Abdominal mass:introduction of its pathological reasons,syndrome differentiation and common syndromes.

Syndromes of Traditional Chinese Medicine. ✵Traditional Chinese medicine has been used for thousands of years. Through thousands of years of practice, it has been proved that Chinese medicine is effective and feasible in treating diseases, preventing diseases and maintaining health. The treatment of diseases with traditional Chinese medicine has saved countless lives. The treatment of diseases in traditional Chinese medicine is macro and comprehensive.

 The theoretical system of traditional Chinese medicine is derived from and guided by long-term clinical practice. Through the analysis of the phenomenon, the internal mechanism is explored. Therefore, this unique theoretical system of traditional Chinese medicine has two basic characteristics, one is the overall-concept, the other is the dialectical treatment.

Abdominal mass.
Abdominal mass. 
 ✵Abdominal mass:The abdominal mass and accumulation mass. Symptoms lumps or pain or swelling in the abdomen. The accumulation mass is visible, the lump is fixed, the pain has the definite place, the disease is in the blood system, is for the disease of Zang-viscera; The gathering belongs to intangible, the mass gathering and disappear, pain is not fixed place, disease is in Qi phase, it is disease of Fu-viscus. Because of the close relationship between the accumulation and gathering, the two are often discussed together.
 Accumulation is mainly located in the liver and spleen. The basic pathogenesis is Qi block and endogenous blood stasis. Qi stagnation was the main cause of gathering syndrome and blood stasis was the main cause of accumulation syndrome.
 The name of accumulated diseases was first put forward in the book of Inner Cannon, and its formation and treatment principles were discussed.

Abdominal mass pathogenic reasons.
Abdominal mass pathogenic reasons. 
 ✦The common pathogenic reasons are known including:

 ✧1.Emotional dysregulation emotional depression, liver Qi not in order, Zang-Fu disorder, blocked vessels, blood circulation not smooth, Qi stagnation and blood stasis, accumulated over time, form the accumulation.

 2.Hurt from food and drink: hunger and satiety improper, or untimely take food cold fat sweet, hurt the spleen and stomach, lost health in transformation function of spleen, water and grain refined essence, food stagnation moist turbidities condense into phlegm, or food stagnation, insect accumulation, and phlegm Qi transfer obstruction, Qi obstructed, then into accumulation syndrome.

 3.Affected by cold pathogen and invasion, spleen Yang does not transport, wet phlegm cohesion internally, block Qi, qi and blood stasis, accumulation is formed. Also, conditions affected by exogenous cold, due to internal injury, Qi due to the cold, the vein is not smooth, Yin blood coagulation and form accumulation syndrome.

 4.Caused by chronic disease, jaundice, flank pain, wet turbid, qi and blood accumulate knot; wet phlegm stagnation; liver and spleen disharmony, stagnation of qi and blood; after chronic diarrhea, chronic dysentery, weak spleen Qi function, Yin blood circulate obstacles and stagnated, can lead to the formation of the accumulation.

 Pathogenesis: Accumulation is mainly located in the liver and spleen. The basic pathogenesis is Qi block and blood stasis. Qi stagnation was the main cause of gathering syndrome and blood stasis was the main cause of accumulation syndrome. At the beginning of the disease, Qi stagnation and blood stasis, heresy Qi obstruction, positive health Qi are not empty, the pathological properties are more excessive; Accumulation of time, the disease developed, loss of vital energy, can be turned into the syndrome of deficiency and excess type. To the late stage of the disease, Qi and blood deficient and weak, deficiency is the main syndrome. The above so-called deficiency or excess, is only relatively speaking, because of the formation of the accumulation, which is always related to deficiency of healthy Qi.

 

Abdominal mass common syndromes.
Abdominal mass common syndromes. 
 ✦The common abdominal mass syndromes are known including:

 ✧Syndrome name: Liver Qi stagnation syndrome (gathering syndrome)

 Symptoms: soft lumps in the abdomen, sporadic accumulation, attack and swelling pain, abdominal distention and discomfort, thin tongue coating, etc.

 ✧Syndrome name: Food stagnation phlegm obstruction syndrome (gathering syndrome)

 Symptoms: abdominal distention or pain, abdominal has a cord to gather, the distention pain is more serious when press, constipation, dull, tongue coating greasy, etc.

 ✧Syndrome name: Qi stagnation and blood obstruction syndrome (accumulation syndrome)

 Symptoms: abdominal lumps soft, fixed and not movable, swelling discomfort, tongue coating thin, etc.

 ✧Syndrome name: Internal syndrome of blood stasis (accumulation syndrome)

 Symptoms: abdominal mass is obvious, hard, fixed and unmoved, dull pain or stabbing pain, thin body, poor appetite or lower food intake, dark complexion and black, red streaks or blood nevus on face, neck, chest, and arms. Stopped menstruation, tongue body purple or petechiae, etc.

 ✧Syndrome name: Positive Qi deficiency and stasis accumulation (accumulation syndrome)

 Symptoms: weak body and chronic disease, solid mass, dull or severe pain, poor diet, thin muscles, fatigue, yellow or swarthy complexion, or even swollen on face and limbs, tongue light purple, or light without coating.

 

References:
  • 1.Abdominal mass:introduction of its pathological reasons,syndrome differentiation and common syndromes.
  • 2.Su Wen:the Plain Questions of Huangdi's Internal Classic.By 黄帝(the Yellow Emperor).
  • 3.Nan Jing:the Difficult Classic.By 秦越人(Qín Yuèrén).
  • 4.Jin Kui Yao Lue Fang Lun:the Synopsis of Prescriptions of the Golden Chamber.By 张仲景(Zhāng Zhòngjǐng),王叔和(Wáng Shūhé),林亿(Lín Yì),高宝衡(Gāo Bǎohéng).
  • 5.Zhong Zang Jing:the Central Treasury Canon.By 华佗(Huà Tuó).
  • 6.Zhu Bing Yuan Hou Lun:the General Treatise on the Cause and Symptoms of Diseases.By 巢元方(Cháo Yuánfāng).
  • 7.Qian Jin Yao Fang:Invaluable Prescriptions.By 孙思邈(Sūn Sīmiǎo).

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