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

236 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEquickens the blood, and transforms stasis. Zhao Hai supplementsthe kidneys, nourishes the yin, and treats constipation.Zhi Gou rectifies the qi in the three burners, clears heat,and frees the flow of the stools.ADDITIONS & SUBTRACTIONS: For severe kidney yinvacuity, add San Yin Jiao (Sp 6). For concomitant yang vacuity,add and moxa Guan Yuan (CV 4). For severe abdominaldistention and flatulence, add He Gu (LI 4). For severe dampheat, add Yin Ling Quan (Sp 9) and Nei Ting (St 44). Fornight sweats, add Yin Xi (Ht 6). For low back pain andabdominal distention, add Gong Sun (Sp 4). For undigestedfood in the stools or reduced food intake, add Xuan Ji (CV21) and Liang Men (St 21). For severe qi vacuity, add Tai Bai(Sp 3).3. RIGHTEOUS QI VACUITY WEAKNESS WITH HEATTOXINS BREWING & BINDING PATTERNMAIN SYMPTOMS: Fatigue, lack of strength, lassitude of thespirit, shortness of breath, fever, possible nausea and vomiting,lower abdominal pain, constipation, a swollen, red ortender, red tongue with slimy, yellow tongue fur at the root,and a deep, bowstring, slippery, rapid pulseTREATMENT PRINCIPLES: Support the righteous and expel(toxins from) the interior, cleat heat and stop painRX: Tuo Li Xiao Du San Jia Wei (Expel the Interior &Disperse Toxins Powder with Added Flavors)INGREDIENTS:Huang Qi (Radix Astragali)Lian Qiao (Fructus Forsythiae)Jin Yin Hua (Flos Lonicerae)Dang Shen (Radix Codonopsitis)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Zhi Shi (Fructus Immaturus Aurantii)Chuan Shan Jia (Squama Manitis)Zao Jiao Ci (Spina Gleditschiae)Gua Lou Ren (Semen Trichosanthis)Dang Gui (Radix Angelicae Sinensis)Chuan Xiong (Rhizoma Chuanxiong)Bai Zhi (Radix Angelicae Dahuricae)mix-fried Gan Cao (Radix Glycyrrhizae)Sheng Ma (Rhizoma Cimicifugae)15g15g15g9g9g9g9g9g9g9g9g6g6g3gANALYSIS OF FORMULA: Huang Qi, Dang Shen, Bai Zhu,and mix-fried Gan Cao fortify the spleen and boost the qi,while Dang Gui nourishes the blood. Together, they supportthe righteous. Lian Qiao and Jin Yin Hua clear heat andresolve toxins. Zhi Shi moves the qi, while Chuan Shan Jia,Dang Gui, and Chuan Xiong quicken the blood and transformstasis. Bai Zhi, Zao Jiao Ci, and Gua Lou Ren disperseswelling and expel pus from the interior. Sheng Ma bothupbears the clear and clears the yang ming.ADDITIONS & SUBTRACTIONS: For nausea and vomiting,delete Sheng Ma and add 12 grams of Lu Gen (RhizomaPhragmitis), nine grams of Zhu Ru (Caulis Bambusae InTaeniis), and two slices of Sheng Jiang (uncooked RhizomaZingiberis).ACUPUNCTURE & MOXIBUSTION: Same as the precedingpattern, but replace Zhao Hai with Nei Ting (St 44).ANALYSIS OF FORMULA: Please see the preceding pattern.Nei Ting clears heat from the yang ming.ADDITIONS & SUBTRACTIONS: Please see the precedingpattern. If Lan Wei Xue (M-LE-13), Shang Ju Xu (St 37), orXia Ju Xu (St 39) are tender, needle them.REMARKS1. The three constants in the Chinese pattern discriminationof diverticulitis are spleen vacuity, qi stagnation, andblood stasis. These are then complicated by yin vacuity,yang vacuity, and/or damp heat depending on age, bodytype, diet, etc. Damp heat may also sometimes evolve intoheat toxins. In the very aged, it is not uncommon to find qivacuity, yin and yang vacuity, and qi stagnation and bloodstasis. In such complex cases, one should write the patternsin the order of their prominence, state the treatment principlesnecessary to rectify the disease mechanisms implied bythe pattern in the same order as the statement of patterns,and then choose medicinals or acupoints to accomplish eachof these principles.2. While patients with diverticulitis need to eat a high fiberdiet, they should not eat hard-to-digest foods. These includenuts and seeds. Since the overwhelming majority of diverticulitissufferers exhibit significant spleen vacuity, they shouldalso not eat uncooked and/or chilled foods. This latter pointis quite important because many people trying to eat morefiber resort to eating a lot of uncooked salads. If there isdamp heat brewing and binding, patients should also beadvised to stay away from citrus fruits and juices.