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

510 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEANALYSIS OF FORMULA: Huang Qi, Dang Shen, Shan Yao,and Bai Zhu fortify the spleen and boost the qi. WithSheng Ma and Chai Hu, they upbear clear yang. Dang Guiharmonizes the blood, while Chen Pi rectifies the qi. WuYao warms the lower origin and secures the kidneys. ShanYao and Yi Zhi Ren, together supplement and secure thekidneys and reduce urination.ADDITIONS & SUBTRACTIONS: For more pronouncedyang vacuity, add nine grams each of Zhi Fu Zi (RadixLateralis Praeparatus Aconiti Carmichaeli) and Rou Gui(Cortex Cinnamomi). If there is concomitant yin vacuity,add 12 grams of Shu Di (cooked Radix Rehmanniae). Toincrease the securing and astringing function of the aboveformula, add nine grams each of Wu Wei Zi (FructusSchisandrae) and Tu Si Zi (Semen Cuscutae). If there is lowback pain, add nine grams each of Xu Duan (Radix Dipsaci)and Du Zhong (Cortex Eucommiae). For concomitant breakdown in interaction between the heart and kidneys, add ninegrams each of Yuan Zhi (Radix Polygalae), Shi Chang Pu(Rhizoma Acori Tatarinowii), Fu Shen (SclerotiumPararadicis Poriae Cocos), and Lian Zi (Semen Nelumbinis).For liver depression, add nine grams each of Xiang Fu(Rhizoma Cyperi) and Chuan Lian Zi (Fructus Toosendan).For nocturia, add nine grams each of Fu Pen Zi (FructusRubi) and Jin Ying Zi (Fructus Rosae Laevigatae).ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36), BaiHui (GV 20), Guan Yuan (CV 4), Tai Xi (Ki 3)ANALYSIS OF FORMULA: Supplementing Zu San Li, BaiHui, and Guan Yuan with moxibustion fortifies the spleenand boosts the qi, upbears yang and reduces urination. Inaddition, moxaing Guan Yuan and Tai Xi supplements yangand secures the kidneys.ADDITIONS & SUBTRACTIONS: For more pronouncedyang vacuity, add Ming Men (GV 4). If there is concomitantkidney yin vacuity, add Fu Liu (Ki 7). If there is marked qivacuity, add San Yin Jiao (Sp 6). If there is low back pain, addGong Sun (Sp 4) and Fu Liu (Ki 7). For concomitant breakdown in interaction between the heart and kidneys, add ZhiShi (Bl 52) and Shen Men (Ht 7). For liver depression, addZhong Feng (Liv 4). For nocturia, add Zhi Shi (Bl 52). Forconcomitant damp heat, replace Guan Yuan with Qu Gu(CV 2). For stress incontinence but dysuria or painful urination,add Zhi Bian (Bl 54).REMARKS1. Of course, in real-life, if there is spleen qi vacuity and kidneyyang vacuity, there will be liver depression qi stagnation.In perimenopausal women there may also be both yin andyang vacuity. Although blood stasis may complicate any orall of these patterns, blood stasis per se does not play a directpart in the disease mechanisms associated with this condition.2. Recently, a Western medical procedure has been developedfor older female patients with stress incontinence due toatrophy of the tissues surrounding the urethra. This consistsof injecting a bulking agent into the tissues surrounding theurethra, thus narrowing the urethral passageway. Althoughthis procedure seems to have few side effects, it is not 100%effective in all patients and may need to be repeated. Chineseherbal medicine is relatively effective for stress incontinence.Therefore, Chinese medicine might be tried first before suchinjection therapy, or administered in tandem to make thatinjection therapy even more effective with fewer side effects.3. A recent report from the U.S. Department of Health &Human Services analyzed 22 different studies and concludedthat muscular re-education through biofeedback training hasa success rate for treating urinary incontinence ranging from54-95% depending on the patient group. 14. Based on modern clinical experience, several acupointcombinations seem to achieve good results when treatingstress incontinence. These include: Tong Tian (Bl 7) needledin the direction of Luo Que (Bl 8) and Guan Yuan (CV 4)treated with a moxa pole; Tai Xi (Ki 3) and Guan Yuan (CV4) needled with the burning mountain fire method; Zhi Bian(Bl 54) and San Yin Jiao (Sp 6) with strong needle sensationat Zhi Bian; and Jia Ji (M-BW-35) at the levels of L1 to S2needled in the direction of the spinal column.ENDNOTES1 Urinary Incontinence Guideline Panel, “Urinary Incontinence in Adults:Clinical Practice Guideline,” AHCPR Pub. No. 92-0038, Rockville, MD,March, 1992