Swelling and distension: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.

Swelling and Distension.
Swelling and Distension. 
 Swelling and distension: the swelling and distention are mainly affecting the abdomen, observed full and swelling distention in the abdomen.

 Swelling syndrome is an abnormal protuberance or distension of a body part or area; it is also known as zhǒng zhàng, or distension.

 Ancient classical works Nei Jing (the Inner Canon) recorded, "Dampness, swelling, and fullness, all belong to the spleen."

 The swelling syndrome is a disease that belongs to the spleen, lung and kidney viscera. Ancient works Nei Jing (the Inner Canon) explained that, five Zang-viscera and six Fu-viscera, five elements' motion and six kinds of natural factors, celestial manager Qi and Qi in the earth, all lead to the swelling disease.

 Internal reasons: internal injury caused by excess of seven emotions, six climatic conditions in excess (wind, cold, summer--heat, dampness, dryness and fire), intemperance of taking food, sexual strain (exhaustion due to sexual indulgence), dysfunction of the spleen, unable to distinguish between the clear and the turbid, stagnation of Qi and blood stasis, internal retention of dampness, develops to swelling.

 External symptoms: swelling is mainly located outside the Zang-viscera and Fu-viscera, enlargement of the chest and hypochondria, swollen of skin, externally hard and fullness, hollow inside, similar to a drum, pale yellow, abdominal tendon rises, abdominal distension and fullness, could take food in the morning but cannot take food at sunset.

 The deficiency and excess type of swelling: the abdomen is hard and firm, pains when press down by hands, swelling in the interior first, distension in the exterior later, urine is yellow and reddish, constipated, it is a swelling syndrome of excess type; not hard and not pains when press down by hands, swelling in the exterior first, distension in the interior later, urine is clear and white, loose stool, it is a swelling syndrome of deficiency type.

 The main types of swelling syndrome are: swelling syndrome of five Zang-viscera, swelling syndrome of six Fu-viscera, blood swelling, food swelling, heat swelling, cold swelling, deficient distension, excess distension, general edema, tympanites, tumescence, simple abdominal distension, etc. These syndromes of swelling are introduced.

Swelling syndrome of five Zang-viscera.
Swelling syndrome of five Zang-viscera. 
 Swelling syndrome of five Zang-viscera, including swelling of heart, swelling of lungs, swelling of spleen, swelling of liver, swelling of the kidney, there swelling syndromes are introduced:

 Swelling of heart: it is also known as heart distention or xīn zhàng, short of breath, get discouraged, vexation, uneasy in sleeping.

 Swelling of lungs: it is also known as lung distention or fèi zhàng, fullness sensation due to deficiency, breath with cough.

 Swelling of spleen: it is also known as spleen-distension or pí zhàng, dampness in the spleen, obstruction and dysfunction of transportation and transformation, the pulse is soggy, heavy body, urination is inhibited, loose stool and constipation.

 Swelling of liver: it is also known as hepatic distension, gān zhàng, anger motivates the liver fire, circulation in the wrong direction in the middle, bitter taste, the pulse is wiry, distension and fullness in the flanks and lower abdomen, or pains, body heat, Qi circulation in the wrong direction.

 Swelling of the kidney: it is also known as renal distention, shèn zhàng, fullness in the abdomen and radiating to the back, lumbago and pain in the thigh.

Swelling syndrome of six Fu-viscera.
Swelling syndrome of six Fu-viscera. 
 Swelling syndrome of five Zang-viscera, including stomach distention, distention of large intestine, distention of small intestine, distention of urinary bladder, distention of triple energizers, distention of gallbladder, there swelling syndromes are introduced:

 Stomach distention: it is also known as wèi zhàng, abdominal fullness, pain in the gastric cavity, nose smells empyreumatic, affect taking food, constipation.

 Distention of large intestine: it is also known as dà cháng zhàng, borborygmus(sounding in intestines) and pains, heavily affected by coldness in winter days, spleen Diarrhea and indigestion.

 Distention of small intestine: it is also known as xiǎo cháng zhàng, swollen in the lower abdomen, radiating to the waist and lumbago.

 Distention of urinary bladder: it is also known as páng guāng zhàng, fullness in the lower abdomen, dysuria caused by disorder of Qi.

 Distention of triple energizers: it is also known as sān jiāo zhàng, fullness of Qi in the skin, light and not hard.

 Distention of gallbladder: it is also known as dǎn zhàng, hypochondriac pain and distention below the costal region, bitter taste, heave a deep sigh.

Swelling syndrome of heat,cold,deficiency and excess.
Swelling syndrome of heat,cold,deficiency and excess. 
 Swelling syndrome of heat,cold,deficiency and excess, including heat swelling, cold swelling, excess swelling, deficient swelling, there swelling syndromes are introduced:

 Heat swelling: it is also known as rè zhàng, heat and dampness accumulate in the interior, dry mouth, anuria, distention of the abdomen.

 Cold swelling: it is also known as hán zhàng, or cold flatulence, pathogenic coldness accumulates in the interior, swelling and distention, cold accumulation in the stomach, swelling and fullness, diarrhea.

 Excess distension: it is also known as shí zhàng, the stomach Qi is in excess, develops to distention. The pulse is large, constipated, and pains when pressed by hands. Yellow tongue.

 Deficient distention: it is also known as xū zhàng, deficiency and weakness of the middle Qi, dysfunction of the spleen and stomach, obstruction of the triple energizer, is the middle distention of Qi deficiency.

Other swelling syndromes.
Other swelling syndromes 
 Other types of swelling syndrome, including blood swelling, food swelling, general edema, tympanites, tumescence, simple abdominal distension, there swelling syndromes are introduced:

 Blood swelling: it is also known as hemorrhagic distension xuě zhàng, blood forms a stasis, an indurated mass in the uterus.

 Food swelling: it is also known as dyspeptic distention, or shí zhàng, improper diet, stagnant in the middle, acid regurgitation, ructus, sick of food odor, turns severe after taking food.

 General edema: it is also known as distention of skin, or fū zhàng, pathogenic coldness affection of the skin, not firm, enlarged abdomen, swelling of the body, skin is thick, the disease is in the Qi phase.

 Tympanites: it is also known as drum distention or gǔ zhàng, enlarged abdomen, swelling, similar to skin edema, pale yellowish, tendon in abdomen rises, are its symptoms, it is mainly due to spleen Yin is hurt, or anger hurt the liver. The common reasons of tympanites are:six climate factors, seven emotions, hurt from diet and drink, blood stagnation, worrying and troubled thoughts, blood heat, stagnant Qi from phlegm, accumulation and stuffiness, chronic diarrhea, deficiency cold of old person, puerperal lochiostasis invasion of womb, etc.

 Tumescence: it is also known as zhàng mǎn, abdominal distention, but not swelling, due to hurt from overeating, Qi stagnation, blood-retention, Qi deficiency after chronic disease, etc.

 Simple abdominal distension: it is also known as dān fù zhàng, not swelling in four limbs(not swelling in arms and legs, hands and feet), but only distention in abdomen, mainly due to spleen Qi deficiency, hurt from wind and food.

References:
  • 1.Swelling and distension: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.Zhu Bing Yuan Hou Lun:the General Treatise on the Cause and Symptoms of Diseases.By 巢元方(Cháo Yuánfāng).

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