Qi syncope, also known as yang syncope, can coexist. It's best to go to a special hospital for treatment, because the treatment is not easy. In the past, the so-called "syncope syndrome (or disease)" essentially included syncope and desquamation, and the "national standard" has divided it into more than 30 specific diseases. Syncope is mostly caused by pathogenic factors, and the condition is mild, with syncope as the main symptom. The etiology and pathogenesis of deficiency are the failure of dirty qi and the loss of essence and blood, with pale face and the loss of qi and micro-pulse as the main manifestations. Syncope can coexist, syncope is one of the basic contents of syndrome differentiation. The two concepts of syncope and out-of-body in traditional Chinese medicine have been mixed up since ancient times. For example, The Staging Theory of Cold and Heat Pathogens says: "When the husband is unconscious, it will be reversed, that is, the rate of yin and yang will decrease, and it will be reversed." "Jing Yue Quan Shu Jue Inverse" also said: "There are two syndromes of qi syncope, both of which can be syncope caused by qi deficiency and qi excess; ..... There are two syndromes of bloody syncope, and it can be syncope if blood is drawn. " "Today, qi and blood are above, yin deficiency is below, and the spirit is rootless, which means that the qi of yin and yang is separated, which leads to syncope." "medical care. "Jue inverse" also said: "Jue exhausted, opponents also, rushed up, saying that righteousness is weak, rushed up and wanted to get rid of it." At present, many works still combine syncope with a disease, or just talk about syncope without giving enough attention, or combine syncope with syncope. However, Luo Kan's Emergency Medicine of Traditional Chinese Medicine points out that syncope is syncope syndrome and detachment syndrome; According to the emergency department of traditional Chinese medicine in Zhang Xiaoping, syncope can be divided into two syndromes and combined into one syndrome; In the emergency section of Wang Yongyan Clinical Internal Medicine of Traditional Chinese Medicine, Jue syndrome and detachment syndrome are juxtaposed. The definition of syncope in Emergency Research of Traditional Chinese Medicine, edited by state administration of traditional chinese medicine Medical Administration Department, is: "The disease is called syncope syndrome. It refers to the invasion of pathogenic toxin, or internal injury of dirty qi, or stagnation of body fluid, loss of qi and blood, and loss of vital qi ... rather than a simple Jue syndrome or syndrome. " But in the end, there are more witnesses and fewer patients, and the concept of disease is not clear. In fact, syncope and detachment are two different diseases, each of which contains many diseases. The analysis is as follows: 1 syncope "syncope" and "anti-qi" in Interpretation of Names. Therefore, in the past, syncope was often called syncope, and its disease diagnosis was called syncope or syncope syndrome. In traditional Chinese medicine, "Jue" has a wide meaning and a complicated name. Faint, with reversal, fatigue, hesitation (fainting, falling down) and other meanings. The name of syncope refers to symptoms (such as cold syncope), witnesses (such as cold syncope), patients (such as syncope) and pathogenesis (such as "all adverse events are syncope"). Syncope mainly refers to the disorder of qi caused by various reasons, the rise and fall of qi, the imbalance of yin and yang, manifested as syncope and ignorance of people, or a variety of mental disorders accompanied by physical syncope, so it is a concept of disease. Neijing includes Ling Shu Jue Bing, Su Wen Jue Lun and Su Wen Qi Jue Lun, which are scattered in more than 30 articles. Treatise on Febrile Diseases and Jueyin Disease points out: "Anyone who has syncope will have syncope if Yin and Yang are not harmonious. Those who are stunned, those who have cold hands and feet. " "Confucianism is close to each other. In the theory of syncope, the modern disagreement is "divided into" saliva like a drag saw, while the voice in the larynx and pharynx is phlegm syncope; Tethered is wind syncope; Drunk is the result of drunkenness; Anger leads to fainting; Bone pain and claw shaft are bone syncope; The fingers of both feet twitch, the flexion and extension are not allowed, the claws are dry, and the arms are syncope; Stiff body is liver syncope; Those who are panting, sighing and scrambling to climb for Lord Yangming are doing things against their breath. " As can be seen from the above, Chinese medicine has attached great importance to the study of syncope since Neijing. However, it should be pointed out that it is inappropriate for future generations to focus on the symptoms of limb cold in many cases. Because the basic meaning of "syncope" is qi disorder, syncope as a diagnostic term should mainly belong to the concept of disease, not symptoms. It is said that its symptoms are mainly confusion of mind, and syncope of limbs is only a disorder or manifestation of qi activity. As a disease, it is not necessary to discuss it in a classic article, but it is necessary to analyze it carefully. This is just like "Miscellaneous Diseases Widespread to Jue" said: "Xu Anqi Jue, few people can play its meaning." Yao Zhi 'an's Notes on Su Wen Jing also said: "There are three meanings in Jue Fan: one is to say" no ",the lower one's breath is also against the upper one, and all words are against it; One is extreme extreme, the heat of this article is cold, but also extremely cold and extremely hot; Speaking of the unconscious. ..... The cloud of the world is cold and I don't know what people are talking about. It is biased towards the purpose. " Physical syncope in the process of exogenous fever is only a general symptom, not a main symptom, not an independent disease, and should be diagnosed and treated according to febrile disease and fever (typhoid fever). There are many names of "syncope" in medical books of past dynasties, including those named after the etiology, such as food syncope, wine syncope, phlegm syncope, wind syncope, cold syncope, blood syncope, qi syncope, summer syncope, anger syncope, convulsion, falling syncope and pollution syncope. Some people are named after diseases, such as yin syncope, yang syncope and excess syncope; Some people are named after acute and critical diseases, such as sudden syncope, sudden syncope, sudden syncope due to stroke, giant syncope, wasting syncope, fried syncope, corpse syncope, etc. Some people are named after symptoms, such as cold syncope, clear syncope, hot syncope, flaccid syncope, manic syncope, cold syncope of hands and feet, etc. Some patients are named after the disease site, such as somatic syncope, visceral syncope, quadriplegic syncope, four-dimensional syncope, pulse syncope, skeletal syncope, ankle syncope, arm syncope, hepatic syncope, renal syncope and so on. Some are named after meridians, such as Ju Yang syncope, Yangming syncope, Shaoyang syncope, Taiyin syncope, Shaoyin syncope and Jueyin syncope. There are two main aspects of syncope diseases summarized in the China standard "Terminology of Clinical Diagnosis and Treatment of Traditional Chinese Medicine" (hereinafter referred to as "national standard"): First, it refers to the decline of dirty qi, poor clearing of qi, endogenous blood stasis and phlegm-dampness, and the pathogenic toxin is not clear, while the pathological changes of unconsciousness are divided into pulmonary syncope (pulmonary encephalopathy) according to the different primary organs. Second, it refers to the pathological changes caused by various external stimuli, such as coma and limb syncope. According to the different causes, there are gas syncope (hysterical syncope), wind syncope (anaphylactic shock), phlegm syncope (phlegm-blocking syncope), impulse syncope (vasomotor shock), cold syncope (freezing syncope), alcoholic syncope (acute alcoholism) and hungry syncope (hypoglycemia syncope). In addition, syncope headache [hypertensive encephalopathy], syncope heartache [acute myocardial infarction], gas poisoning, hanging, drowning, electric injury and so on. , can also belong to syncope. These are independent diseases. Stroke, epilepsy, poisoning, brain injury, epidemic disease and fever often take syncope as the main symptom, but because it has been listed as an independent disease, it should be distinguished from it, and should not be collectively referred to as syncope or classified as syncope. 2 Degenerative diseases Degenerative diseases refer to a kind of critical diseases with declining dirty qi, exhaustion of essence and blood, yin and yang, separation of yin and yang, and dying. Among them, detachment, death, deficiency and detachment mainly refer to the dead husband of yin, body fluid and yang; Failure, failure, failure, failure, mainly refers to the failure of dirty gas. However, the failure of dirty qi will definitely lead to the disappearance of yang and blood, while the failure of yin and blood will lead to the failure of dirty qi. Therefore, detachment, failure and decline can be collectively referred to as a pathological change. It was called "exhaustion, decline, exhaustion, exhaustion" in ancient times. For example, Ling Shu Jue Qi is called "Exhausted, Qi is exhausted, body fluid is exhausted, and blood is exhausted", while Neijing, Treatise on Febrile Diseases and other books have already included some diseases in their theory of Jue, such as Miao's theory of corpse Jue. Shuowen: "Absolutely, broken silk is also." So "absolute" means severance and decline. Diagnosis of Qi Deficiency Syndrome in Five Zang-fu Organs by Pulse Meridians puts forward ten symptoms such as heart failure and kidney deficiency, and discusses the manifestations of death due to Qi deficiency, such as "heart failure, death in one day". How did you know? Shoulder to shoulder, look back and die; ..... The patient died of lung failure on the 3rd. How did you know? My mouth was open, but I was angry and didn't answer. " Although there is a saying that "amnesia is caused by heart failure" in the General Record of Shengji, it is obviously a pathogenesis rather than a disease. Go to the Clinical Medical Records Guide. Tuo ",Xu Ling's evaluation of the fetus is:" Tuo's name is just the sudden rise of yang, the separation of yin and yang, sweating like oil, the loss of six pulses, and a temporary emergency, which is called Tuo. " Fang treats "Tuo" as an independent disease, even as a disease. There were three diseases in ancient times: First, it refers to subtle qi loss, such as qi loss, blood loss, yang loss, yin loss, both yin and yang loss, yang loss, yin loss, six Yang Qi loss, yin exhaustion and yang loss, meat loss, muscle loss, pulse loss, body fluid loss and essence loss; Second, it refers to the failure of dirty qi, such as heart failure, lung failure, liver failure, spleen failure, renal failure, gallbladder failure, stomach failure, small intestine failure, large intestine failure, triple energizer failure, etc. Third, it refers to some critical and serious diseases, such as the so-called "five unique skills" in "Three Causes and One Disease Syndrome", which refers to five diseases such as hanging, crushing, drowning, enchanting, freezing to death (or producing milk and taking poison). In addition, there are names such as sudden detachment, sudden detachment, upper detachment, lower detachment, upper and lower detachment, facial detachment, stroke detachment and stroke detachment. Degenerative terms listed in the National Standard include: hemorrhagic shock, loss of body fluids, loss of summer heat, heart failure, lung failure, respiratory failure, renal failure (acute renal failure) and chronic renal failure (chronic renal failure). Syncope and syncope are both disease concepts and critical diseases, but their etiology, pathogenesis, disease nature and treatment methods are different. Syncope (depression) is mostly caused by deficiency of both qi and yin (qi stagnation, blood stasis, phlegm turbidity, pathogenic toxin entering the brain, etc.). The pathogenesis is yin-yang imbalance and qi-blood imbalance, with syncope and unconsciousness as the main symptoms. Therefore, its treatment should be based on eliminating pathogenic factors, harmonizing yin and yang, dredging qi-flowing, refreshing the brain and inducing resuscitation. Deficiency syndrome of alopecia (exhaustion, senility) and other diseases is generally caused by the failure of dirty qi and the death of essence and blood, with pale face and loss of micro-pulse of qi as the main symptoms, or irritability or indifference, or even fainting. Therefore, its treatment should be based on invigorating qi and restoring yang, saving yin and strengthening body resistance. However, the excess of evil will inevitably hurt vital qi, and the decline of vital qi can make evil stay, so syncope and detachment can coexist. For example, syncope can be transformed at the end of the disease or combined with it, and ancient syncope has included some diseases (such as "syncope" called "syncope"); However, some debilitating diseases, such as renal failure, are caused by slightly dirty qi, and pathogenic factors can also be seen in fainting and other manifestations. It is precisely because some syncope and desquamation can coexist, which is probably why traditional Chinese medicine calls them syncope and desquamation. Therefore, in the national standard, there are not only renal syncope, cardiogenic syncope and pulmonary syncope, but also renal failure, heart failure and lung failure, but their diseases are not the same and are not synonymous with the same disease. When the clinical manifestations of syncope and separation persist, we can make a comprehensive diagnosis of the disease. Previous people often referred to syncope as "syndrome", indicating that syncope and syncope are not only the concepts of "disease" but also the concepts of "syndrome". This is because of death, detachment, extinction, aging, syncope, closure and so on. All belong to the concept of "disease", and disease is the content that should be paid attention to in disease differentiation and syndrome differentiation. In the diagnosis of diseases, it can be classified into categories and become a concept of diseases, and there are many syncope and detachment diseases in the forefront; In the diagnosis of syndrome differentiation, Shuang can be regarded as one of the basic contents of syndrome differentiation, and there are four types of syndrome: Yang deficiency, Yin deficiency, Qi deficiency, blood deficiency, phlegm-heat syndrome, Qi deficiency, turbid poison syndrome and phlegm-turbidity syndrome. Clinical treatment should also focus on the nature of the disease, so the treatment based on syndrome differentiation is the same for syncope and alopecia.