Brief analysis on " Lijie and yellowish sweating" in Synopsis of Golden Chamber
10.3969/j.issn.1006-2157.2025.02.003
- VernacularTitle:浅析《金匮要略》“历节黄汗”
- Author:
Xin LAN
1
;
Zilin REN
1
;
Qi SHAO
1
;
Yuxiao ZHENG
1
;
Changxiang LI
1
;
Fafeng CHENG
1
;
Xueqian WANG
1
;
Qingguo WANG
1
Author Information
1. School of Traditional Chinese Medicine, Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
Synopsis of Golden Chamber;
Lijie and yellowish sweating;
as if water harms the heart;
pathogenesis
- From:
Journal of Beijing University of Traditional Chinese Medicine
2025;48(2):161-165
- CountryChina
- Language:Chinese
-
Abstract:
" Lijie and yellowish sweating" originates from the chapter on stroke and arthralgia diseases in Synopsis of Golden Chamber. Later generations typically interpret it as yellow fluid oozing from painful joints, a characteristic manifestation of arthralgia. In Western medicine, Lijie corresponds to diseases such as gouty arthritis, with its primary clinical manifestations being redness, swelling, heat, and painful joints, most often without yellow fluid discharge. Therefore, the interpretation of " Lijie and yellowish sweating" contradicts the clinical manifestations often observed in this disease. Thus, this article reinterprets the meaning of " Lijie and yellowish sweating" from the pathogenesis of " sweat exposure to water, as if water harms the heart" , combined with the viewpoints of other medical practitioners. Determining the meaning of " yellowish sweating" is crucial for understanding the pathogenesis of arthralgia and clarifying the relationship between arthralgia and yellowish sweating. ZHANG Zhongjing mentioned arthralgia and " yellowish sweating" together, not to differentiate between the two diseases but to emphasize the common pathogenesis of the two, namely, the cold and dampness injuring the heart, blood, and vessels. This paper proposes a new explanation of " Lijie and yellowish sweating" , which suggests that " yellowish sweating" is not confined to the joints but can be found all over the body. The pathogenesis of " Lijie and yellowish sweating" lies in the insufficiency of the liver and kidney and exogenous water dampness, leading to disharmony between nutrient qi and defensive qi and between yin and yang. Primary treatment should harmonize yingfen and weifen, as well as tonify and replenish the liver and kidney. The clinical selection of medicines can be considered Guizhi Decotion, a type of formula. The pathogenesis of " Lijie and yellowish sweating" is complex, and clinical treatment should be comprehensively considered to achieve the best therapeutic effect.
- Full text:2025032110171447141Brief analysis on _ Lijie and yellowish sweating_ in Synopsis of Golden Chamber.pdf
