Idiopathic edema
[Overview]
Idiopathic edema, also known as “water retention, obesity,” “simple sodium retention syndrome,” “periodic swelling”, etc., is due to endocrine, vascular, neurological disorders and many other systems, which led to a water-salt metabolism disorder syndrome. The disease is more common in 20 to 50-year-old obese women with reproductive age, with edema and weight gain with menstrual cycle is closely related to the main clinical features. Good prognosis of this disease. Idiopathic edema is a traditional Chinese medicine, “edema” category.
[Etiology and pathology]
Cause of idiopathic edema main affectionate Chi injuries, liver failure catharsis;
Or congenital deficiency, kidney virtual; or acquired disorders, spleen and kidney injuries, etc., are the water disorders, excess edema in skin and hair.
Pathological changes of the liver, spleen, kidney damage, dysfunction. Liver catharsis, catharsis is normal, then navigate the air, blood and water-chun normal operation. If the liver qi stagnation, poor air, water resistance and blood stasis, swelling of the skin and the water pan.
Spleen transport, if the diet, or dystrophy, loss of the spleen caused by temperature movement, the phlegm resistance, overflow in the skin and puffy. Renal water-based official, if deficiencies, or chronic illness and kidney, or kidney injury room workers, coupled with menstrual Chong and Ren is even more sufficient to support the Kidney essence, loss of essence with the blood, kidney tarnished, not gas lines Water, moisture overflows swollen skin test period increased. In addition, wet depression of heat, damp, dampness, depression in the skin, also see swelling.
[Diagnostic points
1 edema and menstrual cycle, premenstrual increase the general, often exacerbated with weight gain and edema.
(2) exclusion of other causes of edema.
3 lying water test will help establish the diagnosis. Methods: Zhu Huanzhe fasting urine, after 20 minutes of drinking water 1000 ml, and then urinate 1 hour, 4 times, measuring the total urine volume. First day of the supine (no pillow), the next day to take up position with France (activities or work) repeat 1. Results: orthostatic supine urine when urine output less than 50% or more.
[Type] dialectical
1 spleen deficiency symptoms: swollen face by line, very early morning head, face swelling, delayed menstruation, less pale, aversion to cold, deficient urination, weak waist, Shenpi fatigue, abdominal door poor appetite, abdominal distension be boring.Pale tongue white, pulse Chenhuan or weak.
Symptom analysis: spleen deficiency, and blood is not sufficient, Chong and Ren dystrophy, the menstrual back less pale; menstrual blood loss, yang more true, no very inviting body, the aversion to cold; no transport moisture to warm to of water, gas lines, the face swollen by the line, deficient urination; night yang decline, not on the up, the swollen head, face, very early morning; Spleen qi stagnation, the Shenpi fatigue, abdominal Fullness hospital, the less satisfied pond; kidney virtual is weak waist; pale tongue, white, weak pulse or Shen Chen Huan, are the sign of spleen deficiency.
(2) Qi stagnation symptoms: limb by the line before and after swelling, delayed menstruation or dysmenorrhea, depression, chest swelling or tingling asked. Fragrant dark red or ecchymosis, pulse string or astringent.
Syndromes: Liver Shuxie, adjusting qi and emotions. Yu Nu liver injury, caused by liver qi stagnation, common depression. Sternocostal swelling nausea; liver uncomfortable, lost to Chong and Ren 2 pulse flow, the uterus and blood stasis, and see delayed menstruation or dysmenorrhea; qi stagnation, blood stagnation hepatic vein, the Sternocostal tingling; water loss of accessibility, retention skin, then when passing through the body before and swelling; dark red tongue or ecchymosis, pulse string or astringent, are qi stagnation syndrome.
3 phlegm block symptoms: body fat, menstrual edema and little, superficial body, drowsiness, whole body weight difficulties, abdominal nausea, poor appetite, urine deficient. Fat, pale tongue, greasy moss, pulse slow.
Syndrome analysis: spleen qi is weak, the inner product of phlegm, the body fat;
Moisture overflows, and spleen related. It is often superficial body; wet air resistance and Qing Yang does not rise, then drowsiness, whole body weight difficulties; phlegm in the resistance, sodium transport disorders, the abdominal door poor appetite; phlegm stagnation under the . is deficient urination; fat, pale tongue, greasy moss, pulse slow, both spleen dampness of the levy.
4 hot and humid dampness symptoms: body fat and swollen, with Fanre thirst. Chest abdominal swelling, nausea, scanty dark urine, or stool dry, or hot flashes sweating. Greasy yellow tongue coating, slippery pulse.
Syndromes: Spleen dampness, retention skin so body fat and swollen; wet depression of heat, dampness dampness. Resistance in the coke, gas negative, then the chest abdominal swelling nausea; heat and steam, causing injuries to body fluid test trouble hot thirst, scanty dark urine, dry stools; heat within the force, the hot flushes and sweating; greasy yellow tongue coating, slippery pulse, are hot and humid dampness of the levy.
[Type] treatment
1 spleen and kidney deficiency rule is: Wenyang water.
Recipe: Qin Gui gan Tang Zhen Wu decoction.
Monkshood 9 g Gui 9 grams, 15 grams Atractylodes Poria 15 grams of dried ginger 6 Keze diarrhea 15 g wood dried tangerine peel 9 g 9 g 9 g from Magnolia Shao 15 grams subtraction with the disease: Shenpi fatigue, less satisfied pond , add 15 grams of skullcap, Codonopsis 12 grams 12 grams yam to help gas spleen; late menstruation less, plus Angelica 9 grams, Motherwort 15 grams, dodder seed 15 grams, with nourishing Tiaochong; head, face swollen and even , plus ephedra 9 grams, red bean 30 grams to Sun Post, water swelling.
(2) Qi stagnation rule is: Qi Blood and Water swelling.
Recipe: Xuefuzhuyutang and five skin decoction.
Angelica Bupleurum 9 g 9 g 9 g Chuan Xiong Radix Achyranthes 12 g 9 g 9 g Fructus Motherwort 15 Sanger White Paper 15 g 9 g Poria 9 g dried tangerine peel 9 g Da Fupi Cyperus 9 grams subtraction with the disease : dysmenorrhea or Xiongxie with obvious irritation, Kagawa?? sub 9 grams, Corydalis 9 grams, the liver qi, circulation and pain relief; premenstrual swelling worse, can also be added Vaccaria 12 grams, 12 grams Zeeland to Blood and Water.
3 phlegm block rule is: phlegm dampness, water swelling.
Recipe: Wulingsan together Erchen subtraction.
15 grams Atractylodes Poria 15 grams Polyporus ulterior motives in 9 g 15 g 6 g of dried tangerine peel 9 g Pinellia 12 g Da Fupi Magnolia 6 Keze diarrhea 12 g Plantago 12 grams (including fry) subtraction with the disease: Shenpi fatigueevident, plus 15 grams of astragalus, Codonopsis 15 grams to Spleen Qi; loose stools thin, add fried Yiyiren 30 grams, Amomum 3 g (later), the spleen and the diarrhea.
4 hot and humid dampness rule is: hot and humid sub.
Recipe: Yin Zi Shu chisel subtraction.
Notopterygium 9 g 9 Keze diarrhea Gentiana Poria skin 15 g 12 g 30 g red bean Akebia Da Fupi 9 g 3 g 5 g pepper Phytolacca head nut 6 g 3 g 3 g ginger skin subtraction with the disease: abdominal distention diminished, constipation, plus defense has 9 grams of Tinglizi 15 g (including fry), rhubarb 3 g (later) to assist the power of diarrhea, stool and the water from the vent; heat Shangyin clear who was elected JLT, Polyporus 15 g, Poria 15 grams, 15 grams Alismataceae, talc 20 grams (including fry), donkey-hide gelatin 9 grams (molten red) to Ziyinqingre diuresis.
[Chinese medicine]
1 Ji Sheng Shen Qi Wan 6 grams each time, 3 times a day.
(2) spearheading 6 grams each time, 3 times a day.
[Simple] side
Melon skin 9 grams, 6 grams of ginger skin, Tai Fupi 9 grams, 6 grams of dried tangerine peel, Shuijianbi times Beverage. For the regular edema.
[Other therapies]
External: snail (shell) 4 large garlic 5, plantain 15 grams, were pounded to make pie and wrap post at the umbilicus.
Acupuncture: pass notes triple burner. Acupoints steam sea ice points, triple burner Yu, Zusanli, Sanyinjiao; empirical distribution Feishu, large express, Hoku; deficiency plus spleen, Shenshu; side ditch plus floating point; heat plus Quchi , Yin Ling Quan points; blood stasis plus a sea of blood, air sea cave.Operations: empirical with diarrhea, deficiency plus moxibustion using reinforcing method.
Ear method: selection of points of ovarian, uterine, endocrine, kidney, spleen, lung, triple burner, bladder and other points, each taking 2 to 3 points, the needle 5 to 15 minutes daily or every other day, 10 times for a course .
Water treatment: red bean 30 grams, meaning Zhuo Ren 30 grams, 50 grams of rice, add water, porridge, daily morning and evening doses of 1. For body fat oliguria edema.
[Note]
1 Idiopathic edema with good prognosis, patients need to worry, sentiment should be kept up to the usual concept of peace of mind.
(2) control diet, reducing animal fat and carbohydrate intake, and preferably low-salt diet.