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

134 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEthrough to Di Cang (St 4), Shang Wan (CV 13), Dan Shu (Bl19), Zhong Wan (CV 12), Yang Ling Quan (GB 34)ANALYSIS OF FORMULA: Ying Xiang needled through to DiCang is a special combination to kill roundworms. ShangWan plus Dan Shu and Zhong Wan plus Yang Ling Quan arealso empirical combinations for treating roundworms in thebile duct. They harmonize the center and disinhibit the gallbladder,relax urgency and stop pain. All these points shouldbe needled with draining method, and acupuncture shouldbe combined with Chinese medicinals.ADDITIONS & SUBTRACTIONS: For nausea, add Nei Guan (Per6). For severe pain, use electroacupuncture on all points exceptYing Xiang. For fatigue and loose stools, add Zu San Li (St 36)and Pi Shu (Bl 20). For children, prick Si Feng (M-UE-9).REMARKS1. During acute attacks, patients should be treated with bothacupuncture and internally administered Chinese medicinals.Typically such medicinals are prescribed in relativelyhigh doses in order to achieve as quick pain relief as possible.In between attacks, most patients suffer from a liver-spleendisharmony. During periods of remission, patients should beencouraged to take low doses of Chinese medicinals on adaily basis in either desiccated powdered extract or pill form.An alternative is to take higher doses in decoction for 21 daysevery three months. Since almost all cholecystitis is due togallstones, preventive formulas taken during periods ofremission should usually include stone-expelling medicinals,such as Ji Nei Jin (Endothelium Corneum Gigeriae Galli).When combined with correct diet, this condition is veryamenable to Chinese medical treatment.For liver-spleen disharmony during remissions, use Xiao YaoSan Jia Jian (Moutan & Gardenia Rambling Powder withAdditions & Subtractions): Dang Gui (Radix AngelicaeSinensis ), Bai Shao (Radix Paeoniae Albae), Yu Jin (TuberCurcumae), Xiang Fu (Rhizoma Cyperi), 9g each, Bai Zhu(Rhizoma Atractylodis Macrocephalae), Fu Ling (Poria), ChaiHu (Radix Bupleuri), Mu Xiang (Radix Auklandiae), mix-friedGan Cao (Radix Glycyrrhizae), 6g each. If liver-spleen disharmonyis complicated by damp or depressive heat, add 15grams of Yin Chen Hao (Herba Artemisiae Scopariae) and ninegrams each of Dan Pi (Cortex Moutan) and Zhi Zi (FructusGardeniae). If qi stagnation has resulted in blood stasis withpiercing, fixed pain in the rib-side, add nine grams of PuHuang (Pollen Typhae), Wu Ling Zhi (Feces Trogopterori),Jiang Huang (Rhizoma Curcumae Longae) and Yan Hu Suo(Rhizoma Corydalis). If stones are suspected or present, addnine grams of Ji Nei Jin (Endothelium Corneum GigeriaeGalli ), Jin Qian Caox (Herba Lysimachiae/Desmodii), andWei Ling Xian (Radix Clematidis).In the case of chronic cholecystitis, if there is predominantlyspleen vacuity in a liver-spleen disharmony with depressive heatand, therefore, a yin fire scenario, consider using Sheng Yang YiWei Tang (Upbear Yang & Boost the Stomach Decoction):Dang Shen (Radix Codonopsitis), Huang Qi (Radix Astragali),Bai Zhu (Rhizoma Atractylodis Macrocephalae), Fu Ling(Poria), Ze Xie (Rhizoma Alismatis), and Bai Shao (RadixPaeoniae Albae), 9g each, Huang Lian (Rhizoma Coptidis), 2g,Ban Xia (Rhizoma Pinelliae), Qiang Huo (Radix Et RhizomaNotopterygii), and Du Huo (Radix Angelicae Pubescentis), 6geach, Chen Pi (Pericarpium Citri Reticulatae), Fang Feng(Radix Saposhnikoviae), and Chai Hu (Radix Bupleuri), 5geach, and mix-fried Gan Cao (Radix Glycyrrhizae), 3g.2. Women are more prone to this condition than men becausewomen are more prone to spleen vacuity and, therefore, liverdepression than men. This condition typically occurs around40 years of age because spleen vacuity becomes pronounced,especially in women, around that age. In addition, people whoare obese usually have a habitual spleen vacuity with dampnessand phlegm obstructing the flow of qi and blood. This thenexplains the three F’s – fat, female, and forty. Therefore, a liverspleendisharmony is typically at the root of this conditioncomplicated by damp heat and/or blood stasis.3. In most Western patients, there will be a complex combinationof vacuity and repletion patterns. The presence ofstones should be assumed as should at least some element ofsmoldering damp heat. Typically, there will be pronouncedqi stagnation. If the condition has endured, there may also beblood stasis.4. Diet is extremely important in the treatment of cholecystitisand cholelithiasis. This mainly means a clear, bland diet,taking care to stay away from sugars and sweets as well asoily, fatty foods. In addition, patients need to get adequateexercise. When acute episodes are precipitated by emotionalstress, daily exercise and deep relaxation need to go hand inhand as well as trying to change one’s lifestyle in order toreduce stress.5. In case of acute cholelithiasis, there is a famous modernprotocol called “general offensive” which is commonly usedin Chinese medical hospitals in China. This protocol is acombination of a Chinese medicinal formula, acupuncture,and Western drug therapy. Because this type of protocol aimsto expel stones, it is important to know if the stone is smallenough to pass through the bile duct so as to avoid obstructionand a worsening of the patient’s condition. Usually,large stones in the gallbladder stay “cold and calm.”Therefore, it is unnecessary to try to expel these. In this case,the preventive formulas above are sufficient to “keep thedragon in its den.”