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

140 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEKou transform dampness, while Huang Lian clears the heat.Together, they clear and transform dampness and heat. Inaddition, Huo Xiang treats the sticky, slimy, unclean feelingin the mouth. Fu Ling seeps dampness, while Zi Su Ye andBan Xia harmonize the stomach and stop vomiting.ADDITIONS & SUBTRACTIONS: For spleen vacuity with heavydampness, add 18 grams of Yi Yi Ren (Semen Coicis) and ninegrams each of Dang Shen (Radix Codonopsitis), Bai Zhu(Rhizoma Atractylodis Macrocephalae), and Cang Zhu(Rhizoma Atractylodis). If heat is more pronounced, add ninegrams each of Huang Qin (Radix Scutellariae) and Zhi Zi(Fructus Gardeniae). If heat has damaged yin, add 12 grams ofMai Men Dong (Tuber Ophiopogonis) and nine grams of ShiHu (Herba Dendrobii). For scanty, reddish yellow urine, add15 grams of Che Qian Zi (Semen Plantaginis). For nausea andvomiting, add nine grams each of Zhu Ru (Caulis BambusaeIn Taeniis) and Chen Pi (Pericarpium Citri Reticulatae).ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36), YinLing Quan (Sp 9), Nei Ting (St 44), Yang Ling Quan (GB 34)ANALYSIS OF FORMULA: Supplementing Zu San Li fortifiesthe spleen and boosts the qi, harmonizes the stomach anddisinhibits dampness. Draining Nei Ting clears heat from thespleen and stomach. Draining Yin Ling Quan and Yang LingQuan clear and disinhibit damp heat.ADDITIONS & SUBTRACTIONS: For more pronouncedspleen vacuity with fatigue, add Pi Shu (Bl 20) and Wei Shu(Bl 21). For concomitant liver depression, add Tai Chong(Liv 3). For concomitant blood vacuity and/or blood stasis,add San Yin Jiao (Sp 6) and Ge Shu (Bl 17). If there isabdominal distention or pain, add Zhong Wan (CV 12). Ifthere is abdominal distention or pain at the level of the waist,add Tian Shu (St 25). For vomiting, nausea, and/or belching,add Nei Guan (Per 6) and Shang Wan (CV 13). If there is lackof appetite due to food stagnation, add Liang Men (St 21).4. LIVER-GALLBLADDER DAMP HEAT PATTERNMAIN SYMPTOMS: Rib-side pain, low-grade fever or alternatingfever and chills, red eyes, headache, a bitter taste in the mouth,torpid intake, aversion to greasy, fatty foods, nausea, vomiting,reddish yellow urine, possible jaundice, a red tongue withslimy, yellow fur, and a bowstring, slippery, rapid pulseTREATMENT PRINCIPLES: Course the liver and disinhibitthe gallbladder, clear heat and eliminate dampnessRX: Long Dan Xie Gan Tang Jia Jian (Gentiana Drain theLiver Decoction with Additions & Subtractions)INGREDIENTS:Hua Shi (Talcum)18gSheng Di (uncooked Radix Rehmanniae)Huang Qin (Radix Scutellariae)Zhi Zi (Fructus Gardeniae)Ze Xie (Rhizoma Alismatis)Che Qian Zi (Semen Plantaginis)Mu Tong (Caulis Akebiae)Chai Hu (Radix Bupleuri)Long Dan Cao (Radix Gentianae)Qing Dai (Pulvis Indigonis)Dang Gui Wei (Extremitas Radicis Angelicae Sinensis)Gan Cao (Radix Glycyrrhizae)12g12g9g9g9g9g9g6g6g6g3gANALYSIS OF FORMULA: Hua Shi, Ze Xie, Mu Tong, andChe Qian Zi disinhibit damp heat through urination. Zhi Zi,Huang Qin, and Long Dan Cao clear the liver and dry dampness.Qing Dai clears the liver and discharges fire. Sheng Dinourishes liver yin. It also protects yin from the dry nature ofthe majority of the medicinals in this formula. Chai Hucourses the liver to prevent further liver depression transforminginto heat. Dang Gui Wei quickens the blood andprevents blood stasis due to heat, while Gan Cao harmonizesthe other medicinals in this formula.ADDITIONS & SUBTRACTIONS: If heat has transformed into fire,add 3-6g of Da Huang (Radix Et Rhizoma Rhei). If heat hasdamaged yin, add 12 grams each of Mai Men Dong (TuberOphiopogonis) and Tian Men Dong (Tuber Asparagi). If thereis accompanying jaundice, add 30 grams of Yin Chen Hao(Herba Artemisiae Scopariae). For nausea and vomiting, addnine grams of Zhu Ru (Caulis Bambusae In Taeniis) and ChenPi (Pericarpium Citri Reticulatae). For aversion to greasy, fattyfoods or undigested food in the stools, add 15 grams of ShanZha (Fructus Crataegi) and nine grams each of Mai Ya (FructusGerminatus Hordei) and Shen Qu (Massa Medica Fermentata).ACUPUNCTURE & MOXIBUSTION: Gan Shu (Bl 18), DanShu (Bl 19), Tai Chong (Liv 3), Yang Ling Quan (GB 34)ANALYSIS OF FORMULA: Gan Shu is the back transportpoint of the liver, while Dan Shu is the back transport pointof the gallbladder. Tai Chong is the source point of the liverchannel, and Yang Ling Quan is the uniting point of the gallbladderchannel. Together, these points course the liver anddisinhibit the gallbladder, clear heat and eliminate dampness.All these points should be needled with draining method. Allare key points for the treatment of hepatitis.ADDITIONS & SUBTRACTIONS: For bodily weakness andfatigue, add Zu San Li (St 36). For jaundice, add Qiu Xu (GB40) and Zhi Yang (GV 9). For abdominal distention or pain,add Zhong Wan (CV 12). For abdominal distention or painat the level of the waist, add Tian Shu (St 25). For vomiting,nausea, and/or belching, add Nei Guan (Per 6) and ShangWan (CV 13). For aversion to greasy, fatty foods, or lack ofappetite due to food stagnation, add Hua Rou Men (St 24).