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

198 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEsame symptoms as above but without vacuity heat and drynessand with a pale facial complexion, white nails, lips andtongue, etc., replace Sheng Mai San Jia Jian with Bu Xin DanJia Jian (Supplement the Heart Elixir with Additions &Subtractions): Bai Shao (Radix Paeoniae Albae), 20g, DanShen (Radix Salviae Miltiorrhizae), Huang Qi (RadixAstragali), Fu Ling (Poria), and Gua Lou Pi (PericarpiumTrichosanthis), 15g each, Tai Zi Shen (Radix Pseustellariae),Chen Pi (Pericarpium Citri Reticulatae), Suan Zao Ren(Semen Zizyphi Spinosae), Dang Gui (Radix AngelicaeSinensis), Yuan Zhi (Radix Polygalae), Bai Zhu (RhizomaAtractylodis Macrocephalae), and Zhi Ke (Fructus Aurantii),9g each, and mix-fried Gan Cao (Radix Glycyrrhizae), 8g.If there is heart yin and blood vacuity without qi vacuity, replaceSheng Mai San Jia Jian with Tian Wang Bu Xin Dan Jia Jian(Heavenly Emperor Supplement the Heart Elixir withAdditions & Subtractions): Sheng Di (uncooked RadixRehmanniae), 30g, Dan Shen (Radix Salviae Miltiorrhizae),15g, Xuan Shen (Radix Scrophulariae), Dang Gui (RadixAngelicae Sinensis), Mai Men Dong (Tuber Ophiopogonis), andFu Shen (Sclerotium Pararadicis Poriae Cocos), 12g each, Bai ZiRen (Semen Platycladi), Suan Zao Ren (Semen ZizyphiSpinosae), and Wu Wei Zi (Fructus Schisandrae), 9g each, andTai Zi Shen (Radix Pseustellariae) and mix-fried Gan Cao (RadixGlycyrrhizae), 6g each, and Yuan Zhi (Radix Polygalae), 3g.For liver-kidney yin vacuity with blood stasis and chest oppression,insomnia, and chest pain at night, replace Sheng Mai SanJia Jian with Yang Yin Tong Bi Tang Jia Jian (Nourish Yin &Free the Flow of Impediment Decoction with Additions &Subtractions): Shu Di (cooked Radix Rehmanniae), Sheng Di(uncooked Radix Rehmanniae), and Gua Lou Pi (PericarpiumTrichosanthis), 18g each, Mai Men Dong (TuberOphiopogonis), Wu Wei Zi (Fructus Schisandrae), Nu Zhen Zi(Fructus Ligustri Lucidi), and Dang Shen (Radix Codonopsitis),12g each, Tao Ren (Semen Persicae) and Yan Hu Suo(Rhizoma Corydalis), 9g each, and Hong Hua (FlosCarthami), 6g. If there is arrhythmia and heart palpitations,add nine grams of E Jiao (Gelatinum Corii Asini) and 20 gramsof mix-fried Gan Caox (Radix Glycyrrhizae).NOTE: If there is essential hypertension or the blood pressurerises after administration of this formula, the dosage ofGan Cao should be lowered to nine grams or less. The activesubstance in Gan Cao which tends to increase the blood pressureis mainly in the outer bark or skin of the root.Processing Gan Cao with honey seems to attenuate this sideeffect. Gan Cao is a key medicinal for treating arrhythmia,but the practitioner should take care in its use when there issimultaneous hypertension.ACUPUNCTURE & MOXIBUSTION: Xin Shu (Bl 15), ShenMen (Ht 7), Fu Liu (Ki 7), Zu San Li (St 36), Nei Guan (Per 6)ANALYSIS OF FORMULA: Xin Shu is the back transportpoint of the heart and Shen Men is the source point of theheart channel. Therefore, both points have a pronouncedaction on the heart. When supplemented together, theyboost the qi and nourish the yin of the heart. SupplementingFu Liu is added to more strongly engender fluids and nourishyin. Likewise, supplementing Zu San Li is added to morestrongly boost the qi. Draining Nei Guan frees the flow ofthe network vessels of the heart and transforms stasis. This isbecause vacuity of the heart always leads to blood stasis.ADDITIONS & SUBTRACTIONS: If there are night sweats,add Yin Xi (Ht 6). If there is severe chest oppression, addDan Zhong (CV 17). If there are cold hands or a cold sensationin the cardiac area, add moxibustion on Xin Shu. Forpiercing pain in the chest, add Ling Dao (Ht 4) or Qu Ze (Per3). If spleen qi vacuity is marked, add Tai Bai (Sp 3). If thereis concomitant ascendant liver yang hyperactivity withhypertension, add Xuan Zhong (GB 39) and Tai Chong (Liv3). If there is liver blood or yin vacuity, add Gan Shu (Bl 18).6. YIN & YANG DUAL VACUITY PATTERNMAIN SYMPTOMS: Heart palpitations and fearful throbbing,heart pain, shortness of breath, lassitude of the spirit,chest oppression which is worse at night and may awake thepatient, a white facial complexion with malar flushing, fearof cold, exacerbation of heart pain when exposed to chill,lack of warmth in the four limbs alternating with vexatiousheat in the five centers, dizziness and vertigo, low back andknee soreness and limpness, nocturnal polyuria, a paletongue with a red or dark, purplish tip, and a deep, fine orbound, regularly interrupted.NOTE: This pattern frequently complicates qi and yin vacuity,in which case there is a yin and yang vacuity. Here it ispresented as a discreet pattern.TREATMENT PRINCIPLES: Warm yang and nourish yin,supplement the kidneys and quicken the bloodRX: Shen Qi Wan Jia Wei (Kidney Qi Pills) & Si Wu Tang(Four Materials Decoction) with additions and subtractionsINGREDIENTS:Chi Shao (Radix Paeoniae Rubrae)Sheng Di (uncooked Radix Rehmanniae)Yu Rou (Fructus Corni)Shan Yao (Radix Dioscoreae)Fu Ling (Poria)Ze Xie (Rhizoma Alismatis)Dan Pi (Cortex Moutan)Chuan Xiong (Rhizoma Chuanxiong)Dang Gui (Radix Angelicae Sinensis)15g15g9g9g9g9g9g9g9g