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2 English Referencearthralgia aggravated by cold [Nomenclature Review Committee of Chinese Medicine. Chinese Medicine Nomenclature (2004)]
painful bi [中中医药学名词审定委员会. Chinese medicine nomenclature (2010)]
arthralgia caused by cold pathogen [Chinese medicine nomenclature review committee. Chinese Medicine Nomenclature (2010)]
3 OverviewArthralgia: 1. cold paralysis; 2. gout.
4 Cold paralysis-painful paralysis
Painful paralysis (arthralgia aggravated by cold[1], painful bi[2], arthralgia caused by cold pathogen[2]) is the name of the disease[3]. Also known as cold paralysis, refers to the limbs and joints pain is more intense, aggravated by cold, heat pain reduction, day light and night heavy, joints can not be flexed and extended, the pain is not red, touching is not hot as the main manifestation of paralysis [2] [1]. Also known as bone paralysis [4].
4.1 The etiology and pathogenesis of pain paralysis
"Huangdi Neijing Lingshu - thieves wind": "This all have tasted some injury to the dampness, hidden in the blood ...... coupling closed and can not be accessed, and its open and meet the wind and cold, then the blood and gas congealed, and the evil of the cause of the attack, then the cold paralysis."
"Jin Gui wing - paralysis unification theory": "pain paralysis, cold gas bias win, Yang gas less, Yin gas more. If it is appropriate to pass and plug is pain, paralysis of pain, to cold gas into the meridian and delayed, injection and not work."
"Huangdi Neijing Suwen - paralysis theory": "wind, cold and damp three gas mixed to, combined into paralysis. The wind wins for paralysis, the cold wins for pain paralysis, and the damp wins for paralysis."
4.2 Symptoms of pain paralysisJoint pain is the main evidence.
"The evidence of the quasi-junctions - miscellaneous diseases": "Cold paralysis, contracture pain in the limbs, swelling of the joints."
4.3 Types of treatment for pain paralysis
Disease Cause and Pulse Treatment Volume 3: "Cold paralysis, pain and suffering, tightness of the hands and feet, slightly reduced by heat, the more cold, called pain paralysis ...... Cold paralysis of the treatment of the cold injury to the sun, in the camping part of the sweat, ephedra and life-supporting soup; injury to the Wei sweat, Gui Zhi life-supporting soup; cold injury to Yangming, Gan Ge life-supporting soup; cold injury to Yangming, Gan Ge life-supporting soup. Yangming, dry kudzu life-sustaining soup; in the Shaoyang, Chaihu life-sustaining soup. Now the family secret ten flavors of Qiang Wu Tang through the treatment." Poria Tang and Wujie San can also be used. If the pain is very severe, can be used five Ling San [4].
5 Gout - gout paralysisGout paralysis is gout [3]. Medical Zhengzhuan - gout: "The ancient so-called pain paralysis, that is, today's gout." Gout is also known as calendar section, white tiger calendar section, wind paralysis, white tiger wind [3].
5.1 The etiology and pathogenesis of gout
"Ge Zhi Yu Lun - gout theory": "He gout, most of the blood due to heat, has been since the boiling, and then or wade in cold water, or stand wet, or fan to take the cool, or lying when the wind, cold and cold outside beat, hot blood get cold, sweat turbid condensation, so the pain, the night is very painful, line in the Yin also."
"Medical paraphernalia six": "Gout, that is," the "Neijing" pain paralysis ...... ancient cloud three gas together for paralysis. Today, more internal injuries, gas and blood loss, wet phlegm and yin fire, stagnant meridians, or in the limbs, or guest waist and back, the pain can not be, a White Tiger calendar section of the wind is."
"Zhang's medical - gout": "Gout evidence," the "Huangdi Neijing Lingshu" is called the thief wind, "Huangdi Neijing Suwen" is called paralysis, the "Golden Chamber Essentials of the Square," the name of the calendar section, later renamed the White Tiger calendar section. Mostly due to wind, cold and dampness, taking advantage of the weak attack on the meridians, stagnation of qi and blood."
5.2 Symptoms and treatment of gout"Six Books of Medical Lore - Gout": "Light is the pain in the bones and joints, walking injection of the limbs, it is difficult to turn around, limbs or red or swollen; even scrofulous all over the body, or swollen as a lagenaria, or painful as a switch, day and night dramas ...... Lord to the Four Things Tang with gentiana and Weilingxian, in the upper plus cinnamon sticks, qianghou; in the lower plus Guizhi and Qiangwu; at the lower level add hyssop, Fangji; damp phlegm add Nanxing, 半夏; blood stasis add peach kernel, safflower; damp-heat add Cangzhu, cypress; qi deficiency add ginseng, astragali; blood deficiency add Agaricus and huangming gelatin; yin deficiency add Radix et Rhizoma Shengdi, tortoise shell; yang deficiency add tiger bone, antler velvet."
Because of the cold, can also be used in Wu Tou Tang, Cang Gong Dang Gui Tang and other prescriptions; heat, can be used in Gui Zhi Shao Yao Zhi Mou Tang or "Preparing for the urgent Thousand Golden Essentials" rhinoceros horn Tang and other prescriptions [3]. Because of the uncertainty of pain injection, it is also thought to be wind paralysis [3]. The Jingyue quanquan - miscellaneous evidence Muo: "wind paralysis, that is, today's so-called gout also."
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