Qi Collapse:Middle Qi Collapse and Thoracic Qi Collapse,a brief introduction about its pathogenesis, syndrome differentiation and main symptoms.

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.

Middle Qi Collapse.
Middle Qi Collapse 
 ✵The Middle Qi Collapse: the Middle Qi Collapse, is also known as sinking of the Middle Qi, it is a syndrome from the deficiency of the spleen, resulting in relaxation of muscle and vessel, and prolapse of the viscera. Mainly due to diet, fatigue hurt the spleen, or long illness hurt the spleen, Spleen Qi deficiency, Spleen Yang deficiency, and collapse, lost rising.

 Main manifestations: abdominal distension and heaviness or dropping, turn severe when intake some food; Or desire to defecate frequency, dropping and heavy at anus region; Or firstly long dysentery or diarrhea and unstoppable, even prolapse of the anus; Or uterine prolapse; Or urine is cloudy and similar to rice pulp water; Accompanied by dizziness and dazzling, limb tired heavy(heavy in arms and legs, weariness), low voice and lazy in speech, tongue coating white, pulse weak.

 ✵Pathogenesis analysis: deficiency of the spleen Qi and decline, dysfunction of its transportation and transformation, internal viscera could not be provided with the essence of Qi and blood, so that the viscera Qi deficiency and decline, weakness in lifting and prolapse, such as uterine prolapse, gastroptosis. Gastroptosis, thus abdominal distension and heaviness or dropping, more serious after taking food, more uncomfortable in the abdomen region. The middle Qi collapse, so that desire to defecate frequently, heavy in anus regions, or long dysentery or diarrhea, anus out. The spleen is main for generating and transporting essence, the spleen deficiency result that essence could not spread and transported, so it flows down to the urinary bladder, result urine is cloudy as rice water pulp. The spleen is deficient and the clear Yang not rising, then feel dizzy and dazzled. The middle Qi is insufficient, the result sees limb heavy and tired, voice low and lazy in speech. Pale tongue and tongue coating white, pulse weak, are all symptoms of the spleen deficiency.

 ✵Identification and differentiation from similar syndromes: the middle Qi collapse is a kind of syndromes which is similar to the spleen deficiency. Its similar symptoms etc could also refer to the spleen deficiency syndrome.

Thoracic Qi Collapse.
Thoracic Qi Collapse. 
 ✦The Thoracic Qi Collapse: the Thoracic Qi Collapse, is also known as sinking of the Thoracic Qi, pectoral Qi sinking, Sinking of Chest Qi, sinking of pectoral Qi. The pectoral Qi or thoracic Qi is which stays in the chest and lung functions for aiding the healthy breath function.

 ✧Its main symptoms are: the thoracic Qi in the chest collapse and sinking, breath turn short and not enough to breathe, or have to make efforts to breathe, similar to panting; Or the breath seems will cease, and the danger will be in an instant. Its accompanying symptoms, normally including alternate attacks of chill and fever(alternate attacks of cold and heat), or throat dry and thirst(dryness in the pharynx and thirst), or full depression, or coma and amnesia(unconsciousness, forgetful or poor memory), the pulse sinking late and weak. Its severe case, or six pulses is incomplete, or arrhythmia of the pulse.

 Common syndromes of the Thoracic Qi Collapse or sinking of the Pectoral Qi, are introduced as:

 ✧Fullness and depression in the chest, cold sensation in the heart, lower abdomen dropping and heaviness even pains, need to make efforts in breathing(need to make efforts in exhaling or inhaling), it is a severe condition of the thoracic Qi collapse.

 ✧Overstrain or tired from much work, sinking of the pectoral Qi in the chest, lazy in legs and arms, reduced appetite(reduced food intake), self-knowing fullness and oppression in the chest, short of breath and often panting, need to make effort to breath, if delayed to a severe condition, normally observe symptoms dyspnea or panting and could not sleep or lay flat, had to sit upright against wall or chairs to help breath, breath will cease if in sleep for a little while, dare not lay flat to sleep.

 ✧Panting for long period, and hurt from overstrain or carry heavy things, depression in chest and starts to panting later, need to make efforts to exhale or inhale, dyspnea and short of breath day and night, it is a condition of the thoracic Qi collapse with kidney Yin deficiency and could not intake Qi.

 ✧Fullness and oppression in the chest, cough day and night, pain below the costal region due to cough, pulse slight string-like and powerless, other symptoms including trembling in voice or speech, mainly due to overwork or strain;

 ✧In 40s years age of man, lost voice for months, gradually feel tightness in throat, often affected by ulcer and rotten, aversion to wind and cold, and even feel cold in summer, reduced appetite, turned to asthenia and consumption, pulse weak;

 ✧In 40s years age of man, vomit blood twice or triple times yearly, gradually turn severe than last years, often cough, phlegm and saliva stagnant and stasis, panting in movement or sports, short of breath, pulse sinking slow(retarded) and weak, especially severe at the right.

 ✧Lady spontaneous sweating, fullness and oppression in chest and hypochondriac regions, palpitation in the heart, shortness of breath in the chest, other symptoms might observed including dropping or heaviness in lower abdomen, difficulty in urination, insomnia at night(could not sleep at night), sometimes fever, pulse sinking slow and weak, especially severe at the right.

 ✧Lady in 30s years age, fullness and oppression in the chest, no appetite or drinking(do not desire to take food or drink), short of breath and panting;

 ✧Lady congenital thin and weak, pavor and frightened due to fire or other events, over-shock or over-frighted, gradually short of breath, palpitation in the heart, feel breath could not go up after taking food, often sighs, pulse normal, sinking at the right. It is a condition of thoracic Qi collapse due to frightening.

 ✧Lady often in depression and sorrow, for things go wrong in life, often feel anger, and short of breath, dry in pharynx and thirst, make effort to breath and sometimes feels breathing will cease, it is a condition of thoracic Qi collapse due to long depression from bad luck.

 ✧Lady, diet increased a lot suddenly, sometimes feel hungry but not take diet, then palpitation in the heart, this is a condition of thoracic Qi collapse and spleen stomach Qi(middle Qi) also sinking, so appetite increased.

 ✧Yang deficiency of the heart and the lung viscera, also sinking of the Pectoral Qi, other symptoms feel cold in the heart, tightness in the back, aversion to cold(fear cold), often short of breath. Its individual condition might be a little different:

  »A young man in teenage, feel cold in both body and heart, indigestion or food has taken could not be transformed, often short of breath, do not feel hot whatever hot decoction taking, pulse weak and slow(retarded), sinking at the right, it is a condition of thoracic Qi collapse with deficiency of heart Yang and lung Yang;

  »A man in 50s years ago, great angry, diarrhea, fullness and depression in chest, indigestion(food and diet could not be digested), pulse sinking fine weak, rapid and slow(retarded), often feel coldness in the heart, it is a condition of thoracic Qi collapse with deficiency of Yang at the upper Energizer;

  »A lady in 40s, suddenly fall on the ground and could not speech, short of breath, pulse weak and slow(retarded), emaciated and thin weakness, aversion to cool and cold, it is a condition of thoracic Qi collapse with Yang deficiency of heart and lung, cold phlegm accumulated and stagnant in the chest;

 ✧Sinking of the Pectoral Qi, depression and stagnant of Qi;

  »Lady in 30s, fullness and depression in the chest, pains sometimes, nose breath with heat, often feel thirst, overwork after postpartum period, pulse slow weak and powerless.

  »Lady in 30s, menstruation not comes in 2 months, alternate fever and cold, pain in the hypochondriac regions, pulse weak and rapid, often short of breath;

 ✧Sinking of spleen Qi from extreme deficiency, aconuresis(incontinence of urine).

References:
  • 1.Qi Collapse:Middle Qi Collapse and Thoracic Qi Collapse,a brief introduction about its pathogenesis, syndrome differentiation and main symptoms.
  • 2.Ling Shu:the Spiritual Pivot of Huangdi's Internal Classic.By 黄帝(the Yellow Emperor).
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