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

50 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINE(Radix Bupleuri), Ban Xia (Rhizoma Pinelliae), Chen Pi(Pericarpium Citri Reticulatae), Fu Ling (Poria), Dang Shen(Radix Codonopsitis), Fang Feng (Radix Saposhnikoviae), andHuang Qin (Radix Scutellariae), 9g each, mix-fried Gan Cao(Radix Glycyrrhizae), 6g, Sheng Jiang (uncooked RhizomaZingberis), 3 slices, and Da Zao (Fructus Jujubae), 3 pieces. Inthis case, appetite will be normal or increased and fatigue, lackof strength, and coldness of the extremities are not usually pronounced.However, the tongue will be fat and the patient willfrequently or easily catch cold.If there is fall allergic rhinitis where summerheat has damagedthe spleen qi, replace Bu Zhong Yi Qi Tang with Huang Qi RenShen Tang Jia Wei (Astragalus & Ginseng Decoction withAdded Flavors): Huang Qi (Radix Astragali), 15g, Mai MenDong (Tuber Ophiopogonis), 12g, Bai Zhu (RhizomaAtractylodis Macrocephalae), Cang Zhu (RhizomaAtractylodis), Huang Bai (Cortex Phellodendri), Dang Gui(Radix Angelicae Sinensis), Fang Feng (RadixSaposhnikoviae), and Wu Wei Zi (Fructus Schisandrae), 9geach, mix-fried Gan Cao (Radix Glycyrrhizae) and Chen Pi(Pericarpium Citri Reticulatae), 6g each, Sheng Ma (RhizomaCimicifugae), 4.5g, and Shen Qu (Massa MedicaFermentata), 3g. If there is also marked liver depression qistagnation, add 3-9 grams of Chai Hu (Radix Bupleuri). Ifthere is marked worry and anxiety damaging the heart andspleen, add 6 grams each of Mu Xiang (Radix Auklandiae)and Sha Ren (Fructus Amomi).ACUPUNCTURE & MOXIBUSTION: Shang Xing (GV 23), YingXiang (LI 20), Fei Shu (Bl 13), He Gu (LI 4), Zu San Li (St 36)ANALYSIS OF FORMULA: Draining Shang Xing and YingXiang diffuses and frees the flow of the nose. Moxibustionshould be used on Shang Xing. Supplementing He Gu andFei Shu supplements the lungs and secures the exterior, whilesupplementing Zu San Li fortifies the spleen and supplementsthe qi. Since the spleen is the root of phlegm engenderment,supplementing Zu San Li also helps prevent theengenderment of phlegm. Moxibustion should also be usedon Fei Shu and Zu San Li.ADDITIONS & SUBTRACTIONS: If there is concomitant kidneyqi vacuity, add Qi Hai (CV 6) and Tai Xi (Ki 3). If there isconcomitant blood vacuity and/or blood stasis, add San YinJiao (Sp 6). If there is concomitant liver depression, add TaiChong (Liv 3). For profuse phlegm, add Feng Long (St 40).One can also alternate Shang Xing with Yin Tang (M-HN-3).3. KIDNEY QI VACUITY WITH LUNG LOSS OFWARMTH AND MOISTENING PATTERNMAIN SYMPTOMS: Enduring, long-term clear nasal discharge,nasal itching, frequent sneezing, white, swollen nasalmucosa, aversion to wind and cold, especially in the upperback, chilled limbs, a pale facial complexion, devitalizedessence spirit, low back and knee soreness and weakness,seminal emission, clear, long voidings of urine, nocturnalpolyuria, a white tongue, and a deep, fine, weak pulseNOTE: This pattern is most commonly seen in childrenwhose kidneys have yet to mature. In most cases, kidney qior yang vacuity complicates spleen vacuity. Therefore, thispattern is not that commonly met in its pure form in real-lifepatients.TREATMENT PRINCIPLES: Warm the kidneys and supplementthe lungsRX: Jin Gui Shen Qi Wan Jia Jian (Golden Cabinet Kidney QiPills with Additions & Subtractions)INGREDIENTS:Shu Di (cooked Radix Rehmanniae)12gShan Yao (Radix Dioscoreae)12gShan Zhu Yu (Fructus Corni)9gWu Wei Zi (Fructus Schisandrae)9gXin Yi Hua (Flos Magnoliae)9gDan Pi (Cortex Moutan)6gFu Ling (Poria)6gZe Xie (Rhizoma Alismatis)6gZhi Fu Zi (Radix Lateralis Praeparatus Aconiti Carmichaeli) 6gGe Jie (Gecko)6gXi Xin (Herba Asari)3gRou Gui (Cortex Cinnamomi)3gANALYSIS OF FORMULA: Shu Di, Shan Yao, Shan Zhu Yu, FuLing, Dan Pi, and Ze Xie are the six flavors of Liu Wei DiHuang Wan (Six Flavors Rehmannia Pills), a main Chinesemedicinal formula for supplementing the kidneys andenriching yin. In this case, they nourish yin to supplementyang based on the sayings, “Yin and yang are mutually rooted,”and, “Yang is engendered from yin.” Rou Gui, Zhi Fu Zi,Xi Xin, and Ge Jie warm and supplement kidney yang. Inaddition, Ge Jie with Wu Wei Zi warms and supplements thelungs, while Xi Xin warms both the interior and the exterioras well as diffuses the lungs and frees the flow of the orifices.Xin Yi Hua helps Xi Xin to diffuse the nose and frees the flowof the orifices. Wu Wei Zi supplements both the lungs andkidneys, secure the exterior, and treats enduring sneezing.ADDITIONS & SUBTRACTIONS: Please see pattern #2above. If there is concomitant kidney yin and yang vacuitywith vacuity heat, subtract Zhi Fu Zi and add nine gramseach of Zhi Mu (Rhizoma Anemarrhenae) and Huang Bai(Cortex Phellodendri).ACUPUNCTURE & MOXIBUSTION: Shang Xing (GV 23),Ying Xiang (LI 20), Fei Shu (Bl 13), Shen Shu (Bl 23), Tai Xi(Ki 3)