中药医学课件

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HerbsthatClearHeatAmersfoort17February2008PartIIAgendaPEPWhichherbsofHerbsthatClearHeatandDryDampnessareassignedtowhichJiāo?WhatarethepropertiesofLóngDănCăo?Whatisthemainfunction?QīngRèYàoHerbsthatClearHeataddressimbalancescausedbyexcessiveheat,whethermildorextreme,atvariouslevelsofpathologicalpenetrationofthebody,byclearingheat,purgingfire,orcoolingorgansorsubstancesinjuredbyheat.QīngRèYàoHeatisapathogenicfactorinmanydiseasepatterns.Warmth,heatandfirerefertodegreesofseverityofthesamepathologicalentity.warmth(wēn)=mildexpressionheat(rè)=moderateconditionfire(huŏ)=theextremeAskbeforeshow:severityQīngRèYào-DisordersInvasionofheatfromexteriortointeriorShíRèandHuŏaffectingZàng-FŭShíRè(实热)atYíngandXuèlevelsAccumulationofShī-Rè(湿热)FebriledisordersFormationofpusandabscessesinoroutsideofthebodyConditioncharacterizedasXūRèQīngRèYào-CategoriesHerbsthatDrainFireHerbsthatCooltheBloodHerbsthatClearHeatandDrainDampnessHerbsthatClearHeatandResolveToxicityHerbsthatClearHeatfromDeficiencyQīngRèYào-CautionShouldbeusedonlywhenneeded.Overdose,prolongeduse,inappropriateusewilldamagePíandWèiandconsumeYīnandJīn-Yè.ContraindicatedwhenHánandYángXū.CautionwhenPíandWèiXū.QīngRèYào-DifferentialDiagnosisSeverityofpathogen:Wēn,Rè,Huŏ.Location:Biăo-Lĭ,Zàng-Fŭ,Wèi-Qì-Yíng-Xuèlevel.Characteristic:Combineswithotherpathogens,likeShī-Rè,toxicRè,XūRè.SìFèn-FourLayersXuèYíngQìWèiQìXuèYíngQìWèiQìInvasionofWind-HeatLatentHeatSìFèn-FourLayersWhatisit:amodelusedtoidentifypatterns.AtooltointerpretthepathologyandestablishthetreatmentofdiseasesderivingfromtheinvasionofFēng-Rè.Wherefrom:Qīngdynasty(1644-1911)byYèTiānShì.StartedinSòngdynasty(960-)Whentouseit:invasionofFēng-RèWhyusingit:wedon’thaveanothermodelHowtouseit:matchsymptoms&signsforeachlayerCharacteristics:acuteandfierce,rapiddevelopment,changesareusuallyfrequent.SìFèn-FourLayersTheyallmanifestwithfeverThepathogenicfactorentersthroughthenoseandmouthTheyareinfectiousThepathologicaldevelopmentsarerapidThepathogenicfactorofWarmDiseaseshasastrongtendencytoinjureYīnFormulatedbeforeWesternmedicinewasintroducedinChina!SìFèn-FourLayersAllWarmDiseasesarebydefinitioncausedbyinvasionofFēng-RèButnoteveryinvasionofFēng-RèisaWarmDisease.WarmDiseasesaremorevirulent,moreinfectious,characterizedbymoreintenseheat,developrapidly,injureYīnSìFèn-PatternsWèiWind-Heat,Summer-Heat,Damp-Heat,Dry-HeatQìLung-Heat,Stomach-Heat,IntestinesDry-Heat,GallBladder-Heat,Damp-HeatinStomach&SpleenYíngHeatinYínglevel,HeatinPericardiumXuèHeatvictoriousmoveingBlood,HeatvictoriousstirringWind,Empty-WindagitatingintheInterior,CollapseofYīn,CollapseofYángSource:FoundationofChineseMedicine.G.MaciociaSìFènPatternIdentificationPathologySymptomsKeystoPatternIdentificationWèi-DefenseWarmpathogenslodgeexternallyandtheLungdefenselosesitsdiffusingfunctionFever,mildaversiontocold,headache,absenceofsweatingorslightsweating,coughing,thirst,thinwhitecoating,redtonguetip,andFúShuòMàiFever,mildaversiontocold,mildthirst,FúShuòMài,thinwhitecoatingPathogensentertheQìaspectandthereissteamingofinternalheatFever,noaversiontocold,butaversiontoheat,greatsweating,thirstwithdesiretodrinkcolddrinks,dryyellowcoating,HuáShuòMàiorHóngMàiVigorousheat,noaversiontocold,thirst,yellowcoatingQìSìFènPatternIdentificationPathologySymptomsKeystoPatternIdentificationYíng-ConstructionHeatscorchestheyīnconstructionandtheheartspiritisharassedFevergrowsstrongeratnight,drymouthbutlittledesiretodrink,vexation,inabilitytosleep,some-timesdeliriousspeechandindistinctrashesundertheskin,crimsontongue,XìShuòMàiFevergrowsstrongeratnight,vexation,crimsontongue,XìShuòMàiStrongheatforcesfreneticmovementofbloodandtheheartspiritisharassedandconfusedFever,agitationanddisquietude,coma,mania,deliriousspeech,vomitingofblood,nosebleeds,bloodinurine,bloodinstools,clearlyseenrashes,dark-crimsontongueFeverandagitatedwrithing,clearlyseenrashesoranysymptomsofbleeding,dark-crimsontongueXuè-BloodExamplesof‘WarmDiseases’InfluenzaMeasles(rubeola)Chickenpox(varicella)Mumps(parotitis)SARS-SevereAcuteRespiratorySyndromeMeningitisWhoopingcough(pertussis)ASKbeforeShowHerbsperLevelWèi-DefenseCháiHú,JīnYínHuā,BòHéQìShíGāo,ZhīMŭ,JīnYínHuā,LiánQiào,DàQīngYè,BănLánGēnYíng-ConstructionXuè-BloodShēngDìHuáng,XuánShēn,MàiMénDōng,JīnYínHuā,LiánQiào,DānShēn,QīngHāoShēngDìHuáng,MŭDānPí,DìGŭPí,DānShēn,DàQīngYè,BănLánGēnUitspraakenHerkenningHerbsthatClearHeatandResolveToxicity“Goldsilverflower”NL:kamperfoelie“Spoiled(bean)pasteherb”NL:Patrinia“Fishy-smellingherb”NL:Houttuynia“Arrowshaft”“Shootingdryness”NL:LuipaardbloemJīnYínHuāBàiJiàngCăoYúXīngCăoShèGānIffirstopen:firstwhite,afterfewdaysyellow.Budorjustopenedflower=superiorUitspraakenHerkenningHerbsthatClearHeatandResolveToxicity“Biggreenleaf”Woadleaf-tomakeblue,green,purpledyesNL:WedeWoadroot,IsatisrootNL:WedeAsiandandilionNL:paardebloembladenwortel“Hoary-headedgeezer”“Whiteheadedgentleman”NL:WildemanskruidDàQīngYèBĕiBănLánGēnPúGōngYīngBáiTóuWēngUitspraakenHerkenningHerbsthatClearHeatfromDeficiencySweetwormwood“Blue-greenartemisia”“Earthbonebark”WolfberrybarkNL:BoksdoornDìGŭPíQīngHāoFruitisGouQiZiGojiBesHerbsthatClearHeatandResolveToxicityHerbsthatClearHeatandResolveToxicityDú-toxinreferstofeverandotheradverseeffectsofinfectiousdiseasethatmakeapatientclinicallysick.Forexample:ahotswelling:patienthasaswellingthatishot,swollen,andpainful.ahottoxicswelling:theaboveplusfever,islethargic,andissick.Toxicity=accumulationofpathogensHerbsthatClearHeatandResolveToxicityModernbiomedicalperspective:varioustypesofpurulentinfections(sores,mastitis,breastabscesses)dysenteryviralinfections(mumps)AreallRèDúorHuŏDúHerbsthatClearHeatandResolveToxicityNotesonJīnYínHuāLightweight,affectsupperbodyUsefulforalltypesofRèButmosteffectiveagainstinitialstagesoffebriledisordersRèinShàngJiāo,WèiandQìlevelOftencombinedwithLiánQiàoCommoncoldandinfluenza:YínQiàoSănformulaNotesonDàQīngYèVerycold!Butnotdrying-doesnotconsumeYīnForblazingfiretoxinofXīn,Fèi,Wèiwhichattacksupwardandoutwardswollensorethroat,ulcersofmouthandtongue,mumps,etc.NotesonBănLánGēnBenefitsthethroatPainful,swollenCanbeusedforhepatitis,chickenpox,herpessimplex,herpeszoster(shingles/gordelroos).NotesonPúGōngYīngBreastandintestinalabscessesClearsheatandtoxinsfrombothinteriorandexteriorExternalssores-whenfirmandhardClearsGānandclearseyes(useassteam)NotesonBàiJiàngCăoIntestinalabscesseswithorwithoutpusFiretoxinsurfacesoresandswellingsMaybetakeninternallyorappliedtopicallyGynecologicalherbforXuèYūwithtoxicaccumulation-painNotesonYúXīngCăoLungabscessduetoTán-Rècough,wheezing,spittingupbloodandpusDysuriasyndrome-XiàJiāoShī-RèpainfulurinarydribblingNotesonShèGānEntersonlyFèiSoreswollenthroatDyspnea,coughwithprofusesputumShèGāndissolvesthesputum(transformsTán)Similarities&DifferencesQīngRè,eliminatetoxinsfromFèiHerbsthatClearHeatandResolveToxicityDispelsLungabscessTreatsorethroat,phlegmandcoughSimilariti