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What causes the green sun not to rise?
2012-11-065775 Hua Fei Health Network Doctors Group
The concept of clearing yang without rising is a kind of spleen deficiency syndrome, which refers to a series of clinical manifestations that the qi of clearing yang does not rise, so the head, muscle surface and limbs cannot be warmed. Most of them are caused by improper diet, overwork and spleen and stomach damage.
The main clinical manifestations are dizziness, tinnitus and deafness, chills, lethargy and fatigue, loose stool's anorexia, pale and tender tongue with white fur, weak or thin pulse, etc.
Syndrome of hyperactivity of clearing yang is common in dizziness, tinnitus, deafness, flaccidity, diarrhea, proctoptosis, uterine prolapse and metrorrhagia.
This syndrome should usually be differentiated from spleen-qi deficiency syndrome.
Discrimination processing
Syndrome of clearing yang without ascending can appear in many diseases,
Yang-clearing syndrome is characterized by dizziness, tinnitus, heavy head, chest tightness, nausea, fatigue, aversion to cold limbs, eating less loose stool, sleeping more, white and greasy tongue coating, weak pulse, or heavy and slippery, and common "Yang-dampness stagnation". This is because eating too much fat, too tired to hurt the spleen and stomach, losing health and transport, wet adhesion, phlegm stagnation, so the yang will not rise. Treatment should be spleen yang, dampness and phlegm. The prescription is modified by Banxia Baizhu Tianma Decoction (Yixinwu) combined with Buzhong Yiqi Decoction (spleen and stomach theory). If you see the syndrome of clearing yang without ascending in deafness, its clinical manifestations are often accompanied by blurred vision, pallor, loss of appetite, low voice and shortness of breath, mental fatigue, loose stool, pale tongue with thick coating and thready pulse, which are mostly caused by improper diet, overwork, spleen and stomach damage, insufficient clearing yang and failure to ascend. Therefore, it is advisable to strengthen the spleen and replenish qi, and promote yang and stomach. If you see the syndrome of flaccidity, clearing yang and not rising. The clinical manifestations are flaccidity and weakness of limbs, emaciation of muscles, gradual aggravation, eating less loose stool, superficial appearance, listlessness, thin and white tongue coating, thready pulse and other symptoms of "qi deficiency and flaccidity", which are caused by hunger and fatigue, spleen and stomach injury, bad temper, persistent lung qi and malnutrition of bones and muscles. "Supplement to Syndrome Differentiation and Treatment" points out: "People who are flaccid due to qi deficiency, hungry and tired, lack of stomach qi, exhaustion of lung qi first, loss of bones and valleys ... After illness, people are depressed, all of which belong to qi deficiency. The so-called spleen is sick, so their body fluids can't be moved by their stomachs, and their limbs can't breathe Shui Gu's qi, so they don't need it. "Treatment should be to replenish the middle energizer and replenish the qi, and the prescription should be to replenish the middle energizer and replenish the qi decoction (spleen and stomach theory). If you see the syndrome of Qing Yang not rising in diarrhea, it will be characterized by prolonged diarrhea or even proctoptosis, sallow complexion, weakness of limbs, fullness and discomfort of upper abdomen, pale tongue with white fur and weak pulse, which is due to weakness of spleen and stomach, failure of transport, insufficient Shui Gu and unclear turbidity, and "diarrhea due to qi rising". If you see the syndrome of clearing yang but not rising in rectal prolapse, its clinical manifestations are prolonged proctoptosis, shortness of breath, fatigue, sweating, cold limbs, laziness in speaking, and eating without knowing the taste. This syndrome is caused by dietary strain, spleen injury due to chronic illness, and chronic diarrhea, which leads to the depression of middle qi and the failure of ascending qi. Therefore, it is advisable to tonify the middle warmer, invigorate qi, raise yang and relieve depression. The prescription is Buzhong Yiqi Decoction (spleen and stomach theory). In a word, the syndrome of clearing yang without ascending belongs to the category of qi deficiency of spleen and stomach, and the pathogenesis of each syndrome is the same, but it has different manifestations in different diseases, so it should be distinguished clinically. The syndrome of clearing yang without ascending occurs mostly in thin people, who are weak after a long illness and lack of middle qi. The common symptoms are listlessness, dull complexion, shortness of breath, low voice, fatigue, cold limbs and chills. Women who see the syndrome of clearing yang without rising mainly show uterine prolapse caused by stagnation of middle qi, metrorrhagia caused by not taking blood, or clearing yang without rising, wet, continuous and thin leucorrhea, etc.
Lifting is the basic form of human body's gasification function. Spleen governs ascending and clearing, stomach governs descending turbidity, and spleen and stomach rise and fall, maintaining the body's nutritional metabolism. In the course of its onset, the spleen's clear yang does not rise, which may lead to cloudy kidney, chest tightness, abdominal distension, loose stool, scanty urine, heavy head and fatigue, too little diet, and even urine closure, edema, muddy tongue coating and slippery pulse. As far as the whole body is concerned, the rise and fall of the spleen and stomach is very important to the rise and fall of the whole qi. Spleen and stomach is the foundation of the day after tomorrow, located in the middle jiao, connecting the preceding with the following, and is the hub of lifting movement. The growth of liver, the decline of lung, the decline of heart fire, the rise of kidney water, the heat of lung breathing, and the absorption of gas by kidney. It also needs the cooperation of the spleen and stomach to complete their lifting movement. If the spleen and stomach rise and fall abnormally, the yang-clearing qi cannot be exerted, the acquired essence cannot be returned to Tibet, the food-clearing qi cannot enter, and the waste and turbid things cannot be discharged, which will lead to various diseases. "Wu Handout" said: "... the method of treating the spleen and stomach is not good at ascending and descending. ... if you don't lift it properly, it will hurt your spleen and stomach. When the spleen and stomach are injured, the cash register will lose its normal state, and the acquired qi will pass without killing people. 」
distinguish symptoms of diseases
Deficiency of spleen-qi, obstruction of clearing yang: Deficiency of spleen-qi is also called deficiency of spleen-qi and weakness of spleen and stomach (Dictionary of Traditional Chinese Medicine). The syndrome of clearing yang without ascending belongs to the category of spleen-qi deficiency syndrome. The etiology, pathogenesis and clinical manifestations of the two are very similar, but there are also some differences. The concept of spleen-qi deficiency syndrome is broad, which can include spleen-qi deficiency syndrome, and spleen-qi deficiency syndrome is only a part of spleen-qi deficiency syndrome. From the etiological point of view, the syndrome of clearing yang is caused by improper diet, overwork, spleen and stomach damage, or spleen injury caused by long-term illness. Because the spleen and stomach are weak, the middle qi is insufficient, the yang is not rising, and it is impossible to be arrogant and clear-headed, so dizziness, blurred vision, tinnitus and deafness occur. Deficiency of spleen-qi syndrome is also caused by improper diet, internal injury from fatigue and damage to spleen and stomach. However, spleen-qi deficiency syndrome is the general name of spleen-stomach deficiency syndrome of middle energizer. Including spleen deficiency (such as abdominal distension, diarrhea, loose stool, eating less and being foolish). ) qi deficiency (such as less yellow face, light or dark lips, shortness of breath and low voice, eating less and being tired). Clear yang does not rise (such as dizziness, tinnitus, deafness, blurred vision. ) qi stagnation (such as proctoptosis, prolonged ovulation, uterine prolapse). The spleen does not control blood (such as metrorrhagia and hematochezia). The syndrome of clearing yang without ascending refers only to the symptoms of spleen without ascending caused by deficiency of middle qi, and B can be used as the basis for differentiation.