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1、VisceralsyndromedifferentiationTangrongcuan:Ifadoctordoesn’tknowviscera,hecouldnotdistinguishthecauseofdiseaseandsetuptheprincipleofprescription.ConceptBasedon:theoryofzangfu–visceraAdialectic辩证methodAnalyzeandsynthesizeclinicaldata(fourmethods)Definelocation,thenature,patholog
2、icalmechanism,waxandwaneofgenuineqiandevils(邪正盛衰)content1.zangsyndromedifferentiation2.fusyndromedifferentiation3.complicatedsyndromedifferentiationWhatweshouldpayattentionto?Thenatureandchangeoftheviscus(viscera)TherelationshipbetweenviscusandotherorgansandtissuesTherelationsh
3、ipbetweenviscusandotherzangfuvisceraSyndromedifferentiationofheartThinkoverthefollowingaspectsLocatesinthechestDominatesthebloodMindstaysinheartMonarchfirebelongstotheheartMatchesjoyinemotionsTongueasitsoutorifice,faceandsweatPalpitation(心悸)Vexation(心烦)Cardiacpain(心痛)Insomniaan
4、ddreamy(失眠多梦)Poormemory(健忘)Deliriumcoma(谵妄、神昏)Intermittentpulse（间歇脉）Redtonguetipcrimsintongue(舌尖红)Yellowurinewithurodynia（排尿痛）HeartqideficiencySyndromeofheartdysfunctionCongenitaldefect,aging,chronicdisease,overthink….Palpitationchestdistress胸闷shortnessofbreathSweatinglistlessn
5、ess（倦怠）anddeterioratedbyexertionpalecomplexionweakpulseKeysofclinicalmanifestationsPalpitationQideficiencyHeartyangdeficiencyHeartyangondecline,theseveredeficiencyofheartqi.Impairmentbycoldevil,oversweatingandpurgationHQDmanifestationpluscardiacpain,intolerancetocold(畏寒）,coldli
6、mbs，lusterlesscomplexion，FaintpulseLossofheartyangSeparationofyinandyangduetosuddendepletionofheartyang.CriticaloremergencydiseaseBluelips, coldsweating, seriouscoldlimbs,severepalpitation,feeblebreath,stupororcoma.HeartblooddeficiencyLackofbloodintheheartandtheheartbeinglackof
7、nourishmentCongenitaldefect,overmentalactivities,bloodlossandchronicdiseasePaleorsallowcomplexion,palelipsandtongue,lusterlessnails,insomnia,poormemory,profusedreams,threadypulseHeartyindeficiencyMalnourishedheartduetoheartyindeficiencyOverthinking,warmdisease,insufficiencyofpr
8、oductionofyin.Palpitation,insomnia,excessivedream,tida
