Damp-heat of spleen and stomach. Also known as damp heat in middle coke. Mostly due to damp evil or improper diet, overeating fat and sweet, resulting in damp-heat injury to the spleen and stomach. Symptoms include abdominal distension, fatigue, weight, loose stool, body heat, bitter taste, thirst, scanty and yellow urine, and even yellow skin like orange, yellow and greasy tongue coating and rapid pulse. The treatment is mainly to clear away heat and promote diuresis. This syndrome can be seen almost every day in outpatient clinics, involving digestive system, tumor, urinary system and other diseases. And digestive system diseases are more common, such as chronic gastritis, reflux esophagitis, gastric or duodenal ulcer, gastritis, chronic hepatitis B, liver cirrhosis, fatty liver, gallstones, gallbladder polyps and so on. After liver cancer surgery, esophageal cancer or gastric cancer or intestinal cancer surgery, there may be different stages of development, and chronic gastritis takes the first place.

Spleen and stomach weakness is the basic theory of traditional Chinese medicine, and it is considered that the deficiency of vital qi is the internal root of the disease. "Lingshu, the beginning of all diseases" says, "Wind and rain are cold and hot, and you can't be empty, and evil can't harm people alone." Although there are many causes and pathogenesis of damp-heat syndrome of spleen and stomach, the functional state of spleen and stomach is the decisive factor. Clinically, whenever a patient "eats one more bite" due to exogenous factors or a meal, it will cause fullness in the upper abdomen, nausea, loss of appetite, or abnormal stool, and yellow and greasy tongue coating. Tracing back to the source, whether it is congenital endowment deficiency or acquired disorder, we can always find the disease of spleen and stomach weakness. The spleen and stomach are weak, and the grain water cannot be transported normally. Hydration becomes wet, and valley becomes stagnation. Wet stagnation for a long time will turn into heat, which can form damp heat. At the same time, various disease factors can easily lead to spleen and stomach weakness, dysfunction and damp heat.

Feel the evil outside.

Due to the physiological characteristics of the spleen and stomach, dryness and dampness are easy to invade the spleen and stomach. Spleen is wet soil, which is a "wet area", and wet is the most likely to hurt spleen; The stomach is dry and prone to dryness. Dryness is the evil of yang heat, and dryness is very hot. The combination of stomach heat and spleen dampness is damp heat. Other evils besides six evils, such as exogenous wind-heat and spleen deficiency, combine exogenous wind-heat with endogenous dampness to form damp heat. As Xue said: "The sun is injured internally, and the wet drink does not gather, and the external evil causes it again, so it is damp and hot." At the same time, exogenous pathogenic factors invade the lungs, chest tightness and cough, and abnormal qi movement can also hurt spleen and stomach weakness, making dampness endogenous, depressed and hot, forming damp heat.

Bad diet

Overeating is the most common cause of spleen and stomach injury. "Double your diet and hurt your spleen and stomach." Alcoholism, overeating, overeating, fatty diet, too sweet and unclean diet, etc. are all easy to hurt the spleen and stomach, causing food accumulation, dampness resistance and qi stagnation. And food accumulation, dampness resistance and qi stagnation can be turned into heat for a long time. Alcohol itself is "qi stagnation and dampness heat", and qi stagnation is also an important factor of water-dampness stagnation. Fat, sweet and delicious, it has the characteristics of dampness and heat. It can be seen that many factors of improper diet can be the cause of damp-heat syndrome of spleen and stomach. Although the stomach likes to moisten dryness, the formation of damp-heat syndrome of spleen and stomach is also directly related to the stomach. Food is first ingested by the stomach, and symptoms such as fullness, anorexia and nausea are often seen first in clinic. Spleen and stomach are both middle-earth, which coordinate with each other in physiology, complete the absorption function together, and affect each other in pathology, so the relationship between damp-heat syndrome and stomach is inseparable, so it is called spleen-stomach damp-heat syndrome.

The main reason for preventing damp-heat syndrome of spleen and stomach is that the above diseases have not been effectively treated and the lesions have moved and developed repeatedly. Secondly, it is related to unhealthy lifestyle, such as eating greasy food, spicy food, smoking and drinking, which leads to spleen and stomach injury, dampness and heat. It can be seen that to prevent the occurrence of damp-heat in spleen and stomach, we must first actively treat the above-mentioned basic diseases. At the same time, we should change the unhealthy lifestyle, eat moderately, don't smoke, don't drink and so on.

1. The physiological characteristics of the spleen and stomach are ascending and descending.

Spleen and stomach are the foundation of the day after tomorrow and the source of qi and blood biochemistry. Its functional characteristics mainly focus on rising and falling. Spleen governs transport and transformation, and its distribution is subtle and clear; Stomach governs reception, decays Shui Gu, and governs turbidity. Spleen ascending is healthy, while stomach descending is harmonious. Spleen is not healthy, and qi does not rise; Stomach disharmony, turbid qi does not fall, but rises. The spleen is yin, the stomach is yang, and the fu-organs are fu-organs, which are in harmony with the exterior and the interior, rising and falling. It not only presides over the decomposition and fine distribution of Shui Gu, but also relates to the ups and downs of Yin and Yang, Qi and blood, fire and water of the whole human body, so it is the hub of the ups and downs of the human body. The rise and fall of the spleen and stomach are mutually causal. The stomach loses harmony and falls, but the temper does not rise. The spleen rises abnormally, but the stomach does not fall, as Yu said: "The qi in the middle epigastrium is abundant, and the clear qi in the water valley rises and fills a hundred pulses, and the turbid qi is discharged to the large intestine, and it disappears." When the spleen is clear and the yang rises, and the stomach is turbid and the yin falls, the qi and blood will be biochemically active and orderly. If it's not lucky, it will be biochemical for no reason. If it doesn't drop, it will turn into a disease.

Second, spleen and stomach diseases are characterized by dampness and stagnation.

Although there are many syndromes of spleen and stomach diseases, the pathogenesis is mostly dampness and qi stagnation. The spleen and stomach are the officials of the granary, the sea of water valley, where everything is at ease and evil spirits are easy to attack. Because of this, the spleen and stomach rise and fall abnormally, so the water turns wet and the valley turns stagnant, leading to stagnation of dampness, food, phlegm, qi, blood and fire. The true depression is that the pathogenic factors are mixed, the airway is blocked, and the depression is in the middle energizer. If the spleen and stomach are deficient in cold, the transport and transformation are out of balance, the ascending and descending are out of balance, and turbidity and turbidity intersect, dampness and depression can also arise from this. The so-called deficiency leads to prosperity, while deficiency leads to stagnation. As Su Wen-tiao said, "There is fatigue, lack of body qi, deficiency of grain qi, weakness of upper energizer and difficulty of lower energizer ..." Because dampness and depression are the main pathogenesis, when treating spleen and stomach diseases, the general purpose is to warm, clear, tonify, or diarrhea, so as to promote depression, promote diuresis and restore elevation.