Pattern differentiation based on the theory of cutaneous blood collaterals
According to the collateral theory,cutaneous collaterals are consisting of blood collaterals,qi collaterals,and fluid collaterals and blood collaterals in the skin.Among them,the cutaneous blood collaterals refer to vessels,governing the circulating of blood.The pathogenic changes of cutaneous blood collaterals are considered as the preposition and basis,even the core of pathogenesis of the lesion occurrence,which can be categorized into three patterns:Pathological conglomeration in cutaneous blood collaterals,malnourishing of cutaneous blood collaterals,and spillover from cutaneous blood collaterals.Among them,the pathological conglomeration of cutaneous blood collaterals can be subdivided into pattern of blood stasis obstructing the blood collaterals,pattern of dampness obstructing the blood collaterals,and pattern of phlegm obstructing the blood collaterals,with each of them associated with specific lesion characteristics correspondingly.The qi collaterals govern the qi transformation,then promoting the metabolism.It is closely associated with the skin sensation.The pathological changes of cutaneous qi collaterals can be subdivided into pattern of obstruction of qi collaterals and the pattern of deficiency of qi collaterals,both of them are usually followed by itchy and ache.The fluid collaterals are pathways that distributing the fluid.That the function of fluid collaterals is irregulating induces pattern of fluid consumption of collaterals and pattern of fluid accumulation of collaterals.The pattern differentiation as per the theory of cutaneous blood collaterals is a systematic interpretation of pathogenesis in cutaneous collaterals based on the morphological features of lesion and the subjective symptom of patients.It illustrates the unique pathogenesis of skin diseases by emphasizing the pathogenic changes of cutaneous blood collaterals as the core,the pathogenesis of cutaneous qi collaterals and fluid collaterals as the important aspects,providing insights into the pattern differentiation of skin diseases.
NETL
NSTL
万方数据
