Introduction ClinicalExperiences,thefifthvolumeintheseries"PracticalTradi- tionalChineseMedicineandPharmacology"joinswithtwoothers, MedicifnalHerbsandHerbalFormulae,inprovidingpracticalapplica- tionsofChinesemedicine.Assuch,itwillbemostusefulifthereader hasaworkingknowledgeofthetheoriesandprinciplesoftraditional Chinesemedicineandpharmcalogyaspresentedinthefirstvolumeof thisseries.Anunderstandingofthephysiologyandpathologyof thehumanbody,diseaseetiology,diagnosis,anddifferentiationof symptom-complexes,includingthetheoriesofYin-Yang,FiveEle- ments,zang-ju,channels-collaterals,qi,blood,andbodyfluid,will enableonetomakethemostefficientuseoftheinformationcontained here. Thecontentsofthisvolumearearrangedaccordingtothecharac- teristicsandtherapeuticmethodsoftreatingcommondiseases,both internalandexternal.Eachsectionbeginswithabriefdescriptionof thedisease.Thisisfollowedbyadiscussionofthedisease'sEtiology andPathogenesis.Thenextsectionincludestwoparts:(a)Syndrome Differentiation,whichidentifiesthecharacteristicsofthedisease;and (b)TherapeuticPrinciples,whichoutlinestherecommendedtherapies forthevarioussyndromes. TheClassificationandTreatmentsectionwhichfollowsismost practicalinthatitincludesdetaileddescriptionsofthemanifestations ofeachsyndrome,thetherapeuticprinciplesinvolved,andtheprescrip- tionsrecommendedfortreatment.TheseprescriptionslisttheLatin nameforeachcomponentaswellasthequantityrequiredinthe formula.Inmanycases,aRemarkssectionspecifiesslightalterations whichcanbemadetotheformulatomakeitmoreeffectiveintreating asyndromewithunusualmanifestations,andasectioncalledExperien- tialPrescriptionslistsadditionalformulae.Thepresentationofthe materialinthiswell-organized,step-by-stepmannermakesthisvolume especiallyusefulforself-study. Finally,ClinicalExperiencesisunique.Itbringstogetherforthefirst timetheclinicalexperiencesofancientpractitionersaswellasthoseof thefinestdoctorspracticingthroughoutChinatoday.Useofthis volume,withitspracticalapplications,willenablereadersandusersof thismaterialtojoininthelongtraditionofChinesemedicineand pharmacologyandthushelppromotethedevelopmentanddissemina- tionofthisancientartandscience. 片断: Chapter1 INTERNALMEDICINE COMMONCOLD Thecommoncoldisadisorderwithnasalobstructionanddischarge, sneezing,headache,cough,fever,chillinessandmalaiseasitschief manifestations.Itusuallyoccursinwinterandspring,butmayalsobe seenthroughouttheyear.Influenzaisalsogroupedunderthiscategory intraditionalChinesemedicineandtreatedaccordingtotheprinciples mentionedbelow. EtiologyandPathogenesis Thisdiseaseismainlyduetotheinvasionofexogenouswindand usuallyoccursduringasuddenchangeofweatherwithunexpected coldorwarmth.Inappropriateclothing,beingdrenchedbyrainand fatiguemaydecreaseone'sbodyresistanceandpredisposeonetocatch acold.Thepathogenicfactorsusuallyaredifferentinthefourseasons. Forexample,wind-coldisthefactorinwinter,wind-heatinspring, associationwithsummer-heatanddampnessinsummer,withdryness inautumnandwithdampnessintherainyseason.Hence,accordingto thevariationsoftheclimate,thepathogenicfactorandthepatient's constitution,thediseasemaybemanifestedasawind-heatsyndrome oradisorderassociatedwithsummer-heatoradampnesssyndrome, whichmaychangeorcomplicateeachotherduringthecourseofthis disease.However,nomatterwhatkindsofpathogenicfactorsare involved,theyimpairthedescendinganddispersingfunctionsofthe lungs,leadingtotheblockageofthesweatpores.Inthecaseofa maladycausedbyseasonalpestilence,suchasinfluenza,thegeneral symptomsareremarkableandsevereandmaybecomplicatedbyother diseases. SyndromeDifferentiationandTherapeuticPrinciples A.Syndromedifferentiation (a)Whenthepathogenicfactorislocatedinthelungsandbody superficies,thedisorderisusuallyattributedtosuperficies-stheniasyn- drome. (b)Toidentifythenatureofpathogenicfactors,soastodistinguish thewind-coldsyndrome,wind-heatsyndrome,andcomplicationof summer-heatsyndromeanddampnesssyndrome. B.Therapeuticprinciples Eliminatingwind,releasingstagnatedlung-qiandexpellingsuperfi- cialevilsarethemaintherapeuticprinciples. ClassificationandTreatment A.Wind-coldsyndrome Manifestations:Severechillinesswithmildfever,anhidrosis, headache,sorenessandpainofthelimbs,nasalobstructionordis- charge,itchingofthethroat,coughwiththinsputum,nothirstorthirst withdesireforhotdrink,thin-whiteandmoisttonguecoatingand superficialorsuperficial-tensepulse. Therapeuticprinciples:Expelsuperficialevilwithdrugsofacridtaste andwarmnature,releasethestagnatedlung-qi,anddispelcold. Prescription: (1)TheModifiedDecoctionofAlliiFistulosiandSojaePraeparatum formildcases BulbusAlliiFistulosi SemenSojaePraeparatum HerbaSchizonepetae RadixLedebouriellae FoliumPerillae SemenArmeniacaeAmarum
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