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

218 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEADDITIONS & SUBTRACTIONS: If there is marked dampness,add Yin Ling Quan (Sp 9). For dizziness, add Bai Hui(GV 20). For tinnitus, add Ting Hui (GB 2). For heart palpitationsand insomnia, add Shen Men (Ht 7). For persistentvaginal discharge, add Dai Mai (GB 26). For impotence andpremature ejaculation, add Zhi Shi (Bl 52). For amenorrhea,add Gui Lai (St 29).7. YIN & YANG DUAL VACUITY PATTERNMAIN SYMPTOMS: Red face and eyes, malar flushing, a fat faceand edematous body, especially in the lower limbs, spontaneousperspiration and night sweats, dizziness, tinnitus, heart palpitations,insomnia, weakness of the four limbs, low back and kneesoreness and limpness, vexatious heat, cold feet, nocturia, persistentvaginal discharge, impotence, premature ejaculation,amenorrhea, a pale, fat, tender tongue with red tip or red tonguewith scanty fur, and a fine, bowstring, possibly rapid pulse thatmay also be deep in either or both cubit positionsTREATMENT PRINCIPLES: Supplement the kidneys andnourish the liver, enrich yin and invigorate yangRX: Er Xian Tang Jia Jian (Two Immortals Decoction withAdditions & Subtractions)INGREDIENTS:Bai Shao (Radix Paeoniae Albae)Sheng Di (uncooked Radix Rehmanniae)Zhi Mu (Rhizoma Anemarrhenae)Huang Bai (Cortex Phellodendri)Xian Mao (Rhizoma Curculiginis)Xian Ling Pi (Herba Epimedii)Dang Gui (Radix Angelicae Sinensis)18g12g9g9g9g9g9gANALYSIS OF FORMULA: Sheng Di, Bai Shao, and Dang Guinourish liver blood and enrich kidney yin. Zhi Mu andHuang Bai drain fire and clear vacuity heat. Xian Mao andYin Yang Huo warm and supplement kidney yang.ADDITIONS & SUBTRACTIONS: If there is marked qi vacuity,add 15 grams of Huang Qi (Radix Astragali) and ninegrams of Dang Shen (Radix Codonopsitis). If there is markeddampness, add nine grams each of Bai Zhu (RhizomaAtractylodis Macrocephalae), Fu Ling (Poria), and Ze Xie(Rhizoma Alismatis).ACUPUNCTURE & MOXIBUSTION: Fu Liu (Ki 7), San YinJiao (Sp 6), Tai Xi (Ki 3), Guan Yuan (CV 4), Ming Men (GV 4)ANALYSIS OF FORMULA: Fu Liu, San Yin Jiao, Tai Xi, GuanYuan, and Ming Men together supplement the kidneys andnourish the liver, enrich yin and invigorate yang. Needle allthese points with supplementing method and moxa GuanYuan and Ming Men.ADDITIONS & SUBTRACTIONS: If there is marked qi vacuity, addZu San Li (St 36). If there is marked dampness, add Yin LingQuan (Sp 9). For spontaneous perspiration and night sweats,add He Gu (LI 4). For dizziness, add Bai Hui (GV 20). For tinnitus,add Ting Hui (GB 2). For heart palpitations and insomnia,add Shen Men (Ht 7). For persistent vaginal discharge, addDai Mai (GB 26). For impotence and premature ejaculation,add Zhi Shi (Bl 52). For amenorrhea, add Gui Lai (St 29).REMARKS1. When attempting to get off corticosteroids, it is imperativethat the patient be under the care of the prescribingphysician and that the physician determine the schedule ofwithdrawal. Sudden discontinuance of corticosteroids mayhave dire consequences.2. During steroid therapy, there is often rapid hungering andexcessive appetite. When steroids are withdrawn, rapid hungeringoften swings to lack of appetite and torpid intake. In thiscase, lack of appetite is usually due to spleen vacuity but maybe complicated by food stagnation and/or phlegm dampness.3. Many patients prescribed steroids already suffer from qiand yin vacuity with damp heat, and steroids may aggravateany of these three disease mechanisms.4. Cushing’s syndrome may cause hypertension and hypercholesterolemia.Therefore, medicinals which are hypertensive,such as Gan Cao (Radix Glycyrrhizae), should either beused with care or avoided when treating this condition.5. As with all other conditions in Chinese medicine, treatmentshould mainly be based on the patient’s personal patterndiscrimination. The above protocols are only meant asillustrative examples.6. Some Chinese doctor’s have recently suggested that iatrogenicCushing’s syndrome due to administration of corticosteroidsshould be seen as a type of kidney essence congestionand gathering resulting in both blood stasis and internalaccumulation of water dampness. We believe that this suggesteddisease mechanism does not account for all the patternspresented in real-life by those with Cushing’s syndromeand that it is based on an overly simplistic equation ofsteroids with kidney essence supplements. Such an equationfails to explain why steroids such as Prednisone are antiinflammatoryand pain-relieving.