Kab mob siab
TCM Kev Kho Mob Siab
I. Txoj Kev Sib Raug Zoo Thiab Pathogenesis Hauv TCM - A Zang-Fu Organ Functional Network Centered On The Liver
Lub siab tswj hwm qhov kev ywj pheej ntawm qi thiab tswj qi txav:
Kev ntxhov siab ua rau lub siab qi stagnation, thawj theem ntawm cov kab mob siab feem ntau. Stagnant qi zog ua rau qi stagnation thiab ntshav stasis, los yog lub siab qi invading lub plab ua rau tsis sib haum xeeb ntawm daim siab thiab plab, los yog hloov mus rau hauv hluav taws thiab cuam tshuam lub plawv.
Lub siab khaws cov ntshav, nrog yin xwm thiab yang manifestations:
Lub siab khaws cia thiab tswj cov ntshav. Pathologically, tsis ua hauj lwm hauv cov ntshav cia yuav ua rau los ntshav; noj yin thiab ntshav ua rau ascending hyperactivity ntawm daim siab yang thiab sab hauv stirring ntawm daim siab cua.
Inter-kev txhawb nqa thiab kev sib cuam tshuam-kev txwv ntawm lub siab thiab lwm yam zang-fu lub cev:
• Daim siab ntoo cuam tshuam lub ntiaj teb: kab mob siab feem ntau cuam tshuam rau tus po thiab plab, ua rau tsis qab los noj mov, mob plab thiab qaug zog.
• Daim siab thiab lub raum sib koom tib lub hauv paus chiv keeb: Cov kab mob siab ntev inevitably noj raum essence, ua rau daim siab - raum yin deficiency.
• Hyperactivity ntawm hluav taws nyob rau hauv daim siab thiab lub plawv: Ob lub cev muaj kev cuam tshuam ib leeg, ua rau insomnia thiab chim siab.
Qhov pib ntawm daim siab kab mob pib nrog kev tsis sib haum xeeb ntawm daim siab qi, uas txuas ntxiv tsim cov khoom siv pathological xws li lub siab hluav taws kub, lub siab cua thiab lub siab cov ntshav stasis. Cov khoom no cuam tshuam rau lwm yam zang-fu organs los ntawm inter-kev txhawb nqa thiab inter- txwv tsis pub ntawm tsib lub ntsiab lus, txhim kho mus rau hauv cov kab mob nyuaj.
II. Feem ntau Etiological Factors
Exogenous damp-kub pestilential toxin:
Qhov laj thawj tseem ceeb, piv txwv li, kab mob siab kab mob sib kis, uas yog categorized li "pestilential toxin" thiab "damp-heat" hauv TCM.
Kev noj zaub mov tsis raug:
Kev noj ntau dhau ntawm cov khoom noj muaj roj, qab zib, nplua nuj, ntsim thiab ci, lossis haus dej ntau, ua rau muaj dej sov- cua sov, ua rau tus po thiab lub plab, thiab ua rau lub siab thiab lub gallbladder.
Internal raug mob vim muaj kev puas siab puas ntsws:
Kev nyuaj siab ntev thiab npau taws yooj yim ua rau lub siab qi stagnation thiab ua haujlwm tsis zoo ntawm qi dispersion, qhov pib ntawm ntau yam kab mob.
Ua haujlwm tsis tu ncua thiab so:
Kev qaug zog ntau dhau (xws li pw tsaug zog) noj qi, ntshav, yin thiab essence; ntau idleness ua rau stagnation ntawm qi txav.
Kev kis kab mob los ntawm lwm yam kab mob lossis kev raug mob lom los ntawm cov tshuaj:
Cov kab mob ntev ntev noj qi tseem ceeb, lossis kev siv tsis raug / siv ntau dhau ntawm daim siab -cov tshuaj ua rau raug mob.
III. Pathogenesis - Tsis muaj peev xwm ntawm Vital Qi thiab Pathogen Invasion, Disorder Qi thiab ntshav
Lub pathogenesis ntawm daim siab kab mob tuaj yeem suav hais tias: qhov tsis txaus ntawm qhov tseem ceeb qi ua rau lub cev muaj kev cuam tshuam los ntawm damp -cov kab mob cua sov, dej cawv, greasy thiab nplua nuj zaub mov, thiab lwm yam, ua rau "dampness, heat, stasis thiab toxin". Cov khoom lag luam pathological no ua rau lub siab parenchyma (lub siab yin thiab ntshav), ua rau muaj kev cuam tshuam ntawm qi, ntshav, yin thiab yang, cuam tshuam ntawm daim siab collaterals, thiab tsim ib lub voj voog vicious ntawm interweaving "stagnation, stasis, phlegm, toxin thiab deficiency". Qhov no tshwm sim nyob rau hauv ib tug ncua sij hawm thiab refractory mob nrog soj ntsuam manifestations ntawm intermingling phlegm thiab stasis.
IV. Tsib theem ntawm kev pib thiab kev loj hlob ntawm kab mob siab
Qib Qi Stagnation
Thawj theem ntawm tus kab mob nrog qi txav txav tsis tu ncua, ua rau muaj kev nyuaj siab ntxhov plawv, mob hypochondriac distending, mob hauv siab thiab belching, feem ntau pom nyob rau hauv cov kab mob siab.
01
Theem ntawm Damp-Tshav kub hauv lub siab thiab lub gallbladder
Intermingling ntawm dampness thiab kub fumigates lub siab thiab gallbladder, tshwm sim raws li jaundice ntawm daim tawv nqaij thiab sclera, iab saj nyob rau hauv lub qhov ncauj, xeev siab, tsaus nti, thiab daj greasy nplaig txheej, feem ntau pom nyob rau hauv mob siab kab mob siab los yog mob ntev lub sij hawm.
02
Theem ntawm daim siab Stagnation thiab Spleen Deficiency
Kab mob siab ua rau tus po, nrog rau daim siab stagnation thiab spleen deficiency, manifested li hypochondriac mob, mob plab, tsis qab los noj mov, qaug zog thiab xoob quav.
03
Theem ntawm Intermingling ntawm Phlegm thiab Stasis
Cov kab mob protracted invades lub collaterals, thiab qi stagnation ua rau cov ntshav stasis, manifested li maub thiab salllow complexion, hypochondriac stabbing mob, hepatosplenomegaly, thiab liab doog tus nplaig nrog petechiae, sib xws rau hepatic fibrosis thiab ntxov mus rau nruab nrab theem siab cirrhosis.
04
Qib siab -Kidney Yin Deficiency lossis Spleen-Kidney Yang Deficiency
Lub sijhawm kawg ntawm tus kab mob, nrog rau kev mob ntev heev cuam tshuam rau lub raum; Nws tuaj yeem tshwm sim raws li yin deficiency (mob thiab tsis muaj zog ntawm lub duav thiab lub hauv caug, tsib- kub taub hau, tus nplaig liab nrog cov txheej me me) lossis yang deficiency (chillings thiab txias, tympanite, qis qis edema), sib xws rau siab mob siab cirrhosis lossis mob siab ua tsis taus theem.
05
V. Ib Txoj Kev Kho Mob Tshwj Xeeb rau Cov Kab Mob Siab Hauv Peb Lub Tsev Kho Mob - Kev Siv Ua Ntej ntawm Plaub Txoj Kev: Tshem Tawm, Kho, Soothing thiab Tonifying
Raws li kev nkag siab tob hauv - qhov kev nkag siab tob ntawm cov cai saum toj no kev nce qib ntawm cov kab mob siab, peb lub tsev kho mob tau sau thiab kho qhov kev kuaj mob thiab kev kho mob nyob rau hauv plaub txoj hauv kev ntawm Clearing, Resolving, Soothing and Tonifying, hais txog theem- raws li kev kho mob thiab kev hloov pauv hloov pauv.
Lub hauv paus ntsiab lus: Targeting "damp-heat pestilential toxin", cov kab mob tseem ceeb ntawm daim siab kab mob. Nyob rau hauv lub active theem ntawm daim siab kab mob, exuberant pathogenic toxin yog qhov tseem ceeb contradiction. "Clearing" yog hais txog kev siv iab -txias los yog qab zib- cov tshuaj txias (xws li, Artemisia Scopariae, Gardeniae Fructus, Taraxaci Herba, Polygoni Cuspidati Rhizoma et Radix) kom txo qis hluav taws kub, tshem tawm sab hauv latent cua sov{7} thiab inflammatory {8} damp. - cov txheej txheem zoo sib xws rau "kev tua hluav taws thiab txo qhov mob" rau daim siab.
Lub hauv paus ntsiab lus: Cov kab mob ntub dej yog nplaum thiab lingering, ib qho tseem ceeb rau cov kab mob siab ntev ntev. "Kev daws" suav nrog kev tshem tawm dampness los ntawm cov diuresis me me (xws li Poria Cocos, Alismatis Rhizoma) thiab cov tshuaj tsw qab (xws li Agastaches Herba, Eupatorii Herba), muab txoj hauv kev rau cov kab mob ntub dej kom tshem tawm los ntawm cov zis. Ua ke nrog txoj kev tshem tawm, nws txo qis qhov mob daj ntseg, mob plab plab, tuab greasy nplaig txheej thiab lwm yam tsos mob, tsim kom muaj "qhuav" ib puag ncig rau lub siab.
Lub hauv paus theoretical: Zoo sib xws nrog cov yam ntxwv ntawm lub cev ntawm "lub siab tswj hwm qhov kev ywj pheej ntawm qi". Cov kab mob hauv siab yog invariably nrog stagnation, thiab cov kab mob protracted inevitably ua rau stasis. "Soothing" muaj ob lub ntsiab lus: ua ntej, soothing siab qi nrog Bupleuri Radix, Cyperi Rhizoma, Curcumae Radix los tswj kev xav thiab qi zog; Thib ob, tshem tawm daim siab collaterals nrog Salviae Miltiorrhizae Radix thiab Rhizoma, Persicae Semen, Notoginseng Radix thiab Rhizoma los txhim kho hepatic microcirculation thiab tiv thaiv fibrosis. Txoj kev no yog siv thoob plaws hauv tag nrho cov kev kho mob thiab yog tus yuam sij rau rhuav lub voj voog vicious ntawm "stagnation thiab stasis".
Lub hauv paus ntsiab lus: Ua raws li cov hauv paus ntsiab lus ntawm "cov kab mob txuas ntxiv ua rau tsis muaj peev xwm" thiab "kho lub hauv paus ua rau tus kab mob". Nyob rau hauv lub lig los yog remission theem ntawm tus kab mob, los yog rau cov neeg mob uas muaj lub cev tsis muaj zog, deficiency ntawm qi tseem ceeb yog qhov tseem ceeb contradiction. "Tonifying" tsis yog qhov muag tsis pom kev ntxiv tab sis hloov pauv tau raws li qhov tsis txaus ntawm zang-fu organs:
• Nourishing lub siab parenchyma: Nourishing daim siab yin thiab ntshav nrog Angelicae Sinensis Radix, Paeoniae Radix Alba, Lycii Fructus.
• Tonifying tus po: Invigorating tus po thiab replenishing qi nrog Astragali Radix, Atractylodis Macrocephalae Rhizoma, Codonopsis Radix tonify tus po thiab txhawb lub siab.
• Tonifying raum essence: Nourishing lub raum kom tonify lub siab nrog Ligustri Lucidi Fructus, Ecliptae Herba, Corni Fructus.
Daim ntawv thov ntawm Tonifying Method lub hom phiaj txhawm rau txhim kho qhov tseem ceeb qi, kho lub siab puas hlwb, tswj kev tiv thaiv kab mob, thiab txhim kho cov kab mob tiv thaiv thiab kho lub peev xwm.
Plaub txoj hauv kev (Clearing, Resolving, Soothing and Tonifying) tsis yog siv nyob rau hauv kev sib cais tab sis raws li ib tug organically integrated dynamic kho lub tswv yim. Feem ntau, nyob rau hauv lub active theem ntawm tus kab mob, txoj kev tshem tawm thiab kev daws teeb meem yog lub hauv paus, pab los ntawm lub Soothing thiab Tonifying Methods; Nyob rau hauv kev zam txim los yog lub sij hawm ntev, Txoj Kev Soothing thiab Tonifying yog qhov tseem ceeb, nrog rau kev tshem tawm thiab daws cov kab mob seem. Los ntawm kev hloov pauv tau yooj yim thiab ua raws li cov ntawv thov ntawm plaub txoj hauv kev no, peb ua tiav lub hom phiaj ntawm "tshem tawm cov kab mob yam tsis muaj kev raug mob tseem ceeb qi, thiab ua kom lub cev tseem ceeb qi yam tsis tau khaws cov kab mob", thiab ua tib zoo paub txog cov kev kho mob dav dav suav nrog tshuaj tua kab mob, tiv thaiv - mob, tiv thaiv-fibrotic kev kho mob, thiab immunomodative tag nrho. rau kab mob siab hauv peb lub tsev kho mob. Los ntawm Multi-Tsev neeg qhuab qhia (MDT) kev sab laj, peb txais yuav ib tug tib neeg kev koom ua ke Suav thiab Western tshuaj txoj kev kho mob, nrog rau qhov ncauj Suav tshuaj ntsuab decoctions, Suav tshuaj ntsuab granules, acupoint daim ntawv thov ntawm rhuab suav tshuaj ntsuab pob, raws li zoo raws li tsim nyog TCM cov tswv yim xws li acupuncture thiab moxibustion, infrared hepatic kho mob thiab ko taw kev loj hlob, kev loj hlob ntawm tes, thiab lwm yam. Cov teeb meem raug zoo dua qub thiab txhim kho lub sijhawm ntev - cov kev mob tshwm sim ntawm cov neeg mob.
VI. Kev Ceeb Toom Thaum Kev Kho Mob Siab
Tswj kev noj zaub mov tsis tu ncua thiab ua haujlwm txhua hnub; ua kom sov thiab tsis txhob txias; tuav lub siab zoo; noj cov zaub mov mos thiab kua ua zaub mov tseem ceeb thiab noj zaub mov me me thiab nquag; ua kom lub plab zom mov tsis muaj kev cuam tshuam; tau txais kev kuaj mob tsis tu ncua; noj tshuaj tsis tu ncua thiab raws li tus qauv; tsis txhob tso tseg lossis txo qhov koob tshuaj yam tsis muaj lus qhia kho mob.
Shijiazhuang Medical College Tsev Kho Mob yog ib lub tsev kho mob zoo tshaj plaws rau kab mob siab hauv Suav teb. Nrog kev paub dhau los, peb muab kev pabcuam zoo rau kev kho mob siab thiab cov kws kho mob tshwj xeeb rau cov neeg txawv tebchaws thiab cov neeg mob thoob ntiaj teb. Tiv tauj peb kom paub meej ntxiv.