internalofTCM.ppt

internal-of-TCMinternal-of-TCM 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 diseases –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 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 internal 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 Cold 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 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 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, 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 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 •Gancao(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 Forsythiae 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 spray 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 paste 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•Arrhythmia•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 •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 syndrome 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 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 Diarrhea•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 结束结束。