lymphadenitis
AliasLymph Node Tuberculosis
Traditional Chinese Medicine Definition
Lymphaden tuberculosis，also known as Lymphadenitis, is one of the surgical diseases in traditional Chinese medicine. According to the records in internal medicine of traditional Chinese medicine, Lymphadentuberculosis is caused by lung and kidney Yin deficiency, internal generation of phlegm and fire, which accumulates in the cervical lymph nodes. Its characteristics include the appearance of cervical swellings, initially soft in texture, gradually becoming hard, movable, and eventually fixed, with or without pain. It is often accompanied by symptoms such as low fever and night sweats.
In clinical practice of traditional Chinese medicine, the core pathogenesis of Lymphaden tuberculosis is lung and kidney Yin deficiency with internal generation of phlegm and fire. Common precipitating factors include emotional disorders, irregular diet, excessive labor, etc. During the differentiation of symptoms, it is necessary to differentiate between the phlegm and fire conglomeration syndrome and the Yin deficiency with fire hyperactivity syndrome. The phlegm and fire conglomeration syndrome is characterized by soft, movable cervical swellings without pain, and the treatment approach is to clear heat, resolve phlegm, soften hardness, and disperse conglomeration. The Yin deficiency with fire hyperactivity syndrome is characterized by hard, fixed swellings, with symptoms such as evening heat and night sweats, and the treatment approach is to nourish Yin, reduce fire, resolve phlegm, and disperse conglomeration. The overall treatment direction suggests that attention should be paid to adjusting the patient's constitution, enhancing the body's ability to resist diseases, and selecting appropriate treatment methods according to specific patterns. Traditional Chinese medicine believes that the treatment of Lymphaden tuberculosis should follow the principle of differentiation and treatment, combining internal and external treatment, to achieve the effect of treating both symptoms and root causes.
Common Syndrome Types and Key Points of Differentiation
Phlegm-fire coagulation syndrome
Main Manifestations: Soft, mobile, and painless mass in the neck
Management Approach: Clear heat, resolve phlegm, soften hardness and disperse nodules
Yin deficiency with excessive fire
Main Manifestations: Zhuanglu Zhizhi Guding, Chaoreshao Han
Management Approach: Nourish Yin and Reduce Fire, Dissipate Phlegm and Resolve Masses
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
Physicians' insights suggest that patients with Lymphaden结核 have hard and enlarged lymph nodes, which require long-term observation of their development and timely adjustment of treatment.
— Zhu Yongbing Traditional Chinese Medicine Practitioner
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
This article has been reviewed by licensed TCM physicians at Hangzhou Kezhentang TCM Clinic. It is for TCM popular science reference only and does not involve specific treatment plan recommendations.
References: Internal Medicine of TCM (13th Five-Year Plan Textbook), Diagnostic and Therapeutic Effectiveness Standards for TCM Diseases and Syndromes (ZY/T001.1-94), Classification and Codes of TCM Diseases and Syndromes (GB/T 15657-2021)