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

CHRONIC GLOMERULONEPHRITIS 157Yin Jiao and Yin Ling Quan disinhibits water and dispersesswelling.ADDITIONS & SUBTRACTIONS: If fatigue and lack ofstrength are marked, add Tai Bai (Sp 3). For nausea, addZhong Wan (CV 12). For abdominal fullness after eating,borborygmus, flatulence, and edema predominantly in theabdomen, add Nei Guan (Per 6) and Gong Sun (Sp 4). Forsevere edema in the abdomen, also add Shui Fen (CV 9). Forconcomitant blood stasis, add Ge Shu (Bl 17). For severeedema in the limbs, add Shui Dao (St 28).If kidney yang vacuity is more pronounced, use Shen Qi TangJia Wei (Kidney Qi Decoction with Added Flavors)INGREDIENTS:Bi Xie (Rhizoma Dioscoreae Hypoglaucae)Che Qian Zi (Semen Plantaginis)Sheng Di (uncooked Radix Rehmanniae)Fu Ling (Poria)Ze Xie (Rhizoma Alismatis)Niu Xi (Radix Achyranthis Bidentatae)Xiang Ling Pi (Herba Epimedii)Sang Ji Sheng (Herba Taxilli)Shan Yao (Radix Dioscoreae)Shan Zhu Yu (Fructus Corni)Dan Pi (Cortex Moutan)Zhi Fu Zi (Radix Lateralis Praeparatus AconitiCarmichaeli)Sha Ren (Fructus Amomi)Bai Dou Kou (Fructus Cardamomi)Gui Zhi (Ramulus Cinnamomi)30g30g15g15g15g15g15g15g9g9g9g9g9g9g6gANALYSIS OF FORMULA: Sheng Di, Niu Xi, and Sang Ji Shengenrich yin to engender yang. Shan Yao, Yin Yang Huo, ShanZhu Yu, Fu Zi, and Gui Zhi supplement the kidneys and warmand invigorate yang. In addition, Shan Yao supplements thespleen and Gui Zhi frees the flow of yang and transforms theqi of the bladder. Sha Ren and Bai Dou Kou warm the spleenand dry dampness. Bi Xie, Che Qian Zi, Ze Xie, and Fu Lingdisinhibit water and disperse swelling.ADDITIONS & SUBTRACTIONS: If yang disease has reached yin,subtract Yin Yang Huo and add 12 grams each of Gou Qi Zi(Fructus Lycii) and Tian Men Dong (Tuber Asparagi). For concomitantblood stasis, add 12 grams each of Ze Lan (HerbaLycopi) and Yi Mu Cao (Herba Leonuri). For severe aversion tocold and low back pain with a cold sensation, add nine gramseach of Ba Ji Tian (Radix Morindae Officinalis) and Xian Mao(Rhizoma Curculiginis). For heart palpitation and hasty panting,add 12 grams each of Ting Li Zi (SemenLepidii/Descurainiae), Sang Bai Pi (Cortex Mori), Ze Lan(Herba Lycopi), and Han Fang Ji (Radix Stephaniae). For hematuria,add 12 grams of Bai Mao Gen (Rhizoma Imperatae). Ifedema disappears but protein in the urine continues, add ninegrams each of Jin Ying Zi (Fructus Rosae Laevigatae) and Yi ZhiRen (Fructus Alpiniae Oxyphyllae).For strangury taxation due to spleen-kidney yang vacuitywithout edema but with dizziness, low back and knee sorenessand limpness, aversion to cold, turbid urine, reduced appetite,lack of strength, a sallow or dark facial complexion, a paletongue, and a thin, weak pulse, replace Shen Qi Tang Jia Weiwith Liu Wei Di Huang Tang Jia Jian (Six Flavors RehmanniaDecoction with Additions & Subtractions): Huang Qi (RadixAstragali), 30g, Shu Di (cooked Radix Rehmanniae), Tu Si Zi(Semen Cuscutae), and Fu Long Gan (Terra Flava Usta), 15geach, Shan Yao (Radix Dioscoreae), Bu Gu Zhi (FructusPsoraleae), Qian Shi (Semen Euryalis), and Dang Shen (RadixCodonopsitis), 12g each, and Shan Zhu Yu (Fructus Corni),Jin Ying Zi (Fructus Rosae Laevigatae), Bai Zhu (RhizomaAtractylodis Macrocephalae), and Fu Ling (Poria), 9g each. Formarked kidney yang vacuity, add one gram each of Lu Jiao(Cornu Cervi) and Rou Gui (Cortex Cinnamomi), powderedand taken with the strained decoction. For concomitant kidneyyin vacuity, subtract Bu Gu Zhi and add 15 grams of GuiBan (Plastrum Testudinis) and nine grams of Huang Bai(Cortex Phellodendri). For numerous red blood cells in theurine due to concomitant blood stasis, add nine grams each ofHong Hua (Flos Carthami), Yi Mu Cao (Herba Leonuri), andZe Lan (Herba Lycopi) and three grams of San Qi (RadixNotoginseng), powdered and taken with the strained decoction.ACUPUNCTURE & MOXIBUSTION: Shen Shu (Bl 23), SanYin Jiao (Sp 6), Guan Yuan (CV 4), Yin Ling Quan (Sp 9)ANALYSIS OF FORMULA: Supplementing Shen Shu, GuanYuan, and San Yin Jiao with moxibustion, supplements andwarms mainly the kidneys but also the spleen. Draining SanYin Jiao and Yin Ling Quan disinhibits water and dispersesswelling.ADDITIONS & SUBTRACTIONS: If yang disease has reachedyin, add Fu Liu (Ki 7). For severe edema, especially below thewaist, severe aversion to cold, and low back pain with a coldsensation, add Ming Men (GV 4) with moxibustion. If, inaddition, there is hematuria, add Xue Chou (extra pointlocated just above the spinous process of L2) with moxibustion.For heart palpitation and hasty panting, add Nei Guan(Per 6), Liang Quan (CV 23), and Lie Que (Lu 7). For severeedema in the limbs, add Shui Dao (St 28). If there is severeedema in the abdomen, add Shui Fen (CV 9).5. QI VACUITY & BLOOD STASIS PATTERNMAIN SYMPTOMS: Water swelling in the cheeks, face, and feetwhich is aggravated by over-taxation, bodily form vacuous anddebilitated, fatigue, weakness of the four limbs, a sallow yellowcomplexion, devitalized appetite, epigastric and abdominal