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1、手三阴手三阴Differentiationofsyndromes(4)BasicTheoryofTraditionalChineseMedicineDifferentiationofsyndromesaccordingtothepathologicalchangesofzang-fuorgansTCMwasnotfoundedonthebasisofpreciseanatomy.Internalorgans,moreaccuratelycalledzang-fuorgans,actuallyrefertothemajorfunctionalsystemsofthehumanb
2、ody.IntheprogressofTCM,nopatho-anatomywasstudied.Therefore,thepathologicalchangesoftheinternalorgansshouldnotbemisunderstoodasthepatho-anatomicalchangesoforgansandtissuesonwhichthewesterndiagnosisofdiseasesisbased.Theyarethepathophysiologicalchangesofthefunctionalsystemsrecognizedinthelight
3、oftraditionChinesemedicaltheories.Diagnosingpathologicalchangesoftheinternal(zang-fu)organsisthemostimportantcomponentofdifferentiationofsyndromes,foritisoftenacomprehensiveanalysisofthepathogenesisinagivencases,includingitslocation,nature,andtheconditionofconfrontationbetweentheanti-pathog
4、enicandpathogenicfactors.Incombinationwiththeeightgeneralparameters,determinationofthepathogenicfactorsandthestateofqi,bloodandbodyfluids,determiningthepathologicalchangesoftheinternalorgansusuallymakesacompletesyndromediagnosis,notonlyfornon-febrilediseasesininternalmedicine,butalsoformost
5、diseasesinotherbranchesofclinicalmedicine.1.stagnationandobstructionofheartblood(1)Summarize:thisoftenresultsfrominsufficiencyofheartqiandheartyang,causesretardationofbloodflowintheheart,occursinanginapectorisandmyocardialinfarctioninwesternmedicine.1.stagnationandobstructionofheartblood(2)
6、Clinicalmanifestations:precordialorsubsternalpain,stabbingordullincharacter,oftenreachingtheshoulderandarm,accompaniedbypalpitations,dark-purplishtongueorpurplespotsonthetongue,deep,hesitantorirregularpulse,cyanosisoftheface,lipsandnails,coldlimbsandspontaneoussweating.1.stagnationandobstru
7、ctionofheartblood(3)Syndromeanalysis:stagnationofbloodintheheartproducescardiacpainandpalpitations.Astheheartmeridianofhand-shaoyangtraversestheshoulderandthemedialaspectofthearm,theabovepainoccurs.Dark-purplishtongueorpurplespotsonthetongue,andadeep,hes