Dampness disease:an introduction.

Dampness disease (Shī Bìng).
TCM Knowledge:Febrile Disease and Cold-induced Disease according to ShangHanLun. ✵The Dampness disease is any disease caused by dampness, usually with symptoms such as distending pain and swelling of joints, heaviness sensation of the body, watery diarrhea, or edema.

 ✵Herbalist Zhang Zhongjing defined the Dampness disease in about 13 syndromes. These syndromes are all defined in details by his famous works.

Dampness disease (Shī Bìng).
Shang Han Lun,Treatise on Cold-induced Diseases 
 [entry-01]. The diseases of dampness, flows to various locations, from internal to external, from top to bottom, varies with the pathogens, and show various syndromes, make a diagnosis and give treatment with methods, not losing the outline. .

 [entry-02]. Dampness Qi is in the upper part, affected by pathogen of dew and mist (fog), cephalea (headache), stiffness of the neck (rigid neck, nape rigidity), ache and pain in two foreheads, the pulse is floating and choppy;...

 [entry-03]. Dampness Qi is in the lower part, affected by pathogen of water and coldness, feel heaviness below the waist, swelling of two feet (pedal edema), the pulse is sunken and choppy;...

 [entry-04]. Dampness Qi is outside, combating with the wind pathogen, flows and enters into the channels and collaterals, restless bone pain (restless pain in condyle), lie down and not wants to take food (lie down and poor appetite), the pulse is floating and moderate, and choppy pulse when pressed, ... and induce perspiration slightly, eliminate the wind and dampness pathogens; If aversion to cold, bodily ache and pain (ache and pain in body), insensitivity and numbness of the limbs (acroanesthesia), the pulse is floating, tense and thready, this is the Hán Qì (cold Qi, pathogenic cold).

 [entry-05]. Dampness Qi is inside, combining with the spleen, presents as abdominal distension, stomach and coldness cooperate, turns to diarrhea (have loose bowels), ...; If it goes upward and disturb lungs, presents as Fèi Hán (lung cold), ...it transmits downward to kidneys, presents as Lín Lí (dripping, dribbling urine), ...;it flows into muscles, and presents as Huáng Zhǒng (yellowish swelling), ...;if it flows into channels and collaterals, subujgating with heat Qi, and presents as Nóng Yōng (carbuncle and pus); there is original coldness in spleen and stomach, combing with dampness for long period, presents as Shuǐ Yǐn (fluid exudate, fluid-retention syndrome), combing with dryness, presents as Tán Yǐn (phlegm-fluid retention), the treatment should follow methods for Yǐn (fluid-retention syndrome).

 [entry-06]. Taiyang disease, ache and pain in joints and vexed (fidgets), the pulse is sunken and thready, this is known as Shī Bì (damp impediment: arthritis with fixed pain caused by dampness). The symptoms of Shī Bì (damp impediment), difficulty in micturition (difficulty in urination), defecation is fast, the treatment should uninhibit the urination (promoting urination).

 [entry-07]. The disease of dampness, pain of the whole the body (bodily pain), fever, appearance color is smoked yellow (smoked yellow of the body color).

 [entry-08]. The disease of dampness, the patient perspiring on head, stiffness of the back, wants to cover with quilt and warm by a fire, if purgative method is applied early, then vomiting, thoracic fullness (fullness sensation in chest), difficulty in micturition (difficulty in urination), tongue coating is slippery, for the cause heat in the lower abdomen, cold in the chest, thirst and wants to drink water, but could not drink, dry mouth and vexation.

 [entry-09]. The dampness disease, purgative method is applied, perspiring on the forehead, slight panting, urination is uninhibited, will die; If diarrhea is unstoppable (incessant diarrhea), also dies.

 [entry-10]. Ask:wind and damp complication (wind and dampness combating with each other), the whole body aches (bodily ache), should be relieved after perspiration, while weather is continuous overcast and rainy, herbalists said that the treatment could induce perspiration, perspiration is used, but the patient not recovered, then why?

 Master said: perspiration is induced, in the case that profuse sweating, the wind pathogen is dispelled only, dampness is still there, as a result, not recovered. In the case treat wind and dampness, induce perspiration, till it looks like will slightly perspire, wind and dampness are all dispelled.

 [entry-11]. The dampness disease, bodily ache and pain (ache and pain in the body), fever, facial complexion is yellow and panting (pant for breath), cephalea (headache), rhinostegnosis (stuffy nose) and vexed, the pulse is large, able to drink and take diet, normalization in abdomen without disease, illness in the head with cold and dampness, as a result, rhinostegnosis (stuffy nose), put the recipe in the nose, then it will get relieved.

 [entry-12]. The dampness disease, restless bodily aching (restless ache in the body), can induce perspiration..., and be cautious that should not treat it with fire method.

 [entry-13]. Bodily ache (ache all over the body), fever, turns aggravation at Rì Bū (3-5 p.m. in the afternoon), this is known as Fēng Shī (wind-dampness). This disease caused by wind pathogen attack in perspiration (in sweating), or chronic hurt and affected by coldness, ...

 [entry-14]. The dampness disease, the pulse is floating, heavy body (somatic heaviness), perspiration, aversion to wind (fear of wind), ...

 [entry-15]. Catch the syndrome of Shāng Hán (Tai Yang cold-affection syndrome) for eight to nine days, wind and damp complication (wind and dampness combating with each other), could not change one's position (could not turn around or turn aside), not vomiting, not thirst, the pulse is floating and empty, choppy, ...; If the defecation is hard, urination is uninhibited, ...

 [entry-16]. Wind and damp complication (wind and dampness combating with each other), restless bone pain (restless pain in condyle), dragging pain, could not bend and stretch, pain aggregated once approach, perspiration, short of breath, inhibited urination (difficult urination), aversion to wind (fear of wind), do not want to undress cloth, or body is slightly swelling, ...

References:
  • 1.Dampness disease:an introduction.
  • 2.Shang Han Za Bing Lun:the Treatise on Cold-induced and Miscellaneous Diseases.By Zhāng Zhòngjǐng.
  • 3.Shang Han Lun:the Treatise on Cold-induced Diseases.By Wáng Shūhé.
  • 4.Zhong Jing Quan Shu:the Complete Book of Zhongjing.By Zhào Kāiměi.

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