病因学

病因

气虚少气懒言,神疲乏力,头晕,目眩,自汗。
阳虚畏寒肢冷,口淡不渴,或渴喜热饮,自汗,小便清长,或尿少浮肿,大便稀溏,面色晄白。
气陷头晕目花,脱肛,子宫脱垂,胃下垂。
气滞胀闷,疼痛,攻窜阵发。
肺气上逆咳嗽,喘息
胃气上逆呃逆,嗳气、恶心、呕吐
肝气上逆头痛,眩晕,昏厥,呕血
血虚面白无华或萎黄,唇色淡白,爪甲苍白,头晕眼花,心悸失眠,手足发麻,妇女经血量少色淡,经期错后或闭经
阴虚腰膝酸软、夜间盗汗、虚烦失眠、手足心热、口鼻干燥、干咳少痰或痰中带血、大便干燥
血瘀疼痛和针刺刀割,痛有定处,拒按,常在夜间加剧。肿块在体表者,色呈青紫;在腹内者,紧硬按之不移,称为症积。出血反复不止。色泽紫暗,中夹血块,或大便色黑如柏油。面色黧黑,肌肤甲错,口唇爪甲紫暗,或皮下紫斑,或肤表丝状如缕,或腹部青筋外露,或下肢筋青胀痛等。妇女常见经闭。
血热咳血、吐血、尿血、衄血、便血、妇女月经先期、量多、血热、心烦、口渴
血寒手足或少腹冷痛,肤色紫暗发凉,喜暖恶寒,得温痛减,妇女月经衍期,痛经,经色紫暗,夹有血块
津液不足口渴咽干,唇燥而裂,皮肤干枯无泽,小便短少,大便干结
水饮口渴但不想喝水
水肿面部或上肢肿,脚或下肢肿
痰证无痰,白痰,黄痰,痰多,痰不易吐出,血痰,肥胖
风证发热,恶风,头痛,汗出,咳嗽,鼻塞,流涕(清,白,黄/少,多)。肢体/颜面麻木不仁,口眼歪斜,或颈肩酸痛,四肢抽搐,或皮肤瘙痒。
寒证恶寒发热,无汗,头痛,身痛,喘咳,鼻塞手足拘急,四肢厥冷口渴喜热饮,腹痛肠鸣,泄泻,呕吐
暑证中暑,身体热,出汗多,汗出不止,口渴,疲乏,尿黄,卒然昏倒,气急,甚或昏迷惊厥
湿证潮湿则头胀而痛或如裹,胸闷,口不渴,口腻,身体沉重,各种关节沉重而酸痛屈伸不利,发热,四肢倦怠,小便清长
凉燥恶寒重,发热轻,头痛,无汗,咳嗽,喉痒,鼻塞,口干
温燥身热,微恶风寒,头痛,少汗,口渴,心烦,干咳,痰少,痰中带血,皮肤及鼻咽干燥,口干
火证身体热,口渴喝水多而不解渴,口渴喜冷饮,口苦,面红,目赤,心烦,多汗,鼻出血,吐血,皮肤斑疹,青春痘,痈脓
情志喜悦,焦虑,冲动,易怒,忧郁,思虑,悲伤,恐惧,易惊吓,孤独
性格外向,内向,内外向,急性子,慢性子
肺(魄)果断
肝(魂)倔强
心(神)爽快,热情,急性子,细心,不能宽容
胆胆大,胆小,犹豫不决,善变
脾(意)怀疑,信心不足
肾(志)意志力弱
饮食习惯饮食清淡,喜干躁饮食,喜食甜,喜食咸,喜食酸,喜食辣,喜食温热,喜食冷凉,喜食油腻,厌油腻食物
食积于胃胃脘胀满疼痛、嗳气味酸腐而臭、反酸,或吐不消化食物,吐后或矢气后胃脘胀痛减轻
食滞于肠腹痛肠鸣、泻下粪便恶臭如坏鸡蛋,泻后腹痛减轻

Etiology

Qi deficiency□Lack of energy and no desire to speak □Fatigue (mental fatigue)  □dizzy  □vertigo  □spontaneous sweating □low energy
Yang deficiency□Aversion to cold  □cold limbs  □not thirsty □prefer hot drink  □clear and frequent urine  □scanty urine with oedema  □loose bowel motion  □bright-pale complexion
Qi prolapsing□Dizzy  □blurred vison  □prolapse rectum  □prolapse uterus  □prolapse stomach
Qi stagnation□General body distended  □moving pain
 Blood deficiency□Pale / yellowish complexion  □pale lips  □pale nails  □dizzy  □blurred vision  □palpitation □insomnia  □numbness of hands or feet  □scanty period bleed  □pale color □delayed period □amenorrhea
 Yin deficiency□Sore and weakness of lower back and knees  □night sweating  □insomnia  □hot palms and soles □dry mouth and nose  □dry cough with minimal blood stained phlegm  □dry stool
 Blood stasis□Strong stabbing pain  □localized pain, worsening by palpation  □worsening during night  □masses  □clots  □dark blackish complexion  □scaly skin  □dark purple lips  □nails  □Subcutaneous purpura  □varicose vein  □period with clots  □amenorrhea
 Blood heat□Cough with blood  □vomit with blood  □urine with blood  □nose bleeding  □early period □heavy bleeding  □vexed  □thirsty
 Cold blood□Cold hands  □cold feet  □cold lower abdomen  □cold skin with poor perfusion  □aversion to cold, prefer warm  □pain relieved by hot compress  □delayed period  □period pain  □dark color period with clots
Body fluid deficiency□Thirsty  □dry throat  □dry lips  □dry skin  □scanty urine  □dry stool
Phlegm□No phlegm  □white phlegm  □yellow phlegm  □productive phlegm  □sticky phlegm  □phlegm with stained blood  □obesity
Exterior Wind□Cough  □dyspnea  □block nose □runny nose (clear, white, yellow discharge)  □neck shoulder pain □fever  □headache□Aversion to cold  □sweating  □numb limbs  □numb face □facial dropping  □itchy skin
 Exterior Cold□Aversion to cold  □no sweating  □body ache  □thirsty and prefer warm drink
 Summer heat□Sun stroke  □body heat  □profuse sweating  □thirst  □fatigue  □dark urine  □sudden collapsed  □coma  □convulsion
 Damp□Feel heavy head (binding sensation) □ Chest fullness  □not thirsty  □feel greasy in mouth  □feel heavy limbs  □joints stiffness  □sore and pain  □fever
 Cool-dry□Dry mouth, dry nose  □cough □headache  □less sweating  □absent sweating (anhidrosis)□More aversion to cold  □slight fever  □cough  □itchy throat  □block nose
 Warm-dry□Fever  □slight aversion to cold  □thirsty  □vexed  □dry cough  □less phlegm  □blood in phlegm  □dry skin
 Fire□Body heat  □thirsty  □thirsty not relieved after drinking  □bitter taste in mouth  □red complexion  □red eye  □vexed  □profuse sweating  □nose bleeding  □vomit with blood  □skin rashes  □acne □abscess or ulcers
Personality□Introvert  □Extravert  □ambivert  □quick-temper  □slow-temper  □easily approachable
Diet□Bland diet  □solid food  □spicy food  □prefer oily food  □dislike oily food