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1、 Internal medicine of TCM a clinical subject the diagnosis and treatment the diseases and disorders the viscera the human body TCM theoryThe basis of various clinical sciences. The endogenous diseases caused by endogenous pathogenic factors, such as phlegm, blood stasis and food, etcThe exogenous di
2、seases caused by invasion of exogenous cold, wind, heat,damp,etc.The internal diseases The endogenous diseasesThe pathogenesis is always limited to the dysfunction of zang-ru organs,disturbance in the production and distribution of qi, blood and body fluid, and the dysfunction of meridian system.The
3、 physiological function of zang-ru organs decide the pathological manifestations. The heart dominates blood and vesselsrules the spirit; diseases such as palpitation, mania, insomnia, chest pain and dreamy belong to the heart system. The procedure and principles of diagnosis and treatment of interna
4、l diseases in TCM The four diagnostic methods Inspection Auscultation and olfaction Inquire; interrogation Palpation and pulse-taking To identify the nature and location of a disease Pathogenic factor Anti- Pathogenic factor The imbalance of yin and yang Syndrome differentiation Deficiency Excess Co
5、ld Heat Exterior Interior Draw an outline of a disease Design the general therapeutic principle To infer the cause and judge the pathogenesis of a disease Refine the diagnosis and syndrome differentiation Patients complaints The results of diagnostic methods, laboratory tests, and from the time, the
6、 season, the environment and climate. To design the therapeutic principle and method The result of syndrome differentiation A cough liver fire invading the lung clearing away liver fire and lowering the adverse rising lung qi To choose drugs and formulate a prescription The base syndrome therapeutic
7、 principles the herbs A traditional prescription Syndrome patterns of the lung 肺系病证肺系病证 Colds Common cold “shangfeng” 普通感冒普通感冒 Influenza “shixingganmao” 流行感冒流行感冒 Wind-cold type Wind-heat type Summer-heat and dampness type Wind-cold type Chief manifestations: Severe chill and mild fever No sweating,
8、headache Stuffy nose and thin nasal discharge Throat itching and cough with clear and thin sputum White and thin tongue coating Floating pulse Therapeutic method To relieve exterior syndrome with pungent and warm herbs. 辛温解表辛温解表 Prescription Modified Jing Fang Baidu San( anti-phlogistic powder with
9、Schizonepetae and Saposhnikoviae) Composed of Jingjie (Herba Schizonepetae)10g Fangfeng (Radix Saposhnikoviae)10g Qianhu (Radix Peucedani)10g Xingren (Semen Armeniacae Amarum)10g Zhike (Fructus Aurantii)10g Chuanxiong (Rhizoma Chuanxiong)10g Zisuye (Folium Perillae)10g Guizhi (Ramulus Cinnamomi)6g G
10、ancao(Radix Glycyrrhizae)5g and Shengjiang (Rhizoma Zingiberis Recens)5g Modifications 随证加减随证加减 Severe chills and no sweating Add Mahuang (Herba Ephedrae) 6g Severe headache Add Baizhi (Radix Angelicae Dahuricae) 6g Other treatment Chinese patent drugs 中成药 Yin Qiao Jiedu Pian Lonicerae and Forsythia
11、e Tablet for Removing Toxic Substance 4-6 tablets each time, thrice daily; applicable to the cold of wind-heat type. Single-drug or experiential prescriptions 单验方单验方 Yejuhua(Flos Chrysanthemi Indici) or Banlangen(Radix Isatidis) 10-30g. Decoct the drug with water, use the decoction as gargle or spra
12、y to wash or moisten the mouth and throat, 3-5times daily. This is applicable to the cold of wind-heat type with pronounced sore throat. External therapy 外治法外治法 Bohe (herba menthae) 6g, dasuan ( bulbus allii) 6g and shengjiang (Rhizoma Zingiberis Recens) 6g . Mash the drugs into paste, apply the pas
13、te on Dazhui (GV 14) and Taiyang(EX-HE5) acupoints, cover them with gauze and fix the gauze with adhesive plaster. Diseases of the lung system Cold Cough exo- endo- Asthma excessive deficiency Lung cancer Syndrome Symptom Disease Syndrome patterns of the heart Diseases of the heart system Insomnia A
14、rrhythmia Coronary arteriosclerotic cardiopathy Viral myocarditis Epilepsy Mania Syndrome patterns of the spleen Chronic gastritis Peptic ulcer Gastric carcinoma Chronic colitis Constipation Large intestinal carcinoma Syndrome patterns of the liver Headache Vertigo Viral hepatitis Hepatic cirrhosis
15、Liver cancer cholecystitis Syndrome patterns of the kidney Chronic nephritis Chronic renal failure Urinary infection Urolithiasis Impotence Spermatorrhea Syndrome patterns of qi, blood and body fluid Depressive syndrome Hemorrhagic syndrome 血证 Anemia Thrombocytopenic purpura Leukopenia Hidrosis synd
16、rome 汗证 Edema Other diseases Simple obesity Hyperlipoproteinemia 高脂蛋白血症 Diabetes mellitus Hyperthyroidism 感冒 Cold 咳嗽 Cough 哮病 Brachial Wheezing Syndrome 哮鸣 喘证 Panting Syndrome 肺痈 Pulmonary Abscess 肺痨 Lung Phthisis 肺胀 Lung Distention 痰饮 Sputum Retention 心悸 Palpitation 心痛 Pectoral Pain 不寐 Insomnia 健忘
17、Amnesia 汗证 Hidrosis syndrome; Spontaneous Perspiration and Night Sweat 血证 Blood Syndrome 痴呆 Dementia 厥证 Syncope 痫病 Epilepsy 癫狂 Manic and Depressive Psychosis 胃痛Stomachache 吐酸嘈杂 Gastric Upset Acid Regurgitation 痞满 Stuffiness and Fullness 呕吐 Vomiting 呃逆 Hiccup 噎膈 Dysphagia 腹痛 Abdominal pain 泄泻 Diarrhe
18、a 痢疾 Dysentery 便秘 Constipation 胁痛 Hypochondriac Pain 黄疸 Jaundice 积聚 Accumulation and Aggregation 鼓胀 Tympanites 头痛 Headache 眩晕 Dizziness 中风 Stroke; Apoplexy 郁病 Melancholia; depressive syndrome 瘿气 Goiter 痉证 Convulsion 颤震 Jitter 水肿 Edema 淋证Stranguria 窿闭 Retention of Urine 消渴 Diabetes (Xiao Ke) 腰痛 Lumbago 遗精Seminal Emission 阳痿Impotence 关格 Obstruction and Rejection 虚劳 Consumptive Disease 内伤发热 Fever Due to Internal Disorders 疟疾 Malaria 痹病 Arthralgia Syndrome 痿病 Flaccidity Syndrome (Wei Syndrome) 癌症 Cancer