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

CORONARY ARTERY DISEASE (CAD) 195ibustion on Xin Shu (Bl 15), Ju Que (CV 14), and Ge Shu (Bl17). If there is profuse phlegm or slimy tongue fur, add FengLong (St 40). For concomitant qi vacuity, add Zu San Li (St36). For concomitant ascendant liver yang hyperactivity withhypertension, add Tai Chong (Liv 3) and Feng Chi (GB 20).2. HEART VESSEL STASIS &OBSTRUCTION PATTERNMAIN SYMPTOMS: Piercing pain in the chest and heartwhich may radiate to the upper back, bilateral rib-side distentionand fullness, heart palpitations, shortness of breath,heart vexation, restlessness, dark, purplish lips and facial complexion,a dark, purplish tongue or possible static macules orspots, purple, engorged, tortuous sublingual veins, and abowstring, choppy, regularly interrupted, or bound pulseTREATMENT PRINCIPLES: Move the qi and quicken the blood,transform stasis and free the flow of the network vesselsRX: Dan Shen Yin (Salvia Drink) & Tao Hong Si Wu Tang(Persica & Carthamus Four Materials Decoction) with additionsand subtractionsINGREDIENTS:Dan Shen (Radix Salviae Miltiorrhizae)15gTan Xiang (Lignum Santali Albi)15gTao Ren (Semen Persicae)9gHong Hua (Flos Carthami)9gChai Hu (Radix Bupleuri)9gChuan Xiong (Rhizoma Chuanxiong)9gWu Ling Zhi (Feces Trogopterori)9gPu Huang (Pollen Typhae)9gDang Gui (Radix Angelicae Sinensis)9gChi Shao (Radix Paeoniae Rubrae)9gBai Shao (Radix Paeoniae Albae)9gmix-fried Gan Cao (Radix Glycyrrhizae) 4.5gGui Zhi (Ramulus Cinnamomi) 4.5gANALYSIS OF FORMULA: Dan Shen, Tao Ren, Hong Hua,Chuan Xiong, Wu Ling Zhi, Pu Huang, Dang Gui, and ChiShao all quicken the blood, transform stasis, and free theflow of the network vessels. In addition, Wu Ling Zhi andPu Huang strongly stop heart pain and also prevent bleedingdue to blood stasis, especially when combined with DanShen. Also, Dan Shen, Pu Huang, Dang Gui, and Gan Caotreat hyperlipoproteinemia, a main cause of CAD. ChuanXiong and Chai Hu move the qi to quicken the blood. TanXiang also moves the qi and stops pain, especially chest pain.Dang Gui and Bai Shao nourish the blood to prevent furtherblood stasis. Gui Zhi warms and frees the flow of the bloodvessels and invigorates heart yang to improve blood circulation.Gan Cao harmonizes the other medicinals in the formulaand also supplements the heart qi to quicken theblood.ADDITIONS & SUBTRACTIONS: If qi stagnation is morepronounced, add 12 grams of Chuan Lian Zi (FructusToosendan) and nine grams of Xiang Fu (Rhizoma Cyperi).If blood stasis is even more severe, add nine grams each of RuXiang (Olibanum) and Mo Yao (Myrrha). If there is concomitantqi vacuity, add 15 grams of Huang Qi (RadixAstragali) and nine grams of Dang Shen (RadixCodonopsitis). If there is blood vacuity, add 12 grams of ShuDi (cooked Radix Rehmanniae). If there is impaired memoryand insomnia due to blood vacuity, add 20 grams of YeJiao Teng (Caulis Polygoni Multiflori) and 12 grams of Bai ZiRen (Semen Platycladi). For severe chest oppression, addnine grams of Jie Geng (Radix Platycodi) and Zhi Ke (FructusAurantii). If there is the risk of cardiac infarct, add ninegrams of Xie Bai (Bulbus Allii Macrostemi) and three gramsof Xue Jie (Sanguis Draconis) and San Qi (RadixNotoginseng), powdered and taken with the strained decoction.ACUPUNCTURE & MOXIBUSTION: Dan Zhong (CV 17),Ge Shu (Bl 17), Nei Guan (Per 6), Xi Men (Per 4)ANALYSIS OF FORMULA: Dan Zhong is the meeting point ofthe qi, and Ge Shu is the meeting point of the blood.Together, they move the gathering or chest qi and quicken theheart blood, transform stasis and free the flow of the networkvessels. Nei Guan is the network point of the pericardium. Itfrees the flow of the network vessels of the heart and regulatescardiac rhythm, reinforces the left ventricle of the heart andtreats the CAD. Xi Men is the cleft point of the pericardium.The cleft point of yin channels are well-known for treatingpain and acute diseases and for stopping bleeding. Xi Mentreats heart pain and prevents infarct of the heart. All thesepoints should be needled with draining method.ADDITIONS & SUBTRACTIONS: If there are cold hands ora cold sensation in the cardiac area, add moxibustion on DanZhong and Ge Shu. If there is concomitant qi vacuity, add ZuSan Li (St 36). If there is concomitant ascendant liver yanghyperactivity with hypertension, add Tai Chong (Liv 3) andFeng Chi (GB 20). If qi stagnation is more pronounced, addHe Gu (LI 4). If blood stasis is even more severe, add San YinJiao (Sp 6). After 10 treatments, alternate Nei Guan and XiMen with Ling Dao (Ht 4) and Jian Shi (Per 5) and DanZhong and Ge Shu with Xin Shu (Bl 15) and Ju Que (CV 14).If there is impaired memory and insomnia due to bloodvacuity, add Shen Men (Ht 7). If there is hyperlipoproteinemia,add Zu San Li (St 36) or Feng Long (St 40).3. LIVER DEPRESSION COUNTERFLOWCHILLING PATTERNMAIN SYMPTOMS: Dull heart pain accompanied by chestoppression which comes in waves and is caused or worsenedby emotional stress, shortness of breath, emotional tension