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

154 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEaversion to cold, fever, headache, dizziness, a dry mouth, abitter taste in the mouth, eczema, ceaseless itching, scanty,hot, reddish yellow urine, a purple red tongue with slimy,yellow fur, and a bowstring, slippery, rapid pulseNOTE: This pattern describes glomerulonephritis due to aninfection that has reached the kidneys and become chronic.While the name of this pattern and its Chinese medicinaltreatment below imply blood stasis, there are none of thecommon blood stasis signs or symptom listed above exceptfor the purple tongue. However, itching can be a symptom ofstasis, and stasis may also be assumed due to A) the presenceof heat toxins and B) the chronic nature of this condition.TREATMENT PRINCIPLES: Clear heat and resolve toxins,quicken the blood and disinhibit waterRX: Long Kui She Mei Yi Mi Tang (Solanum Negrum,Duchnesea & Coix Decoction)INGREDIENTS:Long Kui (Herba Solani Nigri)30gShe Mei (Herba Duchneseae Indicae) 30gYi Yi Ren (Semen Coicis)30gYi Mu Cao (Herba Leonuri)30gShu Yang Quan (Herba Solani Lyrati) 30gHuang Bai (Cortex Phellodendri)9gCang Zhu (Rhizoma Atractylodis) 9gDan Pi (Cortex Moutan)9guncooked Pu Huang (Pollen Typhae) 9gDan Shen (Radix Salviae Miltiorrhizae) 9gZe Lan (Herba Lycopi)9gFu Ling (Poria)9gJiang Can (Bombyx Batryticatus) 4.5gANALYSIS OF FORMULA: Long Kui clears heat and resolvestoxins, quickens the blood and disperses swelling, while ShuYang Quan clears heat and resolves toxins, disinhibits dampnessand dispels wind. Huang Bai clears heat and dries dampness.Dan Pi and Dan Shen cool and quicken the blood. SheMei also clears heat and cools the blood. However, it alsoresolves toxins and disperses swelling. Cang Zhu, Fu Ling,and Yi Yi Ren dry and seep dampness. Yi Mu Cao, Pu Huang,and Ze Lan quicken the blood and disinhibit dampness, andJiang Can clears heat, dispels wind, and stops itching.ADDITIONS & SUBTRACTIONS: For concomitant righteous qivacuity, add 45 grams of Huang Qi (Radix Astragali) and 15grams each of Dang Shen (Radix Codonopsitis) and Bai Zhu(Rhizoma Atractylodis Macrocephalae).ACUPUNCTURE & MOXIBUSTION: He Gu (LI 4), San Yin Jiao (Sp6), Yin Ling Quan (Sp 9), Xue Hai (Sp 10), Zhong Ji (CV 3)ANALYSIS OF FORMULA: Draining San Yin Jiao, Yin LingQuan, and Zhong Ji clears heat and eliminates dampness, dispersesswelling and disinhibits urination. Draining San YinJiao, Xue Hai, and He Gu quickens the blood and dispels stasis.He Gu also clears heat and frees the flow in the exterior.ADDITIONS & SUBTRACTIONS: For marked blood stasis,add Ge Shu (Bl 17). For marked aversion to cold and fever,add Wai Guan (TB 5). For headache and dizziness, add FengChi (GB 20). For a dry mouth with a bitter taste, add QiuXu (GB 40). For eczema and ceaseless itching, add Qu Chi(LI 11). For scanty, hot, reddish yellow urine, add PangGuang Shu (Bl 28) and Tong Li (Ht 5).2. FLOODING OF WIND & WATER PATTERNMAIN SYMPTOMS: Puffy eyelids initially leading to generalizededema, recent onset, rapidly developing edema which ismost pronounced in the face, a bright, shiny facial complexion,possible fever and chills, generalized aching and pain,inhibited urination, a normal tongue or a somewhat redtongue with either thin, white or thin, yellow fur, and a floating,tight or floating, rapid pulseNOTE: This pattern describes external contraction of evilsand an exterior pattern. In real-life patients, this pattern typicallyonly complicates other patterns in which the righteousqi is already damaged and external evils are taking advantageof vacuity to invade and enter the body. Therefore, althoughthe edema may be sudden, the patient has probably hadalbuminuria and hypertension for some time.TREATMENT PRINCIPLES: Course wind and resolve theexterior, seep dampness and disperse swellingRX: Ma Huang Lian Qiao Chi Xiao Dou Tang Jia Jian(Ephedra, Forsythia & Aduki Bean Decoction withAdditions & Subtractions)INGREDIENTS:Chi Xiao Dou (Semen Phaseoli)Fu Ling (Poria)Ze Xie (Rhizoma Alismatis)Lian Qiao (Fructus Forsythiae)honey mix-fried Ma Huang (Herba Ephedrae)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Han Fan Ji (Radix Stephaniae)Sheng Jiang (uncooked Rhizoma Zingiberis)Da Zao (Fructus Jujubae)30g24g24g15g12g12g12g3 slices3 piecesANALYSIS OF FORMULA: Ma Huang and Sheng Jiang coursewind and resolve the exterior. In addition, Ma Huang disinhibitsthe urination. Chi Xiao Dou, Ze Xie, Fu Ling, Bai Zhu,and Han Fang Ji disinhibit water and disperse swelling, andLian Qiao clears heat and resolves toxins. Da Zao harmonizesthe other medicinals in this formula.