Question: How to treat TCM syndrome differentiation?

Mr. Ai: Hello! Treatment based on syndrome differentiation is the basic principle of TCM in understanding and treating diseases, and it is a special research and treatment method of TCM for diseases. Also called syndrome differentiation and treatment. Includes two processes of syndrome differentiation and treatment. Syndrome differentiation is the process of authentication. Syndrome is a summary of the pathological reaction of the body at a certain stage in the process of disease development, including the location, cause, nature and the relationship between evil and positive, which reflects the essence of the disease at this stage. Therefore, syndrome reveals the essence of disease more comprehensively, profoundly and correctly than syndrome. The so-called syndrome differentiation is to determine the etiology, nature, location and the relationship between evil and positive according to the data collected by four clinics, and to summarize and judge it as a certain type of syndrome. Treatment, also known as treatment, is to determine the corresponding treatment methods according to the results of syndrome differentiation. In the process of disease diagnosis and treatment, syndrome differentiation and treatment are two interrelated and inseparable parts. Syndrome differentiation is the premise and basis of determining treatment, and treatment is the means and method of treatment. The correctness of syndrome differentiation can be tested by the effect of treatment. Syndrome differentiation and treatment is the process of understanding and solving diseases, the embodiment of combining theory with practice, the concrete application of reasonable methods and prescriptions in clinical practice, and the basic principle guiding the clinical work of traditional Chinese medicine. Syndrome is a pathological summary of the development of a disease to a certain stage. Because it includes the location, etiology, nature and the relationship between pathogenic factors and positive factors, it reflects the nature of lesions in a certain stage of disease development, so it reveals the essence of disease more comprehensively and profoundly than symptoms. "Syndrome Differentiation" is to determine the etiology, nature, location and the relationship between evil and positive of the disease by analyzing and synthesizing the data, symptoms and signs collected by four diagnostic methods (looking, smelling, asking and pulse), and to conclude and judge it as a syndrome. Treatment, also known as "treatment", is to determine the corresponding treatment methods according to the results of syndrome differentiation. Syndrome differentiation is the premise and basis of determining treatment, and treatment is the means and method to treat diseases. Through the effect of syndrome differentiation and treatment, the correctness of syndrome differentiation and treatment can be tested The process of syndrome differentiation and treatment is the process of understanding and solving diseases. Syndrome differentiation and treatment are two interrelated and inseparable aspects in the process of disease diagnosis and treatment. They are the embodiment of the combination of theory and practice, the concrete application of reasonable methods and prescriptions in clinical practice, and the basic principles guiding the clinical practice of traditional Chinese medicine. Syndrome differentiation is to analyze, synthesize and identify the data, symptoms and signs (such as pulse and tongue) collected from the four diagnostic methods (looking, smelling, asking and pulse-taking) as the cause, nature, location and relationship between evil and positive, and then summarize and judge it as a certain type of syndrome on the basis of syndrome differentiation and treatment. Treatment, also known as treatment, is to determine the corresponding treatment according to the results of syndrome differentiation. The clinical understanding and treatment of diseases in traditional Chinese medicine is based on both disease differentiation and syndrome differentiation, but the main focus is not on the similarities and differences of diseases, but on the differences of syndromes, so as to further understand diseases through syndrome differentiation. For example, a cold is a disease with symptoms such as aversion to cold, fever and head and body pain. However, due to the different pathogenesis and body reactivity, it also shows different syndromes such as wind-cold cold, wind-heat cold and summer-dampness cold. Only by clarifying the syndrome types of cold can we correctly choose different treatment principles and give appropriate treatment by pungent warming, pungent cooling or clearing summer heat and removing dampness. Treatment based on syndrome differentiation is completely different from giving painkillers for headache and antipyretic drugs for fever. It only takes specific measures for symptomatic treatment of a certain symptom, and it is also fundamentally different from simple disease differentiation treatment for all patients with the same disease treated with the same prescription. Traditional Chinese medicine believes that the same disease can have different syndromes at different stages of development; Different diseases may have the same syndrome types in the development process. Therefore, when treating diseases, we can adopt the principle of "treating different diseases with the same treatment" or "treating different diseases with the same treatment" respectively. "Different treatment for the same disease" refers to different treatment methods for different syndromes at different stages of the same disease. For example, in the early stage of measles, when the rash is not exposed, the treatment method of publishing the rash should be adopted; In the middle stage of measles, lung heat is usually obvious, so the treatment must clear lung heat; However, in the late stage of measles, there is much residual heat, which hurts lung yin and stomach yin. At this time, the treatment should be based on nourishing yin and clearing heat. "Treating different diseases at the same time" means that different diseases have the same syndrome types in the development process, so the same treatment methods can be adopted. For example, arrhythmia and amenorrhea are two completely different diseases, but both of them can have blood stasis syndrome and can be treated with Xuefu Zhuyu Decoction. This principle of solving different contradictions with different methods in the process of disease development is the embodiment of the essence of syndrome differentiation and treatment. The commonly used methods of syndrome differentiation in clinic are as follows: eight classes, qi and blood, body fluid, viscera, six meridians, Wei qi and blood, triple energizer and meridians.