Discussion of the Evolution Law of Xiaoke Disease Pathogenesis from the Theory of"Heat Transfer"in Inner Canon of Huangdi
The theory of"heat transfer"comes from Su Wen·Qi Jue Lun,which is an important pathogenesis of the formation,development and evolution of Xiaoke disease.This article discusses the role of"heat transfer"in the pathogenesis and evolution of Xiaoke disease by arranging the discourses about"heat transfer"by ancient physicians."Heat transfer"mostly involves the heart,lung,spleen,stomach,large intestine,kidney,and bladder.When it is transmitted,it can be caused by excessive heart fire and insufficient heart Yin,which can transfer heat to the lungs and form upward elimination.The spleen and large intestine are transformed by the accumulation of heat from the diet to generate fire pathogens,which are transmitted to the stomach and become neutralized.The upper elimination and the middle elimination are chronic diseases with heat transfer and kidney and bladder for the lower elimination,and Yin deficiency is the main disease.Yin deficiency will not heal for a long time,and the upper and middle burners will burn again,aggravating systemic symptoms.With the transfer of heat pathogens,pathological changes such as dry heat,stagnant heat,stasis heat,and deficient heat appear.According to this rule,the treatment of upper-Jiao should be to clear the lungs,purify fire and nourish Yin.In the treatment of middle-Jiao,clearing spleen-heat and nourishing spleen-Yin,purging bowel and Fu-organ heat,preventing heat from spreading down.At present,when lower-Jiao Yin is deficient,it is advisable to nourish kidney-Yin and prevent the recurrence of pathogens.It provides a theoretical basis for the pathogenesis evolution and syndrome differentiation and treatment of type 2 diabetes.
DiabetesHeat transferInner Canon of HuangdiTheoretical discussion
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