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

248 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEShen Shu (Bl 23). For night-time urination, add Zhi Shi (Bl52). For frequent but scanty, darkish urination, add Zhong Ji(CV 3) and Yin Ling Quan (Sp 9). For loose stools, add YinLing Quan (Sp 9). For dizziness, add Feng Chi (GB 20) andBai Hui (GV 20). For night sweats, add Yin Xi (Ht 6). Ifspleen vacuity is marked, add Tai Bai (Sp 3). If there is moreserious liver blood vacuity, add Ge Shu (Bl 17) and Gan Shu(Bl 18). If there is more serious kidney yin vacuity, add ShenShu (Bl 23).4. SPLEEN-KIDNEY YANG VACUITY WITHLIVER DEPRESSION PATTERNMAIN SYMPTOMS: Fatigue, lack of strength, scanty qi, disinclinationto speak, possible spontaneous perspiration, possibledaybreak diarrhea but definitely a tendency to loosestools, low back and knee soreness and limpness, decreasedsexual desire, frequent urination, nocturia, cold hands andfeet, especially the feet, chest, abdominal, breast, rib-sideoppression, distention, fullness, and pain, menstrual irregularitiesand especially a shortened luteal phase, possible dysmenorrhea,irritability, emotional depression, a pale butdark, fat, swollen tongue with thin, white or somewhat slimyfur, and a bowstring, fine, possibly deep, forceless pulse atleast in the cubit positionsNOTE: This pattern is a typical complication of FMS in perimenopausalwomen. It most commonly shows up after 40years of age.TREATMENT PRINCIPLES: Fortify the spleen and boost theqi, supplement the kidneys and invigorate yang, course theliver and rectify the qiRX: Bu Zhong Yi Qi Tang (Supplement the Center & Boostthe Qi Decoction) & You Gui Yin (Restore the Right[Kidney] Drink) with additions and subtractionsINGREDIENTS:Huang Qi (Radix Astragali)Tu Si Zi (Semen Cuscutae)Shan Yao (Radix Dioscoreae)Shu Di (cooked Radix Rehmanniae)Du Zhong (Cortex Eucommiae)Gou Qi Zi (Fructus Lycii)Shan Zhu Yu (Fructus Corni)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Chai Hu (Radix Bupleuri)Dang Gui (Radix Angelicae Sinensis)Chen Pi (Pericarpium Citri Reticulatae)mix-fried Gan Cao (Radix Glycyrrhizae)15g12g12g9g9g9g9g9g9g6g6g6gANALYSIS OF FORMULA: Huang Qi, Tu Si Zi, Shan Yao, BaiZhu, and mix-fried Gan Cao fortify the spleen and boost theqi. Shu Di, Shan Yao, Tu Si Zi, Du Zhong, Gou Qi Zi, andShan Zhu Yu supplement the kidneys, enrich yin, and invigorateyang. Chai Hu courses the liver and, with Chen Pi, rectifiesthe qi. Dang Gui nourishes and quickens the blood,nourishes the sinews and harmonizes the liver.ADDITIONS & SUBTRACTIONS: If there is blood vacuity failingto nourish the sinew vessels, add 15 grams each of Dan Shen(Radix Salviae Miltiorrhizae) and Ji Xue Teng (CaulisSpatholobi). For severe fatigue, add 12 grams of Dang Shen(Radix Codonopsitis) and increase the dosage of Huang Qi upto 30 grams. For daybreak diarrhea, add nine grams of Wu WeiZi (Fructus Schisandrae), six grams of Rou Dou Kou (SemenMyristicae), and three grams of Wu Zhu Yu (Fructus Evodiae).For decreased sexual desire, add nine grams each of Yin YangHuo (Herba Epimedii) and Xian Mao (Rhizoma Curculiginis).For frequent urination and nocturia, add 12 grams each of YiZhi Ren (Fructus Alpiniae Oxyphyllae) and Jin Ying Zi(Fructus Rosae Laevigatae). For chest, abdominal, breast, andrib-side oppression, distention, fullness, and pain due to liverdepression, add nine grams each of Xiang Fu (RhizomaCyperi), Mu Xiang (Radix Auklandiae), and Yu Jin (TuberCurcumae). For menstrual irregularities, dysmenorrhea, andPMS, add nine grams each of Xiang Fu (Rhizoma Cyperi) andChuan Xiong (Rhizoma Chuanxiong).ACUPUNCTURE & MOXIBUSTION: San Yin Jiao (Sp 6), Zu SanLi (St 36), Guan Yuan (CV 4), Tai Chong (Liv 3), Da Bao (Sp 21)ANALYSIS OF FORMULA: Supplementing San Yin Jiao supplementsthe spleen, liver, and kidneys and regulates and rectifiesthe chong and ren. Supplementing Zu San Li fortifiesthe spleen and boosts the qi, supplements the latter heavento support the former heaven, and, with moxibustion, warmsyang. Supplementing Guan Yuan with moxibustion warmsand supplements both spleen and kidney yang and regulatesand rectifies the chong and ren. Draining Tai Chong coursesthe liver and resolves depression. Draining Da Bao treats generalizedbody pain.ADDITIONS & SUBTRACTIONS: For severe fatigue, add TaiBai (Sp 3). For daybreak diarrhea, add Ming Men (GV 4).For decreased sexual desire, add Ming Men (GV 4) and ZhiShi (Bl 52). For chest, abdominal, breast, and rib-sideoppression, distention, fullness, and pain due to liver depression,add Nei Guan (Per 6) and Wai Guan (TB 5). For menstrualirregularities, dysmenorrhea, and PMS, add Jian Shi(Per 5) and Gui Lai (St 29). For spontaneous perspiration,add He Gu (LI 4) and Fu Liu (Ki 7). For low back and kneesoreness and limpness, add Gong Sun (Sp 4) and Fu Liu (Ki7). For cold hands, add He Gu (LI 4). For cold lower limbsand feet, add Cheng Shan (Bl57). For concomitant bloodvacuity, add Ge Shu (Bl 17) and Gan Shu (Bl 18). If there ismore serious kidney yang vacuity, add Shen Shu (Bl 23) withmoxibustion.