Syndrome differentiation based upon yin-yang theory is supposed to summarize and classify the commonly encountered symptoms and signs by analogy. But, human being is an organic entirety and different diseases can present different features of syndromes. Therefore, the syndrome differentiation cannot be limited in one aspect and should be conducted with comprehensive analysis in combination of different diseases. Only by this essential point can it be possible to identify yin and yang. Besides, although there is certain yin and yang attribution in diseases, transformation between yin syndromes and yang syndromes can take place under certain conditions. More-over, there is no pure yin and no pure yang. It is also necessary to understand that there is yang within yin and yin within yang and to differentiate the condition of yin and yang.

1.2.2 Differentiation of Tumefaction, Pain, Pruritus, Pus and Numbness

Tumefaction, pain, pruritus, suppuration and numbness are the most commonly seen symptoms and signs in the surgical diseases of TCM and can be caused by many reasons. Therefore, to differentiate the different attribution of the above-mentioned symptoms and signs can help to identify different natures of the diseases for diagnosis and treatment.

1.2. 2.1 Differentiation of Tumefaction
Tumefaction is caused by obstruction of the meridians and stagnation of qi and blood due to different pathogenic factors. It is advisable to differentiate syndromes from the scope, pathogenic factors, and different position and color.

1.2.2.1.1 Differentiation according to the Scope of Illness
1. Local tumefaction
Localized tumefaction is often seen in yang syndromes and excessive syndromes, usually manifested by high and red tumefaction with shrunken base.

2. Diffuse tumefaction
It can be seen in both yin syndromes and yang syndromes. Yang syndromes are often caused by excessive pathogenic factors, manifested by diffuse tumefaction without border. Yin syndromes are usually related to in- sufficiency of qi and blood, manifested by flat and diffuse tumefaction.

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