I. Mga Pangunahing Prinsipyo sa Syndrome Differentiation at Treatment
Tradisyonal na paniniwala na ang kidney ay walang surface or real condition, ang kidney heat ay isang pagbabago ng yin deficiency, ang kidney cold ay dulot ng yang deficiency. Ngunit batay sa klinikal na realidad, ang kidney real condition ay mayroon, tulad ng damp-heat retention, blood stasis obstruction, at stone obstruction, na itinuturing na kidney real condition, o condition na may combination ng deficiency at excess. Ang kidney deficiency ay karaniwang hinati sa dalawang uri: yin deficiency at yang deficiency. Ang pangkalahatang prinsipyo sa paggamot ay "palakasin ang kakulangan, huwag pahinaan ang mayroon." Para sa yin deficiency, iwasan ang spicy, iwasan ang sobrang bitter cold, at gamitin ang mga gamot na sweet and moistening para sa kidney, upang palakasin ang yin at i-balansihin ang yang, upang maalis ang internal fire at maibalik ang yang sa yin, na tinatawag na "gawin ang water na malakas upang kontrolin ang light." Para sa yang deficiency, iwasan ang cool and moistening, iwasan ang acrid and diffusing, at gamitin ang mga gamot na sweet and warm para sa qi, upang palakasin ang yang at i-balansihin ang yin, upang maalis ang deep yin at maibalik ang yin sa yang, na tinatawag na "palakasin ang fire source upang alisin ang shadow." Bukod dito, batay sa principles ng yin-yang interdependence, kapag pinapalakas ang yang, dapat tandaan ang yin fluid, kapag pinapalakas ang yin, dapat tandaan ang yang qi, na tinatawag na "ang taong mahusay sa pagpapalakas ng yang ay laging humahanap ng yang sa yin, upang ang yang ay may yin na suporta at magkaroon ng walang katapusang paglikha; ang taong mahusay sa pagpapalakas ng yin ay laging humahanap ng yin sa yang, upang ang yin ay may yang na suporta at walang katapusang pinagmulan." Kung ang yin at yang ay pareho ay nawala, ito ay isang case ng both essence and energy injury, kaya't dapat palakasin ang yin at yang nang sabay. Ang yin deficiency sa kidney ay madalas magdulot ng excessive phase fire, na isang pagbabago ng internal heat dulot ng yin deficiency. Ang paggamot ay dapat nakatuon sa pagpapalakas ng yin, kasama ang pagbawas ng phase fire. Ang yang deficiency sa kidney, sa pamamagitan ng pagpapalakas ng yang at pagpapalakas ng kidney, ay dapat idagdag ang mga gamot na palakasin ang essence at marrow, upang mapalakas ang source ng paglikha.
II. Pagpapahalaga sa Syndrome Classification
(I) Kidney Yang Deficiency
1. Kidney Qi Not Consolidated
Summary of Pathogenesis: Dahil sa sobrang pagod, long-term illness, at lack of nourishment, ang kidney qi ay nawala, at nawalan ng kakayahang mag-imbak at i-control.
Key Symptoms: Pale complexion, weak back and legs, decreased hearing, frequent and clear urination, or residual urine after urination, severe cases may experience incontinence, or frequent nighttime urination, men with premature ejaculation or sperm leakage, women with clear vaginal discharge, pale tongue, thin white coating, fine and weak pulse.
Treatment: Palakasin ang kidney at i-control.
Example Prescription: Shui Lu Er Xian Dan, Wu Zi Yan Zong Wan.
2. Kidney Not Holding Qi
Summary of Pathogenesis: Dahil sa pagod sa kidney, o long-term illness na may qi deficiency, ang qi ay hindi bumabalik sa origin, ang kidney ay nawalan ng capability to hold.
Key Symptoms: Shortness of breath, dyspnea, worse during activity, thin body, fatigue, severe cases may experience worsening dyspnea, profuse sweating, cold extremities, pale face, floating pulse without root.
Treatment: Palakasin ang kidney at i-control ang qi.
Example Prescription: Ren Shen Hu Tao Tang, Shen Jie San.
3. Kidney Yang Not Revived
Summary of Pathogenesis: Dahil sa weak constitution, long-term illness, o pagod na nakakasira sa kidney, ang lower burner is deficient, and the life gate fire is weak.
Key Symptoms: Pale or dusky complexion, cold limbs, weak and painful waist and legs, low spirits, men with impotence and infertility, women with cold uterus and infertility, or chronic diarrhea with undigested food, or early morning diarrhea.
Treatment: Warm and tonify kidney yang.
Example Prescription: You Gui Wan, Jin Kui Shen Qi Wan.
4. Kidney Deficiency with Fluid Overflow
Summary of Pathogenesis: Dahil sa weak constitution, long-term illness, kidney yang deficiency, unable to warm and transform fluids, fluid overflow upward or spread to the skin.
Key Symptoms: Generalized edema, worse below the waist, reduced urination, or coughing with upward breathing, abundant and thin phlegm, worse during activity, pale tongue with white coating, deep and fine or deep and string-like pulse.
Treatment: Warm yang and promote diuresis.
Example Prescription: Zhen Wu Tang, Shi Pi Yin.
(II) Kidney Yin Deficiency
1. Kidney Yin Deficiency
Summary of Pathogenesis: Dahil sa excessive sexual activity, overwork, o after long-term illness, true yin is depleted.
Key Symptoms: Weak physique, dizziness, tinnitus, forgetfulness, insomnia, sore waist and legs, dry mouth and throat, red tongue with little coating, fine pulse.
Treatment: Nourish kidney yin.
Example Prescription: Liu Wei Di Huang Tang.
2. Yin Deficiency with Fire Excess
Summary of Pathogenesis: Dahil sa overwork, depleting kidney yin, or after febrile illness, yin fluid is depleted, yin deficiency leads to internal heat, water deficiency leads to floating fire.
Key Symptoms: Flushed cheeks, red lips, tidal fever, night sweats, sore back and spine, restlessness, insomnia, nocturnal emission, dry mouth and sore throat, short and yellow urine, constipation, red tongue with little coating, fine and rapid pulse.
Treatment: Nourish yin and reduce fire.
Example Prescription: Zhi Bai Di Huang Tang.
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