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

CHRONIC PANCREATITIS 165TREATMENT PRINCIPLES: Rectify the qi and quicken theblood, transform stasis and soften the hardRX: Ge Xia Zhu Yu Tang (Below the Diaphragm Dispel StasisDecoction)INGREDIENTS:Dang Gui (Radix Angelicae Sinensis)Chuan Xiong (Rhizoma Chuanxiong)Tao Ren (Semen Persicae)Hong Hua (Flos Carthami)Wu Ling Zhi (Feces Trogopterori)Chi Shao (Radix Paeoniae Rubrae)Dan Pi (Cortex Moutan)Xiang Fu (Rhizoma Cyperi)Yan Hu Suo (Rhizoma Corydalis)Zhi Ke (Fructus Aurantii)Gan Cao (Radix Glycyrrhizae)9g9g9g9g9g9g9g9g6g6g3gANALYSIS OF FORMULA: Dang Gui, Chuan Xiong, Tao Ren,Hong Hua, Wu Ling Zhi, Chi Shao, Dan Pi, and Yan Hu Suoquicken the blood, transform stasis, and stop pain. Yan HuSuo, Chuan Xiong, Xiang Fu, and Zhi Ke rectify the qi andstop pain. Dang Gui also nourishes the blood, while Dan Piand Chi Shao cool the blood. Gan Cao harmonizes the othermedicinals in this formula.ADDITIONS & SUBTRACTIONS: For reduced appetite withundigested food in the stools, add 12 grams each of Bai Zhu(Rhizoma Atractylodis Macrocephalae), Shan Zha (FructusCrataegi), Shen Qu (Massa Medica Fermentata), and Mai Ya(Fructus Germinatus Hordei). For lumps below the rib-side,add 30 grams of Hong Teng (Caulis Sargentodoxae) and 12grams each of San Leng (Rhizoma Sparganii) and E Zhu(Rhizoma Curcumae). For marked liver depression, add 15grams of Bai Shao (Radix Paeoniae Albae) and nine grams ofChai Hu (Radix Bupleuri). For severe pain, add nine gramseach of Chuan Lian Zi (Fructus Toosendan) and Mu Xiang(Radix Auklandiae). For blood stasis with replete heat in thespleen and stomach with constipation, dry stools, drymouth, and severe abdominal distention, subtract ChuanXiong and Hong Hua, and add 6-15 grams of Da Huang(Radix Et Rhizoma Rhei), 15 grams of Bai Shao (RadixPaeoniae Albae), and nine grams each of Huang Qin (RadixScutellariae ) and Chai Hu (Radix Bupleuri).ACUPUNCTURE & MOXIBUSTION: Qi Men (Liv 14),Zhang Men (Liv 13), Zhi Gou (TB 6), Nei Guan (Per 6), SanYin Jiao (Sp 6)ANALYSIS OF FORMULA: Draining Qi Men and Zhang Menrectifies the qi, resolves depression, and stops pain locally inthe region of the upper abdomen and rib-side. Draining ZhiGou moves the qi in the three burners and especially belowthe rib-side. Draining Nei Guan quickens the blood, transformsstasis, and stops pain, especially in the rib-side,diaphragm, and chest. Draining San Yin Jiao cools andquickens the blood and transforms stasis in the whole body.ADDITIONS & SUBTRACTIONS: If there is severe blood stasis,add Ge Shu (Bl 17) and He Gu (LI 4). If qi stagnation hastransformed heat, add Xing Jian (Liv 2) and replace NeiGuan with Yang Ling Quan (GB 34). For nausea and vomiting,add Zhong Wan (CV 12). If spleen vacuity is marked,add Zu San Li (St 36). If there is food stagnation, add LiangMen (St 21). For constipation, add Zhao Hai (Ki 6) and TianShu (St 25). For stomach and abdominal fullness, add ZhongWan (CV 12).3. LIVER-GALLBLADDER (SPLEEN-STOMACH)DAMP HEAT PATTERNMAIN SYMPTOMS: This pattern is mostly seen in chronicpancreatitis where there are acute attacks accompanied bychest oppression, torpid intake, aversion to fatty, oily foods,abdominal distention and pain, rib-side pain, possible fever,a yellowish body and eyes, possible nausea and vomiting, adry mouth with a bitter taste, yellow urine, dry, bound stoolsor diarrhea which is yellow or brown in color and foulsmelling,possible jaundice, slimy, yellow tongue fur, and abowstring, slippery, rapid pulseTREATMENT PRINCIPLES: Clear heat and disinhibit dampnessassisted by freeing the flow and descendingRX: Da Chai Hu Tang (Major Bupleurum Decoction)INGREDIENTS:Chai Hu (Radix Bupleuri)Huang Qin (Radix Scutellariae)Zhi Shi (Fructus Immaturus Aurantii)Ban Xia (Rhizoma Pinelliae)Bai Shao (Radix Paeoniae Albae)Da Huang (Radix Et Rhizoma Rhei)Sheng Jiang (uncooked Rhizoma Zingiberis)Da Zao (Fructus Jujubae)12g12g9g9g9g6g3 slices3 piecesANALYSIS OF FORMULA: Chai Hu and Bai Shao course theliver, rectify the qi, and stop pain. Huang Qin and Da Huangclear heat and dry and disinhibit dampness. Zhi Shi and DaHuang free the flow and descend. Ban Xia and Sheng Jiangharmonize the stomach and stop vomiting. Da Zao harmonizesthe other medicinals in this formula.ADDITIONS & SUBTRACTIONS: If there is jaundice, add 15grams of Yin Chen Hao (Herba Artemisiae Scopariae) andnine grams each of Zhi Zi (Fructus Gardeniae) and HuangBai (Cortex Phellodendri). If jaundice is severe, increase thedosage of Yin Chen Hao (Herba Artemisiae Scopariae) up to60 grams. If there is constipation, add six grams of Mang