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Chapter four 第四章 Internal medicine of traditional Chinese medicine 中医内科学
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Internal medicine of TCM a clinical subject the diagnosis and treatment the diseases and disorders the viscera the human body TCM theory The basis of various clinical sciences.
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The endogenous diseases –caused by endogenous pathogenic factors, such as phlegm, blood stasis and food, etc The exogenous diseases –caused by invasion of exogenous cold, wind, heat,damp,etc. The internal diseases
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The endogenous diseases The pathogenesis is always limited to the dysfunction of zang-ru organs, disturbance in the production and distribution of qi, blood and body fluid, and the dysfunction of meridian system. The physiological function of zang-ru organs decide the pathological manifestations.
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The heart dominates blood and vessels rules the spirit; diseases such as palpitation, mania, insomnia, chest pain and dreamy belong to the heart system.
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The procedure and principles of diagnosis and treatment of internal diseases in TCM The four diagnostic methods Inspection Auscultation and olfaction Inquire; interrogation Palpation and pulse-taking
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To identify the nature and location of a disease Pathogenic factor Anti- Pathogenic factor The imbalance of yin and yang Syndrome differentiation Deficiency Excess Cold Heat Exterior Interior Draw an outline of a disease Design the general therapeutic principle
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To infer the cause and judge the pathogenesis of a disease Refine the diagnosis and syndrome differentiation Patients’ complaints The results of diagnostic methods, laboratory tests, and from the time, the season, the environment and climate.
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To design the therapeutic principle and method The result of syndrome differentiation A cough liver fire invading the lung clearing away liver fire and lowering the adverse rising lung qi
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To choose drugs and formulate a prescription The base syndrome therapeutic principles the herbs A traditional prescription
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Syndrome patterns of the lung 肺系病证 Colds Common cold “shangfeng” 普通感冒 Influenza “shixingganmao” 流行感冒 Wind-cold type Wind-heat type Summer-heat and dampness type
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