主症 发病急,初起面目微肿,继之则遍及全身,腰以上肿甚,皮肤光亮,阴囊肿亮,胸中烦闷,呼吸急促。或形寒无汗,苔白滑,脉浮紧;或咽喉肿痛,苔薄黄,脉浮数。
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Main Manifestations Abrupt onset of edema with puffy face and eyelids, anasarca severe edema above the lumbus, swelling of the scrotum, depression and irritability, shortness of breath, cold body without sweating, white, greasy tongue coating, superficial, and string-taut pulse, or sore throat, yellow, thin tongue coating, superficial, rapid pulse.
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治法 取肺、脾经穴为主。针用平补平泻法,以宣肺、解表、利水;表邪退后,以参用阴水治法。
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Treatment The points of Lung and Spleen Meridians are selected as the principal points. Even reinforcing and reducing manipulation are applied to clear the lung, relieve the exterior symptoms and remove the retained fluid. After the exterior symptoms are relieved, give treatment on basis of the method for Yin edema.
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处方 列缺 合谷 偏历 阴陵泉 委阳
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Prescription Lieque (LU7), Hegu (LI4), Pianli (LI6), Yinlingquan (SP9), Weiyang (BL39) |
主症 发病较缓,足跗水肿,渐及周身,身肿以腰以下为甚,按之凹陷,复平较慢,皮肤晦暗,小便短少。或兼脘闷腹胀,纳减便溏,四肢倦怠,舌苔白腻,脉象濡缓;或兼腰痛腿酸,畏寒肢冷,神疲乏力,舌淡苔白,脉沉细无力。
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Main Manifestations Slow onset of edema, at first on the pedis dorsum and then over the whole body, especially remarkable below the lumbar region. Depressions appearing upon hand pressing rebound slowly, sallow complexion, short urine, accompanied with epigastric fullness, abdominal distention, loss of appetite, loose stools, lassitude, weak limbs, sticky tongue coating, thready, slow pulse, or accompanied with lumbar pain and weakness of legs, aversion to cold, cold limbs, lassitude, pale tongue with white coating, deep, thready pulse.
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治法 取足太阴、少阴经穴为主。针刺用补法,并用灸法,以温补脾肾,利水消肿。
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Treatment The points of Spleen and Kidney Meridians are selected as the principal points. Reinforcing manipulation in conbination with moxibustion is applied to warm the spleen and kidney, remove the retained fluid and edema.医学全在线www.med126.com
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处方 脾俞 肾俞 水分 复溜 关元 三阴交
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Prescription Pishu (BL20), Shenshu (BL23), Shuifen (CV9), Fuliu (KI7), Guanyuan (CV4), Sanyinjiao (SP6) |