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

CHRONIC ACTIVE HEPATITIS (CAH) 145ADDITIONS & SUBTRACTIONS: For severe spleen vacuity, addPi Shu (Bl 20). For severe kidney vacuity, add Shen Shu (Bl23). For diarrhea, add Tian Shu (St 25). For low back and kneesoreness and limpness, add Gong Sun (Sp 4) and Fu Liu (Ki 7).11. COLD DAMPNESS BREWINGINTERNALLY PATTERNMAIN SYMPTOMS: Right-sided rib-side pain and distention,abdominal fullness, yin jaundice, aversion to cold, chilledlimbs, no thirst and a tasteless feeling in the mouth, torpidintake, loose stools, fatigue, lack of strength, lassitude of thespirit, edema, ascites, a pale or sallow facial complexion, a pale,fat tongue with teeth-marks on its edges and white, slimy fur,and a soggy, moderate (i.e., slightly slow) pulseTREATMENT PRINCIPLES: Fortify the spleen and warmyang, transform dampness and recede jaundiceRX: Yin Chen Zhu Fu Tang Jia Wei (Artemisia Scoparia,Atractylodes & Aconite Decoction with Added Flavors)INGREDIENTS:Bai Zhu (Rhizoma Atractylodis Macrocephalae)Fu Ling (Poria)Yin Chen Hao (Herba Artemisiae Scopariae)Ze Xie (Rhizoma Alismatis)Rou Gui (Cortex Cinnamomi)Zhi Fu Zi (Radix Lateralis Praeparatus AconitiCarmichaeli)Gan Jiang (dry Rhizoma Zingiberis)mix-fried Gan Cao (Radix Glycyrrhizae)9g9g9g9g6g6g6g6gANALYSIS OF FORMULA: Bai Zhu, Fu Ling, and mix-fried GanCao fortify the spleen and supplement the qi. Gan Jiang, Fu Zi,and Rou Gui warm the spleen and scatter the cold, thus helpingto transform cold dampness. Bai Zhu dries dampness, FuLing and Ze Xie seep dampness, and Yin Chen Hao disinhibitsdampness. In addition, Yin Chen Hao treats yin jaundice.ADDITIONS & SUBTRACTIONS: If there is abdominal distentionand thick tongue fur, add nine grams each of CangZhu (Rhizoma Atractylodis), Hou Po (Cortex MagnoliaeOfficinalis), and Bing Lang (Pericarpium Arecae). For diarrheaor watery stools, add nine grams each of Sha Ren(Fructus Amomi), Huo Xiang (Herba Pogostemonis), andCang Zhu (Rhizoma Atractylodis). For severe jaundice,increase the dosage of Bai Zhu up to 15 grams and that ofYin Chen Hao up to 25 grams.ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36),Zhong Wan (CV 12), Yin Ling Quan (Sp 9), Tai Chong (Liv3), Zhang Men (Liv 13)ANALYSIS OF FORMULA: Zhong Wan, Yin Ling Quan, andZu San Li fortify the spleen, warm yang, and transformdampness. Zhang Men rectifies the qi and disperses accumulationsin the rib-side. Tai Chong recedes jaundice. All thesepoints should be drained except Zu San Li. Also moxa ZuSan Li and Zhong Wan.ADDITIONS & SUBTRACTIONS: For marked fatigue and lack ofstrength, add Tai Bai (Sp 3). For severe jaundice, add Gan Shu(Bl 18) and Pi Shu (Bl 20). For upper abdominal distention,add Shang Wan (CV 13). For abdominal distention at the levelof the waist, add Tian Shu (St 25). For nausea and vomiting,add Nei Guan (Per 6). For diarrhea, add Shen Que (CV 8).REMARKS1. Ultimately, no matter what the disease, one should alwaystreat the patient’s personal pattern or combination of patterns.Although Western MDs say that chronic active hepatitismay be asymptomatic, patients with this condition arenever asymptomatic from the point of view of Chinese medicine.In other words, every person with chronic active hepatitisdoes display one or more patterns, remembering that aChinese pattern is made up of a combination of signs andsymptoms, tongue signs, and pulse signs. These signs andsymptoms may not have anything to do with hepatitis froma Western medical point of view. For instance, women withliver depression qi stagnation, typically have menstrual andpremenstrual symptoms. Men will at least be irritable or easilyfrustrated. Therefore, it is extremely important to do acomplete intake using the four examinations. Even if there isnothing other than an enlarged tongue with a red right edgeand slimy tongue fur plus a bowstring, slippery pulse, thisdoes add up to a Chinese medical pattern.At the very least, there is usually a liver-stomach and/or liverspleendisharmony. The above are the most commonly seenpatterns in chronic active hepatitis. However, they merelygive some general guidelines to pattern discrimination andtreatment. Individual treatment plans will usually be a combinationof several of the above elements.2. It has recently been reported from Japan that severalpatients on interferon therapy have died due to liver failurewhile simultaneously taking Xiao Chai Hu Tang (MinorBupleurum Decoction). As of this writing, the exact pharmacodynamicshave not been determined. Some synergismbetween interferon and Chai Hu (Radix Bupleuri) is suspected.However, it may also be that Xiao Chai Hu Tang was misprescribedto these patients. Until this issue has been clearedup, we advise not prescribing Bupleurum with interferon.3. Although a combination of enduring damp heat evils andaging often damage and consume the spleen qi resulting inspleen vacuity with cold dampness and even spleen-kidneyyang vacuity, care should be taken when using interior-