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

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

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CHRONIC FATIGUE IMMUNE DEFICIENCY SYNDROME (CFIDS) 149inhibit the throat. Dang Shen, Da Zao, mix-fried Gan Cao, andDang Shen boost the qi and support the righteous. In addition,Dang Shen supplements without retaining evils inside the bodyas do many supplementing medicinals.ADDITIONS & SUBTRACTIONS: If there is marked swelling <strong>of</strong> thelymphnodes, add 15 grams each <strong>of</strong> Zhe Bei Mu (BulbusFritillariae Thunbergii) and Xia Ku Cao (Spica P<strong>ru</strong>nellae). Ifthere is blood vacuity or the patient “catches cold” at each menst<strong>ru</strong>ation,add 12 grams <strong>of</strong> Shu Di (cooked Radix Rehmanniae)and nine grams each <strong>of</strong> Dang Gui (Radix Angelicae Sinensis),Bai Shao (Radix Paeoniae Albae), and Chuan Xiong (RhizomaChuanxiong). If there is nasal congestion, add nine grams each<strong>of</strong> Bai Zhi (Radix Angelicae Dahuricae) and Bo He (HerbaMenthae Haplocalycis). If there is marked muscle-joint pain,add nine grams each <strong>of</strong> Qiang Huo (Radix Et RhizomaNotopterygii) and Fang Feng (Radix Saposhnikoviaex) and 15grams <strong>of</strong> Ge Gen (Radix Puerariae). If there is high fever andthirst, add 20 grams <strong>of</strong> Shi Gao (Gypsum Fibrosum) and 12grams <strong>of</strong> Zhi Mu (Rhizoma Anemarrhenae ).ACUPUNCTURE & MOXIBUSTION: He Gu (LI 4), Da Zhui(GV 14), Feng Men (Bl 12), Zu San Li (St 36)ANALYSIS OF FORMULA: Draining He Gu, Da Zhui, andFeng Men dispels wind and clears heat. Supplementing ZuSan Li boosts the qi and supports the righteous.ADDITIONS & SUBTRACTIONS: If there is marked swelling<strong>of</strong> the lymphnodes, add Que Pen (St 12) and Nao Hui (TB13). If there is blood vacuity or the patient “catches cold” ateach menst<strong>ru</strong>ation, add San Yin Jiao (Sp 6). If there is nasalcongestion, add Yin Tang (M-HN-3). If there is markedmuscle-joint pain, add Qu Chi (LI 11) and Yin Ling Quan(Sp 9). If there is high fever and thirst, add Wai Guan (TB 5)and Qu Chi (LI 11).2. TAXATION MALARIA PATTERNMAIN SYMPTOMS: Taxation malaria-like disorders are characterizedby chronic extreme fatigue and recurrent low-grade feversdue to a combination <strong>of</strong> qi and yin vacuities with vacuity heatharassing internally and liver depression qi stagnation. <strong>The</strong>signs and symptoms <strong>of</strong> spleen qi vacuity include: fatigue, especiallyafter eating, abdominal bloating after eating, a tendencyto loose stools but possibly constipation, cold hands and feet,lack <strong>of</strong> strength in the four extremities, dizziness when standingup, easy b<strong>ru</strong>ising, easy contraction <strong>of</strong> colds and flus, aswollen tongue with teeth-marks on its edges, and a fine pulsewhich is <strong>of</strong>ten soggy or s<strong>of</strong>t in the right bar position. <strong>The</strong> signsand symptoms <strong>of</strong> liver blood-kidney yin vacuity with vacuityheat include: night sweats, hot flashes, vexatious heat in the fivehearts, tinnitus, dizziness, thirst or a dry mouth but little or nodesire to drink, recurrent, dry, sore throat, especially in theevening and upon waking, malar and/or auricular flushing inthe afternoon or early evening, stiffness <strong>of</strong> the sinews, numbnessand/or tingling <strong>of</strong> the extremities, matitudinal insomnia, apale red tongue or a pale tongue with red tip and scanty tonguefur, and a fine, rapid or possibly floating, surging pulse. <strong>The</strong>signs and symptoms <strong>of</strong> liver depression include: premenst<strong>ru</strong>alor menst<strong>ru</strong>al lower abdominal distention, lower abdominalcramping, premenst<strong>ru</strong>al breast distention and pain, irritability,emotional depression, and a bowstring pulse.NOTE: In our experience, this pattern describes a common onein <strong>Western</strong>ers with CFIDS. In Chinese medicine, malaria doesnot just mean an infection by Plasmodium facilipa<strong>ru</strong>m. Itincludes any disease characterized by shortly spaced remittentepisodes, and there are several kinds <strong>of</strong> malaria-like diseases inChinese medicine, taxation malaria being one <strong>of</strong> them. Wehave chosen to use this pattern <strong>nam</strong>e to emphasize the probableexistence <strong>of</strong> hidden warm evils in this condition.TREATMENT PRINCIPLES: Supplement vacuity and checkmalaria, course the liver and rectify the qiRX: Bu Zhong Yi Qi Tang Jia Wei (Supplement the Center &Boost the Qi Decoction with Added Flavors)INGREDIENTS:Huang Qi (Radix Astragali)15gprocessed He Shou Wu (Radix Polygoni Multiflori) 15gNiu Xi (Radix Achyranthis Bidentatae)12gDang Shen (Radix Codonopsitis)9gBai Zhu (Rhizoma Atractylodis Macrocephalae) 9gZhi Mu (Rhizoma Anemarrhenae)9gWu Mei (F<strong>ru</strong>ctus Mume)9gCao Guo (F<strong>ru</strong>ctus Tsaoko)9gmix-fried Gan Cao (Radix Glycyrrhizae) 6gDang Gui (Radix Angelicae Sinensis)6gChen Pi (Pericarpium Citri Reticulatae) 6gSheng Ma (Rhizoma Cimicifugae) 4.5gChai Hu (Radix Bupleuri) 1-3gANALYSIS OF FORMULA: Huang Qi, Dang Shen, mix-fried GanCao, and Bai Zhu all fortify the spleen and boost the qi. HuangQi and Bai Zhu particularly supplement and secure the defensiveqi. Chai Hu and Sheng Ma upbear yang and disinhibit theqi mechanism. Rectification <strong>of</strong> the qi is also aided by Chen Pi’sharmonizing <strong>of</strong> the stomach and downbearing <strong>of</strong> turbidity.Because Chai Hu and Sheng Ma both also resolve the exterior,these two ingredients in small doses can out-th<strong>ru</strong>st any lingeringexterior evils as well as exteriorize evils hidden or latent inthe blood division. Dang Gui and He Shou Wu both nourishand supplement the blood. Nourishment <strong>of</strong> liver blood indirectlypromotes the liver’s function <strong>of</strong> coursing and discharging.Dang Gui also quickens the blood, while He Shou Wu hassome ability to quiet the spirit. <strong>The</strong> combination <strong>of</strong> Dang Gui,He Shou Wu and Niu Xi supplements yin and nourishes thesinews. Niu Xi also leads the blood and, therefore, ministerial

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