李照国中医英语病因

Lesson 11 Etiology,BASIC CHARACTERISTIC,syndrome differentiationwholism concept:,What is etiology?,equilibrium,viseral and tissues,internal and external environments,The cause of disease/ damage equilibrium factors,how etiology occurs?,abnormal weather/pestilence,emotions/diet/overstrain,pathological factors,trauma,wound,animal bites,etc, Etiology Development History,1.Neijing TWO Categories：（yin/yang） 生于阳得之风雨寒暑 ( yang aspect,by wind,rain,cold,summer-heat) 生于阴得之饮食居处，阴阳喜怒 (yin aspect,by improper diet and living conditions,sexual overindulgence and emotional changes),2 Synopsis of Golden Chamber(金匮要略),“千般疢难,不越三条.以此详之，病由都尽。” 金匮要略脏腑经络先后病脉证,Disease are exclusively caused by three kinds of pathogenic factors.,一者，经络受邪入脏腑,为内所因也；The first group endogenous ones caused by invasion of exogenous pathogenic factors into the viscera from the meridians.,二者，四肢九窍,血脉相传,壅塞不通,为外皮肤所中也；The second group is the ones attacking the skin and stagnating the vessels that connect the four limbs and nine orifices。,三者，房室、金刃、虫兽所伤。The third group is the injuries caused by sexual indulgence，incised wound andinsect and animal bites。,3.陈无择的三因分类法“三因学说” Three categories 外所因external causes六淫 内所因internal causes七情 不内外因neitherinternal nor external饮食劳倦、跌仆金刃、虫兽所伤,（一）Six Excesses(外感六淫),WindColdSummer-heatDampnessDrynessFire,外（风、寒、湿、燥） External (wind, cold, dampness, dryness),（二）five internal excesses（内生五邪 ）,内（风、寒、湿、燥、火）internal windinternal coldinternal dampnessinternal drynessinternal fire,（三）pestilence（疠气 ）,a kind of fulminating infectious pathogenic factors.疠气是一类具有强烈致病性和传染性的病邪。,鼠疫、天花、霍乱、白喉等,鼠 疫plague,天 花smallpox,霍 乱cholera,白 喉diphtheria,(四)Seven Emotions（七情）,Joy，anger，anxiety（忧），thought，sorrow，fear，fright.,Sudden,strong,continous emotional stimulation will cause disease.,ANY RESULT?,Affect viscera Affect Qi-movement,Affect Viscera,Excessive anger damages the liver. 怒伤肝Excessive joy damages the heart. 喜伤心Excessive thought damages the spleen. 思伤脾Excessive anxiety damages the lung. 忧伤肺Excessive frigh/fear damages the kdney. 恐伤肾, Affect Qi-movement,怒则气上 Excessive anger drives qi to flow upward.,喜则气缓,Excessive JOY makesqi sluggish.,悲则气消 Excessive anxiety consumes qi .,思则气结 Excessive thought stagnates qi .,恐则气下,Excessive fear drives qi to flow downward.,惊则气乱 Excessive fright disorders qi .,(五) Improper Diet,parasitic diseases:ascariasis,oxyuriasis,taeniasis 寄生虫病：蛔虫病，蛲虫病，绦虫病113,饮食偏嗜,No predilection for special flavor.Balanced ANDProper DIET.,10种健康食品： 大豆（豆浆，豆奶）；花椰菜等十字花科蔬菜（西兰花，卷心菜，白菜等）；牛奶、酸奶；海鱼；番茄；黑木耳、松口菇等菌菇类；绿茶；胡萝卜； 荞麦；禽蛋蛋白。,10 Nutrient and beneficial food,five harmful and limited food,5种限食食品：高浓度酒烟熏类食品；腌菜类食品；煎炸类食品；含糖饮料。,healthlife prolongbalance,节阴阳而调刚柔。灵枢.本神滑寿注难经四十九难说：“夫忧思恚怒，饮食动作，人之所不能无者，发而中节，乌能为害，过则伤人必矣。故善生者，去太去甚，适其中而已。,Pathogenic factors_Phlegm,有形之痰Sputum expectrated from the throat 无形之痰Formless sputum,Scrofula（淋巴结核）Nodules（小结节）,Etc.,Pathogetic feature of phlegm,机体组织,血脉,心,脏腑,百病多由痰作祟，怪病多痰,机体组织,血脉,Liver：hypocondriac pain，mass,stasisretains,COMPLICATED,Pathogenic factors_Blood stasis,Heart：palpitation，cheast pain，cyanotic nails and lips,Lun