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

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

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SYSTEMIC LUPUS ERYTHMATOSUS (SLE) 523RX: Shen Qi Wan (Kidney Qi Pills) & Si Jun Zi Tang (FourGentlemen Decoction) with additions and subtractionsINGREDIENTS:Fu Ling (Poria)Shan Yao (Radix Dioscoreae)Zhi Fu Zi (Radix Lateralis Praeparatus AconitiCarmichaeli)Rou Gui (Cortex Cin<strong>nam</strong>omi)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Ze Xie (Rhizoma Alismatis)Shan Zhu Yu (F<strong>ru</strong>ctus Corni)Dan Pi (Cortex Moutan)Ren Shen (Radix Ginseng)mix-fried Gan Cao (Radix Glycyrrhizae)30g20g15g15g12g12g12g12g6g6gANALYSIS OF FORMULA: Rou Gui, Fu Zi, and Shan Zhu Yuwarm and supplement kidney yang. Shan Yao, Fu Ling, RenShen, Bai Zhu, and mix-fried Gan Cao fortify the spleen andboost the qi. Dan Pi quickens the blood, and Bai Zhu, ZeXie, and Fu Ling transform and disinhibit water.ADDITIONS & SUBTRACTIONS: For severe nausea and vomiting,add 20 grams <strong>of</strong> Sheng Jiang (uncooked RhizomaZingberis), and nine grams each <strong>of</strong> Chen Pi (PericarpiumCitri Reticulatae), Ban Xia (Rhizoma Pinelliae), Hou Po(Cortex Magnoliae), and Shi Chang Pu (Rhizoma AcoriTatarinowii). For more kidney vacuity, add 9-15 grams each<strong>of</strong> Tu Si Zi (Semen Cuscutae), Xian Mao (RhizomaCurculiginis), Xian Ling Pi (Herba Epimedii), Sang Ji Sheng(Herba Taxilli), Chuan Duan (Radix Dipsaci), Gou Qi Zi(F<strong>ru</strong>ctus Lycii), Du Zhong (Cortex Eucommiae), He Shou Wu(Radix Polygoni Multiflori), and Rou Cong Rong (HerbaCistanchis). If urination is inhibited and water swelling issevere, add 9-15 grams each <strong>of</strong> Zhu Ling (Polypo<strong>ru</strong>s), Da FuPi (Pericarpium Arecae), Bai Mao Gen (Rhizoma Imperatae),and Chi Xiao Dou (Semen Phaseoli). If there is diarrhea,increase the amount <strong>of</strong> Shan Yao up to 30 grams and add 20grams <strong>of</strong> stir-fried Bai Zhu (Rhizoma AtractylodisMacrocephalae) and nine grams each <strong>of</strong> Rou Dou Kou (SemenMyristicae) and Sha Ren (F<strong>ru</strong>ctus Amomi).ACUPUNCTURE & MOXIBUSTION: Tai Xi (Ki 3), GuanYuan (CV 4), Zu San Li (St 36), Yin Ling Quan (Sp 9)ANALYSIS OF FORMULA: Supplementing Tai Xi with moxibustionsupplements the kidney qi and disinhibits water.Supplementing Guan Yuan with moxibustion warms andsupplements kidney yang. Supplementing Zu San Li withmoxibustion fortifies the spleen, boosts the qi, and downbearsthe turbid. Draining Yin Ling Quan disinhibits waterand disperses swelling.ADDITIONS & SUBTRACTIONS: For nausea and vomiting,add Shang Wan (CV 13) and Nei Guan (Per 6). For moremarked kidney vacuity, add Ming Men (GV 4) and Shen Shu(Bl 23). If urination is inhibited and water swelling is severe,add Zhong Ji (CV 3) and San Yin Jiao (Sp 6). If there is diarrhea,add Shen Que (CV 8).8. HEART-SPLEEN DUAL VACUITY PATTERNMAIN SYMPTOMS: In the latter stages, if disease has damagedthe heart, there may be heart palpitations, shortness <strong>of</strong> breath,chest oppression, pr<strong>of</strong>use sweating, chilled limbs, insomnia,pr<strong>of</strong>use dreams, low-grade fever, night sweats, fatigue, lack <strong>of</strong>strength, emaciation, disinclination to speak and/or weakvoice, poor appetite, possible abdominal distention and loosestools, a pale white or sallow yellow facial complexion, a pale,enlarged tongue with white fur, and a fine, weak, possiblyrapid, possibly bound or regularly intermittent pulse.TREATMENT PRINCIPLES: Supplement and fortify the heartand spleen, nourish the blood and quiet the spiritRX: Gui Pi Tang (Restore the Spleen Decoction) & TianWang Bu Xin Dan (Heavenly Emperor Supplement theHeart Elixir) with additions and subtractionsINGREDIENTS:Fu Shen (Sclerotium Pararadicis Poriae Cocos)Dang Shen (Radix Codonopsitis)Huang Qi (Radix Astragali)Dang Gui (Radix Angelicae Sinensis )Xuan Shen (Radix Scrophulariae)Dan Shen (Radix Salviae Miltiorrhizae)Mai Men Dong (Tuber Ophiopogonis)Wu Wei Zi (F<strong>ru</strong>ctus Schisandrae)Bai Zi Ren (Semen Platycladi)Suan Zao Ren (Semen Zizyphi Spinosae)Yuan Zhi (Radix Polygalae)Long Yan Rou (Arillus Longanae)12g9g9g9g9g9g9g9g9g9g9g9gANALYSIS OF FORMULA: Fu Shen, Suan Zao Ren, Bai ZiRen, Wu Wei Zi, and Long Yan Rou all supplement andnourish the heart. Dang Shen and Huang Qi fortify thespleen and boost the qi. Dang Gui and Dan Shen nourishand quicken the blood. Mai Men Dong, Wu Wei Zi, andXuan Shen enrich yin and engender fluids. Xuan Shen alsoclears vacuity heat. Fu Shen, Wu Wei Zi, and Yuan Zhiquiet the spirit.ADDITIONS & SUBTRACTIONS: During remission periods,Gui Pi Wan (Restore the Spleen Pills) or Tian Wang Bu XinDan (Heavenly Emperor Supplement the Heart Elixir) maybe administered in ready-made pill form to patients withmild heart vacuity symptoms.If heart qi vacuity is marked with spontaneous perspiration,replace Gui Pi Tang and Tian Wang Bu Xin Dan with Zhi Gan

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