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

FIBROMYALGIA SYNDROME (FMS) 2495. SPLEEN QI AND YIN & YANG VACUITY WITHVACUITY HEAT AND LIVER DEPRESSION PATTERNMAIN SYMPTOMS: Fatigue, lack of strength, scanty qi, disinclinationto speak, possible spontaneous perspirationand/or night sweats, loose stools or constipation, low backand knee soreness and limpness, decreased sexual desire, frequenturination, nocturia, cold hands and feet alternatingwith vexatious heat in the five centers, tidal heat, a pale facebut malar flushing, chest, abdominal, breast, rib-side oppression,distention, fullness, and pain, menstrual irregularitiesand especially a shortened luteal phase, possible dysmenorrhea,irritability, emotional depression, a tender, swollen, redtongue with teeth-marks on its edges and scanty, possiblyyellow fur, and a bowstring, fine, rapid pulse which is possiblydeep and forceless at least in the right cubit positionTREATMENT PRINCIPLES: Fortify the spleen and boost theqi, supplement the kidneys and invigorate yang, enrich yinand clear heat, course the liver and rectify the qiRX: Bu Zhong Yi Qi Tang (Supplement the Center & Boostthe Qi Decoction) & Er Xian Tang (Two ImmortalsDecoction) with additions and subtractionsINGREDIENTS:Huang Qi (Radix Astragali)Dang Shen (Radix Codonopsitis)Huang Bai (Cortex Phellodendri)Zhi Mu (Rhizoma Anemarrhenae)Xian Ling Pi (Herba Epimedii)Xian Mao (Rhizoma Curculiginis)Dang Gui (Radix Angelicae Sinensis)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Chuan Lian Zi (Fructus Toosendan)Chen Pi (Pericarpium Citri Reticulatae)mix-fried Gan Cao (Radix Glycyrrhizae)Chai Hu (Radix Bupleuri)15g9g9g9g9g9g9g9g9g6g6g1.5-3gANALYSIS OF FORMULA: Huang Qi, Dang Shen, Bai Zhu,and mix-fried Gan Cao fortify the spleen and boost the qi.Zhi Mu nourishes kidney yin and, with Huang Bai, clearsvacuity heat. Yin Yang Huo and Xian Mao warm and supplementkidney yang. Dang Gui nourishes the blood and harmonizesthe liver. Chai Hu and Chuan Lian Zi course theliver and, with Chen Pi, rectify the qi. In addition, ChuanLian Zi clears heat and eliminates dampness.ADDITIONS & SUBTRACTIONS: Add 21 grams of Fu XiaoMai (Fructus Levis Tritici) and 12 grams of Mu Li (ConchaOstreae) if there are night sweats and hot flashes. Add 12grams each of Suan Zao Ren (Semen Zizyphi Spinosae) andHe Huan Pi (Cortex Albiziae) if there is insomnia. Add 15grams each of Ji Xue Teng (Caulis Spatholobi), Niu Xi (RadixAchyranthis Bidentatae), and Wu Jia Pi (CortexAcanthopanacis) for malnourished sinews and body pain. Add15 grams each of Xuan Shen (Radix Scrophulariae) and Xia KuCao (Spica Prunellae), 12 grams each of Mu Li (ConchaOstreae), Ju He (Semen Citri Reticulatae), and Ba Yue Zha(Fructus Akebiae), and nine grams each of Ban Xia (RhizomaPinelliae), Hai Zao (Saragassum), Zhe Bei Mu (BulbusFritillariae Thunbergii), and Chuan Shan Jia (SqaumaManitis) for fibrocystic breasts. For constipation, add sixgrams of Zhi Shi (Fructus Immaturus Aurantii) and/or threegrams of Da Huang (Radix Et Rhizoma Rhei). For daybreakdiarrhea, add nine grams of Wu Wei Zi (Fructus Schisandrae),six grams of Rou Dou Kou (Semen Myristicae), and threegrams of Wu Zhu Yu (Fructus Evodiae). For decreased sexualdesire, add nine grams of Rou Cong Rong (Herba Cistanchis).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), andYu Jin (TuberCurcumae). For menstrual irregularities, dysmenorrhea, andPMS, add nine grams each of Xiang Fu (Rhizoma Cyperi) andChuan Xiong (Rhizoma Chuanxiong). For more marked kidneyyin vacuity, add nine grams each of He Shou Wu (RadixPolygoni Multiflori), Nu Zhen Zi (Fructus Ligustri Lucidi),and Han Lian Cao (Herba Ecliptae).ACUPUNCTURE & MOXIBUSTION: San Yin Jiao (Sp 6), ZuSan Li (St 36), Guan Yuan (CV 4), Tai Chong (Liv 3), Fu Liu(Ki 7), Da Bao (Sp 21)ANALYSIS OF FORMULA: For the functions of San Yin Jiao,Zu San Li, Guan Yuan, and Tai Chong, please see the precedingpattern. Supplementing Fu Liu supplements the kidneys,enriches yin, and downbears vacuity heat. Draining Da Baotreats generalized body pain.ADDITIONS & SUBTRACTIONS: Please see the precedingpattern. For vexatious heat in the five hearts or centers, tidalheat, and malar flushing, add Yin Xi (Ht 6) and Da Zhui(GV 14). For irritability and emotional depression, add NeiGuan (Per 6).6. BLOOD STASIS PATTERNMAIN SYMPTOMS: Fixed, sharp, stabbing and/or severe painwhich is commonly worse in the evening and at night,engorged visible blood vessels, from large varicosities to spidernevi and cherry hemagiomas, engorged and distendedsublingual veins, painful menstruation, blood clots in themenstruate, blood clots in any visible bleeding, a dark, sootyfacial complexion, liver or age spots, a dark, possibly purplishtongue or static spots or black and blue marks on the tongue,and a bowstring, choppy, deep, slow, and/or irregular pulse