Skin bloating

　　The disease is caused by insufficient yang and retained cold in the skin, resulting in swelling. 'The灵枢·水胀' says: 'Skin swelling, cold qi stays between the skin, the abdomen is large, the whole body is swollen, the skin is thick, pressing on the abdomen does not rise, the abdominal color does not change, this is the sign.' 'The Medicine Remains' says that it is because the vital qi is lost, the虚qi has no place to go, and the cold qi circulates throughout the skin, so there is swelling of the abdomen and the whole body, and the skin is thick.

　　1. Arteriovenous malformation of the brain:It is the most common type of malformation caused by abnormal development of the cerebrovascular system.

　　2. Lung swelling:It refers to a variety of chronic pulmonary diseases that recur repeatedly, with persistent symptoms, leading to deficiency of the lung, spleen, and kidney organs, causing the pulmonary vessels to be unobstructed, the airway to be unobstructed, and the lung qi to be stagnant, resulting in pathological changes such as chest stuffiness and fullness. The clinical characteristics include shortness of breath, dyspnea, coughing, expectoration, chest fullness, chest oppression, or cyanosis of the lips and nails, palpitations, edema, and even coma and respiratory failure.

　　The abdomen swells, but when knocked, it sounds like a drum and is not firm. The whole body is also swollen, and the skin looks thick. If you press the patient's abdomen with your hand, the abdomen will still be concave after releasing it and cannot recover, but the abdominal color does not change.

　　1. Frog belly:Frog belly appears in patients with a large amount of ascites or in children with relaxed abdominal muscles, lying there like a frog's belly. The accumulated fluid pushes the abdominal skin to both sides, or the abdominal muscles are soft and make the abdomen swell.

　　2. Bloody ascites:Intra-abdominal organ rupture and intra-abdominal malignant tumors may cause patients to have bloody ascites.

　　3. Silent abdomen:If there is more than 500ml of fluid in the abdominal cavity, it can produce a movable dullness when knocking. The auscultation of bowel sounds can disappear at the beginning, which is called 'silent abdomen'. This symptom is caused by gastric ulcer perforation.

　　1. Most bloating is caused by diet, and it is necessary to change eating habits first: chew food slowly and do not eat too much or feel too full at one time. It is recommended to eat less and more frequently.

　　2. Avoid drinking carbonated drinks, chewing gum, and preferably not drinking drinks with a straw, as these will inadvertently increase the intake of gas.

　　3. Eat less food containing fructose or sorbitol (sugar) or sweets, as this is also a cause of gas. Legumes must be cooked until soft before eating, as hard beans are not only difficult to digest but also prone to cause distension.

　　Some people are particularly prone to produce gas or distension from certain foods, and must avoid certain specific foods based on past experience.

　　Do not sit motionless on the sofa after eating, get up and walk around, wash a bowl, or take a walk. Gentle and mild exercise is helpful for digestion.

　　This disease is due to insufficient overall yang, which cannot promote the circulation of body fluids in the body, so clinical symptoms may include increased accumulation of body fluids throughout the body, similar to hypoproteinemia in Western medicine and edema caused by liver function, heart function, and kidney function. The examination should be aimed at the above reasons, check liver function to understand the specific situation of albumin, check kidney function and urine routine to determine whether there is a loss of plasma albumin in the body caused by a large amount of proteinuria.

　　Firstly, what foods are good for the body in skin distension?

　　It is advisable to eat light and more vegetables and fruits, properly match the diet, and pay attention to adequate nutrition.

　　Secondly, what foods should be avoided in skin distension?

　　Avoid smoking, drinking, spicy foods, greasy foods, smoking, drinking, and eating cold foods.

　　(The above information is for reference only, please consult a doctor for details.)

　　Wu Han Jian Zhong Decoction

　　Self-made:Angelica (two ounces), white peony (one ounce, stir-fried with wine), Poria (two ounces), white atractylodes (one ounce), aconite (eight cents), tangerine peel (one ounce), magnolia bark (one ounce, stir-fried with bran), white galangal (six cents), costus (five cents), jujube (two fruits), ginger (three slices). This formula combines Coptis, peony, and Poria to remove dampness in the skin and has the meaning of Zhenwu Decoction. Atractylodes and Angelica are used to regulate the body, ginger and jujube to strengthen the center. The above is to reinforce the body and expel cold. Atractylodes, magnolia bark, costus, white galangal, and tangerine peel regulate the qi and transform turbidity. The path is very clear. Ginger and jujube are used together, and this is the only formula for distension. Because the path of cold and dampness is removed, it is not outside of sweating and urination. Since there are aconite, atractylodes, and Poria to promote urination, and the skin and营卫 are closest, it is necessary to have ginger and jujube to promote the qi and blood and induce sweating. Zu Yi's annotation.