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

BENIGN PROSTATIC HYPERTROPHY (BPH) 91ADDITIONS & SUBTRACTIONS: For terminal dribbling whichwill not stop and nocturia, add Zhi Shi (Bl 52). For severekidney yang vacuity, add Ming Men (GV 4). For low backpain, add Fu Liu (Ki 7). For fatigue and lassitude of the spirit,add Tai Bai (Sp 3). For decreased sexual desire or impotence,add Ming Men (GV 4). For loose stools, add Gong Sun(Sp 4). For concomitant damp heat, drain Yin Ling Quan (Sp9). For more serious blood stasis, add Xue Hai (Sp 10).5. YIN VACUITY-FIRE EFFULGENCE PATTERNMAIN SYMPTOMS: Frequent, scanty, inhibited urination,and terminal dribbling which is worse with taxation, yellowurine, low back pain, dizziness, tinnitus, impotence, seminalemission, insomnia, night sweats, vexatious heat in the fivehearts, possible feverish sensation in the afternoon, constipation,red tongue with scanty fluids, and a fine, rapid, forcelesspulseTREATMENT PRINCIPLES: Enrich the yin and downbear fireRX: Zhi Bai Di Huang Wan Jia Jian (Anemarrhena &Phellodendron Rehmannia Pills with Additions &Subtractions)INGREDIENTS:Sheng Di (uncooked Radix Rehmanniae)12gTian Men Dong (Tuber Asparagi)12gZe Xie (Rhizoma Alismatis)12gFu Ling (Poria)12gHuang Bai (Cortex Phellodendri)12gZhi Mu (Rhizoma Anemarrhenae)12gBi Xie (Rhizoma Dioscoreae Hypoglaucae) 12gDan Pi (Cortex Moutan)9gShan Yao (Radix Dioscoreae)9gXia Ku Cao (Spica Prunellae)9gShan Ci Gu (Bulbus Shancigu)9gChuan Shan Jia (Squama Manitis)9gHu Po (Succinum) 1.5g(powdered and taken with the strained decoction)Rou Gui (Cortex Cinnamomi)1g(powdered and taken with the strained decoction)ANALYSIS OF FORMULA: Sheng Di, Shan Yao, and Tian MenDong enrich the yin, boost the essence, and supplement thekidneys. Ze Xie, Huang Bai, and Zhi Mu downbear ministerialfire. Ze Xie, Bi Xie, and Fu Ling clear and disinhibitdampness and heat in the lower burner. Xia Ku Cao and ShanCi Gu soften the hard and scatter nodulation, while Dan Piand Chuan Shan Jia quicken the blood and transform stasis.Hu Po quickens the blood and quiets the spirit, disinhibitsdampness and stops pain. Rou Gui in a small dosage returnsfire to its lower origin and strengthens the qi transformationof the bladder.ADDITIONS & SUBTRACTIONS: For difficult urination anda burning sensation, add 15 grams of Che Qian Zi (SemenPlantagis). For concomitant qi vacuity, add 15 grams ofHuang Qi (Radix Astragali) and nine grams of Dang Shen(Radix Codonopsitis). For severe stabbing pain, add ninegrams of Tu Bie Chong (Eupolyphaga/Steleophaga). For concomitantkidney yang vacuity, add 12 grams each of Yin YangHuo (Herba Epimedii) and Ba Ji Tian (Radix MorindaeOfficinalis). For frequent nocturia, add 12 grams each of JinYing Zi (Fructus Rosae Laevigatae), Qian Shi (SemenEuryalis), and Wu Wei Zi (Fructus Schisandrae). For restlessnessand insomnia, add 12 grams each of Yuan Zhi (RadixPolygalae), Shi Chang Pu (Rhizoma Acori Tatarinowii), andFu Shen (Sclerotium Pararadicis Poriae Cocos).ACUPUNCTURE & MOXIBUSTION: Hui Yin (CV 1), GuanYuan (CV 4), San Yin Jiao (Sp 6), Shen Shu (Bl 23), Fu Liu(Ki 7)ANALYSIS OF FORMULA: With even supplementing-evendraining technique, Hui Yin harmonizes the network vesselsand secures the kidneys. Supplementing Guan Yuan andShen Shu supplements the kidneys and secures and astringes.In addition, needling Guan Yuan leads ministerial fire backdownward to its lower source. Supplementing San Yin Jiaosupplements the spleen and kidneys, transforms dampness,divides the clear from turbid, and stops pain. SupplementingFu Liu, the metal-mother point of the kidney channel, supplementsthe kidneys and enriches yin.ADDITIONS & SUBTRACTIONS: Please see pattern #4 above.6. CENTRAL QI DOWNWARD FALLING PATTERNMAIN SYMPTOMS: Frequent, scanty, forceless, inhibited urination,sometimes a desire to urinate but without success,fatigue, lassitude of the spirit, lack of strength, reducedappetite, shortness of breath, a weak voice, sagging and distentionin the lower abdomen and perineal area, loose stools,a sallow facial complexion, a pale, fat tongue, and a fine,weak pulseTREATMENT PRINCIPLES: Boost the qi, upbear yang, andraise the fallenRX: Bu Zhong Yi Qi Tang Jia Wei (Supplement the Center &Boost the Qi Decoction with Additions & Subtractions)INGREDIENTS:Huang Qi (Radix Astragali)Dang Shen (Radix Codonopsitis)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Fu Ling (Poria)Bi Xie (Rhizoma Dioscoreae Hypoglaucae)Dang Gui (Radix Angelicae Sinensis)20g15g9g9g9g6g