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

518 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEDISEASE MECHANISMS: Any of the above causes can resultin loss of regulation of yin and yang, qi and blood depletionand vacuity, lack of ease or smoothness in movement andtransportation, qi stagnation and blood stasis, and channeland network vessel obstruction which may then give rise tothe multiplicity of signs and symptoms associated with thisdisease. Because this disease mostly occurs or worsens afterexposure to sunshine, it is believed to be mostly due to externalcontraction of heat toxins evils. These heat toxins enter theinterior where they scorch and burn yin and blood, impedeand obstruct the channels and vessels, damage the viscera andbowels, and corrode the sinews and bones and the skin. Inaddition, allergic reactions to foods and medicinals, addictionto thick-flavored foods, living in damp environments, andcontraction of the six environmental evils may all give rise tointernal engenderment of heat toxins. If the former heavennatural endowment is insufficient and original yin or originalyang are depleted and vacuous, then this can give rise to all thevarious symptoms of SLE. Joint pain associated with SLE ismainly due to wind damp heat impediment.TREATMENT BASED ON PATTERNDISCRIMINATION:1. HEAT EVILS BLAZING & EXUBERANT PATTERNMAIN SYMPTOMS: A high fever or a continuous feverwhich will not recede, the emission of red macules or edematousred macules on the skin of the facial region, ifsevere, these lesions may be large or they may be blood blisters,generalized lack of strength, muscle and joint achingand pain, vexation and agitation, insomnia, emotionalworry and anxiety, possible spirit clouding and deliriousspeech, spasms and contractures, dry, bound stools, short,reddish urination, oral thirst with a predilection for chilleddrinks, red eyes, red lips, possible spitting of blood, spontaneousejection of blood (i.e., epistaxis), and/or hemafecia,possible sores inside the mouth, sore, swollen throat, a red,crimson, or purplish, dark tongue with yellow, slimy, yellow,dry, or yellow and white, slimy fur or a smooth bare tongue,and a bowstring, rapid pulseNOTE: This pattern describes the signs and symptoms of theinitial attack or a subsequent acute, active exacerbation ofthis disease. Such active episodes can be life-threatening andshould be treated with a combination of modern Westernand Chinese medicine.TREATMENT PRINCIPLES: Clear heat and resolve toxins,cool the blood and nourish yin, transform stasis and dispersemaculesRX: Qing Wen Bai Du Yin Jia Jian (Clear the Scourge &Vanquish Toxins Drink with Additions & Subtractions)INGREDIENTS:Shi Gao (Gypsum Fibrosum)Shui Niu Jiao (Cornu Bubali)Sheng Di (uncooked Radix Rehmanniae)Dan Pi (Cortex Moutan)Chi Shao (Radix Paeoniae Rubrae)Dang Gui (Radix Angelicae Sinensis)Zhi Mu (Rhizoma Anemarrhenae)Huang Lian (Rhizoma Coptidis)Huang Qin (Radix Scutellariae)Zhi Zi (Fructus Gardeniae)Lian Qiao (Fructus Forsythiae)Xuan Shen (Radix Scrophulariae)Dan Zhu Ye (Herba Lophatheri)Jie Geng (Radix Platycodi)Gan Cao (Radix Glycyrrhizae)60g30g20g20g20g20g15g15g15g15g15g15g9g9g9gANALYSIS OF FORMULA: Shi Gao and Zhi Mu clear heat fromthe qi division or aspect and engender fluids, while Shui NiuJiao, Xuan Shen, Sheng Di, Dan Pi, and Chi Shao clear heatfrom the blood aspect, and Zhu Ye and Lian Qiao clear heatfrom the defensive aspect. Huang Lian, Huang Qin, Zhi Zi,and Lian Qiao clear heat and resolve toxins from the threeburners. In addition, Zhu Ye engenders fluids, Xuan Shenresolves toxins, and Dan Pi, Chi Shao, and Dang Gui quickenthe blood and transform stasis. Jie Geng is the messenger whichleads the other medicinals to the lungs which are linked to theskin. Sheng Di nourishes yin, and Gan Cao harmonizes theother medicinals in this formula.ADDITIONS & SUBTRACTIONS: For dry, bound stools, addnine grams of Da Huang (Radix Et Rhizoma Rhei), decoctedlater. For high fever which will not recede or essence willsymptoms, add 0.3-0.5 grams of Ling Yang Jiao (CornuAntelopis Saiga-tatarici), swallowed down with the decoction.For low-grade fever which will not recede, add 15grams each of Yin Chai Hu (Radix Stellariae) and Di Gu Pi(Cortex Lycii). For bleeding, add 9-20 grams each of Ou Jie(Nodus Nelumbinis), Bai Mao Gen (Rhizoma Imperatae),Xian He Cao (Herba Agrimoniae), and/or Ce Bai Ye(Cacumen Platycladi) depending on the site and cause of thebleeding. If damp heat is marked with thick, slimy tonguefur, add nine grams each of Cang Zhu (Rhizoma Atractylodis) and Shi Chang Pu (Rhizoma Acori Tatarinowii) and deletethe Sheng Di, Xuan Shen, and Zhi Mu. For arthralgia, addnine grams each of Qiang Huo (Radix Et RhizomaNotopterygii), Qin Jiao (Radix Gentianae Macrophyllae),and Du Huo (Radix Angelicae Pubescentis). For severe thirst,add 12 grams each of Mai Men Dong (Tuber Ophiopogonis),Shi Hu (Herba Dendrobii), and Yu Zhu (RhizomaPolygonati Odorati). For profuse erythema, petechiae, orpurpurae, add 12 grams each of Zi Cao (RadixArnebiae/Lithospermi), Huai Hua Mi (Flos ImmaturusSophorae), and Ling Xiao Hua (Flos Campsitis).