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

132 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEIf there is yang desertion, replace Xi Jiao Di Huang Tang JiaJian with Shen Fu Tang (Ginseng & Aconite Decoction) andSheng Mai San (Engender the Pulse Powder): Ren Shen (RadixGinseng), 15g, Zhi Fu Zi (Radix Lateralis Praeparatus AconitiCarmichaeli) and Mai Men Dong (Tuber Ophiopogonis), 12geach, and Wu Wei Zi (Fructus Schisandrae), 9g.ACUPUNCTURE & MOXIBUSTION: For this acute emergencycondition, acupuncture can help for pain but shouldbe combined with Chinese medicinals and/or Western medicine.For the selection of points, please see pattern #1 abovewith its additions and subtractions.4. QI & BLOOD DUAL VACUITY, PHLEGM &TURBIDITY MUTUALLY BINDING PATTERNMAIN SYMPTOMS: Yellowing of the eyes and body which issometimes worse and sometimes better, dizziness and vertigo,a shiny, greenish blue facial complexion, fatigue, lassitudeof the spirit, lack of strength, disinclination to speak, scantyqi, rib-side distention, fullness, oppression, and discomfortor insidious pain which comes and goes, accumulationlumps below the rib-side if severe, reduced food intake, apale but dark tongue with possible static macules or spots,engorged, distended, tortuous sublingual veins, and a bowstring,fine or bowstring, choppy pulseNOTE: Although the name of this pattern does not mentionblood stasis, static blood is a part of its disease mechanisms.TREATMENT PRINCIPLES: Fortify the spleen and dispeldampness, rectify the qi and harmonize the bloodRX: Si Jun Zi Tang (Four Gentlemen Decoction) & Ge XiaZhu Yu Tang (Below the Diaphragm Dispel Stasis Decoction)with additions and subtractions:INGREDIENTS:Ban Zhi Lian (Radix Scutellariae Barbatae)Dang Shen (Radix Codonopsitis)Fu Ling (Poria)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Tao Ren (Semen Persicae)Dang Gui (Radix Angelicae Sinensis)Chai Hu (Radix Bupleuri)Yin Chen Hao (Herba Artemisiae Scopariae)Xiang Fu (Rhizoma Cyperi)Yan Hu Suo (Rhizoma Corydalis)Hong Hua (Flos Carthami)Dan Pi (Cortex Moutan)Gan Cao (Radix Glycyrrhizae)15g15g15g9g9g9g9g9g9g9g6g6g3gANALYSIS OF FORMULA: Dang Shen, Fu Ling, and Bai Zhusupplement the spleen, the latter heaven root of qi and bloodengenderment and transformation. Yin Chen Hao clears heatand eliminates dampness, especially in the liver-gallbladder,while Ban Zhi Lian clears heat and resolves toxins at the sametime as it quickens the blood. Chai Hu and Xiang Fu movethe qi, while Tao Ren, Hong Hua, and Dan Pi quicken theblood. Yan Hu Suo quickens the blood and stops pain. GanCao harmonizes all the other medicinals in the formula.ADDITIONS & SUBTRACTIONS: If there are loose stools or diarrhea,delete Dan Pi and add nine grams each of Cang Zhu(Rhizoma Atractylodis) and Huang Qi (Radix Astragali). Ifthere are accumulation lumps below the rib-side and pain, add15 grams each of Bie Jia (Carapax Trionycis) and Dan Shen(Radix Salviae Miltiorrhizae ).ACUPUNCTURE & MOXIBUSTION: Ri Yue (GB 24) (rightside), Dan Shu (Bl 19), Tai Chong (Liv 3), Zu San Li (St 36)ANALYSIS OF FORMULA: Supplementing Zu San Li fortifiesthe spleen and disinhibits dampness. Supplementing TaiChong nourishes liver blood. Together, these two points forma special combination for the treatment of jaundice andcholecystitis. Ri Yue is the alarm point of the gallbladder,while Dan Shu is its back transport point, both of whichhave a direct connection with the gallbladder not mediatedby the channels and network vessels. Therefore, they are veryeffective for disinhibiting the gallbladder, expelling stones,and stopping pain in the gallbladder.ADDITIONS & SUBTRACTIONS: If a stone in the bile ductis suspected, add Dan Nang Xue (M-LE-23) and/or YangLing Quan (GB 34). If there are concretion lumps below therib-side, add Qi Men (Liv 14) and Yang Ling Quan (GB 34).For severe jaundice, add Zhi Yang (GV 9). For abdominaldistention and pain, add Zhong Wan (CV 12). For nauseaand vomiting, add Nei Guan (Per 6).5. QI & YIN INSUFFICIENCY PATTERNMAIN SYMPTOMS: Insidious rib-side pain accompanied bymarked fatigue, lack of strength, torpid intake, and abdominaldistention after meals in patients typically over 40 yearsof age, dry mouth with a bitter taste, constipation, a fat,swollen tongue with teeth-marks on its edges, a red tip,cracks in its center, and scanty or peeled fur, and a fine, bowstring,rapid pulseNOTE: Although the name of this pattern does not say so,there is lingering damp heat evils which have damaged andconsumed the qi and yin.TREATMENT PRINCIPLES: Supplement yin and boost theqi, clear heat and eliminate dampness, move the qiRX: Yi Qi Ruan Gan Tang (Boost the Qi & Soften the LiverDecoction)