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The Treatment of Modern Western - Biblio.nhat-nam.ru

The Treatment of Modern Western - Biblio.nhat-nam.ru

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488 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEADDITIONS & SUBTRACTIONS: Please see pattern #1 above.3. ENDURING IMPEDIMENT TRANSFORMS HEAT& DAMAGES YIN PATTERNMAIN SYMPTOMS: Joint redness, swelling, heat, and pain,stiffness and inflexibility. Initially, when the pain obtainscoolness, it gradually soothes. However, after it has enduredfor some time, the sensation does not improve and when itobtains warmth it is soothed. <strong>The</strong>re is a dry mouth with abitter taste, a parched throat, insomnia, vexation and agitation,a red tongue with yellow or yellow, slimy fur, and abowstring, fine, rapid pulse.NOTE: This pattern is sometimes also called mixed cold andheat pattern.TREATMENT PRINCIPLES: Scatter cold and eliminatedampness, clear heat and free the flow <strong>of</strong> the network vesselsRX: Gui Zhi Shao Yao Zhi Mu Tang Jia Jian (Cin<strong>nam</strong>onTwig, Peony & Anemarrhena Decoction with Additions &Subtractions)INGREDIENTS:Gui Zhi (Ramulus Cin<strong>nam</strong>omi)Chi Shao (Radix Paeoniae Rubrae)Bai Shao (Radix Paeoniae Albae)Zhi Mu (Rhizoma Anemarrhenae)processed Chuan Wu (Radix Aconiti Carmichaeli)processed Cao Wu (Radix Aconiti Kusnez<strong>of</strong>fi)Dang Gui (Radix Angelicae Sinensis)Wu Shao She (Zaocys)Sheng Di (uncooked Radix Rehmanniae)Jiang Can (Bombyx Batryticatus)Di Long (Pheretima)Gan Cao (Radix Glycyrrhizae)30g20g20g15g15g15g15g15g9g9g9g9gANALYSIS OF FORMULA: Gui Zhi courses wind and scatterscold, frees the flow <strong>of</strong> and warms the network vessels. Inaddition, with Bai Shao, it harmonizes the const<strong>ru</strong>ctive anddefensive. Chuan Wu and Cao Wu, course and eliminatewind and dampness, scatter cold and stop pain. Chi Shao andSheng Di cool the blood. Chi Shao and Dang Gui quicken theblood and stop pain. Zhi Mu and Di Long clear heat. JiangCan courses and clears wind heat. Wu Shao She courses wind,frees the flow <strong>of</strong> the network vessels, and stops pain. Gan Caoharmonizes the other medicinals in this formula and checksthe toxicity <strong>of</strong> Cao Wu and Chuan Wu.ADDITIONS & SUBTRACTIONS: If heat is predominant,reduce the amount <strong>of</strong> Gui Zhi, Chuan Wu, and Cao Wu andadd nine grams each <strong>of</strong> Hu Zhang (Rhizoma PolygoniCuspidati), Han Shui Shi (Calcitum), Lu Cao (HerbaHumuli Scandentis), and Huang Bai (Cortex Phellodendri).If there is yin vacuity with internal heat, increase the amount<strong>of</strong> Sheng Di to 30-40 grams.ACUPUNCTURE & MOXIBUSTION: Qu Chi (LI 11), He Gu(LI 4), Guan Yuan (CV 4), appropriate local pointsANALYSIS OF FORMULA: Needling Qu Chi and He Gu withlifting and th<strong>ru</strong>sting draining technique clears heat from theentire body because, “<strong>The</strong> yang ming channel has lots <strong>of</strong> qiand lots <strong>of</strong> blood.” Needling Guan Yuan with even supplementing-evendraining technique leads yang back down toits lower source so that it can scatter cold, and warm thechannels. Draining the local points frees the flow <strong>of</strong> the networkvessels in the affected area.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.4. QI & BLOOD DUAL VACUITY, PHLEGM &STASIS MUTUALLY BINDING PATTERNMAIN SYMPTOMS: This pattern is mostly seen in the laterstages <strong>of</strong> RA where there is joint rigidity and deformation.<strong>The</strong> joints aching and painful, swollen, distended, anddeformed, and their movement is inhibited. In addition,there is an accompanying somber white facial complexion,heart palpitations, shortness <strong>of</strong> breath, bodily fatigue,encumbrance, and lassitude, a pale tongue with white fur,and a deep, fine, bowstring, and/or tight pulse.TREATMENT PRINCIPLES: Boost the qi and nourish theblood, transform phlegm and dispel stasis, free the flow <strong>of</strong>the channels and quicken the network vesselsRX: If there is predominant cold, use Huang Qi Gui Zhi Wu WuTang (Astragalus & Cin<strong>nam</strong>on Twig Five Materials Decoction)INGREDIENTS:Sheng Jiang (uncooked Rhizoma Zingiberis)Huang Qi (Radix Astragali)Bai Shao (Radix Paeoniae Albae)Gui Zhi (Ramulus Cin<strong>nam</strong>omi)Da Zao (F<strong>ru</strong>ctus Jujubae)18g9g9g9g12 piecesNOTE: Perhaps more than some other guiding formulas inthis book, this formula definitely needs modification withthe various additions described below if it is realisticallygoing to be used to treat RA.ANALYSIS OF FORMULA: Huang Qi and Da Zao boost the qi. BaiShao nourishes the blood. Gui Zhi warms and frees the flow <strong>of</strong>the channels and quickens the network vessels. Bai Shao andGui Zhi as well as Sheng Jiang and Da Zao harmonize the const<strong>ru</strong>ctiveand defensive. Sheng Jiang transforms phlegm at thesame time as it helps Huang Qi and Da Zao supplement thecenter to engender and transform the qi and blood.

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