(1)Upper heat and lower cold (Heat above-Cold below) For example: Excess-Heat Painful throat,dry mouth... in the upper Jiao Deficiency-cold Abdominal pain alleviated in the middle jiao by warmth and loose stools 2016/11/5 16 Tianfang Wang BUCM
Tianfang Wang BUCM (1) Upper heat and lower cold (Heat above-Cold below) Excess-Heat in the upper Jiao Deficiency-cold in the middle jiao Painful throat, dry mouth… Abdominal pain alleviated by warmth and loose stools For example： 2016/11/5 16
(2)Upper cold and lower heat (Cold above-Heat below For example: Deficiency-cold Cold pain in the gastric in the spleen and abdominal region and and stomach vomiting clear fluid Painful urination,scanty Damp heat and yellow urine in the bladder 2016/11/5 Tianfang Wang BUCM
Tianfang Wang BUCM 17 (2) Upper cold and lower heat （Cold above-Heat below ） Damp heat in the bladder Deficiency-cold in the spleen and stomach Painful urination，scanty and yellow urine Cold pain in the gastric and abdominal region and vomiting clear fluid For example： 2016/11/5
6.2.2.3 Combined deficiency and excess syndrome It refers to appearance of both the deficiency and excess syndromes in the same patient. There are two causes: Excessive pathogenic factors impair the healthy qi v Healthy gi deficiency first,resulting in accumulation of pathogenic factors,or further contraction of external pathogenic factors 2016/11/5 Tianfang Wang BUCM
Tianfang Wang BUCM It refers to appearance of both the deficiency and excess syndromes in the same patient. There are two causes: Excessive pathogenic factors impair the healthy qi Healthy qi deficiency first, resulting in accumulation of pathogenic factors, or further contraction of external pathogenic factors 6.2.2.3 Combined deficiency and excess syndrome 2016/11/5 18
Considering the disease condition,it can manifest as various pattern,such as the exterior and interior,the upper and lower or different organs. Generally,it is divided into three types: 1 Deficiency syndrome complicated by an excess syndrome 2 Excess syndrome complicated by a deficiency syndrome Deficiency syndrome and excess syndrome Because the balance between tonifying and reducing is more important. 2016/11/5 Tianfang Wang BUCM 19
• Considering the disease condition, it can manifest as various pattern, such as the exterior and interior, the upper and lower or different organs. • Generally, it is divided into three types: ① Deficiency syndrome complicated by an excess syndrome ② Excess syndrome complicated by a deficiency syndrome ③ Deficiency syndrome and excess syndrome Because the balance between tonifying and reducing is more important. 2016/11/5 Tianfang Wang BUCM 19
(1)Deficiency syndrome complicated by an excess syndrome For example,at the advanced stage of a warm disease Pathogenic heat is Continuous low fever,dry almost eliminated, mouth,thirst,dark red dry liver-kidney yin has tongue with scanty or no been consumed too coating,and thready rapid much pulse Treatment should focus on nourishing yin to generate fluid and clear the remaining heat. 2016/11/5 Tianfang Wang BUCM 20
(1) Deficiency syndrome complicated by an excess syndrome 20 Continuous low fever, dry mouth, thirst, dark red dry tongue with scanty or no coating, and thready rapid pulse Pathogenic heat is almost eliminated, liver-kidney yin has been consumed too much Treatment should focus on nourishing yin to generate fluid and clear the remaining heat. For example, at the advanced stage of a warm disease Tianfang Wang BUCM 2016/11/5