Treating diabetic dyshidrosis based on the theory of leading fire to its origin
Diabetic dyshidrosis belong to the category of Xiaoke(消 渴)and Han syndrome(汗 证)in traditional Chinese medicine(TCM),and are one of the autonomic neuropathies of diabetes mellitus.Clinical manifestations include increased sweat production on the upper body,especially on the head,face and chest,and decreased sweat production on the lower body,resulting in localized dryness and coldness of the skin.Most medical practitioners cite Yin(阴)deficiency and dryness-heat type as the main cause of the disease,and fewer cite floating syndrome of virtual Yang(阳)as the main cause.The author combines the abnormal manifestations of diabetic dyshidrosis and clinical experience,and believes that as the disease progresses,the body's dampness and heat become embedded for a long time,and the internal organs continue to be hyperactive,the Qi(气)is easily depleted and the Yin is injured,the Yin essence is insufficient,the Yang has no root,the fire of the gate of vitality gradually decreases and the virtual Yang floating,then the evidence of upper heat and lower cold will appear.Therefore,in diabetic dyshidrosis,there is an increase in sweat secretion in the upper part of the body,with symptoms of deficiency heat in the upper Jiao(上焦),such as redness of the face and eyes and irritability,while in the lower jiao(下焦),there is a decrease in sweat secretion,cold pain in the waist and knees,and chills in the lower limbs.The theory of leading fire to its origin was first proposed by ZHANG Ji and belongs to the category of counter-therapeutic methods in TCM.Its original meaning is to induce the ministerial fire to go down to the kidney water,so that Yin and Yang are harmonized.In diabetic dyshidrosis,the deficient Yang Qi floats above,insufficient yin essence to conceal Yang.Therefore,applying the theory of leading fire to its origin can harmonize Yin and Yang,improve the symptoms and enhance the patient's quality of life.This paper uses a typical medical case to illustrate the clinical efficacy of the theory of leading fire to its origin in diabetic dyshidrosis,with a view to providing new ideas and methods for its treatment.
Diabetic dyshidrosisLeading fire to its originFloating syndrome of virtual YangQianyang Fengsui Dan
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