Abdominal mass:an introduction of Zheng Jia and various types.


 TCM Knowledge:Gynecology Syndromes,Women Syndromes ✵To help clients and TCM fans know better with the common knowledge of ancient TCM and syndrome differentiation, there comes the online knowledge database in classified categories.

 ✵The main content including: the introduction of the most famous and talented Ancient Herbalists and Distinguished Physicians, the most influential and Well-Known Ancient Works, common Diagnostic Methods, the introduction of Common Disease and Syndromes, etc.

Abdominal mass.
Abdominal mass 
 ✵The Abdominal mass is also known as Zheng Jia in TCM. Mass formed in the abdomen, big or small, or swelling distention, or full, or pain, known as Zheng if it is an aggregation of stagnant blood with definite shape and fixed pain, and known as Jia if it is an accumulation of Qi that has no fixed shape and is easily movable, or appears and disappears from time to time, with a migratory pain, if ever present. In the western medicine system, it is known as "hysteromyoma or fibroid".

 ✦ The pathogenic reason that leads to the Abdominal mass, are known mostly due to Qi stagnation and blood stasis, etc. Thus, the Abdominal mass could be classified into different types: Abdominal mass of Qi-stagnation type, Abdominal mass of blood-stasis type, etc.

Abdominal mass of Qi-stagnation type.
Knowledge 
 ✵The Abdominal mass of Qi-stagnation type is mainly due to Qi stagnation. Symptoms normally including soft mass, movable with touch, touchable or untouchable, the location not fixed, sometime at left, sometime at right, sometime top sometime bottom, sometime pain, sometime no pain, this is normally known as Jia in TCM.

Abdominal mass of blood-stasis type.
Knowledge 
 ✵The Abdominal mass of blood-stasis type is mainly due to blood stasis. Symptoms normally including hard mass, unmovable with touch, sometime uncomfortable and pain at night, pulse deep and hesitant, dim complexion(looks dark, green), blue spot under tongue or beside the tongue, this is known as Zheng in TCM.
 ✵Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "In the case of menstruation stopped in months(amenia), abdominal mass and pains, is the condition of blood accumulation and forming an abdominal mass." [02].

 "Xue Jia:abdominal mass formed from blood,...the blood sea affected by cold pathogens, blood stagnancy and stasis, develops to mass and pains, in the condition stagnancy fixed and not solid..." [03].



Abdominal mass of blood-deficiency type.
Knowledge 
 ✵The Abdominal mass of blood-deficiency type is mainly due to blood deficiency. Symptoms normally including mass, size up to the chicken egg, pain in the left and right hypochondrias, menses stopped, fever in five centers (fever in heart and four palms-cores), dizziness dazzled and dim eyesight, cough with phlegm, etc. This is also known as Zheng in TCM.
 ✵Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Blood deficiency and fever: the syndrome is due to woman's character impatient, or hurt from sexual intercourse during menses, a mass formed in the abdomen, size up to a chicken egg, pain in the left and right hypochondria, menses stopped, as a result, fever in five centers (fever in heart and four palms-cores), dizziness dazzled and dim eyesight, cough with phlegm...In case not treated in a half year or a year, emaciated with diarrhea, no survive in a hundred cases." [04].



Abdominal mass of cold type.
Knowledge 
 ✵The Abdominal mass of cold type is mainly due to cold pathogen. Symptoms normally including hard mass, gradually enlarged, as pregnant, this is known as Shi Jia(stone mass) in TCM.
 ✵Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Shi Jia: menses comes, cold pathogen invading and stay in the uterus, blood condensed and stasis, woman suffers from abdomen gradually enlarged, looks similar to pregnancy...If physical constitution deficient and weak, will develop to distension and swelling..." [03].



Abdominal mass of large-intestine cold type.
Knowledge 
 ✵The Abdominal mass of large-intestine cold type is mainly due to cold pathogen. Symptoms normally including blood stagnant, abdomen enlarged gradually, similar to pregnancy, this is known as Chang Tan(female abdominal mass, or mass of intestines) in TCM.
 ✵Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Chang Tan: cold pathogens invading during menses and stay in the large intestines, as a result, lead to blood condensed, menses come but less bleeding, the abdomen gradually enlarged, looks similar to pregnancy, also known as Tai Lou...in the condition that the woman's physical constitution is deficient and weak, will develop to distension and fullness..." [03].



Postpartum Abdominal mass of residue lochia type.
Knowledge 
 ✵The Postpartum Abdominal mass of residue lochia type is mainly due to residue lochia after childbirth. Symptoms normally including residue lochia not passing down completely, it is also known as postpartum abdominal mass of lochiorrhagia type, this is known as Chan Hou Jia Kuai(Mass clots after childbirth) in TCM.
 ✵Ancient herbalists and representative works hold this or similar pathogenic reasons are introduced:

 "Chan Hou Jia Kuai(abdominal mass clots after childbirth):...it is due to residue lochia not passing down completely. In general, due to first childbirth, residue lochia did not come, or comes but not passing down completely, or the woman fear recipes, although there are pains, but she bear it and not speak out; or the woman and herbalist insist replenish deficiency theory after childbirth,...residue blood retained and stagnant, not dissipated in a long period, accumulated and form a mass..." [04].



References:
  • 01.Abdominal mass:an introduction of Zheng Jia and various types.
  • 02.Song Shi Nǚ Ke Cuo Yao(the Synopsis of Song's Gynaecology).By 宋林皋(Sòng Lín Gāo)[Ming].
  • 03.Ye Shi Nǚ Ke Zhèng Zhì(the Syndromes and Therapeutics of Ye's Gynaecology).By 叶桂(Yè Guì)[1817].
  • 04.Fù Kē Bèi Kǎo(the References of Gynaecology).By 何应豫(Hé Yīngyù)[1820].

✵ Edit date:
   cool hit counter