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

DIABETES MELLITUS (DM) 229(Fructus Alpiniae Oxyphyllae). For insomnia, add 15 gramseach of Ye Jiao Teng (Caulis Polygoni Multiflori) and NuZhen Zi (Fructus Ligustri Lucidi).If there is dual yin and yang vacuity, replace Mai Wei Di HuangWan with Shen Qi Wan Jia Wei (Kidney Qi Pills with AddedFlavors): Shu Di (cooked Radix Rehmanniae), 25g, Shan Yao(Radix Dioscoreae), 15g, Shan Zhu Yu (Fructus Corni), Fu Ling(Poria), Gou Qi Zi (Fructus Lycii), Tu Si Zi (Semen Cuscutae),and Huang Qi (Radix Astragali), 12g each, Dan Pi (CortexMoutan) and Ze Xie (Rhizoma Alismatis), 9g each, and RouGui (Cortex Cinnamomi) and Zhi Fu Zi (Radix LateralisPraeparatus Aconiti Carmichaeli), 6g each. For impotence, add12 grams of Yin Yang Huo (Herba Epimedii). For frequent,copious urination, add 12 grams each of Yi Zhi Ren (FructusAlpiniae Oxyphyllae) and Sang Piao Xiao (Ootheca Mantidis).For spermatorrhea or premature ejaculation, add 12 grams eachof Qian Shi (Semen Euryalis), Fu Pen Zi (Fructus Rubi), andJin Ying Zi (Fructus Rosae Laevigatae). For edema, add 12grams each of Bai Zhu (Rhizoma Atractylodis Macrocephalae)and Che Qian Zi (Semen Plantaginis). For diarrhea, add 12grams of Bai Zhu (Rhizoma Atractylodis Macrocephalae) andBu Gu Zhi (Fructus Psoraleae) and six grams of Rou Dou Kou(Semen Myristicae). For low back pain, add nine grams each ofXu Duan (Radix Dipsaci) and Du Zhong (Cortex Eucommiae).For concomitant blood stasis, add nine grams each of Dan Shen(Radix Salviae Miltiorrhizae) and Hong Hua (Flos Carthami).ACUPUNCTURE & MOXIBUSTION: Fu Liu (Ki 7), Tai Xi(Ki 3), Shen Shu (Bl 23), Tai Yuan (Lu 9)ANALYSIS OF FORMULA: Based on the saying, “To treatlower wasting, enrich the kidneys and supplement thelungs,” supplementing Fu Liu, Tai Xi, and Shen Shu supplementsthe kidneys and enriches yin, while supplementing TaiYuan supplements the lungs.ADDITIONS & SUBTRACTIONS: If there is polyphagia andrapid hungering after eating, add Nei Ting (St 44). If there issevere thirst, add Pi Shu (Bl 20) and Wei Shu (Bl 21). If thereis severe fatigue, add Pi Shu (Bl 20) and Wei Shu (Bl 21). Ifthere is frequent, copious urination, especially at night, addSan Yin Jiao (Sp 6). For heart palpitations or impaired memory,add Shen Men (Ht 7). For night sweats, add Yin Xi (Ht6). For spontaneous perspiration, add He Gu (LI 4).5. SPLEEN-STOMACH QI VACUITY PATTERNMAIN SYMPTOMS: Excessive thirst, a normal or reducedappetite but, in all the cases, loose stools, devitalized essencespirit, abdominal distention, especially after meals, emaciation,weakness of the four limbs, fatigue, a pale tongue withdry, white fur, and a fine, forceless pulse.NOTE: This pattern is sometimes a consequence of treatmentwith the kind of very cold, very bitter medicinalswhich are often used to treat heat patterns of wasting thirst.In Western clinics, it is rarely seen in this simple, discreteform. However, spleen qi vacuity commonly complicatesother patterns of this disease. Here, the thirst is not due toheat but due to the spleen’s failure to transport and transformfluids. Thus fluids are not upborne to the mouth but ratheraccumulate as dampness in the middle.TREATMENT PRINCIPLES: Fortify the spleen and boost theqi, transform fluids and stop thirstRX: Qi Wei Bai Zhu San Jia Wei (Seven Flavors AtractylodesPowder with Added Flavors)INGREDIENTS:Huang Qi (Radix Astragali)Shan Yao (Radix Dioscoreae)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Ge Gen (Radix Puerariae)Fu Ling (Poria)Huo Xiang (Herba Pogostemonis)Mu Xiang (Radix Auklandiae)Ren Shen (white Radix Ginseng)Gan Cao (Radix Glycyrrhizae)20g20g12g12g12g9g9g6g6gANALYSIS OF FORMULA: Within this formula, the four gentlemen(i.e., Ren Shen, Fu Ling, Bai Zhu, and Gan Cao) reinforcedwith Huang Qi and Shan Yao fortify the spleen andboost the qi. In addition, Ren Shen, Fu Ling, Bai Zhu,Huang Qi, Shan Yao, and Ge Gen are all empirically knownto lower blood sugar. Ge Gen and Huang Qi upbear theclear, while Huo Xiang and Mu Xiang downbear the turbid.Huo Xiang arouses the spleen, and Mu Xiang moves the qi.All together, these medicinals harmonize the transportationand transformation of the spleen and the upbearing anddownbearing of the center.ADDITIONS & SUBTRACTIONS: If there is profuse urination,subtract Fu Ling and add nine grams each of Cang Zhu(Rhizoma Atractylodis),Wu Bei Zi (Galla Rhois), and Yi ZhiRen (Fructus Alpiniae Oxyphyllae). For concomitant kidneyqi vacuity, add nine grams each of Yin Yang Huo (HerbaEpimedii) and Li Zhi He (Semen Litchi). For concomitantkidney yin vacuity, add 12 grams each of Gou Qi Zi (FructusLycii) and He Shou Wu (Radix Polygoni Multiflori). Forsevere spleen qi vacuity, add 15 grams of Huang Jing(Rhizoma Polygonati) and 12 grams of Mai Ya (FructusGerminatus Hordei).ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36), TaiBai (Sp 3), San Yin Jiao (Sp 6), Qi Hai (CV 6)ANALYSIS OF FORMULA: Supplementing Zu San Li, TaiBai, San Yin Jiao, and Qi Hai fortifies the spleen and boosts