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

74 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEeous vacuity with evil repletion. The disease is located in thethree viscera of the liver, spleen, and kidneys. The foremostof these are the kidneys, and the second is the spleen. Interms of righteous vacuities, these may consist of qi andblood dual vacuity, liver-kidney yin vacuity, spleen-kidneyyang vacuity, and yin and yang dual vacuity. As for evil repletions,these include heat toxins and blood stasis. Either oneor more of these vacuities may lead to repletion, or repletionmay lead to one or more of these vacuities. However, overtime, vacuity and repletion become mixed.In chronic aplastic anemia, the main disease mechanism is qivacuity. The spleen is the latter heaven root of qi engendermentand transformation, while the kidneys are the formerheaven root. Former or latter heaven causes may result ineither of these two viscera not engendering the blood.However, because the spleen and kidneys support and bolstereach other, disease of one may eventually reach the other.Because the blood and essence share a common source,enduring or severe blood vacuity may also evolve into a liverkidneyyin vacuity. In addition, because yin and yang aremutually rooted, either may eventually result in the otherand hence yin and yang dual vacuity.If qi is vacuous, there is fatigue and lack of strength as wellas lack of warmth in the four extremities. In addition, vacuousqi may fail to contain the blood within its vessels. Ifblood is vacuous, there is pallor. If yin is vacuous, there isvacuity heat which may cause nose, subdermal, or gumbleeding. If yang is vacuous, there is even more pronouncedcold, loose stools, and lower extremity edema.In acute aplastic anemia, due to a righteous qi vacuity, heattoxins take advantage and enter. If these heat and fire evilsblaze and become exuberant, they may cause high fever andvexatious thirst in the qi division and bleeding when theyenter the blood division.TREATMENT BASED ON PATTERNDISCRIMINATION:1. ACUTE TAXATION WARM HEAT PATTERNMAIN SYMPTOMS: Acute onset of disease, high fever orrecurrent low-grade fever, sweating which does not decreasethe fever, dizziness, shortness of breath, lack of strength, difficultywalking, a somber white facial complexion, oralthirst, vexation and agitation, dry throat, blood blisters inthe mouth and on the tongue, heart palpitations, if severe,spirit clouding, confused speech, multiple sites of spontaneousejection of blood, dry stools, reddish urine, a paletongue with dry, yellow or black fur with lack of fluids, possiblestatic spots or static macules on the tongue, and a fine,rapid or vacuous, large, forceless pulseNOTE: This pattern describes acute aplastic anemia. It is alsocalled marrow dessication heat exuberance pattern.TREATMENT PRINCIPLES: Clear heat and resolve toxins,cool the blood and stop bleedingRX: Qing Ying Tang (Clear the Constructive Decoction)INGREDIENTS:Shui Niu Jiao (Cornu Bubali)Sheng Di (uncooked Radix Rehmanniae)Xuan Shen (Radix Scrophulariae)Mai Dong (Tuber Ophiopogonis)Jin Yin Hua (Flos Lonicerae)Lian Qiao (Fructus Forsythiae)Dan Zhu Ye (Herba Lophatheri)Dan Shen (Radix Salviae Miltiorrhizae)Huang Lian (Rhizoma Coptidis)18g15g12g12g9g9g6g6g3gANALYSIS OF FORMULA: Shui Niu Jiao, Sheng Di, XuanShen, and Dan Shen cool the blood and stop bleeding. MaiMen Dong and Zhu Ye clear heat, nourish yin, and engenderfluids. Jin Yin Hua, Lian Qiao, Xuan Shen, and Huang Lianresolve toxins in the blood division or aspect.ADDITIONS & SUBTRACTIONS: To replace Shui Niu Jiao,choose from among two or more of Huang Bai (CortexPhellodendri), Huang Qin (Radix Scutellariae), Pu Gong Ying(Herba Taraxaci), Zi Hua Di Ding (Herba Violae), and BanLan Geng (Radix Isatidis/Baphicacanthi ). For severe qi divisionfire, add 15 grams of Shi Gao (Gypsum Fibrosum). Forsevere depletion of yin fluids, add 12 grams of Bei Sha Shen(Radix Glehniae) and nine grams of Di Gu Pi (Cortex Lycii).For tremors and convulsions, add 12 grams of Gou Teng(Ramulus Uncariae Cum Uncis) and nine grams of Di Long(Pheretima). If bleeding due to heat is severe, add 30 gramsof Bai Mao Gen (Rhizoma Imperatae) and 12 grams of RadixRubiae (Qian Cao Gen). For simultaneous bleeding due toblood heat and qi vacuity, add 30 grams of Xian He Cao(Herba Agrimoniae), 15 grams of Huang Qi (RadixAstragali), and six grams of Ren Shen (Radix Ginseng). Forsubdermal bleeding, add 15 grams of Zi Cao (RadixArnebiae/Lithospermi) and nine grams each of Dan Pi(Cortex Moutan ) and Chi Shao (Radix Paeoniae Rubrae). Tosimultaneously supplement and nourish the blood, add 15grams each of Dang Gui (Radix Angelicae Sinensis), Shu Di(cooked Radix Rehmanniae), and He Shou Wu (RadixPolygoni Multiflori).For damp heat with jaundice, replace Qing Ying Tang with YinZhi Hu Qin Tang (Artemisia Scopariae, Gardenia, PolygonumCuspidatum & Scutellaria Decoction): Yin Chen Hao (HerbaArtemisiae Scopariae), 30g, Bai Mao Gen (RhizomaImperatae), Hu Zhang (Rhizoma Polygoni Cuspidati), Shan