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KIM QU YU LC

Bs Nguyn Trng Minh Th

I CNG
Kim qu yu lc phng lun l phn tp bnh ca sch Thng hn tp bnh lun do Trng Trng Cnh vit t thi ng Hn. y l cun sch u tin vit v chn tr tp bnh theo l lun bin chng ca y hc c truyn. Sch c gi tr cao c v l lun cng nh ng dng lm sng v l mt trong nhng sch kinh in ca y hc c truyn.

I CNG
Tn sch l Kim qu yu lc phng lun, trong Kim qu c ngha l quan trng v qu gi, Yu lc c ngha l tm lc. Kim qu yu lc cho thy y l nhng ni dung quan trng ch yu v cn thit v y hc c truyn c tm tt li.

I CNG
Lch s ra i lu lc v c chnh l:
Khong u th k th ba sau cng nguyn, Trng Trng Cnh vit xong Thng hn tp bnh lun. Sch gm hai phn Thng hn v Tp bnh. Ton sch c mi su chng trong mi chng ni v thng hn v su chng ni v tp bnh. Kim qu thuc phn vit v tp bnh.

I CNG
Trong thi gian t ng Hn n Ty Tn do chin tranh lon lc sch b tht lc. Tuy c Vng Thc Ho (Ty Tn) thu thp v chnh l nhng ngi ta vn ch thy phn Thng hn lun, gm mi chng m khng thy phn tp bnh. V ngi ta cng ch thy nu dn chng v sch trong cc ti liu khc nh Mch kinh, Gi bnh nguyn hu lun, Thin kim phng, Ngoi i b yu

I CNG
Cho n tn thi Tng Nhn Tng, Hc s ng Lm mi tm thy trong th vin ca gia nh cun Kim qu ngc hm yu lc phng, y chnh l bn tm lc Thng hn tp bnh lun ca Trng Trng Cnh. Sch gm c ba phn, phn u bn v thng hn, phn th hai bn v tp bnh, phn th ba bn v phng t, bnh ph khoa v cch iu tr.

I CNG
Nhng do l cun tm lc nn Hoc c chng m khng c phng, hoc c phng m khng c chng nn khng trnh khi Cha bnh khng ton din. V vy Lm c v nhiu tc gi khc tin hnh hiu nh theo nguyn tc: phn u s dng bn do Vng Thc Ho hiu nh tng i hon chnh nn gi nguyn, phn th hai vit v tp bnh v cc bnh ph khoa.

I CNG
Nhm tin cho ng dng lm sng li em phn vit v phng t phn bit theo cc chng hu chia thnh ba chng. Ngoi ra cn em cc phng thuc ca Trng Trng Cnh v cc thy thuc ni ting khc phn loi cui sch. Do l sch tm lc nn t tn sch l: Kim qu yu lc phng lun, v sau c gi tt l Kim qu yu lc hay ch n gin l Kim qu.

NI DUNG
Sch Kim qu bn v tp bnh ni khoa l chnh, tuy nhin cng cp n mt s bnh ph khoa v ngoi khoa. Ton sch chia thnh ba phn ln, tng cng c 25 chng.
Phn u: chng 1 chng 10 Phn hai: chng 11 chng 19 Phn ba: chng 20 chng 25

NI DUNG
Chng u mang tn Bnh tng ph kinh lc trc sau c tnh cht tng lun, vit v nguyn nhn c ch bnh sinh, d phng, chn on v iu tr bnh . Do vit theo hnh thc hi p, nu cc nguyn tc nn chng ny c tnh cht cng lnh cho ton cun sch.

NI DUNG
T chng th 2 Bnh knh thp yt n chng 17 Bnh nn o h li thuc bnh ni khoa. Chng 18 Bnh sang ung trng ung ph n thuc bnh ngoi khoa. Chng 19 Bnh phu quyt, th ch t thng, chuyn cn, m h sn, u trng vit v mt s hp bnh. Chng 20 n chng 22 chuyn v sn ph khoa. Ba chng cui vit v cm k, ch khi dng thuc v n ung cng mt s nghim phng.

NI DUNG
Ton sch cp n hn 60 loi chng bnh mc s si hay k cng khc nhau. Trong 22 chng u vit v hn 40 loi bnh v 205 bi thuc.

NI DUNG
V phng din iu tr, ngoi dng thuc cn s dng cc phng php chm cu, m thc iu dng v ch trng iu tr h l. V cch dng thuc ngoi cc loi thuc ung nh thuc thang, thuc hon, thuc ngm ru, thuc tn cn dng cc dng thuc dng ngoi nh xoa, bi, dn, ngm, ra ng thi trong sch cn k tng i t m cc phng php bo ch, cch ung, tc dng ph ca bi thuc.

NI DUNG
Sch vit theo th t phn u vit v bnh chng, tip theo v phng thuc, cch ung Sau phn cc phng t hay dng l phn ph phng, phn bit cc bnh lin quan, phn tch u nhc im. Tt c u vit r rng, tm lc rt tin cho ngi s dng.

NI DUNG
Phn chng trong sch c th nhiu bnh vit trong cng mt chng, nhng cng c th mt bnh vit ring thnh chng. Nu nhiu bnh vit trong cng mt chng th y l nhng bnh c c ch bnh sinh ging nhau, v tr bnh nh nhau hoc cc chng hu tng t nh nhau:

NI DUNG
C ch bnh ging nhau:
V d: nh hai bnh T huyt v H lao th T huyt tuy lin quan n cm ngoi t nhng nguyn nhn ch yu do dng kh h hao dn n huyt hnh khng thng, dng kh b t kh gy tr nga m thnh bnh. Cn H lao do ng lao, tht tnh v lc dm gy h tn kh huyt ni tng gy ra. C ch bnh sinh ca hai bnh tng ng vi nhau nn vit vo cng mt chng

NI DUNG
V tr bnh gn nhau V d: ba bnh Tiu kht, Tiu tin khng thng, Lm chng do u lin quan n Thn v Bng quang nn c ghp chung thnh mt chng. Mt khc tuy nguyn nhn c ch bnh sinh ca ba bnh Nn, O, H li khc nhau nhng l nhng bin i bnh l V trng nn cng c vit chung thnh mt chng.

NI DUNG
Chng hu tng t nh nhau
V d: Ba bnh Knh, Thp, Yt (Trng th) tuy do mc cc loi ngoi t khc nhau nhng khi mi mc cc biu hin lm sng u thy s lnh pht st nn c vit vo cng mt chng. C nhng chng do chng bnh bao gm hai hoc ba nhn t ging nhau, th d nh chng y bng, Hn sn, Thc tch va c chung c im lin quan vi Trng V v mt v tr li va c chung c im au bng v mt lm sng nn vit vo cng mt chng.

NI DUNG
Phng php trnh by ny c li cho vic phn bit s ging v khc nhau gia nhng bnh c chung c im ng thi cn gip cho ngi c d dng nm c quy lut bin chng lun tr. Ngoi ra trong sch cn bn lun thnh chng ring v mt s bnh c nhng biu hin lm sng, c ch bnh sinh c bit. Nh cc bnh Ngc tt, Kh bn n, m m, Thu kh

NI DUNG
Sch vit theo tun t bt u t nguyn nhn c ch bnh sinh, tip n cn c vo s bin i phc tp bnh tnh la chn triu chng ch yu, cui cng trn c s xut php v phng thuc iu tr. Cch vit ny gip cho ngi c d dng nm c quy lut iu tr mt cch c h thng.

NI DUNG
Cng ging Hong ni kinh v Thn nng bn tho, sch Kim qu c xem nh nhng sch kinh in c gi tr. C th ni Hong ni kinh l c s ca l lun, Thn nng bn tho l c s ca dc hc th Kim qu l c s ca lm sng.

Gi tr v mt hc thut
Nhng gi tr ch yu v mt hc thut ca sch biu hin trn my phng din sau y :
1. K tha v pht huy nhng tinh hoa kin thc ca Ni kinh

Gi tr v mt hc thut
Nh ni dung Tr bnh tt cu bn - ni v thng bng ca m dng ; Cn thn tra xt m dng m iu chnh, ly bnh lm c bn cho thy Mc ch ca iu tr u l nhm duy tr, hi phc thng bng ca m dng trong c th. y l mt trong nhng quan im c bn ca Ni kinh, quan im ny khng ch c Kim qu tha k m cn c pht huy mt cch sng to.

Gi tr v mt hc thut
v d: nh do m dng lng h m xut hin chng hn nhit. Tc gi khng ch n gin ly nhit tr hn, hoc ly hn tr nhit m cn dng phng php kin lp trung kh, iu ho m dng - m bi Tiu kin trung thang trong sch l i biu, nhm tng dng dn m v tng m dn dng lm m dng tng h ho iu. Trung kh c dn i khp ni th tt nhin cc chng hn nhit thc tp "H lao l cp, qu, nc, au bng, mng tht tinh, t chi au mi, lng bn tay chn nng, ming kh hng to..." u t khi.

Gi tr v mt hc thut
C th thy Trng Trng Cnh vi t tng "Tr bnh tt cu bn" ca "Ni kinh" - iu ho m dng l si ch xuyn sut c cun sch "Kim qu" v nh hng su sc ti phng php iu tr tp bnh. Tinh hoa ca t tng "Tr t lc cha bnh" ca "Ni kinh" trong "Kim qu" c pht trin thnh nhng nguyn tc c th "Cha bnh th phng bnh" v " bnh th phng bin chng"

Gi tr v mt hc thut
Chng Bnh tng ph kinh lc trc sau ch r: "Nu ngi ta ch trng dng sinh, ngoi t khng th xm phm kinh lc. Nu vo kinh lc cng khng th truyn su vo tng ph. V iu tr, nu thy chn tay t mi dng cc phng php xoa bp, ung thuc, chm cu, dng sinh khng cho cu khiu b b tc. . Trng th cn, phng s khng qu suy kit, n ung y lu cc v hn nhit kh toan tn cam khng cho hnh th gy yu... lm c nh vy th bnh khng l do g xm phm tu l"

Gi tr v mt hc thut
Cng trong kinh vn u tin ca sch vit: "Thy Can b bnh bit bnh t Can s chuyn n T, cn b T". Nhn mnh thy Can b bnh phn nhiu s nh hng n T, iu tr nn ch kt hp cha T, khng nn ch cha bnh cho Can. V nh vy khng nhng bnh Can kh lnh m tng b n nh hng cng khng trnh khi b bnh.

Gi tr v mt hc thut
i vi bnh do t kh thnh cn ch tng n khc c th b bnh, trong khi iu tr ngoi vic iu tr chnh tng b bnh cn kt hp phng cho tng m bnh c th truyn n chnh l "Phng bin chng khi mc bnh".

Gi tr v mt hc thut
2. Sng lp l lun c bn ca mn lm sng ca y hc c truyn :
Chng Bnh tng ph kinh lc vit: "Nguyn nhn gy bnh khng ngoi ba iu, mt l t theo kinh lc vo tng ph l ni nhn*. Hai l bnh t theo chn tay, cu khiu truyn theo huyt mch, ng tr khng thng l ngoi nhn. V ba l phng s, gm ao, trng th cn".
(*): lun thuyt ca Trng Trng Cnh ly khch kh t phong lm ch nn khng theo ni thng ngoi cm l trong ngoi nh T Trung kh trong Kim qu yu lc lun ch

Gi tr v mt hc thut
Vic phn nguyn nhn gy bnh thnh ba loi to c s cho hc thuyt Tam nhn v sau. C th ni l lun v nguyn nhn bnh hc c Trng Trng Cnh t nhng vin gch u tin.

Gi tr v mt hc thut
3. ng thi vi sng lp l lun c bn cho mn lm sng, sch cn l nhng v d kinh in cho vn dng chnh xc, kho lo v php phng dc
3.1. Vn dng mch php Cn c vo mch tng chn on bnh: Nh bnh Bch hp mch vi sc, bnh Ngc tt mch huyn, bnh Thu kh mch trm...

Gi tr v mt hc thut
Cn c mch l gii c ch bnh sinh: Nh trong bnh Lch tit "Mch thn trm m nhc, trm ch ct, nhc ch cn. Trm l bnh Thn, nhc l bnh Can...". iu cho thy nguyn nhn c ch bnh sinh ca bnh Lch tit ch yu do Can Thn h nhc.

Gi tr v mt hc thut
Cn c vo mch phn bit bnh chng:
Ni chung bnh Ngc mch huyn, nhng do mc hn nhit nhiu t khc nhau nn mch huyn tr th hn nhiu hn, bnh nhn thy rt nhiu hn (Tn ngc). Mch huyn sc l nhit nhiu hn, bnh nhn thy st cao l chnh ( n ngc). Khi phn bit bnh Ph ung (p xe phi) vi Ph nuy, c hai bnh u do nhit thng tiu nn c chung mch sc. Nhng do Ph ung nhit nhiu hn nn mch sc thc, Ph nuy mch sc h. Hai bnh tuy biu hin ging nhau nhng mt thc - mt h ng nhin c s khc bit.

Gi tr v mt hc thut
Cn c vo mch xc nh phng php iu tr: Nh trong bnh Khi thu kh nghch "Khi m mch ph, dng bi Hu phc Ma hong thang, mch trm dng bi Trch tt thang". Trong bnh Hong n cng vy: "Nu ngi bnh vng da nhng i tiu nhiu km theo mch ph phi pht hn, dng bi Qu chi gia Hong K thang".

Gi tr v mt hc thut
Cn c vo mch tin lng din bin bnh: Nh trong chng Bnh Thu kh vit: "... Bnh Thu mch xut th cht". Trong bnh H li vit: "Sau khi h li mch tuyt, chn tay lnh. Nu mch thay i, chn tay m th sng. Nu mch khng i th cht". Cho d "Kim qu" bn v mch cn nhiu im cha r v kh hiu, nhng y vn l nhng t liu cn trn trng nghin cu.

Gi tr v mt hc thut
3.2. Vn dng thit chn
Khi phn bit tch v t, chng Bnh ng tng phong hn tch t vit: "Tch l bnh ca tng, v tr khng di chuyn. T l bnh ca ph, khi c khi khng, v tr di chuyn v c th cha khi". Nh vy thng qua s nn bng c th phn bit mc nng su nng nh ca tch v t.

Gi tr v mt hc thut
Khi phn bit h thc ca chng y bng chng Bnh Phc mn hn sn thc tch ch ra: "Bnh phc mn n vo khng au th l h, nu au l thc". Kt lun ny khng ch l bin chng quan trng ca chng y bng m cn l tng kt phn bit h thc trong cc bnh bng.

Gi tr v mt hc thut
3.3. Vn dng php ph chnh, trc t Ph chnh trc t:
y l phng php dng cho chng bnh m chnh kh h l mt ch yu ca mu thun chnh t. iu kinh vn ni v hon Th d (Hoi sn hon) ca chng Bnh Huyt t h lao vit: "H lao bt tc, phong kh sinh trm bnh dng Th d hon iu tr". Do kh huyt m dng trong c th bt tc d b t kh t bn ngoi xm phm, khi iu tr cn ch ph chnh. Nu ch trc t khng nhng lm thng chnh kh m cn khng trc c t kh ra ngoi. Bi thuc Th d hon c tc dng kin vn T V v dng huyt t m, ph chnh trc t.

Gi tr v mt hc thut
Trc t ph chnh:
y l phng php dng cho chng bnh m t thc l mt ch yu ca mu thun chnh t. V d nh iu tr bnh "Ngc mu" (ngc tt lu ngy cha khng khi, ngoan m km , hnh thnh b khi) dng bi Mit gip tin hon. Cc v Nhn sm, A giao, Thc dc, Qu chi... trong bi thuc c tc dng b kh huyt, ho dinh v nhng trc t l chnh, ly trc t ph chnh.

Gi tr v mt hc thut
Trong sch ngoi trc t cn ch n nguyn tc "nhn th li o", tu theo tnh th bnh m tin hnh dn o lm cho t i m chnh kh khng b tn thng. V d nh trong bnh thp, nu ngi bnh c hn thp trn u dng phng php nh thuc vo mi v v tr bnh trn, trong khi "trong bng ho v bnh" khng nn ung thuc lm cho bnh t nng vo su. Ch cn dng thuc qua ng mi, tuyn tit hn thp thng tiu bnh c th khi.

Gi tr v mt hc thut
Trong chng Bnh Thu kh vit: "Nu trong ngi c nc th ph di tht lng nn cho li tiu, ph trn tht lng nn cho pht hn". L do nu ph di tht lng tc l bnh di, bnh l thuc m. Dng li thu c th lm cho nc trong, di theo nc tiu bi xut ra ngoi. Nu ph trn tht lng tc l bnh trn, biu thuc dng. Pht hn c th lm nc biu theo m hi i ra ngoi.

Gi tr v mt hc thut
3.4. Vn dng php cha iu chnh kh huyt tn dch iu chnh kh huyt : Nh iu tr bnh "Huyt t" do c ch bnh sinh ca bnh l phong hn tha c huyt h xm nhp vo trong c th, ngn tr dng kh lm huyt hnh khng thng, bnh nh ch cn "chm cu dn dng kh", nng phi dng bi Hong k Qu chi ng vt thang thng dng hnh t th huyt mch s thng, cc triu chng tay chn t b hoc mi nhc s dn t ht.

Gi tr v mt hc thut
iu chnh tn dch.
Khi cha bnh m m: "Nu on kh li hi kht c th li tiu bng bi Qu chi Cam tho thang hoc Thn kh hon". V m m do tam tiu khng thng li gy thu m nh tr, dng Qu chi Cam tho thang hoc Thn kh hon lm dng vng th kh ho, thu c th pht tn i khp ni. Hai bi thuc mt kin T tr thu, mt b Thn ho kh u gip kh ho lu thng tn dch.

Gi tr v mt hc thut
3.5. Vn dng php cha chnh tr phn tr
Hn nhn hn dng: Nh trong Bnh Yt (trng th) dng bi Nhn sm Bch h thang cha chng Thi dng trng Yt tn thng c kh ln tn dch. Lm sng biu hin va c chng th: ra m hi, st km theo kht nc, li va c biu hin hin tng hn: s lnh. iu tr chng hn dng thanh gii nhit th kim ch kh m tc l dng thuc hn cha chng hn.

Gi tr v mt hc thut
Nhit nhn nhit dng:
Trong chng Bnh Nn th o h li vit: "H li thanh cc, l hn ngoi nhit, ra m hi nhng lnh, dng Thng mch t nghch thang iu tr". y l hn l chn hn hay bn cht bnh l hn, ngoi nhit l biu hin bn ngoi l gi tng, l biu hin ca m thnh cch dng. Nn dng thuc n nhit iu tr bn cht ca bnh, dng thuc nhit cha chng nhit.

Gi tr v mt hc thut
3.6. Vn dng php hon cp tiu bn.
Trong nguyn tc iu tr hon cp trc sau khi biu l ng bnh chng Bnh tng ph kinh lc tin hu vit: "Bnh i ngoi nu i phn lng khng cm, ton thn au mi phi cha l sau mi cha chng au mi ton thn. Nu i ngoi bnh thng, cn gii biu trc". Ni chung khi biu l cng b bnh, cn u tin cha bnh biu trc, trc gii biu sau cha l nu khng ngoi t t bn ngoi d bin chng thnh ni hm bn trong.

Gi tr v mt hc thut
Nhng khi l chng nguy cp, cn u tin cha l. Nu i ngoi khng cm c chnh kh suy nhc s gy nguy c t vong. Khi chng biu au mi ton thn s tr thnh th yu so vi chng i ngoi khng cm v c th iu tr sau. ng nhin khi biu l cng b bnh cn c vo tnh hnh c th c th biu l cng gii.

Gi tr v mt hc thut
3.7. Vn dng php cha trn di trong ngoi Bnh trn cha di v bnh di cha trn.
Bnh tuy biu hin thng tiu nhng bn cht trung tiu hay h tiu th c th dng php bnh trn cha di.

Gi tr v mt hc thut
Nh iu kinh vn v Bnh m m vit: "Di Tm c m lm ngi ta hoa mt chng mt dng bi Trch t thang iu tr". Biu hin hoa mt chng mt trn u nhng gc ca bnh do T h thu lan trn che m thanh dng, dng Trch t thang li thu kin T th hin bnh trn cha di.

Gi tr v mt hc thut
Cng c khi bnh biu hin h tiu nhng ngun gc ca n li thng tiu hay trung tiu, dng thuc trn cha bnh di. Nh trong chng Ph nuy h hn thng thy "di niu hay tiu tin nhiu ln" phi dng n Ph hi phc kh, m trn ch di bng bi Cam tho Can khng thang.

Gi tr v mt hc thut
Bnh trong cha ngoi v bnh ngoi cha trong:
Chng Bnh sang ung trng ung ph thng vit: "Vt thng do gm ao dng bi Vng bt lu hnh iu tr". Phm vt thng do gm ao u lm cho doanh v vn hnh tht iu, dng bi Vng bt lu hnh iu tr cho kh huyt vn hnh iu ho m dng. Trong bi thuc ny vt thng nh dng bt p, vt thng ln dng sc ung, sau sanh cng c th ung cho thy bnh bn ngoi c th dng thuc trong iu tr.

Gi tr v mt hc thut
3.8. Vn dng php ng bnh d tr v d bnh ng tr
Cng biu hin chng nn nhng chng nn do V kh h tn thng dng i bn h thang. Nn do V kh h hn Can kh phm V dng bi Ng th du thang. Nn do T Thn dng h, m thnh cch dng dng T nghch thang. Nn do trong V tch nhit thng xung dng i hong Cam tho thang. Nn do thc chng m m kh nghch, Nn do trung dng bt tc hn m phm V, Nn do T h li gy m m nh lu, Nn do trung dng bt vn m nh,Nn c lin quan vi thai nghn Nh vy cng mt chng nn, sch "Kim qu" chia thnh hn mi bi thuc iu tr thy php ng bnh d tr ng dng kh rng ri trn lm sng.

Gi tr v mt hc thut
Sch "Kim qu" ghi la mt s bnh khc nhau nhng u dng bi Thn kh hon iu tr nh Cc kh, H lao, m m, Tiu kht, Ph n chuyn d khng i tiu c... Nhng chng do Thn kh bt tc gy ra u c th dng Thn kh hon n b Thn kh. y l nhng v d in hnh ca php d bnh ng tr.

Gi tr v mt hc thut
3.9. Vn dng php lp phng v gia gim
a s bi thuc th hin vn dng c th bt php. Th d nh pht hn dng Qu chi thang Th dng Qua tn H dng Tha kh thang Ho dng Tiu Si h n dng i u tin v Thng mch t nghch tn Thanh dng Bch h gia Nhn sm thang v Bch u ng thang Tiu dng Mit gip tin hon v Ch trut hon B dng ng quy sinh khng dng nhc thang v Thn kh hon.

Gi tr v mt hc thut
3.10. Vn dng php la chn thuc v dng thuc Ch trng tc dng ring c hiu ca tng v thuc.
Th d nh Bch hp dng cha bnh Bch hp, Kh sm thang ngm ra cha chng H hoc (Vim m o), Hng hong ngm cha Hu mn, Thng ma cha m c v dng c, St rt dng Thng sn, Hong n dng Nhn trn... u l nhng th d v chuyn dng mt loi thuc cha mt bnh.

Gi tr v mt hc thut
Ch trng tc dng hip ng sinh ra sau khi phi ng thnh bi thuc
Tc dng hip ng sau khi phi ng khc vi tc dng ca tng v thuc trong bi thuc. Th d nh trong chng dt m thy cc biu hin au mi ton thn, phin to l do t thnh biu kim c ut nhit c th dng i thanh long pht hn kim thanh ut nhit. Nhng ng v mt t chc bi thuc tt c 7 v: Ma hong, Qu chi, Hnh nhn, Cam tho, Sinh khng, i to, Thch cao khng c v no c tc dng chuyn gim au.

Gi tr v mt hc thut
Nn t gc tc dng chnh ca tng v xem xt th rt kh gii thch tc dng chung ca bi thuc. Nhng trn thc t lm sng nhng v thuc to thnh bi i thanh long xc thc ng thi gii quyt tr thu, gim au v tr phin. iu cho thy Trng Trng Cnh dng thuc rt ch trng pht huy tc dng tng hp ca cc v thuc phi ng vi nhau, y cng chnh l ch qu v ch c sc trong dng thuc ca "Kim qu".

Bch hp bnh
- Do tnh ch ut c hoc sau khi bnh nng lm cho Tm Ph m h m pht sinh cc chng ni nhit. - Triu chng: thn ch khng yn, trm mc t ni, mun ng m khng ng c, mun n m khng n c, khi nng khi lnh lc c lc khng, ming ng, tiu vng

Lch tit phong


Nguyn nhn do hn thp t, xm phm vo khp xng gy nn. Cn gi l Lch tit. Triu chng: cc khp sng nng au kch lit, khng th co dui c

Ph nuy
Suy nhc mn tnh do ph m b hao tn: ho, c khi pht st pht rt, ngi gy rc, ngi mt mi, tim hi hp th kh, ming mi kh, hay nn ra m c nc bt trng

Cc kh
Mt th bnh chn do phong hn thp gy ra, c trng hp t u gi n chn t lnh au nhc, c trng hp chn ph thng, c trng hp chn kh teo. Kh teo gi l can cc kh, ph thng gi l thp cc kh. Cn c trng hp nh c vt g bng ngn tay, pht t bng chn a kh xng ngc ln bng, ln tim, th gi l cc kh xung tm.

Dt m
Chng bnh do thu dch ngng ng t chc di da, xut hin cc triu chng thn mnh au nhc, chn tay ph, nng n c khi ho suyn

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