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

ALLERGIC RHINITIS 49Chang Pu (Rhizoma Acori Tatarinowii) and nine grams ofGui Zhi (Ramulus Cinnamomi). If there is enduring nasalcongestion with purple-blue nasal mucosa, add nine gramsof Lu Lu Tong (Fructus Liquidambaris) and 15 grams ofChuan Xiong (Rhizoma Chuanxiong). For marked wind coldsymptoms, add nine grams each of Ma Huang (HerbaEphedrae) and Jing Jie (Herba Schizonepetae). For concomitantsevere qi vacuity, add 15 grams of Huang Qi (RadixAstragali) and nine grams of Bai Zhu (Rhizoma AtractylodisMacrocephalae).ACUPUNCTURE & MOXIBUSTION: Shang Xing (GV 23),Ying Xiang (LI 20), Feng Men (Bl 12), Lie Que (Lu 7)ANALYSIS OF FORMULA: Draining Shang Xing and YingXiang diffuses and frees the flow of the nose. Moxibustionshould be used on Shang Xing. Draining Feng Men and LieQue courses wind, scatters cold, and resolves the exterior.ADDITIONS & SUBTRACTIONS: For marked wind cold symptoms,add He Gu (LI 4) and, if necessary, Feng Chi (GB 20).One can also alternate Shang Xing with Yin Tang (M-HN-3).2. DEFENSIVE QI VACUITY-EXTERIOR INSECURITY& DEEP-LYING PHLEGM DAMPNESS PATTERNMAIN SYMPTOMS: Frequent and easy contraction of windevils, a pale facial complexion, aversion to wind and cold,possible chilled extremities, fatigue, lack of strength, disinclinationto speak and spontaneous perspiration if severe, apale, fat tongue with possible teeth-marks on its edges andthin, possibly slimy, white fur, and a fine, soggy pulseNOTE: Defensive qi vacuity may also be described as aspleen-lung qi vacuity pattern. This pattern describes theunderlying root imbalance of this condition.TREATMENT PRINCIPLES: Fortify the spleen and boost theqi, supplement the defensive and secure the exteriorRX: Bu Zhong Yi Qi Tang (Supplement the Center & Boostthe Qi Decoction), Yu Ping Feng San (Jade Wind-screenPowder) & Er Chen Tang (Two Aged [Ingredients] Decoction)INGREDIENTS:Huang Qi (Radix Astragali)15gBai Zhu (Rhizoma Atractylodis Macrocephalae) 12gDang Shen (Radix Codonopsitis)9gFang Feng (Radix Saposhnikoviae)9gFu Ling (Poria)9gBan Xia (Rhizoma Pinelliae)9gChen Pi (Pericarpium Citri Reticulatae)9gDang Gui (Radix Angelicae Sinensis)6gmix-fried Gan Cao (Radix Glycyrrhizae)6gSheng Ma (Rhizoma Cimicifugae) 4.5gChai Hu (Radix Bupleuri)Sheng Jiang (uncooked Rhizoma Zingiberis)3g3 slicesANALYSIS OF FORMULA: Huang Qi, Dang Shen, Bai Zhu,Fu Ling, and mix-fried Gan Cao fortify the spleen and boostthe qi, supplement the lungs and the defensive qi. In addition,Huang Qi and Bai Zhu secure the exterior to avoid furtherdamage by evils. Fang Feng gently out-thrusts any lingeringor retained evils in the exterior without damaging therighteous. Ban Xia, Chen Pi, Fu Ling, and mix-fried Gan Caotogether compose Er Chen Tang (Two Aged [Ingredients]Decoction), the major formula in Chinese medicine for transformingphlegm dampness and treating stubborn phlegm ordeep-lying, hidden phlegm. Dang Gui nourishes and quickensthe blood. In this formula, it harmonizes the blood topromote the regulation of the qi. Chai Hu and Sheng Maupbear the clear in order to more effectively supplement thespleen and lungs. Chai Hu also courses the liver and rectifiesthe qi. Sheng Jiang and mix-fried Gan Cao harmonize the centeras well as the other medicinals in this formula.ADDITIONS & SUBTRACTIONS: If there is concomitantkidney qi vacuity with enuresis in a child or enduring, clear,chilly, white vaginal discharge in a woman, add nine gramseach of Yi Zhi Ren (Fructus Alpiniae Oxyphyllae), Wu Yao(Radix Linderae), and Shan Yao (Radix Dioscoreae). If thereis concomitant kidney yang or kidney yin and yang vacuity,combine with Shen Qi Wan (Kidney Qi Pills, a Chineseready-made medicine). If there is a spleen qi-kidney yinvacuity, combine with Liu Wei Di Huang Wan (Six FlavorsRehmannia Pills) or Zhi Bai Di Huang Wan (Anemarrhena& Phellodendron Rehmannia Pills) if yin vacuity is complicatedby effulgent fire. Both of these are also Chinese readymademedicines. If liver depression qi stagnation is marked,increase the dose of Chai Hu to nine grams and add ninegrams of Bai Shao (Radix Paeoniae Albae).If simultaneous blood vacuity is marked, replace Bu Zhong Yi QiTang etc. with Gui Pi Tang Jia Wei (Restore the Spleen Decoctionwith Added Flavors): Huang Qi (Radix Astragali), 15g, Bai Zhu(Rhizoma Atractylodis Macrocephalae), 12g, Dang Shen (RadixCodonopsitis), Dang Gui (Radix Angelicae Sinensis), Long YanRou (Arillus Longanae), Suan Zao Ren (Semen ZizyphiSpinosae), Fu Ling (Poria), Ban Xia (Rhizoma Pinelliae), Chen Pi(Pericarpium Citri Reticulatae), Yuan Zhi (Radix Polygalae), andFang Feng (Radix Saposhnikoviae), 9g each, mix-fried Gan Cao(Radix Glycyrrhizae) and Mu Xiang (Radix Auklandiae), 6g, DaZao (Fructus Jujubae), 5 pieces, and Sheng Jiang (uncookedRhizoma Zingiberis), 3 slices.If there is liver depression, lung-spleen qi vacuity, deep-lyingphlegm, and stomach heat, replace Bu Zhong Yi Qi Tang etc.with Xiao Chai Hu Tang Jia Wei (Minor Bupleurum Decoctionwith Added Flavors): Huang Qi (Radix Astragali), 15g, BaiZhu (Rhizoma Atractylodis Macrocephalae), 12g, Chai Hu