Tài liệu Noi_khoa_y_hoc_co_truyen_phan_1

DUNG H H@C CO YRYYHN Diing oho dfii tit g sau dat hpc . P N TH . S. R T . N N . GA AN BINH BINH truyén, du'pc st giup dfi va dong vién nhiet tinh cua t a( p the giang day Khoa Y h pc Co truyén Trif fing Dar hpc Y H:t Noi va Chitfing trinh Quoc gia vé Y hpc Co truyén ciia Bo Y té. Chung tot da co gang bién sopn cufi’n "Noi khoa y hpc co truyén". Th lie ii diipc bié n soan theo hitting thfia ké va phat huy phat trié n, ket hpp y hpc hien dat va y hpc co truyén. Do v(ay noi dung ditpc chia ID in hai phan chinh: - Phan phat trién va két hpp hai nén y hpc: Chiing tfii manh d:yn diing cac benh danh cua y hpc hién dat, nhiing bien chifng theo y hpc co truyén. Diéu tri tong hpp theo cac phitdng phap cua y hpc co truyén nhtl thuoc Nam, chfim cpu, xoa bfip, barn huyet két h‹Jp vfii y hpc hien dai... va két qua th c té cua mot ” cd quan nghién ciiu trung it‹Jng, cua cac trifdng dai hpc. - Phan thita ké: Gom co mot “ y hpc co truyén lién quan dén nhflng bénh chftng noi khoa "theo quan niem y hpc cua y hpc co truyén" trong chan doan, diéu tri cling nlitf viéc sif dting thuoc men. VI ta lieu méli dupe bién soan lan dau chac con nhiéu thiéu sot. Chiing Hi mong rang cac ban dong nghiep vii ban dpc gop y kién dé sila chfia bo sung cho ta l eu xu:it ban lan sau dupe hoan chinh, tofin dieri hon. CAC TAC GIA phat hién quy lu(at hoat dong cua not ting got la "tang tudng". Nghién emu st hopt dorig not tang cua cc thé la dia vfio sit phat trién ciia giai phfiu hpc 0 mot miic do nh$t d(nh. Giai phau hoc xita da cfi ngufin goc rat sdm. Cac sach "To van", "Linh khu" va Hat Th itclng Lan Ong da chép rat nhiéu kié n thiic not vé giai phau. Nhu ng hoc thuyét "tang timing" lai khfing hoan toan dita vao giai phau hpc, no la mot thit hpc thuyét theo siJ chi dao cua quan diém "ngiicii va ho:a n canh bén ngo:a i la mot the thong nhat" ma quan sat can th a) n va nghié n citu nhiéu lan o con ngUfii song, dong thfii thong qua chft ng nghiem th c tién chtia bénh lau dat va dung thuyét km dctd ng, ngil hanh de noi ro thé m. Vi thé chung ta can phai co hpc thiic ve hpc thuyét "tang titd ng" (nhif dif fii diy). 1. Moi mot tan md chit yéu bao khfing chi la thiJtc chat ccI quuaann trong giiaaii phhaauu 'in cd nang hpc 2. He thong hoat dong cua to chic cO quan dia van moi lién he lan nhau trong hopt dpng sinh ly ciia c:ic ting ma phan chia ra. 5 1.1.1. Tann chu tfifiii mirth "Than mirth" ID hell dong cua tinh than, thflc, tit duy. "Tim chu than minh" la noi tain tain chu cua hoat dong y thitc, tit duy. Cho nén trén tain sang thay nhiing b(nh co lien quan Hi "than minh” nhu’ hoi hpp, phié n nong trong tim, hoang sd, init ngu, not eing, hon mé, clcii not khfi ng nghi v. v. Phan nhiéu guy vao pham vi benh cua tain, hoac cho ID co quan h é Hi I:inn. sinh ly nhJp nhang thong nhat vfii nhau. Néu tain co b(nh, than khong tiJ chu du’dc thi hoat dpng cua tang phu sé mat can doi, tain roi loan sinh ly ma sinh ra benh. Chlnh vi trim chu than minh tain chu ngii tang lqc phs nén moi khi bi ta khi xam nhfip thi uy hleJl riit tern dén sinh m(nh. Thiéri linh Ian bi dleri luan séch To van co noi "tain gift chiic vu qufin chu, than minh ID.I dfi md ra. .. Cho nén chu sang suot thi ditfii yén, ch½ khfing sang suot thi 12 tang deu nguy", 6 hoa thi than minh cling mat binh thu’dng. Cho nén tain kh1 hit th1 than sut kém ma bufin ba. Tann khi thinh thi than khoé manh md cRdi luon. Hoat do( ng cua than minh cling :inh hrtclng dén huyét mach, néu to bufin tu lii qua do thi ton thucing tain khi. Sur ho I dong cua ngu tang, luc phii, lai can vfio st nufii dttfing cua khi huyét. Vi thé hoat dong cua than minh, huyét in:ych, tang phu co lién he ch(at che vfii nhau, tit do ta thay ro dupe tain la chu the s hoat do( ng sinh menh cua cci thé, la chu toan the. Tann bao lac la car mang d ngoai bpc lay tim, lac bém v:ao mang lii cai dclfing ciia khi huyét thong hanh, gpi chung la I:inn b:ao lac. Tann bfio lac (la to chiic phfin ngoai cua tang tain) cac tae dung bao vé tain. Ta khi xam pham vao cd the not chung déu tft ngoai vao trong, tit biéu vao ly cho nén ta khi pham t:inn trade tién la pham I:inn bao lac. Ta pham tain bao co anh hitting dén t:inn ning cua tain, xuat hi(n ra chting trang cua tain, cho nén nfii benh tain thitdng phan nhiéu chi vao ta khi d bao lac cua tain ma khong phai thiit dung lia b(nh cua tain. Dan trung ci cho gifta hai vii trén ngpc la cho I(ap trung ciia ton khi gpi la "Khi hai". Ton khi ID dong litc ciia huyét mach v n hanh va ho hap, ngfin ngii. Tann chu huyét mach, phe chit khi, cor ve thanh am cho nén be/ nh cua dan trung phan nhiéu co lién quan th t;im phé. Khi hat khong du thi khi thiéu khfing du dé noi. Khi hat doi dao thi khi day O long ngitc, anh hilong den phé thi sinh benh kho thd , anh hitdng tfii trim thi thfiy chiing init do. viec diéu tiét lifpng huyét, tain chu huyét la chi viio st v(an hanh ciia huyét dich. Sut sinh hoat cua cac bp ph a( n trong cn thé, can phiii nhd st dinh dif dng ciia huyét d(ch, lai thiidng tuy thuoc vilo sit lao dong, nghi ngcii, d ng tinh nén co sit thay dfii. Khi v(an dpng mach thi litpng lifu thong cua huyét can phfii tang them. Khi n in ngu thi litong litu khong cua huyét lai gram bfit, coin ning dieu tiet lHdng huy I nhvi v(ay lfi nhci van can, thien Ng i tiipng sinh thanh sach To van nfii: "Ngitcii ta ngu thi huyét trd vé can". Né u can init ch itc nang tang huyét thi sé xuat hien chip’ng ngu dém khong yén. "Can chu c tin" "mdng tay la phan thiia cua can", man sae hinh théi cua mong tay co quan h(e r I lin den can va can. Noi chung sitc can khoe in nh thi mong phan nhiéu lii mém. Can doin co b(nh thi mong tay throng kho ma khong tifoi séng, hoa)c mong tay dai I’a cho nén ngitéi benh can nhi(et thi hay thay chong mat, mong kho. 8 Ty tuy tinh thap, nhifng lai co the v(an hoia thuy thap. Thuy thfip ciia ngitoi ta nhfi st van hoa ciia ty mdi khfing ii dpng lai. Néu ty hiI khong viin chuyen manh mé dupe thi sé tain cho thuy thiip ngiing dpng lai, trcl ngai dén cd nang ciia ty nhii v(ay gpi la "thap hai Hi ty tho". Doi sau theo lfi nay in:a noi la "Ty chu thap ma lpi ghét thap". Tay chan nh’a diifing khI ma hoat dong, dining khi ditpc hoa sinh ra tif cac chat tinh vi trong dfi an uong, bat nguon n v), chuyén v an “a ty, vi thé silc heat dpng manh yéu cua chan tay co quan h( cha) t ché vfii ty. l(at ra (cho nhan trurig dfiy lén). Vi b(nh cua ty thitcing phan :inh ra 0 cO nhuc, miii, mi(ng, cho nen thay thiioc xem xét mau sac tr:yng thai ciia cc nhuc, moi mieng thi co thé chan dean biét ditpc tinh hinh sinh ly, b(nh ly cua ty, ciing co the tién lcipng suy doan ditclc benh cua ty sé tot hay xfiu. J .3.4. TQ thfin,g nhiep huyet 1.4. Phé Khi la v I chat trpng yeu. Cci the nh‘a khi dé duy tri sij song. Co hat nguon: Mot la tinh khi trong do dn uong, hai la khi trfii hilt vao ngildi. Khi trdi tft phia ngoai do phe hiit vao, khi cua do an uong tit phla trong cd thé, do ty mach chuyen d$n len phe. Hat khi ay két hcip lai chfta vao v a) n chuyen chat dinh du’i1ng, duy tri hoat dong c‹i nang va quan he nhip nhang giila cac tang phu. set v(an hanh cua huyét, tuy do tain lam chu nhifng phai nhci vao tinh hinh thoai mai cua phé khi ii‹ii co thé v(an hanh binh thitdng. Khi cua toia n than tuy do phé firm chu, nhitng ph iii nh’‹i »u, vtin chuyen cua huyet in:ych mcii co thé thong dat khap toan than. Tann véii phé, huyét vai khi nitong tria nhau, tao thanh cho nhau, gay tac dung, quan h( vfii nhau rat ch(at ché. Cho nen ddi sau co each not: "Khi la thong soai cua huyét, huyet la thff phoi h‹Jp vfii khi, khi lifu hanh thi huyét liiu hanh, chf› nao huyét di dén thi khi cung di den”. 2.4.3. Pfi é’cfiii tfic giving, th‹irig cfiéu thug cfqo Nitfic uong vao vi, tinh khi cua nitélc qua sij chuyén v n cua ty ma don len phe, phé khi tuc giang thi thuy di.ch theo ditclng thuy dao cua tain tiéu ma xuong thau bang quang. Néu phé milt kha nang t6c giang thi siJ thay cii df›i moi cua thuy dich sé b) trn ngai, thuy di.ch sé don dpng lai, tiéu tien sé khong thong th in chi thanh benh thuy thfing. Vi the tieu tien co thong lpi hay khong, thifcing co quan h( tfii cong uang tile giang cua phé. Ngitdi ta co not: "Phé la nguon trén cua niioc" la lé nay. 2.4.4. Phé’ehé bi moo St lién quan giiia phe vfii bi mao chu yeu biéu hi(n d 2 in(at ditfii day: Phé chip khi coi viec hfl hap la cci quan chinh de trao dfii khi cl ngofii cd the, mii lo chan thing, da cung c6 téc dung ttin khi, Cho nén lo chan lting gpi la khi mf›n. 11 sinh trilfing phtit due. Nhilng st hinh thanh cua tinh tién thién, dilc bi(et lfi sau khi sinh ra rot, lai cm cé siJ dinh du’iing cua tinh, do chfft tinh vi trong do an uong hoa ra. Vi thé tinh sinh duc (tinh tién thién lii cén 6:in, tinh ciia do an, uong (tinh hdu thién) la dieu kien. Hat thfi do co quan h( bén ch(at véii nhau. Tang tinh la cong nang quan trpng cua th n. TU sit sinh trilong phat dqc cua cO thJ, cho dén siI sinh noi de giong vé sau déu la s I:ie dung ciia th n tinh. Tac dung cua th(an tinh deu gpi la thlln khi, quit trinh phat dqc cua cd the ciing tflc lit qué trinh bien hoé thinh suy cua th(an khi, Cho nén con gai khoang 7 tuoi, con trai kho:ing 8 tuoi th(an khi vitdng th)nh dfin dan thi co st bién dfii. Rang thay, toe diii. Con géi khoang 14 tuoi, con trai khoiing 16 tufil ngii tang luc phu da ditpc phét dqc rat vitpng thinh, cO nang sinh duc bat dau thhnh thuc, nén cé st bién dfii la con géi co kinh nguy(t, con trai co tinh triing, néu liic bay gin nam nii giao hcip thi da co the co khii n:+ng eirih de. Con gai khoang 35 tufii, con trai khoang 40 tuoi th(an khi suy dan, tinh khi ngiiy cang giam stit, tinh hoa ciia ngii tang luc phu ngay cang suy ton, cho nén nii giéii khoang 49 tuoi, nam felt khoang 64 tuoi thi thién guy ki(t, kinh nguyet dftt, tinh it, khong the dé con dilpc niia, dong thiii cci the ciing gia yéu dan dftn. Than tang tinh, tinh co the sinh ra tuy, tuy chfta trong khoang rong cua xild ng, co tae dung nuol diidng xiI‹Ing, cho nén th a( n co cong niing sinh tuy, sinh xitdng. Neu thtln bi b(nh khong sinh d9clc tuy, sueing mat s on dRdng co thé sinh ra chitng cot ty: ngUcii lanh, siltti lita cung khong hm lén 12 Nitéic uong vao vi diipc tJ khi chiing boc va thliu lén phé, ditpc phé khi tuc giéng, thuy dich chay xuong ma don ve th n, dai khéi qué trinh cua nitéic tit ngoai vao c0 the rot sau di ten, di xuong trong cO thé la nhii v(ay. Thuy dich do ty phé chitng boc lén, co thanh, céi trpc, thif’ thanh thi di lén, thit trpc thi di xuong. Nhifng trong thif thanh lai cé thii trpc, trong thtl trpc l:yr cé thit thanh. Thft thanh trong thif thanh thi tif phé ma di khap da long, thit trpc trong thfl thanh thi theo ngoi ranh tain tieu ma di xuong th n. Thuy dich don vé th n la thft trpc; thft trpc trong trong thit trpc ay theo dndng bang quang ma thai ra ngoai. Thfl thanh trong thit troc ay thi chi2a th a) n st chitng nong cua th(an diing lai qua hoé thanh khi ma di lén dén phé, lai ti1 phe“’ ma xuong thfin. Tuan hofin nhii v fty de duy tri st thay cii doi moi cua nitfic trong cO the. Neu th(an diiong khong du thi sit thay cii doi méii cua nitéic bJ trci ngai se thiinh benh thuy thiing. ’n cé quan trong c0 the, th(an la tang thuoc thuy, chip vi(c tang. tinh, tinh la nguyén 3m, m(nh mfin la cho lién quan ttii nguyén khi, gpi la nguyén ditdng. Nguyén difong la chén hoii tién thién, nguyén am li1 chfin thuy tién thién. Quan h(e giiia th n véii m(enh mon tflc lii quan h finn ditcing ho ctin, thuy hoa terming té. ditpc xep vao bao luc phu, vfta du'dc xep vao phii ky hang. Dct m chc‘la niific in a) t, cho nén dam lai dupc gpi ID "phu trung tinh", nitfic ina) t co vi, dang, cho nén khi 6am khi nghich lén thi co chung mieng dang. Ne“ u nitdc mllt tiét vao vJ theo vi khi ngh)ch lén thi thanh chftng nfin ra nif fic dilng. Tinh cua dcim la ciidng trpc. Cu‹ing thi hao hfing qua cam, cho nén thién Linh lan bi dien lua( n s:ich To vhn gpi ddm ID chcic vp trung chinh, chu vi)ec quyet doan. Ngvicii co dam khi hao hiing thi khi cua ngii ting luc phu cling vi do ma citdng th)nh, dli co bi kich thich tf.I ngoai Hi, st viec vita qua thi trcl lal binh thitfing ngay ditpc dfi la céi lé thctcing noi: "khi 4"as zha“ ma manh; ta khfing can pham ditpc". Trai lai ngitcli dnm khi hu’ nhilpc thi dé bi kich thich tit ngoai téli lam cho khi huyét rot loan dé gay thanh bpnh. Ngofii ra ngifdi dcim hk yéu cung thir0ng co nhilng chitng tinh than that thiidng, mat ngu hay ed s(t, trong long mm ndp khong yén. duéii c:ich mo, trén tiép vfii thpc quan, du’fii thf:ing vfii tiéu trifling, mi(eng tréri gpi la "bi mf›n”, mi(eng ditfii gpi lit "u mhm", bi miin ciing gpi la "thifclng qua ii", u miin ’n oi lé "ha quan" cii 3 vfing gpi la "v) quan" thiic 'i viio vi cho nén vi gpi lit "dli thilQng", c:ii kho Ién heajc gpi la ”be cua thu ccc". Vi co cong néng thu nha) n va tiéu hoé c0m nitdc, néu vi cé benh thi sé xuat hien céc chitng viing bqng timeing dau, day, tieu hoa khong tot, doi khfing muon an, nfiri inta, nuot chua, ho c tifiu ccim chorig doi. 14 tiéu ti(n ngan it, th(am chi bi dai. Dong thcii ca thanh vii trpc trong tieu triicing déu don xuong dat trudng la co chifng dai ti(en long. 2.4. Dai trotting Dpi trifdng bao gom hai bo ph(an: Hot trang va tic trang dau cuoi trpc trang gpi la giang miin (phéch mf›n). Dar tritdng co cling dung hhp thu phan niific gpi la "te bi bi(t trap". ii ca) n b3 O tieu trotting don xuong sau khi dttcic dai trifling h3p thq phhn nitflc méii thanh phén. Vi thé dli triffing lii mot cci quan truyen tong ca) n bfi va tain cho c(an ba thanh hinh, cho nén thien Linh lan bi dren luiln each To vifn noi "Oai trifling gift chitc truyén tong, v(at da bién hoii UI day ma ra". Néu dli trifling hit han, mat cfing uang "tfi bi bi(et trap" thi co c:ic chtlng: sf›i bqng, dau xoan, ia chay. Trai l:yi dat triiéng thitc nhiét, di.ch ruot khf› rao thi xuat hien chitng téo bén. 2.5. Bang quang Bang quang n viing bqng diioi, chtta nuée 6‹›n gop lai. Cf›ng dung cua bang quang la bar tiét niific tieu c$t gift tan dich. Niffic tieu la san v(at cua qué trinh khi hoé, ciing nhit mii hf›i tit tén di.ch hoa ra, cho nén thien Linh lan bi dién lu(an afich To van noi "Bang quang gin chiic chéu dii, I:in di.ch chfla ci dé, khi hoé thi co the thai ra". Niioc tieu tiI tan di.ch hoa ra, tan di.ch thieu it thi co chilng déi khfing thong, tréi lai déi qué nhiéu thi lai hao ton di.ch, cho nén bang quang co tae dqng chu viec th:ii niiéic tieu va girl tan dich lai. sinh hoa cua siJ hoa khi, hap thu thiinh hinh, bili tiét céc thit cua dii an uong trong cci the. Cho nén thién Dinh v( sinh hoi each Linh khu not " thitpng tiéu nhrl su‹ing mfi, trung tiéu nhii bpt nuéc sui, h tiéu nhii nif‹ic chay". Sifong mii la hinh dung khi thitpng tiéu man in:ie nhii sueing mii. Sur la hinh dung thiic an uong chin nét O trung tieu. Nuoc chiiy la hinh dung chit niffic fi hp tiéu difdc thai ra. Cho nén tain tiéu li1 ditdng ra viio cua thilc in ucing, chu vi(ec tran hoitn va bai tiet thuy dich trong cc thd. Nhu’ nhiing diéu nfii trén, tain tieu co hat cong nang chinh: Mpt lii chu tri céc khi, ha1 la thong deicing thuy' dao, nhifng tain tieu co chia ra thitcing, trung, ha va moi phan déu co da)c diem riéng. 2’fiirpnp tléu: Tf1 hpng xuong dén mi(ng trén da day, cf›ng dqng chip yéu cua thilpng tieu la: Thu nap chat an uong khong de non ra ngoai. Tiép thu khi thuy coc ti vi ra, phfin bo khhp viing cc bidu loan th3n, dé on difdng cho cd nhqc, céc khéip vii da dé. trung qu:in vi (t’if mi(ng trén da day xuong mi(ng dvt‹5i d cfing dung chu yéu cua trung tiéu la: Chin iih‘if thfic tin nong, chitng hoa tan di.ch. Tiep thu tinh khi ciia thuy coc, hoa sinh ra khf . 16 da’y, Trong do 0"as da drtdc phan luc phu néu trén, O day khiing nhac lai, 3.1. Nao, tuy, xu’cfng Nao ci trong sp, tren dén Thien linh c:ii diici1 dén huy(t Phong phu. Tuy O trong xitong song. Tuy xitong song qua ong tuy lén thong vfii tuy nan va lien h( vfi1 tuy xiidng cua toan than. Cho nén thien Ngii tang sinh thanh each To viin not "Mpi thit tuy déu thuoc vao nao", thién Hat lu(an sach Linh khu not: "nao la bé cua tuy" Cling dung cua nao tuy, chu vi(c thong sang cua tai mat, st linh hopt cua tay ch:in minh may va mpi hoat dpng tinh than. Cho nén nao tuy difpc day du thi tai thinh, mat sang, ch:in tay, cO the v(an dpng nhanh nhen co thé tain diipc nhiing cong vi3ec tinh xao, phiic tip. Nao tuy hao kém (trong rong) thi dau vang tai ii, mat hoa, tinh than ru rrlcii, rié oai, n(ang thi toi ina) t, xfiy xam, ng5 ra him mé. Nao la cd quan quan trpng cua cO the, quan h( rat ldn den sinh m(nh, khfing ditpc dé hao ton chiit nao. Vi du nhit Thién Linh ciim lu(an not: "Chain d dau trung vao nao thi chét ngay la) p tire". Thién Quyet lu(an s:ich Linh khu not: "chilng chiin dau thong, dhu dau dii doi, dau het ca n5o, chan tay lanh den khap xitong, thi chét khfing chiia dope". Nhiing dieu do déu da noi ro, nao la in(ot cd quan rat quan trpng trong cO thé. Tuy sinh o th(an, chiia ci trong xifong ma nufii during cho xitong, cho nén Thién Giai tinh vi luan 9ach To vfin nfii: "Tuy la thtl tain cho xiiang chac dac" Tuy "a trong xitong, nhd ong xilong lien h( voi nfio cho nén tuy sinh ci th(an md co thé nufii xitdng; nao co the quan ly tuy vii tuy thiing viio nao. T2 — HKYHCT V(an Lai khi huyét, chuyén v(an tinh hoa cua do an, uong de nuoi ditfing cho toan thiin. St viin hanh cua huyéc la nhii vao khi "mach la chfi o cua huyét fly khi tain goc", Vi thé mach chuyen do( ng (mach d p nhanh hay ch(am, manh hay yen chang nhfing co the phan anh litdng huyét trong mach nhiéu hay it ma con phan :inh dcipc moi quan h(e giiia khi vfi huyét binh thxtiing hay khong. Khf huyét nhiéu hay it, v(an hanh nhanh hay chilm lai co quan he vcii st hoat dong cua not ting, cho nén dung phép "xem mach" de suy doan b(nh la mot trong nhiing phtfong phap quan trpng trong viec ch$n doan cua y hpc dan toc. 3.3. Tit cung TO cung con gpi la phan "d:y con", a phan bung diifii, "a sau bang quang. dif fii trite Kinh nguyet va chiia dé do tit cung tain chit, tit cung co quan he ch t ché vfii hai mach xung - nham, hai mach xung nhfim déu b$t dau tit tii cung ra, xung mach lit cho 12 kinh mach don tu lat, con in th]nh suy cua in:ych nhfi m co quan he doi véii chia de. Mgch xung nham thinh thi co kinh nguyet, co kinh nguy(t thi cé› thé co thai cho nén nfii: "Xung la bé huyét, nhfim chit biro thai". Néu in:ych xung nhiim euy, kinh het thi kha ning sinh con cling khfing erm. h( mining tit a lan nhau, han ché lan nhau. Vi du: Giii'n t‹im net thorn: tain thupc hoa la tang ditdng trong difdng, th(an thupc thuy la tang :im O trong km, tain th a) n giao tiép nhau, thuy hoa ho trp nhau mdi duy tri dcipc sit hoat do( ng sinh ly binh thriving. Néu hoa kho,ng co thuy ché Etic thi thinh lén mii hai tain, thuy khfing co hoa lam cho am thi linh qMfi hai difcing. thitdng, tain than khfing giao hoa vfii nhau thi sé xu$t hi(n c:ie chilng b(nh mat ngu, hoi hop, di tinh. Giii’o cm ucir thorn: Can in(oc dupc th(an thuy nuoi diifing, can driong mcii khfing cang th]nh len. Néu thu suy kém khong nufii ditdng ditpc can th1 chitng can am suy kém, can drinng boc len. Ngofii ra, tha) n la nguon goc cua tién thién, ty ID nguon goc cua h(au thién. SU duy tri hopt dpng sinh m(nh cua n$vi“a’i ta la do set hpp téc vfii rihaui giiia tiéii thién vfi hau thiéri quyet d)nh. Tann chu huyet, phé chu khi. Khi huyét co hoa hpp nhJp nhang véii nhau hay khong ID do moi quan he gifta t3m vfii phé quyét dinh, tain chu huyét, can ting huyét va ba tang (phe, Iain, ty) lien h( cha) t ché vfii nhau, mdi girl gin ditpc st v(an hanh binh thitdng cua huyét dich. Tom lai gifia ngii I:yng vfii nhau trong hoat do( ng sinh ly, co moi lien h( rat bén cha) t, vi thé trong qué trinh b(nh ly ciing anh hctong lan nhau. Luc phu, ddm vi., dai trifling, tiéu tritfing, tain tieu, bang quang déu lit nhftng cd quan truyén hoa thilc lin, uong va v n hanh tinh di.ch. Qué trinh St lién quan gifta ting vfii phu, tiic la quan h( biéu ly trong la( p, Tctng la am la ly; phu la dif‹Jng la biéu, mpt tang, mot phu mot am, mot ditclng, mpt biéu, m pt ly phoi hpp vat nhau nhit vay gpi la "tang phu bieu 1y tilnng hip". Biéu ly tri‹ing hpp ciia tang voi phu, chu yéu thiJc hi(n qua ditfing kinh in:±ch. Difcing kinh cua tang lién lac vfii phu, diidng kinh cua phu lién ldc vfii tang. Vi va) y tang vfil phu tuy ve cong nang moi thii co m pt tréch nhi(m khac nhau, nhifng van lién he vfii nhau, nhci ca( y fan nhau, ve benh ly cung la lién h( lan nhau, :inh hitting Ibn nhau. Tann titong hpp vfii tieu trifling, bieu hien ra d benh ly nhil trim hoa th)nh xuiat hien ngoai cac chilng mat do, vat va, long ngpc nong bite, litdi do, chat 1u’fii lfi loét, song vi tain hoa co khi chuyen xuong tiéu trifling nen co chilng hay nhit niffic tiéu do, sen, dai dau va nong, dau ni(eu quan, n)ang thi dai ra méu. Kh1 Chiia b(nh cdn lpi tiéu de thanh tain, dna tain hoa di xuong theo drfcing tiéu ti(n mii ra ngoai. Tém hoa sci di cé the theo tieu ti(n ma ra ngoai la vi lé hoa ta theo tac dung gan lpc thanh trpc cua tieu trifling la ciing di ra difdng tién am. Can khi cfip bflc ma dé cang thJnh, ddm khi v‹in citong tric, b(nh cua can d’as shitting lién h( véli nhau. Vi du: Nhif khi co b(nh dclm nhiet 20