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ThepatientsPatient1:a45yearsoldman,whoisaleaderofacompany,healwaysinanxious,andhehasheartdisease.Patient2:ayoungstudent,beforetheexam,hestudiesalldayandallnightforaweek,andnowfeelstomachache.Patient3:a40yearsoldwoman,whoisveryliketoeatsweet,shehasmenopausefor40days.第一页,共59页。etiologyExternalpathogensInternalpathogensSixevilsExternaldiseaseabnormalemotionsimproperdietlaborandrestPhlegmBloodStasisinternaldisease第二页,共59页。1.sevenemotionsjoyangerdepressedanxietysorrowfearshockresponsestotheenvironmentalstimulisudden,strong,longemotionalstimulibeyondthebody’sadaptabilitycausedysfunctionofvitalQiimbalanceofYinandYanginternaldisease第三页,共59页。1.sevenemotionsacertaininternalorganiscloselyrelatedtoacertainemotionalactivity.liverheartsorrowspleenfearjoyimpairskidneylungangeranxietysevenemotionsfivezang第四页,共59页。1.sevenemotionsTheabnormalemotionsmainlyinfluencevitalQi,soastocausethedysfunctioninascendinganddescendingofQi.sinkconsumedsorrowdisordershockjoysluggishascendangeranxietystopfearfivezangsevenemotions第五页,共59页。2.ImproperdietImproperdietcomprisesthreeaspects1.theuncontrolleddiet2.uncleanlyfood3.dietpreference第六页,共59页。2.1ControlleddieFed-upnessorgluttonyfoodretardantingastrointestinaltractabdominalfullnessanddistention,waterbrash,anorexia,vomitinganddiarrhoeaetcquantitative第七页,共59页。2.1ControlleddietimingmealEatingregularlycanguaranteeactivitiesofthedigestionandabsorptionfunctionAppropriateisagoodbreakfast,satisfiedlunchandlittledinner第八页,共59页。2.2UncleanlyfoodUncleanlyfoodstomachandintestinediseases,parasiticdiseaseorevenfoodpoisoning.resultsin第九页,共59页。2.3DietpreferenceDietpreferenceasanetiologicalfactorreferstoaddictingtoaspecialtropismtasteoffood.
Improperdietstructure,oreatingtoomuchcoldorheatfood,oreatingflavorpredilectionleadtotheimbalanceofYinandYang,orlackofnutritionandcausedisease.第十页,共59页。3.laborandrest1excessivethought2.excessivephysicallabor3.excessivesexualAdequatelaborhelpbloodandQiCirculatesmoothlyandfluentlyenoughrestrestorephysicalandmentalenergy第十一页,共59页。3.1ExcessivethoughtSymptomsheartpalpitations,forgetfulness,insomnia,muchdreamorindigestion,abdominaldistension,loosestoolsexcessusingofbrainconsumptionofbloodimpairmentofthespleenandheart第十二页,共59页。3.2ExcessivephysicallaborexcessivephysicallaborConsumptionofqiinjuredinthesinewsorbones“Longstandingharmbone,longwalkdamagetendons”.第十三页,共59页。3.3.excessivesexualsexualindulgencedirectlyleadsthedeficiencyofkidney-essenceThecommonsignsarelumbardebility,dizziness,tinnitus,depression,orspermatorrhea,decreasedsexualfunction,orimpotence.第十四页,共59页。4.PhlegmPhlegmreferstothepathologicalproductofwatermetabolismdisorders.第十五页,共59页。4.PhlegmSixExogenousInternalpathogensgasificationoflungs,spleen,liver,kidneyandtri-jiaoaredislocatedstagnationofbodyfluidPhlegm第十六页,共59页。Phlegmpathogenicfeatures1.ItblocksthecirculationofQiandblood.2.Ithaseffectonwatermetabolism.3.Easytodeceivethemind.
causingepilepsy,madandotherdiseases.4.Widelypathopoiesisandever-changing.thecoursetendstobecomparativelylong,lingeringandcomplicated.第十七页,共59页。5.BloodStasisQi’spoororblockbloodrunssluggishExogenouscoldevilorYincoldinsidecoagulateSyndromeofheatinbloodbloodknotwithpathogenicheatandrundisordered.avarietyoftraumaorotherreasoncausebleedingAnomalousbloodfailedtopromptlydissipate第十八页,共59页。Characteristicsofbloodstasis1.Thediseaselocationisfixedandlastforalongperiod.2.Duetobloodstasisindifferentpartsthepathologyalsodifferent.
brain—suddenlycollapsed,unconsciousheart—palpitations,chestpain,shortnessofbreathsuchasknottedpulse,intermittentpulseorhesitantpulseuterus—pain,irregularmenstruation,darkmenstrualbloodmixwithcoagula.“Qi-stagnationandbloodstasisgotogether".第十九页,共59页。Symptomsofbloodstasis1.Pain:pricking,locationofthepainisfixed,refusedtopressandshockatnight.2.Tumor3.Hemorrhage:colorlooksdarkpurpleormixwithbloodclot.4.Darkpurplelooking:
lipsandnailsdarkpurple;5.purpletongue.
Ecchymosisinthetonguebody.
第二十页,共59页。What’stheirproblems?Patient1:a45yearsoldman,whoisaleaderofacompany,healwaysinanxious,andhehasheartdisease.Patient2:ayoungstudent,beforetheexam,hestudiesalldayandallnightforaweek,andnowfeelstomachache.Patient3:a40yearsoldwoman,whoisveryliketoeatsweet,shehasmenopausefor40days.第二十一页,共59页。DiseaseControlPrinciplesThePreventativeprinciplesoftraditionalChineseMedicineisusingvariousmethodstopreventdiseaseoccurrence,development,transferorrecurrenceincluding
preventionof
DiseaseOnsetandPreventingDiseaseFromExacerbating.第二十二页,共59页。1.PrincipleofPreventionThePrincipleofpreventionisageneralprinciple1.PreventionBeforeDiseaseOnset2.TreatingDiseaseByTheRoot3.AdjustingYinandYang3.Supportingtherightqiandeliminatingevil4.DesigningtreatmentAccordingToPerson,Place,Timeandenvironment.第二十三页,共59页。Itreferstomobilizethebody'sallpositivefactors,takevariouseffectivemeasurestodoagoodjobofpreventionbeforethediseaseoccurandpreventthehappeningofthedisease.ThecorecontentofPreventionBeforeDiseaseOnsetistoimproverightqiandstrengthenbody’sdisease-resistantability.1.1PreventionBeforeDisease第二十四页,共59页。1.1PreventionBeforeDiseaseStrengthenvitalQi1.Regulatingmentalstates2.Physicalexercise3.Medicinefood4.thegoodlivingcircumstances5.goodworkingconditions第二十五页,共59页。redfoodheartReddatehawSweetpotatopotatoRedbeanReddate第二十六页,共59页。yellowfoodspleenSweetpotatopumpkinsoybean第二十七页,共59页。whitefoodlungwintermelonlotusrootwhitefunguspear第二十八页,共59页。blackfoodkidneyblackricesesameJew’searblackbean第二十九页,共59页。Medicinefoodgreenfoodliver第三十页,共59页。1.1PreventionBeforeDiseasepreventtheinvasionofevilqi
1.payattentiontohygiene,preventthepollutionofenvironment,waterandfood2.avoidtheinvasionofsixexogenouspathogens,epidemicpestilence,sevenemotionalaffects,diet,labour第三十一页,共59页。1.2PreventingdiseasefromexacerbatingPreventingDiseaseFromExacerbatingreferstoearlydiagnosisandtreatmentfortheoccurreddisease,soastopreventthediseasedevelopmentandtransfer.第三十二页,共59页。1.2Preventingdiseasefromexacerbating
Timelyandeffectivetreatmentcanpreventfurthertransmissionofdiseases.Whenexteriorevilinvadesthehumanbodyifwecannotmaketherightdiagnosisandtreatmenttimelyevilwillpassintotheinteriorstepbystep
Patients’conditionmoreandmorecomplexanddeepThetreatmentwillbemoredifficult.第三十三页,共59页。Waysofearlydiagnosisandtreatment:
BasedonthetheoryofTraditionalChineseMedicineandmedicalpractice1.changesininternalconditionofthebodycanbesensedbyexaminingtheexternalphenomenon2.theoverallsituationcanbeknownbyminorchangeinpartofthebody.3.Onthebasisofunderstandingthenormal,wecanfindabnormalchanges4.wecanjudgeandmastertheevolutionalpatternofdiseasedevelopmentandtransfer第三十四页,共59页。Preventingshift
Shift
referstodiseaseevilpassaingmoveorchangefromonechanneltoanotherorfromoneorgantoanother.Infivephasestheory:
liverbelongtowoodandspleenbelongtoearth,liver-woodcanexploitthespleen-earth,soliverdiseasecertainlypassedtothespleen,leadtospleendisease,thisistheruleofshift.Tostoptheshift,whenwetreattheliverdiseaseinclinic,methodoffortifyingthespleen.第三十五页,共59页。2.Principleoftreatment(1)Treatingdiseasebytherootreferstothecauseoressentialnatureofdiseasemustbefound
InAcuteConditionsTreatThebranchInModerateConditionsTreatRoot第三十六页,共59页。2.Principleoftreatment(2)AdjustingtheYinandYang
AdjustingYinandYangisoneofthebasicprinciples,usedtoreducesuperabundance,supplyinsufficiency第三十七页,共59页。2.Principleoftreatment(3)SupportingvitalQianddispellingevil
TheoutcomeofevilandvitalQistruggledecidestheprognosisofthediseasedirectly.Supportingrightqianddispellingevilqicanchangethepowerbalanceonbothsidesofrightandeviltohelphealthedisease.
第三十八页,共59页。2.Principleoftreatment(4)UnlikeTreatmentofLikeDisease
Referstothesamedisease,duetodifferentpatterns,treatmentshouldbedifferent.Forexample,thesameasthediseasecommoncold,ithasdifferentpatternssuchaswind-cold,wind-heat,heat,qideficiency,thustreatmentmethodsarealsodifferent.第三十九页,共59页。2.Principleoftreatment(5)LikeTreatmentofUnlikeDisease
Inthedevelopmentprocess,therewillbethesamepatternindifferentdiseasesanddifferentconditions,sothetreatmentmethodisthesame.
Suchasenduringdiarrhea,floodingandpotting,prolapseoftheuterus,ptosisofthestomach,theyaredifferentdiseases,buttheyallcomplywiththepatternofcenterqifall,thusshouldbetreatedwiththetreatmentmethodofascendingupspleen-Qi.第四十页,共59页。2.PrincipleoftreatmentTCMbelievesthatmanandnatureareasawhole,thesituationitselfdiffersinthousandsofways.Therefore,whentreatingdisease,weshouldgivefullconsiderationtoallthefactors,givetheappropriateandindividualtreatment.
ActingaccordingtotimeActingaccordingtopersonActingaccordingtoplace
第四十一页,共59页。Actingaccordingtotimereferstodeterminewhatissuitableforthepatientinaccordancewiththetimeoftheyear.Forexample,Insummer,theweatherishot,theintersticesloosenandopen,whentreatingpatientssufferingfromwind-cold,warmacridmedicinalsshouldnotbeusedtooexcessivelysoastoavoidcopioussweatingdamagingtoyang
qiandthefluids.第四十二页,共59页。ActingaccordingtoplaceActaccordingtoplacereferstodeterminewhatissuitableforthepatientinaccordancewiththegeographiclocation.
Forexample,thesamewind-coldexteriorpattern,Inthenorthwestregion,MahuangandGuizhishouldbeusedmoretodrasticsweatingwhileinthesoutheastregionJingjie,Suye,Dandouchiusedmore,Mahuangifnecessaryused,shouldbeusedless.第四十三页,共59页。1.2.5ActingaccordingtopersonActaccordingtopersonistodeterminewhatissuitableforpatientsaccordingtotheirsex,ageandconstitution.Treatmentformalefocusonadjustingvisceraqi,whiletreatmentoffemalefocusonadjustingbloodandtreatingliver.Fatpeoplehavemorephlegmaticwhilethinpeoplehavemorefire.第四十四页,共59页。TherapyEightMethods:1.diaphoresis,2.ejection,3.precipitation,4.harmonization,5.warming,6.clearing,7.supplementation8.dispersion.第四十五页,共59页。1.DiaphoresisDiaphoresiswasdividedintotwocategorieswind-coldsyndromewind-heatsyndromewarmthandacriditymedicinecoolandacriditymedicine第四十六页,共59页。1.DiaphoresisClinicalapplicationofdiaphoresis:1
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