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

SYSTEMIC LUPUS ERYTHMATOSUS (SLE) 525has transformed heat with a bitter taste in the mouth, addnine grams of Huang Qin (Radix Scutellariae) and threegrams of Huang Lian (Rhizoma Coptidis).Gou Teng (Ramulus Uncariae Cum Uncis)Sang Ye (Folium Mori)Shan Yang Jiao (Cornu Caprae)12g6g3gACUPUNCTURE & MOXIBUSTION: Tai Chong (Liv 3), ZuSan Li (St 36), San Yin Jiao (Sp 6), He Gu (LI 4)ANALYSIS OF FORMULA: Draining Tai Chong and He Gucourses the liver and rectifies the qi, thus disinhibiting the qimechanism. Supplementing Zu San Li and even supplementing-evendraining San Yin Jiao supplements the spleenand boosts the qi. In addition, the combination of San YinJiao and He Gu quickens the blood and dispels stasis fromthe whole body if necessary.ADDITIONS & SUBTRACTIONS: If there is marked chestoppression, add Nei Guan (Per 6) and Dan Zhong (CV 17).If blood stasis is severe, add Ge Shu (Bl 17) and Xue Hai (Sp10). If there is abdominal distention, add Shang Wan (CV13) and Zhong Wan (CV 12). If there is lack of appetite dueto food stagnation, add Liang Men (St 21) and Nei Ting (St44). If depression has tranformed heat, replace Tai Chongwith Xing Jian (Liv 2) and consider adding Yang Ling Quan(GB 34). If there is marked diarrhea, add Pi Shu (Bl 20) andWei Shu (Bl 21). If there is nausea and vomiting, add NeiGuan (Per 6) and Zhong Wan (CV 12). If there are menstrualirregularities, add Qi Hai (CV 6) and Gui Lai (St 29).10. LIVER WIND INTERNALLY STIRRING PATTERNMAIN SYMPTOMS: During critical stages of this disease,there may be persistent high fever, vexation, agitation, andrestlessness, deranged speech, crying and laughing withoutconstancy, possible convulsions or seizures, possible spiritclouding, hemi- or paraplegia, urinary incontinence or retention,a red or dark tongue with no or scorched yellow fur,and a bowstring, rapid or bowstring and fine pulse.NOTE: This stage of this disease should be treated with acombination of Chinese and Western medicines.TREATMENT PRINCIPLES: Clear the liver and extinguishwind, quiet the spirit and settle tetanyRX: Ling Yang Gou Teng Tang Jia Jian (Saiga Antelope &Uncaria Decoction with Additions & Subtractions)INGREDIENTS:Sheng Di (uncooked Radix Rehmanniae)Shi Jue Ming (Concha Haliotidis)Chuan Bei Mu (Bulbus Fritillariae Cirrhosae)Zhu Ru (Caulis Bambusae In Taeniis)Fu Shen (Sclerotium Pararadicis Poriae)Ju Hua (Flos Chrysanthemi)Bai Shao (Radix Paeoniae Albae)30g30g15g15g15g12g12gANALYSIS OF FORMULA: Shan Yang Jiao and Gou Teng settle theliver and extinguish wind. Shi Jue Ming heavily settles and subduescounterflow. Sang Ye, Ju Hua, and Gou Teng clear the liver.Zhu Ru also clears the liver, eliminates vexation, and downbearscounterflow. Fu Shen quiets the spirit, while Chuan Bei Muenriches yin at the same time as it transforms phlegm.ADDITIONS & SUBTRACTIONS: If there is persistent highfever with convulsions, add 15 grams each of uncooked ShiGao (Gypsum Fibrosum) and Xuan Shen (RadixScrophulariae) and nine grams each of Zhi Mu (RhizomaAnemarrhenae) and Mai Men Dong (Tuber Ophiopogonis).For heat harassing the spirit with deranged speech, add ninegrams each of Lian Qiao (Fructus Forsythiae) and Yuan Zhi(Radix Polygalae) and six grams each of Lian Zi Xin(Plumula Nelumbinis) and Huang Lian (RhizomaCopitidis). For tremors and convulsions, add 12 grams eachof Zhen Zhu Mu (Concha Margaritiferae), Dai Zhe Shi(Haemititum), Long Gu (Os Draconis), and/or Mu Li(Concha Ostreae).ACUPUNCTURE & MOXIBUSTION: Tai Chong (Liv 3), FengChi (GB 20), Yang Ling Quan (GB 34), Qu Chi (LI 11)ANALYSIS OF FORMULA: Draining Yang Ling Quan and TaiChong clears and drains liver heat. Draining Feng Chi extinguisheswind and opens the orifices. Draining Qu Chi clearsheat and abates fever.ADDITIONS & SUBTRACTIONS: If there is dizziness, vertigo,agitation, and restlessness, add Bai Hui (GV 20) and YinTang (M-HN-3). For persistent high fever, also bleed DaZhui (GV 14) and/or Shi Xuan (M-UE-1). For concomitantphlegm fire, add Lao Gong (Per 8) and Feng Long (St 40). Forloss of consciousness, add Ren Zhong (GV 26).REMARKS1. Most cases of lupus display the following combination ofpatterns: qi and yin vacuity; some sort of evil heat (whethertoxic, depressive, damp, or vacuity); and liver depression qistagnation. If the condition has endured, there is often bloodstasis as well. If the patient is a female 45-55 years old, spleenqi vacuity may also have evolved into kidney yang vacuity.Unlike rheumatoid arthritis, there is no cold damp impedimentpattern of lupus.2. Additional medicinals for specific symptoms may be chosendepending on the presenting pattern:A. For low back and knee soreness & weakness, dizziness, tinni-