A brief analysis of the relationship between "Bi" disease and the five internal organs, qi and blood

Bi, generally refers to blockage, which means disharmony between blood and Qi. In the "Huangdi Neijing", in addition to the "Bi Lun Pian" and "Zhou Bi" dedicated to expounding on Bi, there are more than 40 chapters involving the content of Bi, and there are as many as 50 kinds of discussions. But it can be summarized as the following meanings:

① Refers to the general term for diseases with yin components. "Shou Yao Gang Rou Chapter" says: "Diseases with yang components are called wind, and diseases with yin components are called sun bi";

②Refers to the pathology of obstruction of Qi and blood;

③Refers to the numbness and indifference of muscles;

④ Refers to gout and Lijie disease.

However, the meaning of paralysis when we talk about it in daily life generally refers to a type of syndrome caused by the invasion of wind, cold and dampness into the human body, resulting in stagnation of qi and blood. For example, walking numbness, painful numbness, and numbness should belong to the fourth category of the above meaning.

Bi disease is caused by three factors: wind, cold and dampness. Its main clinical manifestations are pain, coldness, pain and heat, and excessive sweating. However, its pathology also varies depending on the causative factors. Different:

"There is a lot of cold air, and there is pain due to coldness." However, cold dominates the contraction of yin. Due to excessive cold energy, the meridians will be astringent and stagnant, causing pain.

"It is painless and unkind, and the disease is long-lasting and deep, the Yingwei flow is astringent, and the meridians are sometimes sparse, so they are blocked, and the skin is not prosperous, so it is not kind." This is when the disease is long-lasting, the Yingwei flow is astringent, and the meridians are empty and blocked. The blood Qi is inside but not outside, and the skin loses nutrition, so it does not feel pain or itching and becomes numb.

"There is less Yang Qi and more Yin Qi, which is beneficial to the disease, so it is cold." Yang deficiency and yin excess, and yang does not control yin, so there is pain and coldness.

"There is too much yang energy and little yin energy, so the disease qi prevails, and the yang encounters the yin, so it is heat paralysis." Yin does not control yang, and yin deficiency and yang hyperactivity cause pain and heat.

"This is what happens when there is dampness. There is less Yang Qi and more Yin Qi. The two Qi interact with each other, so sweating leads to wetness." That is, if Yang is deficient and cold and dampness are abundant, and when dampness is present again, the dampness will become more abundant and Yang will benefit from the deficiency. The outside of the defense is not solid, so there is excessive sweating.

Generally, all kinds of numbness can penetrate from the outside into the inside and affect the internal organs over time. Therefore, it is said that "all kinds of numbness are not only beneficial to the internal organs". In terms of its transmission sequence and prognosis, generally speaking, the course of body paralysis is short and the condition is still mild. Therefore, it is said: "Those who stay in the skin will easily die." If the Bi evil continues to enter between the muscles and bones, the condition will be more serious, and the force will stay for a long time and linger, so it is said: "The pain will last for a long time if it stays in the joints of the muscles and bones." Finally, it goes deep into the internal organs, the righteousness has declined, the righteousness cannot overcome the evil, and the condition becomes serious. Therefore, it is said: "The person who is dirty will die.'" Here is a schematic diagram to summarize it:

The formation of paralysis of the five internal organs is due to the fact that the paralysis of the five bodies does not heal for a long time, gradually weakening the internal organs. If the wind, cold and dampness are re-infected, it will cause paralysis in the body and spread to the corresponding internal organs. The so-called "all the five internal organs are combined, and if the disease persists for a long time, it is due to the combination of internal organs". For example, if the bone paralysis does not heal for a long time, the evil that caused the paralysis will be felt again, and it will be transmitted to the corresponding kidney, resulting in kidney paralysis. By analogy, the rest of the internal organs become liver paralysis, heart paralysis, spleen paralysis, lung paralysis, etc.

"What is the guest of the six fu organs? Qi Bo said: This is where food and drink reside, and this is the root of the disease. Each of the six fu organs also has its own shu, and wind, cold, and dampness have their own shu, and food and drink respond to them and enter along the shu. Each one has to give up his internal organs." It fully describes the formation process of paralysis of the six internal organs. Ordinary people who live abnormally are susceptible to invasion by external evils. Improper diet will damage the intestines and stomach. Once the intestines and stomach are injured, nutrition will be lost, and the meridians will be empty. Therefore, the three qi of wind, cold, and dampness can take advantage of the deficiency and enter, and each of them will be trapped in the internal organs, causing fu-organ obstruction. The note in "Su Wen Zhu Zheng Fa Wei·Bi Lun" says: "To cause paralysis of the six fu organs, internal injuries are the root cause, and external evils take advantage of them."

It is worth mentioning that the relationship between Yingwei Qi and wind-cold-dampness is also very close. The Yingwei Qi is transformed by the water and grains, and is transported throughout the body through the internal and external channels. "The camper refers to the essence of water and grains. It is harmonized in the five internal organs and spreads in the six internal organs, so that it can enter the meridians." , so it is divided between the skin and the meat."So the warmth separates the meat and fills the skin, which is thecoattruth. The two harmonize peacefully to ensure the normal operation of the Ying and Wei Qi. If the Ying and Wei Qi are out of balance and the wind, cold, and damp evils that cause paralysis are re-infected, paralysis will develop. Otherwise, paralysis will not occur, or the disease will be cured easily. Just as it is said in "Su Wen Bi Lun Pian": "If you go against the Qi, you will get sick, and if you follow the Qi, you will recover. If it does not combine with the wind, cold, and dampness, it will not cause paralysis." Therefore, when this article discusses the relationship between Yingwei Qi and Bi disease, it also reveals the mechanism of the combination of Yingwei Qi and Bi evil to form Bi. It also embodies the view of the pathogenesis of "when evil comes together, its Qi will be deficient" .

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