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

ULCERATIVE COLITIS (UC) 553RX: Shao Fu Zhu Yu Tang Jia Jian (Lesser Abdomen DispelStasis Decoction with Additions & Subtractions)INGREDIENTS:Yan Hu Suo (Rhizoma Corydalis)Dang Gui (Radix Angelicae Sinensis)Chi Shao (Radix Paeoniae Rubrae)Pu Huang (Pollen Typhae)Wu Ling Zhi (Feces Trogopterori)Mo Yao (Myrrha)Chuan Xiong (Rhizoma Chuanxiong)Xiao Hui Xiang (Fructus Foeniculi)Gan Jiang (dry Rhizoma Zingiberis)Rou Gui (Cortex Cinnamomi)12g9g9g9g9g9g6g6g3g3gANALYSIS OF FORMULA: Yan Hu Suo, Dang Gui, Chi Shao,Pu Huang, Wu Ling Zhi, Mo Yao, and Chuan Xiong all quickenthe blood, transform stasis, and stop pain. In addition, PuHuang and Wu Ling Zhi stop bleeding. Xiao Hui Xiang, GanJiang, and Rou Gui warm the spleen and stop diarrhea. XiaoHui Xiang moves the qi and stops abdominal pain.ADDITIONS & SUBTRACTIONS: For spasmodic pain, add15 grams each of Bai Shao (Radix Paeoniae Albae) and GanCao (Radix Glycyrrhizae). For severe blood in the stools, add12 grams each of Qian Cao (Radix Rubiae), Huai Hua Mi(Flos Immaturus Sophorae), and Di Yu (RadixSanguisorbae).ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36), GeShu (Bl 17), Pi Shu (Bl 20), Da Chang Shu (Bl 25), San YinJiao (Sp 6)ANALYSIS OF FORMULA: Even supplementing-even drainingZu San Li and Pi Shu rectifies the qi in the intestines,stops pain, and stops diarrhea. Draining Ge Shu, Da ChangShu, and San Yin Jiao quickens the blood and transforms stasisin the intestines, stops abdominal pain and stops diarrhea.ADDITIONS & SUBTRACTIONS: For severe bleeding, addYin Bai (Sp 1) with moxibustion.REMARKS1. Most cases of ulcerative colitis in Western patients manifesta combination of two or more disease mechanisms orpatterns. The two most common concomitant patterns inour experience are damp heat and liver-spleen disharmony.Depending on the severity of the condition, this may then becomplicated by blood stasis, damaged fluids, blood vacuity,or yin insufficiency. If corticosteroids have been used for along time, there may also be a dual yin and yang vacuity. Thefollowing is a complex formula for a combination of spleenvacuity, intestinal qi stagnation, damp heat, blood vacuity,blood stasis, and marked bleeding but no particular mucus:San Shen San Bai Tang (Three Shens & Three WhitesDecoction): Yan Hu Suo (Rhizoma Corydalis) and Dan Shen(Radix Salviae Miltiorrhizae), 15g, Ci Ji Li (Fructus Tribuli),12g, Dang Shen (Radix Codonopsitis), Ku Shen (RadixSophorae Flavescentis), Bai Xian Pi (Cortex Dictamni), DiFu Zi (Fructus Kochiae), Bing Lang (Semen Arecae), MuXiang (Radix Auklandiae), Xian He Cao (HerbaAgrimoniae), and Di Yu (Radix Sanguisorbae), 9g each. It isoffered as a model of a complex formula for a complex combinationof patterns.For chronic UC due to liver depression, spleen vacuity, dampheat, blood stasis, blood vacuity, and damaged fluids, use LiChang Tang (Rectify the Intestines Decoction): Bai Shao(Radix Paeoniae Albae) and Bai Zhu (Rhizoma AtractylodisMacrocephalae), 15g each, Chai Hu (Radix Bupleuri),Huang Bai (Cortex Phellodendri), and Ku Shen (RadixSophorae Flavescentis), 9g each, Zhi Shi (Fructus ImmaturusAurantii), Mu Xiang (Radix Auklandiae), Wu Mei (FructusMume), and Gan Cao (Radix Glycyrrhizae), 6g each. If thereis severe qi stagnation, add 9 grams of Hou Po (CortexMagnoliae Officinalis). For severe blood stasis, add 15 gramsof Yan Hu Suo (Rhizoma Corydalis). For severe diarrhea, addnine grams of Shi Liu Pi (Pericarpium Punicae Granati). Forsevere dampness, add nine grams of Huo Xiang (HerbaPogostemonis). For severe damp heat, add three grams ofHuang Lian (Rhizoma Coptidis) and 12 grams of Bai TouWeng (Radix Pulsatillae). For severe bleeding, add nine gramsof Di Yu (Radix Sanguisorbae) and 15 grams of Huai Hua Mi(Flos Immaturus Sophorae). For severe spleen qi vacuity, add12 grams of Dang Shen (Radix Codonopsitis). For concomitantkidney yang vacuity, add nine grams each of Bu Gu Zhi(Fructus Psoraleae) and Rou Dou Kou (Semen Myristicae).2. Ulcerative colitis is usually accompanied by hemafecia, aspecies of pathological bleeding. There are only four possiblecauses of pathological bleeding in Chinese medicine: 1) heatcausing the blood to move frenetically outside its channels,2) qi vacuity not containing the blood within its vessels, 3)stasis forcing the blood to move outside its pathways, and 4)traumatic injury severing the channels and vessels. In ulcerativecolitis, only the first three disease mechanisms areinvolved. In order to stop bleeding, it is often necessary toadd blood-stopping medicinals. However, when doing this,one should be careful to choose medicinals which stop bleedingfor the right reason. For instance, if there is rectal bleedingdue to heat, Qian Cao (Radix Rubiae), Huai Hua Mi(Fructus Immaturus Sophorae), and Di Yu (Radix Sanguisorbae)are often used. When there is bleeding due to qi vacuity,Xian He Cao (Herba Agrimoniae) and Fu Long Gan(Terra Flava Usta) are often the medicinals of choice. And forbleeding due to blood stasis, San Qi (Radix Notoginseng)and Pu Huang (Pollen Typhae) are often prescribed. Sincethere are often two or even three of the above causes at workin many patients with ulcerative colitis, one may frequently