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

40 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEbegin at puberty because of the stirring and hyperactivity oflifegate fire at that time. This upward flaming of ministerial orlifegate fire aggravates any tendency to heat in the lungs, stomach,and liver, the main organs involved in acne. The lungs governthe skin and are the florid canopy of the five viscera and sixbowels. This means that any heat counterflowing upward willtend to gather and accumulate in the lungs. Thus the Yi ZongJin Jian (The Golden Mirror of Ancestral Medicine) says, “Thisillness is produced by blood heat in the lung channel.” The factthat this disease is ascribed primarily to the lungs, at least interms of its proximate cause, is corroborated by the Wai KeZheng Zong (Correct Ancestral [or Gathered] External Medicine)which says, “Acne pertains to the lungs.” The yang ming channelsare the places on the face where acne lesions often tend tocluster, and it is liver depression giving rise to depressive heatwhich often tends to stir and inflame both the lifegate firebelow and stomach heat above. Heat may stew the juices andcongeal phlegm which is drafted upward with the counterflowingheat. A tendency to engender phlegm is all the more pronouncedif there is liver depression, spleen vacuity, or overeatingof fluid-engendering foods, such as oils and fats. When thislodges in the space between the skin and muscles in the upperbody, it may give rise to phlegm nodulations. If heat is severe,it may also brew toxins which then putrefy the blood and fluids,engendering pus and welling abcesses. Either phlegm ortoxins may inhibit the free flow of qi and blood in the affectedarea. In that case, enduring diease may also give rise to bloodstasis. When acne is due to adolescent hyperactivity of lifegatefire, sex, drugs, and alcohol may all aggravate this stirring andhyperactivity. In women who experience premenstrual acne,this is usually due to aggravation of liver depression due toblood vacuity leading to transformation of depressive heat. Lastbut not least, it is also possible for a constitutional yin vacuityto fail to control hyperactive yang.TREATMENT BASED ON PATTERNDISCRIMINATION:1. LUNG CHANNEL WIND HEAT PATTERNMAIN SYMPTOMS: The face tends to be red with red lesionswhich feel hot and may be painful and there may be pustules.The tongue is red with yellow fur, and the pulse is rapid andfloating.NOTE: The “wind” in the name of this pattern means that,traditionally, the cause of this condition was invisible. Othernames for this pattern include lung-stomach depressive heatand lung channel blood heat. While essentially all patientswith acne have lung heat, most have other disease mechanismsas well. Therefore, the pure form of this pattern is notcommonly met.TREATMENT PRINCIPLES: Diffuse the lungs, drain heat,and cool the bloodRX: Pi Pa Qing Fei Yin (Eriobotrya Clear the Lungs Drink)INGREDIENTS:Pi Pa Ye (Folium Eriobotryae )Sang Bai Pi (Cortex Mori)Huang Bai (Cortex Phellodendri)Huang Lian (Rhizoma Coptidis)uncooked Gan Cao (Radix Glycyrrhizae)Ren Shen (Radix Ginseng)9g9g9g6g6g6gANALYSIS OF FORMULA: Within this formula, Pi Pa Ye andSang Bai Pi drain heat from the lungs. Huang Bai and HuangLian drain fire from the heart, stomach, liver, and kidneys.They also clear and resolve heat toxins. Uncooked Gan Caoclears heat and resolves toxins at the same time as it harmonizesthe rest of the ingredients in this formula. Ren Shensupplements the spleen and engenders fluids, thus protectingthe spleen and stomach from the other harshly attackingmedicinals.ADDITIONS & SUBTRACTIONS: If heat is more pronounced,remove Ren Shen and add 30 grams of uncookedShi Gao (Gypsum Fibrosum) and 15 grams each of Zi Cao(Radix Arnebiae/Lithospermi) and Huai Hua Mi (FlosImmaturus Sophorae). If there is concomitant constipation,also add 3-15 grams of Da Huang (Radix Et Rhizoma Rhei).If there is marked blood stasis, remove Ren Shen and add 12grams each of Zao Jiao Ci (Spina Gleditschiae) and Wang BuLiu Xing (Semen Vaccariae), nine grams of Hong Hua (FlosCarthami), and 1.5-3 grams of Shui Zhi (Hirudo). If there ismarked dampness and turbidity, remove Ren Shen and add21 grams of Yi Yi Ren (Semen Coicis) and nine grams eachof Ku Shen (Radix Sophorae Flavescentis) and Tu Fu Ling(Rhizoma Smilacis Glabrae). If there is phlegm nodulation,remove Ren Shen and Gan Cao and add nine grams each ofSan Leng (Rhizoma Sparganii), E Zhu (Rhizoma Curcumae),Kun Bu (Thallus Algae), and Hai Zao (Sargassum).For marked heat entering the blood division or aspect,replace Pi Pa Qing Fei Yin with Liang Xue Qing Fei Yin (Coolthe Blood & Clear the Lungs Drink): Sheng Di (uncookedRadix Rehmanniae) and Shi Gao (Gypsum Fibrosum), 30geach, Dan Pi (Cortex Moutan), Chi Shao (Radix PaeoniaeRubrae), Huang Qin (Radix Scutellariae), Zhi Mu (RhizomaAnemarrhenae), Sang Bai Pi (Cortex Mori), and Pi Pa Ye(Folium Eriobotryae), 9g each, and uncooked Gan Cao(Radix Glycyrrhizae), 6g.For lung heat with heat toxins and blood stasis, replace Pi PaQing Fei Yin with the following unnamed formula: Sheng Di(uncooked Radix Rehmanniae), 30-45g, Zi Hua Di Ding(Herba Violae), 30g, uncooked Shi Gao (GypsumFibrosum), 15g, Da Qing Ye (Folium Daqingye), Sang Bai Pi(Cortex Mori), and Jin Yin Hua (Flos Lonicerae), 18g each,Pi Pa Ye (Folium Eriobotryae), Huang Qin (Radix