Study on the Origins and Nature of the Syndrome of Internal Wind due to Qi Movement
Some miscellaneous internal injuries can progress and evolve into wind syndromes,which can manifest as the syndrome of"internal wind due to qi movement."This condition arises due to the disruption of qi flow within the body:extreme heat causes qi to move excessively,leading to turbulence and,subsequently,the generation of internal wind.This wind,coursing within,triggers various internal wind-related symptoms.The treatment should focus on clearing heat;once the heat subsides,the symptoms will naturally re-solve.If the heat penetrates into the nutrient-blood aspects,it is advisable to eliminate the heat and extinguish the wind,using formulas likeAntelope Horn and Uncaria Decoction.Since blood carries qi,when blood is deficient,qi lacks a foundation,leading to qi's disper-sion and disarray.This weaker form of qi produces mild wind instead of a major wind,and the treatment should focus on dispelling wind and regulating blood,using formulas like Emergency Spasm-Relieving Decoction.If both qi and blood are deficient,and internal wind persists,phlegm and stasis may develop,so Yang-Supplementing and Five-Returning Decoction can be used.When qi escapes following blood depletion,a rapid dispersion of qi occurs,resulting in wind syndromes.The treatment should follow the principle that"blood loss requires qi supplementation,as yang grows,yin increases,"so Dongyuan's Original-Qi-Preserving Decoction can be used.There are two pathways through which yin deficiency leads to wind:yang hyperactivity can transform into wind,or prolonged yin deficiency generates wind.For the syndrome of wind due to yang hyperactivity,the treatment should focus on dispersing wind with acrid and sweet drugs,soothing the liver,and nourishing the kidney,using drugs like Lingyangjiao(Cornu Saigae Tataricae),Zhizi(Fructus Gardeniae),Lian-qiao(Fructus Forsythiae),Tianhuafen(Radix Trichosanthis),Mudanpi(Cortex Moutan),Shengdihuang(Radix Rehmanniae),etc.For wind due to yin deficiency,the treatment should prioritize nourishing yin while also dispelling pathogens,using Fluid-Supplementing De-coction.In clinical practice,internal wind syndromes are far more complex than described,and their mechanisms are intricate.Treatment should adhere to the principles of syndrome differentiation,discerning the root and branch,deficiency and excess,urgency,and chronic-ity,and resolving the condition step by step to clear symptoms.
internal windqi movementwind syndrome due to extreme heatwind syndrome due to blood deficiencywind syndrome due to yin deficiency
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