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1、VisceralsyndromedifferentiationTangrongcuan:Ifadoctordoesn’tknowviscera,hecouldnotdistinguishthecauseofdiseaseandsetuptheprincipleofprescription.ConceptBasedon:theoryofzangfu–visceraAdialectic辩证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(心烦)Cardiacpain(心痛)Insomniaanddreamy(失眠多梦)Poormemory(健忘)Del
4、iriumcoma(谵妄、神昏)Intermittentpulse（间歇脉）Redtonguetipcrimsintongue(舌尖红)Yellowurinewithurodynia（排尿痛）HeartqideficiencySyndromeofheartdysfunctionCongenitaldefect,aging,chronicdisease,overthink….Palpitationchestdistress胸闷shortnessofbreathSweatinglistlessness（倦怠）anddeterioratedbyexertionpalecomp
5、lexionweakpulseKeysofclinicalmanifestationsPalpitationQideficiencyHeartyangdeficiencyHeartyangondecline,theseveredeficiencyofheartqi.Impairmentbycoldevil,oversweatingandpurgationHQDmanifestationpluscardiacpain,intolerancetocold(畏寒）,coldlimbs，lusterlesscomplexion，FaintpulseLossofheartyang
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
