Cough, Retained fluid,Yellowish sweating,Li-jie disease: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.

Cough, Retained fluid,Yellowish sweating,Li-jie disease.
Miscellaneous Internal Disease according to Jin Kui Yao Lue 
 ✵Cough, Retained fluid, Yellowish sweating, Li-Jie disease: Cough:strictly speaking, the two Chinese characters have different meanings. Ke means the expelling of air from the lungs suddenly with an explosive noise but no expectoration, while Sou refers to the expectoration of sputum without an explosive noise. Generally, the two Chinese characters are used together to denote cough, regardless of noise or expectoration. The phlegm-fluid retention is (1).a general term for retention of phlegm and fluid in any part of the body; or (2).a particular designation for retention of fluid in the gastrointestinal tract, e.g., gastric retention in pyloric stenosis. The Yellow sweating, or yellow-colored sweat associated with bitterness and stickiness in the mouth, thirst but no desire to drink, yellow and greasy tongue coating, ascribed to the interior accumulation of damp-heat.The Li-Jie or arthritis is a swollen painful joint with limitation in motion, including acute rheumatic arthritis, rheumatoid arthritis, and gout.

 ✵ Herbalist Zhang Zhongjing defined the Cough in about 24 syndromes, defined the Retained fluid in about 38 syndromes, defined the Yellowish sweating in about 2 syndromes, defined the Li-Jie disease in about 11 syndromes. These syndromes are all defined in details by his famous works:

Cough.
Miscellaneous Internal Disease according to Jin Kui Yao Lue 
 ✵Master: the cough arising from the lung, but not only belong to the lung diseases, but the pathogen also invades five Zang-viscera and six Fu-viscera all might lead to cough. For the reasons, wind pathogen reverses flow upward, surely attack the lung, the lung was moved by Qi, sounding like a cough. To know the pathogen reasons, surely need to take pulse manifestation and breath conditions. Record in entries for you, and you could pass it on to Oracle and sages of later generations.

 ✦Lung cough, pulse short and uneven. In case pulse floating short and uneven, know wind pathogen attack; pulse tight short and uneven, know cold pathogen attack; pulse rapid short and uneven, know heat pathogen attack; pulse urgent short and uneven, know dryness pathogen attack; pulse soft short and uneven, know dampness pathogen attack. These are the pathogenic reasons for lung cough.Its symptoms are known as panting with sound, or spit blood in severe cases.

 ✦Heart cough, pulse large and scattered. In case pulse floating large and scattered, know it is wind pathogen attack; pulse tight large and scattered, know it is cold pathogen attack; pulse rapid large and scattered, know it is the heat pathogen attack; pulse urgent large and scattered, know it is dryness pathogen attack; pulse soft large and scattered, know it is dampness pathogen attack. These are the pathogenic reasons of heart cough. Its symptoms are known as pain in the heart, choking in the throat, in severe cases swelling in throat and pharyngitis(throat impediment).

 ✦Liver cough, pulse string-like and uneven. In cases pulse string-like floating and uneven, know it is wind pathogen attack; pulse tight and uneven, know it is cold pathogen attack; pulse wiry rapid and uneven, know it is the heat pathogen attack; pulse urgent and uneven, know it is dryness pathogen attack; pulse soft and uneven, know it is dampness pathogen attack. These are the pathogenic reasons for liver cough. Its symptoms are known as hypochondriac pain, unable to move around, hypochondriac fullness, etc.

 ✦Spleen cough, pulse soft and uneven. In cases pulse floating soft and uneven, know it is wind pathogen attack; pulse sunken soft and uneven, know it is cold pathogen attack; pulse rapid soft and uneven, know it is the heat pathogen attack; pulse slow soft and uneven, know it is dampness pathogen attack. These are the pathogenic reasons for spleen cough. Its symptoms are known as right hypochondrium pain, contraction spread to the back, in a severe case could not move, move it will cough violently.

 ✦Kidney cough, pulse sunken and soft. In case pulse sunken wiry and soft, know it is wind pathogen attack; pulse sunken tight and soft, know it is cold pathogen attack; pulse sunken rapid and soft, know it is the heat pathogen attack; pulse sunken urgent and soft, know it is dryness pathogen attack; pulse sunken tardus and soft, know it is dampness pathogen attack. These are the pathogenic reasons for kidney cough. Its symptoms are known as shoulder-back protraction pain, in severe cases cough with saliva.

 ✦The lung cough not relieved, will be transmitted to the large intestine, the pulse is the same as the lung cough, its symptoms are known as cough and encopresis.

 ✦The heart cough not relieved, will be transmitted to the small intestine, the pulse is the same as the heart cough, its symptoms are known as cough and loss Qi, cough and Qi both lost.

 ✦The liver cough not relieved, will be transmitted to the gallbladder, the pulse is the same as the liver cough, its symptoms are known as vomiting bitter liquid.

 ✦The spleen cough not relieved, will be transmitted to the stomach, the pulse is the same as the spleen, its symptoms are known as vomiting, in severe cases throw up ascarid.

 ✦The kidney cough not relieved, will be transmitted to the urinary bladder, the pulse is the same as the kidney, its symptoms are known as cough and enuresis.

 ✦Chronic cough not relieved, will be transmitted to the triple energizer, pulse varies with the syndromes, its symptoms are known as cough and fullness in the abdomen, no appetite.

 ✦Cases cough and retained fluid, cough and could not sleep, dyspnea(rapid breathing, shortness of breath) if laying down and sleep, this is the case of excess syndrome; Cough and could not talk, talk and shortness of breath, this is the case of deficient syndrome. Cough disease varies, the treatment method varies. Follow its principles cautiously, might get a perfect result.

 ✦Cases cough and pulse wiry, this is the case of retained fluid, use...

 ✦Cases cough and counterflow of Qi(reverse flow of Qi), retained fluid in the throat and could not speak, use...

 ✦Cases cough and counterflow upward of Qi(reverse flow upward of Qi), spit thick phlegm now and them, could sit but could not sleep, use...

 ✦Cases cough and pulse floating, use...

 ✦Cases cough and pulse sunken, use...

 ✦Cases cough and counterflow upward of Qi(reverse flow upward of Qi), inhibited throat, pulse rapid, use...

 ✦Cases cough and counterflow with propped breathing, could not sleep, pulse floating and wiry, use...

 ✦Cases cough and fullness in chest, quivering with cold and pulse rapid, dry throat and not thirst, turbid phlegm and stinking smell as of rotten fish, spit pus in long period, looks like rice porridge, this is the case of lung abscess(abscess of lung), use...

 ✦Cases cough and panting, eyes fit to burst from their sockets, pulse large and floating, this is the case of lung distention(pulmonary distention), use...also use...

 ✦Cases cough and counterflow of Qi(reverse flow of Qi), panting sound oppression, fullness in chest and distention, puffy swelling of the face and eyes, clear nasal discharge, loss of smell(anosmia, inability to detect fragrance or fetor), this is the case of lung distention(pulmonary distention), use...

 ✦Cases looks like cough and not cough, spit with much saliva, not thirst, this is the case of lung coldness, use...

 ✦Cases cough and spit saliva unstoppable, dry throat(pharynx dryness), thirst, pulse floating fine and rapid, this is the case of pulmonary flaccidity(collapse of the lung), use...

Retained fluid.Yellowish sweating.Li-jie disease.
Miscellaneous Internal Disease according to Jin Kui Yao Lue 
 ✦Asked: what is the retained fluid disease? Master:there are four types retained fluid, they are known as phlegm retention(phlegm-fluid retention, Tan Yin), pleural retention(pleural fluid retention, Xuan Yin), subcutaneous retention(subcutaneous fluid retention, Yi Yin), thoracic retention(thoracic fluid retention, Zhi Yin). The cases fat in the past but emaciated now, water travel in intestines, water flowing sounding, is the case of phlegm retention(phlegm-fluid retention); water flow downward below the costal region, cough and spit induced pain, is the case of pleural retention(pleural fluid retention); water flow into the limbs, should perspiration but no sweating, pain and heaviness of the body, is the case of subcutaneous retention(subcutaneous fluid retention); the water stay below the diaphragm region, cough, and counterflow with propped breathing, shortness of breath and could not sleep, shape looks like swelling, is the case of thoracic retention(thoracic fluid retention, Zhi Yin).

 ✦Cases water in the heart, hardness below the heart, short of breath, sick of water and do not want to drink; Cases water in the lung, surely will spit saliva, want to drink water; Cases water in the spleen, shortness of breath and body pain; Cases water in the liver, hypochondriac fullness, sneeze and hypochondriac pain; Cases water in the kidney, palpitation.

 ✦ Cases fluid retention retaining below the heart, surely cold on the back and size as big as palm, cough and pain under the costal region contraction to the supraclavicular fossa.

 ✦Cases fluid retention retaining in the chest, surely short of breath and thirst, pain in joint and limbs.

 ✦Cases normal people, poor appetite and drink much, water retention below the heart, turn to disease in a long period. Severe cases palpitation, mild cases short of breath. Pulse stringlike at both sides is the cold retention, pulse stringlike at one side is the case of retained fluid.

 ✦Cases short of breath, mild retained fluid, should treat and dispel it from urine.

 ✦Cases pulse hidden, want to urine, urine quick on the contrary, although uninhibited urination, hard and full below the heart, this is the case of fluid retention, use...

 ✦Cases phlegm retention below the heart, fullness in chest and hypochondrium, dizziness, pulse sunken and string-like, use...

 ✦Cases pleural retention and internal pain, pulse sunken and string-like, use...

 ✦Cases subcutaneous retention, should induce perspiration, use...,or use...

 ✦Cases thoracic retention in the diaphragm, panting and fullness in chest, hard and glomus below the heart(epigastric fullness and hard), darkish complexion, pulse sunken and tighten, over 10 days, used the purgative method and emetic method but not cured, use...; not relieved, use...

 ✦Cases thoracic retention below the heart, dim and dizziness(dazzled,vertigo blackout), use...

 ✦Cases thoracic retention, fullness in chest, use...

 ✦Cases thoracic retention, could not sleep, use...

 ✦Cases thoracic retention, not thirst, vomit(throw up), or throw up water, use...

 ✦Cases fullness in abdomen, dry mouth and tongue(mouth parched and tongue scorched), water pathogen in the intestines, use...

 ✦Cases water pathogen in the diaphragm, vomit and dizziness palpitation(throw up,dazzled,palpitation), use...

 ✦Cases subumbilical palpitations, vomit saliva foam and dizziness, this is the case of a retained fluid, use...

 ✦Master: there are syndromes wind edema(Feng Shui), skin edema(Pi Shui), typical anasarca(Zheng Shui), stony edema(Shi Shui), yellowish sweating(Huang Han).

 ✦Cases wind edema(Feng Shui), pulse floating itself, symptoms pain in bone and joints, aversion to wind. Cases skin edema(Pi Shui), pulse also floating, symptoms swelling in the abdomen, finger sunken when pressed, not aversion to wind, abdomen like a drum, not thirst, should induce perspiration. Cases typical edema(Zheng Shui), pulse sunken and slow, symptoms panting. Cases stony edema(Shi Shui), pulse sunken itself, symptoms fullness in the abdomen and not panting, should induce the urination. Cases yellowish sweating(Huang Han), pulse sunken and slow, symptoms fever, fullness in the chest, swelling of face and extremities(swelling of the head, face, and limbs), not relieved in a long period, surely lead to carbuncle pus.

 ✦Cases pulse floating and full, floating is the case of wind, full is the case of Qi. Wind and Qi pathogen combating together, wind stronger and syndrome is known as urticaria, itching on the body, itching is the case of anemogenic sweating(discharge of wind, itching tetter), transmitted to concretions in long period; Qi stronger and syndrome is known as fluid retention, difficult to lay or bend, fully swelling body, sweating and will be relieved. Cases aversion to wind is the case of deficiency, this is the case of wind edema(Feng Shui); cases not aversion to wind, uninhibited urination, the cold pathogen in the upper energizer, much saliva in the mouth, this is the case of yellow sweating(Huang Han).

 ✦Cases cunkou pulse sunken and slippery, there is internal water(dampness) pathogen, swelling and enlarge face and eyes, fever or heat, is the case of wind edema(Feng Shui). The case mild swelling on the superior orbit, looks like just wake up, pulse on the neck move, cough regularly, press on the hands and feet, sunken and not bounced back, is also the case of wind edema(Feng Shui).

 ✦TaiYang disease, pulse floating and tight, should observed pain in joints and bone, now not pain on the contrary, heaviness of body and sore pain, not thirst, this is the case of wind edema(Feng Shui), induce perspiration and will be relieved; Cases aversion to cold, is the case excessive deficiency, induce perspiration and will be relieved. Cases thirst and not aversion to cold, is the case of skin edema(Pi Shui). Cases body swelling and cold, symptoms observed similar as a generalized impediment(general arthralgia), stuffiness in the chest(chest obstruction), no appetite, accumulated pain, vexed and could not sleep, this is the case of yellow sweating(Huang Han). Pain in the joints, cough and panting, not thirst, is the case of typical edema(Zheng Shui), symptoms as swelling, induce perspiration and will be relieved. Though in case thirst and diarrhea, frequent urination, all should not induce perspiration, and should prompt urination(prompt diuresis).

 ✦Cases Heart edema(water retention in the heart) disease, symptoms body heavy and short of breath, could not sleep, vexed, swelling of the genital area.

 ✦Cases Liver edema(water retention in the liver) disease, symptoms enlarged abdomen(abdominal enlargement), could not turn around, hypochondriac pain, engendering of liquid and humor, free urine continuously.

 ✦Cases Lung edema(water retention in the lung) disease, symptoms body swelling, difficulty in urination, duck stool(diarrhea, clear and dilute as water, as the duck shit) now and then.

 ✦Cases Spleen edema(water retention in the spleen) disease, symptoms enlarged abdomen(abdominal enlargement), sore and heavy of limbs(sore and heavy of hands arms and feet legs), body fluid being unable to be produced, suffering from shortness of breath, difficulty in urination.

 ✦Cases Kidney edema(water retention in the kidney) disease, symptoms enlarged abdomen(abdominal enlargement), swelling of the umbilicus, low back pain, can't urinate(difficulty in urination and could not urinate), genital damp(wet and damp under the genital area) as sweating on ox nose, counterflow cold of feet, slim on face on the contrary.

 ✦For cases of water retention or edema, swelling below the waist, should prompt diuresis; cases swelling above the waist, should induce perspiration, then it will be relieved.

 ✦Cases cunkou pulse sunken and slow, pulse sunken are the case of water retention(edema), pulse slow is the case of cold pathogen. Pathogens cold and damp combat each other, the decline of Spleen-Qi and lead to duck stool(diarrhea, clear and dilute as water, as the duck shit), the decline of stomach-Qi and lead to body swelling, known as the case of the water system(or water channel, Shui Fen).

 ✦Cases ShaoYang pulse Bei(sunken and weak), ShaoYin pulse fine, man will suffer from inhibited urination(difficulty in micturition), women will suffer from inhibited menstrual flow, known as the case of the blood system(blood aspect, Xue Fen).

 ✦Cases women menstruation, menopause(amenorrhea) in early stage and water retention in later stage, known as the case of blood system(blood aspect, Xue Fen), this is the case difficult to be treated; Cases water retention in early stage and menopause(amenorrhea) in later stage, known as the case of the water system(or water channel,Shui Fen), this case is not difficult to be treated, once the water or dampness gone, the menstruation will recovered.

 ✦Cases cunkou pulse sunken and rapid, rapid is the case of outering, sunken is the case of entering, outering is the case of Yang excess(Yang Shi), entering is the case of Yin binding(Yin Jie); Cases Fuyang pulse weak and stringlike, cases weak is no stomach-Qi, cases stringlike inability to catch the breath. Shaoyin pulse sunken and slippery, sunken pulse is the case interior, slippery pulse is the case excess, sunken and slippery combating, blood binding at the orifice of the uterine cervix, its concretions could not discharge, channels and meridians not free, known as the case of the blood system(blood aspect, Xue Fen).

 ✦Asked:cases suffering with water, swelling on face eyes and body, swelling of limbs too, inhibited urination, take pulse, not talk about water, on the contrary self-declare pain in the chest, counterflow upward of Qi to the pharynx, symptoms like roast meat, should slightly cough and panting(mild cough and panting), for Master's conclusion, how about its pulse manifestation? Master:cunkou pulse sunken and tight, sunken is the case of water, tight is the case of cold, sunken and tight combat each other, binding at the GuanYuan. It was the mild case in the initial stage, not observed in prime years(prime age). Since the year Yang decline, the Rong and Wei disturbance each other(disturbance between nutrient QI and defensive QI), Yang deficiency and Yin excess, binding cold slightly move, kidney Qi counterflow upward, choking in the throat, hypochondriac acute pain, diagnosed as prolonged edema(Liu Yin) and used purgative method, pulse sunken and tight not gone, the disease not relieved; used emetic method again, dysphoria(vacuity vexation) in the stomach, dry in the throat and want to drink water, inhibited urination, water and food could not be digested(non-transformation of grain and water), edema of face eyes hands and feet; was given TingLi to prompt diuresis, and recovered a little at the time, overeat and drink(immoderate eating and drinking), edema and swelling again as previous state, pain in the chest and hypochondrium region, symptoms looks like renal mass, the water pathogen counterflow upward, result cough wheezing inversely. Should attack the Stomach-Qi and let it relieved, then treat the cough, once cough relieved, panting or wheezing will self-relieved.Should treat new syndrome, edema should be treated in later stage.

 ✦Edema(water retention) syndrome, cases pulse sunken and small, belong to ShaoYin, is the case of stony edema(Shi Shui); cases pulse sunken and slow, belong to ShaoYin, is the case of typical edema(Zheng Shui); cases pulse floating and aversion to wind, is the case of wind edema(Feng Shui), belong to TaiYang; cases pulse floating and not aversion to wind, is the case of skin edema(Pi Shui), belong to TaiYang. Cases deficiency and swelling, belong to Qi system, induce perspiration and it will be relieved. Cases pulse sunken, use...; cases pulse floating, use...

 ✦Cases wind edema(Feng Shui), pulse floating and heaviness of the body, sweating and aversion to wind, use...

 ✦Cases wind edema(Feng Shui), aversion to wind, swelling whole body, pulse floating and not thirst, spontaneous sweating continuously, no excessive fever, use...

 ✦Cases skin edema(Pi Shui), swelling in four limbs(swelling in hands and feet), water pathogen in the skin, four limbs sounding and moving, use...

 ✦Cases internal edema, yellow swelling of face eyes body, pulse sunken, inhibited urination, use...also...could be used.

Yellowish sweating.Li-jie disease.
Miscellaneous Internal Disease according to Jin Kui Yao Lue ✦Asked: the yellowish sweating(Huang Han) disease, swelling of the body as heaviness, induced perspiration and fever, thirst, symptoms as wind edema(Feng Shui), sweating on clothes, color yellow as liquid of Cortex Phellodendri, pulse sunken itself, where does it come? Master: for the reasons sweating and bath in water, water comes in through the sweat pores, better use...

 ✦Cases yellowish sweating(Huang Han) disease, cold in two shanks.In cases of fever, this is the case of LiJie. Cases sweating after taking food, night sweat at night, this is the case heat of Ying Qi(nutrient Qi). In cases perspired, fever on the contrary, in long period surely squamous and dry skin on the body; In cases fever not relieved, bad sores will grow out in long period; In cases heavy body, induced perspiration and turn light, in long period surely muscle twitching, muscle twitching and pain in the chest. In cases sweating above the waist, no sweating below the waist, pain in waist and hip, like something in the skin, could not take food in a severe case, body pain and heavy, vexed and annoyance, inhibited urination, this is the case of yellowish sweating(Huang Han), use...

 ✦Cases cunkou pulse sunken and weak, sunken is for the bone, weak is for the muscle and tendon, sunken is for the kidney, weak is for the liver, sweating and enter into water, like water hurt the heart, Li Jie pain, yellowing sweating, thus known as Li Jie.

 ✦Food taste sore will hurt the muscle and tendon, muscle and tendon hurt then slow down, known as diarrhea; taste salt will hurt the bone, bone hurt lead to motor impairment, known as the case of withered(Ku). The withered and diarrhea combat with each other, known as the case of Duan Xie(stopped discharge). The Ying Qi(nutrient Qi) is obstacled, the Wei Qi(defense Qi) not circulate separately, the Ying Qi and the Wei Qi all turn weak, the triple energizer lost defense, the four limbs(four extremities) stopped, the body turn thin and weak(emaciated), only the feet swelling and enlarged, yellow sweating, heat on the two shanks, is the case of Li Jie.

 ✦Cases fat, pulse uneven and small, short of breath, sweating spontaneously, Li Jie pain, could not stretch, this is for the reasons drink alcohol sweating and met wind blowing.

 ✦Cases painful limb joints, body thin and weak(emaciated), feet swelling as will drop, dazzled head and short of breath, feel warm and want to vomit, use...

 ✦Cases Li Jie, pain and unable to flex and stretch the extremities, pulse sunken and weak, use...

 ✦Cases Li Jie, pain, swelling feet, inhibited urination and inhibited defecation(constipated), pulse sunken and tight, use...; cases pulse sunken fine and rapid, use...

 ✦Master: cases cunkou pulse slow and uneven, slow is the cold pathogen, wiry is blood deficiency; Fuyang pulse weak and slow, weak is for Qi, slow is for the cold pathogen. Deficiency of Stomach Qi, then result in counterflow cold of hands and feet; Ying Qi and Wei Qi (the nutrient Qi and defense Qi) inhibited, then fullness in the abdomen and bowel sounds follow each other, Qi transfer to the urinary bladder, exhaustion of both Ying and Wei. The Yang Qi is obstacled and results cold on the body, the Yin Qi not free and result in pain in bone. The Yang Qi free in the front then aversion to cold, the Yin Qi free in the front then numbness. Yin and Yang supporting each other, the Qi circulate freely. The vital Qi circulated, the cold pathogen disappeared. Cases excess and loss Qi, cases deficiency and enuresis, known as the case of the Qi system(or Qi channel, Qi Fen). Cases Qi Fen, hardness below the heart, big as a plate, rolling cups at edge and border, use...

 ✦Cases retained fluid, hard below the heart, big as a plate, rolling cups at the border, use...

 ✦Cases inhibited urination, there are water pathogen inside, in cases thirst, use...

 ✦Cases inhibited urination, water pathogen in the blood system(or blood channel,Xue Fen), use...also use...

References:
  • 1.Cough,Retained fluid,Yellowish sweating,Li-jie disease: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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