温胆汤Gallbladder-Warming Decoction.pptVIP

Treatise on Three Categories of Pathogenic Factors of Diseases Chen Yan (Song Dynasty) Regulating qi and resolving phlegm, harmonizing the stomach and promoting the function of gallbladder. Stagnation of the gallbladder-qi and disturbance of phlegm 大肠菌群及检验 大肠菌群并非细菌学分类命名，而是卫生细菌领域的用语，它不代表某一个或某一属细菌，而指的是具有某些特性的一组与粪便污染有关的细菌，这些细菌在生化及血清学方面并非完全一致，其定义为：需氧及兼性厌氧、在37℃能分解乳糖产酸产气的革兰氏阴性无芽胞杆菌。一般认为该菌群细菌可包括大肠埃希氏菌、柠檬酸杆菌、产气克雷白氏菌和阴沟肠杆菌等。 　　大肠菌群分布较广，在温血动物粪便和自然界广泛存在。调查研究表明，大肠菌群细菌多存在于温血动物粪便、人类经常活动的场所以及有粪便污染的地方，人、畜粪便对外界环境的污染是大肠菌群在自然界存在的主要原因。粪便中多以典型大肠杆菌为主，而外界环境中则以大肠菌群其他型别较多。 　　 大肠菌群检验方法 由于大肠菌群指的是具有某些特性的一组与粪便污染有关的细菌，即：需氧及兼性厌氧、在37℃能分解乳糖产酸产气的革兰氏阴性无芽胞杆菌。因此大肠菌群的检测一般都是按照它的定义进行。 　　目前国内采用的进出口食品大肠菌群检测方法主要有国家标准和原国家商检局制订的行业标准。两个标准方法在检测程序上略有不同。 While the signs and symptoms of this disorder are manifold, the basic mechanism is simple: disharmony between the Gallbladder and Stomach with phlegm-heat. Phlegm in the Stomach leads to focal distention, copious sputum, a greasy tongue coating, and a slippery pulse. Heat in the Gallbladder gives rise to a bitter taste in the mouth, a yellow tongue coating, and either a rapid, slippery or a rapid, wiry pulse. Phlegm-heat in these organs causes constraint which interferes with the rising of the clear yang and manifests as dizziness or vertigo. At the same time, the turbid yin rises in rebellion and manifests as nausea or vomiting. Phlegm-heat disturbs the chest and heart and causes irritability, insomnia, palpitations, and anxiety. In very severe cases this can lead to seizures. The heat in the Stomach may also cause indeterminate gnawing hunger. Analysis of Prescription Ban Xia Zhu Ru Chen Pi Zhi Shi Fu Ling Sheng Jiang and Da Zao Gan cao COMMENTARY The origin of this formula dates back to the seventh century. In the Thousand Ducat Formulas of Sun Si-Miao, a formula by this name is prescribed for the following condition: After a severe illness [when the patient suffers from] irritability and insomnia, it is because of cold in the Gall