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

CUSHING’S SYNDROME 215each of Suan Zao Ren (Semen Zizyphi Spinosae) and Yuan Zhi(Radix Polygalae). For constipation, add nine grams of Yu LiRen (Semen Pruni) or 6-9 grams of Da Huang (Radix EtRhizoma Rhei). For concomitant spleen qi vacuity, add 15grams of Huang Qi (Radix Astragali) and nine grams of DangShen (Radix Codonopsitis). For restless legs, add 15 gramseach of Bai Shao (Radix Paeoniae Albae), Chan Tui(Periostracum Cicadae), and Jiang Can (BombyxBatryticatus). For purple striae or macules on the lowerabdomen and lower limbs or scanty menstruation and amenorrhea,add nine grams each of Hong Hua (Flos Carthami) andTao Ren (Semen Persicae). For severe obesity, add 12 gramseach of He Shou Wu (Radix Polygoni Multiflori) and Jue MingZi (Semen Cassiae). For thirst or oral dryness, add 12 gramseach of Lu Gen (Rhizoma Phragmitis) and Tian Hua Fen(Radix Trichosanthis). For tinnitus, add 12 grams of Shi ChangPu (Rhizoma Acori Tatarinowii). For severe low back and kneesoreness and limpness, add nine grams of Sang Ji Sheng (HerbaTaxilli) and He Shou Wu (Radix Polygoni Multiflori).ACUPUNCTURE & MOXIBUSTION: Fu Liu (Ki 7), San YinJiao (Sp 6), Ran Gu (Ki 2), Bai Hui (GV 20)ANALYSIS OF FORMULA: Fu Liu is the metal point on thekidney channel. Supplementing it supplements the kidneys,enriches true yin, and engenders fluids. Supplementing SanYin Jiao nourishes yin, blood, and essence. Therefore, it helpsFu Liu enrich true yin. Draining Ran Gu clears and drainsministerial fire, while draining Bai Hui subdues yang, opensthe orifices, and quiets the spirit.ADDITIONS & SUBTRACTIONS: For liver yang hyperactivitywith headache and distention, add Feng Chi (GB 20). Forinsomnia, profuse dreams, impaired memory, and restlessness,add Shen Men (Ht 7). For constipation, add Zhi Gou(TB 6). For concomitant spleen qi vacuity, add Zu San Li (St36). For restless legs, add He Gu (LI 4) and Tai Chong (Liv3). For purple striae or macules on the lower abdomen andlower limbs or scanty menstruation and amenorrhea, addXue Hai (Sp 10). For tinnitus, add Ting Hui (GB 2) and YiFeng (TB 17). For severe low back and knee soreness andlimpness, add Shen Shu (Bl 23).3. ASCENDANT LIVER YANG HYPERACTIVITY WITHPHLEGM FIRE PATTERNMAIN SYMPTOMS: Obesity, a red, flushed face, head distention,dizziness and vertigo, throbbing headache, irritability,irascibility, chest oppression, heart vexation, profuse dreams,thirst, constipation, slimy, yellow tongue fur, and a slippery,bowstring, rapid pulseTREATMENT PRINCIPLES: Level the liver and subdue yang,clear and transform phlegm heatRX: Er Ke Tang (Two Shells Decoction)INGREDIENTS:Zhen Zhu Mu (Concha Margaritiferae)Shi Jue Ming (Concha Haliotidis)Zhi Zi (Fructus Gardeniae)Tian Hua Fen (Fructus Trichosanthis)Xuan Shen (Radix Scrophulariae)Ge Gen (Radix Puerariae)Lo Bu Ma (Herba Apocyni Veneti)bile-processed Dan Nan Xing (Rhizoma Arisaematis)Da Huang (Radix Et Rhizoma Rhei)Huang Lian (Rhizoma Coptidis)20g20g9g9g9g9g9g6g6g3gANALYSIS OF FORMULA: Zhen Zhu Mu, Shi Jue Ming, and LoBu Ma Ye level the liver and subdue yang. Zhi Zi and HuangLian clear the liver. Tian Hua Fen clears heat and engendersfluids. Xuan Shen clears specifically vacuity heat. Dan NanXing clears and transforms phlegm heat. Da Huang drains anddischarges heat downward. Ge Gen out-thrusts the yang qicounterflowing upward along the du mai-tai yang.ADDITIONS & SUBTRACTIONS: For severe obesity, add 12 gramseach of He Shou Wu (Radix Polygoni Multiflori) and Jue MingZi (Semen Cassiae). For head distention, dizziness, and vertigo,add 12 grams each of Tian Ma (Rhizoma Gastrodiae), GouTeng (Ramulus Uncariae Cum Uncis), and Ju Hua (FlosChrysanthemi). For throbbing headache, add three grams eachof Quan Xie (Scorpio) and Wu Gong (Scolopendra), powderedand taken with the strained decoction. For irritability or irascibility,add six grams of Long Dan Cao (Radix Gentianae). Forthirst, add 12 grams each of Lu Gen (Rhizoma Phragmitis ) andTian Hua Fen (Radix Trichosanthis).ACUPUNCTURE & MOXIBUSTION: Tai Chong (Liv 3)through to Yong Quan (Ki 1), Xia Xi (GB 43), Feng Chi (GB20), Feng Long (St 40)ANALYSIS OF FORMULA: Needling Tai Chong through toYong Quan with draining technique levels the liver and subduesyang. Draining Xia Xi clears the liver and gallbladder.Draining Feng Chi subdues yang and clears the head.Draining Feng Long transforms phlegm.ADDITIONS & SUBTRACTIONS: For head distention, dizziness,and vertigo, add Bai Hui (GV 20). For throbbing headache,add Tai Yang (M-HN-9) and Wai Guan (TB 5). For irritabilityor irascibility, add Gan Shu (Bl 18) and Hun Men (Bl 47).4. YIN VACUITY WITH HEAT TOXINS PATTERNMAIN SYMPTOMS: Suppurative pharyngitis, pneumonia,pleuritis, erysipelas, fever and chills, generalized body pain,oral dryness and thirst, reduced food intake, a red tonguewith yellow fur, and a surging, rapid or slippery, rapid pulse