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

TEMPOROMANDIBULAR JOINT SYNDROME (TMJ) 533Mu Li (Concha Ostreae)Bai Shao (Radix Paeoniae Albae)Gui Ban (Plastrum Testudinis)Xuan Shen (Radix Scrophulariae)Tian Men Dong (Tuber Asparagi)Yin Chen Hao (Herba Artemisiae Scoparie)Chuan Lian Zi (Fructus Toosendan)Mai Ya (Fructus Germinatus Hordei)Gan Cao (Radix Glycyrrhizae)15g15g15g9g9g6g6g6g6gANALYSIS OF FORMULA: Niu Xi and Bai Shao nourish liveryin and blood. Gui Ban and Tian Men Dong enrich kidneyyin. These four medicinals treat the root of the disease. DaiZhe Shi, Niu Xi, Long Gu, Mu Li, and Gui Ban subdue yangand extinguish wind. They treat the branches of this disease.Xuan Shen clears vacuity heat due to yin vacuity, especiallyhot flashes in the face, night sweats, and malar flushing. YinChen Hao and Chuan Lian Zi clear and eliminate liver-gallbladderdamp heat, while the latter also clears and coursesthe liver to prevent liver fire. Mai Ya promotes the digestionof heavy medicinals like Mu Li, Long Gu, Gui Ban, and DaiZhe Shi and prevents food stagnation.ADDITIONS & SUBTRACTIONS: For headache and vertigo,add 15 grams of Xia Ku Cao (Spica Prunellae) and ninegrams of Ju Hua (Flos Chrysanthemi). For phlegm obstructingthe network vessels, add nine grams each of Zhe Bei Mu(Bulbus Fritillariae Thunbergii) and Tian Nan Xing(Rhizoma Arisaematis). For more pronounced liver-kidneyyin vacuity, add 12 grams each of Shu Di (cooked RadixRehmanniae) and Shan Zhu Yu (Fructus Corni).ACUPUNCTURE & MOXIBUSTION: Feng Chi (GB 20), FuLiu (Ki 7), San Yin Jiao (Sp 6), He Gu (LI 4), Xia Guan (St 7)ANALYSIS OF FORMULA: Fu Liu is the water point of thekidney channel, therefore, supplementing it enriches kidneyyin. San Yin Jiao is the intersection point of the three yinchannels of the feet. Supplementing it nourishes liver yin.Together, these two points treat the root of this disease, i.e.,yin vacuity. Draining Feng Chi levels the liver, subdues yang,and extinguishes wind, especially when its manifestations arein the head and face. Draining He Gu and Xia Guan frees theflow of the network vessels in the region of the temporomandibularjoint and stops pain.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.6. QI & BLOOD VACUITY PATTERNMAIN SYMPTOMS: Grinding of the teeth, possible facialswelling, a somber white or sallow yellow facial complexion,fatigue, lassitude of the spirit, lack of strength, reduced foodintake, abdominal distention after meals, loose stools, coldhands and feet, dizziness, heart palpitations, pale lips andnails, a tender, pale tongue with teeth-marks on its edges andthin, white fur, and a fine, weak pulseTREATMENT PRINCIPLES: Boost the qi and nourish the bloodRX: Ba Zhen Tang Jia Wei (Eight Pearls Decoction withAdded Flavors)INGREDIENTS:Bai Shao (Radix Paeoniae Albae)Shu Di (cooked Radix Rehmanniae)Ji Xue Teng (Caulis Spatholobi)Dang Shen (Radix Codonopsitis)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Fu Ling (Poria)Dang Gui (Radix Angelicae Sinensis)Chuan Xiong (Rhizoma Chuanxiong)mix-fried Gan Cao (Radix Glycyrrhizae)18g12g12g9g9g9g9g9g6gANALYSIS OF FORMULA: Dang Shen, Bai Zhu, Fu Ling, andmix-fried Gan Cao are the four gentlemen of Si Jun Zi Tang(Four Gentlemen Decoction), one of the basic Chinesemedicinal formulas for fortifying the spleen and boosting theqi. Shu Di, Dang Gui, Bai Shao, and Chuan Xiong are thefour ingredients of Si Wu Tang (Four Materials Decoction),one of the basic Chinese medicinal formulas for nourishingthe blood. Together, they form the eight pearls of Ba ZhenTang (Eight Pearls Decoction) which is a key formula for thetreatment of qi and blood dual vacuity. Jie Xue Teng is thenadded to reinforce the supplementation of the blood and freethe flow of the network vessels.ADDITIONS & SUBTRACTIONS: For uneasy opening andclosing of the mouth with pain, add 15 grams of Di Long(Pheretima) and nine grams of Jiang Can (BombyxBatryticatus). For severe weakness in opening the mouth orin the four limbs, add 15 grams of Huang Qi (RadixAstragali) and 12 grams of Huang Jing (RhizomaPolygonati). For abdominal fullness and reduced foodintake, add nine grams of Hou Po (Cortex MagnoliaeOfficinalis) and Mai Ya (Fructus Germinatus Hordei). Forloose stools, add nine grams of Cang Zhu (RhizomaAtractylodis) and five grams of Sha Ren (Fructus Amomi).If there is primarily qi vacuity with more facial swelling thanpain, replace Ba Zhen Tang Jia Wei with Bu Zhong Yi Qi TangJia Wei (Supplement the Center & Boost the Qi Decoctionwith Added Flavors): Radix Astragali (Huang Qi), 15g,Chuan Xiong (Rhizoma Chuanxiong), Dang Shen (RadixCodonopsitis), Bai Zhu (Rhizoma AtractylodisMacrocephalae), and Fu Ling (Poria), 9g each, Dang Gui(Radix Angelicae Sinensis), Chen Pi (Pericarpium CitriReticulatae), Sheng Ma (Rhizoma Cimicifugae), and mix-friedGan Cao (Radix Glycyrrhizae), 6g each, and Chai Hu (RadixBupleuri), 3g. If there is marked liver depression, double or