Chapter46identificationofpatternsaccordingtothethreeburners三焦辨证
ThethreeBurnerpatternsinclude:
UpperBurner wind-heatinthelungs’defensive-Qiportion:
heatinthelungs(Qilevel),
heatinthepericardium(Nutritive-Qilevel) MiddleBurner heatinbrightYang,damp-heatinthespleen LowerBurner Heatinthekidney,
liver-heatstirswind,
liverempty-heat
patterns Clinicalmanifestations Upperburner Wind-heatinthelungs’defensive-qiportion Fever,aversiontocold,headache,sorethroat,slightsweating,runnynosewithyellowdischarge,swollentonsils,bodyaches,slightthirst,tongueredinthefrontorsideswithathincoating,floating-rapidpulse. heatinthelungs(Qilevel), Fever,sweating,cough,breathlessness,thirst,afeelingofoppressionandpainofthechest,redtonguewithyellowcoating,rapid-overflowingpulse. heatinthepericardium(Nutritive-Qilevel) Highfeveratnight,aburningsensationoftheepigastrium,coldlimbs,delirium,aphasia,deep-redandstifftonguewithoutcoating,pulsefineandrapid.
Middleburner heatinbrightYang,damp-heatinthespleen Highfeverthatisworseintheafternoon,noaversiontocold,afeelingofheat,intensethirst,profusesweating,redtonguewithyellowcoating,overflowing-rapidpulse. Damp-heatinthespleen Fever,epigastricfullness,afeelingofheavinessofthebodyandhead,nausea,vomiting,redtonguewithstickyyellowcoating,soggyandrapidpulse. Lowerburner Heatinthekidney Feverintheafternoonandevening,five-palmheat,drymouthandthroat,nightsweating,deafness,lassitude,deep-redtonguewithoutcoating.Floating-emptyandrapidpulse. liver-heatstirswind, Highfeveratnight,coma,convulsions,clenchedteeth牙关紧闭,deep-redtonguewithoutcoating,wiry-fine-rapidpulse. liverempty-heat Low-gradefever,coldlimbs,dryandblackteeth,dryandcrackedlips,convulsions,tremoroflimbs,deep-redtonguewithoutcoating,deep-fine-rapidpulse.
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