TRADITIONAL CHINESE MEDICINE

Warm Disease Theory []

Wn Bng Xu warm; warm up; heat up; reheat get sick; suffer; illness; disease; grief; distress; worry; anxiety; affliction; bad habits; weakness to study; learn; student; learning; theory; science; discipline; school

Most modern of the classical Chinese medical texts; developed as an independent system for warm diseases Attributed to scholars during the Mng [] and Qng [] Dynasties, including: o W Yu K []: developed the idea of L Q [], which represents infectious diseases existing in the universe o Y Tin Sh []: introduced the theory that warm diseases flow through the four levels of Wei, Qi, Ying, and Xue o Xu Shng Bi []: concentrated on damp-heat disorders o W J Tng []: developed the system of differential diagnosis based on pathological changes within the Sn Jio [] o Wng Mng Yng []: interpreted the classical texts in terms of fevers and modern treatment methods

Differentiation of Warm Disease Patterns According to the Four Levels

Level Translation Etiology Warm pathogens invade the body from the outer environment and battle the Defensive Qi at the surface, controlled by the Lung General Symptoms Tongue Pulse Major Herbal Prescription

Wi

To protect; guard; defend; defense; protection; to run; operate; conduct; carry out

Fever; aversion to cold; headache; no sweating; coughing; thirst

Thin white moss; red tip

Floating-rapid

Yn Qio Sn [] Honeysuckle and Forsythia Powder Clears wind; releases exterior heat

Qi

Air; breath; steam; vital energy; invisible life-force; material force

Warm pathogens break through the superficial levels and enter the Yang Ming channels to battle with the Upright Qi in the interior, causing heat to damage the fluids

Fever; aversion to heat; profuse sweating; thirst with a desire to drink cold beverages

Dry yellow moss

Slippery-rapid; full; big

Bi H Tng [] White Tiger Decoction Clears heat; drains fire; generates fluids

Yng

To perform ceremonies; build; construct; operate; business or occupation

Hot pathogens move through the constructive level, disrupting the vessels and scorching the Heart and Shen

Fever, stronger at night; thirst with no desire to drink; irritability; insomnia; delirious speech; skin rashes

Deep red body

Fine-rapid

Qng Yng Tng [] Clear the Constructive Level Decoction Vents heat; clears nutritive level; drains fire

Xu

Blood

Scorching pathogens enter the deepest level, where they consume and stir up the blood, affecting the Heart and Shen

Fever; agitation; mania; vomiting blood; nosebleeds; blood in stools; blood in urine; skin rashes

Dark red body

Thin-racing

X Jio D Hung Tng [] Rhinoceros Horn and Foxglove Decoction Cools blood; nourishes yin; stops bleeding

Mild to Severe Condition Progression: Wei Qi Ying Xue Superficial to Deep Location Progression: Wei Qi Ying Xue

Summer 2003

DCM 7/26/03

TRADITIONAL CHINESE MEDICINE

Differentiation of Warm Disease Patterns According to the Triple Burner

Region Etiology General Symptoms Tongue Pulse Representative Herbal Prescription

UPPER BURNER:
Pathogens invade through the nose and attack the Minister of Commerce, disrupting the superficial layers of the body Yn Qio Sn [] Honeysuckle and Forsythia Powder Clears wind; releases exterior heat Thin moss, white or yellow Floating-rapid Sng Xng Tng [] Mulberry Leaf and Apricot Kernel Decoction Clears and disperses warm-dryness

Lung

Fever; mild aversion to wind; headache; thirst; cough; dyspnea

Pericardium MIDDLE BURNER: Stomach

Pathogens invade deeply and directly attack the Minister of the Interior, blocking the orifices

Mania; delirious speech; coma; inability to speak

Deep red body; short

Wiry-rapid; Full-rapid

Zh Bo Dn [] Special Greatest Treasure Pill Clears heat; opens the orifices

Pathogens enter the Yang Ming and scorch the interior, creating internal heat

Fever; aversion to heat; red eyes and complexion; profuse sweating; thirst; rough breathing

Dry, yellow moss

Full-rapid

Bi H Tng [] White Tiger Decoction Clears heat; drains fire; generates fluids

Large Intestine

Pathogens enter the Yang Ming and transform into dryness

Fever, worse after dusk; constipation; scanty urination; raspy voice Unresolved fevers; chest oppression; epigastric fullness and distension; nausea; tiredness; heaviness

Yellow-black moss; dry

Deep; full; strong; rapid

D Chng Q Tng [] Major Order the Qi Decoction Drain internal heat; reduces accumulation

Spleen

Pathogens invade the Spleen, which transform and create damp-heat

Slimy moss

Soggy; short; moderate; rapid

Sn Rn Tng []] Three Nut Decoction Disseminates Qi; clears damp-heat

LOWER BURNER: Kidney

Warm pathogens linger in the interior, consuming Kidney Yin and fluids Fever; heat in the five places; dry mouth and throat; weak spirit Ji Jin F Mi Tng [] Modified Restore the Pulse Decoction Nourish the blood; enrich the Yin; generate fluids

Red body; dry

Empty; rapid

Liver

Warm pathogens move from the Kidney and consume Liver Yin, causing internal wind

Convulsions; spasms; weak spirit; palpitations

Deep red body; no moss

Empty; weak; wiry; rapid

Lng Jio Gu Tng Tng [] Antelope Horn and Uncaria Decoction Cools the Liver; extinguishes wind

Summer 2003

DCM 7/26/03