TCM discharge

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TCM discharge

Expected discharge is to observe the patient’s secretions and excreta, such as the respiratory tract, vomit, feces, spit, sweat, tears, and so on.

Here we will focus on the saliva, saliva, and fecal observation, and examine the changes in color, quality, shape, and quantity to understand the distortion and evil nature of the viscera.

Generally, the discharge is clear in color and thin in particle size, mostly cold syndrome and deficiency syndrome; the color is yellow and red, the cracks are thick, the shape is turbid and unclean, and most of them are hot syndromes and empirical;Most are stasis syndrome.

  (1) Phlegm saliva Saliva is the pathogen of the body’s water and fluid metabolism disorders, and its formation is mainly related to the spleen and lung dysfunction, so the ancients said: “The spleen is the source of sputum and the lung is the device for storing sputum.”
But it also has something to do with him being dirty.

It is clinically divided into two types: tangible sputum and intangible sputum. Here we refer to the tangible sputum that comes out of the cough.

Phlegm yellow sticks thick and is made into pieces, which is hot sputum.

Caused by hot evil decoction.

Phlegm is white and thin, or has gray black spots, which is cold phlegm.

Because of cold injury yang, qi does not turn into jin, wet gathers, and is sputum.

The phlegm is white and smooth, and the amount is easy to get out, which is wet phlegm.

Because the spleen is not transported, the water does not become wet, and aggregates into sputum.

Injury to the lungs due to dryness.

Blood in the sputum, or coughing up blood, is a heat-injured lung.

The mouth is often drooling, mostly for deficiency of spleen and stomach.

The mouth is often sticky, mostly spleen is hot and humid.

  (2) Look at the vomit. The vomit comes out from the mouth.

Stomach qi is descended, or stomach qi goes up and down, causing the stomach contents to go up to the exit, then vomiting.

Because of the different causes of vomiting, the characteristics and accompanying symptoms of vomitus also vary.

If the vomit is thin and odorless, it is mostly cold.

Mostly caused by spleen and stomach deficiency or cold evil offense stomach.

The vomit is sour and turbid, mostly hot vomiting.

Stomach due to evil heat, the stomach is caused by real heat.

Vomiting, sputum, saliva, and more, most of the phlegm drink internal resistance in the stomach.

Vomiting undigested food, rotten sour smell, mostly food product.

If vomiting occurs frequently, vomiting does not turn into food and has little acid rot, which is caused by liver qi and stomach.

If vomiting yellow, green and bitter water, it is caused by hepatobiliary depression or liver and gallbladder dampness.

There are vomiting blood or dark purple pieces, mixed with food residues, mostly caused by the accumulation of heat in the stomach or anger caused by liver fire, or blood stasis.

  (3) Look at the stool. Look at the stool, mainly to check the color and quality of the stool, and the amount of stool.

  The stool color is yellow, strip-shaped, moderately wet and dry, and those who are comfortable after the stool are normal stool.

The stool is thin, but the valley is not changed, or those like ducks are cold diarrhea.

Such as stool color yellow thin clear, such as mi with stench, is a hot diarrhea.

The stools are white and mostly belong to spleen deficiency or jaundice.

  Those who have dry stools are mostly hot evidence.

Those who have dry stools, such as sheep feces, have difficulty discharging, or have inconvenience for many days without suffering, are deficient in yin and blood.

Stools such as mucus with pus and blood and abdominal pain, and those who are severe after anxiety are pus.

It will be as dark as tar, and it will be bleeding from the stomach.

Pediatric green, mostly signs of indigestion.There are two cases of blood in the stool. For example, the blood is red after the stool, and the blood is bright red. It is near blood that is more common in hemorrhoids. If the blood is stool after the stool is red, the blood is brown.

  (4) Look at the urine to observe changes in color, urine quality and urine volume.

  The color of normal urine is yellow, clean and turbid, and has a comfortable feeling after urine.

Such as urination clear and long amount, accompanied by cold cold limbs, mostly cold syndrome.

Urinary shortness, low redness, burning urine pain, mostly fever syndrome.

Urine muddy, like cream or greasy, is mostly creamy; urine has sand and gravel, which makes it difficult and painful to urinate.

Blood in the urine is hematuria, most of which are coke fever, heat injury to the blood network; hematuria, who has dysuria and burning tingling, is bleeding.

Urinary turbidity, such as rice noodle water, thin body shape is mostly spleen and kidney deficiency.