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

CHOLECYSTITIS/CHOLELITHIASIS 131(Gentiana Drain the Liver Decoction) with additions andsubtractionsINGREDIENTS:Yin Chen Hao (Herba Artemisiae Scopariae)Jin Yin Hua (Flos Lonicerae)Huang Qin (Radix Scutellariae)Chai Hu (Radix Bupleuri)Yu Jin (Tuber Curcumae)Hai Jin Sha (Spora Lygodii)Lian Qiao (Fructus Forsythiae)Long Dan Cao (Radix Gentianae)Zhi Zi (Fructus Gardeniae)Da Huang (Radix Et Rhizoma Rhei)Zhi Shi (Fructus Immaturus Aurantii)Mu Xiang (Radix Auklandiae)Ji Nei Jin (Endothelium Corneum Gigeriae Galli)Gan Cao (Radix Glycyrrhizae)30g30g15g15g15g15g15g12g12g9g9g9g9g9gANALYSIS OF FORMULA: Yin Chen Hao, Huang Qin, Long DanCao, Zhi Zi, and Da Huang all clear heat, eliminate dampness,and disinhibit the gallbladder. Jin Yin Hua, Lian Qiao,Huang Qin, and Zhi Zi clear heat and resolve toxins. DaHuang attacks and precipitates in order to discharge dampheat and heat toxins through the stool. Yu Jin and Chai Hucourse the liver and resolve the depression. With Mu Xiangand Zhi Shi, they also move the qi and stop pain. Hai Jin Shaand Ji Nei Jin, with the help of Yu Jin, Chai Hu, Mu Xiangand Zhi Shi, disinhibit the gallbladder and expel stones.ADDITIONS & SUBTRACTIONS: If there is high fever, add30 grams each of uncooked Shi Gao (Gypsum Fibrosum)and Ban Lan Gen (Radix Isatidis/Baphicacanthi). For nauseaand vomiting, add nine grams each of Zhu Ru (CaulisBambusae In Taeniis) and Ban Xia (Rhizoma Pinelliae). Fordevitalized eating and drinking, add nine grams each of MaiYa (Fructus Germinatus Hordei), Shan Zha (FructusCrataegi), and Shen Qu (Massa Medica Fermentata). If thereis concomitant blood stasis, add 15 grams each of Dan Shen(Radix Salviae Miltiorrhizae) and uncooked Sheng Di (RadixRehmanniae) and nine grams of Dang Gui Wei (ExtremitasRadicis Angelicae Sinensis). If dampness is greater than heat,delete Long Dan Cao, Jin Yin Hua, and Lian Qiao and addSan Ren Tang (Three Seeds Decoction): Yi Yi Ren (SemenCoicis) and Hua Shi (Talcum), 15g each, Xing Ren (SemenArmeniacae), 12g, Ban Xia (Rhizoma Pinelliae), 9g, Bai DouKou (Fructus Caradmomi), Hou Po (Cortex Magnoliae), DanZhu Ye (Herba Lophatheri), and Tong Cao (MedullaTetrapanacis), 6g each. If there is no constipation, delete DaHuang. If there is jaundice, add 25 grams of Jin Qian Cao(Herba Lysimachiae Desmodii). If stones obstruct the bileduct, add 30 grams each of Wei Ling Xian (Radix Clematidis) and Jin Qian Cao (Herba Lysimachiae/Desmodii).ACUPUNCTURE & MOXIBUSTION: Same as above.However, for this pattern acupuncture should always be usedin conjunction with Chinese medicinals.ADDITIONS & SUBTRACTIONS: Same as above.3. HEAT TOXINS BURNING & BLAZING PATTERNMAIN SYMPTOMS: Severe right-sided upper abdominal pain,glomus lumps below the rib-side, abdominal area hardnessand fullness refusing pressure, severe jaundice, scanty, reddishurine, constipation, spirit clouding, deranged speech, a crimsontongue with dry, yellow or yellowish black fur, and a bowstring,rapid or fine, rapid pulse. If extremely severe, there maybe reversal chilling of the four extremities, great sweating dribblingand dripping, listlessness of the essence spirit, and a faintpulse on the verge of expiry or a deep, fine, forceless pulse.NOTE: This pattern is mostly seen in acute purulent,obstructive bile duct inflammation.TREATMENT PRINCIPLES: Clear the constructive, cool theblood, and resolve toxins, free the flow and precipitate andexpel stones, support the righteous and dispel evils, secureyang and stem desertionRX: Xi Jiao Di Huang Tang Jia Jian (Rhinoceros Horn &Rehmannia Decoction with Additions & Subtractions)INGREDIENTS:Shui Niu Jiao (Cornu Bubali) 30-60gSheng Di (uncooked Radix Rehmanniae) 30gTu Fu Ling (Rhizoma Smilacis Glabrae) 30gYin Chen Hao (Herba Artemisiae Scopariae) 20gXuan Shen (Radix Scrophulariae)20gYe Ju Hua (Flos Chrysanthemi Indici)15gDan Pi (Cortex Moutan)9gHuang Lian (Rhizoma Coptidis)9guncooked Da Huang (Radix Et Rhizoma Rhei) 9gZhi Zi (Fructus Gardeniae)9guncooked Gan Cao (Radix Glycyrrhizae) 9gSheng Ma (Rhizoma Cimicifugae)9gANALYSIS OF FORMULA: Shui Niu Jiao, Sheng Di, XuanShen, and Dan Pi clear the constructive and cool the blood.Tu Fu Ling, Xuan Shen, Ye Ju Hua, Huang Lian, Zhi Zi, ShengMa, and Da Huang clear heat and resolve toxins, while Tu FuLing, Yin Chen Hao, Huang Lian, Zhi Zi, and Da Huangclear heat and disinhibit dampness.ADDITIONS & SUBTRACTIONS: If there is clouded spirit andderanged speech, add An Gong Niu Huang Wan (Quiet thePalace Bezoar Pills, a Chinese ready-made medicine), one pilltwo times per day. If urination is frequent, scanty, and reddishin color, add 30 grams each of Bai Mao Gen (RhizomaImperatae) and Ma Bian Cao (Herba Verbenae).