Edema refers to a kind of disease with eyelid, head, face, limbs, abdomen, back and even systemic edema as its main clinical manifestations, which is caused by exogenous pathogens, diet, fatigue and other reasons, such as lung insufficiency, spleen insufficiency, renal insufficiency and unfavorable bladder gasification. Severe cases may also be accompanied by pleural effusion and ascites.
Etiology and pathogenesis of edema
The pathogenesis of edema mainly lies in lung dysfunction, spleen dysfunction, renal dysfunction and unfavorable triple energizer qi. The disease is located in lung, spleen and kidney, and the key is kidney.
Syndrome Differentiation and Treatment of Edema
The syndrome differentiation of edema takes yin and yang as the key link. First, distinguish between yang water and yin water, and distinguish their pathological attributes. Yang water is mostly caused by wind evil, sore poison and water dampness. The onset is more urgent. Every few days, the swelling starts from the face, from top to bottom, and continues to the whole body. The swollen skin is tense and bright. At first, it is depression, with symptoms such as fever and aversion to cold. Or heat, thirst, red urine, constipation, skin sores and other heat-toxic syndromes, which belong to exterior syndrome and excess syndrome, generally have a short course of disease.
The causes of yin water are mostly diet fatigue, spleen and kidney loss caused by congenital or acquired factors, slow onset, or recurrent attacks, or transformed from yang water. Swelling usually begins at the ankle and continues from bottom to top throughout the body. The swollen skin is loose, and it is difficult to recover when pressed, even like mud. At the same time, we can see the symptoms of deficiency of both spleen and kidney, such as mental fatigue, anorexia to loose stool, backache and cold pain, chills and cold limbs. Within the genus, it belongs to deficiency or mixture of excess and deficiency, and the course of disease is long.
The treatment of edema, Su Wen? Put forward the theory of soup mash? Open the door of hell, clean the house and go to chenchen? Three basic principles.
(A) Yang water
1. Fengshui flooding syndrome
Syndrome: eyelid edema, followed by swelling of limbs, acute onset, and many symptoms such as bad wind, fever, sore limbs and unfavorable urination. Those who are prone to wind-heat are accompanied by sore throat, red tongue and slippery pulse. People with wind-cold aversion to cold, cough and asthma, thin and white tongue coating, and slippery or tight pulse. If the edema is serious, you can also see deep veins.
Treatment: dispelling wind and clearing heat, dispersing lung and activating water.
Prescription: Yuemai plus soup.
2. Wet toxic aggression syndrome
Symptoms: swelling of the eyelids on the head and face, extending to the whole body, bright skin, short and red urine, skin sores, even ulceration, fever due to foul wind, red tongue, thin yellow fur, floating or slippery pulse.
Treatment: dispersing lung and detoxifying, promoting diuresis and reducing swelling.
Prescription: ephedra, forsythia and red bean soup combined with Wuwei disinfection drink.
3. Water wet impregnation certificate
Symptoms: general edema, failure to press fingers, short urination, heavy physical weakness, chest tightness, anorexia, aversion to food, abdominal distension, greasy fur, slow pulse, slow onset and long course of disease.
Treatment: strengthen the spleen and eliminate dampness, and promote yang and diuresis.
Prescription: Wupi Drink and Ling Wei Decoction.
4. Damp-heat syndrome
Symptoms: edema all over, tight skin, chest tightness, irritability, thirst, short and red urine, or dry stool, red tongue, yellow and greasy fur, and deep and thin pulse.
Treatment: divided into damp heat.
Prescription: Shu Chi's introduction.
(2) Yin water
1. Spleen yang deficiency syndrome
Symptoms: edema lasts for a long time, especially below the waist, which is difficult to recover, abdominal distension, anorexia in loose stool, sallow complexion, listlessness, weakness of limbs, short and red urine, pale tongue, white greasy or slippery fur, and slow or weak pulse.
Treatment: Warming spleen and yang, promoting diuresis and eliminating dampness.
Prescription: Shipi drink is added and subtracted.
2. Deficiency of kidney-yang syndrome
Symptoms: edema increases and decreases repeatedly, and the face and waist are swollen, which makes it difficult to droop, cold pain and backache, decreased urine output, cold limbs, chills and fatigue, pale face, even palpitation and chest tightness, dyspnea, abdominal distension, pale tongue, white fur, and deep or weak pulse.
Treatment: Warming kidney to help yang, transforming qi and benefiting water.
Prescription: Jisheng Shenqi Pill combined with Zhenwu Decoction.
3. Syndrome of blood stasis blocking water
Syndrome: edema lasts for a long time, with swelling in different degrees, edema in limbs or whole body, mainly in lower limbs, ecchymosis on the skin, tingling in the waist, or hematuria, dark purple tongue or ecchymosis, white fur and deep and thin pulse.
Treatment: promoting blood circulation and removing blood stasis, promoting qi circulation and promoting blood circulation.
Prescription: Taohong Siwu Decoction combined with Wuling Powder.