Cholera and Dysentery Syndrome:an introduction.

TCM Knowledge:Miscellaneous Internal Disease according to Jin Kui Yao Lue. ✵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.

Cholera and Dysentery Syndrome.
Cholera and Dysentery Syndrome 
 ✵Cholera and Dysentery Syndrome:The Cholera is an acute infectious disease caused by Vibrio cholerae(as defined in recent years);(2).Choleraic turmoil:any disease characterized by sudden and drastic vomiting and diarrhea, including acute gastro-enteritis, food poisoning and cholera(as defined before 1820).The Dysentery is an infectious disease of the intestines, marked by abdominal pain, frequent stools containing blood and mucus, and tenesmus.

 ✵Herbalist Zhang Zhongjing defined the Cholera and Dysentery in about 20 syndromes. These syndromes are all defined in details by his famous works:

Cholera and Dysentery Syndrome.
Miscellaneous Internal Disease according to Jin Kui Yao Lue 
 ✦Asked: there is disease known as Cholera, what is it?

 ✦Master: vomiting and diarrhea, this is the case of Cholera.

 ✦ Master: the Cholera disease belong to TaiYin, the cases of Cholera surely will vomit and diarrhea, but the cases of vomit and diarrhea does not surely belong to Cholera. The disease of Cholera, caused by the cold and heat pathogens accumulated chaotically in the center energizer. The ascending counterflow of heat Qi(upward flow of heat pathogen) thus leads to vomiting, the downward flow of cold pathogen thus lead to diarrhea. For those cases improper diet(dietary irregularities, eating and drinking without temperance), retention and stasis of food in the center energizer, the upper part flow upward and vomiting, the lower part flow downward and diarrhea, this is the case of vomiting and dysentery, not the case of Cholera.

 ✦ Asked: there are cases with symptoms fever, headache, body pain, aversion to cold, vomiting and dysentery, what is it? Master: this is not Cholera. The cases of Cholera will vomit and diarrhea spontaneously uninhibited. The case aversion to cold, body pain, and also fever, thus know it is not Cholera.

 ✦ Cholera syndrome, vomit and diarrhea, no cold and fever, pulse soft and weak, use...

 ✦ Cases vomit first, diarrhea later, fullness and pain in the abdomen, no cold or fever, pulse soft weak uneven, this is the case of abiding food(dyspepsia, indigestion). Use...

 ✦ Cases fullness in the chest, want to vomit but not vomit, diarrhea irregularly, no cold or fever, colic pain in the abdomen, Cunkou pulse weak and knotted, this is the case of abiding food(dyspepsia) at the upper part, use...

 ✦ Cholera syndrome, vomiting, diarrhea with undigested grains, reversal of the extremities(counterflow cold of hands and feet), pulse slow and sunken, use...

 ✦Vomiting, diarrhea, fever, pulse soft weak and large, use...

 ✦ Vomiting, and throw up ascarid in the serious case; diarrhea, frequently or irregularly; slight fever on the body, counterflow cold of hands and feet, blue complexion(looks blue), pulse sunken wiry and tight, use...

 ✦ Cholera syndrome, vomiting and diarrhea, thirst, sweating, short of breath, pulse weak and soft, use...

 ✦ Drink water and vomiting, take grain food and diarrhea, pulse slow and weak, use...

 ✦ Distention fullness and pain in the abdomen, sometimes up sometimes down, pain and reverse upward of Qi will vomiting, pain and downward flow of Qi will diarrhea, pulse soft and uneven, use...

 ✦ Cholera syndrome, there are cases of deficiency or excess, for the patients are of deficiency or excess syndromes, so the syndromes vary with the disease. Cases of deficiency pulse soft and weak, better use...; cases of excess pulse urgent and abrupt, better use...

 ✦Cholera, cramp(spasms), surely there are cold pathogen hided in the muscles before it, hurt its nutrient Qi(Rong Qi), broke out with syndromes, pulse should be soft and weak, cases pulse wiry and rapid, counterflow cold of limbs(counterflow cold of hands and feet), use...

 ✦ Cholera relieved, cases headache, fever, body pain, excess heat, want to drink water, use...cases excess cold, not want to drink water, use...

 ✦ Cold-induced disease, cases pulse slight uneven, was the cholera syndrome, not transmitted to cold-induced disease, till the four to five days, transmit to the Yin meridians, in cases transmitted to Yin, surely diarrhea. In cases want to defecate, but on the contrary flatus, still constipated, this belongs to YangMing syndrome, surely hard stool, will be relieved in thirteen days. For the reasons, meridian transmission completed.

 ✦ Cases after diarrhea, the stool should be hard, cases stool hard and could take some food, will be relieved. On the contrary, cases could not take food now, when transmitted to the next meridian, could take food well, when transmitted to the other meridian, could take food, will be relieved one day after the transmission, cases will not be relieved, do not belong to YangMing.

 ✦ Cold-induced disease, cases pulse weak and diarrhea again, diarrhea stopped itself, is the case of blood collapse, use...

 ✦Cases vomiting and diarrhea stopped(relieved), body pain not stop, should harmonize its exterior syndrome, use...

 ✦Cases vomiting and diarrhea, sweating, fever, aversion to cold, spasm of limbs(spasm of hands and feet), counterflow cold of hands and feet, use...

 ✦Cases vomiting and diarrhea, uninhibited urine again, and great sweating, diarrhea with undigested grains, cold in interior and fever on exterior, faint pulse verging on expiry, use...

 ✦Cases vomiting yet, diarrhea, sweating and Jue(cold limbs), spasm of limbs(spasm of hands and feet) could not spread, faint pulse verging on expiry, use...

 ✦Cases vomiting and diarrhea, sweating, pulse normal and small, vexed, for the reason new deficiency could not overcome grain Qi.

References:
  • 1.Cholera and Dysentery Syndrome:an introduction.
  • 2.Shang Han Za Bing Lun:the Treatise on Cold-induced and Miscellaneous Diseases.By Zhāng Zhòngjǐng.
  • 3.Jin Kui Yao Lue Fang Lun:the Synopsis of Prescriptions of the Golden Chamber.By Zhāng Zhòngjǐng,Wáng Shūhé,Lín Yì,Gāo Bǎohéng.

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