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Wen Bing 1
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General Introduction
• History of Wen Bing
• The well-known TCM doctor from Wen
Bing school: Wu Youke, Ye Tianshi, Xue
Shengbai, Wu Jutong, Wang Mengying
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• Features of Wen Bing
– specific causes—— warm disease pathogenic
factors
– infectious, epidemic, seasonal, regional
– the development has phases.
– common clinical manifestations
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• Classification of Wen Bing
– According to dominating qi
– According to season
– According to onset features
– According to infectious degree
– According to syndrome features
– According to disease loacation
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• Relationship between Wen Bing and
Shang Han
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Causes
• Commonness
– Exogenous
– Heat feature
– Fast onset
– Related with seasons
– Different disease locations
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Onset
• Onset factors
– Body constitution factor
– Nature factor
– Society factor
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Infectious Route
• Air borne infection through respiratory
ducts.
• Food borne infection through mouth
• Contact infection through skin.
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Onset types
• Newly onset Wen Bing
• Hidden Wen Bing
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Differentiation Theories
• Wei-Qi-Ying-Xue differentiation
• San Jiao Differentiation
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Wei-Qi-Ying-Xue Differentiation
Ye Tianshi
Warm disease
pathogen
invades body
Stimulates the body defensive
function and a set of
reactions occurs.
Physically damages related
Zang-Fu organs and their
functions
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1.Wei Stage
•Main symptoms：
fever, slightly aversion to wind-cold,
headache, no sweating or with little sweat, or
with cough, slightly thirsty, thin white tongue
coating, red tongue tip and edge, floating
rapid pulse.
•Pathogenesis
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•Development
– Mild pathogen with undamaged vital qi
push pathogen out. With correct treatment
on time, the disease can be cured.
– Severe pathogen and weak vital qi, improper
or delayed treatmentdirectly transmit to
Ying stage or even to blood stage. Dangerous
situation.
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2. Qi Stage
Include half interior and half exterior
paten
Widely covered the disease in L, St, Sp,
intestines, GB, etc.
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• Formation route
– Transmit from Wei Stage
– Directly invade Qi stage
– Hidden warm disease pathogen transmit
outwardly
– Ying Stage Qi stage
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•Main symptoms
– Excessive heat, no aversion to cold, heavy
sweating, thirst desire for cold water,
concentrated urine, red tongue body with
yellow coating, rapid, forceful pulse.
•Pathogenesis
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•Development
– Severe pathogenic qi vs. strong vital qi, with
accurate on time treatment  cured
– Vital qi is weaker than pathogenic qi, with
improper treatment developed into Ying,
Blood stage, worsened.
– After the battle, both pathogenic qi, especially
yin fluid, and vital qi reduced vital qi can be
recovered after a period time of treatment
cured
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3. Ying Stage
• Formation
– The Qi stage pathogenic heat hasn’t been
cleared, or damp-heat transformed into fire 
enters Ying Stage
– Wei stage Ying stage
– Hidden warm disease pathogen
– Directly invade Ying Stage
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•Main symptoms
– Fever worsen at night, thirst but not desire for
drink, restlessness, insomnia, delirium , macula
scattered, deep red tongue body, thin rapid pulse
•Pathogenesis
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•Development
– Ying Stage  Qi Stage
– The heat pathogen approaches to Xue
Stagelarge area of macula, internal
bleeding
– Convulsion, coma
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4.Xue Stage (Blood stage )
•Formation
– Unsolved Ying stage heat Xue Stage
– Wei Stage, Qi Stage Xue Stage
– Hidden Warm diseas pathogen in Xue Stage
directly manifested as Xue Stage syndromes.
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•Main symptoms
– Fever with burning feeling on examiner ‘s
hand, restlessness, even in coma or mania,
vomit blood, blood in stools, urine, large area
covered by macula, crimson tongue
•Pathogenesis
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•Compare Xue Stage and Ying Stage
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•Development
– Accurate on time treatment hope of being
cured
– Death
– Unrecovery damage
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San Jiao Differentiation
Wu Jutong
•Upper Jiao syndromes: chest, L, Pc
•Middle Jiao syndromes: abdomen, St, SI, LI, Sp
•Lower Jiao syndromes: Lower abdomen, K, Liv.
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•Upper Jiao syndromes
– Pathogenic factor attacks L
– Excessive heat in L
– Damp-heat in L
– Heat sink into PC
– Dampness covers PC
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•Middle Jiao syndromes
– Excessive Yangming syndrome
– Yangming heat and substantial turbid
combination
– Damp-heat obstruction in Middle Jiao
– Damp-heat and substantial turbid combination
– Dampness obstruct in LI
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•Lower Jiao syndromes
– K Essense consumption
– Deficient wind stirring internally
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Transmissions in Wen Bing
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Relationship between Wei-Qi-Ying-Xue
Differentiation and San Jiao Differentiation.
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Diagnostics of Wen Bing
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•
•
•
•
•
•
Fever , hot sensation
Sweating
Thirst
Shen
Convulsion
Maculea (Bai Pei)
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Tongue Examination
• Dynamic Change of Tongue Phenomenon
– Color of Tongue Coating
– Thin or Thick of Tongue Coating
– Dry or Moist Tongue Coating
– Color of Tongue Body
– Shallow or Lustrous of Tongue Body
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• Influence of Season on the Tongue
• The Differentiation of Stained Tongue
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• White Tongue Coating.
– Thin white tongue coating without moisture, red
margin and tip of tongue.
– Dry, thin and white coating
– Thick, sticky greasy white coating
– Dry thick white coating
– Deep-Red tongue with white greasy coating
– Accumulated powder like glossy and greasy, thick
white coating
– Alkali like white coating
– White sand like coating (Crystal coating) .
– Glossy white coating
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• Yellow Tongue Coating
– Thin yellow coating without dryness
– Dry, thin yellow coating
– Concurrent yellow coating and white coating.
– More white than yellow Coating
– Half yellow and half white coating
– More yellow than white coating
– Dry yellow coating
– Deep-yellow coating
– Deep-yellow coating without fluid
– Pale tongue with deep-yellow coating
– Turbid yellow coating
– Yellow greasy coating
– Thin greasy yellow coating
– Thick greasy yellow coating
– Suffusion greasy yellow coating
– Pale tongue with greasy yellow coating
– Dry thick yellow coating
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• Gray Tongue Coating
– Dry, Gray Coating
– Greasy, Gray Coating
– Thin, Greasy, Gray Coating
– Thick, Greasy, Gray Coating
– Glossy, Gray Coating
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• Black Tongue Coating
– Dry, Black Coating with Prickles
– Dry, Black CoatingBlack Coating, like Obscure
Bituminous Coal
– Dry, Black Coating, Pale Tongue Body
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• Red Tongue Body
– Red tongue tip
– Red tongue with red spot
– Red and tender tongue without coating
– Red tongue with greasy tongue coating
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• Deep Red Tongue Body
– Deep luster and red tongue
– Dry deep red tongue
– Deep red tongue with whitish yellow tongue coating
– Deep red tongue with greasy and turbid tongue coating
– Deep red and moist tongue with greasy tongue coating
– Deep red and lusterless tongue with greasy tongue
coating ..
– Deep red and dry tongue with greasy tongue coating
– Deep red and mirror-like tongue
– Dry, dull and flaccid, deep red tongue
– Tongue with deep red and dry center
– Deep red tongue
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