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

SCLERODERMA 497Pao Jiang (blast-fried Rhizoma Zingiberis) 1.5gMa Huang (Herba Ephedrae) 1.5gANALYSIS OF FORMULA: Shu Di, Shan Zhu Yu, Shan Yao, FuLing, and Dan Pi are five of the six ingredients of Liu Wei DiHuang Wan (Six Flavors Rehmannia Pills) which enrich kidneyyin to engender kidney yang. Lu Jiao Jiao and Rou Guiwarm kidney yang, while Pao Jiang and Ma Huang warmlung yang. Ji Xue Teng and Yu Jin quicken the blood and freethe flow of the network vessels. Bai Jie Zi transforms phlegm,scatters binding or nodulations, and disperses swelling. GanCao harmonizes the other medicinals in this formula.ADDITIONS & SUBTRACTIONS: For severe qi vacuity, add15 grams of Huang Qi (Radix Astragali) and 6-9 grams ofRen Shen (Radix Ginseng). For more severe cold, add 3-6grams of Zhi Fu Zi (Radix Lateralis Praeparatus AconitiCarmichaeli). If there are heart palpitations, add nine gramsof Dan Shen (Radix Salviae Miltiorrhizae). If there is concomitantblood vacuity, add nine grams of Dang Gui (RadixAngelicae Sinensis).ACUPUNCTURE & MOXIBUSTION: Fei Shu (Bl 13), GaoHuang Shu (Bl 43), Shen Shu (Bl 23), Zhi Shi (Bl 52), MingMen (GV 4), He Gu (LI 4), San Yin Jiao (Sp 6)ANALYSIS OF FORMULA: Supplementing Fei Shu and GaoHuang Shu with moxibustion warms and supplements lungyang. Moxaing Shen Shu, Zhi Shi, and Ming Men warms andsupplements kidney yang. Draining He Gu and San Yin Jiaomoves the qi and quickens the blood.ADDITIONS & SUBTRACTIONS: If there is concomitantblood vacuity, add Ge Shu (Bl 17) and Gan Shu (Bl 18). Forheart palpitations, add Shen Men (Ht 7) and Xin Shu (Bl 15).For dizziness, moxa Bai Hui (GV 20).REMARKS1. Dampness and phlegm are both yin depressions whichmay hinder and obstruct the free flow of qi and blood, thusdepriving the tissues of proper moistening and nourishing.Because qi moves and transforms body fluids, if the qi istoo vacuous to move and transform these properly or if theqi is stagnant and thus not freely flowing, fluids may collectand transform into evil dampness. In addition, becauseblood and body fluids move together, static blood may alsohinder the movement of fluids, thus resulting in evil dampness.If evil dampness lingers and endures or if it is congealedby cold or cooked by heat, dampness may transforminto phlegm. Because A) the spleen is the root of phlegmengenderment and spleen qi vacuity plays a part in mostpatterns of this disease, and B) most patterns of this diseasealso include qi stagnation and blood stasis, phlegm anddampness commonly complicate the above patterns of scleroderma.When dampness and phlegm complicate the above patterns,one should add the main ingredients of Er Chen Tang (TwoAged [Ingredients] Decoction to the above formulas: BanXia (Rhizoma Pinelliae), Fu Ling (Poria), and Chen Pi(Pericarpium Citri Reticulatae). In addition, one may alsoadd Kun Bu (Thallus Algae) and Hai Zao (Sargassum) totransform phlegm and soften the hard, Tian Nan Xing(Rhizoma Arisaematis) to transform phlegm and free theflow of the channels, and Zhi Bai Fu Zi (Rhizoma PraepartaTyphonii) to transform phlegm and dispel wind.2. When scleroderma affects the skin, local treatmentsshould be combined with systemic treatments. These localtreatments should primarily seek to quicken the blood andfree the flow of the network vessels. For instance, one canseven star hammer each day all around the margins of anysclerotic areas. If stasis is complicated by cold, one can soakthe affected areas, especially if they are located on the fingers,in warm decoctions of acrid and warm, quickening andmoving medicinals, such as Xi Xin (Herba Asari), Gui Zhi(Ramulus Cinnamomi), Su Mu (Lignum Sappan), Xue Jie(Sanguis Draconis), etc. A warm, moving tincture for externalapplication can be made from 60 grams each of DangGui (Radix Angelicae Sinensis) and Rou Gui (CortexCinnamomi), 30 grams each of Hong Hua (Flos Carthami),Gan Jiang (dry Rhizoma Zingiberis), and Chuan Jiao(Fructus Zanthoxyli), and 15 grams each of Zang Nao(Camphora) and Xi Xin (Herba Asari). Soak these in oneliter of 95% alcohol for one week. Then strain the dregs andbottle the resulting tincture. Apply several times per day.Combining massage of the affected area with this externalapplication increases its effect.3. Er Wu Tong Bi Tang (Two Wu’s Free the Flow ofImpediment Decoction) achieves good results for enduringscleroderma. It works especially well when skin abnormalities(pi bi, skin impediment) are accompanied by emaciationor muscular atrophy and restricted movement (i.e., jin bi,sinew impediment), painful joints and bones (gu bi, boneimpediment), and lesions of the internal organs (wu zang bi,five viscera impediment). Its ingredients are: uncookedHuang Qi (Radix Astragali), Shen Jin Cao (Herba Lycopodii),and Lian Qiao (Fructus Forsythiae), 12g each, processedChuan Wu (Radix Aconiti Carmichaeli), processed Cao WuTou (Radix Aconiti Kusnezofii), Gui Zhi (RamulusCinnamomi), Han Fang Ji (Radix Stephaniae), Dang Gui(Radix Angelicae Sinensis), Sang Ji Sheng (Herba Taxilli),Chuan Niu Xi (Radix Cyathulae), and Xuan Shen (RadixScrophulariae), 9g each, Qin Jiao (Radix GentianaeMacrophyllae) and Fang Feng (Radix Saposhnikoviae), 6geach, Qiang Huo (Radix Et Rhizoma Notopterygii) and Du