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

ANKYLOSING SPONDYLITIS (AS) 71ANALYSIS OF FORMULA: Ku Shen is the sovereign within thisformula. It is greatly bitter and greatly cold. It clears and disinhibitsdampness and heat. To this, Tu Fu Ling, Jin Yin Hua,and Huang Bai are also added to clear heat and resolve toxins.Yi Yi Ren seeps dampness, while Cang Zhu aromaticallydries dampness. It also treats wind evils causing impedimentpain. Niu Xi guides the other medicinals to move downwardssince damp heat manifests most prominently in the lowerhalf of the body.ADDITIONS & SUBTRACTIONS: If joint swelling is severe or ifthere is urinary pain, add nine grams of Ze Xie (RhizomaAlismatis) to strengthen the effect of disinhibiting dampness.If joint pain is severe, add nine grams of Qing Feng Teng(Caulis Sinomenii) and 15 grams of Ren Dong Teng (CaulisLonicerae) to soothe the sinews and quicken the networkvessels. If dampness is exuberant and has engenderedphlegm, indicated by inability to bend and extend the limbsand stiffness of the lower and upper backs, add nine gramseach of Bai Jie Zi (Semen Sinapis) and Jiang Can (BombyxBatryticatus).ACUPUNCTURE & MOXIBUSTION: Same as above. However,do not use warm needle moxibustion, only acupuncture.6. BLOOD STASIS PATTERNNOTE: This pattern describes the chronic, progressive stageof ASMAIN SYMPTOMS: Enduring, chronic pain, a bent spine andhumped upper back, pain which is worse at night, severepain, a possible dark, purplish tongue or static macules, abowstring, fine, possibly choppy pulseTREATMENT PRINCIPLES: Quicken the blood and dispel stasis,free the flow of the network vessels and stop painRX: Huo Luo Xiao Ling Dan Jia Jian (Quicken the NetworkVessels Magically Effective Elixir with Additions &Subtractions)INGREDIENTS:Dang Gui (Radix Angelicae Sinensis)Du Huo (Radix Angelicae Pubescentis)Niu Xi (Radix Achyranthis Bidentatae)Wu Shao She (Zaocys)Ru Xiang (Olibanum)Mo Yao (Myrrha)15g9g9g9g6g6gANALYSIS OF FORMULA: Dang Gui and Niu Xi nourish andquicken the blood. Niu Xi also strengthens the low back. DuHuo dispels wind and eliminates dampness in the lower halfof the body. Wu Shao She, Ru Xiang, and Mo Yao free the flowof the network vessels and stop pain.ADDITIONS & SUBTRACTIONS: If there is concomitant kidneyyang vacuity, add 12 grams each of Du Zhong (CortexEucommiae) and Xu Duan (Radix Dipsaci). If there is concomitantkidney yin vacuity, add 12 grams of Sang Ji Sheng(Herba Taxilli) and Gou Qi Zi (Fructus Lycii). If there is concomitantqi vacuity, add 15-30 grams of Huang Qi (RadixAstragali) and 12 grams of Wu Jia Pi (Cortex Acanthopanacis).ACUPUNCTURE & MOXIBUSTION: Same as above plus San YinJiao (Sp 6) and Xue Hai (Sp 10)ANALYSIS OF FORMULA: San Yin Jiao and Xue Hai quicken theblood and dispel stasis.REMARKS1. Typically, blood stasis complicates all enduring patterns ofthis condition. Therefore, blood-quickening ingredients arecommonly added to other guiding formulas. Commonlyused blood-quickening ingredients include Dang Gui (RadixAngelicae Sinensis), Chi Shao (Radix Rubrus PaeoniaeLactiflorae), Chuan Xiong (Radix Chuanxiong), Hong Hua(Flos Carthami), processed Ru Xiang (Olibanum), andprocessed Mo Yao (Myrrha). In addition, because enduringdisease enters the network vessels, one or more insect orworm ingredients are also often used. Commonly usedinsect/worm medicinals include Quan Xie (Scorpio), WuGong (Scolopendra), Feng Fang (Nidus Vespae), and JiangCan (Bombyx Batryticatus).2. The acupuncture protocol suggested above is administeredin China one time every other day, with 15 treatments equalingone course and clinical and laboratory results being seenafter three such courses. These include a lessening of symptomsas well as decreases in erythrocyte sedimentation rateand C-reactive protein. When warm needle acupunctureusing this protocol was compared to regular fine needleacupuncture using the same points, the warm needleacupuncture was markedly more effective. Therefore, it isrecommended wherever possible.3. Chinese medicine can slow or halt the progression of thiscondition and relieve its clinical symptoms. Thus it can obviateor reduce the need for NSAIDs, with the possible damageto the kidneys. However, it cannot reverse degenerativechanges in the spine, such as fused vertebrae.