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

CHRONIC PANCREATITIS 167limbs, subtract Gan Jiang. For concomitant food stagnation,add nine grams each of Shan Zha (Fructus Crataegi), Shen Qu(Massa Medica Fermentata), and Mai Ya (Fructus GerminatusHordei).If there is spleen-kidney yang vacuity, replace Ping Wei SanJia Wei with Jin Gui Shen Qi Wan (Golden Cabinet Kidney QiPills) & Si Shen Wan (Four Spirits Pills): Shu Di (cookedRadix Rehmanniae), 20-30g, Shan Yao (Radix Dioscoreae),Shan Zhu Yu (Fructus Corni), Bu Gu Zhi (Fructus Psoraleae),and Fu Ling (Poria), 12g each, Dan Pi (Cortex Moutan), ZeXie (Rhizoma Alismatis), Wu Wei Zi (Fructus Schisandrae),Rou Dou Kou (Fructus Myristicae), and Zhi Fu Zi (RadixLateralis Praeparatus Aconiti Carmichaeli), 9g each, Wu ZhuYu (Fructus Evodiae) and Rou Gui (Cortex Cinnamomi), 6geach, Da Zao (Fructus Jujubae), 3 pieces, and Sheng Jiang(uncooked Rhizoma Zingiberis), 2 slices.If there is qi and yin dual vacuity, replace Ping Wei San JiaWei with Shen Ling Bai Zhu San Jia Jian (Ginseng, Poriae &Atractylodes Powder with Additions & Subtractions): Yi YiRen (Semen Coicis), 20g, Bai Bian Dou (Semen Dolichoris),Shan Yao (Radix Dioscoreae), and Lian Zi (SemenNelumbinis), 15g each, Dang Shen (Radix Codonopsitis)and Fu Ling (Poria), 12g each, Bai Zhu (RhizomaAtractylodis Macrocephalae), Chai Hu (Radix Bupleuri),Bai Shao (Radix Paeoniae Albae), Mu Xiang (RadixAuklandiae), and Jie Geng (Radix Platycodi), 9g each, mixfriedGan Cao (Radix Glycyrrhizae), 6g, and Bai Dou Kou(Fructus Cardamomi), 3g.If qi and yin vacuity are complicated by fire effulgence, onecan use the following unnamed Chinese medicinal formula:Shan Yao (Radix Dioscoreae) and Huang Qi (RadixAstragali), 20g each, Shi Gao (Gypsum Fibrosum) and ZhiMu (Rhizoma Anemarrhenae), 15g each, Mai Men Dong(Tuber Ophiopogonis), Xuan Shen (Radix Scrophulariae),and Sheng Di (uncooked Radix Rehmanniae), 9g each, andRen Shen (Radix Ginseng) and Da Huang (Radix Et RhizomaRhei), 6g each. If there is no constipation, subtract DaHuang. For severe constipation, add nine grams of MangXiao (Natrii Sulfas). For emaciation, add 15 grams each ofBai Zhu (Rhizoma Atractylodis Macrocephalae) and HuangJing (Rhizoma Polygonati). For severe thirst, add 15 gramseach of Tian Hua Fen (Radix Trichosanthis), Yu Zhu(Rhizoma Polygonati Odorati), and Ge Gen (RadixPuerariae). For frequent, profuse urination, add nine gramseach of Gou Qi Zi (Fructus Lycii), Wu Mei (Fructus Mume),and Jin Ying Zi (Fructus Rosae Laevigatae).ACUPUNCTURE & MOXIBUSTION: Shang Wan (CV 13),Zhong Wan (CV 12), Xia Wan (CV 10), Qi Hai (CV 6), TianShu (St 25), Nei Guan (Per 6), Zu San Li (St 36)ANALYSIS OF FORMULA: Draining Shang Wan, Zhong Wan,and Xia Wan disinhibits the qi mechanism and regulates andrectifies upbearing and downbearing. Draining Tian Shu andQi Hai regulates and rectifies the qi of the lower burner ingeneral and intestines in particular. Supplementing Zu SanLi supplements the spleen and boosts the qi on the one handand regulates and rectifies the qi of the yang ming on theother. Nei Guan is a point on the hand jue yin. Draining itcourses the liver and rectifies the qi, harmonizes the stomachand downbears counterflow.ADDITIONS & SUBTRACTIONS: For symptoms of cold,add moxibustion on Zu San Li, Zhong Wan, Qi Hai, andTian Shu. For a liver-spleen disharmony, subtract Zhong Wanand Xia Wan and add Zhang Men (Liv 13). For concomitantfood stagnation, replace Shang Wan and Qi Hai with LiangMen (St 21) and Xuan Ji (CV 21).5. FOOD STAGNATION PATTERNMAIN SYMPTOMS: Ductal and abdominal distention andpain, bad breath, putrid belching, no desire to eat or drink,rotten egg smelling diarrhea, decreased pain after defecation,uncrisp defecation (meaning that it may be either or bothsticky and difficult), thick, slimy, turbid tongue fur, and abowstring, slippery pulseNOTE: This pattern only really complicates other of theabove patterns.TREATMENT PRINCIPLES: Disperse food and abduct stagnationRX: Bao He Wan Jia Jian (Protect Harmony Pills withAdditions & Subtractions)INGREDIENTS:Shan Zha (Fructus Crataegi)Shen Qu (Massa Medica Fermentata)Lai Fu Zi (Semen Raphani)Ban Xia (Rhizoma Pinelliae)Fu Ling (Poria)Zhi Shi (Fructus Immaturus Aurantii)Hou Po (Cortex Magnoliae Officinalis)Chen Pi (Pericarpium Citri Reticulatae)12g9g9g9g9g9g9g6gANALYSIS OF FORMULA: Shan Zha and Shen Qu dispersefood and abduct stagnation. Lai Fu Zi and Chen Pi dispersefood and move the qi. Zhi Shi moves the qi and breaks accumulation,while Hou Po moves the qi and transforms dampness.Fu Ling fortifies the spleen and disinhibits dampness,and Ban Xia harmonizes the stomach and dries dampness.ADDITIONS & SUBTRACTIONS: For constipation, add 6-9grams of Da Huang (Radix Et Rhizoma Rhei). For heatsymptoms, add nine grams of Huang Qin (Radix