A Bi-síndrome é uma desordem resultante da obstrução dos meridianos, lentidão de Qi e de circulação de sangue após a invasão do vento patogênico, frio, umidade ou calor, e caracterizada por dor, formigamento e peso dos músculos, tendões e articulações ou inchaço, dor e limitação de movimento das articulações. Artrite reumática, artrite reumatóide, osteoartrite, artrite tuberculosa, artrite piogênica, reumatismo muscular, dor ciática, gota, etc, podem ser considerados e tratados como síndromes Bi.
Etiologia e Patogênese
A deficiência de qi saudável e a invasão de fatores patogênicos são duas causas básicas desta desordem. Baixa resistência do corpo, falta de exercício físico e fadiga ou enfraquecimento durante a menstruação e puerpério podem levar à deficiência de qi saudável, e as variações climáticas e alterações ambientais podem induzir a invasão de fatores patogênicos exógenos, como o vento, frio, calor e umidade. Devido à diferença das constituições do corpo e da variação dos fatores de patogenicidade, existem vários tipos e manifestações de síndrome bi. Por exemplo, um paciente com deficiência de Yang é suscetível aos efeitos do vento, frio e umidade, e um síndrome bi de vento-umidade-frio pode se desenvolver. Um paciente com uma constituição Yang ou deficiência de yin e yang, é suscetível aos efeitos do vento, umidade e calor, e susceptíveis de desenvolver síndrome bi de vento, umidade, tipo de calor. Uma síndrome bi crônica pode ter se desenvolvido da seguinte forma: (1) Acúmulo de frio, vento e umidade pode formar calor ou uso abusivo de drogas pode produzir calor e consomem o yin; manifestações semelhantes ao vento e umidade. (2) retenção prolongada de agentes patogênicos leva à estagnação do Qi, sangue e fleuma; equimoses, nódulos subcutâneos e periarticulares, inchaço, deformidade e limitação de movimento das articulações podem suscitar. (3) Doença prolongada leva ao consumo de qi e sangue e deficiência do fígado e dos rins, e as manifestações correspondentes podem ocorrer. (4) Síndrome Bi pode ser complicada por um ataque de fatores patogênicos exógenos, e órgãos do zang-fu podem estar envolvidos.
Síndromes de Diferenciação
Diferenciação
(a)Síndrome Bi de vento-umidade tipo de calor é diferenciada da do vento, umidade tipo frio pelas suas características de vermelhidão, inchaço e calor e dor das articulações.
(b) Síndrome Bi de vento como o agente patogênico predominante é caracterizada por artralgia migratórios, enquanto que com o frio como o agente predominante por dor localizada e intensa, e que, com a umidade como o agente predominante, pela sensação de peso e dormência.
(c) Bi-síndrome em seu início geralmente aparecena superfície, e cronicamente aparece combinada com astenia.
Princípios Terapêuticos
Expulsar fatores patogênicos deve ser o principal princípio terapêutico, incluindo a dispersão do vento, dispersar o frio, retirando calor, eliminando a umidade e dragagem dos meridianos e colaterais. Para um paciente que sofre de uma síndrome Bi fraca ou um caso crônico de deficiência do qi saudável, além da terapia para expelir os fatores patogênicos, tonificação do baço, fígado, rins e sangue também deve ser empregada. Para os casos complicados por estase de muco e sangue, ativando a circulação sanguínea, dissipando-se a estagnação do sangue e as massas e eliminar a mucosidade.
The Bi-syndrome is a disorder resulting from obstruction of the meridians, slowness of Qi and blood circulation after the invasion of pathogenic wind, cold, humidity and heat, and characterized by pain, tingling and weight of muscles, tendons and joints or swelling , pain and limited movement of joints. Rheumatoid arthritis, rheumatoid arthritis, osteoarthritis, tuberculous arthritis, pyogenic arthritis, muscular rheumatism, sciatica, gout, etc., can be considered and treated as Bi syndromes.
Etiology and Pathogenesis
A deficiency of healthy qi and invasion of pathogenic factors are two basic causes of this disorder. Lower body resistance, lack of exercise and fatigue or weakness during menstruation and postpartum period can lead to a deficiency of healthy qi and climatic variations and environmental changes can lead to invasion of exogenous pathogenic factors, such as wind, cold, heat and moisture. Due to the difference of the constitutions of the body and the variation of pathogenicity factors, there are various types and manifestations of bi syndrome. For example, a patient with deficiency of Yang is susceptible to the effects of wind, cold and moisture, and a bi syndrome of wind-damp-cold can develop. A patient with a constitution or Yang deficiency of yin and yang, is susceptible to the effects of wind, humidity and heat, and likely to develop bi syndrome of wind, humidity, type of heat. A bi chronic syndrome may have developed as follows: (1) Accumulation of cold, wind and moisture can form heat or drug abuse can produce heat and consume yin; similar events in the wind and humidity. (2) prolonged retention of pathogens leads to stagnation of Qi, blood and phlegm, bruises, and periarticular subcutaneous nodules, swelling, deformity and limitation of movement of joints may ensue. (3) Prolonged illness leads to the consumption of qi and blood and deficiency of liver and kidneys, and the corresponding events occur. (4) Bi syndrome may be complicated by an attack of exogenous pathogenic factors, and organs zang-fu may be involved.
Syndromes Differentiation
Differentiation
(a) Bi syndrome of wind-dampness type of heat is differentiated from the wind, humidity, cold type by its characteristics of redness, swelling and heat and pain of the joints.
(b) Bi syndrome of wind as the predominant pathogen is characterized by migratory arthralgia, while the cold as the predominant agent for localized pain and intense and, with the humidity as the predominant agent for the heaviness and numbness .
(c) Bi-syndrome in the beginning usually appear in the surface, and appears chronically combined with asthenia.
Therapeutic Principles
Expelling pathogenic factors should be the primary therapeutic principle, including the dispersion of the wind, dispersing cold, removing heat, removing dampness and dredging the meridians and collaterals. For a patient suffering from a syndrome Bi weak or a bad case of deficiency of healthy qi, beyond therapy to expel pathogenic factors, invigorating the spleen, liver, kidneys and blood should also be employed. For cases complicated by stasis of mucus and blood, activating blood circulation, dissipating blood stasis and masses and eliminating phlegm.
The Bi-syndrome is a disorder resulting from obstruction of the meridians, slowness of Qi and blood circulation after the invasion of pathogenic wind, cold, humidity and heat, and characterized by pain, tingling and weight of muscles, tendons and joints or swelling , pain and limited movement of joints. Rheumatoid arthritis, rheumatoid arthritis, osteoarthritis, tuberculous arthritis, pyogenic arthritis, muscular rheumatism, sciatica, gout, etc., can be considered and treated as Bi syndromes.
Etiology and Pathogenesis
A deficiency of healthy qi and invasion of pathogenic factors are two basic causes of this disorder. Lower body resistance, lack of exercise and fatigue or weakness during menstruation and postpartum period can lead to a deficiency of healthy qi and climatic variations and environmental changes can lead to invasion of exogenous pathogenic factors, such as wind, cold, heat and moisture. Due to the difference of the constitutions of the body and the variation of pathogenicity factors, there are various types and manifestations of bi syndrome. For example, a patient with deficiency of Yang is susceptible to the effects of wind, cold and moisture, and a bi syndrome of wind-damp-cold can develop. A patient with a constitution or Yang deficiency of yin and yang, is susceptible to the effects of wind, humidity and heat, and likely to develop bi syndrome of wind, humidity, type of heat. A bi chronic syndrome may have developed as follows: (1) Accumulation of cold, wind and moisture can form heat or drug abuse can produce heat and consume yin; similar events in the wind and humidity. (2) prolonged retention of pathogens leads to stagnation of Qi, blood and phlegm, bruises, and periarticular subcutaneous nodules, swelling, deformity and limitation of movement of joints may ensue. (3) Prolonged illness leads to the consumption of qi and blood and deficiency of liver and kidneys, and the corresponding events occur. (4) Bi syndrome may be complicated by an attack of exogenous pathogenic factors, and organs zang-fu may be involved.
Syndromes Differentiation
Differentiation
(a) Bi syndrome of wind-dampness type of heat is differentiated from the wind, humidity, cold type by its characteristics of redness, swelling and heat and pain of the joints.
(b) Bi syndrome of wind as the predominant pathogen is characterized by migratory arthralgia, while the cold as the predominant agent for localized pain and intense and, with the humidity as the predominant agent for the heaviness and numbness .
(c) Bi-syndrome in the beginning usually appear in the surface, and appears chronically combined with asthenia.
Therapeutic Principles
Expelling pathogenic factors should be the primary therapeutic principle, including the dispersion of the wind, dispersing cold, removing heat, removing dampness and dredging the meridians and collaterals. For a patient suffering from a syndrome Bi weak or a bad case of deficiency of healthy qi, beyond therapy to expel pathogenic factors, invigorating the spleen, liver, kidneys and blood should also be employed. For cases complicated by stasis of mucus and blood, activating blood circulation, dissipating blood stasis and masses and eliminating phlegm.
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