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

Syndromes of Traditional Chinese Medicine. ✵Phthisis is a chronic consumptive disease, it is infectious or non-infectious, it is also known as láo zhài. In general, it is a syndrome developed from consumptive disease, physical weakness, and an internal lesion of the heart and kidney caused by overexertion.

 The main syndromes of phthisis are introduced: bone steaming, phthisis of bone steaming, phthisis of blood wind, cold phthisis, heat phthisis, chronic consumption of phthisis, etc.

Phthisis.
Phthisis. 
 Phthisis: phthisis is a chronic consumptive disease, it is infectious or non-infectious, it is also known as láo zhài. The phthisis of man is from hurt of essence, and the phthisis of woman is from menostasia, the phthisis of a child is from the fetus. In general, it is a syndrome developed from consumptive disease, physical weakness, and an internal lesion of the heart and kidney caused by overexertion, the essence is exhausted and blood turns drying, decline of Qi and excess of fire, burning and turns chronic with the passing of time, and develops to phthisis.

 Internal reasons: there are various reasons, constant indulgence, irregular time in daily life, the fire from seven emotions and six desires motivates in the center often, the improper diet and overtiredness hurt the body frequently, etc.

 External symptoms: there are varied symptoms, night sweat in dreams, afternoon fever (hectic fever, fever after noon), fidget with cough (vexation or dysphoria and cough), tiredness and lacking strength, poor appetite (take very little food), phlegm and saliva has blood, spit out blood, skinny and emaciation.

 Progress of the disease: The phthisis syndrome develops to a hectic fever due to yin deficiency and consumptive fever (over-strained fever).

 The main syndromes of phthisis are: bone steaming, phthisis of bone steaming, phthisis of blood wind, cold phthisis, heat phthisis, chronic consumption of phthisis, etc. These main syndromes of phthisis are introduced.

Bone steaming.
Bone steaming. 
 The bone steaming is a kind of consumptive syndrome, it is introduced:

 Bone steaming: the bone steaming is also known as gǔ zhēng (bone steaming), it is mainly caused by Qi deficiency and could not transform blood, dryness of blood leads to excessive fire, needling and prickling internally, heat in bones and restless pain, or dysphoria in chestpalms-soles (dysphoria with smothery sensation in cores of hands and feet, and the heart), burning and heat in both sides of the chest (flanks), or slightly aversion to cold in daytime, and contrary (to expectations) fever at night, develops and transmission with various symptoms, pant and cough, bloody phlegm, parched lips, black tongue, tinnitus (ringing in the ear), giddiness, wet dream (nocturnal emission), stranguria with turbid discharge, have diarrhea (have loose bowels), low back pain, feet ache (ache of feet), abdominal distension, hypochondriac pain, general lassitude (lassitude of arms and legs), etc.

 Progress of disease: the bone steaming develops and transmits; for men, it transmits from the kidney to the heart, lungs, liver and spleen, for women, it transmits from the heart to the lungs, liver, spleen and kidney.

Phthisis of bone steaming.
 
 Phthisis of bone steaming is a syndrome of phthisis develops from bone steaming, it is introduced:

 Phthisis of bone steaming: the accumulated heat attaches to the bone, and thus it is known as phthisis of bone steaming, also known as gǔ zhēng láo (phthisis of bone steaming), chuán shī, yè tì, fù lián. And the phthisis of bone steaming syndrome is developed from deficiency and consumption of spleen and stomach, with symptoms of emaciation, diarrhea, weakness of arms and legs, and lacking strength. It develops to the kidney, night sweat, pain in waist and knees, uncanny dream, reddish yellow urine; it develops to the heart, fear of mind and heart, irregular joy and anger, red cheeks and red lips, alternation of fever and cold; it develops to the lung, fullness in the chest and short of breath, cough and spitting phlegm, coarseness and squama of skin; it develops to the liver, dysopia (dim eyesight, blurred vision), pains below the costal region, anger when staying in room.

Phthisis of blood wind.
 
 Phthisis of blood wind is a syndrome of phthisis, it is introduced:

 Phthisis of blood wind: the phthisis of blood wind is also known as xuě fēng láo (phthisis of blood wind), mainly due to past deficiency of Qi and blood, or internal lesion caused by overexertion after childbirth, and affection of exogenous pathogen, or there is old coldness in the interior, as a result, ache and pain in the abdomen, aching and tiredness of arms and legs, fever and spontaneous perspiration, and woman menoxenia (irregular menstruation), emaciation with sallow complexion (complexion is sallow yellow, very thin and weak).

Cold phthisis.
Cold phthisis. 
 Cold phthisis is a syndrome of phthisis, it is introduced:

 Cold phthisis: the cold phthisis syndrome is also known as lěng láo (phthisis of cold), deficiency of Qi and insufficiency of blood, deficiency of cold in Zang-viscera and Fu-viscera, as a result, cold pain below the umbilicus (cold and pain in the lower abdomen), often cold in hands and feet, a woman has menstrual aberration, indigestion (dyspepsia), or vomiting sometimes, aversion to cold and fever, pain of condyle (pain in joints), thin and weak of skin and muscle, sallow complexion (complexion is yellowish), etc.

Heat phthisis.
 
 Heat phthisis is a syndrome of phthisis, it is introduced:

 Heat phthisis: the heat phthisis syndrome is also known as rè láo, stagnation of heat in the heart and lungs, Qi and blood are hurt, as a result, fidget in heart and mind (dysphoria), red cheeks and headache, eyestrain and dry lip, aphthae (oral abscess), disturbed and lassitude in mind, high fever of arms and legs, distaste for food (tastelessness), ache and pain of arms and legs, severe palpitation and night sweat, aching in muscle and skin, or alternation of cold and fever, etc.

Chronic consumption of phthisis.
 
 Chronic consumption of phthisis is a syndrome of phthisis, it is introduced:

 Chronic consumption of phthisis: for the bone steaming, downpour from the upper to the lower, similar to past ones who had this disease, so it is known as zhù (chronic infectious disease). Its progress and varied syndromes are in 22 kinds, or 36 kinds, or up to 98 kinds, which makes a person in a state of silence and reticency, alternation of cold and fever, night sweat, dreamed coitus, spermatorrhea (nocturnal emission) of man or gonorrhoea of woman, or has a mass in abdomen, or nodule at both sides of the back head, cough with purulent matter (pus and blood), diarrhea and emaciation (thin and weak).

Incurable syndromes of phthisis.
 
 There are incurable syndromes of phthisis, these phthisis syndromes are incurable.

References:
  • 1.Phthisis: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 (the Synopsis of the Golden Chamber).By 張仲景(Zhāng Zhòngjǐng)
  • 5.Pi Wei Lun (Treatise on the Spleen and Stomach).By 李東垣(Lǐ Dōng Yuán).
  • 6.Other ancient classical works of TCM.

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