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1、VisceralsyndromedifferentiationTangrongcuan:Ifadoctordoesn’tknowviscera,hecouldnotdistinguishthecauseofdiseaseandsetuptheprincipleofprescription.ConceptBasedon:theoryofzangfu–visceraAdialectic辯證methodAnalyzeandsynthesizeclinicaldata(fourmethods)Definelocation,thenature,pathologicalmechan
2、ism,waxandwaneofgenuineqiandevils(邪正盛衰)content1.zangsyndromedifferentiation2.fusyndromedifferentiation3.complicatedsyndromedifferentiationWhatweshouldpayattentionto?Thenatureandchangeoftheviscus(viscera)TherelationshipbetweenviscusandotherorgansandtissuesTherelationshipbetweenviscusandot
3、herzangfuvisceraSyndromedifferentiationofheartThinkoverthefollowingaspectsLocatesinthechestDominatesthebloodMindstaysinheartMonarchfirebelongstotheheartMatchesjoyinemotionsTongueasitsoutorifice,faceandsweatPalpitation(心悸)Vexation(心煩)Cardiacpain(心痛)Insomniaanddreamy(失眠多夢)Poormemory(健忘)Del
4、iriumcoma(譫妄、神昏)Intermittentpulse(間歇脈)Redtonguetipcrimsintongue(舌尖紅)Yellowurinewithurodynia(排尿痛)HeartqideficiencySyndromeofheartdysfunctionCongenitaldefect,aging,chronicdisease,overthink….Palpitationchestdistress胸悶shortnessofbreathSweatinglistlessness(倦怠)anddeterioratedbyexertionpalecomp
5、lexionweakpulseKeysofclinicalmanifestationsPalpitationQideficiencyHeartyangdeficiencyHeartyangondecline,theseveredeficiencyofheartqi.Impairmentbycoldevil,oversweatingandpurgationHQDmanifestationpluscardiacpain,intolerancetocold(畏寒),coldlimbs,lusterlesscomplexion,F(xiàn)aintpulseLossofheartyang
6、Separationofyinandyangduetosuddendepletionofheartyang.CriticaloremergencydiseaseBluelips,coldsweating,seriouscoldlimbs,severepalpitation,feeblebreath,stupororcoma.HeartblooddeficiencyLackofbloodintheheartandtheheartbeinglackofnourishmentCongenitaldefect,overmentalactivities,bloodlossandc
7、hronicdiseasePaleorsallowcomplexion,palelipsandtongue,lusterlessnails,insomnia,poormemory,profusedreams,threadypulseHeartyindeficiencyMalnourishedheartduetoheartyindeficiencyOverthinking,warmdisease,insufficiencyofproductionofyin.Palpitation,insomnia,excessivedream,tidalf