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

SYSTEMIC LUPUS ERYTHMATOSUS (SLE) 521Gui Ban (Plastrum Testudinis) and Bie Jia (CarapaxTrionycis) and 15 grams each of Xiang Fu (Rhizoma Cyperi) andYu Jin (Tuber Curcumae). If blood stasis is severe, add 15 gramseach of Sang Leng (Rhizoma Sparganii) and E Zhu (RhizomaCurcumae) and nine grams each of Chi Shao (Radix PaeoniaeRubrae) and Dan Pi (Cortex Moutan). If spleen vacuity is pronounced,add 20 grams of Fu Ling (Poria) and nine grams eachof Ren Shen (Radix Ginseng) and Bai Zhu (Rhizoma AtractylodisMacrocephalae). If heat toxins tend to be exuberant, add ninegrams each of Da Huang (Radix Et Rhizoma Rhei), Long DanCao (Radix Gentianae), Chai Hu (Radix Bupleuri), and Zhi Zi(Fructus Gardeniae).ACUPUNCTURE & MOXIBUSTION: San Yin Jiao (Sp 6), HeGu (LI 4), Xing Jian (Liv 2), Yang Ling Quan (GB 34)ANALYSIS OF FORMULA: Draining Xing Jian and Yang Ling Quancourses and clears the liver. Draining He Gu clears heat and,with San Yin Jiao, quickens the blood and transforms stasis.ADDITIONS & SUBTRACTIONS: For liver-spleen enlargementand liver area aching and pain, add Qi Men (Liv 14)and Zhang Men (Liv 13). If blood stasis is severe, add Ge Shu(Bl 17). If spleen vacuity is pronounced, add Zu San Li (St36). If heat toxins tend to be exuberant, add Qu Chi (LI 11)and Xia Xi (GB 43).5. YIN VACUITY WITH FIRE EFFULGENCE PATTERNMAIN SYMPTOMS: Long-term low-grade fever which getsworse with taxation and stirring, vexatious heat in the fivehearts, tidal redness of the facial region, red cheeks, nightsweats, spontaneous perspiration, lack of strength, red orpale red skin lesions which begin in small number and graduallyget more or larger, especially after stirring or activity,more skin lesions on the face, joint aching and pain, dizzinessand vertigo, tinnitus, dry, lusterless or falling hair, drymouth, parched throat, red urine, dry stools, menstrualirregularity in females, a red tongue with scanty fur, and abowstring, fine, rapid pulse. This pattern is mostly seen inthose with acute or subacute disease occurrence.TREATMENT PRINCIPLES: Enrich the kidneys, nourish yin,and clear heatRX: Da Bu Yin Wan (Greatly Supplementing Yin Pills) & SiWu Tang (Four Materials Decoction) with additions and subtractionsINGREDIENTS:Gui Ban (Plastrum Testudinis)Bie Jia (Carapax Trionycis)Sheng Di (uncooked Radix Rehmanniae)Huang Bai (Cortex Phellodendri)Zhi Mu (Rhizoma Anemarrhenae)30g30g20g20g20gDang Gui (Radix Angelicae Sinensis)Bai Shao (Radix Paeoniae Albae)Chuan Xiong (Rhizoma Chuanxiong)20g9g9gANALYSIS OF FORMULA: Gui Ban, Bie Jia, and Sheng Disupplement the kidneys and enrich yin, while Dang Gui andBai Shao supplement the liver and nourish the blood. As it issaid, “Blood and essence share a common source,” and, “Theliver and kidneys share a common source.” Gui Ban, Bie Jia,Zhi Mu, and Huang Bai clear vacuity heat. Since vacuity heathas entered the blood division or aspect, the ingredients of SiWu Tang are used even though the principles of nourishingand/or quickening the blood are not stated.ADDITIONS & SUBTRACTIONS: If qi vacuity is severe, add 20grams of Huang Qi (Radix Astragali) and nine grams of XiYang Shen (Radix Panacis Quinquefolii). If nights sweatsand/or spontaneous perspiration are pronounced, add ninegrams each of Long Gu (Os Draconis) and Mu Li (ConchaOstreae). For spleen vacuity with scanty eating, add 20 gramseach of Shan Yao (Radix Dioscoreae) and Fu Ling (Poria) andnine grams of Bai Zhu (Rhizoma Atractylodis Macrocephalae). For marked tidal heat and vexatious heat in the five hearts,add 20 grams each of Shan Yao (Radix Dioscoreae) and FuLing (Poria ) and nine grams each of Dan Pi (Cortex Moutan),Shan Zhu Yu (Fructus Corni), and Ze Xie (Rhizoma Alismatis).Or one can add 9-15 grams each of Di Gu Pi (Cortex Lycii),Xuan Shen (Radix Scrophulariae), Tian Hua Fen (RadixTrichosanthis), and Qing Hao (Herba Artemensiae Annuae).For static blood and marked skin lesions, add nine grams eachof Tao Ren (Semen Persicae) and Hong Hua (Flos Carthami),15 grams each of Dan Shen (Radix Salviae Miltiorrhizae) andChi Shao (Radix Paeoniae Rubrae), and 20 grams each of BaiMao Gen (Rhizoma Imperatae) and Ou Jie (NodusNelumbinis). If kidney depletion is marked with low back andknee soreness and weakness, dizziness, and tinnitus, add ninegrams each of Gou Qi Zi (Fructus Lycii), Tu Si Zi (SemenCuscutae), Fu Pen Zi (Fructus Rubi), Rou Cong Rong (HerbaCistanchis), Niu Xi (Radix Achyranthis Bidentatae), and HeShou Wu (Radix Polygoni Multiflori).ACUPUNCTURE & MOXIBUSTION: Fu Liu (Ki 7), Yin Xi(Ht 6), Shen Shu (Bl 23), Ran Gu (Ki 2)ANALYSIS OF FORMULA: Supplementing Fu Liu supplements thekidneys, enriches yin, and engenders fluids. Supplementing YinXi nourishes yin, quiets the spirit, and stops sweating.Supplementing Shen Shu supplements the kidneys and enrichesyin, while draining Ran Gu clears vacuity heat.ADDITIONS & SUBTRACTIONS: If qi vacuity is severe, addZu San Li (St 36). For marked tidal heat and vexatious heatin the five hearts, add Da Zhui (GV 14). For static blood andmarked skin lesions, add Ge Shu (Bl 17) and Ling Tai (GV10). For joint aching and pain, add Qu Chi (LI 11) and Yin