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

SJÖGREN’S SYNDROME (SS) 501dry mouth, add Cheng Jiang (CV 24). For itchy and/orpainful, swollen parotid glands, add Yi Feng (TB 17). Formarked joint aching and pain, add a shi points.3. YIN VACUITY WITH INTERNALDRYNESS PATTERNMAIN SYMPTOMS: Due to natural endowment or prolongeduse of steroids, there are dry mouth, parched throat,dry, astringent eyes, dizziness and pain, tinnitus, deafness,bodily emaciation, vexatious heat in the five hearts, redcheeks, night sweats, low back and knee joint aching andpain, seminal emission in men, menstrual irregularity inwomen, a red tongue with scanty fur or a bare, smooth, dry,peeled tongue, and a fine, rapid pulse.NOTE: In this pattern the disease is located primarily in theliver and kidneys.TREATMENT PRINCIPLES: Enrich yin and moisten dryness,supplement the liver and boost the kidneysRX: Yi Guan Jian Jia Jian (One Link Decoction withAdditions & Subtractions)INGREDIENTS:Sheng Di (uncooked Radix Rehmanniae) 9-15gBei Sha Shen (Radix Glehniae)12gMai Dong (Tuber Ophiopogonis)12gTian Dong (Tuber Asparagi)12gDang Gui (Radix Angelicae Sinensis)9gGou Qi Zi (Fructus Lycii)9gChuan Lian Zi (Fructus Toosendan)6gANALYSIS OF FORMULA: Sheng Di, Tian Men Dong, DangGui, and Gou Qi Zi nourish liver blood and enrich kidneyyin. Sha Shen, Mai Men Dong, and Sheng Di enrich yin andmoisten dryness. Chuan Lian Zi courses the liver and rectifiesthe qi without damaging yin.ADDITIONS & SUBTRACTIONS: For fatigue and weaknessof limbs, add 15 grams each of Dang Shen (RadixCodonopsitis) and Huang Qi (Radix Astragali) and 20 gramsof Huang Jing (Rhizoma Polygonati). For severe dryness, addnine grams each of Shi Hu (Herba Dendrobii) and Lu Gen(Rhizoma Phragmitis). For vacuity heat with night sweats,tidal heat, bone steaming, and hot flashes in the face, add 12grams each of Xuan Shen (Radix Scrophulariae), Di Gu Pi(Cortex Lycii), and Zhi Mu (Rhizoma Anemarrhenae). Forswollen, enlarged parotid glands, add nine grams of Shan CiGu (Bulbus Shancigu). For bleeding gums or nose, add 15grams each of Han Lian Cao (Herba Ecliptae), Ou Jie (NodusNelumbinis), and Bai Mao Gen (Rhizoma Imperatae). Forinsomnia and restlessness, add 20 grams of Bai He (BulbusLilii ) and nine grams of Wu Wei Zi (Fructus Schisandrae).If the main symptom is bilateral eye dryness and astringency,use Qi Ju Di Huang Tang (Lycium & ChrysanthemumDecoction) instead. This is comprised of: Shu Di (cookedRadix Rehmanniae), 10-15 grams, Shan Zhu Yu (FructusCorni), Gou Qi Zi (Fructus Lycii), and Shan Yao (RadixDioscoreae), 12 grams each, Fu Ling (Poria), Ze Xie(Rhizoma Alismatis), Dan Pi (Cortex Moutan), and Ju Hua(Flos Chrysanthemi), 9 grams each.If there is marked joint aching and pain due to drynessmixed with impediment, then use Da Qin Jiao Tang (GreatGentiana Macrophylla Decoction) instead. This is composedof: Qin Jiao (Radix Gentianae Macrophyllae), 15g, ShengShu Di (uncooked and cooked Radix Rehmanniae), and FuLing (Poria), 12g each, Dang Gui (Radix Angelicae Sinensis),Bai Shao (Radix Paeoniae Albae), Chuan Xiong (RhizomaChuanxiong), Shi Gao (Gypsum Fibrosum), Huang Qin(Radix Scutellariae), Du Huo (Radix Angelicae Pubescentis),Bai Zhi (Radix Angelicae Dahuricae), Qiang Huo (Radix EtRhizoma Notopterygii), and Gan Cao (Radix Glycyrrhizae),9g each, Bai Zhu (Rhizoma Atractylodis Macrocephalae), 6g,and Xi Xin (Herba Asari), 3g.ACUPUNCTURE & MOXIBUSTION: Fu Liu (Ki 7), Gan Shu(Bl 18), Pi Shu (Bl 20), Shen Shu (Bl 23)ANALYSIS OF FORMULA: Supplementing Fu Liu enrichesyin and moistens dryness, supplementing Gan Shu nourishesliver yin and blood, supplementing Pi Shu fortifies the latterheaven to support the former heaven, and supplementingShen Shu supplements kidney yin.ADDITIONS & SUBTRACTIONS: For dry mouth, add ChengJiang (CV 24). For parched throat, add Zhao Hai (Ki 6). Fordry, astringent eyes, add Guang Ming (GB 37) and Feng Chi(GB 20). For dizziness, add Bai Hui (GV 20). For tinnitus ordeafness, add Ting Hui (GB 2). For night sweats, add Yin Xi(Ht 6). For menstrual irregularity, add San Yin Jiao (Sp 6).For fatigue and weakness of the limbs, add Zu San Li (St 36).For vacuity heat with night sweats, tidal fever, bone steaming,and hot flashes in the face, add Ran Gu (Ki 2) and DaZhui (GV 14). For insomnia and restlessness, add Shen Men(Ht 7). For enlarged, swollen parotid glands, add Yi Feng(TB 17). For marked joint aching and pain, add a shi points.4. QI & YIN DUAL VACUITY PATTERNMAIN SYMPTOMS: Due to enduring damage to the righteous,there are dry mouth and lips, hoarse voice, dry, itchyeyes, blurred vision, dry nose, difficulty distinguishing fragrancefrom fetor, a lusterless facial complexion, scanty qi,lack of strength, afternoon low-grade heat or emission of theheat from the hands, feet, and heart, a pale red tongue withscanty, dry fur, and a fine, rapid pulse.