英文留學(xué)生課件：中醫(yī)學(xué)(內(nèi)因、治則治法)

ThepatientsPatient1:a45yearsoldman,whoisaleaderofacompany,healwaysinanxious,andhehasheartdisease.Patient2:ayoungstudent,beforetheexam,hestudiesalldayandallnightforaweek,andnowfeelstomachache.Patient3:a40yearsoldwoman,whoisveryliketoeatsweet,shehasmenopausefor40days.第一頁，共59頁。etiologyExternalpathogensInternalpathogensSixevilsExternaldiseaseabnormalemotionsimproperdietlaborandrestPhlegmBloodStasisinternaldisease第二頁，共59頁。1.sevenemotionsjoyangerdepressedanxietysorrowfearshockresponsestotheenvironmentalstimulisudden,strong,longemotionalstimulibeyondthebody’sadaptabilitycausedysfunctionofvitalQiimbalanceofYinandYanginternaldisease第三頁，共59頁。1.sevenemotionsacertaininternalorganiscloselyrelatedtoacertainemotionalactivity.liverheartsorrowspleenfearjoyimpairskidneylungangeranxietysevenemotionsfivezang第四頁，共59頁。1.sevenemotionsTheabnormalemotionsmainlyinfluencevitalQi,soastocausethedysfunctioninascendinganddescendingofQi.sinkconsumedsorrowdisordershockjoysluggishascendangeranxietystopfearfivezangsevenemotions第五頁，共59頁。2.ImproperdietImproperdietcomprisesthreeaspects1.theuncontrolleddiet2.uncleanlyfood3.dietpreference第六頁，共59頁。2.1ControlleddieFed-upnessorgluttonyfoodretardantingastrointestinaltractabdominalfullnessanddistention,waterbrash,anorexia,vomitinganddiarrhoeaetcquantitative第七頁，共59頁。2.1ControlleddietimingmealEatingregularlycanguaranteeactivitiesofthedigestionandabsorptionfunctionAppropriateisagoodbreakfast,satisfiedlunchandlittledinner第八頁，共59頁。2.2UncleanlyfoodUncleanlyfoodstomachandintestinediseases,parasiticdiseaseorevenfoodpoisoning.resultsin第九頁，共59頁。2.3DietpreferenceDietpreferenceasanetiologicalfactorreferstoaddictingtoaspecialtropismtasteoffood.

Improperdietstructure,oreatingtoomuchcoldorheatfood,oreatingflavorpredilectionleadtotheimbalanceofYinandYang,orlackofnutritionandcausedisease.第十頁，共59頁。3.laborandrest1excessivethought2.excessivephysicallabor3.excessivesexualAdequatelaborhelpbloodandQiCirculatesmoothlyandfluentlyenoughrestrestorephysicalandmentalenergy第十一頁，共59頁。3.1ExcessivethoughtSymptomsheartpalpitations,forgetfulness,insomnia,muchdreamorindigestion,abdominaldistension,loosestoolsexcessusingofbrainconsumptionofbloodimpairmentofthespleenandheart第十二頁，共59頁。3.2ExcessivephysicallaborexcessivephysicallaborConsumptionofqiinjuredinthesinewsorbones“Longstandingharmbone,longwalkdamagetendons”.第十三頁，共59頁。3.3.excessivesexualsexualindulgencedirectlyleadsthedeficiencyofkidney-essenceThecommonsignsarelumbardebility,dizziness,tinnitus,depression,orspermatorrhea,decreasedsexualfunction,orimpotence.第十四頁，共59頁。4.PhlegmPhlegmreferstothepathologicalproductofwatermetabolismdisorders.第十五頁，共59頁。4.PhlegmSixExogenousInternalpathogensgasificationoflungs,spleen,liver,kidneyandtri-jiaoaredislocatedstagnationofbodyfluidPhlegm第十六頁，共59頁。Phlegmpathogenicfeatures1.ItblocksthecirculationofQiandblood.2.Ithaseffectonwatermetabolism.3.Easytodeceivethemind.

causingepilepsy,madandotherdiseases.4.Widelypathopoiesisandever-changing.thecoursetendstobecomparativelylong,lingeringandcomplicated.第十七頁，共59頁。5.BloodStasisQi’spoororblockbloodrunssluggishExogenouscoldevilorYincoldinsidecoagulateSyndromeofheatinbloodbloodknotwithpathogenicheatandrundisordered.avarietyoftraumaorotherreasoncausebleedingAnomalousbloodfailedtopromptlydissipate第十八頁，共59頁。Characteristicsofbloodstasis1.Thediseaselocationisfixedandlastforalongperiod.2.Duetobloodstasisindifferentpartsthepathologyalsodifferent.

brain—suddenlycollapsed,unconsciousheart—palpitations,chestpain,shortnessofbreathsuchasknottedpulse,intermittentpulseorhesitantpulseuterus—pain,irregularmenstruation,darkmenstrualbloodmixwithcoagula.“Qi-stagnationandbloodstasisgotogether".第十九頁，共59頁。Symptomsofbloodstasis1.Pain:pricking,locationofthepainisfixed,refusedtopressandshockatnight.2.Tumor3.Hemorrhage:colorlooksdarkpurpleormixwithbloodclot.4.Darkpurplelooking:

lipsandnailsdarkpurple;5.purpletongue.

Ecchymosisinthetonguebody.

第二十頁，共59頁。What’stheirproblems?Patient1:a45yearsoldman,whoisaleaderofacompany,healwaysinanxious,andhehasheartdisease.Patient2:ayoungstudent,beforetheexam,hestudiesalldayandallnightforaweek,andnowfeelstomachache.Patient3:a40yearsoldwoman,whoisveryliketoeatsweet,shehasmenopausefor40days.第二十一頁，共59頁。DiseaseControlPrinciplesThePreventativeprinciplesoftraditionalChineseMedicineisusingvariousmethodstopreventdiseaseoccurrence,development,transferorrecurrenceincluding

preventionof

DiseaseOnsetandPreventingDiseaseFromExacerbating.第二十二頁，共59頁。1.PrincipleofPreventionThePrincipleofpreventionisageneralprinciple1.PreventionBeforeDiseaseOnset2.TreatingDiseaseByTheRoot3.AdjustingYinandYang3.Supportingtherightqiandeliminatingevil4.DesigningtreatmentAccordingToPerson,Place,Timeandenvironment.第二十三頁，共59頁。Itreferstomobilizethebody'sallpositivefactors,takevariouseffectivemeasurestodoagoodjobofpreventionbeforethediseaseoccurandpreventthehappeningofthedisease.ThecorecontentofPreventionBeforeDiseaseOnsetistoimproverightqiandstrengthenbody’sdisease-resistantability.1.1PreventionBeforeDisease第二十四頁，共59頁。1.1PreventionBeforeDiseaseStrengthenvitalQi1.Regulatingmentalstates2.Physicalexercise3.Medicinefood4.thegoodlivingcircumstances5.goodworkingconditions第二十五頁，共59頁。redfoodheartReddatehawSweetpotatopotatoRedbeanReddate第二十六頁，共59頁。yellowfoodspleenSweetpotatopumpkinsoybean第二十七頁，共59頁。whitefoodlungwintermelonlotusrootwhitefunguspear第二十八頁，共59頁。blackfoodkidneyblackricesesameJew’searblackbean第二十九頁，共59頁。Medicinefoodgreenfoodliver第三十頁，共59頁。1.1PreventionBeforeDiseasepreventtheinvasionofevilqi

1.payattentiontohygiene,preventthepollutionofenvironment,waterandfood2.avoidtheinvasionofsixexogenouspathogens,epidemicpestilence,sevenemotionalaffects,diet,labour第三十一頁，共59頁。1.2PreventingdiseasefromexacerbatingPreventingDiseaseFromExacerbatingreferstoearlydiagnosisandtreatmentfortheoccurreddisease,soastopreventthediseasedevelopmentandtransfer.第三十二頁，共59頁。1.2Preventingdiseasefromexacerbating

Timelyandeffectivetreatmentcanpreventfurthertransmissionofdiseases.Whenexteriorevilinvadesthehumanbodyifwecannotmaketherightdiagnosisandtreatmenttimelyevilwillpassintotheinteriorstepbystep

Patients’conditionmoreandmorecomplexanddeepThetreatmentwillbemoredifficult.第三十三頁，共59頁。Waysofearlydiagnosisandtreatment：

BasedonthetheoryofTraditionalChineseMedicineandmedicalpractice1.changesininternalconditionofthebodycanbesensedbyexaminingtheexternalphenomenon2.theoverallsituationcanbeknownbyminorchangeinpartofthebody.3.Onthebasisofunderstandingthenormal,wecanfindabnormalchanges4.wecanjudgeandmastertheevolutionalpatternofdiseasedevelopmentandtransfer第三十四頁，共59頁。Preventingshift

Shift

referstodiseaseevilpassaingmoveorchangefromonechanneltoanotherorfromoneorgantoanother.Infivephasestheory:

liverbelongtowoodandspleenbelongtoearth,liver-woodcanexploitthespleen-earth,soliverdiseasecertainlypassedtothespleen,leadtospleendisease,thisistheruleofshift.Tostoptheshift,whenwetreattheliverdiseaseinclinic,methodoffortifyingthespleen.第三十五頁，共59頁。2.Principleoftreatment(1)Treatingdiseasebytherootreferstothecauseoressentialnatureofdiseasemustbefound

InAcuteConditionsTreatThebranchInModerateConditionsTreatRoot第三十六頁，共59頁。2.Principleoftreatment(2)AdjustingtheYinandYang

AdjustingYinandYangisoneofthebasicprinciples,usedtoreducesuperabundance,supplyinsufficiency第三十七頁，共59頁。2.Principleoftreatment(3)SupportingvitalQianddispellingevil

TheoutcomeofevilandvitalQistruggledecidestheprognosisofthediseasedirectly.Supportingrightqianddispellingevilqicanchangethepowerbalanceonbothsidesofrightandeviltohelphealthedisease.

第三十八頁，共59頁。2.Principleoftreatment(4)UnlikeTreatmentofLikeDisease

Referstothesamedisease,duetodifferentpatterns,treatmentshouldbedifferent.Forexample,thesameasthediseasecommoncold,ithasdifferentpatternssuchaswind-cold,wind-heat,heat,qideficiency,thustreatmentmethodsarealsodifferent.第三十九頁，共59頁。2.Principleoftreatment(5)LikeTreatmentofUnlikeDisease

Inthedevelopmentprocess,therewillbethesamepatternindifferentdiseasesanddifferentconditions,sothetreatmentmethodisthesame.

Suchasenduringdiarrhea,floodingandpotting,prolapseoftheuterus,ptosisofthestomach,theyaredifferentdiseases,buttheyallcomplywiththepatternofcenterqifall,thusshouldbetreatedwiththetreatmentmethodofascendingupspleen-Qi.第四十頁，共59頁。2.PrincipleoftreatmentTCMbelievesthatmanandnatureareasawhole,thesituationitselfdiffersinthousandsofways.Therefore,whentreatingdisease,weshouldgivefullconsiderationtoallthefactors,givetheappropriateandindividualtreatment.

ActingaccordingtotimeActingaccordingtopersonActingaccordingtoplace

第四十一頁，共59頁。Actingaccordingtotimereferstodeterminewhatissuitableforthepatientinaccordancewiththetimeoftheyear.Forexample,Insummer,theweatherishot,theintersticesloosenandopen,whentreatingpatientssufferingfromwind-cold,warmacridmedicinalsshouldnotbeusedtooexcessivelysoastoavoidcopioussweatingdamagingtoyang

qiandthefluids.第四十二頁，共59頁。ActingaccordingtoplaceActaccordingtoplacereferstodeterminewhatissuitableforthepatientinaccordancewiththegeographiclocation.

Forexample,thesamewind-coldexteriorpattern,Inthenorthwestregion,MahuangandGuizhishouldbeusedmoretodrasticsweatingwhileinthesoutheastregionJingjie,Suye,Dandouchiusedmore,Mahuangifnecessaryused,shouldbeusedless.第四十三頁，共59頁。1.2.5ActingaccordingtopersonActaccordingtopersonistodeterminewhatissuitableforpatientsaccordingtotheirsex,ageandconstitution.Treatmentformalefocusonadjustingvisceraqi,whiletreatmentoffemalefocusonadjustingbloodandtreatingliver.Fatpeoplehavemorephlegmaticwhilethinpeoplehavemorefire.第四十四頁，共59頁。TherapyEightMethods:1.diaphoresis,2.ejection,3.precipitation,4.harmonization,5.warming,6.clearing,7.supplementation8.dispersion.第四十五頁，共59頁。1.DiaphoresisDiaphoresiswasdividedintotwocategorieswind-coldsyndromewind-heatsyndromewarmthandacriditymedicinecoolandacriditymedicine第四十六頁，共59頁。1.DiaphoresisClinicalapplicationofdiaphoresis:1