Accumlation
and Aggregation
General
Introduction
Accumulation and aggregation are a disease and syndrome of
mass in the abdomen, with distention or pain. Accumulation and aggregation have
some differences in sevious extents of disease and pathologic changes.
Accumulation has a form and fixed parts of distention and pain .It belongs to a
disease of blood system ,and it is a disease of Zang-organs; aggregation does
not have a form, without fixed parts of distention and pain. It belongs to a
disease of Qi system and it is a disease of fu-organs.
Generally,
aggregation disease is milder, with shorter duration of disease, so it is easily
to be cured. Accumulation disease is more severe, with longer duration of
disease, accumulating as mass, so it is difficult to be cured.
In
western,medicine gastrointestinal dysfunction, imcomplete intestinal
obstruction, pyloric odstruction, hepatosplenomegaly, visceroptosis, intestinal
tuberculosis, abdominal swelling and pain, etc all can be treated besed on
differntiation of symptoms and signs referecing this syndrome.
Causes
of disease and pathogenesis
Occurrence
of accumulation and aggregation
have a process of gradual production and development. emotional disturbance,
impairment, of improper diet, attack of excess Qi and weakness after illness, or
lack of treatment and delayed treatment of jaundice, hypochondial pain, malaria
lead to protracted illness and injury of the liver and spleen, inccoordination
between viscera, stagnation of Qi, blood stasis in the interior, or with
stagnation of phlegm and dampness forming accumulation and aggregation.
Occurence of accumulation and aggregation is re lated mainly with the liver and
spleen. Generally speaking, aggrgation syndrome is caused mainly by stagnation
of Qi, and aggregation syndrome by retention of blood stasis, but both may be
accompanied by phlegm and dampness. Because Qi and blood are correlated each
other, protracted stagnation of Qi can induseblood
stasis,and failure of removing blood stasis also can cause stagnation of
Qi,so,accumulation and aggregation have differences and correlation in
pathogenesis. protracted aggregation syndrome induces often accmusation
syndrome; unability to remove accumlation syndrome often occurs distecding
pain.In addition, protraceed accumulation and aggregation can induce dysfuntion
of the liver tion,protracted accumulation and aggregation can induce dysfunction
of the liver and spleen,leading to deficiency of vital Qi, therefore ,this
syndrome is often excess syndrome at initial stage ,and often deficiency
syndrome at chronic stage ,or deficiency with excess. Casues of disease and
pathogenesis of accmulatoin and aggregation syndromes are discussed in the
following .
I．Emotional
disturbance, stagnation of Qi and blood stasis; melancholy and over thinking
impair the liver and spleen Injury of the live induces stagnation of Qi. Qi is
the commander of blood, protracted stagnation of Qi can incduce blood stasis.
After prolonged stagnation of Qi and blood stasis can form accumulation and
aggregation ;injury of the spleen causes dysfunction in transporting and
transforming nutrients, failure of food producing nutrients forms phlegm
pathogen, obstruction of blood vessels by phlegm pathogen results in unfree flow
of blood, stasis of phlegm and blood leads to accumulation and aggregation in
the abdomen.
II．Improper
diet, production of phlegm pathogen, drinking or eating over fat, sweet, fried,
pungent and hot food;or improper diet ,over hungry or full, irregular daily life
induce injury of the spleen and stomach, dysfuction in transporting and
transforming nutriets, leading to production of danpness pathogen in body and
coagulation of phlegm, and phlegm causing stagnation of Qi. Incoordination
between Qi and blood, and interaction of Qi , blood and phlegm form accumulation
and aggregation a in the abdomen.
III．Attack
of pathogenic factors, and retention of pathogenic factors; Cold pathogen or
damp-heat pathogen and other exopathogens invade the body , retenting in the
abdomen and forming aggregation after long time, and then causing accumulation.
Iv.
Jaundice, hypochondial pain, malaria, infection by blood fluke, etc; Stagnation
of dampness pathogen, incoordination between Qi and blood induce incoordination
between the liver and spleen, and interaction of stagnation of Qi and blood
stasis and phlegm pathogens forms accumulation and aggregation in the abdomen.
To sum
up, this disease and syndrome have many causes of disease, but the part of
disease is mainly in the liver and spleen, and its pathlogical changes are closely related with stagnation of Qi,
blood stasis and coagulation of of phlegm. Formation of the syndrome also is
closely related to strength and weakness of vital Qi .Generally, at initial
often caused by sagnation kf Qi, retention of dampness and blood stasis, at
chronic stage, it is often caused by interaction of phlegm retention and blood
stasis, and deficiency of wital Qi. dysfunction of the liver and spleen. or
burning injuy of blood vessels by heat retention may induce bleeding; retention
of damp-heat in the middle-Jiao invades the liver and gallbladder, jaundice may
occur retention of water and dampness may induce fullness and sweeling in the
abdomen, and other syndromes.
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