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

130 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINETREATMENT BASED ON PATTERNDISCRIMINATION:1. LIVER-GALLBLADDER DEPRESSION &STAGNATION PATTERNMAIN SYMPTOMS: Insidious right-sided rib-side pain or distentionand pain possibly radiating to the upper back andright shoulder, chest and ductal oppression, nausea, vomiting,aversion to oily, slimy food, reduced appetite, belching,possible slight fever, a dry mouth with a bitter taste, emotionaltension, easy anger, irregular bowel movements, a possiblyred tongue with thin, white or thin, yellow tongue fur,and a bowstring pulseNOTE: This pattern may manifest either during acute episodesor in the remission period after the expulsion of stones.TREATMENT PRINCIPLES: Course the liver and rectify theqi, disinhibit the gallbladder and expel stonesRX: Da Chai Hu Tang Jia Jian (Major Bupleurum Decoctionwith Additions & Subtractions)INGREDIENTS:Yu Jin (Tuber Curcumae)Bai Shao (Radix Paeoniae Albae)Hai Jin Sha (Spora Lygodii)Chai Hu (Radix Bupleuri)Huang Qin (Radix Scutellariae)Ji Nei Jin (Endothelium Corneum Gigeriae Galli)Zhi Ke (Fructus Aurantii)Mu Xiang (Radix Auklandiae)Da Huang (Radix Et Rhizoma Rhei)uncooked Gan Cao (Radix Glycyrrhizae)15g15g15g9g9g9g9g9g6g6gANALYSIS OF FORMULA: Chai Hu, Bai Shao, and Yu Jincourse the liver and rectify the qi, resolve depression and stoppain. Huang Qin and Da Huang clear and disinhibit dampnessand heat and discharge the liver. Hai Jin Sha disinhibitsthe gallbladder and expels stones. Ji Nei Jin transforms hardnessand disperses stones. Mu Xiang and Zhi Ke move the qito stop pain, and Gan Cao harmonizes the other medicinalsin the formula. In addition, when combined with Bai Shao,it relaxes urgency (i.e., cramping) and stops pain.ADDITIONS & SUBTRACTIONS: If there is devitalized eatingand drinking, add nine grams each of Mai Ya (FructusGerminatus Hordei), Shan Zha (Fructus Crataegi), and ShenQu (Massa Medica Fermentata). If spleen vacuity is marked,add nine grams each of Dang Shen (Radix Codonopsitis), BaiZhu (Rhizoma Atractylodis Macrocephalae), and Fu Ling(Poria) and change uncooked Gan Cao to mix-fried Gan Cao.For simultaneous phlegm dampness, add nine grams each ofBan Xia (Rhizoma Pinelliae), Fu Ling (Poria), and Chen Pi(Pericarpium Citri Reticulatae). If there is no constipation,delete Da Huang. If there is more marked constipation, add sixgrams of Mang Xiao (Natrii Sulfas). If there is more markedheat, add 30 grams of Jin Yin Hua (Flos Lonicerae) and 15grams of Lian Qiao (Fructus Forsythiae). If there is concomitantblood stasis, add 15 grams of Dan Shen (Radix SalviaeMiltiorrhizae) and nine grams each of Chi Shao (RadixPaeoniae Rubrae) and Dan Pi (Cortex Moutan). For nauseaand vomiting, add nine grams each of Zhu Ru (CaulisBambusae In Taeniis) and Ban Xia (Rhizoma Pinelliae).ACUPUNCTURE & MOXIBUSTION: Ri Yue (GB 24) (rightside), Yang Ling Quan (GB 34), Zhi Gou (TB 6), Dan Shu(Bl 19), Dan Nang Xue (M-LE-23)ANALYSIS OF FORMULA: Ri Yue is the alarm point of thegallbladder, and Yang Ling Quan is the uniting point of thegallbladder channel. Dan Shu is the back transport point ofthe gallbladder, and Zhi Gou is the fire point on the tripleburner channel. Dan Nang Xue is an empirical point for thetreatment of cholecystitis and cholelithiasis. When all thesepoints are used together, they course the liver and resolve thedepression, disinhibit the gallbladder, expel stones, and stoppain. Use draining method on all points. Do not needle DanNang Xue if it is not painful. For cholelithiasis, one can useelectroacupuncture on all points except Zhi Gou.ADDITIONS & SUBTRACTIONS: For severe pain, add HeGu (LI 4) and Qi Men (Liv 14). For jaundice, add Zhi Yang(GV 9). For abdominal distention and pain, add Zu San Li(St 36). For nausea and vomiting, add Nei Guan (Per 6). Forfever and chills, add Qu Chi (LI 11) and He Gu (LI 4).2. DAMP HEAT INTERNALLY BREWING PATTERNMAIN SYMPTOMS: Severe right-sided rib-side distentionand pain, ductal and abdominal distention and fullness, palpablepain in the gallbladder area and pain when pressed,palpation pain at Tian Zong (SI 11) and Dan Nang Xue (M-LE-23), torpid intake, nausea, vomiting, dry mouth with abitter taste, thirst with no desire to drink, fear of cold andemission of heat or cold and heat mixed together, jaundice,dry stools, yellow urine, slimy, yellow tongue fur, however, ifheat is heavy, there may be dry, yellow fur, and a bowstring,slippery, rapid pulseNOTE: This pattern mostly manifests in relatively severe acuteattacks or when cholecystitis is complicated by infection.TREATMENT PRINCIPLES: Clear heat and disinhibit dampness,disinhibit the gallbladder and expel stones, free the flowon the interior and attack and precipitateRX: If heat is greater than dampness, Yin Chen Hao Tang(Artemisia Scoparia Decoction) & Long Dan Xie Gan Tang