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

108 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEly weakness, enduring disease, and/or pregnancy. Pain in thewrist is mainly due to blood stasis, but may be complicatedby wind cold damp evils having taken advantage of righteousvacuity to enter and lodge in the channels and vessels of thewrist joint causing impediment. Blood stasis may be due toeither or both repetitive micro-trauma or blood vacuity notnourishing the vessels. Because the blood returns for storageto the liver during rest and sleep at night, numbness and tinglingtend to be worse at night.TREATMENT BASED ON PATTERNDISCRIMINATION:1. BLOOD VACUITY NOT NOURISHING THE SINEWS& VESSELS PATTERNMAIN SYMPTOMS: Tingling and/or numbness of the fingersof one or both hands which tend to be thin in form and palein color accompanied by possible pale lips and nails, a palewhite or sallow yellow facial complexion, night-blindness,brittle nails, dry skin, dizziness, heart palpitations, a paletongue, and a fine pulseTREATMENT PRINCIPLES: Nourish the blood and harmonizethe constructiveRX: Si Wu Tang Jia Wei (Four Materials Decoction withAdded Flavors)INGREDIENTS:Shu Di (cooked Radix Rehmanniae)Ji Xue Teng (Caulis Spatholobi)Dang Gui (Radix Angelicae Sinensis)Bai Shao (Radix Paeoniae Albae)Chuan Xiong (Rhizoma Chuanxiong)Dan Shen (Radix Salviae Miltiorrhizae)15g15g12g12g9g9gANALYSIS OF FORMULA: Shu Di, Dang Gui, Bai Shao, andJi Xue Teng all nourish the blood. In addition, Dang Gui, JiXue Teng, Dan Shen, and Chuan Xiong all quicken the bloodand dispel stasis. Ji Xue Teng also treats wind damp impedimentpain as well as numbness in the extremities. Bai Shaoalso relieves or relaxes spasms.ADDITIONS & SUBTRACTIONS: If there is concomitant qi vacuity,add 15 grams of Huang Qi (Radix Astragali) and ninegrams of Dang Shen (Radix Codonopsitis). If there is concomitantyang vacuity as evidenced by cold, purplish fingertips, addsix grams of Zhi Fu Zi (Radix Lateralis Praeparatus AconitiCarmichaeli) and three grams of Xi Xin (Herba Asari).ACUPUNCTURE & MOXIBUSTION: Needle the Ba Xie (M-UE-22), Da Ling (Per 7), Ge Shu (Bl 17), Gan Shu (Bl 18),Pi Shu (Bl 20)ANALYSIS OF FORMULA: Supplementing Ge Shu, Gan Shu,and Pi Shu supplements the qi and nourishes the blood.Using even supplementing-even draining technique at Ba Xieand Da Ling frees the flow of qi and blood and harmonizesthe network vessels in the local area.ADDITIONS & SUBTRACTIONS: For heart palpitations andinsomnia, add Xin Shu (Bl 15) and Shen Men (Ht 7). For dizzinessand vertigo, add Bai Hui (GV 20). For more pronouncedblood stasis, add Qu Chi (LI 11) and Xue Hai (Sp 10). Forfatigue and lassitude of the spirit, add Zu San Li (St 36).2. QI STAGNATION & BLOOD STASIS PATTERNMAIN SYMPTOMS: Wrist pain which is relatively severe,fixed in location, and is worse at night. Possible systemicsymptoms may include a dark, purple tongue with staticmacules or spots and a bowstring, choppy pulse.TREATMENT PRINCIPLES: Quicken the blood and dispelstasis, free the flow of the network vessels and stop painRX: Shen Tong Zhu Yu Tang Jia Jian (Body Pain Dispel StasisDecoction with Additions & Subtractions)INGREDIENTS:Tao Ren (Semen Persicae)Hong Hua (Flos Carthami)Dang Gui (Radix Angelicae Sinensis)Chuan Xiong (Rhizoma Chuanxiong)Qiang Huo (Radix Et Rhizoma Notopterygii)Di Long (Pheretima)Mo Yao (Myrrha)Wu Ling Zhi (Feces Trogopterori)Gan Cao (Radix Glycyrrhizae)Xiang Fu (Rhizoma Cyperi)9g9g9g9g6g6g6g6g6g3gANALYSIS OF FORMULA: Tao Ren, Hong Hua, Dang Gui,Chuan Xiong, Wu Ling Zhi, and Mo Yao all quicken the bloodand dispel stasis. Dang Gui also nourishes the blood, whileMo Yao also frees the flow of the network vessels and stopspain. Di Long enters the network vessels and tracks downwind. Qiang Huo guides all the other medicinals to the upperextremities and frees the flow of impediment. Xiang Fumoves the qi to move the blood, and Gan Cao harmonizes allthe other medicinals in the formula.ADDITIONS & SUBTRACTIONS: For fatigue and weakness of thelimbs, add 15 grams of Huang Qi (Radix Astragali) and ninegrams of Dang Shen (Radix Codonopsitis), and replaceuncooked Gan Cao with six grams of mix-fried Gan Cao.ACUPUNCTURE & MOXIBUSTION: Xue Hai (Sp 10), DaLing (Per 7), Yang Chi (TB 4), Ba Xie (M-UE-22)