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

CHRONIC GLOMERULONEPHRITIS 161add Wai Guan (TB 5), Qu Chi (LI 11), and Shui Dao (St 28).If there are skin sores due to heat toxins, add Ling Tai (GV 10),Wei Zhong (Bl 40), Xue Hai (Sp 10), and Qu Chi (LI 11). Ifdefectation is inhibited, add Zhi Gou (TB 6). If there is hematuria,add San Yin Jiao (Sp 6) and Ran Gu (Ki 2).10. BLOOD STASIS PATTERNMAIN SYMPTOMS: Enduring disease which does not heal, adark facial complexion, blackness around the eyes, drynessand darkness of the lower lobe of the ear, dry skin, liver spotson the hands, possible hematuria, a dark purplish tongueand/or possible static spots or macules on the tongue, and adeep or deep and choppy pulseTREATMENT PRINCIPLES: Quicken the blood and transformstasisRX: Xue Fu Zhu Yu Tang Jia Jian (Blood Mansion DispelStasis Decoction with Additions & Subtractions)INGREDIENTS:Sheng Di (uncooked Radix Rehmanniae) 9-30gChi Shao (Radix Paeonae Rubrae)12gTao Ren (Semen Persicae)9gHong Hua (Flos Carthami)9gZhi Ke (Fructus Aurantii)9gChuan Niu Xi (Radix Cyathulae)9gDang Gui (Radix Angelicae Sinensis)9gChai Hu (Radix Bupleuri)6gJie Geng (Radix Platycodi)6gChuan Xiong (Rhizoma Chuanxiong)6gANALYSIS OF FORMULA: Tao Ren, Hong Hua, Chi Shao,Chuan Xiong, and Dang Gui quicken the blood and transformstasis. Jie Geng moves qi in the upper burner, Chai Humoves qi in the middle burner, while Zhi Ke moves qi in thelower burner, and, if the qi moves, the blood moves. ShengDi and Dang Gui also nourish the blood.ADDITIONS & SUBTRACTIONS: If there is concomitant qivacuity with fatigue, add 18 grams of Huang Qi (RadixAstragali) and 12 grams of Tai Zi Shen (RadixPseudostellariae). For qi stagnation with abdominal and/orrib-side distention and pain, add 12 grams each of Xiang Fu(Rhizoma Cyperi), Yu Jin (Tuber Curcumae), and Da Fu Pi(Pericarpium Arecae). For edema, add nine grams each ofHan Fang Ji (Radix Stephaniae), Ze Xie (Rhizoma Alismatis),Zhu Ling (Polyporus), and Ze Lan (Herba Lycopi). For concomitantphlegm heat with nausea, chest and stomach fullnessand oppression, a bitter taste in the mouth, and a stickyfeeling in the mouth, add 3-6 grams of Huang Lian(Rhizoma Coptidis) and 6-9 grams each of Chen Pi(Pericarpium Citri Reticulatae), Ban Xia (RhizomaPinelliae), and Zhu Ru (Caulis Bambusae In Taeniis).ACUPUNCTURE & MOXIBUSTION: San Yin Jiao (Sp 6), HeGu (LI 4), Ge Shu (Bl 17), Xue Hai (Sp 10), Zhong Ji (CV 3)ANALYSIS OF FORMULA: Draining San Yin Jiao and He Guquickens the blood in the whole of the body by moving theqi. Draining Ge Shu quickens the blood in the upper burner,while draining Xue Hai quickens the blood in the lowerburner. Draining Zhong Ji, the bladder front mu or alarmpoint, clears and disinhibits the lower burner.ADDITIONS & SUBTRACTIONS: If there is concomitant qivacuity with fatigue, add Zu San Li (St 36) and Tai Bai (Sp3). For qi stagnation with abdominal and/or rib-side distentionand pain, add Tian Shu (St 25) and Qi Men (Liv 14). Foredema, add Yin Ling Quan (Sp 9) and Shui Dao (St 28). Forconcomitant phlegm heat with nausea, chest and stomachfullness and oppression, a bitter taste and a sticky feeling inthe mouth, add Zhong Wan (CV 12) and Feng Long (St 40).REMARKS1. In Chinese medicine, chronic nephritis can also generallybe referred to as a water and qi disease (shui qi bing). This isbecause damp, turbid substances obstruct and stagnate the qimechanism. Thus the qi transformation cannot reach all theregions of the body and the kidneys lose their control overthe body’s water fluids, resulting in water swelling or edema.However, in chronic glomerulonephritis, edema does nothave to be present, and many patients are asymptomatic forthe first several years. For instance, edema is not necessarilypresent in patterns #3, 4, 5, and 6 and only may be presentin patterns #7 and 8.2. Because this disease is usually the result of long-term,enduring disease and tends to present most often in olderpatients, blood stasis typically plays a part in its diseasemechanisms. Therefore, most formulas for this conditioninclude or should be modified by the addition of bloodquickening,stasis-dispelling medicinals. Yan De-xin, authorof Aging & Blood Stasis, believes that virtually all chronicnephritis in the elderly involves blood stasis, and that quickeningthe blood and dispelling stasis is essential to achieve agood treatment effect. In terms of blood-quickening medicinals,at the beginning of this disease, Dr. Yan says oneshould consider using Ze Lan (Herba Lycopi) and Yi Mu Cao(Herba Leonuri) to transform blood into water. In the middlestage, Dr. Yan says to use uncooked Pu Huang (PollenTyphae) and Shui Zhi (Hirudo) to transform stasis and freethe flow of the network vessels.3. If there is concomitant liver depression qi stagnation, addappropriate qi-rectifying or exterior-resolving medicinals toany of the above formulas.4. Several Chinese medicinals contain nephrotoxic con-