Thrombosis helps “winter”
TCM’s understanding of “coldness” “coldness” is one of the “six prostitutions” in the etiology of TCM and one of the “eight outlines” in dialectical diagnostics.
The theory of traditional Chinese medicine believes that blood is warm, and cold is condensed.
In “Su Wen · Yin Yang Ying Xiang Da Lun” said: “Yin wins, then Yang disease . Yin wins then cold”, “Su Wen · Tune Classics” also says: “Yang deficiency is outside cold . Yin Sheng is insidecold”.
It shows that imbalance of yin and yang and yin deficiency and yin are the basis for the internal cold syndrome.
The “Su Wen Tune Theory” states: “The qi and blood, loves the temperature and the chills, the cold weeps (astringent) and does not work, the temperature disappears.
“In the Sources of Various Diseases” put forward: “Cold is blood, while Wen is blood.
“Therefore, the cold coagulation pulse is one of the main causes of thrombosis.
“Medical Forest Corrects Errors” also believes that “blood condenses into a clot”, which shows that cold is an important cause of blood clots.
The role of cold coagulation and stasis in thrombosis is one of cold coagulation and stagnation.
This is a high-level overview of the two main pathogenic characteristics of cold evil (including exogenous cold evil and endogenous cold evil) in Chinese medicine.
Stagnation refers to coagulation, impediment, and refers to substances that have the characteristics of movement, lifting, and movement in and out, such as qi and blood, camp guards, and body fluids. Their fluidity is weakened, the epidemic is slow, and even stagnation and coagulation produce stagnation, blood stasis, and sputum., Water and other pathological products.
Contraction refers to contraction, traction, and cramping, which refers to the contraction, tension, and cramps caused by tissues such as skin, muscles, muscles, tendons, and pulses, which can cause chills, urgency, and pain.
On the one hand, after the cold evil invades the body, it will cause constriction and spasm of the meridians, and the blood veins will be anxious and painful.
For example, “Su Wen · Ju Pao Lun” said: “The meridian is not only popular, it is endless.
The cold air enters the menstrual period and is late, crying but not working, leaving less blood outside the veins, and having trouble breathing in the veins, so it hurts.
“It also puts forward:” Cold is the Qi, “” Cold Qi is the pulse outside the pulse, the pulse is cold, the pulse cold is deflated, the pulse is anxious, the anxiety leads to the small network, so it hurts. ”
“It’s shrinking and anxious, which means that the meridians and blood vessels are attracted.
On the other hand, cold evil can lead to slow blood flow, blood stagnation and blood stasis.
“Su Wen · Zhe Zhen Da Da Lun” said: “The cold sex wins, the blood changes . the people are sick and the heartache.
“Lingshu · Gangrene” also said: “The cold air is sobbing in the meridians, and the blood sobbing has no pulse.
The medical doctors of different dynasties have basically agreed on this. For example, in the Sui Dynasty, Chao Yuanfang also pointed out in the “Essays on the Sources of Diseases”: “Cold is blood, while Wen is blood.”
In the Jin Dynasty Liu Wansu’s “The Suffering of Chronic Illness, Qi and Qi, Life Preservation and Heartache”, there is a saying that “the pain is long without pain, but the pain is not hot.”Cold and anxious, anxious can cause pain and pain, so it is very cold.
In the Qing Dynasty, Wang Qingren further described in the image of “Medical Forest Correction”: “If the blood is cold, it will coagulate into a block.
“Cold stagnation is induced, regardless of the external cold or internal cold, can cause qi and blood to run poorly, and form thrombus to block the meridians.
Second, cold is yin and evil, which easily hurts the body.
Qi is yang, blood is yin, and Qi is the handsome of blood, which promotes blood flow in the meridians.
The cold invasion is most likely to damage yang.
Insufficient Yang Qi and the inability to push the blood flow can lead to blood clots.
For example, the first part of the opening chapter of “Jin Kui Yi Lue · Chest Pain, Heart Pain, Shortness of Qi and Pulse Syndrome,” said: “Fang Mai should be taken too far, Yang Yang Yinxian, that is, chest pain and pain, so those who blame itExtremely virtual too.
Jinyang Xuzhi is in Shangjiao, so those with chest paralysis and heartache also use their Yin strings.
“” Yangwei Yinxian “refers to the lack of upper yang yang, the lower Jiao yin is cold, and the yin evil invades the Yang position. Therefore,” Yangwei Yinxian “is the basic pathogenesis of chest paralysis.
In the Sui Dynasty, Chao Yuanfang conducted an in-depth analysis of its pathogenesis in “Essays on the Sources of the Diseases · Award of Heartache”: “Heart, yang, and cold; yin, also.
Cold multiplies in the heart, yin and yang multiply, cold and hot hit each other, so it hurts.
“The main blood is the heart, and the cold and the heart are damaged, which will inevitably lead to blood stasis. As the” Su Wen · Tune Classics Theory “states:” The cold air accumulates in the chest without diarrhea, and the non-diarrhea goes warm, and the cold stays alone.The blood is sobbing, but the veins are not connected.
“All suggest that the thrombosis of the coronary arteries is related to feeling cold injury and chest yang.
Third, the concept of “correspondence between heaven and human” in Chinese medicine holds that “there is a relationship between heaven and earth, and also with the sun and the moon” (“Lingshu · Shoulu”), and the human viscera and blood are closely related to nature.
For example, “Su Wen · Qi Jiao Tan Da Lun” said: “Below the age of fire, cold is a big move . Patients have pain in their chests, full of threats . heartache is terrible.”
Clinically, various types of cardiopulmonary thrombosis, such as coronary heart disease and pulmonary heart disease, have a high incidence in winter, and most often relapse due to cold.Coronary heart disease and angina pectoris patients are often prone to climatic mutations, especially when they are cold, they are prone to heartache.
This is because the cold evil easily hurts people when the coldness is stronger in nature, and the human body is weaker.
As the “Su Wen · Bazheng Shenming Lun” said: “When the sky is cold and the sun is cloudy, human blood is sobbing and defending.
“Yu Wen · Hang Qi Fa Shi Lun” Yi Yun: “Heart disease patients are wise in the middle of the night, even in the middle of the night.
In one year, cold evil is prone to occur in winter; in one day, cold evil is prone to occur at night and in the early morning, replacing the high incidence of thrombosis.
From the perspective of modern medical research, in the early morning, sympathetic nerve tension increases, blood vessel constriction, blood renin, angiotensin and aldosterone increase, platelet aggregation and blood viscosity increase.
Therefore, coronary heart disease angina pectoris and acute myocardial infarction are more likely to occur at the above time.
“Early Diseases of Various Diseases · Sentences of Heartache” said: “Heartache, cold wind and evil spirit multiply in the heart, and there are dead people who have pain, undead people, and people who have a long-term rash.
The heart is hidden for the lords, its seriousness cannot be hurt, the pain is hurt, it is the real heartache, it is going to die, and it is going to die.
The heart has a branch of veins, which is used by the wind to cool, does not hurt serious people, and also causes heartache, but at first glance, so the rash does not die.
“It is clearly stated that the cause of this disease is the” wind-cooling evil spirit “invading the heart. If the infringement of the heart is different, then the heartache is” Zhangjianchaxue “and the condition is less severe; if the infringement is the seriousness of the heart,It is “dying from death to death, death from death to death” and is in critical condition.
“Early Diseases of the Sickness · Long Heart Pain” further states: “The person with long heartache is the branch of the heart, suffering from the cold and heat of the wind evil, so the rash does not die, and occasionally, it is not long-lasting.
“Qian Jin Yao Fang” also believes: “The cold qi died in the five internal organs and six sacrifice, but the heart pain and chest paralysis occurred.
“Cold coagulation and stasis is a type of thrombosis caused by TCM syndrome of cold coagulation and stasis. There are both simple evidence and mixed syndromes.
The pathogenesis of the disease itself is becoming more complicated, and it is more common in cold evils and yangs, which are caused by reality, or the body is damaged first, and the symptoms of thrombosis due to cold are positive.
Taking Xinmai thrombosis as an example, “Essays on the Sources of Diseases” states: “The cold qi is in the internal organs of the five internal organs and is caused by deficiency.
“Shengji General Record” believes: “People who suffer from heartache are originally weak in the viscera, and the cold is suddenly away.
“Medical Law Zhong Hanmen” also has the consequences of “chest pain and heartache, but due to yang deficiency, yin should be used.”
Coronary heart disease is mostly evidence of deficiency and trueness. Common clinical patients first have a lack of qi or a lack of heart yang, and then they feel cold and evil and their condition worsens.
Regardless of the situation, “coldness” is always the key to the pathogenesis. Correcting “Su Wen Bi Bi” said when alleviating the pain: “The painful people have more chills, and there are also cold pains.
“It can be seen that most of the pain is related to cold, and Han Ningyu is a common type of TCM syndrome in clinical thrombosis.
Analyze the classic literature reports of previous generations, and examine the clinical practice of thrombosis frequently occurring in winter during the year, and night and morning in the day. We believe that these are the lowest temperature, weak yang and strong yin.In time, cold evil easily invades the body, resulting in acute meridian pulses, blood in a hypercoagulable state, causing pathological changes in the body’s blood flow, blood stasis into thrombus, and imperfect meridians. Cold coagulation and blood stasis is one of the pathogenesis of thrombosis.
Syndrome points of thrombosis caused by cold coagulation stasis Synthesize ancient medical intervention and modern research. Based on clinical practice, dialectical points of thrombosis caused by cold coagulation stasis include: ① history of experiencing cold, overeating cold, or bodyYang deficiency, partial cold constitution; ② symptoms appear pale or pale, cold hands or feet, or cold sweats, chills and heat, although the pain is like a twist like a cone, but the temperature is reduced, and when the cold is worse,The urine is clear and long, the stools are sparse, the tongue is dark, purple or spotty, white fur, or white greasy, smooth, pulsed, tight, thin, late or astringent.
Any exogenous chill or endogenous chill can cause blood veins to be anxious, and blood stasis cannot be placed with thrombosis. As long as the body has the “cold” syndrome characteristics, it can be identified as a syndrome of cold stasis.
It should be noted that the expansion and feeling of cold evil can cause cold syndrome, but it can also generate heat syndrome from yang heat.
At the same time, other types of thrombosis may show transient symptoms of coldness such as cold sweat and inverse cold in the hands and feet during acute exacerbations, rather than feeling external cold evils, and even causing internal yang due to Qi stagnation and blood stasis.Depression, caused by yang can not be reached, the symptoms of “cold” will disappear after the acute period, which is not a syndrome of cold coagulation and stasis.
Principles of treating thrombosis due to cold coagulation and stasis syndrome Regarding the thrombosis caused by cold coagulation and blood stasis, the Nei Jing puts forward the general treatment method of “heat of cold”.
“Su Wen · Tune Classics” reads: “The qi and blood, loves the temperature and the cold, but the crying does not work, and the temperature disappears.
“Su Wen · Li Pao Lun” holds that the pulse of cold pain caused by Han Xie is “painful and painful.”
“炅” is also hot, suggesting that thrombosis can be treated with Wentong Sanhan method.
“Difficulties · Twenty-two Difficulties” also states:
This means that all internal organs of the viscera and collaterals must perform normal physiological activities under the effect of the warmth of the Qi, and the liquid substances such as blood and body fluids must also rely on the effect of the warmth of the Qi to carry out normal circulation operations.Condensing.
“Therefore, Wentong Huoxue is the general principle for the treatment of cold stasis syndrome thrombosis.