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

UROLITHIASIS 557(Rhizoma Alismatis), Dang Gui Wei (Extremitas RadicisAngelicae Sinensis), Chai Hu (Radix Bupleuri), and CheQian Zi (Semen Plantaginis), 9g each, Long Dan Cao (RadixGentianae), 6g, and Gan Cao (Radix Glycyrrhizae), 3g.If heat toxins have entered the blood and spread throughoutthe three burners, treat the branch in emergency by replacingBa Zheng San with Huang Lian Jie Du Tang (CoptisResolve Toxins Decoction) plus Wu Wei Xiao Du Yin (FiveFlavors Disperse Toxins Drink): Jin Yin Hua (FlosLonicerae), Pu Gong Ying (Herba Taraxaci), and Zi Hua DiDing (Herba Violae), 15g each, Ye Ju Hua (FlosChrysanthemi Indici) and Huang Qin (Radix Scutellariae),12g each, Tian Kui Zi (Semen Semiaquilegiae), Huang Bai(Cortex Phellodendri), and Zhi Zi (Fructus Gardeniae), 9geach, and Huang Lian (Rhizoma Coptidis), 6g.ACUPUNCTURE & MOXIBUSTION: Jing Men (GB 25), ShenShu (Bl 23), Wei Yang (Bl 39), Ran Gu (Ki 2)ANALYSIS OF FORMULA: The above formula is made up oftwo important combinations to clear heat and disinhibitdampness, free the flow of strangury, expel stones, and stoppain: Jing Men plus Shen Shu and Wei Yang plus Ran Gu.These points should be drained with strong stimulation oruse electroacupuncture. Each session may last 1-3 hours,with 1-2 treatments per day.ADDITIONS & SUBTRACTIONS: For extreme low back painradiating to the lower abdomen and/or the genitalia, addShui Quan (Ki 5), a key point for pain during the crisis ofnephrolithiasis. After 30 minutes of strongly manipulatingShui Quan, replace it with Jing Ling (also named Jing Ning),an extrachannel point located on the dorsum of the hand,midway between the fourth and fifth metacarpal bones in adepression more or less 1.5 cun distal to the crease of thewrist. If there is marked urinary tract infection due to dampheat, add Zhong Ji (CV 3). If there is less pain but more urinarysymptoms, replace Wei Yang and Ran Gu with PangGuang Shu (Bl 28) and Zhong Ji (CV 3). After the crisis, ifsand or small stones remain, replace Wei Yang and Ran Guwith Zu San Li (St 36) and continue treating once per day.2. QI STAGNATION & BLOOD STASIS PATTERNMAIN SYMPTOMS: Choppy, stagnant urination which dribblesand drips uneasily, blood clots within the urine or darkred blood, lower abdominal distention and pain or lancinatingpain, possible excruciatingly severe low back pain, a normalor dark, purplish tongue or possible static macules orspots, and a deep, bowstring, possibly choppy pulseTREATMENT PRINCIPLES: Move the qi and quicken theblood, free the flow of strangury and expel stonesRX: Chen Xiang San (Aquilaria Powder) plus Xue Fu Zhu YuTang (Blood Mansion Dispel Stasis Decoction) with additionsand subtractionsINGREDIENTS:Tao Ren (Semen Persicae)12gSheng Di (uncooked Radix Rehmanniae) 12gJi Nei Jin (Endothelium Corneum Gigeriae Galli) 12gChen Xiang (Lignum Aquilariae)12gHong Hua (Flos Carthami)9gDang Gui (Radix Angelicae Sinensis)9gChuan Xiong (Rhizoma Chuanxiong)9gChi Shao (Radix Paeoniae Rubrae)9gChuan Niu Xi (Radix Cyathulae)9gBing Lang (Semen Arecae)9gChi Fu Ling (Sclerotium Rubrum Poriae Cocos) 9gXiao Hui Xiang (Fructus Foeniculi)9gMu Xiang (Radix Auklandiae)9gZhi Ke (Fructus Aurantii)6gGan Cao (Radix Glycyrrhizae)3gANALYSIS OF FORMULA: Tao Ren, Hong Hua, Dang Gui,Chuan Xiong, Chi Shao, and Chuan Niu Xi quicken theblood, transform stasis, and stop pain. Chen Xiang, BingLang, Xiao Hui Xiang, Mu Xiang, and Zhi Ke move the qi,especially in the lower burner, eliminate distention, and stoppain. Sheng Di cools the blood, nourishes yin, and stopsbleeding. Chi Fu Ling clears and disinhibits dampness andheat, and Ji Nei Jin transforms stones.ADDITIONS & SUBTRACTIONS: If blood stasis is marked orwhen pain is severe, add nine grams each of Ru Xiang(Olibanum) and Mo Yao (Myrrha). If there is chest oppressionand rib-side pain, add 12 grams of Bai Shao (RadixPaeoniae Albae), replace Zhi Ke with Zhi Shi (FructusImmaturus Aurantii) and raise its dose to nine grams, andadd nine grams of Chai Hu (Radix Bupleuri). For blood clotswithin the urine, add three grams of San Qi (RadixPseudoginseng), powdered and taken with the straineddecoction. For hematuria, add 12 grams each of Bai MaoGen (Rhizoma Imperatae) and Xiao Ji (HerbaCephalanoploris ) and nine grams of Di Yu (RadixSanguisorbae). For profuse sand or stones, add 30 gramseach of Jin Qian Cao (Herba Lysimachiae/Desmodii) andChe Qian Zi (Semen Plantaginis). For nausea or vomiting,add nine grams each of Ban Xia (Rhizoma Pinelliae), ShengJiang (uncooked Rhizoma Zingiberis), and Chen Pi(Pericarpium Citri Reticulatae).ACUPUNCTURE & MOXIBUSTION: Please see pattern #1 above.3. SPLEEN-KIDNEY QI VACUITY PATTERNMAIN SYMPTOMS: Somewhat red and choppy urination withdribbling and dripping that does not stop, recurrent attacks