Study On The Characteristics And Common Syndromes Of Pain

Objective :The purpose of this study is to summarize the types of pain,and systematically summarize the performance characteristics,pathogenesis and common syndromes of each type,and then construct the diagnostic and therapeutic framework of pain.Research Methods :This study mainly uses ’ Chinese Medical Classics ’(the latest fifth edition),modern pain monographs,and computer retrieval of China Journal Full-text Database(CNKI)to consult literature records related to the nature of pain.The first step : through the ancient and modern literature review,preliminary determine the nature of pain performance type;The second step : take the Chinese medical classics as the source,‘pain’,‘pain’ etc.as the search keywords,search within the scope of the full text,consult one by one,incorporate the relevant discussion of the nature of pain,extract the source of the provisions,the content of the provisions,and make a preliminary classification according to the type of performance of the nature of pain;The third step : reclassify the above literature according to different types of emphasis,such as nature description,etiology and pathogenesis,treatment methods and prescriptions,medical records,etc.;The fourth step : according to all kinds of research data system integration,logical analysis,summed up the nature of the pain of the clinical expression,predilection site,etiology and pathogenesis,differential diagnosis points,through the Chinese medicine teaching materials and pain syndrome monographs,combined with clinical induction of common syndromes.Results :1.Summarize the common types of pain properties are : distending pain,tingling pain,fleeing pain,fixed pain,cold pain,burning pain,colic,dull pain,heavy pain,soreness,full pain,tenderness(touch pain,referred pain,induced pain),empty pain,falling pain,acute pain,astringent pain,strong pain,tight pain,dry pain,dull pain.2.According to the relevant discussion of ancient books,according to the different types of pain,the etiology and pathogenesis of each pain nature are summarized,and it is found that the main causes of distending pain are qi stagnation(liver depression and qi stagnation,excess pathogen block,qi deficiency)and wind-heat obstruction;the main cause of stabbing pain is blood stasis,spermatorrhea,phlegm and other real evil block,qi depression(fire),as well as yin and blood deficiency,external wind poison,and more affected Ying and blood;channeling pain is mainly caused by wind disturbance and qi depression;it is difficult to completely study the etiology and pathogenesis of fixed pain,but the ancient books and clinical data mostly emphasize the obstruction of blood stasis.Cold pain is mainly caused by cold,dampness,phlegm stagnation,and yang deficiency.Burning pain is mainly due to the evil of fire,but there are also differences between deficiency and excess.The main causes of colic are yin cold,tangible real evil,fire and heat,and filthy turbidity and toxin evil blocking and disturbing qi movement;hidden pain is both evil shallow,positive deficiency,and can be seen in the evil is strong and weak,unable to resist evil;severe pain is mainly due to dampness,but head pain still needs to consider qi and blood congestion;falling pain is mainly due to qi deficiency,dampness and fire;soreness is common in kidney essence deficiency,dampness blocking meridians and collaterals,hot burning tendon(hot injury yin or yin deficiency fire),external wind cold,etc.Full pain is often accompanied by a sense of distension,mainly caused by excess pathogen blocking in hollow organs;the pain caused by obstruction was characterized by disturbance of wind evil,and the pain caused by cold evil was characterized by cold evil,and the pain was mainly caused by phlegm obstruction.The main cause of empty pain is excessive loss of essence and blood,and vein filling;The main cause of acute pain is cold pathogen coagulation of qi and blood,but excessive Yingyin injury also sees acute pain;astringent pain is mainly caused by heat evil blocking orifices,common wind heat,damp heat,but liver and kidney yin deficiency,collaterals loss of glory,also see astringent pain;strong pain is closely related to spasmodic disease.The main cause is the loss of meridians and yin,blood and body fluid due to evil obstruction(wind-cold dampness-heat phlegm),and the bladder meridian and governor meridian of foot-taiyang are strong and urgent.Tight pain is mainly seen in the head due to wind-cold external bundle,but yin is exuberant and yang is weak,yang qi is desperate,and yang qi cannot be softened.The main cause of dry pain is yang-heat transforming into dryness,and the orifice is dry,but yin-cold blocking and body fluid not bearing are also common in laryngology.Blunt pain can distinguish sharp pain from the perspective of classification,and is characterized by thick and dull,mainly due to wind-cold-dampness arthralgia,phlegm-dampness and blood stasis block.Taking the nature of pain as the key link,the etiology and pathogenesis as the eye,the examples of syndromes and the contents of syndrome and treatment are given.Conclusion:1.Through the literature review combined with the different performance characteristics of pain,20 kinds of common pain properties were analyzed,and the common etiology and pathogenesis were analyzed in depth,and the common syndromes and syndrome treatment contents were supplemented.2.The study of the performance characteristics and etiology and pathogenesis of each symptom of pain can not only improve the differential diagnosis of pain symptoms,but also further enrich the content of TCM symptom differential diagnosis,which has certain clinical value.