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

TEMPOROMANDIBULAR JOINT SYNDROME (TMJ) 5312. WIND, HEAT & PHLEGM OBSTRUCTINGTHE NETWORK VESSELS PATTERNMAIN SYMPTOMS: Severe paroxysmal, lancinating painwhich is aggravated by heat and ameliorated by cold accompaniedby a red facial complexion, fever, sweating, a drymouth, dark-colored urine, a red tongue with dry, yellow orslimy, yellow fur, and a bowstring, slippery, rapid pulseTREATMENT PRINCIPLES: Dispel wind and clear heat, flushphlegm and free the flow of the network vesselsRX: Mian Tong Fang Yi Hao (Face Pain Formula No. 1)INGREDIENTS:Chuan Xiong (Rhizoma Chuanxiong)Ju Hua (Flos Chrysanthemi)Jing Jie (Herba Schizonepetae)Dang Gui (Radix Angelicae Sinensis)Dan Shen (Radix Salviae Miltiorrhizae)Chi Shao (Radix Paeoniae Rubrae)Chan Tui (Periostracum Cicadae)Dan Pi (Cortex Moutan)Di Long (Pheretima)Ban Xia (Rhizoma Pinelliae)Chen Pi (Pericarpium Citri Reticulatae)Gan Cao (Radix Glycyrrhizae)15g12g9g9g9g9g9g9g9g6g6g3gANALYSIS OF FORMULA: Chuan Xiong, Ju Hua, Jing Jie, andChan Tui dispel wind and clear heat. Chuan Xiong dispelswind and stops pain, especially in the face and bones. Ju Huadispels wind and clears heat, especially in the head. Jing Jiereinforces the dispelling function of the cool, exterior-resolvingmedicinals which are usually somewhat weak for effectivelydispelling and clearing wind heat. Also, Jing Jie withChan Tui relieves spasms and stops pain. Together Chen Piand Ban Xia transform phlegm. Di Long frees the flow of thenetwork vessels and helps to wash away phlegm and evilsobstructing the channels. Chi Shao, Dan Pi, Dan Shen, andDang Gui quicken the blood, transform stasis due to evilsobstructing the free flow of the network vessels, and stoppain.ADDITIONS & SUBTRACTIONS: For uneasy opening and closingof the mouth, add 12 grams of Shen Jin Cao (HerbaLycopodii). For severe swelling, add nine grams each of CangZhu (Rhizoma Atractylodis), Hai Tong Pi (CortexErythiniae), and Bi Xie (Rhizoma Dioscoreae Hypoglaucae).For concomitant qi vacuity, add 12 grams of Huang Qi(Radix Astragali) and nine grams of Bai Zhu (RhizomaAtractylodis Macrocephalae). For concomitant blood vacuity,add 12 grams of Shu Di (cooked Radix Rehmanniae) andnine grams of Bai Shao (Radix Paeoniae Albae).For simple wind damp heat impediment without phlegm,but with swelling, severe pain, hotness, and redness in thejaw area, uneasy opening and closing of the mouth, possiblegeneral effusion of heat, heart restlessness, aversion to heat, aliking for coolness, dry, yellow tongue fur, and a rapid, floatingpulse, replace Mian Tong Fang Yi Hao with Xuan Bi TangJia Jian (Diffuse Impediment Decoction with Additions &Subtractions): Ren Dong Teng (Caulis Lonicerae), 30g, HanFang Ji (Radix Stephaniae), Xing Ren (Semen Armeniacae),Hua Shi (Talcum), Sang Zhi (Ramulus Mori), and Hai TongPi (Cortex Erythiniae), 15g each, and Zhi Zi (FructusGardeniae), Can Sha (Feces Bombycis), Lian Qiao (FructusForsythiae), and Chi Xiao Dou (Semen Phaseoli), 9g each.ACUPUNCTURE & MOXIBUSTION: Feng Long (St 40), QuChi (LI 11), He Gu (LI 4), Xia Guan (St 7)ANALYSIS OF FORMULA: Draining Feng Long transformsphlegm, while draining Qu Chi and He Gu dispels wind,clears heat, and treats impediment pain in the region of theface. Draining Xia Guan frees the flow of the network vesselslocally and stops pain.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.3. LIVER FIRE HARASSING ABOVE PATTERNMAIN SYMPTOMS: Burning facial pain commonly triggeredby emotional upset and exacerbated by heat, a bitter taste inthe mouth, dry throat, irritability, heart vexation, chestoppression, rib-side distention, vexatious heat in the fivehearts, frequent sighing, profuse dreams, dark-colored urine,dry stools, a red tongue with yellow fur, and a bowstring,rapid pulseTREATMENT PRINCIPLES: Clear the liver and discharge fire,free the flow of the network vessels and stop painRX: Mian Tong Fang San Hao (Face Pain Formula No. 3)INGREDIENTS:Dan Pi (Cortex Moutan)9gDang Gui (Radix Angelicae Sinensis)9gChi Shao (Radix Paeoniae Rubrae)9gChuan Xiong (Rhizoma Chuanxiong)9gYu Jin (Tuber Curcumae)9gDan Shen (Radix Salviae Miltiorrhizae)9gChai Hu (Radix Bupleuri)6gZhi Zi (Fructus Gardeniae)6gQing Dai (Pulvis Indigonis)6gDi Long (Pheretima)6gChen Pi (Pericarpium Citri Reticulatae)6gGan Cao (Radix Glycyrrhizae) 4.5gANALYSIS OF FORMULA: Dang Gui nourishes liver blood andharmonizes liver yin. Chai Hu courses the liver, resolves