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

TEMPOROMANDIBULAR JOINT SYNDROME (TMJ) 537harmonizing formula such as Xiao Chai Hu Tang (MinorBupleurum Decoction), Xiao Yao San (Rambling Powder), orBan Xia Xie Xin Tang (Pinellia Drain the Heart Decoction)and modify one of these with additions and subtractions suggestedby the ingredients in the simpler, more discreet formulasdescribed above.3. Although the Chinese medical literature does not discussthis, TMJ may also be due to clenching of the teeth as a stressresponse. In that case, there is most definitely liver depressionqi stagnation. However, there may or may not be anyheat evils. Since most cases of chronic or enduring liverdepression involve a liver-spleen disharmony, Xiao Chai HuTang and Xiao Yao San are often the guiding formulas ofchoice. These should then be modified with medicinals thatrelax spasm, such as Bai Shao (Radix Paeoniae Albae) andGan Cao (Radix Glycyrrhizae), a.k.a. Shao Yao Gan Cao Tang(Peony & Licorice Decoction), and medicinals which movethe qi and quicken the blood in the area of the jaw, such asChuan Xiong (Rhizoma Chuanxiong) and Qiang Huo (RadixEt Rhizoma Notopterygii).4. In terms of complicated mixed patterns, for wind colddamp impediment with liver-spleen disharmony and bloodstasis, consider He Bi Tang (Jaw Impediment Decoction): JiXue Teng (Caulis Spatholobi), 18g, Sang Ji Sheng (HerbaTaxilli), 15g, Fang Feng (Radix Saposhnikoviae), Qiang Huo(Radix Et Rhizoma Notopterygii), Qin Jiao (RadixGentianae Macrophyllae), Bai Zhi (Radix AngelicaeDahuricae), Chuan Xiong (Rhizoma Chuanxiong), Gui Zhi(Ramulus Cinnamomi), Sheng Ma (Rhizoma Cimicifugae),Bai Zhu (Rhizoma Atractylodis Macrocephalae), Fu Ling(Poria), Dang Gui (Radix Angelicae Sinensis), Xiang Fu(Rhizoma Cyperi), and Niu Xi (Radix AchyranthisBidentatae), 9g each, and Xi Xin (Herba Asari), 4.5g.For wind cold damp impediment with qi and blood stasisand stagnation, one can use Qu Feng Huo Xue Tang (DispelWind & Quicken the Blood Decoction): Xi Xian Cao(Herba Siegesbeckiae), 15g, Shen Jin Cao (Herba Lycopodii),Du Huo (Radix Angelicae Pubescentis), Sang Zhi (RamulusMori), Wei Ling Xian (Radix Clematidis), Luo Shi Teng(Caulis Trachelospermi), Song Jie (Lignum Nodi Pini), HaiFeng Teng (Caulis Piperis Kadsurae), Dang Gui (RadixAngelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong),9g each, and Qin Jiao (Radix Gentianae Macrophyllae), 4.5g.5. For temporomandibular joint syndrome from arthritis dueto wind cold damp impediment, one can use warm needlingmethod. Seven to nine moxa cones should be burnt on theheads of the needles at Xia Guan (St 7) and/or Jia Che (St 6)one time per day. For recalcitrant pain, electroacupuncture issometimes also more effective than needling alone.6. Gua sha of the nape of the neck and upper back can beuseful as an adjunctive treatment in this condition in orderto relieve counterflowing qi in the tai yang. If gua sha resultsin extreme erythema and petechiae, it should be repeated 1-3 times at 1-2 week intervals.7. Biofeedback can also be useful as adjunctive therapy forTMJ as can craniosacral therapy.