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

SJÖGREN’S SYNDROME (SS) 5036. QI STAGNATION & BLOOD STASIS PATTERNMAIN SYMPTOMS: Commonly seen during the latter stagewhen enduring disease has damaged the righteous andentered the network vessels, there are dry mouth, parchedthroat, an abnormal sensation in the eyes, swollen, distendedparotid region and hard to disperse piercing pain, a dark,stagnant facial complexion, purple red maculopapular skinlesions whose color does not recede when pressed, jointaching and pain, numbness and insensitivity, abdominalconcretions and accumulations, fixed pain, a pale red tonguewith purple qi or static macules, and a fine, choppy pulse.TREATMENT PRINCIPLES: Boost the qi and quicken theblood assisted by clearing heat, moistening dryness, and freeingthe flow of the network vesselsRX: Sheng Xue Run Pi Yin (Engender the Blood & Moistenthe Skin Drink)INGREDIENTS:Sheng Shu Di (uncooked & cooked Radix Rehmanniae) 15g eachHuang Qi (Radix Astragali)15gTian Men Dong (Tuber Asparagi)12gMai Men Dong (Tuber Ophiopogonis) 12gDang Gui (Radix Angelicae Sinensis)9gWu Wei Zi (Fructus Schisandrae)9gHuang Qin (Radix Scutellariae)9gGua Lou Ren (Semen Trichosanthis)9gTao Ren (Semen Persicae)9galcohol stir-fried Hong Hua (Flos Carthami) 9gSheng Ma (Rhizoma Cimicifugae)1.5-4.5gANALYSIS OF FORMULA: Sheng Di, Shu Di, Tian Men Dong,Mai Men Dong, and Wu Wei Zi nourish yin and moisten dryness.Dang Gui, Hong Hua, and Tao Ren quicken the bloodand transform stasis. In addition, Dang Gui and Tao Renmoisten dryness. Huang Qi boosts the qi. Huang Qin andSheng Ma clear heat.ADDITIONS & SUBTRACTIONS: If small joint pain ismarked, add nine grams each of Wei Ling Xian (RadixClematidis), Tu Fu Ling (Rhizoma Smilacis Glabrae), MuGua (Fructus Chaenomelis), and Hu Zhang (RhizomaPolygoni Cuspidati).For abdominal concretions and accumulations which are hardin substance and aching and painful, use instead Shao Fu ZhuYu Tang Jia Wei (Lower Abdomen Dispel Stasis Decoctionwith Added Flavors): Bai Hua She She Cao (Herba HedyotisDiffusae) and Ban Zhi Lian (Herba Scutellariae Barbatae),15g each, Dang Gui (Radix Angelicae Sinensis), Chuan Xiong(Rhizoma Chuanxiong), Chi Shao (Radix Paeoniae Rubrae),Dong Kui Zi (Semen Malvae), Zhong Jie Feng (Ramulus EtFolium Sarcandrae), Wu Ling Zhi (Feces Trogopterori), andPu Huang (Pollen Typhae), 9g each, Xiao Hui Xiang (FructusFoeniculi), Gui Zhi (Ramulus Cinnamomi), Ru Xiang(Olibanum), and Mo Yao (Myrrha), 6g each, and Sheng Jiang(dry Rhizoma Zingiberis), 3g.ACUPUNCTURE & MOXIBUSTION: San Yin Jiao (Sp 6), HeGu (LI 4), Zu San Li (St 36), Fu Liu (Ki 7)ANALYSIS OF FORMULA: Draining San Yin Jiao and He Gumoves the qi, quickens the blood, and frees the flow of thenetwork vessels. Supplementing Zu San Li boosts the qi,while supplementing Fu Liu enriches yin and engendersfluids.ADDITIONS & SUBTRACTIONS: For dry mouth, add ChengJiang (CV 24). For parched throat, add Zhao Hai (Ki 6). Fordry, astringent eyes or an abnormal sensation in the eyes, addGuang Ming (GB 37) and Feng Chi (GB 20). For fatigue, addTai Bai (Sp 3). For swollen, distended parotid region, add YiFeng (TB 17). For marked joint aching and pain, add a shipoints. For abdominal concretions and accumulations andfixed abdominal pain, add Tian Shu (St 25), Zhong Wan (CV12), Qi Hai (CV 6), and Nei Guan (Per 6).7. PHLEGM TURBIDITY INTERNALLYBINDING PATTERNMAIN SYMPTOMS: Slightly dry mouth and eyes, parotidregion swollen and distended, gradual enlargement that doesnot disperse, swollen submaxillary nodules which are difficultto move, fixed, circumscribed lumps in the abdomenwhich are also immovable possibly accompanied by pain,cough, chest oppression, profuse phlegm, a pale tongue withwhite, slimy fur, and a bowstring, slippery pulse. This patternis mostly seen in those where the disease course has beenprolonged and in whom habitual bodily yin vacuity and drynessare severe. It may also be encountered in those who eattoo much sweet, thick-flavored, fatty foods, or in those whoare repeatedly invaded by damp heat evils. In any of theseinstances, phlegm and dampness may be engendered internallywhich then binds into nodules.NOTE: In this pattern, the disease is located in the lungs,spleen, liver, and kidneys.TREATMENT PRINCIPLES: Transform phlegm and softenthe hard assisted by moistening drynessRX: Hai Zao Yu Hu Tang (Sargassum Jade Flask Decoction)INGREDIENTS:Hai Zao (Sargassum)Hai Dai (Herba Zosterae Marinae)12g12g