Xiaohua
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Registered: 10/26/2009
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Do not forget abdominal diagnosis in treatment of difficult and complicated diseases
Zang fu organs are located in abdomen, twelve meridians, Ren, Du and Chong meridians, yin heel vessel, yin link vessel, etc. connect with abdomen directly, there are many meridians and acupoints distributed on abdomen. 12 front mu points are the poles through which zang-fu functions can be learned. Especially some important points like Shenque (RN 8), Qihai (RN 6), Guanyuan (RN 4), etc.. so in clinic, the doctor will not forget abdominal diagnosis in the treatment of difficult and complicated diseases, ¡°turning difficult to easy¡±.
For example, the doctor can not ensure cold syndrome and hesitates, the abdomen skin is felt cold, which is the evidence of cold syndrome. If cold aversion to pressing, it is excessive cold syndrome; if warm preference to pressing, it is deficient cold syndrome. Feeling cold below umbilicus indicates deficiency of kidney yang; feeling cold around umbilicus indicates deficient cold in spleen and stomach; feeling cold above umbilicus indicates yang deficiency of lung and heart. On the contrary, for suspected heat syndrome, the abdomen skin is felt heat or burning hands, it is heat syndrome; if preference to cold and aversion to pressing, it is excessive heat syndrome; if pulse diagnose indicates heat, but abdomen is not felt heat, or the patient feels heat in hands and feet, but abdomen is not felt heat or decreasing heat, these are all indications of exterior heat; if burning heat is felt when pressing heavily, it is latent heat; if burning heat is felt after long-time pressing, it is internal damp-heat; if burning heat is felt since the beginning pressing and aggravated increasingly, it is internal excessive pathogenic heat.
Abdomen is also the hub of qi movement. The doctor must pay attention to abdominal diagnosis for emergent patients. For example, for coma due to high fever, abdominal distention and hard pain can not be relieved by the prescriptions for purging fire, cooling blood and detoxification, eliminating phlegm for resuscitation, etc., Dachengqi Tang will get good effect, this is ¡°extracting the firewood from under the cauldron¡±. So for emergent patients, abdominal diagnosis has special significance. Cold felt in lower abdomen indicates yang qi will exhausted and life is in danger.
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