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

48 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEthemselves cause the itching based on the Chinese medicalsaying, “No wind, no itching.” Basically, all patients withallergic rhinitis are believed to have deep-lying or hiddenphlegm in their lungs which only becomes apparent whenlung function is damaged by the presence of some evil qi.However, for these wind evils to invade, there must be anunderlying defensive qi vacuity. In fact, the patient is beinginvaded by wind evils with which other, healthier peoplehave no problem. The defensive qi issues from the middleburner. This means that all patients with allergic rhinitishave, ipso facto, a spleen qi vacuity. In addition, it is a spleenqi vacuity which causes deep-lying or hidden phlegm. As itis said, “The spleen is the root of phlegm engenderment; thelungs are (merely) the place where phlegm is stored.” Thisspleen vacuity may be due to immaturity, aging, worry andanxiety, or taxation fatigue. However, in Western patients,its two main causes are faulty diet and iatrogenesis. Faultydiet means two things. First, it refers to improper feeding ofinfants, i.e., feeding infants too many uncooked, chilledfoods, too many, hard to digest foods which are high in weior flavor, or simply over-feeding, even if this is breast milkas in “feeding on demand.” Secondly, it means eating toomany sugars and sweets, eating too many uncooked, chilledfoods (including chilled drinks), and eating too many foodswhich strongly engender fluids, such as dairy products andfruits and fruit juices. Iatrogenesis refers to over or inappropriateuse of antibiotics which are described in Chinesemedicine as similar to bitter, cold medicinals which damagethe spleen.Because the latter heaven spleen qi and the former heavenkidney yang are mutually promoting and also because thelungs, spleen, and kidneys are the three viscera involved influid movement and transformation, many patients withallergic rhinitis also have a kidney yang vacuity. Kidney yangdoes not become exuberant until puberty. Therefore, manychildren with allergic rhinitis have a spleen-kidney dualvacuity. However, when we age, first the spleen becomes vacuousand weak and then spleen vacuity reaches the kidneys.Therefore, many older patients also have a spleen-kidneydual vacuity. If kidney yang is not sufficient, the spleen is notwarmed and fluids are not transformed and steamed (i.e.,vaporized).Because the lungs and liver share a close inter-relationship viathe five phase control cycle and both viscera participate inpromoting and controlling the flow of qi, lung-spleen qivacuity often results in or aggravates liver depression qi stagnation.On the other hand, liver depression due to emotionalupset and frustration may result in A) damage of thespleen with subsequent phlegm damp engenderment andnon-engenderment of the defensive qi, and B) upwardlycounterflowing qi which affects the diffusing and downbearingof the lungs.If the qi flow becomes retarded and stagnant due to hindranceand obstruction by phlegm dampness and/or liverdepression, over time this may result in blood stasis.Therefore, static blood may part in allergic rhinitis. In particular,if the orifice of the nose is congested and blocked forsome time, stasis may enter the network vessels surroundingthe nose. Stagnant qi may also transform into depressiveheat. However, when this occurs, it is mostly diagnosed aseither deep source nasal congestion, i.e., sinusitis, or pantingand wheezing, i.e., asthma.TREATMENT BASED ON PATTERNDISCRIMINATION:1. WIND COLD INVADING THE LUNGS PATTERNMAIN SYMPTOMS: Profuse, clear nasal discharge accompaniedby nasal congestion, frequent sneezing, loss of smell,itchy eyes, nose, and throat, aversion to wind and cold, possibleheadache, possible cough, absence of sweating, a paletongue with thin, white fur, and a floating, tight or bowstringpulseNOTE: This pattern describes the acute attack of allergicrhinitis.TREATMENT PRINCIPLES: Resolve the exterior with warm,acrid ingredients, course wind and scatter coldRX: Cang Er Zi San Jia Jian (Xanthium Powder withAdditions & Subtractions)INGREDIENTS:Cang Er Zi (Fructus Xanthii)Xin Yi Hua (Flos Magnoliae)Huo Xiang (Herba Pogostemonis)Bai Zhi (Radix Angelicae Dahuricae)Xi Xin (Herba Asari)9g9g9g9g3gNOTE: This formula is for symptomatic use only.ANALYSIS OF FORMULA: Cang Er Zi, Xin Yi Hua, HuoXiang, Bai Zhi, and Xi Xin all course wind and scatter coldas well as free the flow of the orifices of the nose. All theseingredients have a well-known action on the nose, especiallyfor nasal discharge, nasal congestion, itchy nose, and loss ofsmell.ADDITIONS & SUBTRACTIONS: For profuse clear, runnynose, add nine grams each of He Zi (Fructus Terminaliae)and Wu Wei Zi (Fructus Schisandrae). For sneezing, add ninegrams each of Di Long (Pheretima) and Chan Tui(Periostracum Cicadae). For itchy eyes, add nine grams eachof Chuan Xiong (Rhizoma Chuanxiong) and Jing Jie (HerbaSchizonepetae). For nasal congestion, add six grams of Shi