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

514 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEZhi Shi (Fructus Immaturus Aurantii)Yu Jin (Tuber Curcumae)Dang Gui (Radix Angelicae Sinensis)Zhu Ru (Caulis Bambusae In Taeniis)9g9g9g9gANALYSIS OF FORMULA: Shi Gao, Zhi Mu, Huang Lian,Huang Qin, Da Huang, and Zhu Ru clear the stomach anddrain fire. In addition, Da Huang, with the help of Zhi Shi,frees the flow of the stools and treats constipation, Shi Gaoand Zhi Mu engender fluids damaged by heat, Huang Lianclears and drains heart fire and treats insomnia and restlessnessdue to heat harassing the spirit. Zhu Ru and Huang Lianstop vomiting. Niu Xi leads the blood to move downward.Yu Jin, Niu Xi, and Dang Gui quicken the blood, transformstasis, and stop pain.ADDITIONS & SUBTRACTIONS: For unbearable headache, add20 grams of Bai Zhi (Radix Angelicae Dahuricae) and threegrams each of Quan Xie (Scorpio) and Wu Gong(Scolopendra), powdered and taken with the strained decoction.If there is no constipation, either reduce or delete DaHuang.ACUPUNCTURE & MOXIBUSTION: He Gu (LI 4), Nei Ting(St 44), a shi point or, Xin Hui (GV 22), Shang Xing (GV23), Shen Ting (GV 24), Yang Bai (GB 14), Tou Wei (St 8)ANALYSIS OF FORMULA: Draining He Gu and Nei Tingclears the stomach and drains fire in the yang ming. The a shipoint and/or Xin Hui, Shang Xing, Shen Ting, Yang Bai, andTou Wei all free the flow of the network vessels and stopheadache. One can also bleed these points after needlingthem.ADDITIONS & SUBTRACTIONS: If the pain in generalized,subtract Tou Wei (St 8) and Shen Ting (GV 24) and add NaoHu (GV 7), Hou Ding (GV 19), Si Shen Cong (M-HN-1),and Qian Ding (GV 21). If there is deranged speech, add YaMen (GV 15). If there are spasms and contractures, add TaiChong (Liv 3).REMARKS1. The headache pain is so severe in this condition thatpatients will typically go to their local emergency room orcall their Western physician. Therefore, Western practitionersof Chinese medicine will typically only see patients withsubarachnoid hemorrhage after they have been hospitalizedand, even more likely, after they have been discharged. Whilethe combination of Chinese and Western medicine can makethe Western medicine even more effective and help eliminateany negative side effects, Chinese medicine can also be usedto prevent recurrences of bleeding in the future. In that case,one must determine what were the disease mechanisms thatled to the bleeding and which of the patient’s currently manifestingpatterns might lead to such an occurrence again.Then one should treat those current patterns so that they donot have the opportunity to cause another hemorrhagic incident.2. After the patient has been stabilized, many patients withsubarachnoid hemorrhage display the pattern of qi vacuity andblood stasis. In that case, one may consider administering thefollowing unnamed formula beginning anywhere from 48hours to 15 days after first admittance to the hospital: HuangQi (Radix Astragali), 45g, Dang Shen (Radix CodonopsitisPilosulae), 20g, Dang Gui (Radix Angelicae Sinensis) andChuan Xiong (Rhizoma Chuanxiong), 15g each, Shui Zhi(Hirudo), Di Long (Pheretima), Chi Shao (Radix PaeoniaeRubrae), Zhi Shi (Fructus Immaturus Aurantii), and Chen Pi(Pericarpium Citri Reticulatae), 9g each, and Hong Hua (FlosCarthami), 6g. This formula supplements the qi, quickens theblood, and transforms stasis. It treats headache, fatigue, lack ofstrength, and clouding of the spirit.3. Although Western medicine understands that this conditionis due to subarachnoid bleeding, practitioners ofChinese medicine should not attempt to treat this disorderwith stop-bleeding medicinals alone. The traditionalChinese doctor does not know that there is bleeding in thissituation based on the four examinations. In fact, in mostcases, the single most evident Chinese pattern is blood stasis.However, no matter what pattern the patient presents, thatshould be the pattern that is treated, not some Western medicalconcept or idea.4. It is also possible to have liver depression with stomach heat,heart blood and spleen qi vacuity, and blood stasis as well asphlegm. In this case, neither the liver nor stomach fire is asexuberant and replete as in the patterns above. In such complicatedcases, one should simply tally all the patterns presentin order of their predominance, state the necessary treatmentprinciples for each pattern in the same order, and then composean ad hoc treatment plan based on those principles. Forinstance, if heart-spleen dual vacuity predominates, oneshould begin with Gui Pi Tang (Restore the Spleen Decoction)and modify it with medicinals which clear heat from the yangming, quicken the blood, and transform phlegm.5. As stated above, due to the intense, localized nature of thepain, most patients with subarachnoid bleeding do haveblood stasis as part of their overall pattern discrimination.Therefore, blood-quickening, network vessel freeing, painrelievingmedicinals should be used in virtually all cases.These include Quan Xie (Scorpio), Wu Gong (Scolopendra),Shui Zhi (Hirudo), Di Long (Pheretima), Mo Yao (Myrrha),and Ru Xiang (Olibanum).