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

210 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEprone to spleen vacuity than men, while both men’s andwomen’s spleens become vacuous and weak with age.If spleen vacuity reaches kidney yang, spleen qi vacuity mayevolve into a spleen-kidney dual vacuity. If blood and fluidloss damages yin, there may be a qi and yin dual vacuity. Ifdamp heat, damp turbidity, or qi stagnation endure, theymay become complicated by blood stasis. Likewise, eitherliver depression or spleen vacuity may also be complicated byfood stagnation. Because of the typical right lower quadrantmass, blood stasis is even more commonly found as a complicatingmechanism in Crohn’s disease than colitis.Intestinal abscesses are usually a combination of damp heatstasis and stagnation. Anal abscesses, fistulas, and fissures aremostly associated with damp heat evils brewing heat toxins.TREATMENT BASED ON PATTERNDISCRIMINATION:For the treatment of the diarrhea, hemafecia, weight loss,and anorexia of Crohn’s disease, please see the patterns andtreatments under ulcerative colitis below. The patterns presentedin this chapter specifically deal with intestinal abscessand perianal lesions.1. DAMP HEAT STASIS & STAGNATION PATTERN(INTESTINAL ABSCESSES)MAIN SYMPTOMS: Right-sided lower abdominal pain whichis worse on pressure, a palpable lump in the lower right quadrant,possible distended skin in the affected area, a tendencyto lie curled-up, aversion to cold, fever, nausea, vomiting,reduced appetite, possible inhibited defecation, a red tonguewith yellow fur, and a bowstring, slippery, rapid pulseTREATMENT PRINCIPLES: Clear heat and eliminate dampness,quicken the blood and transform stasisRX: Da Huang Mu Dan Pi Tang (Rhubarb & MoutanDecoction) & Hong Teng Jian (Sargentodoxa Decoction)with additions and subtractionsANALYSIS OF FORMULA: Jin Yin Hua, Hong Teng, Bai JiangCao, and Lian Qiao clear heat and resolve toxins. In addition,Bai Jiang Cao and Hong Teng are empirically specific medicinalsfor treating intestinal abscess. Da Huang and Mang Xiaodischarge fire, resolve toxins, and free the flow of the stools.In addition, Da Huang quickens the blood. Yan Hu Suo,Hong Teng, Tao Ren, Bai Jiang Cao, Dan Pi, Ru Xiang, andMo Yao quicken the blood, transform stasis, and stop pain.Tao Ren and Dong Gua Zi expel pus.ADDITIONS & SUBTRACTIONS: For heat damaging yin,add 12 grams each of Sheng Di (uncooked RadixRehmanniae) and Shi Hu (Herba Dendrobiix). For severeabdominal distention, add nine grams each of Hou Po(Cortex Magnoliae Officinalis) and Mu Xiang (RadixAuklandiae).ACUPUNCTURE & MOXIBUSTION: Lan Wei Xue (M-LE-13), Tian Shu (St 25), Nei Ting (St 44), San Yin Jiao (Sp 6),He Gu (LI 4)ANALYSIS OF FORMULA: Lan Wei Xue is a special empiricalpoint for the treatment of intestinal abscess. It is drained.Draining Tian Shu and Nei Ting clears heat and rectifies theintestinal qi mechanism, thus stops pain. The combinationof San Yin Jiao and He Gu quickens the blood and transformsstasis when needled with draining technique.ADDITIONS & SUBTRACTIONS: For enduring intestinalabscess with intermittent attacks, subtract Nei Ting and addGe Shu (Bl 17) and Xue Hai (Sp 10) to quicken the bloodand transform stasis. For high fever, add Qu Chi (LI 11).NOTE: Acupuncture may have to be performed more thanonce per day for acute intestinal abscess and the needles mayneed to be left in place for up to an hour each treatment. LanWei should only be needled if and where it is tender.Otherwise, use Zu San Li (St 36).2. DAMP HEAT BREWING & BINDING PATTERN(ANAL FISSURES & FISTULAS)INGREDIENTS:Yan Hu Suo (Rhizoma Corydalis)Jin Yin Hua (Flos Lonicerae)Hong Teng (Caulis Sargentodoxae)Dong Gua Zi (Semen Benincasae)Da Huang (Radix Et Rhizoma Rhei)Tao Ren (Semen Persicae)Bai Jiang Cao (Herba Patriniae)Lian Qiao (Fructus Forsythiae)Mang Xiao (Natrii Sulfas)Dan Pi (Cortex Moutan)Ru Xiang (Olibanum)Mo Yao (Myrrha)15g15g15g12g12g9g9g9g6g6g6g6gMAIN SYMPTOMS: Anal pain, dripping of fresh red bloodwhile defecating, a sagging, distended sensation in the anus,sticky stools, a small amount of pus in the fissures, dampnessand possible itching around the anus, a red tongue withthick, slimy fur, and a bowstring, rapid pulseTREATMENT PRINCIPLES: Clear heat and disinhibit dampnessRX: Bi Xie Shen Shi Tang Jia Wei (Dioscorea HypoglaucaOvercome Dampness Decoction with Added Flavors)INGREDIENTS:Hua Shi (Talcum)15g