong Sheng Xiao Du San (Fang Feng, Bai Zhi, Jin
    Yin Hua, Lian Qiao, Niu Bang Zi, Zhi Zi, Hua Shi,
    Mang Xiao, Da Huang, Jie Geng, Gan Cao, Shui Niu
    Jiao, Da Qing Ye, Bo He, Xian Cong Bai, Dan Dou
    Chi)


                                                         20
• 4. ST yin injury
  – Fever’s gone, swollen face disappear, thirst
    with desire of water, poor appetite, dry throat,
    dry eyes, red dry lips, dry tongue body lack of
    fluid with no or little tongue coating, thin a bit
    rapid pulse
  – Qi Xian Yu Yin Tang ( Xian Sheng Di, Xian
    Shi Hu, Xian Bai Mao Gen, Xian Dao Sui,
    Xian Li Zhi, Xian Zhe Zhi, Xian Pi Pa Ye)

                                                     21
              Lan Hou Sha
• Etiology and pathogenesis
  – Warm toxin attack LU ST heat toxin
    obstructed in exterior (Skin, Muscle)
    redness on skin, swollen sore throat
  – scarlet fever




                                             22
• Diagnosis
  – Acute onset of fever, rashes on skin, sore
    throat with pus, deep red tongue body with
    prickles (red bayberry )
  – Winter, Spring
  – severe infections




                                                 23
• 1. Toxin attacks LU Wei-stage
  – Aversion to cold, fever at beginning, followed by high
    fever, sever thirst, swollen sore throat, even with pus,
    rash on skin, red tongue with prickles, white dry
    coating, floating, rapid pulse
  – Qing Yan Zhi Chi Tang (Zhi Zi, Dan Dou Chi, Jin Yin
    Hua, Bo He, Niu Bang Zi, Gan Cao, Chan Tui, Jiang
    Can, Shui Niu Jiao, Lian QIao Ke, Jie Geng, Ma Bo,
    Lu Gen, Deng Xin Cao, Zhu Ye)



                                                           24
• 2. Heat accumulate in upper Jiao
  – Severe heat, thirst, restlessness, swollen sore
    throat, rashes, red tongue body with prickles,
    dry yellow coating, flooding rapid pulse
  – Liang Ge San Modification (Lian Qiao, Huang
    Qin, Zhi Zi, Bo He, Shi Gao, Jie Geng, Gan
    Cao, Zhu Ye, Sheng Di, Dan Pi, Chi Shao, Zi
    Cao)


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• 3. Heat in Qi-stage and Ying-stage
  – Swollen sore throat, air tract obstruction, hoarse voice,
    rapid breathing, rashes on skin in large area, high
    fever, restlessness, deep red dry tongue body with
    prickles, thin rapid pulse
  – Liang Ying Qing Qi Tang (Shui Niu Jiao, Xian Shi Hu,
    Zhi ZI, Dan Pi, Sheng Di, Bo He, Huang Lian, Chi
    Shao, Xuan Shen, Shi Gao, Gan Cao, Lian Qiao Ke,
    Zhu Ye, Lu Gen , Jin Zhi)



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• 4. Remaining toxin injures Yin
  – Swollen sore throat reduced, high fever
    vanished, but still with afternoon fever, dry lips,
    dry skin, dry red tongue body, thin rapid pulse
  – Qing Yan Yang Ying Tang (Xi Yang Shen,
    Sheng Di, Fu Shen, Mai Dong, Bai Shao, Tian
    Hua Fen, Tian Dong, Xuan Shen, Zhi Mu, Zhi
    Gan Cao)


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