Deficiency of brain Qi and failure of Qi Hua are the fundamental causes of this disease.when Qi Hua is impaired,Dampness and Turbidity Toxins are generated internally,and when these Toxins rise upwards the brain marrow is damaged.with the reduction of marrow,the brain declines,and coupled with the disturbance of Shen caused by toxins,the functional failure of Shen activity appears.In clinical practice,treatment is often staged according to the different stages of neurogenic bladder.In the early stage,the pathological changes are mainly characterized by brain Qi deficiency,Kidney Qi deficiency and impaired Qi Hua.The disease is relatively mild and often only presents mild symptoms such as frequent urination,difficulty urinating,and increased nocturia.Treatment mainly focuses on tonifying brain Qi and assisting Yang to transform Qi.In the middle stage,the patient's condition is more complex than before,with both brain Qi deficiency and internally generated Dampness-Turbidity Toxins,damage to brain marrow,and a mix of deficiency and excess,where the root is deficient while the symptom is excess.The pathological mechanism is relatively complex,so treatment often addresses both the root and the symptom,tonifying deficiency while draining excess.Interventions are tailored according to specific symptoms,which may also include remedies for resolving Turbidity,promoting diuresis,and facilitating urination,which works effectively on both cause and manifestation.In the late stage,internal Dampness-Turbidity accumulation gives rise to Toxins,which ascend and impair the brain marrow,and disturb the brain Shen.At this stage,patients have brain Qi deficiency,marrow depletion,and dysfunction of the brain Shen,with deficiency being the main issue.Thus focusing on supporting the Zheng Qi is crucial.Treatment primarily involves nourishing the Kidney and marrow and warming the Kidney to strengthen the brain.Once the Zheng Qi is restored,with additional methods to expel the pathogenic factors being employed.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |