Question 2: What is damp heat constitution? What is wet and what is hot?
When we see Chinese medicine, we often hear doctors say "damp heat". Then, what is damp-heat, what are the manifestations of damp-heat, and what problems should be paid attention to? To understand damp heat, we must first understand what is wet and what is hot.
wet
The so-called water wetness can be divided into external wetness and internal wetness. External dampness is caused by the invasion of external moisture into human body due to humid climate or wading in rain or wet indoor. Internal dampness is a pathological product, which is often related to digestive function. Chinese medicine believes that the spleen has the function of "transporting water and dampness". If the spleen and stomach are weak, indigestion or overeating, and eat too much greasy food and sweets, the spleen will not be able to transport normally, and the water and dampness will stop inside. People with spleen deficiency will easily attract the invasion of external dampness, which will often hinder the spleen and stomach and make the dampness endogenous, so the two are independent and related.
hot
The so-called heat is a kind of thermal image. However, heat and humidity coexist in damp heat, or the combination of heat and humidity invades the human body because of the heavy weather in summer and autumn, or the heat is converted into heat because of the long-term retention of moisture, or the moisture is "from yang to heat" because of "yang-heat constitution". So the coexistence of damp and heat is very common.
Damp heat constitution
The face and nose tip are always shiny, prone to acne and boils, often feel bitter mouth, bad breath or bad breath in the mouth, often have sticky stools, have a fever in urine, and have yellow urine. Women often take yellow color, and men's scrotum is often wet and sweaty.
Incidence trend
People in damp heat constitution are prone to boils, jaundice and fever [1].
adaptive capacity
People in damp heat constitution have a high humidity environment or temperature, especially in late summer and early autumn, so it is difficult for them to adapt to the humid and evapotranspiration climate. [ 1]
cause
1, congenital endowment.
2, alcohol and tobacco addiction, often staying up late. This kind of person looks ugly, his teeth are black, his tongue is yellow and greasy, his mouth is full of breath and his smell is strong. Long-term leucorrhea is yellow in color, strong in smell and yellow in leucorrhea. If you smoke and drink and stay up late, you are destined to be damp heat constitution.
3, improper nourishment: such as eating a lot of tremella, bird's nest, Cordyceps sinensis. Wuji baifeng pills, etc. Such improper nourishment and excessive nourishment will give birth to or aggravate this constitution.
4, long-term emotional depression, indulging in alcohol.
5. Living in a hot and humid environment for a long time, such as Guangdong. Sub-health is particularly common in damp heat constitution.
Symptomatic manifestation
Physical characteristics of damp-heat people: fat or thin;
Common manifestations: dirty and glossy face, acne and acne, dry mouth and bitter taste, red eyes, restlessness, drowsiness, red and short urine, dry or sticky stool, wet scrotum in men and more leucorrhea in women. The above signs are aggravated during the illness;
Tongue image: red, yellow and greasy tongue; Pulse condition: more slips;
Psychological characteristics: impatience and easy to get angry; Adaptability: can't stand hot and humid environment.
Common skin diseases: acne, eczema, psoriasis, herpes zoster, eczema, seborrheic dermatitis, rosacea, etc.
Nursing rules
Methods of conditioning the body: eliminating dampness and turbidity, and clearing latent fire.
The main points of physical adjustment:
First, dehumidification and heat dissipation: Chinese medicine believes that "fire is stagnant", that is to say, the evil fire in the body is stagnant, and we must find ways to emit the fire. Components for purging fire and detoxicating, resolving phlegm and clearing away the evil energy can be added into the formula.
Second, dampness and heat dissipation, according to the principle of dampness under heat, so that damp heat is discharged from the stool. While clearing away heat and drying dampness, it is supplemented with cogongrass rhizome, lophatherum gracile, coix seed and cassia seed to discharge heat from the lower body.
Question 3: What are the symptoms of damp heat? How to treat damp-heat syndrome? Although it follows the basic law of eliminating dampness and clearing heat, it is either effective or ineffective in clinic. This is because many doctors do not pay attention to the pathogenesis evolution of damp-heat syndrome and ignore the syndrome differentiation and classification of diseases and syndromes. Damp-heat syndrome can be roughly divided into four types: heavy dampness and light heat, heavy dampness and light heat, and both damp and heat. The choice of prescription and medicine is obviously different with different syndrome types. Below, the author points out the treatment principles and methods of three types of damp-heat syndrome as follows:
First, wet weight is light.
Symptoms: no or low body heat, heavy head and limbs, chest tightness and fullness, loss of appetite, abdominal distension and bowel sounds, even nausea and vomiting, pale mouth or thirst, yellow urine, thin stool, red tongue, white and thick tongue coating, and slow or slippery pulse.
Pathogenesis: low humidity in the house, hard work in the water, sweating like the wind, wet clothes wrapped around the body, damp evil external evil; Deficiency of lung qi, deficiency of kidney yang, spleen deficiency, unfavorable transportation and gasification of triple energizer, resulting in excessive water and dampness. The gradual transformation of dampness into heat is the syndrome that heat is accumulated in dampness, and heat is light and wet. Dampness is yin evil, so there is no body heat or no body heat; Damp stagnation, internal resistance of dampness and turbidity, and poor qi movement, so symptoms such as heavy head and light limbs, chest tightness and fullness are seen; Dampness and turbidity will in turn hinder the spleen and stomach, so the spleen and stomach are abnormal, so anorexia, abdominal distension and bowel sounds, even nausea and vomiting, light mouth or thirst, yellow urine and thin stool appear; The tongue is reddish, the tongue coating is thick and greasy, and the pulse is slow or slippery. It is also a sign that summer is light and wet.
Treatment: light infiltration and diuresis, aromatic turbidity and heat clearing.
Prescription: Sanren Decoction or Chen Yin Wuling Powder.
Second, pay equal attention to damp heat.
Symptoms: mental fatigue, heavy head and body fatigue, chest tightness and fullness, dull pain in both ribs, waist swelling, nausea and vomiting, anorexia in the stomach, thirst or aversion to hot drinks, fever and sweating, short and yellow urine, thin and sticky stool, red tongue, yellow and greasy tongue coating and slippery pulse.
Pathogenesis: it is not early to clear dampness, but it will suppress heat for a long time and internalize it. The internal heat turns full, so the urine is less Huang Chi, and the fever is getting higher, but it does not disappear with sweat; Thirst is the cause of excessive heat, but dampness hinders it, so although thirsty, I don't want to drink more; Nausea and vomiting, chest tightness and fullness, anorexia in the stomach, etc. , are the causes of damp-heat stagnation in the spleen and stomach; The stool is sticky, yellow as sauce, and sticky to the large intestine due to damp heat; Damp-heat pounding, adverse waist collateral, so waist swelling and pain, accompanied by heat; Red tongue, yellow greasy tongue coating, slippery pulse, etc. It is a manifestation of both damp and heat.
Treatment should pay attention to two points:
First, the stool of this syndrome is sticky, yellow as sauce, and wet heat binds the large intestine, which is completely different from the treatment of spleen and stomach deficiency and cold. Doctors must not think it is diarrhea. They should treat it wrongly by stopping diarrhea, and treat it by regulating qi and eliminating dampness, purging heat and dredging fu organs until the stool is not sticky and shapeless. The main points of distinguishing this syndrome from spleen-stomach deficiency-cold type stool are: this syndrome is bound to be sticky and uncomfortable, that is, it is difficult to discharge stool, often accompanied by burning sensation, bitter mouth and dry mouth, red tongue, yellow and greasy tongue coating and slippery pulse. The stools with deficiency and cold of spleen and stomach have no sticky feeling, and most of them have symptoms of deficiency and decline of middle yang, such as pale mouth, no thirst, pale face, cold limbs, incomplete granules, pale tongue, thin and white fur, weak and late pulse, etc.
Second, although the method of regulating qi and eliminating dampness, purging heat and dredging fu-organs is used to treat damp-heat constipation, in clinical application, the method of "light method and frequent use" is mainly adopted, and Shi Zhi Daozhi Decoction, which is light in prescription and light in medicine, is selected to revise the popular Treatise on Febrile Diseases. The dosage of each medicine in this prescription is very small. This is because damp and heat stagnate in the gastrointestinal tract, and it is difficult to take effect at one time. It needs to be taken several times in a row, so you can't take a large dose at once, but take it slowly for several times with a light dose, which is the so-called "frequency light method".
Components of Fuzhi Daozhi Decoction:
Raw rhubarb (washed with wine), areca nut, magnolia bark, forsythia suspense each 5g, coptis root 2g, Akebia stem 3g, immature bitter orange 6g, Massa Medicata Fermentata, Arnebia euchroma, hawthorn each10g, and raw licorice root 2g.
Formula 1: In the formula, rhubarb purges heat and clears the bowels, magnolia officinalis, immature bitter orange and areca nut dispel dampness, hawthorn meat and medicated leaven help digestion, guide stagnation and reconcile; Coptidis Rhizoma, Fructus Forsythiae and Radix Arnebiae are used for clearing away heat and toxic materials; Aristolochia manshuriensis can clear away heat and promote diuresis, and induce urinary dampness and heat.
Third, heat is heavy and wet is light.
Symptoms: fever, sweating, thirst, nausea and vomiting, anorexia, bilateral pain, dizziness, upset and palpitation, or chest tightness and shortness of breath, abdominal distension, short and red urine, dry stool, red tongue, yellow and thick tongue coating and slippery pulse.
Pathogenesis: in the long summer, damp-heat fumigation invades the human body, competing with dampness; Eating too much, drinking too much, brewing damp heat; The body is full of yang, or there is latent fire, feeling damp evil, depressed but not reaching, accumulating damp heat; Yang deficiency and dampness are abundant in the body, or they are infected with epidemic poison, or the five senses turn into fire, and dampness suppresses heat, or they take warm and dry drugs by mistake, which makes the heat poison more abundant and reach blood, and the dampness evil is not removed for a long time and generates heat; In the case of abuse >>
Question 4: What exactly does Chinese medicine mean by damp heat? Hot and humid women, especially southerners, must pay attention to conditioning. Moisture in the body is mostly caused by eating cold drinks, gluttony of cold fruits and vegetables and other cold things, which damage the human yang. Friends who want to get rid of the wet body can try a way:
1, diet therapy
Many foods that we often eat can dehumidify, such as glutinous rice porridge, yam soup and so on. Coix lachryma-jobi seed has the effects of reducing swelling, invigorating spleen and eliminating dampness, relaxing muscles and tendons, removing arthralgia, clearing heat and expelling pus. Red beans have the effects of strengthening the spleen, stopping diarrhea, diuresis and detumescence. Coix seed and red beans are boiled in water, which can induce diuresis and dehumidification.
Step 2 exercise
Exercise can not only relieve stress, but also accelerate the excretion of water in the body. Running, walking and swimming help to activate blood circulation and enhance water metabolism in the body.
People with heavy body moisture mostly eat greasy food and lack exercise. These people are often reluctant to move because they feel heavy and weak, but the less they like sports, the more water they accumulate in their bodies. Over time, it will inevitably lead to moisture invading the spleen and causing damp-heat diseases.
3, light diet
Gastrointestinal system is related to nutrition and water metabolism. The best way to protect the gastrointestinal system is a light, moderate and balanced diet. Fatty foods such as fat, sweet taste and strong taste are not easy to digest, which is easy to cause bloating and inflammation. Fried sweets will make the body produce peroxide and aggravate the inflammatory reaction. Cold food, ice products or cool fruits and vegetables will make the digestion and absorption function of the stomach stagnate, so it is not advisable to eat them often. When cooking lettuce, salad, watermelon, Chinese cabbage, bitter gourd, etc. It is best to add onion and ginger to reduce the coldness of vegetables.
4, seasoning and dampness
Ginger, onion and garlic are not only common condiments at home, but also have irreplaceable medicinal value. For example, we can try to cook a bowl of hot ginger soup at home and force the water out of our bodies with ginger soup. After sweating all over, the symptoms will be relieved. This method is also suitable for preventing colds after getting caught in the rain.
5, pay attention to indoor ventilation
Insufficient ventilation is an important reason for increasing humidity. Some details in life will also aggravate the humidity in the surrounding environment and body, such as sitting on the floor and playing, staying in a closed room for a long time and so on.
Step 6 keep warm properly
The practice of "kindness is not warm" is easy to make moisture invade the body. Keep warm all over, the bath water should not be too cold, and dry your head in time after washing.
Question 5: What food is damp and hot? There is a lot of hot and humid food.
pepper
It is not suitable for people with damp-heat jaundice. Compendium of Materia Medica says: "Pepper, great pungent heat, pure yang. Zou Xinqi, heat helps fire, this thing smells strong. " "Interest-bearing Diet Spectrum" also holds that: "Eating more hot and dry liquid will consume qi and hurt yin". For people with yang and yellow constitution, eating too much is easy to aggravate the condition, promote the evil of damp heat, and jaundice is not easy to recede.
longan aril
Sweet fruit. Yan Hui in Materia Medica said it was "moist and afraid of stagnation". Damp-heat jaundice should eat more light and dampness-promoting things, and longan meat is greasy and helps heat, which is not conducive to the excretion of damp-heat evil, so people with yellow yang and yellow yin should not eat it.
goose
People think this is a great thing. Meng E, a food doctor in the Tang Dynasty, thought that "eating too much makes people suffer from chronic diseases". Ming? Li Shizhen also pointed out: "The goose smells thick and has wind sores." The dictionary of traditional Chinese medicine says: "People with damp heat should not eat." Yang Huang is damp-heat jaundice, and eating more goose will not pay off, or even worse.
mutton
People with warm nature, sweet taste and jaundice are mostly yellow due to internal damp heat, liver and gallbladder fumigation and bile fluid leakage. "synopsis of the golden chamber" has long warned: "people with fever should not eat it." Jaundice is a disease of "internal heat" and should be avoided. "Life Taste Diet Spectrum" has long warned of "jaundice taboo".
Chicken (as food)
Warm in nature, sweet in taste, and jaundice are mostly due to internal steaming of damp heat in the liver and gallbladder, so the diet should be light and tepid. According to the Compendium of Medical Forests, chickens are "fat and stagnant, and foreign evils are fasting." In fact, people who are really evil inside and outside should avoid eating. Wang Mengying, a food doctor in the Qing Dynasty, clearly warned: "Avoid jaundice." Especially people with damp heat and yellow sun are not suitable for eating.
The best cream
Edible fat made from milk. It can nourish yin, nourish nutrition and moisten dryness, while jaundice is either caused by cold and dampness, or damp and heat accumulate in the liver and gallbladder, while nourishing yin is not conducive to the excretion of dampness. This is just as "Diet Spectrum with Interest" said: "Those who suffer from wet loss are taboo." Therefore, neither the yellow race nor the yellow race is suitable for eating.
Scaly meat
Warm in nature and sweet in taste, it has the function of nourishing blood and warming the middle warmer. According to the experience of Wang Mengying, a food doctor in Qing Dynasty, people with damp-heat jaundice should not eat more. He pointed out interestingly in Diet Spectrum: "If you eat too much, you should avoid it." Huang Yang Fructus Aurantii belongs to artificial damp-heat and contains liver and gallbladder, so it should be avoided.
Chinese hard liquor
Also known as shochu, it belongs to a kind of strong liquor with high alcohol content, which is oxidized and decomposed by the liver in the body. Because shochu is hot, pure yang poison, and people with jaundice will drink it, which will inevitably aggravate the evil heat. At the same time, it directly damages liver cells and aggravates jaundice. Therefore, patients with jaundice should not drink alcohol, especially hard liquor.
ginseng
Warm in nature and sweet in taste, it is a warm food for invigorating qi and enriching blood, which is helpful to the disadvantages of heat-induced blood circulation. People with jaundice are mostly affected by damp heat, especially those with acute jaundice. Because of excess heat syndrome, there is evidence in traditional Chinese medicine, so it is advisable to eat light and dampness-promoting products, and avoid eating warm and tonic products, especially ginseng, which is warm in nature and helps fire. Positive patients in Huang Zhi should avoid eating.
Eggs (of hens)
It is flat and sweet, and it is a high cholesterol food. "Eating is interesting" says: "Eating too much will move the wind and block the qi, ... jaundice and fullness will not do." Therefore, damp-heat jaundice and cold-dampness jaundice are not suitable for eating.
pumpkin
In order to warm and replenish qi, eating more has the disadvantage of suppressing qi. Compendium of Materia Medica holds that "eating too much leads to jaundice". Qing? Wang Mengying also believes that "jaundice and diarrhea are taboo". Therefore, people of Huang Zhi should avoid damp-heat stagnation.
In addition, people in Huangyang should avoid spicy products, such as spicy uncle, pickled mustard tuber, garlic, cinnamon, clove, fennel, onion, leek and ginger, as well as glutinous rice, jujube and litchi. Avoid foods that are prone to flatulence, such as potatoes and watercress; It is also forbidden to eat animal oil, fat meat, dog meat, marine fish, shrimp, and tonics such as Radix Astragali, Placenta Hominis and Polygonatum sibiricum. People with dark yellow color should also avoid eating cold food such as crabs, snails, mussels, persimmons, bananas, water shield, raw sweet potatoes, raw melons and bitter melons.
Question 6: How is damp heat constitution's daily life? Damp heat constitution's performance is similar to "phlegm-turbid constitution". Damp heat constitution should be the most recognizable in appearance, marked by greasy face and acne. We call it "acne pie". People in damp heat constitution always have glossy faces and nose tips, which are prone to acne and itchy skin. I often feel bitter mouth, bad breath or peculiar smell in my mouth, sticky stool and yellow urine. Women are often yellow and men's scrotum is often wet and sweaty. People in damp heat constitution are impatient. Some people think that acne is not necessarily a bad thing, indicating that they are still young and have the ability to grow acne. In fact, the body is too hot and humid, and there is no "ventilation" inside, so it has to be squeezed out as acne. Don't think that washing your face with soap and wiping nothing on your face can make these "oil acne" disappear, because the root of these acne is in the body, and people with this constitution often prefer to eat spicy food. The heavier you eat, the more acne you get. Typical case One morning, I saw two women with similar conditions, both about 40 years old. One of them is recurrent oral ulcer, 17, which is not intermittent, so serious that it is difficult to go to work. Patients from grandpa to father, plus her and her daughter, have suffered from oral ulcers for four generations. Usually upset, irritable, shallow sleep and dreamy. After examination, esophageal ulcer was found and the tongue was red, yellow and greasy. The other one has red pimples all over his face, and his oral ulcer is uninterrupted, because some parts fester repeatedly, forming scars, and there are ulcer surfaces outside. She said that going to a western medicine hospital requires separate treatment of stomatology, dermatology and gynecology, which is really too much trouble. In my opinion, it's all damp heat constitution's fault! Clearing the damp and heat will be completely solved, and such thin branches are not needed. Physical analysis damp heat constitution has excess moisture and heat in his body, which stick together, just like oil and bread, cementing and lingering; Just like a sauna day in summer, it is hot and humid, which makes people very uncomfortable; It is also like a haystack wet by heavy rain, basking in the sun. Not only the humidity is high, but also the temperature is high. This is "damp heat". After a long time, the hot and humid fumigation in the haystack will give off an unpleasant smell. The same is true for people who are damp and hot in the body, especially in the long summer, affected by the external climate, the internal environment is unclean, damp and hot, and the excretion is not smooth, which is reflected in the greasy skin outside, especially the forehead and nose tip are always shiny, leading to seborrheic alopecia, acne, dry mouth and bad breath, sticky stool, yellow urine and big taste. It always gives people a feeling of uncleanness and refreshment. These people generally lack patience. Damp heat constitution is closely related to the global environment. Climate warming, the improvement of people's living standards, gluttony of fat, sweet and greasy fast food, love of alcohol and tobacco, abuse of supplements, coupled with excessive competitive pressure and fast-paced life, make damp heat a common physique. Of course, congenital endowment is self-evident. The first one in a typical case is that four generations of a family have oral ulcers. This constitution, which tends to accumulate damp and heat, is easily passed on to the next generation. Experts prescribe Sanren decoction. The principle of conditioning the body is to clear away dampness and heat. The way to recuperate health is 1. The general principle is that food should be spicy and warm, summer should be wet and exercise intensity should be high. 2. Avoid living in low-lying and humid places, and the living environment should be dry and ventilated. Don't stay up late and don't be too tired. In the hot and humid summer season, reduce outdoor activities time. Keep adequate and regular sleep.
Question 7: What is damp heat? Cann't you take supplements if you have damp heat? Why? Damp-heat is the evil of damp-heat in the body. Most tonics are easy to generate heat, and because there is dampness in the body, it is easy to cause internal dampness stagnation. After the internal dampness stagnates, the tonic drugs can't be exerted, resulting in insufficient heat and evil, which will aggravate the internal heat and easily lead to adverse reactions of getting angry. Even serious people will feel dizzy, qi and blood upwelling, sultry and other discomfort. This is my answer to your question. Thank you.